NUR155/NUR 155 EXAM 2 LATEST 2026 FOUNDATIONS OF NURSING GALEN

NUR155/NUR 155 EXAM 2 LATEST 2026 FOUNDATIONS OF NURSING  GALEN

1. 1) The nurse is inserting a
nasogastric tube in an adult
client. During the procedure,
the client begins to cough and
has difficulty breathing. What is
the most appropriate action?
a. Insert the tube quickly.
b. Notify the health care
provider immediately.
c. Remove the tube and reinsert it when the respiratory distress subsides.
d. Pull back on the tube and
wait until the respiratory distress subsides.
d
Rationale: During the insertion of the nasogastric tube, if the client experiences difficulty breathing or any respiratory distress,
withdraw the tube slightly, stop the tube
advancement, and wait until the distress
subsides. It is not necessary to notify the
HCP immediately or remove the tube completely. Quick inserting the tube is not an
appropriate action because, in this situation, it is likely that the tube has entered the
bronchus.
2. 2) The nurse receives a telephone call from the post anesthesia care unit stating that
a client is being transferred
to the surgical unit. The nurse
plans to take which action first
on arrival of the client?
a. Assess the patency of the
airway
b. Check tubes or drains for patency
c. Check the dressing to assess
for bleeding
d. Assess the vital signs
to compare with preoperative
measurements
a
Rationale: The first action of the nurse is to
assess the patency of the airway and respiratory function. If the airway is not patent,
the nurse must take immediate measures
for the survival of the client. The nurse then
takes vital signs followed by checking the
dressing and the tubes or drains. The other
nursing actions should be performed after
a patent airway has been established.
3. 3) The nurse is administering
a cleansing enema to a client
with a fecal impaction. Before
administering the enema, the
nurse should place the client in
which position?
a
Rationale: For administering an enema, the
client is placed in a left Sims' position so
that the enema solution can flow by gravity
in the natural direction of the colon.