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1. Which of the following is the most appropriate way to
position a patient who has difficulty breathing?
a) Supine with the head elevated
b) Prone with the head elevated
c) Semi-Fowler's position
d) Trendelenburg position
Answer: c) Semi-Fowler's position
Rationale: Semi-Fowler's position allows for maximum
lung expansion and reduces the work of breathing. Supine
position may cause airway obstruction, prone position may
impair ventilation, and Trendelenburg position may
increase intracranial pressure.
2. A nurse is caring for a patient who has a nasogastric
(NG) tube for gastric decompression. Which of the
following actions should the nurse take to prevent
complications associated with NG tube placement?
a) Irrigate the tube with 30 mL of sterile water every 4
hours
b) Clamp the tube when the patient is eating or drinking
c) Check the tube placement by aspirating gastric contents
and measuring pH
d) Tape the tube securely to the patient's nose and cheek
Answer: c) Check the tube placement by aspirating gastric
contents and measuring pH
Rationale: Checking the tube placement by aspirating
gastric contents and measuring pH is the most reliable
method to ensure that the tube is in the stomach and not in
the lungs or esophagus. Irrigating the tube may cause fluid
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