NORCET 2 - 2021 (shift-1)
Child Health Nursing (Pediatrics)
Medium

Identify the following tube.

Appeared in: NORCET 2 - 2021 (shift-1)

Explanation

  • The image shows a small-bore, flexible tube, which is characteristic of a tube designed for infants.
  • A stylet (guidewire) is visible inside the tube, which is used to provide stiffness for inserting soft, small-bore feeding tubes.
  • The proximal end has a capped connector for administering feeds, not a vent for suction.
  • The overall size and features are consistent with a tube used for neonatal or infant gavage feeding.

Why Other Options Were Wrong

  • Option A: While technically a type of nasogastric (NG) tube, this answer is too general. The question requires the most specific and accurate identification based on the visual evidence.
  • Option C: A suction catheter is designed to remove secretions and has a distinctive thumb-control port or Y-connector to modulate suction. The tube in the image lacks this feature.
  • Option D: A Levin tube is a large-bore (typically 12-18 French) single-lumen NG tube used primarily in adults for gastric decompression. The tube in the image is clearly small-bore.

Related Visual

side comparison of an Infant Feeding Tube, a Suction Catheter, and a Levin Tube. Arrows should point to key differentiating features: the small bore and stylet of the feeding tu...
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of medical tubes as background academic context rather than a clinical decision trigger.
  • Correctly identifying medical tubes is a critical patient safety skill for nurses to prevent administration errors, such as connecting a feeding formula to an IV line or attempting to feed through a suction catheter.
  • For infant feeding tubes, nurses must meticulously verify placement before each feeding (e.g., by checking aspirate pH) to prevent aspiration, which can be fatal in neonates.
  • What if? If a nurse mistook this for a suction catheter and tried to clear an infant's airway, it would be ineffective due to the lack of a suction control mechanism and the small side ports, potentially delaying necessary care.
How to Approach the Question
  • First, carefully examine the image of the medical device, paying close attention to all its parts from tip to end.
  • Identify key features: What is the tube's diameter (small or large bore)? What does the connector at the end look like? Are there any special ports, markings, or additional components like a stylet?
  • Systematically evaluate each option against your observations. Does a 'Suction catheter' have a stylet and a capped connector? No, it has a thumb vent. Eliminate it.
  • Compare the remaining options. 'NG tube' is general. 'Levin tube' is large-bore. 'Infant feeding tube' is small-bore and often has a stylet. The features in the image best match 'Infant feeding tube'.
  • Select the most specific and accurate description that accounts for all the visual evidence.
Concept Tested & Keywords
  • Concept Tested: Identification of medical tubes
  • Stem keywords: Identify, tube
  • Lead-in keywords: Identify
  • Clinical cues: Visual identification of medical equipment

Question ID

QHFzkH-gykxhL0i-4GbJFy

Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 2 p. 89-91

E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 43-45

E6 Nursing Fundamentals Taylor p. 510-512

Practise the full NORCET 2 - 2021 (shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

More Common Medical Procedures Questions

More NORCET 2 - 2021 (shift-1) Questions