HESI MCA II Practice Test 2026 – The All-In-One Guide to Exam Success!

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For intermittent feeding of a percutaneous endoscopic gastrostomy (PEG) tube, which protocol is NOT recommended?

Assess residual amounts once a day.

Monitoring how well the stomach empties and whether a patient tolerates the feed is essential for intermittent PEG feeding. Residuals should be checked before each feeding (and as needed if there are signs of intolerance) to catch delays in gastric emptying early and prevent aspiration. Assessing residual amounts only once a day can miss changes between feeds, increasing the risk of aspiration or intolerance. So that practice is not recommended. The other safety steps—keeping the head of the bed elevated around 30 degrees to reduce aspiration risk, changing the feeding bag and tubing every 24 hours to lessen contamination, and verifying tube placement by gastric aspiration before feeding—are standard precautions that support safe administration of the feed.

Keeping the head of the bed elevated 30 degrees.

Changing the enteral-feeding bag every 24 hours.

Checking the placement of the tube by means of gastric aspiration.