NUR 114 Test 4 Compilation questions and answers A+ Grade
2026\2027
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding.
Which menu selection indicates that the client correctly understands the dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk
- correct answer B
After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which
statement indicates the client needs additional teaching related to the proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away."
- correct answer A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before. The
nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over
the distended area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
,d. Auscultate all quadrants of the client's abdomen.
- correct answer B
A nurse assesses clients at a community health center. Which client is at highest risk for the
development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently
- correct answer D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the
presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity.
- correct answer C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told
me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy
and would like to cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure
- correct answer C
,An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas
across the client's lower abdomen. Which action should the nurse take first?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history.
- correct answer B
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent abdominal pain.
An hour later the client reports constant abdominal pain. Which action should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds.
- correct answer D
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the
treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care
provider?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers
- correct answer A
A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse
include in this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
, b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting."
- correct answer C
A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse
teach this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa."
- correct answer C
A nurse cares for a client who has a family history of colon cancer. The client states, "My father and my
brother had colon cancer. What is the chance that I will get cancer?" How should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
b. "You are safe. This is an autosomal dominant disorder that skips generations."
c. "Preemptive surgery and chemotherapy will remove cancer cells and prevent cancer."
d. "You should have a colonoscopy more frequently to identify abnormal polyps early."
- correct answer D
After teaching a client who is recovering from a colon resection, the nurse assesses the client's
understanding. Which statements by the client indicate a correct understanding of the teaching? (Select
all that apply.)
a. "I must change the ostomy appliance daily and as needed."
b. "I will use warm water and a soft washcloth to clean around the stoma."
c. "I might start bicycling and swimming again once my incision has healed."
d. "Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown."
2026\2027
After teaching a client with irritable bowel syndrome (IBS), a nurse assesses the client's understanding.
Which menu selection indicates that the client correctly understands the dietary teaching?
a. Ham sandwich on white bread, cup of applesauce, glass of diet cola
b. Broiled chicken with brown rice, steamed broccoli, glass of apple juice
c. Grilled cheese sandwich, small banana, cup of hot tea with lemon
d. Baked tilapia, fresh green beans, cup of coffee with low-fat milk
- correct answer B
After teaching a client who has a femoral hernia, the nurse assesses the client's understanding. Which
statement indicates the client needs additional teaching related to the proper use of a truss?
a. "I will put on the truss before I go to bed each night."
b. "I'll put some powder under the truss to avoid skin irritation."
c. "The truss will help my hernia because I can't have surgery."
d. "If I have abdominal pain, I'll let my health care provider know right away."
- correct answer A
A nurse assesses a client who is recovering from a hemorrhoidectomy that was done the day before. The
nurse notes that the client has lower abdominal distention accompanied by dullness to percussion over
the distended area. Which action should the nurse take?
a. Assess the client's heart rate and blood pressure.
b. Determine when the client last voided.
c. Ask if the client is experiencing flatus.
,d. Auscultate all quadrants of the client's abdomen.
- correct answer B
A nurse assesses clients at a community health center. Which client is at highest risk for the
development of colorectal cancer?
a. A 37-year-old who drinks eight cups of coffee daily
b. A 44-year-old with irritable bowel syndrome (IBS)
c. A 60-year-old lawyer who works 65 hours per week
d. A 72-year-old who eats fast food frequently
- correct answer D
A nurse assessing a client with colorectal cancer auscultates high-pitched bowel sounds and notes the
presence of visible peristaltic waves. Which action should the nurse take?
a. Ask if the client is experiencing pain in the right shoulder.
b. Perform a rectal examination and assess for polyps.
c. Contact the provider and recommend computed tomography.
d. Administer a laxative to increase bowel movement activity.
- correct answer C
A nurse prepares a client for a colonoscopy scheduled for tomorrow. The client states, "My doctor told
me that the fecal occult blood test was negative for colon cancer. I don't think I need the colonoscopy
and would like to cancel it." How should the nurse respond?
a. "Your doctor should not have given you that information prior to the colonoscopy."
b. "The colonoscopy is required due to the high percentage of false negatives with the blood test."
c. "A negative fecal occult blood test does not rule out the possibility of colon cancer."
d. "I will contact your doctor so that you can discuss your concerns about the procedure
- correct answer C
,An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas
across the client's lower abdomen. Which action should the nurse take first?
a. Measure the client's abdominal girth.
b. Assess for abdominal guarding or rigidity.
c. Check the client's hemoglobin and hematocrit.
d. Obtain the client's complete health history.
- correct answer B
A nurse assesses a client with a mechanical bowel obstruction who reports intermittent abdominal pain.
An hour later the client reports constant abdominal pain. Which action should the nurse take next?
a. Administer intravenous opioid medications.
b. Position the client with knees to chest.
c. Insert a nasogastric tube for decompression.
d. Assess the client's bowel sounds.
- correct answer D
A nurse assesses a client who is prescribed 5-fluorouracil (5-FU) chemotherapy intravenously for the
treatment of colon cancer. Which assessment finding should alert the nurse to contact the health care
provider?
a. White blood cell (WBC) count of 1500/mm3
b. Fatigue
c. Nausea and diarrhea
d. Mucositis and oral ulcers
- correct answer A
A nurse teaches a client who is recovering from a colon resection. Which statement should the nurse
include in this client's plan of care?
a. "You may experience nausea and vomiting for the first few weeks."
, b. "Carbonated beverages can help decrease acid reflux from anastomosis sites."
c. "Take a stool softener to promote softer stools for ease of defecation."
d. "You may return to your normal workout schedule, including weight lifting."
- correct answer C
A nurse teaches a client who is at risk for colon cancer. Which dietary recommendation should the nurse
teach this client?
a. "Eat low-fiber and low-residual foods."
b. "White rice and bread are easier to digest."
c. "Add vegetables such as broccoli and cauliflower to your new diet."
d. "Foods high in animal fat help to protect the intestinal mucosa."
- correct answer C
A nurse cares for a client who has a family history of colon cancer. The client states, "My father and my
brother had colon cancer. What is the chance that I will get cancer?" How should the nurse respond?
a. "If you eat a low-fat and low-fiber diet, your chances decrease significantly."
b. "You are safe. This is an autosomal dominant disorder that skips generations."
c. "Preemptive surgery and chemotherapy will remove cancer cells and prevent cancer."
d. "You should have a colonoscopy more frequently to identify abnormal polyps early."
- correct answer D
After teaching a client who is recovering from a colon resection, the nurse assesses the client's
understanding. Which statements by the client indicate a correct understanding of the teaching? (Select
all that apply.)
a. "I must change the ostomy appliance daily and as needed."
b. "I will use warm water and a soft washcloth to clean around the stoma."
c. "I might start bicycling and swimming again once my incision has healed."
d. "Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown."
