NR 224 Final Exam 2026 Exam
Questions and Correct
Answers | New Update
What is the most effective method to prevent the transfer of clostridium
difficile (C. Difficile) ? - ANSWER ✔✔HAND HYGIENE with soap and
water is effective to physically remove C. difficile spores from the hands.
(Potter 1092)
What is the term for the [abnormal] method used to assist in stool
passage by exerting pressure to expel fecal matter through voluntary
contraction of the abdominal muscles while maintaining a forced
expiration against a closed airway? - ANSWER ✔✔Valsalva
Manuever
,*Normal passage of bowels should be painless, passing soft formed
stool*
Which patients are at greatest risk for cardiac dysrhythmia and high
blood pressure with the Valsalva manuever and MUST avoid straining to
pass stool? - ANSWER ✔✔Patients with cardiovascular disease,
glaucoma, increased intracranial pressure, or a new surgical wound
(Potter 1089)
What is the term for a collection of hardened feces in the rectum that
cannot be expelled due to unrelieved constipation? - ANSWER
✔✔Fecal Impaction
Where does fecal impaction occur in the colon? - ANSWER
✔✔Rectum
Least formed stool is present in which portion of the digestive tract? -
ANSWER ✔✔Ascending Colon
Most formed stool is present in which portion of the digestive tract? -
ANSWER ✔✔Descending Colon
Which position should the patient be in while administering an enema? -
ANSWER ✔✔Left Side-Lying or Sim's Position
,Which factors would contribute to stopping enema administration? -
ANSWER ✔✔If bleeding occurs, abdomen becomes rigid and
distended, pain occurs, or resistance is felt
Which enema solution is the safest for administration because it does
NOT create a danger for excess fluid absorption? - ANSWER
✔✔Normal Saline [Isotonic Solution]
Which enema solution is contraindicated in patients who are dehydrated
or young infants because of risk for fluid imbalance? - ANSWER
✔✔Hypertonic Solution
Which enema solution is considered to be hypotonic and should NOT be
repeated because of the risk of water toxicity or circulatory overload if
and because the body absorbs excessive amounts of water? -
ANSWER ✔✔Tap Water [Hypotonic Solution]
Which enema solution lubricates the rectum and allows the feces to
absorb the oil making them soft and easier to pass? - ANSWER
✔✔Oil Retention
Which enema solution creates intestinal irritation to stimulate peristalsis
by using castile soap? - ANSWER ✔✔Soapsuds
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Which enema solution should used in caution in pregnant women and
elderly because it may cause an electrolyte imbalance or damage to
intestinal mucosa? - ANSWER ✔✔Soapsuds
Which laboratory test is used to measure microscopic amounts of blood
in the feces (blood that cannot be seen) - ANSWER ✔✔Guaiac Fecal
Occult Blood Test
Repeat the test at least three times while the patient refrains from
ingesting foods (e.g., some raw vegetables, red meat, poultry, fish) and
medications (e.g., vitamin C, aspirin, non steroidal anti-inflammatory
drugs) that cause false-positive results
(Potter 1100)
When analyzing a fecal specimens for ova and parasites, what is
required of the stool? - ANSWER ✔✔The stool MUST be warm.
If the stool specimen remains at room temperature, bacteriological
changes can alter the test results
Questions and Correct
Answers | New Update
What is the most effective method to prevent the transfer of clostridium
difficile (C. Difficile) ? - ANSWER ✔✔HAND HYGIENE with soap and
water is effective to physically remove C. difficile spores from the hands.
(Potter 1092)
What is the term for the [abnormal] method used to assist in stool
passage by exerting pressure to expel fecal matter through voluntary
contraction of the abdominal muscles while maintaining a forced
expiration against a closed airway? - ANSWER ✔✔Valsalva
Manuever
,*Normal passage of bowels should be painless, passing soft formed
stool*
Which patients are at greatest risk for cardiac dysrhythmia and high
blood pressure with the Valsalva manuever and MUST avoid straining to
pass stool? - ANSWER ✔✔Patients with cardiovascular disease,
glaucoma, increased intracranial pressure, or a new surgical wound
(Potter 1089)
What is the term for a collection of hardened feces in the rectum that
cannot be expelled due to unrelieved constipation? - ANSWER
✔✔Fecal Impaction
Where does fecal impaction occur in the colon? - ANSWER
✔✔Rectum
Least formed stool is present in which portion of the digestive tract? -
ANSWER ✔✔Ascending Colon
Most formed stool is present in which portion of the digestive tract? -
ANSWER ✔✔Descending Colon
Which position should the patient be in while administering an enema? -
ANSWER ✔✔Left Side-Lying or Sim's Position
,Which factors would contribute to stopping enema administration? -
ANSWER ✔✔If bleeding occurs, abdomen becomes rigid and
distended, pain occurs, or resistance is felt
Which enema solution is the safest for administration because it does
NOT create a danger for excess fluid absorption? - ANSWER
✔✔Normal Saline [Isotonic Solution]
Which enema solution is contraindicated in patients who are dehydrated
or young infants because of risk for fluid imbalance? - ANSWER
✔✔Hypertonic Solution
Which enema solution is considered to be hypotonic and should NOT be
repeated because of the risk of water toxicity or circulatory overload if
and because the body absorbs excessive amounts of water? -
ANSWER ✔✔Tap Water [Hypotonic Solution]
Which enema solution lubricates the rectum and allows the feces to
absorb the oil making them soft and easier to pass? - ANSWER
✔✔Oil Retention
Which enema solution creates intestinal irritation to stimulate peristalsis
by using castile soap? - ANSWER ✔✔Soapsuds
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Which enema solution should used in caution in pregnant women and
elderly because it may cause an electrolyte imbalance or damage to
intestinal mucosa? - ANSWER ✔✔Soapsuds
Which laboratory test is used to measure microscopic amounts of blood
in the feces (blood that cannot be seen) - ANSWER ✔✔Guaiac Fecal
Occult Blood Test
Repeat the test at least three times while the patient refrains from
ingesting foods (e.g., some raw vegetables, red meat, poultry, fish) and
medications (e.g., vitamin C, aspirin, non steroidal anti-inflammatory
drugs) that cause false-positive results
(Potter 1100)
When analyzing a fecal specimens for ova and parasites, what is
required of the stool? - ANSWER ✔✔The stool MUST be warm.
If the stool specimen remains at room temperature, bacteriological
changes can alter the test results
