ATI QUESTIONS NUR 234 EXAM 2
ELIMINATION + Fluid and Electrolyte
Balance
A nurse is teaching a client about performing a fecal occulut blood test at home. Which of the
following should the nurse indicate?
A. Do not eat red meat within one day of test
B. One stool specimen is sufficient for testing
C. A red color change indicates positive test
D. Ensure specimen does not include urine - ANSD. Ensure specimen does not include urine
A nurse is preparing to administer a cleansing enema to a client. Place the steps the nurse
should plan to take in the correct order:
A. Slowly insert rectal tube into clients rectum
B. Warm enema solution
C. Ask the client to retain solution
D. Lube the end of rectal tube
E. Hang enema container 30-45 cm (12-18 in) above clients anus - ANSB. Warm enema
solution
D. Lube the end of rectal tube
A. Slowly insert rectal tube into clients rectum
E. Hang enema container 30-45 cm (12-18 in) above clients anus
C. Ask the client to retain solution
Nurse is admin enema to client with abdominal cramping. What actions should nurse take? -
ANS-Slow the flow of solution by lowering container
-Slowing flow of enema decreases abdominal cramping
-If severe abdominal cramping, stop enema, assess vital signs, and notify provider
A nurse is assessing client who has diarrhea for 3 days. Which of the following should the nurse
expect? Select all that apply
A. Bradycardia
B. Hypotension
C. Elevated Temp.
D. Peripheral edema
E. Poor skin turgor - ANSB. Hypotension
, C. Elevated Temp.
E. Poor skin turgor
A nurse is teaching a client who has diarrhea. Which of the following instructions should the
nurse include? Select all that apply
A. Eat raw fruit with the skin
B. Eat yogurt when diarrhea has stopped
C. Increase fluid intake
D. Drink hot fluid
E. Avoid caffeinated drinks - ANSB. Eat yogurt when diarrhea has stopped
C. Increase fluid intake
E. Avoid caffeinated drinks
A nurse is teaching a client who has recurrent UTIs. Which of the following instructions should
the nurse include?
A. Urinate after sexual intercourse
B. Drink at least 1 L of fluid each day
C. Clean perineum from front to back
D. Wear nylon undergarments
E. Avoid bubble baths - ANSA. Urinate after sexual intercourse
C. Clean perineum from front to back
E. Avoid bubble baths
A nurse is teaching a newly licensed nurse about urine specimen collection. Match the following
tests to procedure:
1. Collect urine in 24 hr period
2. Obtain non sterile urine specimen
3. Obtain a sterile urine specimen from indwelling urinary cath.
4. Clean urethral meatus prior to obtaining urine specimen
A. Random urinalysis
B. Clean-catch midstream from culture and sensitivity
C. Timed urine sample
D. Cath urine specimen for culture and sensitivity - ANSA: 2
B: 4
C: 1
D: 3
A nurse is caring for a client who has an indwelling urinary cath. Which of the following actions
should the nurse take? Select all that apply
ELIMINATION + Fluid and Electrolyte
Balance
A nurse is teaching a client about performing a fecal occulut blood test at home. Which of the
following should the nurse indicate?
A. Do not eat red meat within one day of test
B. One stool specimen is sufficient for testing
C. A red color change indicates positive test
D. Ensure specimen does not include urine - ANSD. Ensure specimen does not include urine
A nurse is preparing to administer a cleansing enema to a client. Place the steps the nurse
should plan to take in the correct order:
A. Slowly insert rectal tube into clients rectum
B. Warm enema solution
C. Ask the client to retain solution
D. Lube the end of rectal tube
E. Hang enema container 30-45 cm (12-18 in) above clients anus - ANSB. Warm enema
solution
D. Lube the end of rectal tube
A. Slowly insert rectal tube into clients rectum
E. Hang enema container 30-45 cm (12-18 in) above clients anus
C. Ask the client to retain solution
Nurse is admin enema to client with abdominal cramping. What actions should nurse take? -
ANS-Slow the flow of solution by lowering container
-Slowing flow of enema decreases abdominal cramping
-If severe abdominal cramping, stop enema, assess vital signs, and notify provider
A nurse is assessing client who has diarrhea for 3 days. Which of the following should the nurse
expect? Select all that apply
A. Bradycardia
B. Hypotension
C. Elevated Temp.
D. Peripheral edema
E. Poor skin turgor - ANSB. Hypotension
, C. Elevated Temp.
E. Poor skin turgor
A nurse is teaching a client who has diarrhea. Which of the following instructions should the
nurse include? Select all that apply
A. Eat raw fruit with the skin
B. Eat yogurt when diarrhea has stopped
C. Increase fluid intake
D. Drink hot fluid
E. Avoid caffeinated drinks - ANSB. Eat yogurt when diarrhea has stopped
C. Increase fluid intake
E. Avoid caffeinated drinks
A nurse is teaching a client who has recurrent UTIs. Which of the following instructions should
the nurse include?
A. Urinate after sexual intercourse
B. Drink at least 1 L of fluid each day
C. Clean perineum from front to back
D. Wear nylon undergarments
E. Avoid bubble baths - ANSA. Urinate after sexual intercourse
C. Clean perineum from front to back
E. Avoid bubble baths
A nurse is teaching a newly licensed nurse about urine specimen collection. Match the following
tests to procedure:
1. Collect urine in 24 hr period
2. Obtain non sterile urine specimen
3. Obtain a sterile urine specimen from indwelling urinary cath.
4. Clean urethral meatus prior to obtaining urine specimen
A. Random urinalysis
B. Clean-catch midstream from culture and sensitivity
C. Timed urine sample
D. Cath urine specimen for culture and sensitivity - ANSA: 2
B: 4
C: 1
D: 3
A nurse is caring for a client who has an indwelling urinary cath. Which of the following actions
should the nurse take? Select all that apply
