NUR 215 EXAM /ACTUAL NUR 215 EXAM 4 TEST BANK
2026/2027 COMPREHENSIVE PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM APPROVED
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) A NEW UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED NUR 215 EXAM 4 |JUST RELEASED
1. A client is prescribed a high‑fiber diet to manage chronic
constipation. Which breakfast selection indicates the client
understands the dietary teaching?
A. Scrambled eggs with white toast and orange juice
B. Oatmeal with raisins and a bran muffin
C. Yogurt with granola and a banana
D. Pancakes with syrup and apple juice
Correct Answer: B. Oatmeal with raisins and a bran muffin
provides significant soluble and insoluble fiber, which adds bulk to
stool and promotes bowel regularity. Option A contains refined
grains and low fiber. Option C provides some fiber but less than
oatmeal with bran. Option D is predominantly refined
carbohydrates with minimal fiber.
2. The nurse is teaching a client with stress incontinence about pelvic
floor muscle exercises. Which instruction is most appropriate?
,A. “Tighten your gluteal muscles and hold for 10 seconds.”
B. “Contract the muscles you would use to stop the flow of urine,
hold for 10 seconds, then relax completely.”
C. “Perform 50 rapid contractions of your abdominal muscles twice
daily.”
D. “Avoid all fluid intake after 6 PM to reduce nighttime leakage.”
Correct Answer: B. Contracting the muscles used to stop urine
flow correctly identifies the pelvic floor muscles (Kegel exercises).
Hold and release cycles strengthen these muscles. Option A targets
the wrong muscle group. Option C is too rapid and targets
abdominals. Option D does not address the underlying muscle
weakness and can lead to dehydration.
3. A client with a new colostomy asks, “Will I ever be able to control
when I have a bowel movement?” Which response by the nurse is
most accurate?
A. “You will have no control over bowel movements with a
colostomy.”
B. “With irrigation and dietary management, you may be able to
establish a predictable pattern.”
C. “You will need to wear a pouch at all times and will never have
control.”
D. “Surgical revision can restore normal bowel control.”
,Correct Answer: B. Many clients with a colostomy can achieve
routine predictability through colostomy irrigation, dietary
adjustments, and scheduled pouch changes. Option A is overly
absolute and discouraging. Option C is false for many clients.
Option D is not a standard expectation and surgical revision does
not restore normal continence.
4. The nurse is caring for a client with hypokalemia. Which
assessment finding is most concerning?
A. Serum potassium level of 3.2 mEq/L
B. Muscle weakness and fatigue
C. Heart rate of 52 beats/min with a U wave on ECG
D. Thirst and dry mucous membranes
Correct Answer: C. A U wave on ECG with bradycardia indicates
significant cardiac effects of hypokalemia, which can progress to
dangerous arrhythmias. While a potassium of 3.2 mEq/L and
muscle weakness are important findings, ECG changes signal
immediate cardiac risk. Thirst and dry mucous membranes are
more consistent with hypernatremia or dehydration, not
hypokalemia.
5. A client reports taking a stimulant laxative daily for the past 2
years. The nurse recognizes this as a risk for:
, A. Fecal impaction
B. Electrolyte imbalance and dependence
C. Bowel obstruction
D. Increased peristalsis
Correct Answer: B. Chronic use of stimulant laxatives can lead to
electrolyte imbalances (particularly hypokalemia) and laxative
dependence, where the bowel loses its natural ability to contract.
Option A is a possible consequence of chronic constipation but not
the primary risk of stimulant laxative overuse. Option C is not
directly caused by laxative use. Option D is the intended effect but
chronic use leads to decreased response over time.
6. A postoperative client has hypoactive bowel sounds, abdominal
distension, and has not passed flatus in 48 hours. The nurse should
anticipate which intervention?
A. Administering a laxative
B. Inserting a nasogastric tube
C. Encouraging oral intake of clear liquids
D. Ambulating the client as tolerated
Correct Answer: D. Ambulation stimulates peristalsis and helps
promote bowel function postoperatively. Laxatives are not
indicated until bowel sounds return. A nasogastric tube may be
2026/2027 COMPREHENSIVE PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM APPROVED
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (RELIABLE SOLUTIONS) A NEW UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ |FULL
REVISED NUR 215 EXAM 4 |JUST RELEASED
1. A client is prescribed a high‑fiber diet to manage chronic
constipation. Which breakfast selection indicates the client
understands the dietary teaching?
A. Scrambled eggs with white toast and orange juice
B. Oatmeal with raisins and a bran muffin
C. Yogurt with granola and a banana
D. Pancakes with syrup and apple juice
Correct Answer: B. Oatmeal with raisins and a bran muffin
provides significant soluble and insoluble fiber, which adds bulk to
stool and promotes bowel regularity. Option A contains refined
grains and low fiber. Option C provides some fiber but less than
oatmeal with bran. Option D is predominantly refined
carbohydrates with minimal fiber.
2. The nurse is teaching a client with stress incontinence about pelvic
floor muscle exercises. Which instruction is most appropriate?
,A. “Tighten your gluteal muscles and hold for 10 seconds.”
B. “Contract the muscles you would use to stop the flow of urine,
hold for 10 seconds, then relax completely.”
C. “Perform 50 rapid contractions of your abdominal muscles twice
daily.”
D. “Avoid all fluid intake after 6 PM to reduce nighttime leakage.”
Correct Answer: B. Contracting the muscles used to stop urine
flow correctly identifies the pelvic floor muscles (Kegel exercises).
Hold and release cycles strengthen these muscles. Option A targets
the wrong muscle group. Option C is too rapid and targets
abdominals. Option D does not address the underlying muscle
weakness and can lead to dehydration.
3. A client with a new colostomy asks, “Will I ever be able to control
when I have a bowel movement?” Which response by the nurse is
most accurate?
A. “You will have no control over bowel movements with a
colostomy.”
B. “With irrigation and dietary management, you may be able to
establish a predictable pattern.”
C. “You will need to wear a pouch at all times and will never have
control.”
D. “Surgical revision can restore normal bowel control.”
,Correct Answer: B. Many clients with a colostomy can achieve
routine predictability through colostomy irrigation, dietary
adjustments, and scheduled pouch changes. Option A is overly
absolute and discouraging. Option C is false for many clients.
Option D is not a standard expectation and surgical revision does
not restore normal continence.
4. The nurse is caring for a client with hypokalemia. Which
assessment finding is most concerning?
A. Serum potassium level of 3.2 mEq/L
B. Muscle weakness and fatigue
C. Heart rate of 52 beats/min with a U wave on ECG
D. Thirst and dry mucous membranes
Correct Answer: C. A U wave on ECG with bradycardia indicates
significant cardiac effects of hypokalemia, which can progress to
dangerous arrhythmias. While a potassium of 3.2 mEq/L and
muscle weakness are important findings, ECG changes signal
immediate cardiac risk. Thirst and dry mucous membranes are
more consistent with hypernatremia or dehydration, not
hypokalemia.
5. A client reports taking a stimulant laxative daily for the past 2
years. The nurse recognizes this as a risk for:
, A. Fecal impaction
B. Electrolyte imbalance and dependence
C. Bowel obstruction
D. Increased peristalsis
Correct Answer: B. Chronic use of stimulant laxatives can lead to
electrolyte imbalances (particularly hypokalemia) and laxative
dependence, where the bowel loses its natural ability to contract.
Option A is a possible consequence of chronic constipation but not
the primary risk of stimulant laxative overuse. Option C is not
directly caused by laxative use. Option D is the intended effect but
chronic use leads to decreased response over time.
6. A postoperative client has hypoactive bowel sounds, abdominal
distension, and has not passed flatus in 48 hours. The nurse should
anticipate which intervention?
A. Administering a laxative
B. Inserting a nasogastric tube
C. Encouraging oral intake of clear liquids
D. Ambulating the client as tolerated
Correct Answer: D. Ambulation stimulates peristalsis and helps
promote bowel function postoperatively. Laxatives are not
indicated until bowel sounds return. A nasogastric tube may be
