Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A client reports burning during urination. What should the nurse assess first?
A. Fluid intake over 24 hours
✔✔B. Signs of urinary tract infection
C. Blood pressure
D. Bowel movement frequency
A nurse is teaching a client how to prevent constipation. Which advice is best?
✔✔A. "Drink at least 2 liters of water daily."
B. "Limit fiber in your diet."
C. "Avoid walking or movement."
D. "Ignore the urge to defecate."
A client on bed rest reports not voiding for 8 hours. What action should the nurse take?
✔✔A. Palpate the bladder for fullness
B. Offer pain medication
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,C. Reposition the client to high Fowler’s
D. Provide oral fluids
The nurse is preparing to administer a cleansing enema. Which client position is appropriate?
A. Supine
✔✔B. Left side-lying with right knee flexed
C. Right lateral with left knee straight
D. Prone with pillow under chest
Which finding should be reported immediately after urinary catheter insertion?
A. Pale yellow urine output
✔✔B. Bloody urine with clots
C. Clear, continuous flow
D. Client feels relief
A nurse is teaching a client about reducing the risk of urinary incontinence. Which statement
shows understanding?
✔✔A. "I’ll practice pelvic floor exercises daily."
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,B. "I’ll avoid using the toilet regularly."
C. "I’ll drink less water throughout the day."
D. "I’ll wear tight clothing to support my bladder."
A nurse is reviewing care for a client with diarrhea. Which is the priority nursing action?
✔✔A. Monitor for signs of dehydration
B. Limit oral fluids
C. Encourage high-fat foods
D. Provide antacids as needed
A client asks how often the ostomy pouch should be changed. What is the correct response?
✔✔A. "Change the pouch every 3 to 5 days or when leaking."
B. "You only need to change it once a month."
C. "Change it every morning."
D. "Change it after each meal."
What is the best action when collecting a midstream urine sample?
✔✔A. Ask the client to void, then collect mid-flow
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, B. Collect the first few drops of urine
C. Allow the urine to sit before sealing
D. Touch the inside of the sterile container
Which observation indicates effective bowel training?
A. Client continues to experience constipation
✔✔B. Client has regular, soft bowel movements
C. Client avoids using the toilet
D. Client requests frequent enemas
Which client is at highest risk for urinary retention?
A. A young adult after exercise
✔✔B. An older adult post-surgery under anesthesia
C. A child with diarrhea
D. A pregnant woman in her third trimester
Which food selection promotes bowel regularity?
✔✔A. Oatmeal and fresh apples
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