2026/2027
NU 136 Fundamentals of Nursing
Exam 2 Comprehensive Study Guide
and Test Bank Review 2026/2027
Edition for Exam Preparation and
Clinical Application Mastery
Question 1
A nurse is preparing to administer a cleansing enema. What is the primary reason for
using warm solution?
A. Cold solution increases intestinal absorption
B. It increases peristalsis
C. It reduces risk of infection
D. It prevents electrolyte imbalance
Correct Answer: B. It increases peristalsis
Rationale: Warm enema solutions stimulate intestinal motility by enhancing bowel
peristalsis, which promotes evacuation of stool. Cold solutions may cause abdominal
cramping and discomfort, while temperature has no direct role in infection prevention
or electrolyte balance in this context.
Question 2
An immobile patient is at risk for constipation. Which nursing intervention is most
effective?
A. Administering laxatives daily
B. Restricting fluid intake
C. Encouraging high-fiber diet
D. Limiting physical activity
Correct Answer: C. Encouraging high-fiber diet
Rationale: A high-fiber diet increases stool bulk and stimulates bowel movement,
reducing constipation risk. Laxatives should not be routinely used, and restricting
fluids or limiting activity worsens constipation.
Question 3
,2026/2027
Which position is most appropriate for enema administration?
A. Supine
B. Prone
C. Left Sims position
D. Fowler’s position
Correct Answer: C. Left Sims position
Rationale: The left Sims position allows gravity to assist solution flow into the
sigmoid colon and rectum, improving enema effectiveness. Other positions do not
facilitate optimal rectal access or flow.
Question 4
A patient taking stimulant laxatives long-term is at risk for:
A. Hypercalcemia
B. Bowel dependency
C. Hypoglycemia
D. Hypertension
Correct Answer: B. Bowel dependency
Rationale: Chronic use of stimulant laxatives can lead to decreased natural bowel
motility, resulting in dependency. The bowel becomes reliant on pharmacologic
stimulation for evacuation.
Question 5
What is the primary purpose of a wound vacuum-assisted closure (VAC)?
A. Deliver antibiotics
B. Close wounds with sutures
C. Remove exudate and promote healing
D. Provide heat therapy
Correct Answer: C. Remove exudate and promote healing
Rationale: Wound VAC therapy applies negative pressure to remove excess exudate,
reduce edema, and promote granulation tissue formation, enhancing wound healing.
Question 6
A patient is non-weight bearing on the left leg. Which instruction is correct?
, 2026/2027
A. Bear weight equally on both legs
B. Place all weight on the right leg
C. Alternate weight between legs
D. Use left leg for support
Correct Answer: B. Place all weight on the right leg
Rationale: Non-weight bearing means the affected limb must not support body weight;
therefore, all weight is transferred to the unaffected limb.
Question 7
What is the correct technique when applying an elastic bandage?
A. Apply tight pressure to reduce swelling
B. Start proximal and move distal
C. Use even pressure throughout wrapping
D. Leave distal end uncovered
Correct Answer: C. Use even pressure throughout wrapping
Rationale: Even pressure ensures proper circulation and prevents constriction. Uneven
or overly tight wrapping can impair blood flow.
Question 8
Which phase of wound healing involves collagen formation?
A. Inflammatory phase
B. Hemostasis phase
C. Proliferative phase
D. Maturation phase
Correct Answer: C. Proliferative phase
Rationale: The proliferative phase involves fibroblast activity, collagen deposition,
and granulation tissue formation to rebuild wound structure.
Question 9
A wound is red, swollen, warm, and painful. The nurse suspects:
A. Normal healing
B. Infection
C. Ischemia
D. Hematoma
NU 136 Fundamentals of Nursing
Exam 2 Comprehensive Study Guide
and Test Bank Review 2026/2027
Edition for Exam Preparation and
Clinical Application Mastery
Question 1
A nurse is preparing to administer a cleansing enema. What is the primary reason for
using warm solution?
A. Cold solution increases intestinal absorption
B. It increases peristalsis
C. It reduces risk of infection
D. It prevents electrolyte imbalance
Correct Answer: B. It increases peristalsis
Rationale: Warm enema solutions stimulate intestinal motility by enhancing bowel
peristalsis, which promotes evacuation of stool. Cold solutions may cause abdominal
cramping and discomfort, while temperature has no direct role in infection prevention
or electrolyte balance in this context.
Question 2
An immobile patient is at risk for constipation. Which nursing intervention is most
effective?
A. Administering laxatives daily
B. Restricting fluid intake
C. Encouraging high-fiber diet
D. Limiting physical activity
Correct Answer: C. Encouraging high-fiber diet
Rationale: A high-fiber diet increases stool bulk and stimulates bowel movement,
reducing constipation risk. Laxatives should not be routinely used, and restricting
fluids or limiting activity worsens constipation.
Question 3
,2026/2027
Which position is most appropriate for enema administration?
A. Supine
B. Prone
C. Left Sims position
D. Fowler’s position
Correct Answer: C. Left Sims position
Rationale: The left Sims position allows gravity to assist solution flow into the
sigmoid colon and rectum, improving enema effectiveness. Other positions do not
facilitate optimal rectal access or flow.
Question 4
A patient taking stimulant laxatives long-term is at risk for:
A. Hypercalcemia
B. Bowel dependency
C. Hypoglycemia
D. Hypertension
Correct Answer: B. Bowel dependency
Rationale: Chronic use of stimulant laxatives can lead to decreased natural bowel
motility, resulting in dependency. The bowel becomes reliant on pharmacologic
stimulation for evacuation.
Question 5
What is the primary purpose of a wound vacuum-assisted closure (VAC)?
A. Deliver antibiotics
B. Close wounds with sutures
C. Remove exudate and promote healing
D. Provide heat therapy
Correct Answer: C. Remove exudate and promote healing
Rationale: Wound VAC therapy applies negative pressure to remove excess exudate,
reduce edema, and promote granulation tissue formation, enhancing wound healing.
Question 6
A patient is non-weight bearing on the left leg. Which instruction is correct?
, 2026/2027
A. Bear weight equally on both legs
B. Place all weight on the right leg
C. Alternate weight between legs
D. Use left leg for support
Correct Answer: B. Place all weight on the right leg
Rationale: Non-weight bearing means the affected limb must not support body weight;
therefore, all weight is transferred to the unaffected limb.
Question 7
What is the correct technique when applying an elastic bandage?
A. Apply tight pressure to reduce swelling
B. Start proximal and move distal
C. Use even pressure throughout wrapping
D. Leave distal end uncovered
Correct Answer: C. Use even pressure throughout wrapping
Rationale: Even pressure ensures proper circulation and prevents constriction. Uneven
or overly tight wrapping can impair blood flow.
Question 8
Which phase of wound healing involves collagen formation?
A. Inflammatory phase
B. Hemostasis phase
C. Proliferative phase
D. Maturation phase
Correct Answer: C. Proliferative phase
Rationale: The proliferative phase involves fibroblast activity, collagen deposition,
and granulation tissue formation to rebuild wound structure.
Question 9
A wound is red, swollen, warm, and painful. The nurse suspects:
A. Normal healing
B. Infection
C. Ischemia
D. Hematoma
