NUR 2356 COMPREHENSIVE QUESTIONS AND
ANSWERS SET A+
✔✔Which action would the nurse take for a patient with a newly formed bowel
diversion? - ✔✔Perform stoma care him- or herself.
✔✔Which task would the nurse delegate to the unlicensed assistance personnel (UAP)
for a patient's bowel elimination needs? - ✔✔Record intake and output for a frail older
adult.
✔✔Which action would the nurse take for a patient whose ostomy stoma is speckled
white? - ✔✔Notify the health care provider.
✔✔Which action would the nurse take if there are concerns during administration of the
enema?
Correct - ✔✔If the patient cannot hold the enema solution, place the patient on a
bedpan.
✔✔Which patient statement would indicate to the nurse that the patient understands the
teaching for an opiate-based antidiarrheal agent? - ✔✔"I should take the medicine for
no more than 72 hours."
✔✔For which constipated patient would the nurse administer a laxative? - ✔✔One who
is allergic to opiates
✔✔Which laxative would the nurse observe written on the medication administration
record (MAR) for a patient with a prescription for a stimulant? - ✔✔Senna
✔✔For which patient would the nurse likely insert the nasogastric (NG) tube pictured
here? - ✔✔One who needs gastric decompression
, ✔✔For which primary purpose would the nurse insert a large-bore nasogastric tube in a
patient who ate a poisonous substance? - ✔✔Gastric lavage
✔✔Which action would the nurse take first when there is no movement of fluid in the
patient's nasogastric tube and the patient's abdomen is becoming distended? -
✔✔Irrigate the tube with normal saline.
✔✔Which statements by a group of healthy adults indicate successful teaching by the
nurse about colorectal health? - ✔✔"Because I am 50, I need to have a fecal occult
blood test every year."
✔✔Which information would the nurse share with a patient who wants to eat healthy
and have an active lifestyle to improve digestive health? - ✔✔Walking stimulates
intestinal muscle contraction.
Usually 6 to 8 glasses of fluid should be consumed per day.
✔✔Which actions would the nurse take for a patient who has diarrhea and is becoming
dehydrated? - ✔✔Monitor intake and output.
Weigh daily.
Assess skin turgor.
✔✔Which assessment cues alert the nurse that the patient with a fecal impaction is
deteriorating? - ✔✔Heart rate drops to 56 beats/min
Blood pressure elevates from 120/60 to 142/66 mm Hg
✔✔Which actions would the nurse take when performing routine ostomy care on a
patient with an ileostomy? - ✔✔Measure the stoma.
Assess the pouch seal.
Gently wash the stoma and peristomal area with water.
✔✔Which nursing actions would the nurse perform directly after completion of a
cleansing enema to an ambulatory patient? - ✔✔Assisting the patient to the bathroom
Ensuring that nonskid shoes/socks are in place
✔✔Which cues would alert the nurse that a patient with a nasogastric tube is
experiencing aspiration?
Correct - ✔✔Fever
Congested lung sounds
Shortness of breath
✔✔After how many enemas would the nurse notify the health care provider when the
patient's bowel return for cleansing enemas is still brown? - ✔✔3 enemas
ANSWERS SET A+
✔✔Which action would the nurse take for a patient with a newly formed bowel
diversion? - ✔✔Perform stoma care him- or herself.
✔✔Which task would the nurse delegate to the unlicensed assistance personnel (UAP)
for a patient's bowel elimination needs? - ✔✔Record intake and output for a frail older
adult.
✔✔Which action would the nurse take for a patient whose ostomy stoma is speckled
white? - ✔✔Notify the health care provider.
✔✔Which action would the nurse take if there are concerns during administration of the
enema?
Correct - ✔✔If the patient cannot hold the enema solution, place the patient on a
bedpan.
✔✔Which patient statement would indicate to the nurse that the patient understands the
teaching for an opiate-based antidiarrheal agent? - ✔✔"I should take the medicine for
no more than 72 hours."
✔✔For which constipated patient would the nurse administer a laxative? - ✔✔One who
is allergic to opiates
✔✔Which laxative would the nurse observe written on the medication administration
record (MAR) for a patient with a prescription for a stimulant? - ✔✔Senna
✔✔For which patient would the nurse likely insert the nasogastric (NG) tube pictured
here? - ✔✔One who needs gastric decompression
, ✔✔For which primary purpose would the nurse insert a large-bore nasogastric tube in a
patient who ate a poisonous substance? - ✔✔Gastric lavage
✔✔Which action would the nurse take first when there is no movement of fluid in the
patient's nasogastric tube and the patient's abdomen is becoming distended? -
✔✔Irrigate the tube with normal saline.
✔✔Which statements by a group of healthy adults indicate successful teaching by the
nurse about colorectal health? - ✔✔"Because I am 50, I need to have a fecal occult
blood test every year."
✔✔Which information would the nurse share with a patient who wants to eat healthy
and have an active lifestyle to improve digestive health? - ✔✔Walking stimulates
intestinal muscle contraction.
Usually 6 to 8 glasses of fluid should be consumed per day.
✔✔Which actions would the nurse take for a patient who has diarrhea and is becoming
dehydrated? - ✔✔Monitor intake and output.
Weigh daily.
Assess skin turgor.
✔✔Which assessment cues alert the nurse that the patient with a fecal impaction is
deteriorating? - ✔✔Heart rate drops to 56 beats/min
Blood pressure elevates from 120/60 to 142/66 mm Hg
✔✔Which actions would the nurse take when performing routine ostomy care on a
patient with an ileostomy? - ✔✔Measure the stoma.
Assess the pouch seal.
Gently wash the stoma and peristomal area with water.
✔✔Which nursing actions would the nurse perform directly after completion of a
cleansing enema to an ambulatory patient? - ✔✔Assisting the patient to the bathroom
Ensuring that nonskid shoes/socks are in place
✔✔Which cues would alert the nurse that a patient with a nasogastric tube is
experiencing aspiration?
Correct - ✔✔Fever
Congested lung sounds
Shortness of breath
✔✔After how many enemas would the nurse notify the health care provider when the
patient's bowel return for cleansing enemas is still brown? - ✔✔3 enemas
