1
NUR 2356 RASMUSSEN UNIVERSITY - EXAM 3 LATEST
2026/2027 | MULTIPLE-CHOICE | 40 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: GASTROINTESTINAL & NUTRITION - Questions 1-8
Q1: Gastrointestinal Assessment - Bowel Sounds
A nurse auscultates a patient's abdomen and hears high-pitched, tinkling bowel sounds. This finding
is most consistent with:
A. Normal bowel sounds
B. Paralytic ileus
C. Early bowel obstruction
D. Peritonitis
Correct Answer: C
Rationale: High-pitched, tinkling bowel sounds are characteristic of early bowel obstruction as the
bowel attempts to push contents past a partial blockage. Normal bowel sounds are soft, gurgling,
and occur every 5-15 seconds. Paralytic ileus and peritonitis cause absent or diminished bowel
sounds. [100% CORRECT]
Q2: Nasogastric Tube - Suction
A patient has an NG tube connected to low intermittent suction. Which finding would indicate
proper tube placement?
A. The patient complains of nausea
B. Aspirate has a pH of 4
C. The tube is visible in the mouth
D. The patient has abdominal distention
Correct Answer: B
Rationale: Gastric aspirate typically has a pH of 4 or less, confirming placement in the stomach.
Nausea, visible tube in the mouth, and abdominal distention are concerning findings that require
further assessment. Abdominal distention may indicate improper placement or obstruction. [100%
CORRECT]
Q3: Nutrition - Enteral Feeding Complications
A patient receiving continuous tube feeding develops diarrhea, abdominal cramping, and nausea.
What is the most likely cause?
A. The feeding is too concentrated
B. The feeding is administered at room temperature
C. The feeding rate is too slow
D. The patient has developed refeeding syndrome
, 2
Correct Answer: A
Rationale: Diarrhea, cramping, and nausea are common complications of tube feeding, often caused
by the feeding being too concentrated, administered too rapidly, or contaminated. Feeding at room
temperature is recommended and does not cause these symptoms. A slow rate would not cause
symptoms. Refeeding syndrome causes electrolyte imbalances. [100% CORRECT]
Q4: Dietary Teaching - Renal Diet
A patient with chronic kidney disease is on a renal diet. Which food should the nurse teach the
patient to avoid?
A. Apples
B. Grapes
C. Bananas
D. Cabbage
Correct Answer: C
Rationale: Bananas are high in potassium, which must be restricted in renal disease due to impaired
excretion. Apples, grapes, and cabbage are lower in potassium and are acceptable on a renal diet.
The patient should also restrict sodium and phosphorus. [100% CORRECT]
Q5: Constipation - Assessment
A patient reports not having a bowel movement for 5 days. The nurse notes abdominal distention
and hypoactive bowel sounds. Which assessment should the nurse perform?
A. Digital rectal examination for impaction
B. Administer an enema immediately
C. Encourage increased fiber intake
D. Increase the patient's fluid intake
Correct Answer: A
Rationale: The nurse should first perform a digital rectal examination to assess for fecal impaction
before implementing interventions. Administering an enema without assessment could be harmful.
Increasing fiber and fluids are long-term interventions, not immediate actions. [100% CORRECT]
Q6: Colostomy Care - Stoma Assessment
A nurse is assessing a patient's newly created colostomy. Which finding is normal for a healthy
stoma?
A. Dark purple coloration
B. Dusky blue appearance
C. Beefy red and moist
D. Pale pink and dry
Correct Answer: C
Rationale: A healthy stoma should be beefy red, moist, and slightly raised. Dark purple, dusky blue,
or pale pink may indicate ischemia or poor circulation. Dry stoma may indicate dehydration. The
stoma should be monitored for color changes that indicate compromised blood flow. [100%
CORRECT]
NUR 2356 RASMUSSEN UNIVERSITY - EXAM 3 LATEST
2026/2027 | MULTIPLE-CHOICE | 40 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: GASTROINTESTINAL & NUTRITION - Questions 1-8
Q1: Gastrointestinal Assessment - Bowel Sounds
A nurse auscultates a patient's abdomen and hears high-pitched, tinkling bowel sounds. This finding
is most consistent with:
A. Normal bowel sounds
B. Paralytic ileus
C. Early bowel obstruction
D. Peritonitis
Correct Answer: C
Rationale: High-pitched, tinkling bowel sounds are characteristic of early bowel obstruction as the
bowel attempts to push contents past a partial blockage. Normal bowel sounds are soft, gurgling,
and occur every 5-15 seconds. Paralytic ileus and peritonitis cause absent or diminished bowel
sounds. [100% CORRECT]
Q2: Nasogastric Tube - Suction
A patient has an NG tube connected to low intermittent suction. Which finding would indicate
proper tube placement?
A. The patient complains of nausea
B. Aspirate has a pH of 4
C. The tube is visible in the mouth
D. The patient has abdominal distention
Correct Answer: B
Rationale: Gastric aspirate typically has a pH of 4 or less, confirming placement in the stomach.
Nausea, visible tube in the mouth, and abdominal distention are concerning findings that require
further assessment. Abdominal distention may indicate improper placement or obstruction. [100%
CORRECT]
Q3: Nutrition - Enteral Feeding Complications
A patient receiving continuous tube feeding develops diarrhea, abdominal cramping, and nausea.
What is the most likely cause?
A. The feeding is too concentrated
B. The feeding is administered at room temperature
C. The feeding rate is too slow
D. The patient has developed refeeding syndrome
, 2
Correct Answer: A
Rationale: Diarrhea, cramping, and nausea are common complications of tube feeding, often caused
by the feeding being too concentrated, administered too rapidly, or contaminated. Feeding at room
temperature is recommended and does not cause these symptoms. A slow rate would not cause
symptoms. Refeeding syndrome causes electrolyte imbalances. [100% CORRECT]
Q4: Dietary Teaching - Renal Diet
A patient with chronic kidney disease is on a renal diet. Which food should the nurse teach the
patient to avoid?
A. Apples
B. Grapes
C. Bananas
D. Cabbage
Correct Answer: C
Rationale: Bananas are high in potassium, which must be restricted in renal disease due to impaired
excretion. Apples, grapes, and cabbage are lower in potassium and are acceptable on a renal diet.
The patient should also restrict sodium and phosphorus. [100% CORRECT]
Q5: Constipation - Assessment
A patient reports not having a bowel movement for 5 days. The nurse notes abdominal distention
and hypoactive bowel sounds. Which assessment should the nurse perform?
A. Digital rectal examination for impaction
B. Administer an enema immediately
C. Encourage increased fiber intake
D. Increase the patient's fluid intake
Correct Answer: A
Rationale: The nurse should first perform a digital rectal examination to assess for fecal impaction
before implementing interventions. Administering an enema without assessment could be harmful.
Increasing fiber and fluids are long-term interventions, not immediate actions. [100% CORRECT]
Q6: Colostomy Care - Stoma Assessment
A nurse is assessing a patient's newly created colostomy. Which finding is normal for a healthy
stoma?
A. Dark purple coloration
B. Dusky blue appearance
C. Beefy red and moist
D. Pale pink and dry
Correct Answer: C
Rationale: A healthy stoma should be beefy red, moist, and slightly raised. Dark purple, dusky blue,
or pale pink may indicate ischemia or poor circulation. Dry stoma may indicate dehydration. The
stoma should be monitored for color changes that indicate compromised blood flow. [100%
CORRECT]
