NUR3227C PPNC2 Exam 1 Questions and Answers Solved Correctly
Which nursing actions do you take when placing a bedpan under an immobilized patient? (Select all that
apply.)
1. Lift the patient's hips off the bed and slide the bedpan under the patient.
2. After positioning the patient on the bedpan, elevate the head of the bed to a 45-degree angle.
3. Adjust the head of the bed so that it is lower than the feet, and use gentle but firm pressure to push
the bedpan under the patient.
4. Have the patient stand beside the bed, and then have him or her sit on the bedpan on the edge of the
bed.
5. Make sure the patient has a nurse call system in reach to notify the nurse when he or she is ready to
have the bedpan removed. - Answers 2. After positioning the patient on the bedpan, elevate the head of
the bed to a 45-degree angle.
5. Make sure the patient has a nurse call system in reach to notify the nurse when he or she is ready to
have the bedpan removed.
During the administration of a warm tap-water enema, a patient complains of cramping abdominal pain
that he rates 6 out of 10. What nursing intervention should the nurse do first?
1. Stop the instillation.
2. Ask the patient to take deep breaths to decrease the pain.
3. Tell the patient to bear down as he would when having a bowel movement.
4. Continue the instillation; then administer a pain medication. - Answers 1. Stop the instillation.
Which instructions do you include when educating a person with chronic constipation? (Select all that
apply.)
1. Increase fiber and fluids in the diet.
2. Use a low-volume enema daily.
3. Avoid gluten in the diet.
4. Take laxatives twice a day.
,5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
7. Take probiotics 5 times a week. - Answers 1. Increase fiber and fluids in the diet.
5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
Which skills does the nurse teach a patient with a new colostomy before discharge from the hospital?
(Select all that apply.)
1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
4. How to irrigate the colostomy
5. How to determine whether the ostomy is healing appropriately - Answers 1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
5. How to determine whether the ostomy is healing appropriately
Place the steps for an ileostomy pouch change in the correct order.
1. Close the end of the pouch.
2. Measure the stoma.
3. Cut the hole in the wafer to fit around the stoma and not leave skin exposed to the effluent.
4. Press the pouch in place over the stoma.
5. Remove the old pouch.
6. Trace the correct measurement onto the back of the wafer.
7. Assess the stoma and the skin around it. 8. Cleanse and dry the peristomal skin. - Answers 5, 8, 7, 2, 6,
3, 4, 1
,Which symptoms are warning signs of possible colorectal cancer according to the American Cancer
Society
guidelines? (Select all that apply.)
1. Change in bowel habits
2. Blood in the stool
3. A larger-than-normal bowel movement
4. Fecal impaction
5. Muscle aches
6. Incomplete emptying of the colon
7. Food particles in the stool
8. Unexplained abdominal or back pain - Answers 1. Change in bowel habits
2. Blood in the stool
6. Incomplete emptying of the colon
8. Unexplained abdominal or back pain
A nurse is teaching a patient to obtain a specimen for fecal occult blood testing using fecal
immunochemical testing (FIT) at home. How does the nurse instruct the patient to collect the specimen?
1. Get three fecal smears from one bowel movement.
2. Obtain one fecal smear from an early-morning bowel movement.
3. Collect one fecal smear from three separate bowel movements.
4. Get three fecal smears when you see blood in your bowel movement. - Answers 3. Collect one fecal
smear from three separate bowel movements.
What should the nurse teach family caregivers when a patient has fecal incontinence because of
cognitive impairment?
1. Cleanse the skin with antibacterial soap, and apply talcum powder to the buttocks.
, 2. Initiate bowel or habit training program to promote continence.
3. Help the patient to toilet once every hour.
4. Use sanitary pads in the patient's underwear. - Answers 2. Initiate bowel or habit training program to
promote continence.
The patient states, "I have diarrhea and cramping every time I have ice cream. I am sure this is because
the food is cold." Based on this assessment data, which health problem does the nurse suspect?
1. A food allergy
2. Irritable bowel syndrome
3. Increased peristalsis
4. Lactose intolerance - Answers 4. Lactose intolerance
A nurse is taking a health history of a newly admied patient with a diagnosis of possible fecal impaction.
Which question is the priority to ask the patient or caregiver?
1. Have you eaten more high-fiber foods lately?
2. Have you taken antibiotics recently?
3. Do you have gluten intolerance?
4. Have you experienced frequent, small liquid stools recently? - Answers 4. Have you experienced
frequent, small liquid stools recently?
When repositioning an immobile patient, the nurse notices redness over the hip bone. What is indicated
when a reddened area blanches on fingertip touch?
1. A local skin infection requiring antibiotics
2. Sensitive skin that requires special bed linen
3. A stage 3 pressure injury needing the appropriate dressing
4. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode - Answers
4. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode
Match the pressure injury stages with the correct definition:
Which nursing actions do you take when placing a bedpan under an immobilized patient? (Select all that
apply.)
1. Lift the patient's hips off the bed and slide the bedpan under the patient.
2. After positioning the patient on the bedpan, elevate the head of the bed to a 45-degree angle.
3. Adjust the head of the bed so that it is lower than the feet, and use gentle but firm pressure to push
the bedpan under the patient.
4. Have the patient stand beside the bed, and then have him or her sit on the bedpan on the edge of the
bed.
5. Make sure the patient has a nurse call system in reach to notify the nurse when he or she is ready to
have the bedpan removed. - Answers 2. After positioning the patient on the bedpan, elevate the head of
the bed to a 45-degree angle.
5. Make sure the patient has a nurse call system in reach to notify the nurse when he or she is ready to
have the bedpan removed.
During the administration of a warm tap-water enema, a patient complains of cramping abdominal pain
that he rates 6 out of 10. What nursing intervention should the nurse do first?
1. Stop the instillation.
2. Ask the patient to take deep breaths to decrease the pain.
3. Tell the patient to bear down as he would when having a bowel movement.
4. Continue the instillation; then administer a pain medication. - Answers 1. Stop the instillation.
Which instructions do you include when educating a person with chronic constipation? (Select all that
apply.)
1. Increase fiber and fluids in the diet.
2. Use a low-volume enema daily.
3. Avoid gluten in the diet.
4. Take laxatives twice a day.
,5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
7. Take probiotics 5 times a week. - Answers 1. Increase fiber and fluids in the diet.
5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
Which skills does the nurse teach a patient with a new colostomy before discharge from the hospital?
(Select all that apply.)
1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
4. How to irrigate the colostomy
5. How to determine whether the ostomy is healing appropriately - Answers 1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
5. How to determine whether the ostomy is healing appropriately
Place the steps for an ileostomy pouch change in the correct order.
1. Close the end of the pouch.
2. Measure the stoma.
3. Cut the hole in the wafer to fit around the stoma and not leave skin exposed to the effluent.
4. Press the pouch in place over the stoma.
5. Remove the old pouch.
6. Trace the correct measurement onto the back of the wafer.
7. Assess the stoma and the skin around it. 8. Cleanse and dry the peristomal skin. - Answers 5, 8, 7, 2, 6,
3, 4, 1
,Which symptoms are warning signs of possible colorectal cancer according to the American Cancer
Society
guidelines? (Select all that apply.)
1. Change in bowel habits
2. Blood in the stool
3. A larger-than-normal bowel movement
4. Fecal impaction
5. Muscle aches
6. Incomplete emptying of the colon
7. Food particles in the stool
8. Unexplained abdominal or back pain - Answers 1. Change in bowel habits
2. Blood in the stool
6. Incomplete emptying of the colon
8. Unexplained abdominal or back pain
A nurse is teaching a patient to obtain a specimen for fecal occult blood testing using fecal
immunochemical testing (FIT) at home. How does the nurse instruct the patient to collect the specimen?
1. Get three fecal smears from one bowel movement.
2. Obtain one fecal smear from an early-morning bowel movement.
3. Collect one fecal smear from three separate bowel movements.
4. Get three fecal smears when you see blood in your bowel movement. - Answers 3. Collect one fecal
smear from three separate bowel movements.
What should the nurse teach family caregivers when a patient has fecal incontinence because of
cognitive impairment?
1. Cleanse the skin with antibacterial soap, and apply talcum powder to the buttocks.
, 2. Initiate bowel or habit training program to promote continence.
3. Help the patient to toilet once every hour.
4. Use sanitary pads in the patient's underwear. - Answers 2. Initiate bowel or habit training program to
promote continence.
The patient states, "I have diarrhea and cramping every time I have ice cream. I am sure this is because
the food is cold." Based on this assessment data, which health problem does the nurse suspect?
1. A food allergy
2. Irritable bowel syndrome
3. Increased peristalsis
4. Lactose intolerance - Answers 4. Lactose intolerance
A nurse is taking a health history of a newly admied patient with a diagnosis of possible fecal impaction.
Which question is the priority to ask the patient or caregiver?
1. Have you eaten more high-fiber foods lately?
2. Have you taken antibiotics recently?
3. Do you have gluten intolerance?
4. Have you experienced frequent, small liquid stools recently? - Answers 4. Have you experienced
frequent, small liquid stools recently?
When repositioning an immobile patient, the nurse notices redness over the hip bone. What is indicated
when a reddened area blanches on fingertip touch?
1. A local skin infection requiring antibiotics
2. Sensitive skin that requires special bed linen
3. A stage 3 pressure injury needing the appropriate dressing
4. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode - Answers
4. Blanching hyperemia, indicating the attempt by the body to overcome the ischemic episode
Match the pressure injury stages with the correct definition:
