and All Correct Answers 2026
Updated.
Organs of the GI tract - Answer Stomach, Small Intestine, Large Intestine
The nurse is planning care for a newly admitted bed-bound older adult client. Which nursing
diagnosis would be most appropriate for this client?
a. Risk of Bowel Incontinence
b. Disturbed Body Image
c. Risk of Diarrhea
d. Risk of Constipation - Answer D. Risk for Constipation
The nurse is providing care of a client who ignores the urge to defecate when at work. The client
states, "I don't like to have a bowel movement anywhere but at home." Which response by the
nurse is most appropriate?
a. This is a common practice, and it will strengthen the reflex later.
b. You will get the urge later, so you should not worry about it.
c. If you continue to ignore the urge, it can lead to problems.
d. It is better to suppress the urge than suffer embarrassment at work. - Answer c. If you
continue to ignore the urge, it can lead to problems.
The nurse is providing care to a client who is diagnosed with stress incontinence. Which data
collected during the client's health history and physical assessment would not apply?
a. Urine leakage while talking.
b. Urine leakage while coughing.
c. Urine leakage while laughing.
d. Skin breakdown on the buttock. - Answer a. Urine leakage while talking
The nurse is providing care to a client who is experiencing urinary incontinence. Which
independent nursing intervention is the most appropriate for this client?
a. Encouraging increased fluid intake
b. Providing catheter care
c. Instructing on self-catheterization
d. Implementing hygiene care - Answer d. Implementing hygiene care
, The nurse reviewing discharge instructions for a client diagnosed with urinary incontinence
resulting from a urinary tract infection. Which statement made by the client indicates the need
for further education?
a. "I should drink plenty of water to prevent damage to my kidneys while I am on the antibiotics
for the infection."
b. "Drinking cranberry juice will decrease the risk for developing urinary tract infections."
c. "I will contact the healthcare provider prior to taking over-the-counter medications while on
my antibiotic."
d. "I will continue to hold my urine while in public so that I do not get another infection." -
Answer d. "I will continue to hold my urine while in public so that I do not get another
infection."
An older adult client is admitted to the hospital after a fall. The client appears intermittently
confused. Based on age and current data, which is the client at an increased risk for developing?
a. Kidney damage
b. Dehydration
c. Stroke
d. Bleeding - Answer b. Dehydration
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr.
Upon assessment, the nurse notes crackles, shortness of breath, and jugular vein distention.
Based on this data, which complication of IV fluid therapy does the nurse anticipate?
a. Speed shock
b. Fluid volume excess
c. Pulmonary embolism
d. An allergic reaction - Answer b. Fluid volume excess
A normal serum calcium level is:
a. 3.5-5.0 mEq/L
b. 135-145 mEq/L
c. 8.2-10.2 mg/dL
d. 4.5-8.0 - Answer C. 8.2-10.2 mg/dL
The nurse is planning care for the client with acute renal failure. The nurse plans the client's
care based on the nursing diagnosis of Excess Fluid Volume. Which assessment data supports
this nursing diagnosis?
a. Pitting edema in the lower extremities
b. Bowel sounds positive in 4 quadrants