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PNUR 1102 Questions and Correct
Answers/ Latest Update / Already Graded
The nurse is providing education regarding digital fecal disimpaction.
Which of the following statements demonstrate that further education
is needed?
Ans: Damage cannot occur with this procedure unless
equipment other than the finger is used.
The nurse is assessing a patient with an NG tube that is being used for
continuous feedings. Which findings would be concerning?
Ans: - the patient reports nausea, and the abdomen appears
distended.
- when checking the residual the nurse measures 650ml
- the patient is short of breath and the nurse notes crackles in
the lung bases.
Before administering an enteral solution via a gastrostomy tube the
nurse should perform which actions.
Ans: - Check the patient's allergies
- Flush the gastrostomy to check for patency
- assess for bowel sounds
- aspirate and check the pH of the gastric residual
All rights reserved © 2025/ 2026 |
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Which of the following statements regarding enema administration is
inappropriate?
Ans: the enema bag should always be elevated up high to
promote quick administration of the enema
which of the following assessments would be concerning for a
colostomy?
Ans: the drainage is nearly full
a patient with a total colectomy and new ileostomy notices that his
ostomy output is liquid and asks when it will be more formed like a
typical stool. how should the nurse respond?
Ans: tell the patient that a watery output is typical for an
ileostomy.
the nurse is caring for a patient with a colostomy and notices that the
wafer device is slightly loose. which response is appropriate?
Ans: remove the entire device, assess and provide site care,
then place a new wafer device (the skin should not stay damp
with GI fluid)
All rights reserved © 2025/ 2026 |
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which of the following interventions will help prevent CAUTIS?
Ans: - maintain an unobstructed flow of urine
- perform perineal hygiene and catheter care daily
- secure the cath to prevent pulling
the nurse notes that 8 hours after removing the patient's indwelling
cath, the patient has not voided, how should the nurse respond?
Ans: assess the suprapubic area for distention(check for bloat)
which nursing interventions should the nurse implement when
removing an indwelling cath?
Ans: - allow the balloon to drain into syringe naturally
- check documentation for the volume used to inflate the
balloon
- after the removal, examine the cath to ensure it is int act
a patient with a suprapubic cath complains of lower abdominal pain. he
is lying in bed, on his left side and the nurse notices that the flow of
urine has stopped. what should the nurses first action be?
Ans: reposition the patient(remember least invasive first)
All rights reserved © 2025/ 2026 |
PNUR 1102 Questions and Correct
Answers/ Latest Update / Already Graded
The nurse is providing education regarding digital fecal disimpaction.
Which of the following statements demonstrate that further education
is needed?
Ans: Damage cannot occur with this procedure unless
equipment other than the finger is used.
The nurse is assessing a patient with an NG tube that is being used for
continuous feedings. Which findings would be concerning?
Ans: - the patient reports nausea, and the abdomen appears
distended.
- when checking the residual the nurse measures 650ml
- the patient is short of breath and the nurse notes crackles in
the lung bases.
Before administering an enteral solution via a gastrostomy tube the
nurse should perform which actions.
Ans: - Check the patient's allergies
- Flush the gastrostomy to check for patency
- assess for bowel sounds
- aspirate and check the pH of the gastric residual
All rights reserved © 2025/ 2026 |
, Page |2
Which of the following statements regarding enema administration is
inappropriate?
Ans: the enema bag should always be elevated up high to
promote quick administration of the enema
which of the following assessments would be concerning for a
colostomy?
Ans: the drainage is nearly full
a patient with a total colectomy and new ileostomy notices that his
ostomy output is liquid and asks when it will be more formed like a
typical stool. how should the nurse respond?
Ans: tell the patient that a watery output is typical for an
ileostomy.
the nurse is caring for a patient with a colostomy and notices that the
wafer device is slightly loose. which response is appropriate?
Ans: remove the entire device, assess and provide site care,
then place a new wafer device (the skin should not stay damp
with GI fluid)
All rights reserved © 2025/ 2026 |
, Page |3
which of the following interventions will help prevent CAUTIS?
Ans: - maintain an unobstructed flow of urine
- perform perineal hygiene and catheter care daily
- secure the cath to prevent pulling
the nurse notes that 8 hours after removing the patient's indwelling
cath, the patient has not voided, how should the nurse respond?
Ans: assess the suprapubic area for distention(check for bloat)
which nursing interventions should the nurse implement when
removing an indwelling cath?
Ans: - allow the balloon to drain into syringe naturally
- check documentation for the volume used to inflate the
balloon
- after the removal, examine the cath to ensure it is int act
a patient with a suprapubic cath complains of lower abdominal pain. he
is lying in bed, on his left side and the nurse notices that the flow of
urine has stopped. what should the nurses first action be?
Ans: reposition the patient(remember least invasive first)
All rights reserved © 2025/ 2026 |
