N310: Bowel Elimination NCLEX Questions 3 Exam
With Complete Answers
During the nursing assessment a patient reveals that he has diarrhea and cramping
every time he has ice cream. He attributes this to the cold nature of the food. However,
the nurse begins to suspect that these symptoms are associated with:
a. Food allergy
b. Irritable bowel
c. Lactose intolerance
d. Increased peristalsis - ANSWER C
When assessing a 55-year-old patient who is in the clinic for a routine physical, the
nurse instructs the patient about the need to obtain a stool specimen for guaiac fecal
occult blood testing (gFOBT):
a. If patient reports rectal bleeding
b. When there is a family history of polyps
c. As part of a routine examination for colon cancer
d. If a palpable mass is detected on digital examination - ANSWER C
Which of the following medications listed in a patient's medication history possibly
causes gastrointestinal bleeding? (Select all that apply.)
a. Aspirin
b. Cathartics
c. Antidiarrheal opiate agents
d. Non-steroidal anti-inflammatory drugs (NSAIDs) - ANSWER A, D
Nurses discourage patients from straining on defecation primarily because it causes:
(Select all that apply.)
a. Pain
, b. Impaction
c. Hemorrhoids
d. Dysrhythmias - ANSWER C, D
A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The
nurse understands that the maximum amount of fluid given is:
a. 150 to 200 mL
b. 200 to 400 mL
c. 400 to 750 mL
d. 750 to 1000 mL - ANSWER D
A patient starts to experience pain while receiving an enema. The nurse notes blood in
the return fluid and rectal bleeding. What action does the nurse take first?
a. Administers pain medication
b. Slows down the rate of instillation
c. Tells the patient to breathe slowly and relax
d. Stops the instillation and obtains vital signs - ANSWER D
A patient is admitted for lower gastrointestinal (GI) bleeding. What color of stool does
the nurse anticipate the patient to have?
a. Red
b. Black
c. Green
d. Orange - ANSWER A
The nurse is caring for a patient with a colostomy. Which intervention is most important?
a. Cleansing the stoma with hot water
b. Inserting a deodorant tablet in the stoma bag
With Complete Answers
During the nursing assessment a patient reveals that he has diarrhea and cramping
every time he has ice cream. He attributes this to the cold nature of the food. However,
the nurse begins to suspect that these symptoms are associated with:
a. Food allergy
b. Irritable bowel
c. Lactose intolerance
d. Increased peristalsis - ANSWER C
When assessing a 55-year-old patient who is in the clinic for a routine physical, the
nurse instructs the patient about the need to obtain a stool specimen for guaiac fecal
occult blood testing (gFOBT):
a. If patient reports rectal bleeding
b. When there is a family history of polyps
c. As part of a routine examination for colon cancer
d. If a palpable mass is detected on digital examination - ANSWER C
Which of the following medications listed in a patient's medication history possibly
causes gastrointestinal bleeding? (Select all that apply.)
a. Aspirin
b. Cathartics
c. Antidiarrheal opiate agents
d. Non-steroidal anti-inflammatory drugs (NSAIDs) - ANSWER A, D
Nurses discourage patients from straining on defecation primarily because it causes:
(Select all that apply.)
a. Pain
, b. Impaction
c. Hemorrhoids
d. Dysrhythmias - ANSWER C, D
A cleansing enema is ordered for a 55-year-old patient before intestinal surgery. The
nurse understands that the maximum amount of fluid given is:
a. 150 to 200 mL
b. 200 to 400 mL
c. 400 to 750 mL
d. 750 to 1000 mL - ANSWER D
A patient starts to experience pain while receiving an enema. The nurse notes blood in
the return fluid and rectal bleeding. What action does the nurse take first?
a. Administers pain medication
b. Slows down the rate of instillation
c. Tells the patient to breathe slowly and relax
d. Stops the instillation and obtains vital signs - ANSWER D
A patient is admitted for lower gastrointestinal (GI) bleeding. What color of stool does
the nurse anticipate the patient to have?
a. Red
b. Black
c. Green
d. Orange - ANSWER A
The nurse is caring for a patient with a colostomy. Which intervention is most important?
a. Cleansing the stoma with hot water
b. Inserting a deodorant tablet in the stoma bag