NUR 316 Final Exam | Latest study | Spring 2026 |
Questions and Answers | 100% correct
1. The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect
very liquid stool to be present?
A. Sigmoid
B. Transverse
C. Ascending
D. Descending - ANSWER-C. Ascending
2. A nurse is assisting a patient in making dietary choices that promote healthy bowel
elimination. Which menu option should the nurse recommend?
A. Broccoli and cheese soup with potato bread
B. Turkey and mashed potatoes with brown gravy
C. Grape and walnut chicken salad sandwich on whole wheat bread
D. Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing - ANSWER-C. Grape
and walnut chicken salad sandwich on whole wheat bread
3. A patient had an ileostomy surgically placed 2 days ago. Which diet will the nurse recommend
to the patient to ease the transition of the new ostomy?
A. Eggs over easy, whole wheat toast, and orange juice with pulp
B. Chicken fried rice with fresh pineapple and iced tea
C. Turkey meatloaf with white rice and apple juice
D. Fish sticks with sweet corn and soda - ANSWER-C. Turkey meatloaf with white rice and apple
juice
4. The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should
report which assessment finding immediately?
Stoma is protruding from the abdomen
Stoma is flush with the skin
,Stoma is purple
Stoma is moist - ANSWER-Stoma is purple
5. Which patient will the nurse assess most closely for an ileus?
A. A patient with a fecal impaction
B. A patient with chronic cathartic abuse
C. A patient with surgery for bowel disease and anesthesia
D. A patient with suppression of hydrochloric acid from medication - ANSWER-C. A patient with
surgery for bowel disease and anesthesia
6. The nurse is caring for a patient with a transverse colostomy the stool should appear? -
ANSWER-Mushy/ Semi soft and liquid
7. A nurse is caring for a patient with a continent urinary reservoir. Which action will the nurse
take?
A. Teach the patient how to self-cath the pouch.
B. Teach the patient how to perform Kegel exercises.
C. Teach the patient how to change the collection pouch.
D. Teach the patient how to void using the Valsalva technique. - ANSWER-A. Teach the patient
how to self-cath the pouch.
8. The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions
should the nurse take? (Select all that apply.)
A. Keeping the urine collection container on ice when indicated
B. Withholding all patient medications for the day
C.Irrigating the sample as needed with sterile solution
D. Testing the urine sample with a reagent strip by dipping it in the urine
E. Asking the patient to void and discarding that urine to start the collection - ANSWER-A.
Keeping the urine collection container on ice when indicated
E. Asking the patient to void and discarding that urine to start the collection
9. The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?
A. Red color
, B. Orange color
C. Dark amber color
D. Intense yellow color - ANSWER-B. Orange color
Some drugs change the color of urine (e.g., phenazopyridine—orange, riboflavin—intense
yellow). Eating beets, rhubarb, and blackberries causes red urine. Dark amber urine is the result
of high concentrations of bilirubin in patients with liver disease.
10. A nurse inserts an indwelling urinary catheter for a client who is preoperative. Three days
later, the client develops a urinary tract infection. The nurse should identify that the client has
which of the following types of infections? - ANSWER-CAUTI (Health Care Associated Infection)
11. The nurse is caring for a patient with a diagnosed case of Clostridium difficile. The nurse
expects to implement which of the following interventions? (Select all that apply.)
A. Administration of protease inhibitors
B. Use of personal protective equipment
C. Patient teaching on methods to inhibit transmission
D. Preventing visitors from entering the room
E. Administration of intravenous fluids
F. Strict monitoring of intake and output - ANSWER-B. Use of personal protective equipment
C. Patient teaching on methods to inhibit transmission
E. Administration of intravenous fluids
F. Strict monitoring of intake and output
12. Which set of assessment data is consistent for a patient with severe infection that could lead
to system failure?
A. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min,
urine output 1200 mL in past 24 hours
B. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
Questions and Answers | 100% correct
1. The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect
very liquid stool to be present?
A. Sigmoid
B. Transverse
C. Ascending
D. Descending - ANSWER-C. Ascending
2. A nurse is assisting a patient in making dietary choices that promote healthy bowel
elimination. Which menu option should the nurse recommend?
A. Broccoli and cheese soup with potato bread
B. Turkey and mashed potatoes with brown gravy
C. Grape and walnut chicken salad sandwich on whole wheat bread
D. Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing - ANSWER-C. Grape
and walnut chicken salad sandwich on whole wheat bread
3. A patient had an ileostomy surgically placed 2 days ago. Which diet will the nurse recommend
to the patient to ease the transition of the new ostomy?
A. Eggs over easy, whole wheat toast, and orange juice with pulp
B. Chicken fried rice with fresh pineapple and iced tea
C. Turkey meatloaf with white rice and apple juice
D. Fish sticks with sweet corn and soda - ANSWER-C. Turkey meatloaf with white rice and apple
juice
4. The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should
report which assessment finding immediately?
Stoma is protruding from the abdomen
Stoma is flush with the skin
,Stoma is purple
Stoma is moist - ANSWER-Stoma is purple
5. Which patient will the nurse assess most closely for an ileus?
A. A patient with a fecal impaction
B. A patient with chronic cathartic abuse
C. A patient with surgery for bowel disease and anesthesia
D. A patient with suppression of hydrochloric acid from medication - ANSWER-C. A patient with
surgery for bowel disease and anesthesia
6. The nurse is caring for a patient with a transverse colostomy the stool should appear? -
ANSWER-Mushy/ Semi soft and liquid
7. A nurse is caring for a patient with a continent urinary reservoir. Which action will the nurse
take?
A. Teach the patient how to self-cath the pouch.
B. Teach the patient how to perform Kegel exercises.
C. Teach the patient how to change the collection pouch.
D. Teach the patient how to void using the Valsalva technique. - ANSWER-A. Teach the patient
how to self-cath the pouch.
8. The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions
should the nurse take? (Select all that apply.)
A. Keeping the urine collection container on ice when indicated
B. Withholding all patient medications for the day
C.Irrigating the sample as needed with sterile solution
D. Testing the urine sample with a reagent strip by dipping it in the urine
E. Asking the patient to void and discarding that urine to start the collection - ANSWER-A.
Keeping the urine collection container on ice when indicated
E. Asking the patient to void and discarding that urine to start the collection
9. The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?
A. Red color
, B. Orange color
C. Dark amber color
D. Intense yellow color - ANSWER-B. Orange color
Some drugs change the color of urine (e.g., phenazopyridine—orange, riboflavin—intense
yellow). Eating beets, rhubarb, and blackberries causes red urine. Dark amber urine is the result
of high concentrations of bilirubin in patients with liver disease.
10. A nurse inserts an indwelling urinary catheter for a client who is preoperative. Three days
later, the client develops a urinary tract infection. The nurse should identify that the client has
which of the following types of infections? - ANSWER-CAUTI (Health Care Associated Infection)
11. The nurse is caring for a patient with a diagnosed case of Clostridium difficile. The nurse
expects to implement which of the following interventions? (Select all that apply.)
A. Administration of protease inhibitors
B. Use of personal protective equipment
C. Patient teaching on methods to inhibit transmission
D. Preventing visitors from entering the room
E. Administration of intravenous fluids
F. Strict monitoring of intake and output - ANSWER-B. Use of personal protective equipment
C. Patient teaching on methods to inhibit transmission
E. Administration of intravenous fluids
F. Strict monitoring of intake and output
12. Which set of assessment data is consistent for a patient with severe infection that could lead
to system failure?
A. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min,
urine output 1200 mL in past 24 hours
B. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
