NU211 GI & GU EXAM QUESTIONS WITH
ACCURATE ANSWERS
How long should the nurse auscultate each quadrant prior to documenting the
absence of bowel sounds? - ANSWER 3-5 minutes
Which are functions of the colon? Select all that apply.
1. Lipid digestion
2. Water absorption
3. Protein absorption
4. Vitamin absorption
5. Facilitate stool passage - ANSWER -Water absorption
-Vitamin absorption
-Facilitate stool passage
Which lab test can be done at the bedside and requires the least amount of stool
specimen? - ANSWER Fecal occult blood test
Which is an appropriate elimination-related nursing diagnosis for a client who is
on bedrest following surgery, and is also taking opioid pain medications?
1. Risk for bowel incontinence
2. Risk for infection related to diarrhea
3. Altered tissue integrity related to incontinence
4. Risk for constipation related to immobility - ANSWER Risk for constipation
related to immobility
Which type of enema may be ordered to help a client pass flatus and relieve
abdominal distention?
1. Oil-retention enema
2. Medicated enema
3. Nutritive enema
4. Return-flow enema - ANSWER Return-flow enema
A client asks the nurse why he or she needs to have a laxative with a strong
bowel prep prior to a colonoscopy. How should the nurse respond?
1. "I will ask the doctor to speak with you."
2. "Your bowel needs to be completely empty in order to directly visualize your
lower intestine."
,3. "Colonoscopies need to be done while your bowel is working."
4. "Anything in your intestine could cause bleeding during the procedure." -
ANSWER "Your bowel needs to be completely empty in order to directly
visualize your lower intestine."
What is the effect of physical activity on normal defecation?
1. Increased physical activity can increase constipation.
2. Decreased physical activity can result in diarrhea.
3. Increased physical activity promotes normal defecation patterns.
4. Physical activity has no effect on defecation patterns. - ANSWER Increased
physical activity promotes normal defecation patterns.
Which are ways the nurse can promote regular defecation for clients? Select all
that apply.
1. Provide privacy.
2. Remind the client that constipation could occur if he or she does not defecate
regularly.
3. Take a matter-of-fact straightforward approach.
4. Control odors to prevent embarrassment.
5. Accompany the client and provide encouragement while he or she is
attempting defecation. - ANSWER -Provide privacy.
-Take a matter-of-fact straightforward approach.
-Control odors to prevent embarrassment.
During digital removal of stool, which is the most serious complication the client
is at risk of developing?
1. Bleeding
2. Decreased blood pressure
3. Hypertension
4. Decreased heart rate - ANSWER Decreased heart rate
A nurse is auscultating bowel sounds on a client who has had recent abdominal
surgery. She hears approximately 1 to 2 sounds per minute in each quadrant.
Which condition should the nurse expect?
1. Infection
2. Diarrhea
3. Constipation
4. Ileus - ANSWER Constipation
Which procedure produces a surgical opening in the abdomen and bypasses the
large intestine entirely?
, 1. Sigmoid colostomy
2. Kock pouch
3. Ileostomy
4. Loop colostomy - ANSWER Ileostomy
Which is the result of the passage of stool through the colon being slowed?
1. Diarrhea
2. Constipation
3. Distention
4. Ileus - ANSWER Constipation
Which are common disorders that are primary causes of bowel function? Select
all that apply.
1. Food allergies
2. Diverticulosis
3. Pneumonia
4. Seasonal allergies
5.Food intolerance - ANSWER -Food allergies
-Diverticulosis
-Food intolerance
A client has a tendency to develop frequent constipation. Which dietary
consideration should the nurse recommend?
1. The client should increase iron intake.
2. The client should decrease fiber intake.
3. The client should increase intake of fats.
4. The client should increase fiber intake. - ANSWER The client should increase
fiber intake.
In which ways can surgery or procedures contribute to sluggish bowel
elimination? Select all that apply.
1. Anesthesia
2. Increased IV fluids
3. Stress
4. Decreased mobility
5. Manipulation of the bowel - ANSWER -Anesthesia
-Stress
-Decreased mobility
-Manipulation of the bowel
ACCURATE ANSWERS
How long should the nurse auscultate each quadrant prior to documenting the
absence of bowel sounds? - ANSWER 3-5 minutes
Which are functions of the colon? Select all that apply.
1. Lipid digestion
2. Water absorption
3. Protein absorption
4. Vitamin absorption
5. Facilitate stool passage - ANSWER -Water absorption
-Vitamin absorption
-Facilitate stool passage
Which lab test can be done at the bedside and requires the least amount of stool
specimen? - ANSWER Fecal occult blood test
Which is an appropriate elimination-related nursing diagnosis for a client who is
on bedrest following surgery, and is also taking opioid pain medications?
1. Risk for bowel incontinence
2. Risk for infection related to diarrhea
3. Altered tissue integrity related to incontinence
4. Risk for constipation related to immobility - ANSWER Risk for constipation
related to immobility
Which type of enema may be ordered to help a client pass flatus and relieve
abdominal distention?
1. Oil-retention enema
2. Medicated enema
3. Nutritive enema
4. Return-flow enema - ANSWER Return-flow enema
A client asks the nurse why he or she needs to have a laxative with a strong
bowel prep prior to a colonoscopy. How should the nurse respond?
1. "I will ask the doctor to speak with you."
2. "Your bowel needs to be completely empty in order to directly visualize your
lower intestine."
,3. "Colonoscopies need to be done while your bowel is working."
4. "Anything in your intestine could cause bleeding during the procedure." -
ANSWER "Your bowel needs to be completely empty in order to directly
visualize your lower intestine."
What is the effect of physical activity on normal defecation?
1. Increased physical activity can increase constipation.
2. Decreased physical activity can result in diarrhea.
3. Increased physical activity promotes normal defecation patterns.
4. Physical activity has no effect on defecation patterns. - ANSWER Increased
physical activity promotes normal defecation patterns.
Which are ways the nurse can promote regular defecation for clients? Select all
that apply.
1. Provide privacy.
2. Remind the client that constipation could occur if he or she does not defecate
regularly.
3. Take a matter-of-fact straightforward approach.
4. Control odors to prevent embarrassment.
5. Accompany the client and provide encouragement while he or she is
attempting defecation. - ANSWER -Provide privacy.
-Take a matter-of-fact straightforward approach.
-Control odors to prevent embarrassment.
During digital removal of stool, which is the most serious complication the client
is at risk of developing?
1. Bleeding
2. Decreased blood pressure
3. Hypertension
4. Decreased heart rate - ANSWER Decreased heart rate
A nurse is auscultating bowel sounds on a client who has had recent abdominal
surgery. She hears approximately 1 to 2 sounds per minute in each quadrant.
Which condition should the nurse expect?
1. Infection
2. Diarrhea
3. Constipation
4. Ileus - ANSWER Constipation
Which procedure produces a surgical opening in the abdomen and bypasses the
large intestine entirely?
, 1. Sigmoid colostomy
2. Kock pouch
3. Ileostomy
4. Loop colostomy - ANSWER Ileostomy
Which is the result of the passage of stool through the colon being slowed?
1. Diarrhea
2. Constipation
3. Distention
4. Ileus - ANSWER Constipation
Which are common disorders that are primary causes of bowel function? Select
all that apply.
1. Food allergies
2. Diverticulosis
3. Pneumonia
4. Seasonal allergies
5.Food intolerance - ANSWER -Food allergies
-Diverticulosis
-Food intolerance
A client has a tendency to develop frequent constipation. Which dietary
consideration should the nurse recommend?
1. The client should increase iron intake.
2. The client should decrease fiber intake.
3. The client should increase intake of fats.
4. The client should increase fiber intake. - ANSWER The client should increase
fiber intake.
In which ways can surgery or procedures contribute to sluggish bowel
elimination? Select all that apply.
1. Anesthesia
2. Increased IV fluids
3. Stress
4. Decreased mobility
5. Manipulation of the bowel - ANSWER -Anesthesia
-Stress
-Decreased mobility
-Manipulation of the bowel
