Bowel Elimination/Ostomy Care Final
Quiz (Remotely Proctored) 2025-2026
edition with complete questions and
accurate answers
The nurse has assessed that a client's stool has changed from brown to dark black and sticky. The nurse
suspects:
-presence of occult blood.
-recent excessive intake of milk products.
-blockage of the pancreatic duct.
-blockage of the bile duct. - Correct Answer: -presence of occult blood.
A client is receiving opioids for pain. Which bowel assessment is a priority?
-Diarrhea
-C. difficile
-Hemorrhoids
-Constipation - Correct Answer: -Constipation
A nurse is reinforcing education with a client who will begin a bowel training program. An intervention
this program does not include is:
-regularly scheduled time for toileting.
-use of an enema.
-use of a suppository.
-fluid intake of at least 1500 mL daily. - Correct Answer: -use of an enema.
, The nurse understands the important role in helping the client with an ostomy accept their change in
self-image. Which of the following indicates the client is having difficulty with this change in body
image?
-The client is asking many questions.
-The client holds a gauze pad over the stoma while cleaning the peristomal skin.
-The client is willing to look at the stoma.
-The client continues to rely on the nurse to change the ostomy pouch. - Correct Answer: -The client
continues to rely on the nurse to change the ostomy pouch.
A nurse is preparing to administer an enema. Which of the following actions indicates correct
understanding?
-The nurse holds the tubing in the client's rectum constantly until the end of fluid instillation.
-The nurse adds 5 mL of castile soap to the enema bag and then fills it to the prescribed level with warm
water.
-The nurse administers a normal saline enema without a health care provider's order when the client
hasn't had a bowel movement after 3 days.
-The nurse places the male client in the dorsal recumbent position for enema administration. - Correct
Answer: -The nurse holds the tubing in the client's rectum constantly until the end of fluid instillation.
The nurse listens for bowel sounds before administering an enema. The client asks, "Why are you
listening to my abdomen?" The nurse's accurate response is:
-"To determine the presence of bowel sounds, which indicates the intestines are working."
-"To determine the presence of bowel sounds, which indicates you will be able to hold the solution."
-"To determine the amount of enema solution needed."
-"To determine which position I should place you in for administration of the enema." - Correct Answer:
-"To determine the presence of bowel sounds, which indicates the intestines are working."
The client asks the nurse how an ileostomy differs from a colostomy. The most informative response by
the nurse would be that:
Quiz (Remotely Proctored) 2025-2026
edition with complete questions and
accurate answers
The nurse has assessed that a client's stool has changed from brown to dark black and sticky. The nurse
suspects:
-presence of occult blood.
-recent excessive intake of milk products.
-blockage of the pancreatic duct.
-blockage of the bile duct. - Correct Answer: -presence of occult blood.
A client is receiving opioids for pain. Which bowel assessment is a priority?
-Diarrhea
-C. difficile
-Hemorrhoids
-Constipation - Correct Answer: -Constipation
A nurse is reinforcing education with a client who will begin a bowel training program. An intervention
this program does not include is:
-regularly scheduled time for toileting.
-use of an enema.
-use of a suppository.
-fluid intake of at least 1500 mL daily. - Correct Answer: -use of an enema.
, The nurse understands the important role in helping the client with an ostomy accept their change in
self-image. Which of the following indicates the client is having difficulty with this change in body
image?
-The client is asking many questions.
-The client holds a gauze pad over the stoma while cleaning the peristomal skin.
-The client is willing to look at the stoma.
-The client continues to rely on the nurse to change the ostomy pouch. - Correct Answer: -The client
continues to rely on the nurse to change the ostomy pouch.
A nurse is preparing to administer an enema. Which of the following actions indicates correct
understanding?
-The nurse holds the tubing in the client's rectum constantly until the end of fluid instillation.
-The nurse adds 5 mL of castile soap to the enema bag and then fills it to the prescribed level with warm
water.
-The nurse administers a normal saline enema without a health care provider's order when the client
hasn't had a bowel movement after 3 days.
-The nurse places the male client in the dorsal recumbent position for enema administration. - Correct
Answer: -The nurse holds the tubing in the client's rectum constantly until the end of fluid instillation.
The nurse listens for bowel sounds before administering an enema. The client asks, "Why are you
listening to my abdomen?" The nurse's accurate response is:
-"To determine the presence of bowel sounds, which indicates the intestines are working."
-"To determine the presence of bowel sounds, which indicates you will be able to hold the solution."
-"To determine the amount of enema solution needed."
-"To determine which position I should place you in for administration of the enema." - Correct Answer:
-"To determine the presence of bowel sounds, which indicates the intestines are working."
The client asks the nurse how an ileostomy differs from a colostomy. The most informative response by
the nurse would be that:
