URINARY AND BOWEL LATEST 2026 CORE EXAM
MANUAL QUESTIONS AND ANSWERS GRADED A+
✔✔D. Perceived Constipation - ✔✔Mrs. Addie is 70 years old. While the nurse is
gathering admission assessment data, the patient states, "I've taken a tablespoon of
Milk of Magnesia every day for 3 years, and I still don't have a BM every day." Which
nursing diagnosis is most appropriate for the nurse to use as a possible problem in her
plan of care?
A. Diarrhea
B. Constipation
C. Risk for Dysfunctional
GI Motility
D. Perceived Constipation
✔✔B. Chronically elevated BUN and creatinine - ✔✔The physician has prescribed
enemas for Mr. Gray until the return is clear. The nurse is to use a hypertonic solution.
The nurse would question the order if Mr. Gray had which of the following conditions?
A. Constipation
B. Chronically elevated
BUN and creatinine
C. Peptic ulcer disease
D. Multiple sclerosis
✔✔Impaction - ✔✔Remove stool manually
✔✔Pinworms - ✔✔Test for eggs with tape
✔✔Valsalva maneuver - ✔✔Discourage the post-MI (heart attack) patient from using
✔✔Ileostomy - ✔✔Assess surrounding skin every shift
✔✔Constipation - ✔✔Encourage a high-fiber diet
✔✔2) Vitamin B
4) Vitamin K - ✔✔Normal flora contained in the colon aid digestion and produce which
nutrients?
1) Vitamin A
2) Vitamin B
3) Vitamin C
4) Vitamin K
5) Iron
6) Zinc
,✔✔2) Constipation - ✔✔When a patient with heartburn takes antacids, for which
problem is he especially at risk?
1) Diarrhea
2) Constipation
3) Stomach ulceration
4) Flatulence
✔✔4) Kock pouch - ✔✔Which type of bowel diversion allows the patient to be free from
an appliance?
1) Colostomy in the
transverse colon
2) Double-barreled
colostomy
3) Ileostomy
4) Kock pouch
✔✔1) increases his intake of high-fiber foods.
3) goes to the bathroom to evacuate after meals. - ✔✔The nurse has taught a client
how to manage constipation. Which action by the client would provide evidence of
learning? (Select all that apply.) The patient:
1) increases his intake of high-fiber foods.
2) drinks at least four 8-ounce glasses of water a day.
3) goes to the bathroom to evacuate after meals.
4) takes a daily laxative.
✔✔4) Raise the side rail on the opposite side from where you are working. - ✔✔For a
patient with a newly fractured pelvis, not yet in a cast, which of the following actions is
appropriate when placing the patient on a bedpan?
1) Place the patient in semi-Fowler's position to defecate.
2) Ask the patient to push up with his feet to lift his hips while you place the bedpan.
3) Place a fracture pan under the buttocks, small end toward the feet.
4) Raise the side rail on the opposite side from where you are working.
✔✔refractometer - ✔✔an instrument that is used to measure the specific gravity of
urine.
✔✔costovertebral angle - ✔✔Percussion of the ____________ that results in pain or
discomfort could indicate the presence of an inflammatory process in the kidney.
✔✔Credé's maneuver - ✔✔is the application of gentle, manual pressure over the
bladder to promote bladder emptying.
✔✔ileal conduit - ✔✔A/an _____________ is a type of urinary diversion that involves
implanting the ureters into a small segment of the small intestine, which is then brought
to the abdominal wall, where a stoma is created.
, ✔✔enuresis - ✔✔If a child is experiencing involuntary urination after the age of 5 or 6,
he may have a condition known as
✔✔D. Assess the catheter tubing and the patient's abdomen - ✔✔The nurse notes that
there has only been 100 mL of urine output from a patient's Foley (indwelling) catheter
in 6 hours. The nurse should first do which of the following?
A. Instruct the patient to drink two glasses of water.
B. Notify the doctor immediately.
C. Irrigate the Foley catheter with 30 mL of sterile saline.
D. Assess the catheter tubing and the patient's abdomen.
✔✔C. Sterile urine specimen - ✔✔Mrs. Sanchez is awaiting surgery for a right hip
fracture. The nurse suspects that Mrs. Sanchez has a urinary tract infection and
anticipates that the physician will order which of the following?
A. Freshly voided urine specimen in the morning
B. Clean-catch specimen
C. Sterile urine specimen
D. 24-hour urine collection
✔✔B. Encourage the patient to increase fluid intake - ✔✔A patient's urine specific
gravity has been reported at 1.035. Which of the following nursing actions would be
appropriate?
A. Start an IV of normal saline at 150 mL per hour.
B. Encourage the patient to increase fluid intake.
C. Insert a straight catheter to assess for urinary retention.
D. Obtain an order for fluid restriction from the physician.
✔✔C. "I will do my Kegel exercises every day." - ✔✔The nurse knows that the patient
has understood teaching related to urinary incontinence when the patient states which
of the following?
A. "I'll just get those disposable pads because there is nothing to be done."
B. "I'll limit my fluid intake so that I won't dribble so much."
C. "I will do my Kegel exercises every day."
D. "I'm going to have surgery, and the doctor will make a Kock pouch."
✔✔3) Diabetes mellitus - ✔✔The nurse is obtaining the history of a newly admitted
patient. Which element in the history places the patient at risk for urinary tract infection?
1) Hypertension
2) Hypothyroidism
3) Diabetes mellitus
4) Hormonal contraceptive use
MANUAL QUESTIONS AND ANSWERS GRADED A+
✔✔D. Perceived Constipation - ✔✔Mrs. Addie is 70 years old. While the nurse is
gathering admission assessment data, the patient states, "I've taken a tablespoon of
Milk of Magnesia every day for 3 years, and I still don't have a BM every day." Which
nursing diagnosis is most appropriate for the nurse to use as a possible problem in her
plan of care?
A. Diarrhea
B. Constipation
C. Risk for Dysfunctional
GI Motility
D. Perceived Constipation
✔✔B. Chronically elevated BUN and creatinine - ✔✔The physician has prescribed
enemas for Mr. Gray until the return is clear. The nurse is to use a hypertonic solution.
The nurse would question the order if Mr. Gray had which of the following conditions?
A. Constipation
B. Chronically elevated
BUN and creatinine
C. Peptic ulcer disease
D. Multiple sclerosis
✔✔Impaction - ✔✔Remove stool manually
✔✔Pinworms - ✔✔Test for eggs with tape
✔✔Valsalva maneuver - ✔✔Discourage the post-MI (heart attack) patient from using
✔✔Ileostomy - ✔✔Assess surrounding skin every shift
✔✔Constipation - ✔✔Encourage a high-fiber diet
✔✔2) Vitamin B
4) Vitamin K - ✔✔Normal flora contained in the colon aid digestion and produce which
nutrients?
1) Vitamin A
2) Vitamin B
3) Vitamin C
4) Vitamin K
5) Iron
6) Zinc
,✔✔2) Constipation - ✔✔When a patient with heartburn takes antacids, for which
problem is he especially at risk?
1) Diarrhea
2) Constipation
3) Stomach ulceration
4) Flatulence
✔✔4) Kock pouch - ✔✔Which type of bowel diversion allows the patient to be free from
an appliance?
1) Colostomy in the
transverse colon
2) Double-barreled
colostomy
3) Ileostomy
4) Kock pouch
✔✔1) increases his intake of high-fiber foods.
3) goes to the bathroom to evacuate after meals. - ✔✔The nurse has taught a client
how to manage constipation. Which action by the client would provide evidence of
learning? (Select all that apply.) The patient:
1) increases his intake of high-fiber foods.
2) drinks at least four 8-ounce glasses of water a day.
3) goes to the bathroom to evacuate after meals.
4) takes a daily laxative.
✔✔4) Raise the side rail on the opposite side from where you are working. - ✔✔For a
patient with a newly fractured pelvis, not yet in a cast, which of the following actions is
appropriate when placing the patient on a bedpan?
1) Place the patient in semi-Fowler's position to defecate.
2) Ask the patient to push up with his feet to lift his hips while you place the bedpan.
3) Place a fracture pan under the buttocks, small end toward the feet.
4) Raise the side rail on the opposite side from where you are working.
✔✔refractometer - ✔✔an instrument that is used to measure the specific gravity of
urine.
✔✔costovertebral angle - ✔✔Percussion of the ____________ that results in pain or
discomfort could indicate the presence of an inflammatory process in the kidney.
✔✔Credé's maneuver - ✔✔is the application of gentle, manual pressure over the
bladder to promote bladder emptying.
✔✔ileal conduit - ✔✔A/an _____________ is a type of urinary diversion that involves
implanting the ureters into a small segment of the small intestine, which is then brought
to the abdominal wall, where a stoma is created.
, ✔✔enuresis - ✔✔If a child is experiencing involuntary urination after the age of 5 or 6,
he may have a condition known as
✔✔D. Assess the catheter tubing and the patient's abdomen - ✔✔The nurse notes that
there has only been 100 mL of urine output from a patient's Foley (indwelling) catheter
in 6 hours. The nurse should first do which of the following?
A. Instruct the patient to drink two glasses of water.
B. Notify the doctor immediately.
C. Irrigate the Foley catheter with 30 mL of sterile saline.
D. Assess the catheter tubing and the patient's abdomen.
✔✔C. Sterile urine specimen - ✔✔Mrs. Sanchez is awaiting surgery for a right hip
fracture. The nurse suspects that Mrs. Sanchez has a urinary tract infection and
anticipates that the physician will order which of the following?
A. Freshly voided urine specimen in the morning
B. Clean-catch specimen
C. Sterile urine specimen
D. 24-hour urine collection
✔✔B. Encourage the patient to increase fluid intake - ✔✔A patient's urine specific
gravity has been reported at 1.035. Which of the following nursing actions would be
appropriate?
A. Start an IV of normal saline at 150 mL per hour.
B. Encourage the patient to increase fluid intake.
C. Insert a straight catheter to assess for urinary retention.
D. Obtain an order for fluid restriction from the physician.
✔✔C. "I will do my Kegel exercises every day." - ✔✔The nurse knows that the patient
has understood teaching related to urinary incontinence when the patient states which
of the following?
A. "I'll just get those disposable pads because there is nothing to be done."
B. "I'll limit my fluid intake so that I won't dribble so much."
C. "I will do my Kegel exercises every day."
D. "I'm going to have surgery, and the doctor will make a Kock pouch."
✔✔3) Diabetes mellitus - ✔✔The nurse is obtaining the history of a newly admitted
patient. Which element in the history places the patient at risk for urinary tract infection?
1) Hypertension
2) Hypothyroidism
3) Diabetes mellitus
4) Hormonal contraceptive use
