NURS 100 Week 7 Fundamentals Comprehensive Quiz 2026 |WCU
1. A nurse is caring for a patient who has not voided for 8 hours following
abdominal surgery. Which is the priority nursing action?
A. Apply firm pressure to the bladder area
B. Increase the intravenous fluid rate
C. Insert an indwelling urinary catheter immediately
D. Perform a bladder scan to assess volume
Answer: D
Rationale: The first step in the nursing process is assessment. A bladder scan is a non-
invasive way to determine the volume of urine in the bladder before proceeding with more
invasive interventions like catheterization.
2. When providing perineal care for a female patient with an indwelling urinary
catheter, which technique should the nurse employ?
A. Cleanse from the anus toward the symphysis pubis
B. Use the same area of the washcloth for multiple strokes
C. Cleanse the catheter using a circular motion away from the meatus
D. Apply antiseptic ointment to the urinary meatus
Answer: C
Rationale: To prevent infection, the catheter should be cleaned starting at the meatus and
moving outward. Cleansing should always occur from front to back (clean to dirty) to
prevent fecal contamination.
,3. A patient with chronic stress incontinence asks about non-pharmacological
management. What should the nurse recommend?
A. Reducing daily fluid intake to less than 1 liter
B. Performing pelvic floor muscle (Kegel) exercises regularly
C. Increasing caffeine consumption to stimulate the bladder
D. Using a bedside commode every 2 hours
Answer: B
Rationale: Kegel exercises strengthen the pelvic floor muscles, which support the bladder
and urethra, significantly improving stress incontinence symptoms.
4. Which assessment finding in a patient with a new ileostomy requires
immediate notification of the healthcare provider?
A. The stoma is dark purple or black in color
B. The output is liquid and greenish-yellow
C. The stoma is moist and red
D. The skin around the stoma is slightly pink
Answer: A
Rationale: A dark purple or black stoma indicates ischemia or necrosis due to
compromised blood flow, which is a medical emergency. A healthy stoma should be moist
and red/pink.
5. A nurse is preparing to administer a large-volume cleansing enema. In which
position should the patient be placed?
A. Right-side Sims position
B. Prone with a pillow under the abdomen
C. Supine with the head of the bed flat
D. Left-side Sims position
Answer: D
, Rationale: The left-side Sims position allows the enema solution to flow by gravity into the
sigmoid colon and rectum, following the natural anatomical curve of the colon.
6. During the administration of a cleansing enema, the patient complains of
severe abdominal cramping. What is the nurse’s next action?
A. Lower the enema container to slow the flow
B. Stop the procedure and notify the provider
C. Tell the patient to take short, panting breaths
D. Increase the height of the container to finish faster
Answer: A
Rationale: Lowering the enema bag slows the rate of administration, which usually
relieves cramping while still allowing the procedure to continue safely.
7. Which laboratory value is most indicative of a patient’s long-term nutritional
status?
A. Blood Urea Nitrogen (BUN)
B. Prealbumin
C. Serum Albumin
D. Serum Creatinine
Answer: C
Rationale: While prealbumin reflects acute changes, serum albumin has a longer half-life
(about 20 days) and is used to assess chronic or long-term nutritional status.
8. A patient with dysphagia is at high risk for aspiration. Which nursing
intervention is most appropriate during feeding?
A. Keep the head of the bed at a 30-degree angle
B. Maintain the patient in a high-Fowler’s position
C. Instruct the patient to tilt their head back while swallowing
D. Encourage the use of a straw for all liquids
Answer: B
1. A nurse is caring for a patient who has not voided for 8 hours following
abdominal surgery. Which is the priority nursing action?
A. Apply firm pressure to the bladder area
B. Increase the intravenous fluid rate
C. Insert an indwelling urinary catheter immediately
D. Perform a bladder scan to assess volume
Answer: D
Rationale: The first step in the nursing process is assessment. A bladder scan is a non-
invasive way to determine the volume of urine in the bladder before proceeding with more
invasive interventions like catheterization.
2. When providing perineal care for a female patient with an indwelling urinary
catheter, which technique should the nurse employ?
A. Cleanse from the anus toward the symphysis pubis
B. Use the same area of the washcloth for multiple strokes
C. Cleanse the catheter using a circular motion away from the meatus
D. Apply antiseptic ointment to the urinary meatus
Answer: C
Rationale: To prevent infection, the catheter should be cleaned starting at the meatus and
moving outward. Cleansing should always occur from front to back (clean to dirty) to
prevent fecal contamination.
,3. A patient with chronic stress incontinence asks about non-pharmacological
management. What should the nurse recommend?
A. Reducing daily fluid intake to less than 1 liter
B. Performing pelvic floor muscle (Kegel) exercises regularly
C. Increasing caffeine consumption to stimulate the bladder
D. Using a bedside commode every 2 hours
Answer: B
Rationale: Kegel exercises strengthen the pelvic floor muscles, which support the bladder
and urethra, significantly improving stress incontinence symptoms.
4. Which assessment finding in a patient with a new ileostomy requires
immediate notification of the healthcare provider?
A. The stoma is dark purple or black in color
B. The output is liquid and greenish-yellow
C. The stoma is moist and red
D. The skin around the stoma is slightly pink
Answer: A
Rationale: A dark purple or black stoma indicates ischemia or necrosis due to
compromised blood flow, which is a medical emergency. A healthy stoma should be moist
and red/pink.
5. A nurse is preparing to administer a large-volume cleansing enema. In which
position should the patient be placed?
A. Right-side Sims position
B. Prone with a pillow under the abdomen
C. Supine with the head of the bed flat
D. Left-side Sims position
Answer: D
, Rationale: The left-side Sims position allows the enema solution to flow by gravity into the
sigmoid colon and rectum, following the natural anatomical curve of the colon.
6. During the administration of a cleansing enema, the patient complains of
severe abdominal cramping. What is the nurse’s next action?
A. Lower the enema container to slow the flow
B. Stop the procedure and notify the provider
C. Tell the patient to take short, panting breaths
D. Increase the height of the container to finish faster
Answer: A
Rationale: Lowering the enema bag slows the rate of administration, which usually
relieves cramping while still allowing the procedure to continue safely.
7. Which laboratory value is most indicative of a patient’s long-term nutritional
status?
A. Blood Urea Nitrogen (BUN)
B. Prealbumin
C. Serum Albumin
D. Serum Creatinine
Answer: C
Rationale: While prealbumin reflects acute changes, serum albumin has a longer half-life
(about 20 days) and is used to assess chronic or long-term nutritional status.
8. A patient with dysphagia is at high risk for aspiration. Which nursing
intervention is most appropriate during feeding?
A. Keep the head of the bed at a 30-degree angle
B. Maintain the patient in a high-Fowler’s position
C. Instruct the patient to tilt their head back while swallowing
D. Encourage the use of a straw for all liquids
Answer: B
