Bowel Elimination Exam Questions With
Verified Answers
A nurse is preparing to administer an oil retention enema to a client who has constipation. The nurse
should instruct the client to retain the solution for which of the following durations.
A. The duration of the procedure.
B. 10 to 15 minutes.
C. Until the client feels the urge to defecate.
D. At least 30 minutes.
D
A nurse is preparing to administer a cleansing enema to a client who has poor sphincter control.
Which of the following actions should the nurse take?
A. Place the client in the dorsal recumbent position on a bedpan.
B. Administer the enema while the client sits on the toilet.
C. Administer an anti-diarrheal medication 3 hours prior to the enema.
D. Instill 200mL of fluid over an hour at 15 minute intervals.
A
A nurse is administering an enema medicated with sodium polystyrene sulfonate to an adult client
who has hyperkalemia. To which of the following lengths should the nurse insert the rectal tube.
A. 2.5cm to 3.75cm (1-1.5in)
B. 5cm to 7.5cm (2-3in)
C. 7.5cm to 10cm (3-4in)
D. 10cm to 12.5cm (4-5in)
C
A nurse is preparing an adult client for an enema. The nurse should assist the client into which of the
following positions?
A. Prone
B. Dorsal recumbent
C. Right lateral with both knees at chest
D. Left lateral with the right leg flexed
D
A client who is post operative is experiencing abdominal distention and is having difficulty expelling
flatus. The nurse should expect the provider to prescribe which of the following types of enema?
A. Cleansing
B. Return flow
C. Medicated
D. Oil retention
B
A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed for a
client in preparation for a diagnostic procedure. Which of the following actions should the nurse take?
A. Warm the solution prior to instillation.
Verified Answers
A nurse is preparing to administer an oil retention enema to a client who has constipation. The nurse
should instruct the client to retain the solution for which of the following durations.
A. The duration of the procedure.
B. 10 to 15 minutes.
C. Until the client feels the urge to defecate.
D. At least 30 minutes.
D
A nurse is preparing to administer a cleansing enema to a client who has poor sphincter control.
Which of the following actions should the nurse take?
A. Place the client in the dorsal recumbent position on a bedpan.
B. Administer the enema while the client sits on the toilet.
C. Administer an anti-diarrheal medication 3 hours prior to the enema.
D. Instill 200mL of fluid over an hour at 15 minute intervals.
A
A nurse is administering an enema medicated with sodium polystyrene sulfonate to an adult client
who has hyperkalemia. To which of the following lengths should the nurse insert the rectal tube.
A. 2.5cm to 3.75cm (1-1.5in)
B. 5cm to 7.5cm (2-3in)
C. 7.5cm to 10cm (3-4in)
D. 10cm to 12.5cm (4-5in)
C
A nurse is preparing an adult client for an enema. The nurse should assist the client into which of the
following positions?
A. Prone
B. Dorsal recumbent
C. Right lateral with both knees at chest
D. Left lateral with the right leg flexed
D
A client who is post operative is experiencing abdominal distention and is having difficulty expelling
flatus. The nurse should expect the provider to prescribe which of the following types of enema?
A. Cleansing
B. Return flow
C. Medicated
D. Oil retention
B
A nurse is preparing to administer the first of two large-volume, cleansing enemas prescribed for a
client in preparation for a diagnostic procedure. Which of the following actions should the nurse take?
A. Warm the solution prior to instillation.
