1220 Practice Questions Chapter 47 (46
on test bank)
The nurse knows that most nutrients are absorbed in which portion of the digestive tract?
a.Stomach
b.Duodenum
c.Ileum
d.Cecum - correct answer-B
The nurse would expect the least formed stool to be present in which portion of the digestive
tract?
a.Ascending
b.Descending
c.Transverse
d.Sigmoid - correct answer-A
Which of the following is not a function of the large intestine?
a.Absorbing nutrients
b.Absorbing water
c.Secreting bicarbonate
d.Eliminating waste - correct answer-A
The nurse is caring for a patient who is confined to the bed. The nurse asks the patient if he
needs to have a bowel movement 30 minutes after eating a meal because
a.The digested food needs to make room for recently ingested food.
b.Mastication triggers the digestive system to begin peristalsis.
c.The smell of bowel elimination in the room would deter the patient from eating.
d.More ancillary staff members are available after meal times. - correct answer-B
A nurse is assisting a patient in making dietary choices that promote healthy bowel
elimination. Which menu option should the nurse recommend?
a.Grape and walnut chicken salad sandwich on whole wheat bread
b.Broccoli and cheese soup with potato bread
c.Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
d.Turkey and mashed potatoes with brown gravy - correct answer-A
A patient informs the nurse that she was using laxatives three times daily to lose weight.
After stopping use of the laxative, the patient had difficulty with constipation and wonders if
she needs to take laxatives again. The nurse educates the patient that
, a.Long-term laxative use causes the bowel to become less responsive to stimuli, and
constipation may occur.
b.Laxatives can cause trauma to the intestinal lining and scarring may result, leading to
decreased peristalsis.
c.Natural laxatives such as mineral oil are safer than chemical laxatives for relieving
constipation.
d.Laxatives cause the body to become malnourished, so when the patient begins eating
again, the body absorbs all of the food, and no waste products are produced. - correct
answer-A
A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed.
Which action by the nurse would assist the patient in having a successful bowel movement?
a.Administering laxatives to the patient
b.Raising the head of the bed
c.Preparing to administer a barium enema
d.Withholding narcotic pain medication - correct answer-B
Which patient is most at risk for increased peristalsis?
a.A 5-year-old child who ignores the urge to defecate owing to embarrassment
b.A 21-year-old patient with three final examinations on the same day
c.A 40-year-old woman with major depressive disorder
d.An 80-year-old man in an assisted-living environment - correct answer-B
A patient expresses concerns over having black stool. The fecal occult test is negative.
Which response by the nurse is most appropriate?
a.This is probably a false negative; we should rerun the test.
b.Do you take iron supplements?
c.You should schedule a colonoscopy as soon as possible.
d.Sometimes severe stress can alter stool color. - correct answer-B
Which physiological change can cause a paralytic ileus?
a.Chronic cathartic abuse
b.Surgery for Crohns disease and anesthesia
c.Suppression of hydrochloric acid from medication
d.Fecal impaction - correct answer-B
Fecal impactions occur in which portion of the colon?
a.Ascending
b.Descending
c.Transverse
d.Rectum - correct answer-D
on test bank)
The nurse knows that most nutrients are absorbed in which portion of the digestive tract?
a.Stomach
b.Duodenum
c.Ileum
d.Cecum - correct answer-B
The nurse would expect the least formed stool to be present in which portion of the digestive
tract?
a.Ascending
b.Descending
c.Transverse
d.Sigmoid - correct answer-A
Which of the following is not a function of the large intestine?
a.Absorbing nutrients
b.Absorbing water
c.Secreting bicarbonate
d.Eliminating waste - correct answer-A
The nurse is caring for a patient who is confined to the bed. The nurse asks the patient if he
needs to have a bowel movement 30 minutes after eating a meal because
a.The digested food needs to make room for recently ingested food.
b.Mastication triggers the digestive system to begin peristalsis.
c.The smell of bowel elimination in the room would deter the patient from eating.
d.More ancillary staff members are available after meal times. - correct answer-B
A nurse is assisting a patient in making dietary choices that promote healthy bowel
elimination. Which menu option should the nurse recommend?
a.Grape and walnut chicken salad sandwich on whole wheat bread
b.Broccoli and cheese soup with potato bread
c.Dinner salad topped with hard-boiled eggs, cheese, and fat-free dressing
d.Turkey and mashed potatoes with brown gravy - correct answer-A
A patient informs the nurse that she was using laxatives three times daily to lose weight.
After stopping use of the laxative, the patient had difficulty with constipation and wonders if
she needs to take laxatives again. The nurse educates the patient that
, a.Long-term laxative use causes the bowel to become less responsive to stimuli, and
constipation may occur.
b.Laxatives can cause trauma to the intestinal lining and scarring may result, leading to
decreased peristalsis.
c.Natural laxatives such as mineral oil are safer than chemical laxatives for relieving
constipation.
d.Laxatives cause the body to become malnourished, so when the patient begins eating
again, the body absorbs all of the food, and no waste products are produced. - correct
answer-A
A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed.
Which action by the nurse would assist the patient in having a successful bowel movement?
a.Administering laxatives to the patient
b.Raising the head of the bed
c.Preparing to administer a barium enema
d.Withholding narcotic pain medication - correct answer-B
Which patient is most at risk for increased peristalsis?
a.A 5-year-old child who ignores the urge to defecate owing to embarrassment
b.A 21-year-old patient with three final examinations on the same day
c.A 40-year-old woman with major depressive disorder
d.An 80-year-old man in an assisted-living environment - correct answer-B
A patient expresses concerns over having black stool. The fecal occult test is negative.
Which response by the nurse is most appropriate?
a.This is probably a false negative; we should rerun the test.
b.Do you take iron supplements?
c.You should schedule a colonoscopy as soon as possible.
d.Sometimes severe stress can alter stool color. - correct answer-B
Which physiological change can cause a paralytic ileus?
a.Chronic cathartic abuse
b.Surgery for Crohns disease and anesthesia
c.Suppression of hydrochloric acid from medication
d.Fecal impaction - correct answer-B
Fecal impactions occur in which portion of the colon?
a.Ascending
b.Descending
c.Transverse
d.Rectum - correct answer-D
