Correct Answers
A client is admitted to the hospital for a laparoscopic cholecystectomy. Which item
would the nurse encourage the client to add to the diet to help normalize bowel function
after surgery?
a. Vitamins
b. Whole bran
c. Cod liver oil
d. Amino acids ✅B. Whole bran
Which recommendation would the nurse provide the parent of a 14-month-old child
about bowe training?
a. "Place the child on the toilet every 2 hours."
b. "Start by purchasing a potty chair."
c. "Avoid bowel training until the child is 2 years old."
d. "Begin before the child's diet consists mainly of solid foods." ✅B. "Start by
purchasing a potty chair."
The nurse is caring for a two day post surgery hip replacement. Client who has had a
bowel movement, which nursing intervention with the nurse perform next.
a. Provide perineal care.
b. Turn and position the client.
c. Give a complete bed bath.
d. Document the bowel movement. ✅A. Provide perineal care.
Which statement made by an older adult most strongly supports the nurse's conclusion
that the client has impacted stool?
a. "I have a lot of gas pain."
b. "I don't have much of an appetite."
c. "I feel like I have to go, but I just seep."
d. "I haven't had a bowel movement for several days." ✅C. "I feel like I have to go, but
I just seep."
Which nursing intervention helps prevent complications associated with the shorten
urethra revealed by a recent intravenous pyelogram?
a. Providing thorough perineal care after each voiding
b. Encouraging the client to use the toilet or bedpan every 2 hours
c. Responding quickly to the client's indication of the need to void
d. Applying voiding stimulants to the perineum ✅A. Providing thorough perineal care
after each voiding
Which instruction with the nurse give to the client having a residual urine test?
a. Void right after a urinary catheter is removed
, b. Collect a specimen of urine during midstream
c. Attempt to void when a urinary catheter is in place
d. Empty the bladder before a urinary catheter is inserted ✅D. Empty the bladder
before a urinary catheter is inserted
Which intervention is most important in preventing hospital acquired catheter associated
urinary tract infections (CAUTIs)?
a. Removing the catheter
b. Keeping the drainage bag off of the floor
c. Washing hands before and after assessing the catheter
d. Cleansing the urinary meatus with soap and water daily ✅A. Removing the catheter
A client is placed on a restricted diet. Which communication is best for the nurse to use
when beginning to teach the client about the diet?
a. Asking about what type of foods the client usually eats
b. Telling the client that the diet must be followed exactly as written
c. Telling the client that the intake of foods on the list must be limited
d. Asking what the client knows about the diet that was prescribed ✅D. Asking what
the client knows about the diet that was prescribed
Which action would the nurse take to prevent aspiration reoccurrence, in a client with
aspiration pneumonia who is NPO status with a nasogastric tube and a prescription for
antibiotics?
a. Obtaining vital signs after feedings
b. Administering intravenous antibiotics
c. Elevating the head of the bed to 30 degrees
d. Determining residual every 4 hours ✅C. Elevating the head of the bed to 30 degrees
In which position with the nurse placed an infant, while the infant is receiving intermittent
nasogastric tube feedings?
a. Prone
b. Semi-Fowler
c. Left side-lying
d. Supine with the head turned ✅B. Semi-Fowler
The nurse is providing care to a client who is receiving enteral feedings via a
nasogastric (NG) tube, which series complication would the nurse take measures to
prevent?
a. Skin breakdown
b. Aspiration pneumonia
c. Retention ileus
d. Profuse diarrhea ✅B. Aspiration pneumonia
Which explanation with the nurse include when teaching a client with heart failure about
the reason for a low sodium diet?
a. Body weight control