NUR205 EXAM 3 WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
RATED A+
The nurse is emptying an ileostomy pouch for a patient. Which
assessment finding will the nurse report immediately?
a.Liquid consistency of stool
b.Presence of blood in the stool
c.Malodorous stool
d.Continuous output from the stoma Correct Answer blood in the
stool
The nurse will anticipate which diagnostic examination for a
patient with black tarry stools?
a.Ultrasound
b.Barium enema
c.Endoscopy
d.Anorectal manometr Correct Answer endoscopy
The nurse has attempted to administer a tap water enema for a
patient with fecal impaction with no success. The fecal mass is
too large for the patient to pass voluntarily. Which is the next
priority nursing action?
a.Preparing the patient for a second tap water enema
b.Obtaining an order for digital removal of stool
,c.Positioning the patient on the left side
d.Inserting a rectal tub Correct Answer order for digital removal of
stool
A nurse is checking orders. Which order should the nurse
question?
a.A normal saline enema to be repeated every 4 hours until stool
is produced
b.A hypertonic solution enema for a patient with fluid volume
excess
c.A Kayexalate enema for a patient with severe hypokalemia
d.An oil retention enema for a patient with constipatio Correct
Answer kayexalate
The nurse is performing a fecal occult blood test. Which action
should the nurse take?
a.Test the quality control section before testing the stool
specimens.
b.Apply liberal amounts of stool to the guaiac paper.
c.Report a positive finding to the provider.
d.Don sterile disposable gloves Correct Answer report to
physician
A nurse is preparing a patient for a magnetic resonance imaging
(MRI) scan. Which nursing action is most important?
,a.that the patient does not eat or drink 2 hours before the
examination.
b.Administering a colon cleansing product 6 hours before the
examination.
c.Obtaining an order for a pain medication before the test is
performed.
d.Removing all of the patient's metallic jewelry. Correct Answer
remove metallic jewelry
A patient with a fecal impaction has an order to remove stool
digitally. In which order will the nurse perform the steps, starting
with the first one?
1. Obtain baseline vital signs.
2. Apply clean gloves and lubricate.
3. Insert index finger into the rectum.
4. Identify patient using two identifiers.
5. Place patient on left side in Sims' position
6. Massage around the feces and work down to remove. Correct
Answer 415236
Before administering a cleansing enema to an 80-year-old patient,
the patient says "I don't think I will be able to hold the enema."
Which is the next priority nursing action?
a.Rolling the patient into right-lying Sims' position
b.Positioning the patient in the dorsal recumbent position on a
bedpan
, c.Inserting a rectal plug to contain the enema solution after
administering
d.Assisting the patient to the bedside commode and administering
the enema Correct Answer dorsal recumbent on a bedpan
A nurse is providing care to a group of patients. Which patient will
the nurse see first?
a.A child about to receive a normal saline enema
b.A teenager about to receive loperamide for diarrhea
c.An older patient with glaucoma about to receive an enema
d.A middle-aged patient with myocardial infarction about to
receive docusate sodium Correct Answer glaucoma pt rec enema
A patient is diagnosed with a bowel obstruction. Which type of
tube is the best for the nurse to obtain for gastric decompression?
a.Salem sump
b.Small bore
c.Levin
d.8 Fr Correct Answer salem sump
A patient had an ileostomy surgically placed 2 days ago. Which
diet will the nurse recommend to the patient to ease the transition
of the new ostomy?
a.Eggs over easy, whole wheat toast, and orange juice with pulp
b.Chicken fried rice with fresh pineapple and iced tea
QUESTIONS AND CORRECT ANSWERS
RATED A+
The nurse is emptying an ileostomy pouch for a patient. Which
assessment finding will the nurse report immediately?
a.Liquid consistency of stool
b.Presence of blood in the stool
c.Malodorous stool
d.Continuous output from the stoma Correct Answer blood in the
stool
The nurse will anticipate which diagnostic examination for a
patient with black tarry stools?
a.Ultrasound
b.Barium enema
c.Endoscopy
d.Anorectal manometr Correct Answer endoscopy
The nurse has attempted to administer a tap water enema for a
patient with fecal impaction with no success. The fecal mass is
too large for the patient to pass voluntarily. Which is the next
priority nursing action?
a.Preparing the patient for a second tap water enema
b.Obtaining an order for digital removal of stool
,c.Positioning the patient on the left side
d.Inserting a rectal tub Correct Answer order for digital removal of
stool
A nurse is checking orders. Which order should the nurse
question?
a.A normal saline enema to be repeated every 4 hours until stool
is produced
b.A hypertonic solution enema for a patient with fluid volume
excess
c.A Kayexalate enema for a patient with severe hypokalemia
d.An oil retention enema for a patient with constipatio Correct
Answer kayexalate
The nurse is performing a fecal occult blood test. Which action
should the nurse take?
a.Test the quality control section before testing the stool
specimens.
b.Apply liberal amounts of stool to the guaiac paper.
c.Report a positive finding to the provider.
d.Don sterile disposable gloves Correct Answer report to
physician
A nurse is preparing a patient for a magnetic resonance imaging
(MRI) scan. Which nursing action is most important?
,a.that the patient does not eat or drink 2 hours before the
examination.
b.Administering a colon cleansing product 6 hours before the
examination.
c.Obtaining an order for a pain medication before the test is
performed.
d.Removing all of the patient's metallic jewelry. Correct Answer
remove metallic jewelry
A patient with a fecal impaction has an order to remove stool
digitally. In which order will the nurse perform the steps, starting
with the first one?
1. Obtain baseline vital signs.
2. Apply clean gloves and lubricate.
3. Insert index finger into the rectum.
4. Identify patient using two identifiers.
5. Place patient on left side in Sims' position
6. Massage around the feces and work down to remove. Correct
Answer 415236
Before administering a cleansing enema to an 80-year-old patient,
the patient says "I don't think I will be able to hold the enema."
Which is the next priority nursing action?
a.Rolling the patient into right-lying Sims' position
b.Positioning the patient in the dorsal recumbent position on a
bedpan
, c.Inserting a rectal plug to contain the enema solution after
administering
d.Assisting the patient to the bedside commode and administering
the enema Correct Answer dorsal recumbent on a bedpan
A nurse is providing care to a group of patients. Which patient will
the nurse see first?
a.A child about to receive a normal saline enema
b.A teenager about to receive loperamide for diarrhea
c.An older patient with glaucoma about to receive an enema
d.A middle-aged patient with myocardial infarction about to
receive docusate sodium Correct Answer glaucoma pt rec enema
A patient is diagnosed with a bowel obstruction. Which type of
tube is the best for the nurse to obtain for gastric decompression?
a.Salem sump
b.Small bore
c.Levin
d.8 Fr Correct Answer salem sump
A patient had an ileostomy surgically placed 2 days ago. Which
diet will the nurse recommend to the patient to ease the transition
of the new ostomy?
a.Eggs over easy, whole wheat toast, and orange juice with pulp
b.Chicken fried rice with fresh pineapple and iced tea
