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NR 224 FUNDAMENTALS FINAL REVIEW ASSIGNMENT ACTUAL EXAM COMPLETE - QUESTIONS AND CORRECT DETAILED ANSWERS

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NR 224 FUNDAMENTALS FINAL REVIEW ASSIGNMENT ACTUAL EXAM COMPLETE - QUESTIONS AND CORRECT DETAILED ANSWERS

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Revision Examination Tests
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... 100% Correct Ans ...
NR 224 FUNDAMENTALS FINAL REVIEW ASSIGNMENT 2024-2025 ACTUAL
EXAM COMPLETE -

QUESTIONS AND CORRECT DETAILED ANSWERS

What is the most effective method to prevent the transfer of clostridium difficile (C.
Difficile)?

Ans: HAND HYGIENE with soap and water is effective to physically remove C.
difficile spores from the hands. (Potter 1092)

Quiz What is the term for the [abnormal] method used to assist in stool passage by
exerting pressure to expel fecal matter through voluntary contraction of the
abdominal muscles while maintaining a forced expiration against a closed airway?

Ans: Valsalva Manuever


*Normal passage of bowels should be painless, passing soft formed stool*

Quiz Which patients are at greatest risk for cardiac dysrhythmia and high blood
pressure with the Valsalva manuever and MUST avoid straining to pass stool?

Ans: Patients with cardiovascular disease, glaucoma, increased intracranial
pressure, or a new surgical wound
(Potter 1089)

Quiz What is the term for a collection of hardened feces in the rectum that cannot be
expelled due to unrelieved constipation?

Ans: Fecal Impaction

Quiz Where does fecal impaction occur in the colon?

Ans: Rectum

Quiz Least formed stool is present in which portion of the digestive tract?

,Ans: Ascending Colon

Quiz Most formed stool is present in which portion of the digestive tract?

Ans: Descending Colon

Quiz Which position should the patient be in while administering an enema?

Ans: Left Side-Lying or Sim's Position

Quiz Which factors would contribute to stopping enema administration?

Ans: If bleeding occurs, abdomen becomes rigid and distended, pain occurs, or
resistance is felt

Quiz Which enema solution is the safest for administration because it does NOT
create a danger for excess fluid absorption?

Ans: Normal Saline [Isotonic Solution]

Quiz Which enema solution is contraindicated in patients who are dehydrated or
young infants because of risk for fluid imbalance?

Ans: Hypertonic Solution

Quiz Which enema solution is considered to be hypotonic and should NOT be
repeated because of the risk of water toxicity or circulatory overload if and because
the body absorbs excessive amounts of water?

Ans: Tap Water [Hypotonic Solution]

Quiz Which enema solution lubricates the rectum and allows the feces to absorb the
oil making them soft and easier to pass?

Ans: Oil Retention

Quiz Which enema solution creates intestinal irritation to stimulate peristalsis by
using castile soap?

Ans: Soapsuds

Quiz Which enema solution should used in caution in pregnant women and elderly
because it may cause an electrolyte imbalance or damage to intestinal mucosa?

Ans: Soapsuds

Quiz Which laboratory test is used to measure microscopic amounts of blood in the
feces (blood that cannot be seen)

Ans: Guaiac Fecal Occult Blood Test

,Repeat the test at least three times while the patient refrains from ingesting foods
(e.g., some raw vegetables, red meat, poultry, fish) and medications (e.g., vitamin C,
aspirin, non steroidal anti-inflammatory drugs) that cause false-positive results
(Potter 1100)

Quiz When analyzing a fecal specimens for ova and parasites, what is required of
the stool?

Ans: The stool MUST be warm.

If the stool specimen remains at room temperature, bacteriological changes can alter
the test results

Quiz Which cathartic form is most effective because of its stimulant effect on the
rectal mucosa
(Example: Dulcolax)?

Ans: Cathartic Suppositories

Quiz Which foods induce a constipating effect?

Ans: cheese, lean meats, eggs, and pasta

Quiz Which food induce a laxative effect?

Ans: fruits, vegetables, bran, chocolate, alcohol, and coffee

Quiz What are the assessment findings of a normal stoma?

Ans: bright pink or brick red

Notify HCP of stoma is blue, purple, brown, or black which indicates circulation
problem to the stoma

Quiz How does the nurse measure the length of the NG tube for insertion?

Ans: Tip of the nose --> earlobe --> xiphoid process

Quiz What is the most reliable method of verification for placement of the NG tube?

Ans: X-ray

Other methods include: pH test (aspirate and inspect color)

Quiz What are the ranges for body mass index?

Ans: Normal = 19-24
Overweight = 25-29

, Obese = 30-39
Extremely Obese = > 40

Quiz When energy requirements are completely met or EQUALS kcal intake in food
what occurs?

Ans: Weight does not change

Quiz When kcal intake in food is LESS THAN energy requirements what occurs?

Ans: Loose weight

Quiz When kcal intake in food is GREATER THAN energy requirements what
occurs?

Ans: Gain weight

Quiz Nutrients are absorbed in what portion of the digestive tract?

Ans: Small intestine [duodenum]

Quiz Proteins are necessary for _________ balance

Ans: Positive protein and nitrogen balance for healing, growth, and tissue repair

Quiz 1 gram of carbohydrates = ____ kcal

Ans: 4 kcal

Quiz 1 gram of fat = ____ kcal

Ans: 9 kcal

Most calorie dense

Quiz < ___ % of fat intake of daily nutrition is considered a nutritional deficiency

Ans: < 10%

Quiz 1 gram of protein = ___ kcal

Ans: 4 kcal

Quiz Which amino acids are NOT manufactured by the body and MUST be obtained
through diet or external source are known as?

Ans: Indispensable amino acids

Quiz Which amino acids ARE manufactured by the body?

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