NR 224 Fundamentals Final Review Exam
Questions And Answers. Verified and
Updated.
What is the most effective method to prevent the transfer of clostridium difficile (C. Difficile) ? -
answer✔✔HAND HYGIENE with soap and water is effective to physically remove C. difficile
spores from the hands. (Potter 1092)
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? - answer✔✔Valsalva Manuever
*Normal passage of bowels should be painless, passing soft formed stool*
Which patients are at greatest risk for cardiac dysrhythmia and high blood pressure with the
Valsalva manuever and MUST avoid straining to pass stool? - answer✔✔Patients with
cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound
(Potter 1089)
What is the term for a collection of hardened feces in the rectum that cannot be expelled due to
unrelieved constipation? - answer✔✔Fecal Impaction
Where does fecal impaction occur in the colon? - answer✔✔Rectum
Least formed stool is present in which portion of the digestive tract? - answer✔✔Ascending
Colon
Most formed stool is present in which portion of the digestive tract? - answer✔✔Descending
Colon
Which position should the patient be in while administering an enema? - answer✔✔Left Side-
Lying or Sim's Position
Which factors would contribute to stopping enema administration? - answer✔✔If bleeding
occurs, abdomen becomes rigid and distended, pain occurs, or resistance is felt
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
,Which enema solution is the safest for administration because it does NOT create a danger for
excess fluid absorption? - answer✔✔Normal Saline [Isotonic Solution]
Which enema solution is contraindicated in patients who are dehydrated or young infants
because of risk for fluid imbalance? - answer✔✔Hypertonic Solution
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? - answer✔✔Tap Water [Hypotonic Solution]
Which enema solution lubricates the rectum and allows the feces to absorb the oil making them
soft and easier to pass? - answer✔✔Oil Retention
Which enema solution creates intestinal irritation to stimulate peristalsis by using castile soap? -
answer✔✔Soapsuds
Which enema solution should used in caution in pregnant women and elderly because it may
cause an electrolyte imbalance or damage to intestinal mucosa? - answer✔✔Soapsuds
Which laboratory test is used to measure microscopic amounts of blood in the feces (blood that
cannot be seen) - answer✔✔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)
When analyzing a fecal specimens for ova and parasites, what is required of the stool? -
answer✔✔The stool MUST be warm.
If the stool specimen remains at room temperature, bacteriological changes can alter the test
results
Which cathartic form is most effective because of its stimulant effect on the rectal mucosa
(Example: Dulcolax)? - answer✔✔Cathartic Suppositories
Which foods induce a constipating effect? - answer✔✔cheese, lean meats, eggs, and pasta
Which food induce a laxative effect? - answer✔✔fruits, vegetables, bran, chocolate, alcohol, and
coffee
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
,What are the assessment findings of a normal stoma? - answer✔✔bright pink or brick red
Notify HCP of stoma is blue, purple, brown, or black which indicates circulation problem to the
stoma
How does the nurse measure the length of the NG tube for insertion? - answer✔✔Tip of the nose
--> earlobe --> xiphoid process
What is the most reliable method of verification for placement of the NG tube? - answer✔✔X-
ray
Other methods include: pH test (aspirate and inspect color)
What are the ranges for body mass index? - answer✔✔Normal = 19-24
Overweight = 25-29
Obese = 30-39
Extremely Obese = > 40
When energy requirements are completely met or EQUALS kcal intake in food what occurs? -
answer✔✔Weight does not change
When kcal intake in food is LESS THAN energy requirements what occurs? - answer✔✔Loose
weight
When kcal intake in food is GREATER THAN energy requirements what occurs? -
answer✔✔Gain weight
Nutrients are absorbed in what portion of the digestive tract? - answer✔✔Small intestine
[duodenum]
Proteins are necessary for _________ balance - answer✔✔Positive protein and nitrogen balance
for healing, growth, and tissue repair
1 gram of carbohydrates = ____ kcal - answer✔✔4 kcal
1 gram of fat = ____ kcal - answer✔✔9 kcal
Most calorie dense
< ___ % of fat intake of daily nutrition is considered a nutritional deficiency - answer✔✔< 10%
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
, 1 gram of protein = ___ kcal - answer✔✔4 kcal
Which amino acids are NOT manufactured by the body and MUST be obtained through diet or
external source are known as? - answer✔✔Indispensable amino acids
Which amino acids ARE manufactured by the body? - answer✔✔Dispensable amino acids
The ChooseMyPlate program was developed by whom? - answer✔✔U.S. Department of
Agriculture
Which program established guidelines for balancing calories? - answer✔✔ChooseMyPlate
What are the goals of ChooseMyPlate? - answer✔✔decreasing portion size, increasing healthy
food intake, increase water consumption, maintain body weight in a healthy range, increase
activity, decrease salt intake, increase fruit, vegetable, and whole grain intake
Which measurement is determined by dividing the patients weight in kilograms by height in
meters squared and is considered to be the most reliable indicator of nutritional status and health
by HCP's? - answer✔✔Body Mass Index [BMI]
Vegans are at risk for which nutritional deficiency? - answer✔✔Vitamin B12 deficiency b/c the
vitamin is only found in animal sources and vegans ONLY consume plant products
Breast milk or formula provides sufficient nutrition for the first _____ to _____ months of life -
answer✔✔4 to 6 months
Breast milk benefits: fewer food allergies and intolerances; fewer infant infections; easier
digestion; convenience, availability, and freshness; temperature always correct; economical
because it is less expensive than formula; and increased time for mother and infant interaction.
(Potter 1002)
Infants should not have regular cow's milk during the first year of life. It is too concentrated for
an infant's kidneys to manage, increases the risk of milk product allergies, and is a poor source of
iron and vitamins C and E. Honey and corn syrup are potential sources of botulism toxin and
should not be used in an infant's diet. This toxin is potentially fatal in children under 1 year of
age (Potter 1002)
What are the therapeutic diets? - answer✔✔Clear Liquid
Clear fat-free broth, bouillon, coffee, tea, carbonated beverages, clear fruit juices, gelatin, fruit
ices, popsicles
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
