NUR3227C PPNC2 EXAM 1 NEWEST 2024 REAL
COMPLETE 160 EXAM QUESTIONS AND VERIFIED
DETAILED ANSWERS/GRADED A+
Which nursing actions do you take when placing a bedpan under an
immobilized patient? (Select all that apply.)
1. Lift the patient's hips off the bed and slide the bedpan under the
patient.
2. After positioning the patient on the bedpan, elevate the head of the
bed to a 45-degree angle.
3. Adjust the head of the bed so that it is lower than the feet, and use
gentle but firm pressure to push the bedpan under the patient.
4. Have the patient stand beside the bed, and then have him or her sit
on the bedpan on the edge of the bed.
5. Make sure the patient has a nurse call system in reach to notify the
nurse when he or she is ready to have the bedpan removed. - ANS
2. After positioning the patient on the bedpan, elevate the head of the
bed to a 45-degree angle.
5. Make sure the patient has a nurse call system in reach to notify the
nurse when he or she is ready to have the bedpan removed.
During the administration of a warm tap-water enema, a patient
complains of cramping abdominal pain that he rates 6 out of 10. What
nursing intervention should the nurse do first?
1. Stop the instillation.
2. Ask the patient to take deep breaths to decrease the pain.
3. Tell the patient to bear down as he would when having a bowel
movement.
4. Continue the instillation; then administer a pain medication. - ANS
1. Stop the instillation.
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Which instructions do you include when educating a person with chronic
constipation? (Select all that apply.)
1. Increase fiber and fluids in the diet.
2. Use a low-volume enema daily.
3. Avoid gluten in the diet.
4. Take laxatives twice a day.
5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
7. Take probiotics 5 times a week. - ANS 1. Increase fiber and fluids
in the diet.
5. Exercise for 30 minutes every day.
6. Schedule time to use the toilet at the same time every day.
Which skills does the nurse teach a patient with a new colostomy before
discharge from the hospital? (Select all that apply.)
1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
4. How to irrigate the colostomy
5. How to determine whether the ostomy is healing appropriately -
ANS 1. How to change the pouch
2. How to empty the pouch
3. How to open and close the pouch
5. How to determine whether the ostomy is healing appropriately
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Place the steps for an ileostomy pouch change in the correct order.
1. Close the end of the pouch.
2. Measure the stoma.
3. Cut the hole in the wafer to fit around the stoma and not leave skin
exposed to the effluent.
4. Press the pouch in place over the stoma.
5. Remove the old pouch.
6. Trace the correct measurement onto the back of the wafer.
7. Assess the stoma and the skin around it. 8. Cleanse and dry the
peristomal skin. - ANS 5, 8, 7, 2, 6, 3, 4, 1
Which symptoms are warning signs of possible colorectal cancer
according to the American Cancer Society
guidelines? (Select all that apply.)
1. Change in bowel habits
2. Blood in the stool
3. A larger-than-normal bowel movement
4. Fecal impaction
5. Muscle aches
6. Incomplete emptying of the colon
7. Food particles in the stool
8. Unexplained abdominal or back pain - ANS 1. Change in bowel
habits
2. Blood in the stool
6. Incomplete emptying of the colon
8. Unexplained abdominal or back pain
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A nurse is teaching a patient to obtain a specimen for fecal occult blood
testing using fecal immunochemical testing (FIT) at home. How does the
nurse instruct the patient to collect the specimen?
1. Get three fecal smears from one bowel movement.
2. Obtain one fecal smear from an early-morning bowel movement.
3. Collect one fecal smear from three separate bowel movements.
4. Get three fecal smears when you see blood in your bowel movement.
- ANS 3. Collect one fecal smear from three separate bowel
movements.
What should the nurse teach family caregivers when a patient has fecal
incontinence because of cognitive impairment?
1. Cleanse the skin with antibacterial soap, and apply talcum powder to
the buttocks.
2. Initiate bowel or habit training program to promote continence.
3. Help the patient to toilet once every hour.
4. Use sanitary pads in the patient's underwear. - ANS 2. Initiate
bowel or habit training program to promote continence.
The patient states, "I have diarrhea and cramping every time I have ice
cream. I am sure this is because the food is cold." Based on this
assessment data, which health problem does the nurse suspect?
1. A food allergy
2. Irritable bowel syndrome
3. Increased peristalsis
4. Lactose intolerance - ANS 4. Lactose intolerance
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