ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 39 : Bowel Elimination Questions
Question 1 of 5
A nurse is scheduling tests for a patient who has been experiencing epigastric pain. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) an upper GI series. What is the correct order for performing the tests?
Correct Answer: D
Rationale: Fecal occult blood test (b) comes first to detect bleeding, followed by barium enema (a), upper GI series (d), and endoscopic studies (c) to avoid barium interference and prioritize non-invasive tests (
D).
Question 2 of 5
A nurse is caring for a patient who had abdominal surgery and has a nasogastric tube attached to low suction. Which nursing actions are appropriate when caring for this patient? Select all that apply.
Correct Answer: A,B,E,F
Rationale: Appropriate actions include irrigating with saline (
A), confirming placement via pH (
B), monitoring for distention (E), and documenting I&O (F). The air vent should be above the stomach, not at the umbilicus (
C), and irrigation goes through the main lumen, not the air vent (
D).
Question 3 of 5
A nurse is planning a bowel program for a patient with frequent constipation after sustaining a spinal cord injury. What is the first step the nurse will take?
Correct Answer: D
Rationale: The first step is assessing bowel patterns (
D) to understand frequency, consistency, and triggers, following the nursing process. Diet (
A), fluids (
B), and enemas (
C) are interventions based on assessment findings.
Question 4 of 5
A community health nurse is providing an adult education session about colon cancer. Which signs and symptoms of this cancer will the nurse include? Select all that apply.
Correct Answer: A,D
Rationale: Colon cancer symptoms include blood in the stool (
A) and unintentional weight loss (
D). Previous colonoscopy (
B) and opioid use (F) are not symptoms, two large bowel movements (
C) are normal, and upper abdominal cramping (E) is less specific.
Question 5 of 5
For a patient with which health problem or issue would a nurse expect the health care provider to order colostomy irrigation?
Correct Answer: B
Rationale: Colostomy irrigation is indicated for left-sided end colostomies in the sigmoid colon (
B) to promote regular evacuation. IBS (
A), postradiation damage (
C), and Crohn disease (
D) are contraindications due to bowel instability.