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Nursing is one of the noble professions. Play this exciting Nursing Bowel Elimination quiz and see how well you know about it. The quiz contains loads of questions that will not only gauge your knowledge but will increase your knowledge by many folds. The quiz contains questions ranging from easy, medium to hard levels. If you find the quiz helpful, do share it with your friends and family. All the best!
Questions and Answers
1.
The primary organ of bowel elimination is...
A.
Small intestine
B.
Stomach
C.
Rectum
D.
Large Intestine
Correct Answer
D. Large Intestine
Explanation (p. 1553)
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2.
The large intestine in adults is approximately how long?
A.
2 ft
B.
4 ft
C.
5 ft
D.
7 ft
E.
12 ft
Correct Answer
C. 5 ft
Explanation p. 1553
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3.
Which of the following is true
A.
The sympathetic nervous system promotes movements relating to bowel
B.
The parasympathetic nervous system inhibits movements relating to bowel
C.
Peristalsis is the contractions of circular and longitudinal muscles of the intestine and occur every 3 to 12 minutes
D.
Hemorrhoids are if the arteries in the rectum become abnormally distended
Correct Answer
C. Peristalsis is the contractions of circular and longitudinal muscles of the intestine and occur every 3 to 12 minutes
Explanation Sympathetic nervous system inhibits bowel movements. Parasympathetic nervous system relaxes the body and promotes bowel lmovements. Hemorrhoids are related to the VEINS of the rectum becoming abnormally distended (p. 1554)
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4.
Which of the following is the definition of intestinal gas?
A.
Flatulence
B.
Fart
C.
Flatus
D.
Fleetus
Correct Answer
C. Flatus
Explanation p. 1555
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5.
What refers to the emptying of te large intestine?
A.
Defecation
B.
Stool
C.
Bowel movement
D.
A and C
E.
All of the above
Correct Answer
D. A and C
Explanation Defecation refers to the emptying of the large intestine (p. 1555). Defecation is the process of bowel elimination; a bowel movement (p. 1554)
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6.
Which of the following is not a muscle used to create pressure in aiding in defecation?
A.
Thigh muscles
B.
Abdominal muscles
C.
Diaphragm
D.
Pectoral muscles
Correct Answer
D. Pectoral muscles
Explanation (p. 1555)
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7.
What is the term used to descibe the technique of "bearing down" when passing a bowel movement?
A.
Valsalva maneuver
B.
Hemorrhoids
C.
Defecation
D.
Bowel elimination
Correct Answer
A. Valsalva maneuver
Explanation p. 1555
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8.
Which of the following is true?
A.
Breast-fed infants usually pass 1-2 stools per day
B.
Bottle-fed infants usually pass 2-10 stools per day
C.
Daytime bowel control is normally attained by 30 months
D.
Psychological maturity is the first priority for successful bowel training
Correct Answer
C. Daytime bowel control is normally attained by 30 months
Explanation p. 1556
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9.
At what age are the internal and external anal sphincters fully developed, leading to the voluntary control of defecation?
A.
12-26 months
B.
30 months
C.
18-30 months
D.
28 months
E.
18-24 months
Correct Answer
E. 18-24 months
Explanation p. 1556
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10.
Which of the following accurately describe constipation?
A.
Changes in place can lead to consitpation
B.
When the feces remain in the rectum, water is reabsorbed, makming the stool hard
C.
Constipation is often a chronic problem for older adults
D.
Dietary manipulation is the initial treatment for constipation
E.
All of the above
Correct Answer
E. All of the above
Explanation p. 1556
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11.
Alcohol and coffee have a...
A.
Laxative effect
B.
Constipating effect
C.
Gas-producing effect
D.
It depends
Correct Answer
A. Laxative effect
Explanation p. 1557
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12.
Chocolate has a....
A.
Laxative effect
B.
Constipating effect
C.
Gas-producing effect
D.
It depends
Correct Answer
A. Laxative effect
Explanation p. 1557
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13.
Certain fruits and vegetables and bran have a...
A.
Laxative effect
B.
Constipating effect
C.
Gas-producing effect
D.
It depends
Correct Answer
A. Laxative effect
Explanation p. 1557
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14.
In what order should one perform an abdominal assessment?
A.
Auscultation, inspection, percussion, palpation
B.
Percussion, palpation, auscultation, inspection
C.
Inspection, percussion, auscultation, palpation
D.
Inspection, auscultation, percussion, palpation
E.
Inspection, percussion, palpation, auscultation
Correct Answer
D. Inspection, auscultation, percussion, palpation
Explanation Palpation may distrub normal peristalsis and bowel movement (p. 1560)
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15.
______ in stool is blood that his hidden in the specimen or cannot be seen on gross examination. Can be deteced with simple screening tests.
Correct Answer occult blood
Explanation p. 1562
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16.
What colour stool intdicate upper gastrointestinal bleeding, such as from a peptic ulcer.
Correct Answer black black stool
Explanation p. 1563
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17.
Bright-red blood in stool is an indicator of __________ bleeding, such as from _________ or polyps.
A.
Upper gastrointestinal; peptic ulcer
B.
Lower gastrointestinal; peptic ulcer
C.
Upper gastrointestinal; hemorrhoids
D.
Lower gastrointestinal; hemorrhoids
E.
Upper gastrointestinal; hernia
Correct Answer
D. Lower gastrointestinal; hemorrhoids
Explanation (p. 1563)
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18.
When preserving a specimen en-route to the laboratory, the most efficient method is:
A.
Preservatives
B.
Heat
C.
Refrigeration
D.
Freezing
E.
Putting the specimen on ice
Correct Answer
C. Refrigeration
Explanation p. 1563
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19.
_______ is the direct visual examination of body organs or cavities.
A.
Option 1
B.
Endoscopy
C.
Option 3
D.
Option 4
Correct Answer
B. Endoscopy
Explanation Endoscopy is the direct visual examination of body organs or cavities. This medical procedure involves inserting a flexible tube with a light and camera at its tip into the body through natural openings or small incisions. It allows doctors to view and diagnose conditions inside the body, such as the gastrointestinal tract, respiratory system, or urinary system, without the need for invasive surgery. Endoscopy is commonly used to detect and treat various diseases and conditions, including ulcers, polyps, tumors, and inflammation. It provides valuable information for accurate diagnosis and helps guide appropriate treatment options.
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20.
_________ is the visual examination of the esophagus, the stomach, and the duodenum.
A.
Duodenoscopy
B.
Complete endoscopy
C.
Esophagealscopy
D.
Gastroesophogealscopy
E.
None of the above
Correct Answer
E. None of the above
Explanation Esophagogastroduodenoscopy (p. 1564).
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21.
___ ____ ___ tests are used to detect gastrointestinal bleeding
A.
Cell occult blood
B.
ELISA
C.
Fecal occult blood
D.
PCR
Correct Answer
C. Fecal occult blood
Explanation Fecal occult blood tests are used to detect gastrointestinal bleeding. These tests are designed to identify small amounts of blood in the stool that may not be visible to the naked eye. This can be an indication of various gastrointestinal conditions such as ulcers, polyps, or colorectal cancer. The test involves collecting a stool sample and analyzing it for the presence of blood using chemical reagents or immunological methods. By detecting occult blood, these tests can help in the early diagnosis and monitoring of gastrointestinal bleeding.
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22.
When seating a patient in bed to use a bed pan, situate the head of the bed between ____ and ____ degrees.
A.
30; 90
B.
30; 45
C.
45; 90
D.
45; 55
E.
30; 55
Correct Answer
B. 30; 45
Explanation p. 1567
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23.
To promote regular defecation, ______ to ______ mL intake and a _____ ______ diet intake is recommended.
A.
1000 2000 high fiber
B.
500 1000 high fiber
C.
2000 3000 high fiber
D.
None of the above
Correct Answer
C. 2000 3000 high fiber
Explanation To promote regular defecation, it is recommended to have an intake of 2000 to 3000 mL of fluid and a high fiber diet. Adequate fluid intake helps soften the stool and prevent constipation, while a high fiber diet adds bulk to the stool and promotes regular bowel movements. This combination of fluid intake and high fiber diet can help maintain regularity in bowel movements and prevent issues like constipation.
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24.
Patients with reduced _____ or ______ in their diets are at high risk for constipations.
A.
Fiber, fluid
B.
Starch, fluid
C.
Glucose, fiber
D.
Vitamins, minerals
Correct Answer
A. Fiber, fluid
Explanation Patients with reduced fiber or fluid in their diets are at high risk for constipation. Fiber adds bulk to the stool and helps it move through the digestive system more easily, preventing constipation. Fluids, especially water, help soften the stool and make it easier to pass. Therefore, a lack of fiber and fluid in the diet can lead to constipation.
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25.
Which psychological condition makes patients at high risk for constipation?
A.
Lack of sleep
B.
Drugs
C.
Depression
D.
None of the above
Correct Answer
C. Depression
Explanation Depression can make patients at high risk for constipation. Depression is a psychological condition that affects the brain and can disrupt the normal functioning of the digestive system. It can lead to a decrease in bowel movements and slower transit time in the intestines, resulting in constipation. Additionally, depression can also cause changes in appetite and eating patterns, which can further contribute to constipation. Therefore, depression can be a significant factor in increasing the risk of constipation in patients.
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26.
Patients with ________ ________ _______ diseases or local lesions that cause pain, are at high risk for constipation
A.
Peripheral Nervous system
B.
Central nervous system
C.
Both 1 and 2
D.
Neither 1 nor 2
Correct Answer
B. Central nervous system
Explanation Patients with central nervous system diseases or local lesions that cause pain are at high risk for constipation. The central nervous system plays a crucial role in regulating bowel movements and the coordination of the muscles involved in the digestive process. Any disruption or dysfunction in the central nervous system can lead to constipation. Additionally, local lesions in the central nervous system can also affect the proper functioning of the bowel and contribute to constipation. Therefore, both options 1 and 2 are correct.
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27.
________ is a type drug used to empty the intestinal tract in preparation for surgery or diagnositc tests.
Correct Answer laxatives
Explanation p. 1569
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28.
The most common cause of chronic constipation is the habitual use of ________
Correct Answer laxatives
Explanation p. 1569
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29.
__________ is the passage of excessively liquid, ______ stools.
Diarrhea is a _________ response with the cause is irritants in the intestinal tract.
Correct Answer protective
Explanation Diarrhea is a protective response because it helps to eliminate irritants in the intestinal tract. When the body detects the presence of harmful substances, it triggers increased bowel movements to flush out the irritants and prevent further damage or infection. This response is considered protective because it helps to maintain the health and integrity of the digestive system by getting rid of potentially harmful substances.
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31.
After diarrhea stops, suggest the intake of fermented pdairy products, such as ________ or __________, to promote the return of normal bowel flora.
When having diarrhea, if oral intake is possible, the patient should be advised to avoid: highly spiced foods, _____ fruits and vegetables, rich foods, especially _______, and _______ foods.
Correct Answer raw sweets cold raw, sweetes, cold
Explanation p. 1569, p. 1571
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33.
__________ is the ecessive formation of gasses in the stomach or intestines.
Correct Answer flatulence
Explanation p. 1572
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34.
When flatulence is not expelled but accumulates in the intestinal tract, the condition is referred to as ______ ______ or _______.
If ambulation does not relieve flatulence, the physican may order a _______ _____ to be inserted. This helps to stimulate ____ and provide a massageway for the escape of flatus.
Which of the following is a reason for using a cleansing enema:
A.
Help establish regular bowel function during bowel training
B.
Relieve constipation
C.
Relieve fecal impaction
D.
Promote vizualization of the intestinal tract by radiographic or instrument examination
E.
All of the above
Correct Answer
E. All of the above
Explanation p. 1573
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37.
The most common types of solutions used for cleansing enemas are: tap water (________ solution), normal saline solution (_______ solution), soap solution, and ________ solution.
Large volume enemas that result in slow colonic emptying.
B.
Large volume enemas that result in rapid colonic emptying.
C.
Small volume enemas that result in slow colonic emptying.
D.
Small volume enemas that result in rapid colonic emptying
Correct Answer
B. Large volume enemas that result in rapid colonic emptying.
Explanation p. 1573
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39.
Hypertonic solution preparations are available commercially and are administered in _______ volumes
Correct Answer small
Explanation p. 1574
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40.
True or false: Hypertonic enemas are in larger doses than hypotonic enemas
Correct Answer false
Explanation p. 1563-1574
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41.
_______ are retained in the bowel for a prolonged period of time
Correct Answer retention retention enema
Explanation Retention and retention enema are both correct answers because they both refer to substances or treatments that are kept or held in the bowel for an extended duration. Retention can refer to the act of retaining or holding something in place, while a retention enema specifically refers to a liquid medication or solution that is introduced into the rectum and left in the bowel for a prolonged period of time to treat certain conditions. Both terms indicate a prolonged presence or retention of substances in the bowel.
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42.
A _____ _____, or ______ _____, enema is occasionally prescribed to expel flatus
Explanation A return flow Harris flush, or return-flow Harris flush, or Harris flush, return-flow, or Harris flush return flow enema is occasionally prescribed to expel flatus.
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43.
A Fleet enema is a:
Correct Answer hypertonic enema solution
Explanation A Fleet enema is classified as a hypertonic enema solution. This means that it has a higher concentration of solutes compared to the body's fluids. The hypertonic solution draws water into the colon, stimulating bowel movements and helping to relieve constipation. Fleet enemas are commonly used for bowel preparation before medical procedures or to alleviate constipation.
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44.
A ______ is a conical or oval solid substance shaped for easy insertion into a body cavity and designed to melt at body temperature.
Correct Answer suppository
Explanation p. 1575
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45.
What is the prolonged retention or an accumulation of fecal material that forms a hardened mass in the rectum, that prevents the passage of normal stools.
Correct Answer fecal impaction
Explanation Fecal impaction refers to the prolonged retention or accumulation of hardened fecal material in the rectum, which obstructs the passage of normal stools. This condition occurs when stool becomes dry and compacted, making it difficult to pass. Fecal impaction can cause symptoms such as severe constipation, abdominal pain, bloating, and difficulty in bowel movements. Treatment usually involves softening the stool with medications or enemas, and in severe cases, manual removal of the impacted feces may be necessary.
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46.
Which of the following is a sign of fecal impaction?
A.
Liquid fecal seepage with passage of normal feces
B.
Solid fecal seepage
C.
Constipation
D.
Liquid fecal seepage with no passage of normal feces
E.
None of the above
Correct Answer
D. Liquid fecal seepage with no passage of normal feces
Explanation p. 1575
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47.
What is the inability of the anal sphincter or control the discharge of recal and gaseous material.
Correct Answer bowel incontinence
Explanation p. 1577
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48.
Bowel incontinence can be due to:
A.
Mental illness
B.
Overuse of laxitives
C.
Organic disease
D.
A and C
E.
B and C
Correct Answer
D. A and C
Explanation Bowel incontience is usually an organic diease, resulting either in a mechanical condition that hinderes the prper functioning of the anal sphincter or an impairment in the nerve supply to the anal sphincter. Mental illness may also be a cause of bowel incontience. (p. 1577)
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49.
True or False:The difference between fecal impaction and constipation is that constipation is slow moving stool who's water is reabsorbed by the body. Fecal impaction on the other hand is stool that is "stuck"
Correct Answer true
Explanation The statement is true. Fecal impaction refers to a condition where stool becomes hard and dry, making it difficult to pass. It is often caused by chronic constipation and can lead to a blockage in the colon. On the other hand, constipation is a condition where bowel movements are infrequent or difficult to pass. It occurs when the stool moves slowly through the digestive tract, allowing more water to be absorbed by the body, resulting in dry and hard stool. Therefore, the main difference between fecal impaction and constipation is that fecal impaction refers to a severe form of constipation where the stool is stuck and cannot be passed easily.
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50.
A fecal incontience ____ is a device that can be secured around the anal opening and is attached to gravity drainage, allowing liquid stool (diarrhea) to accumulate in a collection bag
Correct Answer pouch
Explanation A fecal incontinence pouch is a device that can be secured around the anal opening and is attached to gravity drainage, allowing liquid stool (diarrhea) to accumulate in a collection bag. This pouch provides a means of managing fecal incontinence by collecting and containing the liquid stool, preventing it from soiling clothing or causing embarrassment for the individual. It is a practical solution for individuals who experience difficulty controlling bowel movements and need a discreet and convenient method of managing their condition.
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