CNA Bowel and Ostomy Care 3

Question 1

A resident complains of abdominal cramping, bloating, and has not had a bowel movement in four days. The CNA should FIRST:

Accepted Answer

Report the findings to the nurse

Answer

Signs of constipation lasting four days with discomfort must be reported to the nurse so appropriate interventions can be ordered.

Question 2

Which dietary choice BEST supports regular bowel movements in a resident?

Accepted Answer

High-fiber foods such as fruits, vegetables, and whole grains

Answer

High-fiber foods add bulk to stool and promote regular peristalsis, preventing constipation.

Question 3

A resident receiving a cleansing enema reports sudden severe abdominal pain during the procedure. The CNA should:

Accepted Answer

Stop the enema and notify the nurse immediately

Answer

Sudden severe pain during an enema may indicate bowel perforation or extreme cramping and requires immediate cessation and nurse notification.

Question 4

When performing digital rectal stimulation is ordered for a spinal cord-injured resident, the CNA should be most alert for:

Accepted Answer

Signs of autonomic dysreflexia such as sudden high blood pressure and pounding headache

Answer

Autonomic dysreflexia is a life-threatening reflex in spinal cord injury patients that can be triggered by bowel care and requires immediate intervention.

Question 5

The correct solution temperature for a cleansing enema is:

Accepted Answer

105°F (40.5°C) — warm but not hot

Answer

Enema solution at 105°F is warm enough to stimulate peristalsis without risking mucosal burns.

CNA Practice Test

CNA Practice Test

CNA Bowel and Ostomy Care 3