LPN LPN Urinary and Bowel Elimination 3

Question 1

Which medication class commonly causes urinary retention as a side effect?

Accepted Answer

Anticholinergics (e.g., diphenhydramine, oxybutynin)

Answer

Anticholinergic medications block muscarinic receptors in the bladder, reducing detrusor muscle contractions and causing urinary retention.

Question 2

A patient with a new ileostomy asks what the output should look like. What is the correct response?

Accepted Answer

Liquid to semi-liquid output since the colon's water absorption is bypassed

Answer

An ileostomy drains contents before they reach the colon, so output is liquid to semi-liquid because most water reabsorption occurs in the colon.

Question 3

What is the correct positioning for a female patient during urinary catheterization?

Accepted Answer

Dorsal recumbent position with knees bent and thighs separated

Answer

The dorsal recumbent position with knees bent and thighs separated provides optimal visualization and access to the urinary meatus for female catheterization.

Question 4

Which dietary modification is most effective for preventing constipation?

Accepted Answer

Increasing dietary fiber (25–35 g/day) and fluid intake to at least 8 glasses of water daily

Answer

A high-fiber diet increases stool bulk and speeds intestinal transit, while adequate fluid intake softens stool and prevents constipation.

Question 5

When should an ostomy (colostomy or ileostomy) pouch be changed or emptied?

Accepted Answer

When the pouch is one-third to one-half full to prevent leakage and skin breakdown

Answer

Emptying the pouch when one-third to one-half full prevents the weight from breaking the seal, reducing the risk of leakage and peristomal skin breakdown.

LPN - Licensed Practical Nurse Practice Test

LPN - Licensed Practical Nurse Practice Test

LPN LPN Urinary and Bowel Elimination 3