Elimination Practice Test 4
Elimination NCLEX Practice Test
Elimination is a key topic within the NCLEX test plan, located under Physiological Integrity → Basic Care and Comfort → Elimination. This section manages bowel and bladder function, ensuring comfort, privacy, and infection prevention. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 4th part of the Elimination series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Elimination Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Elimination Practice Test 4
A home care nurse visits a child with a diagnosis of celiac disease. Which finding best indicates that a gluten-free diet is being maintained and has been effective?
- The child is free of diarrhea.
- The child is free of bloody stools.
- The child tolerates dietary wheat and rye.
- A balanced fluid and electrolyte status is noted on the laboratory results.
Explanation: Answer reason: Celiac disease causes immune-mediated villous atrophy leading to malabsorption, which commonly presents with chronic diarrhea and bulky/foul stools. Effective adherence to a gluten-free diet reduces intestinal inflammation and improves absorption, so normalization of stool pattern is an early, clinically meaningful indicator of response. Absence of blood in stool is not a typical hallmark of celiac disease and does not specifically reflect dietary control. Normal fluid/electrolyte labs can occur despite ongoing intestinal injury and are less direct than the primary symptom improvement.
The patient is on bleeding precaution and now having constipation which action will you implement?
- Avoid straining
- Give stool softener
- Increase fiber in the diet
- Encourage ambulation
Explanation: Answer reason: Constipation increases the risk of straining, which can precipitate hemorrhoidal or rectal bleeding and also trigger vagal responses in vulnerable patients. A stool softener (e.g., docusate) directly reduces stool hardness and straining risk without causing aggressive bowel stimulation. Increasing fiber and ambulation are helpful longer-term measures but are slower acting and may be limited by hydration status or mobility; the most immediately protective intervention is to soften stool.
A female patient complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of?
- Bowel incontinence
- Fecal impaction
- Diarrhea
- Constipation
Explanation: Answer reason: This pattern is classic for an impaction rather than true increased stool output. Diarrhea typically causes frequent loose stools with urgency, not small-volume leakage around an obstruction. Recognizing this prevents inappropriate use of antidiarrheals and prompts assessment for impaction and relief measures (e.g., rectal exam, disimpaction/enema as ordered, hydration, and bowel regimen).
The primary goal of nursing care for a client with stress incontinence is to?
- Help the client adjust to the frequent episodes of incontinence.
- Eliminate all episodes of incontinence.
- Prevent the development of urinary tract infections.
- Decrease the number of incontinence episodes.
Explanation: Answer reason: The core nursing goal for stress incontinence is improving continence through strengthening pelvic floor support and adopting bladder-training/behavioral strategies, which typically reduces leakage frequency rather than guaranteeing a cure. This outcome is realistic, measurable, and directly tied to first-line interventions like Kegel exercises, weight management, and timed voiding. Completely eliminating episodes is not always achievable, especially when anatomic or age-related sphincter weakness persists, making it an unrealistic primary goal. Preventing UTIs and helping the client adjust are important secondary aims, but they do not address the main problem of urine leakage frequency.
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