CARE OF THE PATIENT WITH A COLOSTOMY
TEST ACTUAL PAPER 2026 SOLUTIONS
GRADED A+
◉ A 24-year-old woman with Crohn's disease develops a fever and
symptoms of a urinary tract infection (UTI) with tan, fecal-smelling
urine. What information will the nurse add to a general teaching
plan about UTIs in order to individualize the teaching for this
patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse. Answer: B
◉ The nurse preparing for the annual physical exam of a 50-year-old
man will plan to teach the patient about
a. endoscopy.
b. colonoscopy.
c. computerized tomography screening.
d. carcinoembryonic antigen (CEA) testing. Answer: B
, ◉ The nurse is providing preoperative teaching for a 61-year-old
man scheduled for an abdominal-perineal resection. Which
information will the nurse include?
a. Another surgery in 8 to 12 weeks will be used to create an ileal-
anal reservoir.
b. The patient will begin sitting in a chair at the bedside on the first
postoperative day.
c. The patient will drink polyethylene glycol lavage solution
(GoLYTELY) preoperatively.
d. IV antibiotics will be started at least 24 hours before surgery to
reduce the bowel bacteria. Answer: C
◉ A 74-year-old patient preparing to undergo a colon resection for
cancer of the colon asks about the elevated carcinoembryonic
antigen (CEA) test result. The nurse explains that the test is used to
a. identify any metastasis of the cancer.
b. monitor the tumor status after surgery.
c. confirm the diagnosis of a specific type of cancer.
d. determine the need for postoperative chemotherapy. Answer: B
◉ A 71-year-old patient had an abdominal-perineal resection for
colon cancer. Which nursing action is most important to include in
the plan of care for the day after surgery?
a. Teach about a low-residue diet.
TEST ACTUAL PAPER 2026 SOLUTIONS
GRADED A+
◉ A 24-year-old woman with Crohn's disease develops a fever and
symptoms of a urinary tract infection (UTI) with tan, fecal-smelling
urine. What information will the nurse add to a general teaching
plan about UTIs in order to individualize the teaching for this
patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse. Answer: B
◉ The nurse preparing for the annual physical exam of a 50-year-old
man will plan to teach the patient about
a. endoscopy.
b. colonoscopy.
c. computerized tomography screening.
d. carcinoembryonic antigen (CEA) testing. Answer: B
, ◉ The nurse is providing preoperative teaching for a 61-year-old
man scheduled for an abdominal-perineal resection. Which
information will the nurse include?
a. Another surgery in 8 to 12 weeks will be used to create an ileal-
anal reservoir.
b. The patient will begin sitting in a chair at the bedside on the first
postoperative day.
c. The patient will drink polyethylene glycol lavage solution
(GoLYTELY) preoperatively.
d. IV antibiotics will be started at least 24 hours before surgery to
reduce the bowel bacteria. Answer: C
◉ A 74-year-old patient preparing to undergo a colon resection for
cancer of the colon asks about the elevated carcinoembryonic
antigen (CEA) test result. The nurse explains that the test is used to
a. identify any metastasis of the cancer.
b. monitor the tumor status after surgery.
c. confirm the diagnosis of a specific type of cancer.
d. determine the need for postoperative chemotherapy. Answer: B
◉ A 71-year-old patient had an abdominal-perineal resection for
colon cancer. Which nursing action is most important to include in
the plan of care for the day after surgery?
a. Teach about a low-residue diet.
