Exam 4 Fundamentals book Questions & Answers Updated 2026

Exam 4 Fundamentals book
Questions & Answers Updated 2026
B.BWoundBOstomyBContinenceBNurse



TheBwoundBostomyBcontinenceBnurseB(WOCN)BisBtheBmostBimportantBpersonBtoBcontactBtoBs
cheduleBteachingBsessionsBandBfollow-
upBcare.BThisBnurseBspecialistBisBcertifiedBinBtheBtreatmentBofBpatientsBwhoBhaveBaBbowelBo
rBbladderBdiversion.BAlthoughBteamBinputBisBimportant,BtheBcontributionBofBtheBWOCNBisBpa
ramountBtoBhelpBtheBpatientBachieveBcompetenceBandBcomfortBwithBself-
careBbeforeBdischarge.B-
BAnswer1.BABpatientBisBbeingBdischargedBfromBtheBhospitalBwithBaBnewBileostomy.BTheBpatie
ntBexpressesBconcernBaboutBcaringBforBtheBostomy.BBeforeBhospitalBdischarge,BitBisBmostBimp
ortantBforBtheBnurseBtoBcoordinateBwithBwhichBmemberBofBtheBhealthBcareBteam?

a.BHomeBcareBnurse

b.BWoundBostomyBcontinenceBnurse

c.BRegisteredBdietitian

d.BPrimaryBcareBprovider



D.BHistoryBofBsurgeryBofBtheBanusBorBrectum



1TheBmostBimportantBitemBinBpreadministrationBassessmentBdataBisBaBhistoryBofBsurgeryBtoBt
heBanusBorBrectum,BwhichBmayBcontraindicateBenemaBadministration.BTheBnurseBneedsBtoBkn
owBtheBproperBpatientBpositionBforBanBenemaBandBmustBobserveBforBsignsBofBintoleranceBto
BtheBprocedure,BbutBtheseBareBdoneBduringBtheBprocedure.BVitalBsignsBareBnotBroutinelyBobt
ainedBbeforeBanBenema.B-
BAnswer1.BTheBnurseBisBassignedBtheBcareBofBaBpatientBforBwhomBaBcleansingBenemaBhasBb
eenBordered.BWhatBinformationBisBmostBimportantBforBtheBnurseBtoBknowBbeforeBadministrat
ionBofBtheBenema?

a.BTheBproperBwayBtoBpositionBtheBpatient

b.BSignsBandBsymptomsBofBintoleranceBtoBtheBprocedure

c.BVitalBsignsBbeforeBtheBprocedure

d.BHistoryBofBsurgeryBofBtheBanusBorBrectum



A,BC,BD,BE.

,AdministeringBstoolBsofteners,BincreasingBtheBfiberBandBfluidsBinBtheBdiet,BandBincreasingBphy
sicalBactivityBareBallBearlyBinterventionsBtoBpreventBconstipation.BAlthoughBusedBtoBtreatBcons
tipation,BanBenemaBwouldBnotBbeBanBearlyBinterventionBforBprevention.B-
BAnswer1.BToBpreventBconstipationBinBanBinactiveBpatient,BwhichBearlyBinterventionsBshouldBt
heBnurseBimplement?B(SelectBallBthatBapply.)

a.BStoolBsoftenerBadministration

b.BEnemaBadministration

c.BIncreasingBtheBfiberBinBtheBdiet

d.BIncreasingBphysicalBactivity

e.BIncreasingBfluidBintake



D.BAscendingBcolostomy



AnBascendingBcolostomyBmeetsBtheBdescriptionBofBfecalBoutputBofBliquidBconsistencyBandBwit
hBaBpungentBodor,BasBwellBasBlocationBofBtheBstomaBinBtheBupperBrightBquadrantBofBtheBab
domen.BDescendingBcolostomiesBproduceBincreasinglyBformedBstool.BAnBileostomyBwillBproduc
eBliquidBstoolBbutBwithBlessBodorBbecauseBenzymeBactivityBisBnotBpresent.BUreterostomiesBdr
ainBurine,BnotBstool.B-
BAnswer1.BWhileBperformingBanBabdominalBassessmentBonBanBunconsciousBpatient,BtheBnurs
eBnotesBpresenceBofBanBostomy.BTheBfecalBoutputBisBliquidBinBconsistency,BwithBaBpungentB
odor,BfromBtheBstomaBthatBisBlocatedBinBtheBupperBrightBquadrantBofBtheBabdomen.BWhatBt
ypeBofBostomyBdoesBtheBpatientBhave?

a.BDescendingBcolostomy

b.BUreterostomy

c.BIleostomy

d.BAscendingBcolostomy



A.BDrinkBatBleastB8BGlassesBofBfluidBeachBday



DiarrheaBisBassociatedBwithBhighBriskBforBdehydration,BsoBtheBpatientBshouldBincreaseBtheBflu
idBintake.BTheBpatientBmayBneedBincreasedBsodiumBandBpotassiumBintakeBowingBtoBlossBofBt
heseBelectrolytesBinBtheBfrequentBstools.BFiberBwillBaddBbulkBandBhelpBformBtheBstoolsBsoBs
houldBbeBincreased.BWhole-grainBproductsBcontainBfiber.B-
BAnswer1.BTheBteachingBplanBforBaBpatientBwithBdiarrheaBshouldBincludeBwhichBintervention?

a.BDrinkingBatBleastBeightBglassesBofBfluidBeachBday

b.BEatingBfoodsBlowBinBsodiumBandBpotassium

c.BLimitingBtheBamountBofBsolubleBfiberBinBtheBdiet

, d.BEliminatingBwhole-wheatBandBwhole-grainBbreadsBandBcereal



D.BSpinachBsaladBwithBdressing



GreenBleafyBvegetablesBareBhighBinBfiber.BNoneBofBtheBotherBoptionsBareBhighBinBfiberBbutB
couldBbeBmodifiedBbyBusingBorBaddingBwhole-grainBproducts.B-
BAnswer1.BTheBnurseBknowsBthatBtheBteachingBforBaBpatientBwhoBwasBrecentlyBdiagnosedBw
ithBconstipationBhasBbeenBeffectiveBifBtheBpatient'sBmealBrequestBspecifiesBwhichBfoodBchoice
?

a.BHotBdogBonBaBbun

b.BGrilledBchicken

c.BTunaBsandwichBonBwhiteBbread

d.BSpinachBsaladBwithBdressing



B.BFluidBImbalance



DiarrheaBcanBcauseBdehydrationBwithBlossBofBfluidsBandBelectrolytes.BThereBisBnoBstatementB
ofBproblemsBwithBtheBskin,BalthoughBthisBpatientBmayBbeBatBriskBforBskinBbreakdownBifBthe
BdiarrheaBcontinues.BInBaddition,BnoBself-
careBdeficitBisBstatedBforBthisBpatient.BAlthoughBtheBpatientBhasBexperiencedBcrampingBandBt
heBpainBneedsBtoBbeBaddressed,BtheBmainBconsiderationBwouldBbeBcorrectionBofBanyBfluidBa
ndBelectrolyteBproblems,BfollowedBbyBdeterminationBofBtheBcauseBofBtheBdiarrhea.B-
BAnswer1.BAB40-year-
oldBpatientBcomplainsBofB4BdaysBofBfrequentBlooseBstoolsBwithBabdominalBcramping.BWhatBis
BtheBpriorityBnursingBdiagnosisBforBthisBpatient?

a.BImpairedBSkinBIntegrity

b.BFluidBImbalance

c.BAcuteBPain

d.BSelf-CareBDeficitB(i.e.,Btoileting)



C."IBshouldBdrinkBclearBliquidsBforB2BdaysBbeforeBtheBprocedure."



TheBpatientBwillBbeBonBaBclearBliquidBdietBforB1BtoB3BdaysBbeforeBtheBprocedure.BTheBpatie
ntBshouldBnotBeatBorBdrinkBanythingBimmediatelyBbeforeBtheBprocedure.BDrinksBwithBredBorB
purpleBdyeBareBcontraindicatedBbecauseBtheyBcouldBinterfereBwithBtheBexaminationBfindings.B
PatientsBareBgivenBmedicationsBduringBtheBprocedureBthatBalterBtheBsensoriumBandBtherefore
BneedBtoBhaveBsomeoneBelseBdriveBthemBhome.B-