NUR166 PRACTICAL NURSE FINAL PAPER 2026
TEST SOLVED QUESTIONS AND SOLUTIONS
◉ Managing Bowel Incontinence. Answer: -Note when incontinence
is most likely to occur and assist patient to the bathroom or
commode
-Keep the skin clean and dry
-Change bed linens and clothing as necessary
-Bowel-training programs
-Indwelling rectal tube
-External anal pouch
◉ Bowel-Training Programs. Answer: - Manipulate factors within the
patient's control (food and fluid
intake, exercise, and time for defecation) in order to eliminate
a soft, formed stool at regular intervals without laxatives
- Plan bowel program with patient and family/caregivers
- Set a regular time for daily bowel movements
- Monitor
- Stimulating bowel movements if needed
- Ensure privacy
- Encourage adequate fluid intake and proper diet
,◉ Nasogastric Tubes. Answer: -Inserted to decompress or drain the
stomach of fluid or unwanted stomach contents
-Used to allow the gastrointestinal tract to rest before or after
abdominal surgery to promote healing
-Inserted to monitor gastrointestinal bleeding
◉ Types of Ostomies. Answer: -Sigmoid colostomy
-Descending colostomy
-Transverse colostomy
-Ascending colostomy
-Ileostomy
◉ Colostomy Diet. Answer: -Low-fiber foods during first 6-8 weeks
-Drink at least 2.5 quarts of fluids, preferably water
-Avoid foods that cause blockage: nuts, corn, popcorn, coconuts,
mushrooms, stringy vegetables,
and foods with skins and casings
-Avoid foods that may cause gas and/or produce odor
-Add foods that may help thicken stool: bananas, cheese, pasta, rice,
yogurt, applesauce, potatoes
, ◉ Colostomy Care. Answer: -Keep the patient as free of odors as
possible; empty the appliance frequently
-Inspect the patient's stoma regularly
-Keep the skin around the stoma site clean and dry
-Measure the patient's fluid intake and output
-Explain each aspect of care to the patient and self-care role
-Encourage patient to care for and look at ostomy
-Provide support for physical, psychological, and
social activities
◉ Patient Teaching for Colostomies. Answer: -Explain the reason for
bowel diversion and the rationale for treatment
-Demonstrate self-care behaviors that effectively manage the ostomy
-Describe follow-up care and existing support resources
-Report where supplies may be obtained in the community
-Verbalize related fears and concerns
-Demonstrate a positive body image
◉ Comparison of Stomal Appearance. Answer:
◉ Structures of the Skin. Answer: -Epidermis
- Protective waterproof layer of keratin
TEST SOLVED QUESTIONS AND SOLUTIONS
◉ Managing Bowel Incontinence. Answer: -Note when incontinence
is most likely to occur and assist patient to the bathroom or
commode
-Keep the skin clean and dry
-Change bed linens and clothing as necessary
-Bowel-training programs
-Indwelling rectal tube
-External anal pouch
◉ Bowel-Training Programs. Answer: - Manipulate factors within the
patient's control (food and fluid
intake, exercise, and time for defecation) in order to eliminate
a soft, formed stool at regular intervals without laxatives
- Plan bowel program with patient and family/caregivers
- Set a regular time for daily bowel movements
- Monitor
- Stimulating bowel movements if needed
- Ensure privacy
- Encourage adequate fluid intake and proper diet
,◉ Nasogastric Tubes. Answer: -Inserted to decompress or drain the
stomach of fluid or unwanted stomach contents
-Used to allow the gastrointestinal tract to rest before or after
abdominal surgery to promote healing
-Inserted to monitor gastrointestinal bleeding
◉ Types of Ostomies. Answer: -Sigmoid colostomy
-Descending colostomy
-Transverse colostomy
-Ascending colostomy
-Ileostomy
◉ Colostomy Diet. Answer: -Low-fiber foods during first 6-8 weeks
-Drink at least 2.5 quarts of fluids, preferably water
-Avoid foods that cause blockage: nuts, corn, popcorn, coconuts,
mushrooms, stringy vegetables,
and foods with skins and casings
-Avoid foods that may cause gas and/or produce odor
-Add foods that may help thicken stool: bananas, cheese, pasta, rice,
yogurt, applesauce, potatoes
, ◉ Colostomy Care. Answer: -Keep the patient as free of odors as
possible; empty the appliance frequently
-Inspect the patient's stoma regularly
-Keep the skin around the stoma site clean and dry
-Measure the patient's fluid intake and output
-Explain each aspect of care to the patient and self-care role
-Encourage patient to care for and look at ostomy
-Provide support for physical, psychological, and
social activities
◉ Patient Teaching for Colostomies. Answer: -Explain the reason for
bowel diversion and the rationale for treatment
-Demonstrate self-care behaviors that effectively manage the ostomy
-Describe follow-up care and existing support resources
-Report where supplies may be obtained in the community
-Verbalize related fears and concerns
-Demonstrate a positive body image
◉ Comparison of Stomal Appearance. Answer:
◉ Structures of the Skin. Answer: -Epidermis
- Protective waterproof layer of keratin
