NR 224 Final Practice Exam
b b b b b
(Questions And answers with Rationales)
b b b
100% verified 2026 update b b b
QUESTIONb 1
1. bAbnursebisbteachingbabclientbhowbtobperformbpersonalbileostomybcarebpriorbtobdischarge.
b Thebclient bsaysb“Ibdon’tbthinkbthatbIbambgoingbtobbebablebtobtakebcarebofbthisbmyself.”b W
hichbisbthebmostbappropriatebresponsebfrombthebnurse?
a. InbtimebyoubwillbbebbetterbatbthisbthanbIbam.
b. Don’tbworrybaboutbit,bmostbclientsbfeelblikebyoubdobatbfirst.
c. Whatbpartbofbthebileostomybcarebarebyoubhavingbtroublebwith?
d. Ibagree.b Thisbisbabdifficultbprocess.
Thisbresponsebopensbupbcommunicationbaboutbthebclient’sbrealbconcernsbandbenablesbthebnursebt
obaddressbteachingbmomentsbtobhelpbthembfeelbmorebconfidentbwithbself-care.b Thebother
responsesbarebnotbtherapeuticbandbdismissbthebclient’sbconcerns.
Question 2 b
Thebadultbchildbofbabclientbwhobhasbhadbabcolonbresectionbwillbbebcaringbforbtheirbparentbatbh
ome.b Thebclient’sbsonbtellsbthebnurseb“Ibdon’tbknowbhowbIbambgoingbtobcarebforbmybmombno
w”.b Whichbisbthebbestbnursingbresponse?
a. AbhomebhealthbnursebwillbbebstoppingbbybtomorrowbtobanswerbyourbQuestionbs.
b. Yourbmotherbhasbbeenbtaughtbtobcarebforbherbcolostomybindependently.
c. Whatbpartbofbyourbmother’sbcarebarebyoubconcernedbwith?
d. Itbisbquitebsimple.b I’llbchangebthebcolostomybbagbbeforebshebisbdischarged.
Thisbgivesbthebclientbanbopportunitybtobdiscussbtheirbconcernsbwithbthebnurse.b Thebnursebcanbthenbm
akebanbappropriatebplanbtobassurebthebfamilybandbclientbreceivebanybsupportivebcarebafterbdischarge.
b Thebotherbresponsesbdobnotbencouragebdiscussionbandbbelittlebthebson’sbconcerns.
Question 3 b
bAbnursebinbthebmedical-
surgicalbunitbisbassigningbclientbcarebtobabnursebwhobisbfloatingbfrombPACU.b Thebfloatbnursebisbmostb
qualifiedbtobcarebforbwhichbclient?
, a. Abclientbwhobisbpostoperativebfollowingbablobectomybandbhasbabchestbtube
b. Abclientbwhobisbbeingbdischargedbtobablong-termbcarebfacility
c. Abclientbwhobneedsbteachingbpriorbtobinitiatingbcardiacbrehabilitationbactivities
d. Abclientbwhobneedsbteachingbaboutbinsulinbself-administration
Floatbnursesbshouldbbebassignedbtobanbareabforbwhichbtheybhavebbeenbtrainedbandbhavebexperience.
Question 4 b
Abclientbasksbthebnursebwhatbcausesbconstipation.b Choosebthebbestbresponsebbybthebnurse.
CorrectbAnswer
a. Constipationboccursbwhenbthebbowelbabsorbsbtoobmuchbwater
b. Eatingbtoobmanybprocessedbfoodsbcausebconstipation
c. Whenbthebbowelbreleasesbtoobmuchbwaterbitbcausesbconstipation
d. Usingboverbthebcounterblaxativesbcausesbconstipation
Constipationboccursbwhenbtheblargebintestinebabsorbsbtoobmuchbfluid.b Clientsbarebencouragedbtobin
creasebhighbfiberbfoodsbalongbwithbdrinkingbplentybofbfluidsbtobmaintainbregularity.b Diarrheabisbcau
sedbwhenbthebbowelbreleasesbtoobmuchbwater.b Usingboverbthebcounterblaxativesbmaybcausebdiarrhea
,bnotbconstipation.
Question 5 b
bThebnursebcaringbforbabpost-
operativebclientbperformsbanbabdominalbassessment.b Thebnursebdoesbnotbhearbanybbowelbsoundsbov
erbthebleftblowerbquadrantbofbthebabdomen.b Whatbisbthebmostblikelybreasonbforbthis?
a. ThebclientbhasbbeenbNPObforbseveralbhours
b. Post-operativebclientsbmaybdevelopbanbileusbresultingbinbabsentbbowelbsounds
c. Therebisbgasbinbthebabdomen
d. Thebclientbemptiedbtheirbbowelsbbeforebsurgery
Anbileusbisbabportionbofbthebbowelbwherebperistalsisbhasbtemporarilybslowedborbstopped.b Thebnurseb
willbnotbauscultatebbowelbsoundsbinbthebareabofbanbileus.b NPObstatusbwouldbresultbinbhypoactivebbo
welbsoundsbthroughoutbthebentirebabdomen.b Gasbinbthebintestinebwouldbcausebhigh-
pitchedbbowelbsounds.b Emptyingbthebbowelbbeforebsurgerybwouldbhaveblittlebtobnobeffectbonbbowel
bsounds.
,Question 6 b
bThebnursebadmitsbabclientbwhobisbtobundergobabcolonoscopy.b Thebnursebunderstandsbthatbthisbwillbb
ebrequiredbinbpreparationbforbthebprocedure.
a. NPObstatusbforb24bhours
b. Abcompletebbowelbcleanse
c. Clearbliquidsbafterbmidnight
d. Abfleetbenemabtobprepbthebbowel
ClientsbwhobwillbundergobabcolonoscopybusuallybremainbNPObforb8-
12bhoursbpriorbtobthebprocedure.b Abcompletebbowelbcleansebisbrequiredbtobridbthebareabofbstoolbthatb
maybinterferebwithbvisualizationbandbcollectionbofbtissuebspecimens.b Abfleetbenemabalonebwouldbno
tbbebenoughbtobclearbthebbowel.
Question 7 b
Abnursebisbteachingbabclientbaboutbcolorectalbcancerbtesting.b Thebnursebexpectsbthebproviderbtob
firstbperformbthisbtestbforbcolorectalbscreening.
a. Colonoscopy
b. Bariumbenema
c. Fecalboccultbbloodbtest
d. Catbscanbofbtheblowerbintestine
Thebproviderbwillbfirstbdobabfecalboccultbbloodb(guiac)btestbtobdeterminebthebpresencebofbmicroscopi
cbbloodbinbthebstool.b Thisbisboftenbanbearlybsignbofbcolorectalbcancer.b Thebotherbproceduresbmaybbeb
donebasbabfollow-upbtobthebguiacbtest.
Question 8 b
Abnursebisbcaringbforbabclientbwithbabnewlybplacedbcolostomy.b Thebnursebteachesbthebclientbtheybma
b
ybhavebformedbstoolbafterbthebbowelbhasbhealedbbecausebthebsurgeonbplacedbthebstomabwhere?
a. Ascendingbcolon
b. Transversebcolon
c. Descendingbcolon
d. Sigmoidbcolon
, Ostomiesbplacedbinbthebsigmoidbcolonbmaybeventuallybhavebformedbstool.b Theblowerbdownbinbthebc
olonbthatbthebostomybisbplaced,bthebmoreblikelybthebclientbwillbhavebformedbstool.b Higherbostomybpo
sitioningbresultsbinbliquidborbsemi-formedbstool.
Question 9 b
bThebnursebisbadministeringbabtapbwaterbenemabtobabclientbinbpreparationbforbbowelbsurgery.b Thebnur
sebcorrectlybpositionsbthebenemabbagbcontainingbthebfluidbwhere?
a. 12binchesbabovebthebanusbforbabregularbenema
b. 6-10binchesbabovebthebanusbforbabhighbenema
c. Tobshoulderbheightbthenblowerbitb6binches
d. OnbanbIVbpoleb18binchesbabovebthebbed
Thebcorrectbplacementbforbabregularbenemabisbtobholdbthebcontainerb12binchesbabovebthebclient’sbanu
s.
Question 10 b
Thebnursebcorrectlybpositionsbabclientbforbabfleetsbenemabbybplacingbthembinbthisbposition:
a. Supinebwithbthebkneesbflexed
b. Pronebwithbthebrightblegbflexed
c. Onbthebleftbsidebwithbthebrightblegbflexed
d. Onbthebrightbsidebwithbbothbkneesbflexed
Correctbpositioningbforbadministeringbanbenemabisbtobplacebthebclientbonbtheirbleftbsidebwithbtheirbrig
htblegbbentbtobfollowbthebnaturalbcurvebofbthebcolon.
Question 11 b
Thebnursebisbpreparingbabnewbostomybflangebforbthebclient’sbabdomen.b Choosebthebcorrectbactionbb
b
ybthebnurse.
a. Scrubbthebskinbonbthebabdomenbwithbantisepticbsoap
b. Reportbthebappearancebofbabred,bmoistbstoma
c. Afterbmeasuringbthebdiameterbofbthebstomabcutbthebopeningbofbthebwafer
d. Tapebthebwaferbinbplacebinbabwindow-panebformat
b b b b b
(Questions And answers with Rationales)
b b b
100% verified 2026 update b b b
QUESTIONb 1
1. bAbnursebisbteachingbabclientbhowbtobperformbpersonalbileostomybcarebpriorbtobdischarge.
b Thebclient bsaysb“Ibdon’tbthinkbthatbIbambgoingbtobbebablebtobtakebcarebofbthisbmyself.”b W
hichbisbthebmostbappropriatebresponsebfrombthebnurse?
a. InbtimebyoubwillbbebbetterbatbthisbthanbIbam.
b. Don’tbworrybaboutbit,bmostbclientsbfeelblikebyoubdobatbfirst.
c. Whatbpartbofbthebileostomybcarebarebyoubhavingbtroublebwith?
d. Ibagree.b Thisbisbabdifficultbprocess.
Thisbresponsebopensbupbcommunicationbaboutbthebclient’sbrealbconcernsbandbenablesbthebnursebt
obaddressbteachingbmomentsbtobhelpbthembfeelbmorebconfidentbwithbself-care.b Thebother
responsesbarebnotbtherapeuticbandbdismissbthebclient’sbconcerns.
Question 2 b
Thebadultbchildbofbabclientbwhobhasbhadbabcolonbresectionbwillbbebcaringbforbtheirbparentbatbh
ome.b Thebclient’sbsonbtellsbthebnurseb“Ibdon’tbknowbhowbIbambgoingbtobcarebforbmybmombno
w”.b Whichbisbthebbestbnursingbresponse?
a. AbhomebhealthbnursebwillbbebstoppingbbybtomorrowbtobanswerbyourbQuestionbs.
b. Yourbmotherbhasbbeenbtaughtbtobcarebforbherbcolostomybindependently.
c. Whatbpartbofbyourbmother’sbcarebarebyoubconcernedbwith?
d. Itbisbquitebsimple.b I’llbchangebthebcolostomybbagbbeforebshebisbdischarged.
Thisbgivesbthebclientbanbopportunitybtobdiscussbtheirbconcernsbwithbthebnurse.b Thebnursebcanbthenbm
akebanbappropriatebplanbtobassurebthebfamilybandbclientbreceivebanybsupportivebcarebafterbdischarge.
b Thebotherbresponsesbdobnotbencouragebdiscussionbandbbelittlebthebson’sbconcerns.
Question 3 b
bAbnursebinbthebmedical-
surgicalbunitbisbassigningbclientbcarebtobabnursebwhobisbfloatingbfrombPACU.b Thebfloatbnursebisbmostb
qualifiedbtobcarebforbwhichbclient?
, a. Abclientbwhobisbpostoperativebfollowingbablobectomybandbhasbabchestbtube
b. Abclientbwhobisbbeingbdischargedbtobablong-termbcarebfacility
c. Abclientbwhobneedsbteachingbpriorbtobinitiatingbcardiacbrehabilitationbactivities
d. Abclientbwhobneedsbteachingbaboutbinsulinbself-administration
Floatbnursesbshouldbbebassignedbtobanbareabforbwhichbtheybhavebbeenbtrainedbandbhavebexperience.
Question 4 b
Abclientbasksbthebnursebwhatbcausesbconstipation.b Choosebthebbestbresponsebbybthebnurse.
CorrectbAnswer
a. Constipationboccursbwhenbthebbowelbabsorbsbtoobmuchbwater
b. Eatingbtoobmanybprocessedbfoodsbcausebconstipation
c. Whenbthebbowelbreleasesbtoobmuchbwaterbitbcausesbconstipation
d. Usingboverbthebcounterblaxativesbcausesbconstipation
Constipationboccursbwhenbtheblargebintestinebabsorbsbtoobmuchbfluid.b Clientsbarebencouragedbtobin
creasebhighbfiberbfoodsbalongbwithbdrinkingbplentybofbfluidsbtobmaintainbregularity.b Diarrheabisbcau
sedbwhenbthebbowelbreleasesbtoobmuchbwater.b Usingboverbthebcounterblaxativesbmaybcausebdiarrhea
,bnotbconstipation.
Question 5 b
bThebnursebcaringbforbabpost-
operativebclientbperformsbanbabdominalbassessment.b Thebnursebdoesbnotbhearbanybbowelbsoundsbov
erbthebleftblowerbquadrantbofbthebabdomen.b Whatbisbthebmostblikelybreasonbforbthis?
a. ThebclientbhasbbeenbNPObforbseveralbhours
b. Post-operativebclientsbmaybdevelopbanbileusbresultingbinbabsentbbowelbsounds
c. Therebisbgasbinbthebabdomen
d. Thebclientbemptiedbtheirbbowelsbbeforebsurgery
Anbileusbisbabportionbofbthebbowelbwherebperistalsisbhasbtemporarilybslowedborbstopped.b Thebnurseb
willbnotbauscultatebbowelbsoundsbinbthebareabofbanbileus.b NPObstatusbwouldbresultbinbhypoactivebbo
welbsoundsbthroughoutbthebentirebabdomen.b Gasbinbthebintestinebwouldbcausebhigh-
pitchedbbowelbsounds.b Emptyingbthebbowelbbeforebsurgerybwouldbhaveblittlebtobnobeffectbonbbowel
bsounds.
,Question 6 b
bThebnursebadmitsbabclientbwhobisbtobundergobabcolonoscopy.b Thebnursebunderstandsbthatbthisbwillbb
ebrequiredbinbpreparationbforbthebprocedure.
a. NPObstatusbforb24bhours
b. Abcompletebbowelbcleanse
c. Clearbliquidsbafterbmidnight
d. Abfleetbenemabtobprepbthebbowel
ClientsbwhobwillbundergobabcolonoscopybusuallybremainbNPObforb8-
12bhoursbpriorbtobthebprocedure.b Abcompletebbowelbcleansebisbrequiredbtobridbthebareabofbstoolbthatb
maybinterferebwithbvisualizationbandbcollectionbofbtissuebspecimens.b Abfleetbenemabalonebwouldbno
tbbebenoughbtobclearbthebbowel.
Question 7 b
Abnursebisbteachingbabclientbaboutbcolorectalbcancerbtesting.b Thebnursebexpectsbthebproviderbtob
firstbperformbthisbtestbforbcolorectalbscreening.
a. Colonoscopy
b. Bariumbenema
c. Fecalboccultbbloodbtest
d. Catbscanbofbtheblowerbintestine
Thebproviderbwillbfirstbdobabfecalboccultbbloodb(guiac)btestbtobdeterminebthebpresencebofbmicroscopi
cbbloodbinbthebstool.b Thisbisboftenbanbearlybsignbofbcolorectalbcancer.b Thebotherbproceduresbmaybbeb
donebasbabfollow-upbtobthebguiacbtest.
Question 8 b
Abnursebisbcaringbforbabclientbwithbabnewlybplacedbcolostomy.b Thebnursebteachesbthebclientbtheybma
b
ybhavebformedbstoolbafterbthebbowelbhasbhealedbbecausebthebsurgeonbplacedbthebstomabwhere?
a. Ascendingbcolon
b. Transversebcolon
c. Descendingbcolon
d. Sigmoidbcolon
, Ostomiesbplacedbinbthebsigmoidbcolonbmaybeventuallybhavebformedbstool.b Theblowerbdownbinbthebc
olonbthatbthebostomybisbplaced,bthebmoreblikelybthebclientbwillbhavebformedbstool.b Higherbostomybpo
sitioningbresultsbinbliquidborbsemi-formedbstool.
Question 9 b
bThebnursebisbadministeringbabtapbwaterbenemabtobabclientbinbpreparationbforbbowelbsurgery.b Thebnur
sebcorrectlybpositionsbthebenemabbagbcontainingbthebfluidbwhere?
a. 12binchesbabovebthebanusbforbabregularbenema
b. 6-10binchesbabovebthebanusbforbabhighbenema
c. Tobshoulderbheightbthenblowerbitb6binches
d. OnbanbIVbpoleb18binchesbabovebthebbed
Thebcorrectbplacementbforbabregularbenemabisbtobholdbthebcontainerb12binchesbabovebthebclient’sbanu
s.
Question 10 b
Thebnursebcorrectlybpositionsbabclientbforbabfleetsbenemabbybplacingbthembinbthisbposition:
a. Supinebwithbthebkneesbflexed
b. Pronebwithbthebrightblegbflexed
c. Onbthebleftbsidebwithbthebrightblegbflexed
d. Onbthebrightbsidebwithbbothbkneesbflexed
Correctbpositioningbforbadministeringbanbenemabisbtobplacebthebclientbonbtheirbleftbsidebwithbtheirbrig
htblegbbentbtobfollowbthebnaturalbcurvebofbthebcolon.
Question 11 b
Thebnursebisbpreparingbabnewbostomybflangebforbthebclient’sbabdomen.b Choosebthebcorrectbactionbb
b
ybthebnurse.
a. Scrubbthebskinbonbthebabdomenbwithbantisepticbsoap
b. Reportbthebappearancebofbabred,bmoistbstoma
c. Afterbmeasuringbthebdiameterbofbthebstomabcutbthebopeningbofbthebwafer
d. Tapebthebwaferbinbplacebinbabwindow-panebformat
