BSN206 NIGHTINGALE REAL
EXAM QUESTIONS AND ALL 100%
CORRECT ANSWERS
Identify the equipment needed to pouch an enterostomy by using a precut
system
A. Basin with warm tap water
B. Gauze pads or washcloth
C. Towel or disposable waterproof barrier
D. Sterile gloves
E. Pouch closure device, such as a clamp
F. Clean disposable gloves
G. Pouch: clear drainable colostomy/ileostomy in correct size for two-piece
system or a one-piece type with attached skin barrier
A. Basin with warm tap water
B. Gauze pads or washcloth
C. Towel or disposable waterproof barrier
E. Pouch closure device, such as a clamp
F. Clean disposable gloves
G. Pouch: clear drainable colostomy/ileostomy in correct size for
two-piece system or a one-piece type with attached skin barrier
Identify interventions for irritation around the stoma
A. Make sure there is a good seal of the skin barrier/pouching system so that
undermining of fecal contents will be avoided
,B. Remove the pouch more quickly
C. Determine whether the PT's skin is reacting to adhesive removal
D. Consult the ostomy care nurse
E. Determine whether a different type of pouching system is needed to
prevent leakage
A. Make sure there is a good seal of the skin barrier/pouching
system so that undermining of fecal contents will be avoided
C. Determine whether the PT's skin is reacting to adhesive removal
D. Consult the ostomy care nurse
E. Determine whether a different type of pouching system is needed
to prevent leakage
Choose the four primary functions of the colon
A. Reuptake
B. Secretion
C. Absorption
D. Elimination
E. Protection
F. Transference
B. Secretion
C. Absorption
D. Elimination
E. Protection
,From the following, choose the correct equipment to bring to the bedside to
administer the commercially prepared fleet enema
A. Toilet paper basin with warm water, washcloth, towel
B. Commercially prepared enema product
C. Water-soluble lubricant
D. Tubing with a rectal tip
E. Waterproof bed pad
F. Clean disposable gloves
G. Sterile gloves
H. Enema bag
A. Toilet paper basin with warm water, washcloth, towel
B. Commercially prepared enema product
C. Water-soluble lubricant
E. Waterproof bed pad
F. Clean disposable gloves
The nurse instructs the PT that the healthcare provider has ordered an
enema. The PT states, an enema! i am not constipated. what are other
possible reasons for the order?
A. to administer a medication
B. Preparation for a diagnostic procedure
C. To increase fluid intake
D. To prevent laxative misuse
E. Preparation for surgery
A. to administer a medication
, B. Preparation for a diagnostic procedure
E. Preparation for surgery
The nurse has delegated the task of temperature assessment to the NAP.
Which information should be provided to the NAP?
A. The type of temperature required
B. The PT's age
C. The frequency for taking or monitoring the temperature
D. The Patient's Diagnosis
E. What changes to report immediately to the nurse
A. The type of temperature required
C. The frequency for taking or monitoring the temperature
E. What changes to report immediately to the nurse
Which of the following situations may affect a patient's vital signs?
A. Moving from lying to standing position.
B. Time of day.
C. Occupation
D. Isolation precautions.
E. Pain rated as a 7 on 0-10 pain scale.
A. Moving from lying to standing position
B. Time of Day
E. Pain rated as a 7 on 0-10 scale
EXAM QUESTIONS AND ALL 100%
CORRECT ANSWERS
Identify the equipment needed to pouch an enterostomy by using a precut
system
A. Basin with warm tap water
B. Gauze pads or washcloth
C. Towel or disposable waterproof barrier
D. Sterile gloves
E. Pouch closure device, such as a clamp
F. Clean disposable gloves
G. Pouch: clear drainable colostomy/ileostomy in correct size for two-piece
system or a one-piece type with attached skin barrier
A. Basin with warm tap water
B. Gauze pads or washcloth
C. Towel or disposable waterproof barrier
E. Pouch closure device, such as a clamp
F. Clean disposable gloves
G. Pouch: clear drainable colostomy/ileostomy in correct size for
two-piece system or a one-piece type with attached skin barrier
Identify interventions for irritation around the stoma
A. Make sure there is a good seal of the skin barrier/pouching system so that
undermining of fecal contents will be avoided
,B. Remove the pouch more quickly
C. Determine whether the PT's skin is reacting to adhesive removal
D. Consult the ostomy care nurse
E. Determine whether a different type of pouching system is needed to
prevent leakage
A. Make sure there is a good seal of the skin barrier/pouching
system so that undermining of fecal contents will be avoided
C. Determine whether the PT's skin is reacting to adhesive removal
D. Consult the ostomy care nurse
E. Determine whether a different type of pouching system is needed
to prevent leakage
Choose the four primary functions of the colon
A. Reuptake
B. Secretion
C. Absorption
D. Elimination
E. Protection
F. Transference
B. Secretion
C. Absorption
D. Elimination
E. Protection
,From the following, choose the correct equipment to bring to the bedside to
administer the commercially prepared fleet enema
A. Toilet paper basin with warm water, washcloth, towel
B. Commercially prepared enema product
C. Water-soluble lubricant
D. Tubing with a rectal tip
E. Waterproof bed pad
F. Clean disposable gloves
G. Sterile gloves
H. Enema bag
A. Toilet paper basin with warm water, washcloth, towel
B. Commercially prepared enema product
C. Water-soluble lubricant
E. Waterproof bed pad
F. Clean disposable gloves
The nurse instructs the PT that the healthcare provider has ordered an
enema. The PT states, an enema! i am not constipated. what are other
possible reasons for the order?
A. to administer a medication
B. Preparation for a diagnostic procedure
C. To increase fluid intake
D. To prevent laxative misuse
E. Preparation for surgery
A. to administer a medication
, B. Preparation for a diagnostic procedure
E. Preparation for surgery
The nurse has delegated the task of temperature assessment to the NAP.
Which information should be provided to the NAP?
A. The type of temperature required
B. The PT's age
C. The frequency for taking or monitoring the temperature
D. The Patient's Diagnosis
E. What changes to report immediately to the nurse
A. The type of temperature required
C. The frequency for taking or monitoring the temperature
E. What changes to report immediately to the nurse
Which of the following situations may affect a patient's vital signs?
A. Moving from lying to standing position.
B. Time of day.
C. Occupation
D. Isolation precautions.
E. Pain rated as a 7 on 0-10 pain scale.
A. Moving from lying to standing position
B. Time of Day
E. Pain rated as a 7 on 0-10 scale
