NR 224 Final Exam Practice Question
Answers (100 Q&A) (Complete
solutions and resources for the course
exam)
, 1. Ainurseiisiteachingiaiclientihowitoiperformipersonaliileostomyicareiprioritoidis
charge.iTheiclientisaysi“Iidon’tithinkithatiIiamigoingitoibeiableitoitakeicareiofit
hisimyself.”iWhichiisitheimostiappropriateiresponseifromitheinurse?
a. InitimeiyouiwillibeibetteriatithisithaniIiam.
b. Don’tiworryiaboutiit,imosticlientsifeelilikeiyouidoiatifirst.
c. Whatipartiofitheiileostomyicareiareiyouihavingitroubleiwith?
d. Iiagree.i Thisiisiaidifficultiprocess.
Thisiresponseiopensiupicommunicationiaboutitheiclient’sirealiconcernsiandienablesithe
inurseitoiaddressiteachingimomentsitoihelpithemifeelimoreiconfidentiwithiself-
care.i Theiotheriresponsesiareinotitherapeuticiandidismissitheiclient’siconcerns.
Questioni2 iTheiadu
a. Aihomeihealthinurseiwillibeistoppingibyitomorrowitoiansweriyouriquestions.
b. Yourimotherihasibeenitaughtitoicareiforihericolostomyiindependently.
c. Whatipartiofiyourimother’sicareiareiyouiconcernediwith?
, d. Itiisiquiteisimple.i I’llichangeitheicolostomyibagibeforeisheiisidischarged.
Thisigivesitheiclientianiopportunityitoidiscussitheiriconcernsiwithitheinurse.i Theinurseica
nithenimakeianiappropriateiplanitoiassureitheifamilyiandiclientireceiveianyisupportiveicar
eiafteridischarge.i Theiotheriresponsesidoinotiencourageidiscussioniandibelittleitheison’si
concerns.
Questioni3 iAinurse
a. Aiclientiwhoiisipostoperativeifollowingiailobectomyiandihasiaichestitube
b. Aiclientiwhoiisibeingidischargeditoiailong-termicareifacility
c. Aiclientiwhoineedsiteachingiprioritoiinitiatingicardiacirehabilitationiactivities
d. Aiclientiwhoineedsiteachingiaboutiinsuliniself-administration
Floatinursesishouldibeiassigneditoianiareaiforiwhichitheyihaveibeenitrainediandihaveiexperien
ce.
Questioni4
Aiclientiasksitheinurseiwhaticausesiconstipation.i Chooseitheibestiresponseibyitheinurse.
CorrectiAnswer
a. Constipationioccursiwhenitheiboweliabsorbsitooimuchiwater
b. Eatingitooimanyiprocessedifoodsicauseiconstipation
c. Whenitheibowelireleasesitooimuchiwateriiticausesiconstipation
d. Usingioveritheicounterilaxativesicausesiconstipation
Constipationioccursiwhenitheilargeiintestineiabsorbsitooimuchifluid.i Clientsiareiencouragedit
oiincreaseihighifiberifoodsialongiwithidrinkingiplentyiofifluidsitoimaintainiregularity.i Diarrhe
aiisicausediwhenitheibowelireleasesitooimuchiwater.i Usingioveritheicounterilaxativesimayica
useidiarrhea,inoticonstipation.
Questioni5 iTheinur
a. TheiclientihasibeeniNPOiforiseveralihours
b. Post-operativeiclientsimayidevelopianiileusiresultingiiniabsentibowelisounds
Answers (100 Q&A) (Complete
solutions and resources for the course
exam)
, 1. Ainurseiisiteachingiaiclientihowitoiperformipersonaliileostomyicareiprioritoidis
charge.iTheiclientisaysi“Iidon’tithinkithatiIiamigoingitoibeiableitoitakeicareiofit
hisimyself.”iWhichiisitheimostiappropriateiresponseifromitheinurse?
a. InitimeiyouiwillibeibetteriatithisithaniIiam.
b. Don’tiworryiaboutiit,imosticlientsifeelilikeiyouidoiatifirst.
c. Whatipartiofitheiileostomyicareiareiyouihavingitroubleiwith?
d. Iiagree.i Thisiisiaidifficultiprocess.
Thisiresponseiopensiupicommunicationiaboutitheiclient’sirealiconcernsiandienablesithe
inurseitoiaddressiteachingimomentsitoihelpithemifeelimoreiconfidentiwithiself-
care.i Theiotheriresponsesiareinotitherapeuticiandidismissitheiclient’siconcerns.
Questioni2 iTheiadu
a. Aihomeihealthinurseiwillibeistoppingibyitomorrowitoiansweriyouriquestions.
b. Yourimotherihasibeenitaughtitoicareiforihericolostomyiindependently.
c. Whatipartiofiyourimother’sicareiareiyouiconcernediwith?
, d. Itiisiquiteisimple.i I’llichangeitheicolostomyibagibeforeisheiisidischarged.
Thisigivesitheiclientianiopportunityitoidiscussitheiriconcernsiwithitheinurse.i Theinurseica
nithenimakeianiappropriateiplanitoiassureitheifamilyiandiclientireceiveianyisupportiveicar
eiafteridischarge.i Theiotheriresponsesidoinotiencourageidiscussioniandibelittleitheison’si
concerns.
Questioni3 iAinurse
a. Aiclientiwhoiisipostoperativeifollowingiailobectomyiandihasiaichestitube
b. Aiclientiwhoiisibeingidischargeditoiailong-termicareifacility
c. Aiclientiwhoineedsiteachingiprioritoiinitiatingicardiacirehabilitationiactivities
d. Aiclientiwhoineedsiteachingiaboutiinsuliniself-administration
Floatinursesishouldibeiassigneditoianiareaiforiwhichitheyihaveibeenitrainediandihaveiexperien
ce.
Questioni4
Aiclientiasksitheinurseiwhaticausesiconstipation.i Chooseitheibestiresponseibyitheinurse.
CorrectiAnswer
a. Constipationioccursiwhenitheiboweliabsorbsitooimuchiwater
b. Eatingitooimanyiprocessedifoodsicauseiconstipation
c. Whenitheibowelireleasesitooimuchiwateriiticausesiconstipation
d. Usingioveritheicounterilaxativesicausesiconstipation
Constipationioccursiwhenitheilargeiintestineiabsorbsitooimuchifluid.i Clientsiareiencouragedit
oiincreaseihighifiberifoodsialongiwithidrinkingiplentyiofifluidsitoimaintainiregularity.i Diarrhe
aiisicausediwhenitheibowelireleasesitooimuchiwater.i Usingioveritheicounterilaxativesimayica
useidiarrhea,inoticonstipation.
Questioni5 iTheinur
a. TheiclientihasibeeniNPOiforiseveralihours
b. Post-operativeiclientsimayidevelopianiileusiresultingiiniabsentibowelisounds