Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
1. A nurse is teaching a client how to perform personal ileostomy
care prior to discharge. The client says “I don’t think that I am
going to be able to take care of this myself.” Which is the
most appropriate response from the nurse?
a. In time you will be better at this than I am.
b. Don’t worry about it, most clients feel like you do at first.
c. What part of the ileostomy care are you having trouble
with?
d. I agree. This is a difficult process.
This response opens up communication about the client’s real
concerns and enables the nurse to address teaching moments to help
them feel more confident with self-care. The other responses are not
therapeutic and dismiss the client’s concerns.
,Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
Question 2
The adult child of a client who has had a colon resection will be caring
for their parent at home. The client’s son tells the nurse “I don’t know
how I am going to care for my mom now”. Which is the best nursing
response?
a. A home health nurse will be stopping by tomorrow to answer your
questions.
b. Your mother has been taught to care for her colostomy
independently.Correct!
c. What part of your mother’s care are you concerned with?
d. It is quite simple. I’ll change the colostomy bag before she is
discharged.
This gives the client an opportunity to discuss their concerns with the
nurse. The nurse can then make an appropriate plan to assure the family
,Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
and client receive any supportive care after discharge. The other
responses do not encourage discussion and belittle the son’s concerns.
Question 3
A nurse in the medical-surgical unit is assigning client care to a nurse
who is floating from PACU. The float nurse is most qualified to care for
which client?
a. A client who is postoperative following a lobectomy and has a
chest tube
b. A client who is being discharged to a long-term care facility
c. A client who needs teaching prior to initiating cardiac
rehabilitation activities
d. A client who needs teaching about insulin self-administration
Float nurses should be assigned to an area for which they have been
trained and have experience.
, Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
Question 4
A client asks the nurse what causes constipation. Choose
the best response by the nurse.
Correct Answer
a. Constipation occurs when the bowel absorbs too much water
b. Eating too many processed foods cause constipation
c. When the bowel releases too much water it causes constipation
d. Using over the counter laxatives causes constipation
Constipation occurs when the large intestine absorbs too much
fluid. Clients are encouraged to increase high fiber foods along with
drinking plenty of fluids to maintain regularity. Diarrhea is caused when
the bowel releases too much water. Using over the counter laxatives
may cause diarrhea, not constipation.
Correct answers and Rationales)
1. A nurse is teaching a client how to perform personal ileostomy
care prior to discharge. The client says “I don’t think that I am
going to be able to take care of this myself.” Which is the
most appropriate response from the nurse?
a. In time you will be better at this than I am.
b. Don’t worry about it, most clients feel like you do at first.
c. What part of the ileostomy care are you having trouble
with?
d. I agree. This is a difficult process.
This response opens up communication about the client’s real
concerns and enables the nurse to address teaching moments to help
them feel more confident with self-care. The other responses are not
therapeutic and dismiss the client’s concerns.
,Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
Question 2
The adult child of a client who has had a colon resection will be caring
for their parent at home. The client’s son tells the nurse “I don’t know
how I am going to care for my mom now”. Which is the best nursing
response?
a. A home health nurse will be stopping by tomorrow to answer your
questions.
b. Your mother has been taught to care for her colostomy
independently.Correct!
c. What part of your mother’s care are you concerned with?
d. It is quite simple. I’ll change the colostomy bag before she is
discharged.
This gives the client an opportunity to discuss their concerns with the
nurse. The nurse can then make an appropriate plan to assure the family
,Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
and client receive any supportive care after discharge. The other
responses do not encourage discussion and belittle the son’s concerns.
Question 3
A nurse in the medical-surgical unit is assigning client care to a nurse
who is floating from PACU. The float nurse is most qualified to care for
which client?
a. A client who is postoperative following a lobectomy and has a
chest tube
b. A client who is being discharged to a long-term care facility
c. A client who needs teaching prior to initiating cardiac
rehabilitation activities
d. A client who needs teaching about insulin self-administration
Float nurses should be assigned to an area for which they have been
trained and have experience.
, Chamberlain NR 224 Final Practice Exam(Questions,
Correct answers and Rationales)
Question 4
A client asks the nurse what causes constipation. Choose
the best response by the nurse.
Correct Answer
a. Constipation occurs when the bowel absorbs too much water
b. Eating too many processed foods cause constipation
c. When the bowel releases too much water it causes constipation
d. Using over the counter laxatives causes constipation
Constipation occurs when the large intestine absorbs too much
fluid. Clients are encouraged to increase high fiber foods along with
drinking plenty of fluids to maintain regularity. Diarrhea is caused when
the bowel releases too much water. Using over the counter laxatives
may cause diarrhea, not constipation.
