l OM oARc PSD|23 58 9 64 9
224 Final Practice
Fundamentals I (Chamberlain University)
, l OM oARc PSD|23 58 9 64 9
NR224 FUNDAMENTALS FINAL EXAM REVISION
GUIDE / NR 224 FUNDAMENTALS FINAL EXAM
PRACTICE QUESTIONS WITH CORRECT
ANSWERS 2022/2023 LATEST UPDAES
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.
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.
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 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
, l OM oARc PSD|23 58 9 64 9
d. A client who needs teaching about insulin self-administration
, l OM oARc PSD|23 58 9 64 9
Float nurses should be assigned to an area for which they have been trained and have experience.
224 Final Practice
Fundamentals I (Chamberlain University)
, l OM oARc PSD|23 58 9 64 9
NR224 FUNDAMENTALS FINAL EXAM REVISION
GUIDE / NR 224 FUNDAMENTALS FINAL EXAM
PRACTICE QUESTIONS WITH CORRECT
ANSWERS 2022/2023 LATEST UPDAES
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.
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.
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 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
, l OM oARc PSD|23 58 9 64 9
d. A client who needs teaching about insulin self-administration
, l OM oARc PSD|23 58 9 64 9
Float nurses should be assigned to an area for which they have been trained and have experience.
