2026 NEW UPDATE NUR 355 Acute & Chronic Health Disruptions In
Adults I – Final Exam 5 actual possible Practice (75 Qs and answers)
Arizona College of Nursing
NUR 355 – Exam 5 Practice (75 Qs)
GI Disorders (1–40)
1. The nurse prepares a bolus PEG feeding. Which actions are correct?
(Select all that apply.)
A. Verify placement by pH before instilling formula
B. Flush the tube before and after feeding
C. Place patient supine during feeding
D. Hold feed if patient is nauseated
E. Secure tube to the patient’s gown with tape
2. An NG tube to low suction returns bright red drainage 1 hour post-op.
Priority action?
A. Irrigate with 30 mL NS
B. Assess VS and LOC immediately
C. Document and continue suction
D. Increase suction from low to high
3. Post-Whipple, which finding is most concerning?
A. Mild incisional pain
B. Blood glucose 160 mg/dL
C. Abdominal rigidity with absent bowel sounds
D. Small amount of serosanguineous drainage
4. Acute pancreatitis on TPN suddenly becomes dyspneic and anxious. First
action?
A. Slow the TPN rate
B. Assess airway and oxygenate
,C. Check fingerstick glucose
D. Reposition left side
5. Laparoscopic cholecystectomy discharge teaching—select correct points.
(Select all that apply.)
A. Avoid high-fat meals
B. Ambulate to relieve shoulder pain
C. Strict bedrest 48 hours
D. Report fever, chills, or jaundice
E. Resume full-fat diet next day
6. New ileostomy with purple stoma. Priority?
A. Notify the surgeon immediately
B. Apply warm compresses
, C. Document as expected
D. Increase oral fluids
7. Appendicitis patient reports sudden relief of pain then
fever/tachycardia. Interpretation?
A. Effective analgesia
B. Perforation
C. Bowel obstruction
D. Renal colic
8. Highest risk for colorectal cancer? (Select all that apply.)
A. 62-year-old with diet high in processed/red meats
B. 55-year-old with first-degree relative with colon cancer
C. 40-year-old vegetarian with BMI 22
D. 70-year-old with chronic constipation
9. UC exacerbation—which order would you question?
A. IV fluids
B. Corticosteroids
C. High-fiber diet
D. Electrolyte monitoring
10. Findings most consistent with Crohn’s complications. (Select all that
apply.)
A. Fistulas
B. Strictures and obstruction
C. Continuous lesions only in colon
D. Malabsorption with weight loss
11. Bowel obstruction patient has escalating pain and distention. Priority?
A. Encourage ambulation
B. Notify provider—possible perforation
C. Provide clear liquids
D. Give opioid analgesic only
12. Best diet for IBS-C?
A. Low fiber
B. High fiber + increased fluids
C. High protein/high fat
D. Clear liquids only
13. Diverticulitis acute care—appropriate interventions? (Select all that
apply.)
Adults I – Final Exam 5 actual possible Practice (75 Qs and answers)
Arizona College of Nursing
NUR 355 – Exam 5 Practice (75 Qs)
GI Disorders (1–40)
1. The nurse prepares a bolus PEG feeding. Which actions are correct?
(Select all that apply.)
A. Verify placement by pH before instilling formula
B. Flush the tube before and after feeding
C. Place patient supine during feeding
D. Hold feed if patient is nauseated
E. Secure tube to the patient’s gown with tape
2. An NG tube to low suction returns bright red drainage 1 hour post-op.
Priority action?
A. Irrigate with 30 mL NS
B. Assess VS and LOC immediately
C. Document and continue suction
D. Increase suction from low to high
3. Post-Whipple, which finding is most concerning?
A. Mild incisional pain
B. Blood glucose 160 mg/dL
C. Abdominal rigidity with absent bowel sounds
D. Small amount of serosanguineous drainage
4. Acute pancreatitis on TPN suddenly becomes dyspneic and anxious. First
action?
A. Slow the TPN rate
B. Assess airway and oxygenate
,C. Check fingerstick glucose
D. Reposition left side
5. Laparoscopic cholecystectomy discharge teaching—select correct points.
(Select all that apply.)
A. Avoid high-fat meals
B. Ambulate to relieve shoulder pain
C. Strict bedrest 48 hours
D. Report fever, chills, or jaundice
E. Resume full-fat diet next day
6. New ileostomy with purple stoma. Priority?
A. Notify the surgeon immediately
B. Apply warm compresses
, C. Document as expected
D. Increase oral fluids
7. Appendicitis patient reports sudden relief of pain then
fever/tachycardia. Interpretation?
A. Effective analgesia
B. Perforation
C. Bowel obstruction
D. Renal colic
8. Highest risk for colorectal cancer? (Select all that apply.)
A. 62-year-old with diet high in processed/red meats
B. 55-year-old with first-degree relative with colon cancer
C. 40-year-old vegetarian with BMI 22
D. 70-year-old with chronic constipation
9. UC exacerbation—which order would you question?
A. IV fluids
B. Corticosteroids
C. High-fiber diet
D. Electrolyte monitoring
10. Findings most consistent with Crohn’s complications. (Select all that
apply.)
A. Fistulas
B. Strictures and obstruction
C. Continuous lesions only in colon
D. Malabsorption with weight loss
11. Bowel obstruction patient has escalating pain and distention. Priority?
A. Encourage ambulation
B. Notify provider—possible perforation
C. Provide clear liquids
D. Give opioid analgesic only
12. Best diet for IBS-C?
A. Low fiber
B. High fiber + increased fluids
C. High protein/high fat
D. Clear liquids only
13. Diverticulitis acute care—appropriate interventions? (Select all that
apply.)
