Nur 170-
NUR170 Exam 4 Questions with Correct
Answers 2026
What are the symptoms for GERD or a Hiatal Hernia?
-Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia?
-Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD?
-Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what?
Aspiration
Can a patient have GERD and not have a hernia?
Yes
Can a patient have a hernia and not have GERD?
No
If a patient has GERD, how should they lay in bed?
On their right side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease?
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- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed?
- 2-4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis?
Boardlike abdomen
What are the vital signs for a patient with an active bleed?
Low BP, High pulse
What part of the body does Crohns disease affect?
"Gum to Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect?
Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns
Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns
Crohns
Describe the diarrhea in a patient with Ulcerative Colitis
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- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease
-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas?
Crohns disease
What is the surgical intervention for Ulcerative Colitis?
Removal of the colon resulting in a ileostomy
What is the surgical intervention for Crohns?
There is none. Only surgery is performed if something is wrong (perforations,
strictures, or fistulas)
Describe the stool of an illeostomy?
Watery. Located on the right side of body
Describe the stool of a colostomy?
Formed. Located on the left side of the body
If a colostomy is not draining, what should be done?
- Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) look?
Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
3|Page
Nur 170
NUR170 Exam 4 Questions with Correct
Answers 2026
What are the symptoms for GERD or a Hiatal Hernia?
-Heartburn
-Indigestion
-Pain
-N&V
What are ways to manage the symptoms of GERD or a Hiatal Hernia?
-Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications
Which patients are at risk for GERD?
-Obese
-Older adults
-Pregnant women
-Tight clothing
Patients with GERD are at risk for what?
Aspiration
Can a patient have GERD and not have a hernia?
Yes
Can a patient have a hernia and not have GERD?
No
If a patient has GERD, how should they lay in bed?
On their right side or with the head of the bed at 30 degree angle
What are common causes of peptic ulcer disease?
1|Page
Nur 170
,Nur 170-
- H. Pylori
- NSAIDS
- Stress
How is the patient with an upper GI bleed managed?
- 2-4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization
What is a sign of peritonitis?
Boardlike abdomen
What are the vital signs for a patient with an active bleed?
Low BP, High pulse
What part of the body does Crohns disease affect?
"Gum to Bum"= Mouth all the way through the digestive tract is inflammed
What part of the body does Ulcerative Colitis affect?
Rectum/ Sigmoid colon
Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns
Ulverative Colitis
Which disease is more immune?
--Ulcerative Colitis
-- Crohns
Crohns
Describe the diarrhea in a patient with Ulcerative Colitis
2|Page
Nur 170
, Nur 170-
- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate
Describe the diarrhea in a patient with Crohns disease
-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools
Which patient has strictures and Fistulas?
Crohns disease
What is the surgical intervention for Ulcerative Colitis?
Removal of the colon resulting in a ileostomy
What is the surgical intervention for Crohns?
There is none. Only surgery is performed if something is wrong (perforations,
strictures, or fistulas)
Describe the stool of an illeostomy?
Watery. Located on the right side of body
Describe the stool of a colostomy?
Formed. Located on the left side of the body
If a colostomy is not draining, what should be done?
- Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER
How should an ostomy site (stoma) look?
Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm
3|Page
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