NUR 5700 — MIAMI DADE COLLEGE POST-GI CASE
STUDY (LAVANDERA X R.) | 2026 ADVANCED NURSING
ASSESSMENT, DIAGNOSTICS & CLINICAL
MANAGEMENT | COMPREHENSIVE PRACTICE
EXAMINATION STUDY GUIDE | LATEST UPDATE
2026/2027 | ACTUAL EXAM PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS
This comprehensive practice examination is designed for graduate
nursing students preparing for the NUR 5700 Advanced Nursing
Assessment, Diagnostics & Clinical Management course at Miami Dade
College, with a focused emphasis on the Post-GI Case Study (Lavandera
x R.). The examination integrates advanced pathophysiological
reasoning, diagnostic interpretation, clinical decision-making, and
evidence-based management of complex gastrointestinal disorders
across the lifespan. Content reflects the depth and rigor expected in
advanced practice nursing education, covering topics such as
inflammatory bowel disease, gastrointestinal bleeding, malabsorptive
syndromes, hepatobiliary disorders, oncologic conditions of the
digestive tract, and post-operative gastrointestinal complications. This
resource is intended to help candidates assess their readiness, identify
knowledge gaps, and strengthen their preparation for high-stakes
examinations and clinical practicum evaluations.
Table of Contents
1. Advanced Gastrointestinal Pathophysiology and Epidemiology
2. Clinical Assessment and History-Taking in GI Disorders
, 3. Diagnostic Imaging and Laboratory Interpretation
4. Endoscopic and Procedural Diagnostics
5. Inflammatory Bowel Disease: Crohn’s Disease and Ulcerative
Colitis
6. Upper and Lower Gastrointestinal Bleeding
7. Malabsorptive Syndromes and Nutritional Deficiencies
8. Hepatobiliary and Pancreatic Disorders
9. Gastrointestinal Malignancies and Oncologic Emergencies
10. Post-Operative GI Complications and Surgical Management
11. Pharmacological and Biologic Therapies in GI Disease
12. Psychosocial, Ethical, and Interprofessional Considerations
Page 1
1. A 58-year-old male with a 25-year history of gastroesophageal
reflux disease presents with progressive dysphagia to solids and
an unintentional weight loss of 12 pounds over three months.
Which diagnostic modality is considered the gold standard for
evaluating this patient’s esophageal pathology?
A) Barium swallow with fluoroscopy
B) High-resolution manometry
C) Esophagogastroduodenoscopy with biopsy
D) 24-hour pH impedance monitoring
Correct Answer: C
Esophagogastroduodenoscopy (EGD) with biopsy is the gold standard
,for diagnosing esophageal pathology, including Barrett’s esophagus and
esophageal adenocarcinoma, in patients with chronic GERD and alarm
symptoms such as dysphagia and weight loss. Barium swallow may
reveal structural abnormalities but lacks tissue diagnosis. Manometry
and pH monitoring assess motility and reflux burden, respectively, but
do not provide histologic confirmation.
2. In a patient with suspected inflammatory bowel disease, which
serologic marker demonstrates the highest sensitivity for
distinguishing Crohn’s disease from ulcerative colitis?
A) Perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA)
B) Anti-Saccharomyces cerevisiae antibody (ASCA)
C) C-reactive protein (CRP)
D) Fecal calprotectin
Correct Answer: B
ASCA (anti-Saccharomyces cerevisiae antibody) is more commonly
associated with Crohn’s disease and demonstrates moderate sensitivity
and specificity in differentiating Crohn’s from ulcerative colitis. p-ANCA
is more frequently positive in ulcerative colitis. CRP and fecal
calprotectin are markers of inflammation but lack disease-specific
differentiating ability.
3. A 72-year-old female with a history of diverticulosis presents with
acute left lower quadrant pain, fever, and leukocytosis. Computed
tomography reveals periodic fat stranding and a 3.5 cm pericolic
abscess. Which of the following represents the most appropriate
initial management strategy?
A) Outpatient oral antibiotics with clear liquid diet
B) Intravenous antibiotics and percutaneous image-guided
, drainage
C) Emergent left hemicolectomy with primary anastomosis
D) Bowel rest with total parenteral nutrition
Correct Answer: B
For complicated diverticulitis with a pericolic abscess greater than 3 cm,
the standard of care includes intravenous antibiotics and percutaneous
image-guided drainage. Outpatient management is insufficient for
abscesses of this size. Emergent surgery is reserved for cases with free
perforation or diffuse peritonitis. Bowel rest alone does not address the
abscess.
4. A patient with ulcerative colitis undergoing surveillance
colonoscopy is found to have low-grade dysplasia in a flat polypoid
lesion. According to current guidelines, which of the following is
the recommended next step?
A) Endoscopic mucosal resection with close surveillance in one
year
B) Total proctocolectomy with ileal pouch-anal anastomosis
C) Repeat colonoscopy with chromoendoscopy in three months
D) Initiation of biologic therapy with an anti-TNF agent
Correct Answer: A
Endoscopic mucosal resection (EMR) of visible dysplastic lesions
followed by close surveillance is the recommended approach for
low-grade dysplasia in ulcerative colitis, provided the lesion is
completely resected and there is no evidence of flat dysplasia elsewhere.
Proctocolectomy is reserved for high-grade dysplasia or multifocal
low-grade dysplasia. Chromoendoscopy aids in detection but is not the
definitive intervention. Biologics do not treat dysplasia.
STUDY (LAVANDERA X R.) | 2026 ADVANCED NURSING
ASSESSMENT, DIAGNOSTICS & CLINICAL
MANAGEMENT | COMPREHENSIVE PRACTICE
EXAMINATION STUDY GUIDE | LATEST UPDATE
2026/2027 | ACTUAL EXAM PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS
This comprehensive practice examination is designed for graduate
nursing students preparing for the NUR 5700 Advanced Nursing
Assessment, Diagnostics & Clinical Management course at Miami Dade
College, with a focused emphasis on the Post-GI Case Study (Lavandera
x R.). The examination integrates advanced pathophysiological
reasoning, diagnostic interpretation, clinical decision-making, and
evidence-based management of complex gastrointestinal disorders
across the lifespan. Content reflects the depth and rigor expected in
advanced practice nursing education, covering topics such as
inflammatory bowel disease, gastrointestinal bleeding, malabsorptive
syndromes, hepatobiliary disorders, oncologic conditions of the
digestive tract, and post-operative gastrointestinal complications. This
resource is intended to help candidates assess their readiness, identify
knowledge gaps, and strengthen their preparation for high-stakes
examinations and clinical practicum evaluations.
Table of Contents
1. Advanced Gastrointestinal Pathophysiology and Epidemiology
2. Clinical Assessment and History-Taking in GI Disorders
, 3. Diagnostic Imaging and Laboratory Interpretation
4. Endoscopic and Procedural Diagnostics
5. Inflammatory Bowel Disease: Crohn’s Disease and Ulcerative
Colitis
6. Upper and Lower Gastrointestinal Bleeding
7. Malabsorptive Syndromes and Nutritional Deficiencies
8. Hepatobiliary and Pancreatic Disorders
9. Gastrointestinal Malignancies and Oncologic Emergencies
10. Post-Operative GI Complications and Surgical Management
11. Pharmacological and Biologic Therapies in GI Disease
12. Psychosocial, Ethical, and Interprofessional Considerations
Page 1
1. A 58-year-old male with a 25-year history of gastroesophageal
reflux disease presents with progressive dysphagia to solids and
an unintentional weight loss of 12 pounds over three months.
Which diagnostic modality is considered the gold standard for
evaluating this patient’s esophageal pathology?
A) Barium swallow with fluoroscopy
B) High-resolution manometry
C) Esophagogastroduodenoscopy with biopsy
D) 24-hour pH impedance monitoring
Correct Answer: C
Esophagogastroduodenoscopy (EGD) with biopsy is the gold standard
,for diagnosing esophageal pathology, including Barrett’s esophagus and
esophageal adenocarcinoma, in patients with chronic GERD and alarm
symptoms such as dysphagia and weight loss. Barium swallow may
reveal structural abnormalities but lacks tissue diagnosis. Manometry
and pH monitoring assess motility and reflux burden, respectively, but
do not provide histologic confirmation.
2. In a patient with suspected inflammatory bowel disease, which
serologic marker demonstrates the highest sensitivity for
distinguishing Crohn’s disease from ulcerative colitis?
A) Perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA)
B) Anti-Saccharomyces cerevisiae antibody (ASCA)
C) C-reactive protein (CRP)
D) Fecal calprotectin
Correct Answer: B
ASCA (anti-Saccharomyces cerevisiae antibody) is more commonly
associated with Crohn’s disease and demonstrates moderate sensitivity
and specificity in differentiating Crohn’s from ulcerative colitis. p-ANCA
is more frequently positive in ulcerative colitis. CRP and fecal
calprotectin are markers of inflammation but lack disease-specific
differentiating ability.
3. A 72-year-old female with a history of diverticulosis presents with
acute left lower quadrant pain, fever, and leukocytosis. Computed
tomography reveals periodic fat stranding and a 3.5 cm pericolic
abscess. Which of the following represents the most appropriate
initial management strategy?
A) Outpatient oral antibiotics with clear liquid diet
B) Intravenous antibiotics and percutaneous image-guided
, drainage
C) Emergent left hemicolectomy with primary anastomosis
D) Bowel rest with total parenteral nutrition
Correct Answer: B
For complicated diverticulitis with a pericolic abscess greater than 3 cm,
the standard of care includes intravenous antibiotics and percutaneous
image-guided drainage. Outpatient management is insufficient for
abscesses of this size. Emergent surgery is reserved for cases with free
perforation or diffuse peritonitis. Bowel rest alone does not address the
abscess.
4. A patient with ulcerative colitis undergoing surveillance
colonoscopy is found to have low-grade dysplasia in a flat polypoid
lesion. According to current guidelines, which of the following is
the recommended next step?
A) Endoscopic mucosal resection with close surveillance in one
year
B) Total proctocolectomy with ileal pouch-anal anastomosis
C) Repeat colonoscopy with chromoendoscopy in three months
D) Initiation of biologic therapy with an anti-TNF agent
Correct Answer: A
Endoscopic mucosal resection (EMR) of visible dysplastic lesions
followed by close surveillance is the recommended approach for
low-grade dysplasia in ulcerative colitis, provided the lesion is
completely resected and there is no evidence of flat dysplasia elsewhere.
Proctocolectomy is reserved for high-grade dysplasia or multifocal
low-grade dysplasia. Chromoendoscopy aids in detection but is not the
definitive intervention. Biologics do not treat dysplasia.
