MINDPLUG SOLUTIONS , EMPOWERING MINDS, BUILDING FUTURES
NU372 WEEK 6 HESI CASE EXAM 2025
INFLAMMATORY BOWEL DISEASE STUDY GUIDE &
VERIFIED QUESTIONS AND ANSWERS GRADED A+
Client is a college student who reports that she has been in good health until the last few
months, when she started to experience increasing abdominal pain and diarrhea. Client is
evaluated for possible ulcerative colitis, an inflammatory bowel disease.
The nurse anticipates that client will describe her diarrhea as:
o Bloody.
o Green and frothy.
o Gray with observable fat.
o Clay-colored.
o Bloody.
· Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per
day.
After insertion of the venous access device, client is started on a TPN solution containing
50% dextrose, amino acids, lipids, vitamins, and minerals at 60 mL/hour. The nurse obtains
a fingerstick glucose level 6 hours after the TPN was started. Her blood glucose level is 215
mg/dl (11.93 mmol/L). What action should the nurse take?
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS , EMPOWERING MINDS, BUILDING FUTURES
o Slow down the rate of infusion to 30 mL/hour.
o Call the lab to obtain a stat glucose via venipuncture.
o Add regular insulin to the infusing TPN solution.
o Administer insulin using a sliding scale protocol.
o Administer insulin using a sliding scale protocol.
· Because of the high dextrose content, blood glucose levels should be monitored routinely
and insulin should be administered per sliding scale. To reduce the likelihood of
hyperglycemia, insulin may also be added to the TPN solution in the pharmacy.
Which medication that client is receiving is most likely to contribute to her increased blood
glucose level?
o Azathioprine.
o Diphenoxylate.
o Prednisone.
o Sulfasalazine.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS , EMPOWERING MINDS, BUILDING FUTURES
o Prednisone.
· Prednisone is a glucocorticoid, which may increase serum glucose.
The TPN is available in a 1000 mL bag and is prescribed to run at 60 mL per hour. The nurse
will expect to hang a new bag in approximately how many hours?
17
The next day, the nurse enters client's room and notes that only 30 mL of the TPN solution
is remaining. The nurse contacts the pharmacy and learns that the next bag of TPN will not
be available for 2 hours. What action should the nurse take after the remaining TPN has
infused?
o Apply a lock and flush the line with a heparin sodium flush solution.
o Hang a 500 mL bag of sodium chloride 0.9% at a KVO rate.
o Hang a liter of 10% dextrose in water (D10W) at the same rate of infusion.
o Hang a liter of sodium lactate (RL) solution at the same rate of infusion.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
NU372 WEEK 6 HESI CASE EXAM 2025
INFLAMMATORY BOWEL DISEASE STUDY GUIDE &
VERIFIED QUESTIONS AND ANSWERS GRADED A+
Client is a college student who reports that she has been in good health until the last few
months, when she started to experience increasing abdominal pain and diarrhea. Client is
evaluated for possible ulcerative colitis, an inflammatory bowel disease.
The nurse anticipates that client will describe her diarrhea as:
o Bloody.
o Green and frothy.
o Gray with observable fat.
o Clay-colored.
o Bloody.
· Clients with ulcerative colitis may experience as many as 10-20 liquid, bloody stools per
day.
After insertion of the venous access device, client is started on a TPN solution containing
50% dextrose, amino acids, lipids, vitamins, and minerals at 60 mL/hour. The nurse obtains
a fingerstick glucose level 6 hours after the TPN was started. Her blood glucose level is 215
mg/dl (11.93 mmol/L). What action should the nurse take?
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS , EMPOWERING MINDS, BUILDING FUTURES
o Slow down the rate of infusion to 30 mL/hour.
o Call the lab to obtain a stat glucose via venipuncture.
o Add regular insulin to the infusing TPN solution.
o Administer insulin using a sliding scale protocol.
o Administer insulin using a sliding scale protocol.
· Because of the high dextrose content, blood glucose levels should be monitored routinely
and insulin should be administered per sliding scale. To reduce the likelihood of
hyperglycemia, insulin may also be added to the TPN solution in the pharmacy.
Which medication that client is receiving is most likely to contribute to her increased blood
glucose level?
o Azathioprine.
o Diphenoxylate.
o Prednisone.
o Sulfasalazine.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS , EMPOWERING MINDS, BUILDING FUTURES
o Prednisone.
· Prednisone is a glucocorticoid, which may increase serum glucose.
The TPN is available in a 1000 mL bag and is prescribed to run at 60 mL per hour. The nurse
will expect to hang a new bag in approximately how many hours?
17
The next day, the nurse enters client's room and notes that only 30 mL of the TPN solution
is remaining. The nurse contacts the pharmacy and learns that the next bag of TPN will not
be available for 2 hours. What action should the nurse take after the remaining TPN has
infused?
o Apply a lock and flush the line with a heparin sodium flush solution.
o Hang a 500 mL bag of sodium chloride 0.9% at a KVO rate.
o Hang a liter of 10% dextrose in water (D10W) at the same rate of infusion.
o Hang a liter of sodium lactate (RL) solution at the same rate of infusion.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
