NUR 170 EXAM 4 GALEN | CONCEPTS OF MEDICAL-SURGICAL NURSING
STUDY GUIDE & PRACTICE QUESTIONS 2026/2027
-Heartburn
-Indigestion
-Pain
-N&V - correct answer ✔✔What are the symptoms for GERD or a Hiatal Hernia?
-Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications - correct answer ✔✔What are ways to manage the symptoms of GERD or a Hiatal Hernia?
-Obese
-Older adults
-Pregnant women
-Tight clothing - correct answer ✔✔Which patients are at risk for GERD?
Aspiration - correct answer ✔✔Patients with GERD are at risk for what?
Yes - correct answer ✔✔Can a patient have GERD and not have a hernia?
No - correct answer ✔✔Can a patient have a hernia and not have GERD?
On their right side or with the head of the bed at 30 degree angle - correct answer ✔✔If a patient has
GERD, how should they lay in bed?
- H. Pylori
- NSAIDS
- Stress - correct answer ✔✔What are common causes of peptic ulcer disease?
- 2-4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization - correct answer ✔✔How is the patient with an upper GI bleed managed?
Boardlike abdomen - correct answer ✔✔What is a sign of peritonitis?
Low BP, High pulse - correct answer ✔✔What are the vital signs for a patient with an active bleed?
"Gum to Bum"= Mouth all the way through the digestive tract is inflammed - correct answer ✔✔What
part of the body does Crohns disease affect?
Rectum/ Sigmoid colon - correct answer ✔✔What part of the body does Ulcerative Colitis affect?
, Ulverative Colitis - correct answer ✔✔Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns
Crohns - correct answer ✔✔Which disease is more immune?
--Ulcerative Colitis
-- Crohns
- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate - correct answer ✔✔Describe the diarrhea in a patient with Ulcerative
Colitis
-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools - correct answer ✔✔Describe the diarrhea in a patient with Crohns disease
Crohns disease - correct answer ✔✔Which patient has strictures and Fistulas?
Removal of the colon resulting in a ileostomy - correct answer ✔✔What is the surgical intervention for
Ulcerative Colitis?
There is none. Only surgery is performed if something is wrong (perforations, strictures, or fistulas) -
correct answer ✔✔What is the surgical intervention for Crohns?
Watery. Located on the right side of body - correct answer ✔✔Describe the stool of an illeostomy?
Formed. Located on the left side of the body - correct answer ✔✔Describe the stool of a colostomy?
- Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER - correct answer ✔✔If a colostomy is not draining, what should be done?
Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm - correct answer ✔✔How should an ostomy site
(stoma) look?
- Diarrhea or Constipation
- Soft, watery stool
- Nausea when eating or defecating
- Abnormal pain or bloating
- ***Normal weight & nutrition
- ***Normal labs - correct answer ✔✔What are the symptoms of IBS?
- Probiotics
- Fiber 30-40g per day
STUDY GUIDE & PRACTICE QUESTIONS 2026/2027
-Heartburn
-Indigestion
-Pain
-N&V - correct answer ✔✔What are the symptoms for GERD or a Hiatal Hernia?
-Lifestyle changes (diet=Low residue or bland)
-Nutrition
-Medications - correct answer ✔✔What are ways to manage the symptoms of GERD or a Hiatal Hernia?
-Obese
-Older adults
-Pregnant women
-Tight clothing - correct answer ✔✔Which patients are at risk for GERD?
Aspiration - correct answer ✔✔Patients with GERD are at risk for what?
Yes - correct answer ✔✔Can a patient have GERD and not have a hernia?
No - correct answer ✔✔Can a patient have a hernia and not have GERD?
On their right side or with the head of the bed at 30 degree angle - correct answer ✔✔If a patient has
GERD, how should they lay in bed?
- H. Pylori
- NSAIDS
- Stress - correct answer ✔✔What are common causes of peptic ulcer disease?
- 2-4L of oxygen nasal canula
-Two large bore IV's
-Isotonic solution
- N/G tube
- EGD with cauterization - correct answer ✔✔How is the patient with an upper GI bleed managed?
Boardlike abdomen - correct answer ✔✔What is a sign of peritonitis?
Low BP, High pulse - correct answer ✔✔What are the vital signs for a patient with an active bleed?
"Gum to Bum"= Mouth all the way through the digestive tract is inflammed - correct answer ✔✔What
part of the body does Crohns disease affect?
Rectum/ Sigmoid colon - correct answer ✔✔What part of the body does Ulcerative Colitis affect?
, Ulverative Colitis - correct answer ✔✔Which disease is highly genetic?
--Ulcerative Colitis
-- Crohns
Crohns - correct answer ✔✔Which disease is more immune?
--Ulcerative Colitis
-- Crohns
- Bloody/ Mucus stools
- 10-20 stools a day
- Urgent sensation to defecate - correct answer ✔✔Describe the diarrhea in a patient with Ulcerative
Colitis
-Steatorrhea (fatty and floating)
- 5-6 stool a day
- Rarely any bloody stools - correct answer ✔✔Describe the diarrhea in a patient with Crohns disease
Crohns disease - correct answer ✔✔Which patient has strictures and Fistulas?
Removal of the colon resulting in a ileostomy - correct answer ✔✔What is the surgical intervention for
Ulcerative Colitis?
There is none. Only surgery is performed if something is wrong (perforations, strictures, or fistulas) -
correct answer ✔✔What is the surgical intervention for Crohns?
Watery. Located on the right side of body - correct answer ✔✔Describe the stool of an illeostomy?
Formed. Located on the left side of the body - correct answer ✔✔Describe the stool of a colostomy?
- Moist warm towels on abdomen
- Hot tea
- Flexing knees to abdomen
- DO NOT ADD FIBER - correct answer ✔✔If a colostomy is not draining, what should be done?
Reddish, pink, moist, soft
-Should not be deep red, blue, black, dry, or firm - correct answer ✔✔How should an ostomy site
(stoma) look?
- Diarrhea or Constipation
- Soft, watery stool
- Nausea when eating or defecating
- Abnormal pain or bloating
- ***Normal weight & nutrition
- ***Normal labs - correct answer ✔✔What are the symptoms of IBS?
- Probiotics
- Fiber 30-40g per day
