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NUR 255 Chronic Exam 4 Review 2026 Latest Update
With Complete Solutions||Verified Exam!!!
5. The nurse assesses a client who is hospitalized with an
exacerbation of Crohn disease. Which assessment finding
would the nurse expect?
a. Positive Murphy sign with rebound tenderness to
palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal
quadrants
c. High-pitched, rushing bowel sounds in the right lower
quadrant
d. Reports of abdominal cramping that is worse at night -
Answers-c. High-pitched, rushing bowel sounds in the
right lower quadrant
The nurse expects high-pitched, rushing bowel sounds
due to narrowing of the bowel lumen in Crohn disease. A
positive Murphy sign is indicative of gallbladder disease,
and rebound tenderness often indicates peritonitis.
Dullness in the lower abdominal quadrants and hypoactive
bowel sounds is not commonly found with Crohn disease.
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Nightly worsening of abdominal cramping is not consistent
with Crohn disease.
7. A nurse cares for a young client with a new ileostomy.
The client states, "I cannot go to prom with an ostomy."
How would the nurse respond?
a. "Sure you can. Purchase a prom dress one size larger
to hide the ostomy appliance."
b. "The pouch won't be as noticeable if you avoid broccoli
and carbonated drinks prior to the prom."
c. "Let's talk to the ostomy nurse about options for ostomy
supplies and dress styles."
d. "You can remove the pouch from your ostomy appliance
when you are at the prom so that it is less noticeable." -
Answers-c. "Let's talk to the ostomy nurse about options
for ostomy supplies and dress styles."
The ostomy nurse is a valuable resource for patients,
providing suggestions for supplies and methods to
manage the ostomy. A larger dress size will not
necessarily help hide the ostomy appliance. Avoiding
broccoli and carbonated drinks does not offer reassurance
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for the client. Ileostomies have an almost constant liquid
effluent, so pouch removal during the prom is not feasible.
9. After teaching a client who is prescribed adalimumab for
severe ulcerative colitis (UC), the nurse assesses the
client's understanding. Which statement made by the
client indicates a need for further teaching?
a. "I will avoid large crowds and people who are sick."
b. "I will take this medication with my breakfast each
morning."
c. "Nausea and vomiting are common side effects of this
drug."
d. "I should wash my hands after I play with my dog." -
Answers-b. "I will take this medication with my breakfast
each morning."
Adalimumab is an immune modulator that is given via
subcutaneous injection. It does not need to be given with
food or milk. Nausea and vomiting are two common side
effects. Adalimumab can cause immune suppression, so
clients receiving the medication should avoid large crowds
and people who are sick, and should practice good
handwashing.
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10. The nurse is caring for a client who is prescribed
sulfasalazine. Which question would the nurse ask the
client before starting this drug?
a. "Are you taking Vitamin C or B?
b. "Do you have any allergy to sulfa drugs?"
c. "Can you swallow pills pretty easily?"
d. "Do you have insurance to cover this drug?" - Answers-
b. "Do you have any allergy to sulfa drugs?"
Sulfasalazine is a sulfa drug given for clients who have
ulcerative colitis. However, it should not be given to those
who have an allergy to sulfa and sulfa drugs to prevent a
hypersensitivity reaction.
11. A nurse assesses a client who has ulcerative colitis
and severe diarrhea. Which assessment would the nurse
complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
NUR 255 Chronic Exam 4 Review 2026 Latest Update
With Complete Solutions||Verified Exam!!!
5. The nurse assesses a client who is hospitalized with an
exacerbation of Crohn disease. Which assessment finding
would the nurse expect?
a. Positive Murphy sign with rebound tenderness to
palpitation
b. Dull, hypoactive bowel sounds in the lower abdominal
quadrants
c. High-pitched, rushing bowel sounds in the right lower
quadrant
d. Reports of abdominal cramping that is worse at night -
Answers-c. High-pitched, rushing bowel sounds in the
right lower quadrant
The nurse expects high-pitched, rushing bowel sounds
due to narrowing of the bowel lumen in Crohn disease. A
positive Murphy sign is indicative of gallbladder disease,
and rebound tenderness often indicates peritonitis.
Dullness in the lower abdominal quadrants and hypoactive
bowel sounds is not commonly found with Crohn disease.
,2|Page
Nightly worsening of abdominal cramping is not consistent
with Crohn disease.
7. A nurse cares for a young client with a new ileostomy.
The client states, "I cannot go to prom with an ostomy."
How would the nurse respond?
a. "Sure you can. Purchase a prom dress one size larger
to hide the ostomy appliance."
b. "The pouch won't be as noticeable if you avoid broccoli
and carbonated drinks prior to the prom."
c. "Let's talk to the ostomy nurse about options for ostomy
supplies and dress styles."
d. "You can remove the pouch from your ostomy appliance
when you are at the prom so that it is less noticeable." -
Answers-c. "Let's talk to the ostomy nurse about options
for ostomy supplies and dress styles."
The ostomy nurse is a valuable resource for patients,
providing suggestions for supplies and methods to
manage the ostomy. A larger dress size will not
necessarily help hide the ostomy appliance. Avoiding
broccoli and carbonated drinks does not offer reassurance
,3|Page
for the client. Ileostomies have an almost constant liquid
effluent, so pouch removal during the prom is not feasible.
9. After teaching a client who is prescribed adalimumab for
severe ulcerative colitis (UC), the nurse assesses the
client's understanding. Which statement made by the
client indicates a need for further teaching?
a. "I will avoid large crowds and people who are sick."
b. "I will take this medication with my breakfast each
morning."
c. "Nausea and vomiting are common side effects of this
drug."
d. "I should wash my hands after I play with my dog." -
Answers-b. "I will take this medication with my breakfast
each morning."
Adalimumab is an immune modulator that is given via
subcutaneous injection. It does not need to be given with
food or milk. Nausea and vomiting are two common side
effects. Adalimumab can cause immune suppression, so
clients receiving the medication should avoid large crowds
and people who are sick, and should practice good
handwashing.
, 4|Page
10. The nurse is caring for a client who is prescribed
sulfasalazine. Which question would the nurse ask the
client before starting this drug?
a. "Are you taking Vitamin C or B?
b. "Do you have any allergy to sulfa drugs?"
c. "Can you swallow pills pretty easily?"
d. "Do you have insurance to cover this drug?" - Answers-
b. "Do you have any allergy to sulfa drugs?"
Sulfasalazine is a sulfa drug given for clients who have
ulcerative colitis. However, it should not be given to those
who have an allergy to sulfa and sulfa drugs to prevent a
hypersensitivity reaction.
11. A nurse assesses a client who has ulcerative colitis
and severe diarrhea. Which assessment would the nurse
complete first?
a. Inspection of oral mucosa
b. Recent dietary intake
