Finall Exam:l NRl 324/l NR324l (NEWl
2026/l 2027l Update)l Adultl Healthl Il
Review|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-
Chamberlain
QUESTION
Diverticulitis
Answer:
inflammationl ofl al diverticulum
-outpouchingl withl infection/inflammation
Developsl froml al morel seriousl casel ofl diverticulosisl
Manifestations:l acutel painl inl leftl lowerl quadrant,l palpablel abdominall mass,l N/V,l andl
symptomsl ofl infection
Managementl andl treatment:
Acutel care:l antibioticl therapy,l NPO,l IVl fluids,l NGl suction,l surgery,l possiblel resectionl
ofl involvedl colon,l possiblel temp.l colostomyl (letl colonl rest)
Tests-l colonoscopy,l CT,withl orall contrast,l abdominall andl chestl x-ray
Teaching:l importancel ofl highl fiberl dietl andl encouragel fluidl intakel ofl 2L/day
-avoidl straining,l vomiting,l bending,l heavyl lifting,l andl wearingl tightl restrictivel clothing
QUESTION
Whyl mightl al patientl withl diverticulitisl needl tol bel hospitalized?
Answer:
Hospitalizationl isl necessaryl ifl symptomsl arel severe,l thel patientl isl unablel tol toleratel
orall fluids,l therel arel systemicl manifestationsl ofl infectionl (fever,l significantl leukocytosis),l
orl thel patientl hasl co-morbidl conditionsl (e.g.,l immunosuppression).
-keptl onl NPOl statusl w/l IVl fluidsl andl antibioticsl
****Observel forl signsl ofl abscess,l bleeding,l andl peritonitis,l andl monitorl thel WBCl count
,QUESTION
Howl dol wel helpl preventl diverticulosisl froml turningl intol diverticulitits
Answer:
Mostl peoplel neverl developl diverticulitisl
Ptl shouldl eatl al highl fiberl diet,l exercisel regularlyl andl avoidl intral abdominall pressurel
-Eatl plentyl ofl fruitsl andl vegetablesl andl limitl intakel ofl fatl andl redl meat
QUESTION
Diverticulosis
Answer:
-mainl factorl thoughtl tol contributel tol thel developmentl diverticulitisl
-decreasesl stooll sizel andl firmnessl allowingl pressurel onl weakl point
Riskl factors:l lowl fiberl diet,l obesity,l inactivity,l smoking,l excessivel alcoholl use,l andl
immunosuppression
Assessment-l asymptomatic,l abdominall pain,l bloating,l flatulencel andl bowell habitl changes,l
bloodl culture,l bariuml enema,l stooll testing
Complications-l bleeding,l diverticulitisl
Tests-l
Management-l avoidl nuts,l foodsl withl seeds,l highl fiber,l exercise,l weightl reduction,l avoidl
intraabdominall pressure,l stooll softeners,l clearl liquidl diet,l anticholinergics,l orall antibioticsl
Teaching-l highl levelsl ofl exercisel arel needed,l importancel ofl highl fiberl dietl andl
encouragel fluidl intakel ofl 2L/day,l weightl reductionl helps
-avoidl straining,l vomiting,l bending,l heavyl lifting,l andl wearingl tightl restrictivel clothing
QUESTION
Whatl typel ofl dietl shouldl patientsl withl Diverticulosisl andl Diverticulitisl bel placedl on?
Answer:
Clearl liquidl diet
Highl fiberl diet
--avoidl nutsl andl foodsl withl seedsl
--decreasel intakel ofl fatl andl redl meat
Intakel fiberl mainlyl froml fruitsl andl vegetable
,QUESTION
Celiacl disease
Answer:
Autoimmunel diseasel thatl damagesl thel smalll intestinel mucosa
Assessment-l foull smellingl diarrhea,l steatorrhea,l abdominall distention,l malnutrition,l
osteoporosis,l ironl andl folatel deficiencies,l reproductivel problems,l rash
Tests-l biopsy,l serologicl testing
Management-l gluten-freel diet
-increasel riskl ofl non-Hodgkinsl lymphomal andl GIl cancersl ifl leftl untreated
QUESTION
Nursingl interventionsl andl clientl teachingl forl celiacl disease
Answer:
Interventions:l Usingl phonel appsl tol helpl withl glutenl freel foods
Teaching:l glutenl freel dietl isl needed,l teachl foodl andl medicationsl labelsl
-avoidl wheat,l barley,l oats,l andl ryel products
QUESTION
Whatl foodsl shouldl celiacl patientsl avoid?
Answer:
•l Bakedl goods,l includingl muffins,l cookies,l cakes,l pies
•l Barley
•l Bread,l includingl wheatl bread,l whitel bread,l "potato"l bread
•l Flour
•l Glutenl stabilizers
•l Oats
•l Pasta,l pizza,l bagels
•l Rye
•l Wheat
QUESTION
, Colorectall cancer
Answer:
Affectsl bothl menl andl women
-2ndl leadingl causel ofl cancer-relatel deaths
-3rdl mostl commonl forml ofl cancer
-Morel commonl inl men
-l Highestl mortalityl ratesl amongl Africanl Americanl menl andl women
-Riskl ofl diseasel increasesl withl age
QUESTION
Colorectall cancerl S/S
Answer:
Insidiousl onset
Changel inl bowell habits
Unexplainedl weightl loss
Vaguel abdominall pain
Weaknessl andl fatiguel
Rectall bleeding
Changel inl stooll caliber
Alternatingl constipationl andl diarrhea
Obstruction
Sensationl ofl incompletel evacuation
QUESTION
Whenl shouldl peoplel beingl gettingl al colonoscopy?
Answer:
Agesl 50-75l
-earlierl ifl familyl hx
Flexiblel sigmoidoscopyl everyl 5l years
Colonoscopyl everyl 10l years
Double-contrastl bariuml enemal everyl 5l years
CTl colonographyl everyl 5l years
2026/l 2027l Update)l Adultl Healthl Il
Review|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-
Chamberlain
QUESTION
Diverticulitis
Answer:
inflammationl ofl al diverticulum
-outpouchingl withl infection/inflammation
Developsl froml al morel seriousl casel ofl diverticulosisl
Manifestations:l acutel painl inl leftl lowerl quadrant,l palpablel abdominall mass,l N/V,l andl
symptomsl ofl infection
Managementl andl treatment:
Acutel care:l antibioticl therapy,l NPO,l IVl fluids,l NGl suction,l surgery,l possiblel resectionl
ofl involvedl colon,l possiblel temp.l colostomyl (letl colonl rest)
Tests-l colonoscopy,l CT,withl orall contrast,l abdominall andl chestl x-ray
Teaching:l importancel ofl highl fiberl dietl andl encouragel fluidl intakel ofl 2L/day
-avoidl straining,l vomiting,l bending,l heavyl lifting,l andl wearingl tightl restrictivel clothing
QUESTION
Whyl mightl al patientl withl diverticulitisl needl tol bel hospitalized?
Answer:
Hospitalizationl isl necessaryl ifl symptomsl arel severe,l thel patientl isl unablel tol toleratel
orall fluids,l therel arel systemicl manifestationsl ofl infectionl (fever,l significantl leukocytosis),l
orl thel patientl hasl co-morbidl conditionsl (e.g.,l immunosuppression).
-keptl onl NPOl statusl w/l IVl fluidsl andl antibioticsl
****Observel forl signsl ofl abscess,l bleeding,l andl peritonitis,l andl monitorl thel WBCl count
,QUESTION
Howl dol wel helpl preventl diverticulosisl froml turningl intol diverticulitits
Answer:
Mostl peoplel neverl developl diverticulitisl
Ptl shouldl eatl al highl fiberl diet,l exercisel regularlyl andl avoidl intral abdominall pressurel
-Eatl plentyl ofl fruitsl andl vegetablesl andl limitl intakel ofl fatl andl redl meat
QUESTION
Diverticulosis
Answer:
-mainl factorl thoughtl tol contributel tol thel developmentl diverticulitisl
-decreasesl stooll sizel andl firmnessl allowingl pressurel onl weakl point
Riskl factors:l lowl fiberl diet,l obesity,l inactivity,l smoking,l excessivel alcoholl use,l andl
immunosuppression
Assessment-l asymptomatic,l abdominall pain,l bloating,l flatulencel andl bowell habitl changes,l
bloodl culture,l bariuml enema,l stooll testing
Complications-l bleeding,l diverticulitisl
Tests-l
Management-l avoidl nuts,l foodsl withl seeds,l highl fiber,l exercise,l weightl reduction,l avoidl
intraabdominall pressure,l stooll softeners,l clearl liquidl diet,l anticholinergics,l orall antibioticsl
Teaching-l highl levelsl ofl exercisel arel needed,l importancel ofl highl fiberl dietl andl
encouragel fluidl intakel ofl 2L/day,l weightl reductionl helps
-avoidl straining,l vomiting,l bending,l heavyl lifting,l andl wearingl tightl restrictivel clothing
QUESTION
Whatl typel ofl dietl shouldl patientsl withl Diverticulosisl andl Diverticulitisl bel placedl on?
Answer:
Clearl liquidl diet
Highl fiberl diet
--avoidl nutsl andl foodsl withl seedsl
--decreasel intakel ofl fatl andl redl meat
Intakel fiberl mainlyl froml fruitsl andl vegetable
,QUESTION
Celiacl disease
Answer:
Autoimmunel diseasel thatl damagesl thel smalll intestinel mucosa
Assessment-l foull smellingl diarrhea,l steatorrhea,l abdominall distention,l malnutrition,l
osteoporosis,l ironl andl folatel deficiencies,l reproductivel problems,l rash
Tests-l biopsy,l serologicl testing
Management-l gluten-freel diet
-increasel riskl ofl non-Hodgkinsl lymphomal andl GIl cancersl ifl leftl untreated
QUESTION
Nursingl interventionsl andl clientl teachingl forl celiacl disease
Answer:
Interventions:l Usingl phonel appsl tol helpl withl glutenl freel foods
Teaching:l glutenl freel dietl isl needed,l teachl foodl andl medicationsl labelsl
-avoidl wheat,l barley,l oats,l andl ryel products
QUESTION
Whatl foodsl shouldl celiacl patientsl avoid?
Answer:
•l Bakedl goods,l includingl muffins,l cookies,l cakes,l pies
•l Barley
•l Bread,l includingl wheatl bread,l whitel bread,l "potato"l bread
•l Flour
•l Glutenl stabilizers
•l Oats
•l Pasta,l pizza,l bagels
•l Rye
•l Wheat
QUESTION
, Colorectall cancer
Answer:
Affectsl bothl menl andl women
-2ndl leadingl causel ofl cancer-relatel deaths
-3rdl mostl commonl forml ofl cancer
-Morel commonl inl men
-l Highestl mortalityl ratesl amongl Africanl Americanl menl andl women
-Riskl ofl diseasel increasesl withl age
QUESTION
Colorectall cancerl S/S
Answer:
Insidiousl onset
Changel inl bowell habits
Unexplainedl weightl loss
Vaguel abdominall pain
Weaknessl andl fatiguel
Rectall bleeding
Changel inl stooll caliber
Alternatingl constipationl andl diarrhea
Obstruction
Sensationl ofl incompletel evacuation
QUESTION
Whenl shouldl peoplel beingl gettingl al colonoscopy?
Answer:
Agesl 50-75l
-earlierl ifl familyl hx
Flexiblel sigmoidoscopyl everyl 5l years
Colonoscopyl everyl 10l years
Double-contrastl bariuml enemal everyl 5l years
CTl colonographyl everyl 5l years
