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NUR 257 Chronic Exam 2 Actual Exam
Questions And Answers Practice Questions with
Solutions Newest 2026-2027 | Already Graded A+
Your client asks, "I sometimes think I am having a heart attack.
How can you tell the difference between stable angina and
having a heart attack? "Which of the following responses would
provide the client with the most accurate information?
a) "Pain associated with a heart attack is much more severe."
b) "Pain of stable angina can usually be relieved by resting or
lying down."
c) "Pain associated with a heart attack radiates into the jaw and
down the left arm."
d) "Pain of stable angina is generally easier to describe than that
of a heart attack." - ANSWER-B
Characteristics of Inflammatory Bowel Disease (IBD) -
ANSWER-- chronic inflammation
- damage of GI tract
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- exacerbated by triggers
- two type of IBD (Crohn's and UC)
- imaging scans for diagnosis
- increased risk of colon cancer
Characteristics of Irritable Bowel Syndrome (IBS) - ANSWER--
gut-brain disorder, functional disorder of intestines
- symptoms vary
- no inflammation involved
- normal exam of colon
- no increased risk of colon cancer
- most common GI complaint
- exact cause unknown
IBD nursing management - ANSWER-- remission and
exacerbation: chronic care issues
- long-term: malabsorption/malnutrition
- iron deficiency anemia (diet, oral, transfusions)
- smoking cessation
- immunosuppression treatments
- Abx, corticosteroids
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- surgery
Four subtypes of IBS - ANSWER-- IBS-C (constipation
dominant
- IBS-D (diarrhea dominant)
- IBS-M (mixed, or alternating from diarrhea to constipation)
- IBS-Unclassified (meets IBS diagnostic criteria but cannot be
accurately categorized)
Pathophysiology of hepatitis - ANSWER-Liver inflammation -
many causes
- decreases liver detoxification, protein or clotting factor
production, alters storage of vitamins, fat, glucose
Hepatitis clinical manifestations - ANSWER-- abdominal pain
- irritability
- pruritis
- malaise
- fever
- n/v
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- jaundice
- elevated AST, ALT, bilirubin, albumin
Hepatitis nursing management - ANSWER-Education
- small frequent meals
- low fat diet, moderate protein
- vaccination
- monitor liver function
Interventions
- administer meds (antiemetics, viral suppressants)
- encourage activity with rest periods
What is cholecystitis? - ANSWER-inflammation of gallbladder
caused by obstruction of bile flow
gallstones = cholelithiasis
Cholecystitis clinical manifestations - ANSWER-- most are
asymptomatic
- RUQ "colicky" intermittent pain
NUR 257 Chronic Exam 2 Actual Exam
Questions And Answers Practice Questions with
Solutions Newest 2026-2027 | Already Graded A+
Your client asks, "I sometimes think I am having a heart attack.
How can you tell the difference between stable angina and
having a heart attack? "Which of the following responses would
provide the client with the most accurate information?
a) "Pain associated with a heart attack is much more severe."
b) "Pain of stable angina can usually be relieved by resting or
lying down."
c) "Pain associated with a heart attack radiates into the jaw and
down the left arm."
d) "Pain of stable angina is generally easier to describe than that
of a heart attack." - ANSWER-B
Characteristics of Inflammatory Bowel Disease (IBD) -
ANSWER-- chronic inflammation
- damage of GI tract
,2|Page
- exacerbated by triggers
- two type of IBD (Crohn's and UC)
- imaging scans for diagnosis
- increased risk of colon cancer
Characteristics of Irritable Bowel Syndrome (IBS) - ANSWER--
gut-brain disorder, functional disorder of intestines
- symptoms vary
- no inflammation involved
- normal exam of colon
- no increased risk of colon cancer
- most common GI complaint
- exact cause unknown
IBD nursing management - ANSWER-- remission and
exacerbation: chronic care issues
- long-term: malabsorption/malnutrition
- iron deficiency anemia (diet, oral, transfusions)
- smoking cessation
- immunosuppression treatments
- Abx, corticosteroids
,3|Page
- surgery
Four subtypes of IBS - ANSWER-- IBS-C (constipation
dominant
- IBS-D (diarrhea dominant)
- IBS-M (mixed, or alternating from diarrhea to constipation)
- IBS-Unclassified (meets IBS diagnostic criteria but cannot be
accurately categorized)
Pathophysiology of hepatitis - ANSWER-Liver inflammation -
many causes
- decreases liver detoxification, protein or clotting factor
production, alters storage of vitamins, fat, glucose
Hepatitis clinical manifestations - ANSWER-- abdominal pain
- irritability
- pruritis
- malaise
- fever
- n/v
, 4|Page
- jaundice
- elevated AST, ALT, bilirubin, albumin
Hepatitis nursing management - ANSWER-Education
- small frequent meals
- low fat diet, moderate protein
- vaccination
- monitor liver function
Interventions
- administer meds (antiemetics, viral suppressants)
- encourage activity with rest periods
What is cholecystitis? - ANSWER-inflammation of gallbladder
caused by obstruction of bile flow
gallstones = cholelithiasis
Cholecystitis clinical manifestations - ANSWER-- most are
asymptomatic
- RUQ "colicky" intermittent pain
