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NUR 113 Exam 4 Study Guide | 100+ Exam Questions & Verified Answers | Gastrointestinal Disorders, GERD, Peptic Ulcer Disease, Appendicitis, IBD & Colorectal Disorders

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Master NUR 113 Exam 4 with this comprehensive study guide featuring 100+ carefully compiled exam questions and verified answers covering the essential concepts of gastrointestinal (GI) and intestinal disorders. This resource provides in-depth review of stomatitis, hiatal hernia, gastroesophageal reflux disease (GERD), Barrett's esophagus, acute and chronic gastritis, Helicobacter pylori infection, peptic ulcer disease (PUD), gastric cancer, dumping syndrome, appendicitis, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), Crohn's disease, ulcerative colitis, diverticulitis, colorectal disorders, hemorrhoids, abdominal trauma, colostomy care, hernias, and postoperative gastrointestinal nursing management. The study guide also reinforces nursing assessment, diagnostic testing, pharmacological interventions, nutrition therapy, patient education, surgical care, emergency management, and priority nursing interventions commonly assessed in medical-surgical nursing examinations. Presented in an organized question-and-answer format, this study guide is designed to help nursing students strengthen clinical reasoning and confidently prepare for NUR 113 Exam 4, medical-surgical nursing examinations, ATI-style assessments, NCLEX-style practice questions, and course competency evaluations. Learners will review evidence-based nursing care for gastrointestinal diseases, interpretation of clinical manifestations, diagnostic procedures, medication management, perioperative nursing care, gastrointestinal emergencies, fluid and electrolyte considerations, patient teaching, and priority nursing interventions. This resource provides a comprehensive review of high-yield gastrointestinal nursing concepts, enabling students to improve exam performance while reinforcing safe, patient-centered care across a broad range of digestive system disorders. Relevant Students: NUR 113 nursing students Associate Degree in Nursing (ADN) students Bachelor of Science in Nursing (BSN) students Medical-Surgical Nursing students Practical Nursing (LPN/LVN) students Registered Nurse (RN) students Pre-licensure nursing students NCLEX-RN candidates NCLEX-PN candidates ATI examination candidates Health sciences students Nursing students preparing for gastrointestinal nursing examinations APA References Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2023). Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems (12th ed.). Elsevier. Hinkle, J. L., & Cheever, K. H. (2021). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (15th ed.). Wolters Kluwer. Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (2024). Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care (11th ed.). Elsevier. National Council of State Boards of Nursing. (2023). NCLEX-RN Test Plan. National Council of State Boards of Nursing. Keywords NUR 113, NUR 113 Exam 4, gastrointestinal disorders, GI disorders, medical-surgical nursing, Med Surg, GERD, gastroesophageal reflux disease, Barrett's esophagus, hiatal hernia, stomatitis, gastritis, acute gastritis, chronic gastritis, Helicobacter pylori, H. pylori, peptic ulcer disease, PUD, gastric ulcer, duodenal ulcer, gastric cancer, dumping syndrome, appendicitis, McBurney's point, Rovsing's sign, irritable bowel syndrome, IBS, inflammatory bowel disease, IBD, Crohn's disease, ulcerative colitis, diverticulitis, colorectal disorders, hemorrhoids, abdominal trauma, colostomy care, postoperative nursing care, gastrointestinal bleeding, GI bleed, nursing assessment, nursing interventions, patient education, NCLEX, ATI, exam questions, verified answers, study guide

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Exam 4 NUR 113 (GI, Intestinal
Disorders) 2026 Exam
Questions and Answers |
Already Graded A+



The nurse recognizes which risk factors for the development of

stomatitis?

(Select all that apply.)

A. High-fiber diet

B. Radiation therapy

C. Past history of skin cancer

D. Poor dental hygiene

,E. Smoking - ANSWER ✔✔B, D, E


The nurse correlates which clinical manifestation to type 1 hiatal hernia?

A. Heartburn

B. GERD

C. Chest pain


D. Anorexia - ANSWER ✔✔D


In preparing a patient for esophageal manometry, which content does

the nurse include in preprocedure teaching?

A. This test measures the acid content in your stomach.

B. This test measures the pressure and action of the esophagus.

C. This test allows a sample of the esophagus to be obtained.

D. This test is used only in patients with diagnosed hiatal hernia. -

ANSWER ✔✔B


Which statement by the patient undergoing external beam radiation

indicates the need for further teaching?

A. "My grandchildren will not be able to visit because I will be

radioactive."

B. "This therapy will hopefully decrease the size of the tumor."

,C. "I will have daily radiation treatments for several weeks."


D. "At least this procedure is not painful." - ANSWER ✔✔A




Rationale: External beam radiation does not make the patient

radioactive, so there are no visiting restrictions based upon this therapy.

The goal of this type of treatment is to decrease the size and spread of

the tumor, and may be provided before or after surgical resection.

Treatment is typically several weeks, and there is no pain associated

with the actual radiation.

The nurse implements which interventions to decrease the risk of

dumping syndrome in the patient after esophageal resection for cancer?

A. Limit diet to clear liquids only.

B. Increase protein in diet.

C. Increase simple sugars in the diet.


D. Provide 8 to 10 small meals. - ANSWER ✔✔B




Rationale: After esophageal surgery, the patient is at risk for dumping

syndrome, which leads to diarrhea after meals. Smaller meals, along

with a decrease in complex sugars, and high in protein and fat delay

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, gastric emptying and prevent dumping syndrome. Clear liquids are not

indicated, and too much fluid may exacerbate dumping syndrome. The

patient is typically provided with 6 meals per day; 8 to 10 would be too

frequent.

The nurse provides education to a patient who has a hiatal hernia and

experiences GERD after eating. Which activity should the nurse instruct

this patient to avoid?

A. Lying flat after meals

B. Eating small, frequent meals that are not spicy

C. Sleeping with the HOB elevated 30 degrees


D. Taking ranitidine on an empty stomach - ANSWER ✔✔A


The nurse has requested a dietary consult for a patient with GERD.

What statements provide useful dietary information for this patient to

manage the GERD symptoms? (Select all that apply.)

A. Maintain an ideal body weight.

B. Avoid spicy foods.

C. Avoid fatty foods.

D. A glass of wine after dinner will help you relax.

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