NUR 257 Chronic Exam 2 Practice Test Bank
Actual Exam Questions And Answers
Graded A+
Welcome to the NUR 257 Chronic Exam 2 Practice Test Bank. This comprehensive
examination focuses on the essential concepts of chronic gastrointestinal and hepatic disorders,
including Ischemic Heart Disease (Stable Angina vs. Myocardial Infarction), Inflammatory
Bowel Disease (Crohn's Disease and Ulcerative Colitis), Irritable Bowel Syndrome (IBS),
Hepatitis, Cholecystitis, and Cholelithiasis. The exam covers key domains including:
Pathophysiology, Clinical Manifestations, Diagnostic Criteria, Nursing Management, Patient
Education, and Pharmacological Interventions. Each question includes the correct answer and a
short rationale to facilitate effective learning and self-assessment. Use this test bank to prepare
thoroughly for your exam.
1. 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
Rationale: Stable angina is typically relieved by rest or nitroglycerin. Myocardial
infarction pain is not relieved by rest and is associated with other symptoms.
,2. Characteristics of Inflammatory Bowel Disease (IBD) include:
a) Chronic inflammation, damage of GI tract, exacerbated by triggers, two types (Crohn's
and UC), imaging scans for diagnosis, increased risk of colon cancer.
b) Absence of inflammation, normal colon exam, no increased risk of colon cancer.
c) Gut-brain disorder with no inflammation involved.
d) Symptoms that vary and no increased risk of colon cancer.
Answer: A
Rationale: IBD is characterized by chronic inflammation, damage to the GI tract,
exacerbation by triggers, two main types (Crohn's and UC), diagnosis via imaging, and an
increased risk of colon cancer.
3. Characteristics of Irritable Bowel Syndrome (IBS) include:
a) 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.
b) Chronic inflammation, damage of GI tract, increased risk of colon cancer.
c) Damage to the GI tract with inflammation.
d) Increased risk of colon cancer and inflammation of the colon.
Answer: A
Rationale: IBS is a functional gut-brain disorder characterized by variable symptoms,
absence of inflammation, normal colon exam, no increased cancer risk, and unknown
etiology.
4. IBD nursing management includes:
a) Remission and exacerbation: chronic care issues, long-term: malabsorption/malnutrition,
iron deficiency anemia (diet, oral, transfusions), smoking cessation, immunosuppression
treatments, Abx, corticosteroids, surgery.
,b) Only symptom management with antidiarrheals.
c) High-fiber diet and increased physical activity only.
d) No pharmacological interventions are used.
Answer: A
Rationale: IBD management focuses on chronic care, addressing malabsorption, anemia,
smoking cessation, immunosuppression, antibiotics, corticosteroids, and surgery when
necessary.
5. Four subtypes of IBS include:
a) 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).
b) IBS-A (all types), IBS-B (bloating dominant), IBS-P (pain dominant), IBS-N (no symptoms).
c) IBS-1, IBS-2, IBS-3, IBS-4 based on severity.
d) IBS with inflammation, IBS without inflammation, IBS with ulcers, IBS without ulcers.
Answer: A
Rationale: The four subtypes of IBS are constipation-dominant (IBS-C), diarrhea-dominant
(IBS-D), mixed (IBS-M), and unclassified (IBS-U).
6. Pathophysiology of hepatitis includes:
a) Liver inflammation - many causes, decreases liver detoxification, protein or clotting
factor production, alters storage of vitamins, fat, glucose.
b) Inflammation of the gallbladder caused by obstruction of bile flow.
c) Functional disorder of the intestines with no inflammation.
d) Chronic inflammation of the colon only.
, Answer: A
Rationale: Hepatitis involves liver inflammation that impairs detoxification, protein
synthesis, clotting factor production, and storage of vitamins, fat, and glucose.
7. Hepatitis clinical manifestations include:
a) Abdominal pain, irritability, pruritis, malaise, fever, n/v, jaundice, elevated AST, ALT,
bilirubin, albumin.
b) RUQ colicky intermittent pain.
c) Constipation, bloating, and alternating diarrhea.
d) Chest pain relieved by rest.
Answer: A
Rationale: Hepatitis presents with abdominal pain, pruritis, malaise, fever,
nausea/vomiting, jaundice, and elevated liver enzymes (AST, ALT, bilirubin).
8. Hepatitis nursing management includes:
a) Education: small frequent meals, low fat diet, moderate protein, vaccination, monitor
liver function. Interventions: administer meds (antiemetics, viral suppressants), encourage
activity with rest periods.
b) High-fat diet, high-protein diet, and no vaccinations.
c) Strict bed rest and no medications.
d) Only surgical interventions.
Answer: A
Rationale: Hepatitis management includes dietary modifications (small frequent meals, low
fat, moderate protein), vaccination, monitoring liver function, medications, and balancing
activity with rest.
Actual Exam Questions And Answers
Graded A+
Welcome to the NUR 257 Chronic Exam 2 Practice Test Bank. This comprehensive
examination focuses on the essential concepts of chronic gastrointestinal and hepatic disorders,
including Ischemic Heart Disease (Stable Angina vs. Myocardial Infarction), Inflammatory
Bowel Disease (Crohn's Disease and Ulcerative Colitis), Irritable Bowel Syndrome (IBS),
Hepatitis, Cholecystitis, and Cholelithiasis. The exam covers key domains including:
Pathophysiology, Clinical Manifestations, Diagnostic Criteria, Nursing Management, Patient
Education, and Pharmacological Interventions. Each question includes the correct answer and a
short rationale to facilitate effective learning and self-assessment. Use this test bank to prepare
thoroughly for your exam.
1. 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
Rationale: Stable angina is typically relieved by rest or nitroglycerin. Myocardial
infarction pain is not relieved by rest and is associated with other symptoms.
,2. Characteristics of Inflammatory Bowel Disease (IBD) include:
a) Chronic inflammation, damage of GI tract, exacerbated by triggers, two types (Crohn's
and UC), imaging scans for diagnosis, increased risk of colon cancer.
b) Absence of inflammation, normal colon exam, no increased risk of colon cancer.
c) Gut-brain disorder with no inflammation involved.
d) Symptoms that vary and no increased risk of colon cancer.
Answer: A
Rationale: IBD is characterized by chronic inflammation, damage to the GI tract,
exacerbation by triggers, two main types (Crohn's and UC), diagnosis via imaging, and an
increased risk of colon cancer.
3. Characteristics of Irritable Bowel Syndrome (IBS) include:
a) 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.
b) Chronic inflammation, damage of GI tract, increased risk of colon cancer.
c) Damage to the GI tract with inflammation.
d) Increased risk of colon cancer and inflammation of the colon.
Answer: A
Rationale: IBS is a functional gut-brain disorder characterized by variable symptoms,
absence of inflammation, normal colon exam, no increased cancer risk, and unknown
etiology.
4. IBD nursing management includes:
a) Remission and exacerbation: chronic care issues, long-term: malabsorption/malnutrition,
iron deficiency anemia (diet, oral, transfusions), smoking cessation, immunosuppression
treatments, Abx, corticosteroids, surgery.
,b) Only symptom management with antidiarrheals.
c) High-fiber diet and increased physical activity only.
d) No pharmacological interventions are used.
Answer: A
Rationale: IBD management focuses on chronic care, addressing malabsorption, anemia,
smoking cessation, immunosuppression, antibiotics, corticosteroids, and surgery when
necessary.
5. Four subtypes of IBS include:
a) 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).
b) IBS-A (all types), IBS-B (bloating dominant), IBS-P (pain dominant), IBS-N (no symptoms).
c) IBS-1, IBS-2, IBS-3, IBS-4 based on severity.
d) IBS with inflammation, IBS without inflammation, IBS with ulcers, IBS without ulcers.
Answer: A
Rationale: The four subtypes of IBS are constipation-dominant (IBS-C), diarrhea-dominant
(IBS-D), mixed (IBS-M), and unclassified (IBS-U).
6. Pathophysiology of hepatitis includes:
a) Liver inflammation - many causes, decreases liver detoxification, protein or clotting
factor production, alters storage of vitamins, fat, glucose.
b) Inflammation of the gallbladder caused by obstruction of bile flow.
c) Functional disorder of the intestines with no inflammation.
d) Chronic inflammation of the colon only.
, Answer: A
Rationale: Hepatitis involves liver inflammation that impairs detoxification, protein
synthesis, clotting factor production, and storage of vitamins, fat, and glucose.
7. Hepatitis clinical manifestations include:
a) Abdominal pain, irritability, pruritis, malaise, fever, n/v, jaundice, elevated AST, ALT,
bilirubin, albumin.
b) RUQ colicky intermittent pain.
c) Constipation, bloating, and alternating diarrhea.
d) Chest pain relieved by rest.
Answer: A
Rationale: Hepatitis presents with abdominal pain, pruritis, malaise, fever,
nausea/vomiting, jaundice, and elevated liver enzymes (AST, ALT, bilirubin).
8. Hepatitis nursing management includes:
a) Education: small frequent meals, low fat diet, moderate protein, vaccination, monitor
liver function. Interventions: administer meds (antiemetics, viral suppressants), encourage
activity with rest periods.
b) High-fat diet, high-protein diet, and no vaccinations.
c) Strict bed rest and no medications.
d) Only surgical interventions.
Answer: A
Rationale: Hepatitis management includes dietary modifications (small frequent meals, low
fat, moderate protein), vaccination, monitoring liver function, medications, and balancing
activity with rest.
