,NSG 123 Exam 2 Medical-Surgical Nursing I Questions And Answers
2026/2027 HERZING UNIVERSITY
Q1. Which characteristic best describes Crohn’s disease?
A) Inflammation limited to the rectum
B) Chronic inflammatory disease that can affect any portion of the
gastrointestinal tract
C) Disease affecting only the stomach lining
D) Acute infection of the appendix
Correct Answer: B) Chronic inflammatory disease that can affect any portion
of the gastrointestinal tract
Rationale: Crohn’s disease is a chronic inflammatory bowel disease that can
involve any part of the gastrointestinal tract and is characterized by periods
of exacerbation and remission.
Q2. Which finding is particularly characteristic of Crohn’s disease?
A) Bloody diarrhea as the only major symptom
B) Crampy abdominal pain and diarrhea
C) Painless jaundice
D) Severe right shoulder pain
Correct Answer: B) Crampy abdominal pain and diarrhea
Rationale: Crohn’s disease commonly causes crampy abdominal pain,
diarrhea, weight loss, and nutritional deficiencies.
Q3. Why is malnutrition common in Crohn’s disease?
A) The disease can impair intestinal absorption and increase nutritional
losses.
B) The stomach always stops producing acid.
C) Patients are unable to swallow.
D) The kidneys excrete all nutrients.
Correct Answer: A) The disease can impair intestinal absorption and increase
nutritional losses.
Rationale: Intestinal inflammation and involvement of the small intestine
can reduce absorption, while diarrhea and increased metabolic demands can
worsen nutritional deficits.
**Q4. Which complication is particularly associated with Crohn’s disease?
, A) Fistula formation
B) Cataract formation
C) Acute urinary retention
D) Hearing loss
Correct Answer: A) Fistula formation
Rationale: Transmural inflammation in Crohn’s disease can extend through
the bowel wall and contribute to fistulas, abscesses, and strictures.
**Q5. Which diagnostic study is particularly useful for identifying bowel-wall
thickening, abscesses, fistulas, and obstruction in Crohn’s disease?
A) CT scan
B) Electrocardiogram
C) Chest x-ray
D) Bone scan
Correct Answer: A) CT scan
Rationale: CT imaging can identify bowel-wall thickening, mesenteric
edema, abscesses, fistulas, and obstruction and can assist with treatment
planning.
**Q6. Which laboratory finding may occur in Crohn’s disease?
A) Elevated ESR
B) Markedly increased hemoglobin
C) Persistently low WBC count in every case
D) Elevated albumin due to malabsorption
Correct Answer: A) Elevated ESR
Rationale: Crohn’s disease may produce inflammatory laboratory findings
such as elevated ESR and CRP, anemia, and reduced albumin or protein
levels when malnutrition is present.
**Q7. Which finding is more characteristic of ulcerative colitis than Crohn’s
disease?
A) Bloody diarrhea
B) Fistulas involving multiple bowel loops
C) Skip lesions throughout the GI tract
D) Transmural inflammation
Correct Answer: A) Bloody diarrhea
2026/2027 HERZING UNIVERSITY
Q1. Which characteristic best describes Crohn’s disease?
A) Inflammation limited to the rectum
B) Chronic inflammatory disease that can affect any portion of the
gastrointestinal tract
C) Disease affecting only the stomach lining
D) Acute infection of the appendix
Correct Answer: B) Chronic inflammatory disease that can affect any portion
of the gastrointestinal tract
Rationale: Crohn’s disease is a chronic inflammatory bowel disease that can
involve any part of the gastrointestinal tract and is characterized by periods
of exacerbation and remission.
Q2. Which finding is particularly characteristic of Crohn’s disease?
A) Bloody diarrhea as the only major symptom
B) Crampy abdominal pain and diarrhea
C) Painless jaundice
D) Severe right shoulder pain
Correct Answer: B) Crampy abdominal pain and diarrhea
Rationale: Crohn’s disease commonly causes crampy abdominal pain,
diarrhea, weight loss, and nutritional deficiencies.
Q3. Why is malnutrition common in Crohn’s disease?
A) The disease can impair intestinal absorption and increase nutritional
losses.
B) The stomach always stops producing acid.
C) Patients are unable to swallow.
D) The kidneys excrete all nutrients.
Correct Answer: A) The disease can impair intestinal absorption and increase
nutritional losses.
Rationale: Intestinal inflammation and involvement of the small intestine
can reduce absorption, while diarrhea and increased metabolic demands can
worsen nutritional deficits.
**Q4. Which complication is particularly associated with Crohn’s disease?
, A) Fistula formation
B) Cataract formation
C) Acute urinary retention
D) Hearing loss
Correct Answer: A) Fistula formation
Rationale: Transmural inflammation in Crohn’s disease can extend through
the bowel wall and contribute to fistulas, abscesses, and strictures.
**Q5. Which diagnostic study is particularly useful for identifying bowel-wall
thickening, abscesses, fistulas, and obstruction in Crohn’s disease?
A) CT scan
B) Electrocardiogram
C) Chest x-ray
D) Bone scan
Correct Answer: A) CT scan
Rationale: CT imaging can identify bowel-wall thickening, mesenteric
edema, abscesses, fistulas, and obstruction and can assist with treatment
planning.
**Q6. Which laboratory finding may occur in Crohn’s disease?
A) Elevated ESR
B) Markedly increased hemoglobin
C) Persistently low WBC count in every case
D) Elevated albumin due to malabsorption
Correct Answer: A) Elevated ESR
Rationale: Crohn’s disease may produce inflammatory laboratory findings
such as elevated ESR and CRP, anemia, and reduced albumin or protein
levels when malnutrition is present.
**Q7. Which finding is more characteristic of ulcerative colitis than Crohn’s
disease?
A) Bloody diarrhea
B) Fistulas involving multiple bowel loops
C) Skip lesions throughout the GI tract
D) Transmural inflammation
Correct Answer: A) Bloody diarrhea
