NR 511 Final Exam Questions with Verified Answers (Correct
Update)
Question 1: Ulcerative Colitis
Answer: A disease only of the colon
Question 2: Inflammatory bowel disease (IBD)
Answer: the mucosal surface of the colon is inflamed-most often occurs in the rectosigmoid areas, must
may involve the entire colon
Question 3: Inflammatory bowel disease (IBD)
Answer: Occurs in the rectum and sigmoid colon
Question 4: Inflammatory bowel disease (IBD)
Answer: Results in friability, erosions, and bleeding
Question 5: Inflammatory bowel disease (IBD)
Answer: Characterized by bloody and purulent diarrhea
Question 6: Inflammatory bowel disease (IBD)
Answer: While it is not the first treatment choice, total colectomy is a treatment option that can
completely resolve this problem
Question 7: Diverticulitis
Answer: Patients with diverticulitis may present with bleeding not associated with pain or discomfort.
Question 8: Diverticulitis
Answer: Is associated with obesity-these patients are at higher risk
Question 9: Diverticulitis
Answer: When the diverticula become inflamed, there are usual signs and symptoms of infection-fever,
chills, and tachycardia, painless bloody stools
Question 10: Diverticulitis
Answer: Patients typically present with localized pain and tenderness in the LLQ of the abdomen with
associated anorexia, nausea and vomiting
Page 1
,Question 11: Diverticulitis
Answer: CT scan with contrast may sometimes be done to r/o if the gynecologic etiology (such as
ovarian cyst or tumor) as well as bowel pathology such as abdominal abscess
Question 12: Diverticulitis
Answer: High-fiber diet is best management
Question 13: Clostridium Difficile
Answer: Infection of the large intestine
Question 14: Clostridium Difficile
Answer: Exists in air, water, soil, processed food and human feces
Question 15: Clostridium Difficile
Answer: Causes profuse, watery, mucoid diarrhea
Question 16: Clostridium difficile (C. diff)
Answer: Certain types can be dangerous or life-threatening if not treated
Question 17: Clostridium Difficile Risk factors
Answer: *Working in healthcare facility *Long duration hospitalization *Long-term use of antibiotics
attects normal GI flora *Long-term use of medications that reduce GI acidity, *Consumption of
contaminated food or water *Touching infected soil, objects and surfaces *Older adult will become
dehydrated quickly
Question 18: Clostridium Difficile
Answer: *Patient may be asymptomatic *Generally profuse, watery, mucoid diarrhea
Question 19: Clostridium Difficile: Mild to moderate infec- Watery tion
Answer: diarrhea three or more times/day for two or more days
Question 20: Clostridium Difficile: Mild to moderate infec- Mild tion
Answer: abdominal cramping and tenderness
Question 21: Clostridium Difficile Severe infection:
Answer: Watery diarrhea (10-15 stools/day)
Page 2
, Question 22: Clostridium Difficile Severe infection:
Answer: Strong foul odor
Question 23: Clostridium Difficile Severe infection:
Answer: Acute abdomen secondary to toxic megacolon with perforation
Question 24: Clostridium Difficile Severe infection:
Answer: Abdominal distention
Question 25: Clostridium Difficile Severe infection:
Answer: Fever
Question 26: Clostridium Difficile Severe infection:
Answer: Nausea/vomiting/dehydration requiring hospitalization
Question 27: Clostridium Difficile Severe infection:
Answer: Blood or pus in the stools (severe cases)
Question 28: Clostridium Difficile: Diagnosis
Answer: Complete blood count (CBC): elevated WBC count
Question 29: Clostridium Difficile: Diagnosis
Answer: Enzyme-linked immunodeficiency assay (ELISA): identifies toxins that produce C. ditt
bacteria
Question 30: Clostridium Difficile: Diagnosis
Answer: Cell cytotoxicity assay: identifies the effects of bacterial toxins on human cells
Question 31: Clostridium Difficile: Diagnosis
Answer: Polymerase chain reaction (PCR): detects bacterial genes
Question 32: Clostridium Difficile: Diagnosis
Answer: Endoscopy: if the patient is unresponsive to treatment; will show pseudomembranes that
suggest c-ditt infection
Page 3
Update)
Question 1: Ulcerative Colitis
Answer: A disease only of the colon
Question 2: Inflammatory bowel disease (IBD)
Answer: the mucosal surface of the colon is inflamed-most often occurs in the rectosigmoid areas, must
may involve the entire colon
Question 3: Inflammatory bowel disease (IBD)
Answer: Occurs in the rectum and sigmoid colon
Question 4: Inflammatory bowel disease (IBD)
Answer: Results in friability, erosions, and bleeding
Question 5: Inflammatory bowel disease (IBD)
Answer: Characterized by bloody and purulent diarrhea
Question 6: Inflammatory bowel disease (IBD)
Answer: While it is not the first treatment choice, total colectomy is a treatment option that can
completely resolve this problem
Question 7: Diverticulitis
Answer: Patients with diverticulitis may present with bleeding not associated with pain or discomfort.
Question 8: Diverticulitis
Answer: Is associated with obesity-these patients are at higher risk
Question 9: Diverticulitis
Answer: When the diverticula become inflamed, there are usual signs and symptoms of infection-fever,
chills, and tachycardia, painless bloody stools
Question 10: Diverticulitis
Answer: Patients typically present with localized pain and tenderness in the LLQ of the abdomen with
associated anorexia, nausea and vomiting
Page 1
,Question 11: Diverticulitis
Answer: CT scan with contrast may sometimes be done to r/o if the gynecologic etiology (such as
ovarian cyst or tumor) as well as bowel pathology such as abdominal abscess
Question 12: Diverticulitis
Answer: High-fiber diet is best management
Question 13: Clostridium Difficile
Answer: Infection of the large intestine
Question 14: Clostridium Difficile
Answer: Exists in air, water, soil, processed food and human feces
Question 15: Clostridium Difficile
Answer: Causes profuse, watery, mucoid diarrhea
Question 16: Clostridium difficile (C. diff)
Answer: Certain types can be dangerous or life-threatening if not treated
Question 17: Clostridium Difficile Risk factors
Answer: *Working in healthcare facility *Long duration hospitalization *Long-term use of antibiotics
attects normal GI flora *Long-term use of medications that reduce GI acidity, *Consumption of
contaminated food or water *Touching infected soil, objects and surfaces *Older adult will become
dehydrated quickly
Question 18: Clostridium Difficile
Answer: *Patient may be asymptomatic *Generally profuse, watery, mucoid diarrhea
Question 19: Clostridium Difficile: Mild to moderate infec- Watery tion
Answer: diarrhea three or more times/day for two or more days
Question 20: Clostridium Difficile: Mild to moderate infec- Mild tion
Answer: abdominal cramping and tenderness
Question 21: Clostridium Difficile Severe infection:
Answer: Watery diarrhea (10-15 stools/day)
Page 2
, Question 22: Clostridium Difficile Severe infection:
Answer: Strong foul odor
Question 23: Clostridium Difficile Severe infection:
Answer: Acute abdomen secondary to toxic megacolon with perforation
Question 24: Clostridium Difficile Severe infection:
Answer: Abdominal distention
Question 25: Clostridium Difficile Severe infection:
Answer: Fever
Question 26: Clostridium Difficile Severe infection:
Answer: Nausea/vomiting/dehydration requiring hospitalization
Question 27: Clostridium Difficile Severe infection:
Answer: Blood or pus in the stools (severe cases)
Question 28: Clostridium Difficile: Diagnosis
Answer: Complete blood count (CBC): elevated WBC count
Question 29: Clostridium Difficile: Diagnosis
Answer: Enzyme-linked immunodeficiency assay (ELISA): identifies toxins that produce C. ditt
bacteria
Question 30: Clostridium Difficile: Diagnosis
Answer: Cell cytotoxicity assay: identifies the effects of bacterial toxins on human cells
Question 31: Clostridium Difficile: Diagnosis
Answer: Polymerase chain reaction (PCR): detects bacterial genes
Question 32: Clostridium Difficile: Diagnosis
Answer: Endoscopy: if the patient is unresponsive to treatment; will show pseudomembranes that
suggest c-ditt infection
Page 3
