NURS 2207 ACTUAL EXAM 150 QUESTIONS AND CORRECT
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 2207 EXAM//GRADED A+
Which autoantigens are responsible for the development of Crohn disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
4. Basement membranes of the glomeruli - ANSWER-1. Crypt epithelial cells
Rationale:
Crypt epithelial cells are considered the autoantigens responsible for Crohn disease. Thyroid cell
surfaces are autoantigens responsible for Hashimoto thyroiditis. The pulmonary and glomerular
basement membranes act as autoantigens responsible for Goodpasture syndrome.
Parenteral vitamins are prescribed for the client with Crohn disease. The client asks why the vitamins
have to be given intravenously (IV) rather than by mouth. Which rationales will the nurse provide?
Select all that apply. One, some, or all responses may be correct.
1. "They provide more rapid action results."
2. "They decrease colon irritability."
3. "Oral vitamins are less effective."
4. "Intestinal absorption may be inadequate."
5. "Allergic responses are less likely to occur." - ANSWER-ANS: 1, 3, 4
Rationale:
Absorption through the gastrointestinal (GI) tract is impaired, and parenteral administration goes
directly into the intravascular compartment. Disease of the GI tract hampers absorption. Because the
mucosa of the intestinal tract is damaged, its ability to absorb vitamins taken orally is greatly
impaired. IV vitamins do not decrease colonic irritability. Route of administration does not affect
allergic response.
,Which statement by the client, recovering from an acute case of viral hepatitis, indicates
understanding of the discharge instructions presented by the nurse? Select all that apply. One, some,
or all responses may be correct.
1. "I will avoid alcohol because my liver is scarred and the alcohol causes more damage."
2. "I will eat four to seven small snacks or meals per day."
3"I will take acetaminophen for pain rather than aspirin."
4"I will eat foods high in carbohydrates, but moderate in fats and proteins."
5"I will not have to use condoms during intercourse, because I have beaten this." - ANSWER-ANS:
1, 2, 4
Rationale:
Acetaminophen is damaging to the liver and is contraindicated in clients with hepatitis. Clients
should avoid alcohol, eat small frequent meals, and eat foods high in carbohydrates and moderate in
fats and protein. The client needs to avoid unprotected sex because virus hepatitis is easily
transmitted.
The parents of a child diagnosed with hepatitis A express concern that other family members may
contract hepatitis because they only have one bathroom. Which response would the nurse reply?
1. "I suggest you buy an individual commode seat to use exclusively for your child's bathroom
needs."
2. "Your child may use the bathroom, but you need to use disposable toilet seat covers."
3. "You will need to clean the bathroom from top to bottom every time a family member uses it."
4. "All family members, including your child, need to wash their hands after using the bathroom." -
ANSWER-4. "All family members, including your child, need to wash their hands after using the
bathroom."
Rationale:
Hepatitis A is spread via the fecal-oral route; transmission is prevented by proper hand washing.
Buying a commode exclusively for the child's use is unnecessary; cleansing the toilet and washing the
hands should control the transmission of microorganisms. Cleaning the bathroom "from top to
bottom" after each use is not feasible. The use of disposable toilet covers is inadequate to prevent
the spread of microorganisms if the bathroom used by the child also is used by others. Hand washing
by all family members must be part of the plan to prevent the spread of hepatitis to other family
members.
Which nursing interventions are required for hepatitis A?
,1. Private room with the door closed
2. Gown, mask, and gloves for all persons entering the room
3. Gown and gloves when handling articles contaminated by urine or feces
4. Gowns and gloves only when handling the client's soiled linen, dishes, or utensils - ANSWER-3.
Gown and gloves when handling articles contaminated by urine or feces
Rationale:
Hepatitis A is transmitted via the fecal-oral route; contact precautions must be used when there are
articles that have potential fecal or urine contamination. Neither a private room nor a closed door is
required; these are necessary only for respiratory (airborne) precautions. Hepatitis A is not
transmitted via the airborne route and a mask is not necessary; a gown and gloves are required only
when handling articles that may be contaminated. Wearing gowns and gloves only when handling
the client's soiled linen, dishes, or utensils is too limited; a gown and gloves also should be worn
when handling other fecally contaminated articles, such as a bedpan or rectal thermometer.
Which type(s) of hepatitis most commonly spread by consuming contaminated food and water, or by
fecal contamination? Select all that apply. One, some, or all responses may be correct.
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D
5. Hepatitis E - ANSWER-ANS: 1, 5
Rationale:
Hepatitis A and E most commonly are spread through the fecal-oral route. Hepatitis B most
commonly is spread through the sharing of needles and through unprotected sex. Hepatitis C and D
most commonly are spread through intravenous (IV) drug needle sharing.
A client is admitted to the hospital with gastrointestinal bleeding, and a nasogastric (NG) tube is
inserted. Prescriptions include irrigating the tube with normal saline as needed to maintain patency.
The nurse assesses the NG tube and determines that it is not patent. Which action would the nurse
take?
1. Instill normal saline.
2. Assess breath sounds.
3. Auscultate for bowel sounds.
, 4. Check the tube for placement. - ANSWER-4. Check the tube for placement.
Rationale:
Checking the tube for placement reduces the risk of introducing the irrigant into the lungs. Instilling
normal saline increases the risk of introducing irrigant into the lungs if the tube is not in the stomach.
Assessing for breath sounds is not related to the steps associated with instilling a nasogastric tube
with an irrigant. Auscultating for bowel sounds is not related to the steps associated with instilling a
nasogastric tube with an irrigant.
The nurse is eliciting a health history from a client with ulcerative colitis. Which factor would the
nurse consider to be most likely associated with the client's colitis?
1. Food allergy
2. Infectious agent
3. Dietary components
4. Genetic predisposition - ANSWER-4. Genetic predisposition
Rationale:
Studies indicate that inflammatory bowel diseases, which include ulcerative colitis and Crohn
disease, are familial, which suggests that they are hereditary. Although food allergy or an infectious
agent may be causative factors, they are not the most common factors. No specific dietary
component has been identified.
A client with a history of ulcerative colitis has a large portion of the large intestine removed, and an
ileostomy is created. For which potential life-threatening complication would the nurse assess the
client after this surgery?
1. Infection caused by the excretion of feces
2. Injury caused by exposed intestinal mucosa
3. Altered bowel elimination caused by the ostomy
4. Limited water reabsorption caused by removal of intestine - ANSWER-4. Limited water
reabsorption caused by removal of intestine
Rationale:
The continuous excretion of liquid feces may deplete the body of fluids and electrolytes, resulting in
a life-threatening fluid deficit and electrolyte imbalance. Although the irritation of the skin by fecal
material may result in an infection, this usually is not a life-threatening complication. Although the
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 2207 EXAM//GRADED A+
Which autoantigens are responsible for the development of Crohn disease?
1. Crypt epithelial cells
2. Thyroid cell surface
3. Basement membranes of the lungs
4. Basement membranes of the glomeruli - ANSWER-1. Crypt epithelial cells
Rationale:
Crypt epithelial cells are considered the autoantigens responsible for Crohn disease. Thyroid cell
surfaces are autoantigens responsible for Hashimoto thyroiditis. The pulmonary and glomerular
basement membranes act as autoantigens responsible for Goodpasture syndrome.
Parenteral vitamins are prescribed for the client with Crohn disease. The client asks why the vitamins
have to be given intravenously (IV) rather than by mouth. Which rationales will the nurse provide?
Select all that apply. One, some, or all responses may be correct.
1. "They provide more rapid action results."
2. "They decrease colon irritability."
3. "Oral vitamins are less effective."
4. "Intestinal absorption may be inadequate."
5. "Allergic responses are less likely to occur." - ANSWER-ANS: 1, 3, 4
Rationale:
Absorption through the gastrointestinal (GI) tract is impaired, and parenteral administration goes
directly into the intravascular compartment. Disease of the GI tract hampers absorption. Because the
mucosa of the intestinal tract is damaged, its ability to absorb vitamins taken orally is greatly
impaired. IV vitamins do not decrease colonic irritability. Route of administration does not affect
allergic response.
,Which statement by the client, recovering from an acute case of viral hepatitis, indicates
understanding of the discharge instructions presented by the nurse? Select all that apply. One, some,
or all responses may be correct.
1. "I will avoid alcohol because my liver is scarred and the alcohol causes more damage."
2. "I will eat four to seven small snacks or meals per day."
3"I will take acetaminophen for pain rather than aspirin."
4"I will eat foods high in carbohydrates, but moderate in fats and proteins."
5"I will not have to use condoms during intercourse, because I have beaten this." - ANSWER-ANS:
1, 2, 4
Rationale:
Acetaminophen is damaging to the liver and is contraindicated in clients with hepatitis. Clients
should avoid alcohol, eat small frequent meals, and eat foods high in carbohydrates and moderate in
fats and protein. The client needs to avoid unprotected sex because virus hepatitis is easily
transmitted.
The parents of a child diagnosed with hepatitis A express concern that other family members may
contract hepatitis because they only have one bathroom. Which response would the nurse reply?
1. "I suggest you buy an individual commode seat to use exclusively for your child's bathroom
needs."
2. "Your child may use the bathroom, but you need to use disposable toilet seat covers."
3. "You will need to clean the bathroom from top to bottom every time a family member uses it."
4. "All family members, including your child, need to wash their hands after using the bathroom." -
ANSWER-4. "All family members, including your child, need to wash their hands after using the
bathroom."
Rationale:
Hepatitis A is spread via the fecal-oral route; transmission is prevented by proper hand washing.
Buying a commode exclusively for the child's use is unnecessary; cleansing the toilet and washing the
hands should control the transmission of microorganisms. Cleaning the bathroom "from top to
bottom" after each use is not feasible. The use of disposable toilet covers is inadequate to prevent
the spread of microorganisms if the bathroom used by the child also is used by others. Hand washing
by all family members must be part of the plan to prevent the spread of hepatitis to other family
members.
Which nursing interventions are required for hepatitis A?
,1. Private room with the door closed
2. Gown, mask, and gloves for all persons entering the room
3. Gown and gloves when handling articles contaminated by urine or feces
4. Gowns and gloves only when handling the client's soiled linen, dishes, or utensils - ANSWER-3.
Gown and gloves when handling articles contaminated by urine or feces
Rationale:
Hepatitis A is transmitted via the fecal-oral route; contact precautions must be used when there are
articles that have potential fecal or urine contamination. Neither a private room nor a closed door is
required; these are necessary only for respiratory (airborne) precautions. Hepatitis A is not
transmitted via the airborne route and a mask is not necessary; a gown and gloves are required only
when handling articles that may be contaminated. Wearing gowns and gloves only when handling
the client's soiled linen, dishes, or utensils is too limited; a gown and gloves also should be worn
when handling other fecally contaminated articles, such as a bedpan or rectal thermometer.
Which type(s) of hepatitis most commonly spread by consuming contaminated food and water, or by
fecal contamination? Select all that apply. One, some, or all responses may be correct.
1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D
5. Hepatitis E - ANSWER-ANS: 1, 5
Rationale:
Hepatitis A and E most commonly are spread through the fecal-oral route. Hepatitis B most
commonly is spread through the sharing of needles and through unprotected sex. Hepatitis C and D
most commonly are spread through intravenous (IV) drug needle sharing.
A client is admitted to the hospital with gastrointestinal bleeding, and a nasogastric (NG) tube is
inserted. Prescriptions include irrigating the tube with normal saline as needed to maintain patency.
The nurse assesses the NG tube and determines that it is not patent. Which action would the nurse
take?
1. Instill normal saline.
2. Assess breath sounds.
3. Auscultate for bowel sounds.
, 4. Check the tube for placement. - ANSWER-4. Check the tube for placement.
Rationale:
Checking the tube for placement reduces the risk of introducing the irrigant into the lungs. Instilling
normal saline increases the risk of introducing irrigant into the lungs if the tube is not in the stomach.
Assessing for breath sounds is not related to the steps associated with instilling a nasogastric tube
with an irrigant. Auscultating for bowel sounds is not related to the steps associated with instilling a
nasogastric tube with an irrigant.
The nurse is eliciting a health history from a client with ulcerative colitis. Which factor would the
nurse consider to be most likely associated with the client's colitis?
1. Food allergy
2. Infectious agent
3. Dietary components
4. Genetic predisposition - ANSWER-4. Genetic predisposition
Rationale:
Studies indicate that inflammatory bowel diseases, which include ulcerative colitis and Crohn
disease, are familial, which suggests that they are hereditary. Although food allergy or an infectious
agent may be causative factors, they are not the most common factors. No specific dietary
component has been identified.
A client with a history of ulcerative colitis has a large portion of the large intestine removed, and an
ileostomy is created. For which potential life-threatening complication would the nurse assess the
client after this surgery?
1. Infection caused by the excretion of feces
2. Injury caused by exposed intestinal mucosa
3. Altered bowel elimination caused by the ostomy
4. Limited water reabsorption caused by removal of intestine - ANSWER-4. Limited water
reabsorption caused by removal of intestine
Rationale:
The continuous excretion of liquid feces may deplete the body of fluids and electrolytes, resulting in
a life-threatening fluid deficit and electrolyte imbalance. Although the irritation of the skin by fecal
material may result in an infection, this usually is not a life-threatening complication. Although the
