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Exam (elaborations)

NURS2207 Exam – 75 Verified Questions with Correct Answers & Detailed Rationales (2025/2026 )

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NURS2207 Exam – 75 Verified Questions with Correct Answers & Detailed Rationales (2025/2026 )

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This Exam contains:
 100% Guarantee Pass.
 2025\2026 update

 Multiple-Choice questions.

 Each Question Includes The Correct

answers
>contains 75 questions and answers with
rationales

NURS2207 QUESTIONS AND Answers
ALL 100%
VERIFIED




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 - ANS>>-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." - ANS>>-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.

While awaiting surgery, a client with a history of Crohn disease
is receiving total parenteral nutrition (TPN) on an outpatient
basis. The nurse teaches the client that TPN helps prepare for
surgery by which process?

, 1. Decreasing fecal bulk
2. Preventing bowel infection
3. Providing stimulation of secretions
4. Maintaining negative nitrogen balance - ANS>>-1.
Decreasing fecal bulk
Rationale
By decreasing fecal bulk and bowel stimulation, TPN provides
rest for the bowel while the client awaits surgery. TPN does not
prevent a bowel infection. TPN does not stimulate
gastrointestinal secretions. TPN promotes positive nitrogen
balance.

A client is admitted to the hospital with a diagnosis of Crohn
disease. Which is important for the nurse to include in the
teaching plan for the client?
1. Controlling constipation
2. Meeting nutritional needs
3. Preventing increased weakness
4. Anticipating a sexual alteration - ANS>>-2. Meeting
nutritional needs
Rationale
To avoid gastrointestinal pain and diarrhea, these clients often
refuse to eat and become malnourished. The consumption of a
high-calorie, high-protein diet is advised. Diarrhea, not
constipation, is a problem with Crohn disease. Preventing an
increase in weakness is a secondary concern that results from
malnutrition; correcting the malnutrition will increase strength.
Anticipating a sexual alteration generally is not a problem with
Crohn disease.

A client with Crohn disease is admitted to the hospital with a
history of chronic, bloody diarrhea, weight loss, and signs of
general malnutrition. The client has anemia, a low serum
albumin level, and signs of negative nitrogen balance. The nurse

, concludes that the client's health status is related to which major
deficiency?
1. Ferrous sulfate
2. Protein
3. Ascorbic acid
4. Linoleic acid - ANS>>-2. Protein
Rationale
Protein deficiency causes a low serum albumin level, which
permits fluid shifts from the intravascular to the interstitial
compartment, resulting in edema. Decreased protein also causes
anemia; protein intake must be increased. Although a deficiency
of ferrous sulfate will result in anemia, it will not cause the other
adaptations. Ascorbic acid is unrelated to these adaptations.
Linoleic acid is unrelated to these adaptations.

A client with the diagnosis of Crohn disease tells the nurse, "My
partner dates other people. I believe that behavior has caused an
increase in my symptoms." Which is an appropriate initial
nursing response?
1. Help the client explore personal attitudes.
2. Educate the partner about the illness and events that affect
the client's symptoms.
3. Suggest the client should not date the partner to determine
if symptoms change.
4. Schedule the client and the partner for a counseling
session. - ANS>>-1. Help the client explore personal
attitudes.
Rationale
Because emotional stress can influence the progress of Crohn
disease, initially the nurse should help the client explore
selfattitudes to aid in better understanding the feelings
engendered by the partner dating others. Initially, the nurse
should help the client explore the situation and the feelings it
engenders rather than involve the partner. The client should
make the decision about continuing to date the partner.

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