NURA 408 EXAM 1 PRACTICE QUESTIONS B - MODULES 1 AND 2 GI, IMMUNE |
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
What are the types of inflammatory bowel disease? - (answer)Crohn's and Ulcerative Colitis,
Diverticulitis
What is not a complication of gastric bypass?
A) developing GERD
B) dumping syndrome
C) infection
D) weight loss - (answer)D) Weight loss - this is an expected result
What are symptoms of dumping syndrome? Select *5*
1) waking with pain during the night
2) weakness
3) abdominal cramping
4) diaphoresis
5) hypoxia
6) symptoms occur 15-30 min after eating
7) epigastric fullness - (answer)2) weakness
3) abdominal cramping
4) diaphoresis
6) symptoms occur 15-30 min after eating
7) epigastric fullness
How can the nurse prevent aspiration pneumonia? Select two
A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
,NURA 408 EXAM 1 PRACTICE QUESTIONS B - MODULES 1 AND 2 GI, IMMUNE |
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
C) Monitor for confusion or seizures
D) Confer with a dietician - (answer)A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
Which is an indication for enteral feedings?
A) Long-term PPI use
B) Comatose/intubated
C) Barrett's esophagus
D) Hiatal hernia - (answer)B) Comatose/intubated
Indications for enteral feedings include conditions where a client has a functioning GI tract but isn't able
to swallow or take in adequate calories and protein orally. It can be partial or complete replacement.
Other indications are pathologies that cause difficulty swallowing or increase risk of aspiration like
stroke, inability to maintain adequate intake especially due to increased metabolic demands (cancer
therapy, burns, sepsis).
What should the nurse do if a client on enteral feedings gets diarrhea? - (answer)Slow rate of feeding,
notify provider, confer with dietitian, provide skin care, evaluate for c diff.
What is TPN? - (answer)a hypertonic IV bolus solution with dextrose, lipids, protein, electrolytes,
vitamins
Which patient might NOT be a candidate for TPN?
A) Someone with diffuse peritonitis
B) a patient with a smol boo boo
C) Someone with short bowel syndrome
D) A person with severe burns - (answer)B) a patient with a smol boo boo
, NURA 408 EXAM 1 PRACTICE QUESTIONS B - MODULES 1 AND 2 GI, IMMUNE |
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
The nurse indicates understanding of TPN administration when she says...
A. I'm gonna increase the flow rate by 10% per hour
B. I can use the same line for other IV bolus solutions too
C. I can abruptly stop TPN if there's a complication
D. I'll use a regular dressing change; sterile isn't necessary
E. I don't need to monitor lungs for crackles or monitor weight/I&O - (answer)A. I'm gonna increase the
flow rate by 10% per hour
Abruptly changing TPN rates can alter blood glucose significantly and is contraindicated. Central or PICC
lines are going to be used in most cases so you need to reduce risk for infection. Sterile dressing changes
are mandatory, and the line needs to be used for TPN only as multiple accesses increases risk of
infection. Using a hypertonic solution like TPN poses a risk for fluid shift, placing the client at increased
risk of fluid volume excess.
Which patient is the best candidate for gastric bypass?
A. A woman with a BMI of 30 and asthma
B. A woman with a BMI of 35 and no complications
C. A male with a BMI of 40 who has not found success with medication or exercise programs
D. A male with a BMI of 40 who has a binge-eating disorder - (answer)C. A male with a BMI of 40 who
has not found success with medication or exercise programs
Patient presentation includes a BMI >40 or BMI greater than 35 with comorbidities. Also of
consideration is what less-intrusive treatments the patient has tried, and whether they are likely to
achieve success and follow surgical instructions afterwards.
The nurse is describing GERD to a candystriper. What does he include?
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
What are the types of inflammatory bowel disease? - (answer)Crohn's and Ulcerative Colitis,
Diverticulitis
What is not a complication of gastric bypass?
A) developing GERD
B) dumping syndrome
C) infection
D) weight loss - (answer)D) Weight loss - this is an expected result
What are symptoms of dumping syndrome? Select *5*
1) waking with pain during the night
2) weakness
3) abdominal cramping
4) diaphoresis
5) hypoxia
6) symptoms occur 15-30 min after eating
7) epigastric fullness - (answer)2) weakness
3) abdominal cramping
4) diaphoresis
6) symptoms occur 15-30 min after eating
7) epigastric fullness
How can the nurse prevent aspiration pneumonia? Select two
A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
,NURA 408 EXAM 1 PRACTICE QUESTIONS B - MODULES 1 AND 2 GI, IMMUNE |
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
C) Monitor for confusion or seizures
D) Confer with a dietician - (answer)A) Confirm tube placement before feedings
B) Elevate head of bed to 30*, for an hour after feeding
Which is an indication for enteral feedings?
A) Long-term PPI use
B) Comatose/intubated
C) Barrett's esophagus
D) Hiatal hernia - (answer)B) Comatose/intubated
Indications for enteral feedings include conditions where a client has a functioning GI tract but isn't able
to swallow or take in adequate calories and protein orally. It can be partial or complete replacement.
Other indications are pathologies that cause difficulty swallowing or increase risk of aspiration like
stroke, inability to maintain adequate intake especially due to increased metabolic demands (cancer
therapy, burns, sepsis).
What should the nurse do if a client on enteral feedings gets diarrhea? - (answer)Slow rate of feeding,
notify provider, confer with dietitian, provide skin care, evaluate for c diff.
What is TPN? - (answer)a hypertonic IV bolus solution with dextrose, lipids, protein, electrolytes,
vitamins
Which patient might NOT be a candidate for TPN?
A) Someone with diffuse peritonitis
B) a patient with a smol boo boo
C) Someone with short bowel syndrome
D) A person with severe burns - (answer)B) a patient with a smol boo boo
, NURA 408 EXAM 1 PRACTICE QUESTIONS B - MODULES 1 AND 2 GI, IMMUNE |
QUESTIONS AND ANSWERS | SPRING 2026 | WITH COMPLETE SOLUTIONS.
The nurse indicates understanding of TPN administration when she says...
A. I'm gonna increase the flow rate by 10% per hour
B. I can use the same line for other IV bolus solutions too
C. I can abruptly stop TPN if there's a complication
D. I'll use a regular dressing change; sterile isn't necessary
E. I don't need to monitor lungs for crackles or monitor weight/I&O - (answer)A. I'm gonna increase the
flow rate by 10% per hour
Abruptly changing TPN rates can alter blood glucose significantly and is contraindicated. Central or PICC
lines are going to be used in most cases so you need to reduce risk for infection. Sterile dressing changes
are mandatory, and the line needs to be used for TPN only as multiple accesses increases risk of
infection. Using a hypertonic solution like TPN poses a risk for fluid shift, placing the client at increased
risk of fluid volume excess.
Which patient is the best candidate for gastric bypass?
A. A woman with a BMI of 30 and asthma
B. A woman with a BMI of 35 and no complications
C. A male with a BMI of 40 who has not found success with medication or exercise programs
D. A male with a BMI of 40 who has a binge-eating disorder - (answer)C. A male with a BMI of 40 who
has not found success with medication or exercise programs
Patient presentation includes a BMI >40 or BMI greater than 35 with comorbidities. Also of
consideration is what less-intrusive treatments the patient has tried, and whether they are likely to
achieve success and follow surgical instructions afterwards.
The nurse is describing GERD to a candystriper. What does he include?
