©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
CPN Exam – GI Questions And Correct
Answers
Crohn's Disease definition - answer✔• Asymmetrical, patchy
lesions
• Affects all layers of the
bowel of the bowel wall
• Can occur at any point
along GI tract
Crohn's Disease s/s - answer✔• Abdominal pain, cramping or
swelling, right
• Persistent or recurrent diarrhea
• Constipation
• GI bleeding
• Stomach ulcers
• Vomiting
• Growth failure/delayed puberty
Crohn's Disease - Interventions - answer✔Nutritional Therapy
• Anti-inflammatory drugs - aminosalicylates or 5-ASA
drugs, mild to moderate symptoms
• Corticosteroids
• Immunomodulators - azathioprine, 6-MP, methotrexate
• Antibiotics - Flagyl and Cipro
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
• Infliximab (REMICADE)
• Surgical interventions
• Fecal transplant
• Specific Carbohydrate Diet (SCD)
Neonatal jaundice consideration when doing heel stick - answer✔Turn off bili lights so you do
not artificially lower bili
Failure to pass meconium in the first 48 hours of life could indicate - answer✔Hirschsprung's or
CF
Intussusception is - answer✔telescoping or invagination of a bowel segment onto itself.
• Common at ileocecal valve
• Usually happens between 3-24 months
Intussusception causes the following problems: - answer✔• Creates a obstruction resulting in
compromised blood
supply.
• If not treated can lead to intestinal perforation and
necrosis.
Intussusception Assessment - answer✔• Sudden onset of abdominal colicky pain
• Draws knees to chest
• Pain can be intermittent
inconsolability
• Vomit progress to bile
• ***Red currant jelly-like stool - late sign***
• Abdomen tender and distended
• Lead to lethargy dehydration,
shock
Intussusception non-surgical treatment - answer✔barium enema or air enema
• 1-3 attempts
10/14/2024 11:14 PM
CPN Exam – GI Questions And Correct
Answers
Crohn's Disease definition - answer✔• Asymmetrical, patchy
lesions
• Affects all layers of the
bowel of the bowel wall
• Can occur at any point
along GI tract
Crohn's Disease s/s - answer✔• Abdominal pain, cramping or
swelling, right
• Persistent or recurrent diarrhea
• Constipation
• GI bleeding
• Stomach ulcers
• Vomiting
• Growth failure/delayed puberty
Crohn's Disease - Interventions - answer✔Nutritional Therapy
• Anti-inflammatory drugs - aminosalicylates or 5-ASA
drugs, mild to moderate symptoms
• Corticosteroids
• Immunomodulators - azathioprine, 6-MP, methotrexate
• Antibiotics - Flagyl and Cipro
, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
• Infliximab (REMICADE)
• Surgical interventions
• Fecal transplant
• Specific Carbohydrate Diet (SCD)
Neonatal jaundice consideration when doing heel stick - answer✔Turn off bili lights so you do
not artificially lower bili
Failure to pass meconium in the first 48 hours of life could indicate - answer✔Hirschsprung's or
CF
Intussusception is - answer✔telescoping or invagination of a bowel segment onto itself.
• Common at ileocecal valve
• Usually happens between 3-24 months
Intussusception causes the following problems: - answer✔• Creates a obstruction resulting in
compromised blood
supply.
• If not treated can lead to intestinal perforation and
necrosis.
Intussusception Assessment - answer✔• Sudden onset of abdominal colicky pain
• Draws knees to chest
• Pain can be intermittent
inconsolability
• Vomit progress to bile
• ***Red currant jelly-like stool - late sign***
• Abdomen tender and distended
• Lead to lethargy dehydration,
shock
Intussusception non-surgical treatment - answer✔barium enema or air enema
• 1-3 attempts
