NSG 211 Test 3 Review Questions and Answers Rated A
Crohn's disease can be described as a chronic don't develop in diverticulitis or diverticulosis. The
relapsing disease. Which of the following areas ulcers that occur in the submucosal and mucosal
in the GI system may be involved with this layers of the intestine in ulcerative colitis usually
disease? don't progress to fistula formation as in Crohn's
A. The entire length of the large colon disease.
B. Only the sigmoid area
C. The entire large colon through the layers of
mucosa and submucosa Which of the following associated disorders may
D. The small intestine and colon; affecting the a client with ulcerative colitis exhibit?
entire thickness of the bowel - ANSWER - A. Gallstones
D. The small intestine and colon; affecting the B. Hydronephrosis
entire thickness of the bowel C. Nephrolithiasis
D. Toxic megacolon - ANSWER -D. Toxic
Crohn's disease can involve any segment of the megacolon
small intestine, the colon, or both, affecting the
entire thickness of the bowel. Answers 1 and 3 Toxic megacolon is extreme dilation of a segment
describe ulcerative colitis, answer 2 is too of the diseased colon caused by paralysis of the
specific and therefore, not likely. colon, resulting in complete obstruction. This
disorder is associated with both Crohn's disease
and ulcerative colitis. The other disorders are
Which area of the alimentary canal is the most more commonly associated with Crohn's disease.
common location for Crohn's disease?
A. Ascending colon
B. Descending colon Which of the following associated disorders may
C. Sigmoid colon the client with Crohn's disease exhibit?
D. Terminal ileum - ANSWER -D. Terminal A. Ankylosing spondylitis
ileum B. Colon cancer
C. Malabsorption
Studies have shown that the terminal ileum is the D Lactase deficiency - ANSWER -C.
most common site for recurrence in clients with Malabsorption
Crohn's disease. The other areas may be
involved but aren't as common. Because of the transmural nature of Crohn's
disease lesions, malaborption may occur with
Crohn's disease. Ankylosing spondylitis and
Fistulas are most common with which of the colon cancer are more commonly associated with
following bowel disorders? ulcerative colitis. Lactase deficiency is caused by
A. Crohn's disease a congenital defect in which an enzyme isn't
B. Diverticulitis present.
C. Diverticulosis
D. Ulcerative colitis - ANSWER -A. Crohn's
disease Which of the following symptoms may be
exhibited by a client with Crohn's disease?
The lesions of Crohn's disease are transmural; A. Bloody diarrhea
that is, they involve all thickness of the bowel. B. Narrow stools
These lesions may perforate the bowel wall, C. N/V
forming fistulas with adjacent structures. Fistulas D.. Steatorrhea - ANSWER -D.. Steatorrhea
, NSG 211 Test 3 Review Questions and Answers Rated A
Steatorrhea from malabsorption can occur with
Crohn's disease. N/V, and bloody diarrhea are A client who has ulcerative colitis has persistent
symptoms of ulcerative colitis. Narrow stools are diarrhea. He is thin and has lost 12 pounds since
associated with diverticular disease. the exacerbation of his ulcerative colitis. The
nurse should anticipate that the physician will
order which of the following treatment
Surgical management of ulcerative colitis may be approaches to help the client meet his nutritional
performed to treat which of the following needs?
complications? A. Initiate continuous enteral feedings
A. Gastritis B. Encourage a high protein, high-calorie diet
B. Bowel herniation C. Implement total parenteral nutrition
C. Bowel outpouching D. Provide six small meals a day -
D. Bowel perforation - ANSWER -D. Bowel ANSWER -C. Implement total parenteral
perforation nutrition
Perforation, obstruction, hemorrhage, and toxic Food will be withheld from the client with severe
megacolon are common complications of symptoms of ulcerative colitis to rest the bowel.
ulcerative colitis that may require surgery. To maintain the client's nutritional status, the
Herniation and gastritis aren't associated with client will be started on TPN. Enteral feedings or
irritable bowel diseases, and outpouching of the dividing the diet into 6 small meals does not allow
bowel is diverticulosis. the bowel to rest. A high-calorie, high-protein diet
will worsen the client's symptoms.
The client being seen in a physician's office has
just been scheduled for a barium swallow the A patient unable to tolerate oral medications may
next day. The nurse writes down which of the be prescribed which of the following proton pump
following instructions for the client to follow inhibitors to be administered intravenously?
before the test? A. lansoprazole (Prevacid)
A. Fast for 8 hours before the test B. omeprazole (Prilosec)
B. Eat a regular supper and breakfast C. pantoprazole (Protonix)
C. Continue to take all oral medications as D. esomeprazole (Nexium) - ANSWER -C.
scheduled pantoprazole (Protonix)
D. Monitor own bowel movement pattern for
constipation - ANSWER -A. Fast for 8 Pantoprazole is the only proton pump inhibitor
hours before the test that is available for intravenous administration.
The other medications in this category may only
A barium swallow is an x-ray study that uses a be administered orally.
substance called barium for contrast to highlight
abnormalities in the GI tract. The client should
fast for 8 to 12 hours before the test, depending Side effects of loperamide (Imodium) include all
on the physician instructions. Most oral of the following except?
medications also are withheld before the test. A. Diarrhea
After the procedure the nurse must monitor for B. Epigastric pain
constipation, which can occur as a result of the C. Dry mouth
presence of barium in the GI tract. D. Anorexia - ANSWER -A. Diarrhea
Crohn's disease can be described as a chronic don't develop in diverticulitis or diverticulosis. The
relapsing disease. Which of the following areas ulcers that occur in the submucosal and mucosal
in the GI system may be involved with this layers of the intestine in ulcerative colitis usually
disease? don't progress to fistula formation as in Crohn's
A. The entire length of the large colon disease.
B. Only the sigmoid area
C. The entire large colon through the layers of
mucosa and submucosa Which of the following associated disorders may
D. The small intestine and colon; affecting the a client with ulcerative colitis exhibit?
entire thickness of the bowel - ANSWER - A. Gallstones
D. The small intestine and colon; affecting the B. Hydronephrosis
entire thickness of the bowel C. Nephrolithiasis
D. Toxic megacolon - ANSWER -D. Toxic
Crohn's disease can involve any segment of the megacolon
small intestine, the colon, or both, affecting the
entire thickness of the bowel. Answers 1 and 3 Toxic megacolon is extreme dilation of a segment
describe ulcerative colitis, answer 2 is too of the diseased colon caused by paralysis of the
specific and therefore, not likely. colon, resulting in complete obstruction. This
disorder is associated with both Crohn's disease
and ulcerative colitis. The other disorders are
Which area of the alimentary canal is the most more commonly associated with Crohn's disease.
common location for Crohn's disease?
A. Ascending colon
B. Descending colon Which of the following associated disorders may
C. Sigmoid colon the client with Crohn's disease exhibit?
D. Terminal ileum - ANSWER -D. Terminal A. Ankylosing spondylitis
ileum B. Colon cancer
C. Malabsorption
Studies have shown that the terminal ileum is the D Lactase deficiency - ANSWER -C.
most common site for recurrence in clients with Malabsorption
Crohn's disease. The other areas may be
involved but aren't as common. Because of the transmural nature of Crohn's
disease lesions, malaborption may occur with
Crohn's disease. Ankylosing spondylitis and
Fistulas are most common with which of the colon cancer are more commonly associated with
following bowel disorders? ulcerative colitis. Lactase deficiency is caused by
A. Crohn's disease a congenital defect in which an enzyme isn't
B. Diverticulitis present.
C. Diverticulosis
D. Ulcerative colitis - ANSWER -A. Crohn's
disease Which of the following symptoms may be
exhibited by a client with Crohn's disease?
The lesions of Crohn's disease are transmural; A. Bloody diarrhea
that is, they involve all thickness of the bowel. B. Narrow stools
These lesions may perforate the bowel wall, C. N/V
forming fistulas with adjacent structures. Fistulas D.. Steatorrhea - ANSWER -D.. Steatorrhea
, NSG 211 Test 3 Review Questions and Answers Rated A
Steatorrhea from malabsorption can occur with
Crohn's disease. N/V, and bloody diarrhea are A client who has ulcerative colitis has persistent
symptoms of ulcerative colitis. Narrow stools are diarrhea. He is thin and has lost 12 pounds since
associated with diverticular disease. the exacerbation of his ulcerative colitis. The
nurse should anticipate that the physician will
order which of the following treatment
Surgical management of ulcerative colitis may be approaches to help the client meet his nutritional
performed to treat which of the following needs?
complications? A. Initiate continuous enteral feedings
A. Gastritis B. Encourage a high protein, high-calorie diet
B. Bowel herniation C. Implement total parenteral nutrition
C. Bowel outpouching D. Provide six small meals a day -
D. Bowel perforation - ANSWER -D. Bowel ANSWER -C. Implement total parenteral
perforation nutrition
Perforation, obstruction, hemorrhage, and toxic Food will be withheld from the client with severe
megacolon are common complications of symptoms of ulcerative colitis to rest the bowel.
ulcerative colitis that may require surgery. To maintain the client's nutritional status, the
Herniation and gastritis aren't associated with client will be started on TPN. Enteral feedings or
irritable bowel diseases, and outpouching of the dividing the diet into 6 small meals does not allow
bowel is diverticulosis. the bowel to rest. A high-calorie, high-protein diet
will worsen the client's symptoms.
The client being seen in a physician's office has
just been scheduled for a barium swallow the A patient unable to tolerate oral medications may
next day. The nurse writes down which of the be prescribed which of the following proton pump
following instructions for the client to follow inhibitors to be administered intravenously?
before the test? A. lansoprazole (Prevacid)
A. Fast for 8 hours before the test B. omeprazole (Prilosec)
B. Eat a regular supper and breakfast C. pantoprazole (Protonix)
C. Continue to take all oral medications as D. esomeprazole (Nexium) - ANSWER -C.
scheduled pantoprazole (Protonix)
D. Monitor own bowel movement pattern for
constipation - ANSWER -A. Fast for 8 Pantoprazole is the only proton pump inhibitor
hours before the test that is available for intravenous administration.
The other medications in this category may only
A barium swallow is an x-ray study that uses a be administered orally.
substance called barium for contrast to highlight
abnormalities in the GI tract. The client should
fast for 8 to 12 hours before the test, depending Side effects of loperamide (Imodium) include all
on the physician instructions. Most oral of the following except?
medications also are withheld before the test. A. Diarrhea
After the procedure the nurse must monitor for B. Epigastric pain
constipation, which can occur as a result of the C. Dry mouth
presence of barium in the GI tract. D. Anorexia - ANSWER -A. Diarrhea
