NURS 2207 GI QUIZ | QUESTIONS AND ANSWERS |
2026 UPDATE WITH COMPLETE SOLUTION
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.
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 Answer - 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 Answer - 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 Answer - 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.
2026 UPDATE WITH COMPLETE SOLUTION
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.
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 Answer - 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 Answer - 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 Answer - 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.
