NUR 376 Medical-Surgical Nursing | Exam 4 (2026) | 115 Questions with Answers | GI Disorders, Ostomies, Obesity, Palliative Care

This expert-verified resource for NUR 376 – Medical-Surgical Nursing contains 115 carefully curated practice questions with answers, specifically designed for Exam 4 of the 2026 academic year. It offers a thorough review of gastrointestinal (GI), nutritional, and end-of-life care topics—organized in a high-yield Q&A format for effective studying. Key areas of focus include: GI and Bowel Disorders: Covers disorders across the upper and lower GI tract including GERD, gastritis, peptic ulcer disease, IBD (Crohn’s and ulcerative colitis), IBS, celiac disease, colorectal cancer, and intestinal obstructions. Students are guided through causes, signs/symptoms, complications, and appropriate nursing interventions. Ostomies and Elimination: Detailed descriptions of ileostomy, colostomy (ascending, transverse, descending, sigmoid), urostomy, and related output characteristics, stoma assessment, and care techniques. Also includes enema types and techniques, NG and PEG tube feeding, tube placement verification, and management of enteral feeding complications such as aspiration or dumping syndrome. Obesity and Metabolic Interventions: Explores obesity classification (BMI, waist circumference), comorbidities, related labs, anti-obesity medications, and surgical/non-surgical interventions including vagal blocking and balloon therapy. Nursing considerations for obese patients across respiratory, circulatory, medication, and skin care are covered. End-of-Life & Palliative Care: Insightful breakdown of grief stages, disenfranchised and unresolved grief, and differences between palliative and hospice care. Includes the nurse’s role in therapeutic communication, cultural sensitivity, advocacy, hospice levels of care, and recognizing signs of imminent death. Who is this document for? BSN (Bachelor of Science in Nursing) students ADN (Associate Degree in Nursing) students Students in Medical-Surgical, GI, Nutrition, or Palliative Care nursing courses NCLEX-RN candidates preparing for patient-centered care and chronic condition management This comprehensive guide supports clinical reasoning, prioritization, and evidence-based nursing care. Ideal for acing exams and improving readiness for professional nursing practice. Keywords: medical surgical nursing, NUR 376, GI disorders, GERD, peptic ulcer, IBS, IBD, colorectal cancer, ileostomy, colostomy, NG tube, enteral feeding, obesity, bariatric care, palliative care, hospice, grief stages, NCLEX prep, nursing pharmacology