REX-PN® TEST BANK 3 EXAM 2026/2027
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A patient hospitalized with an acute exacerbation of ulcerative colitis is having 14 to 16 bloody
stools a day and crampy abdominal pain associated with the diarrhea. The nurse will plan to...
a. place the patient on NPO status.
b. administer IV metoclopramide (Reglan).
c. teach the patient about total colectomy surgery.
d. administer cobalamin (vitamin B12) injections.
Answer: A
An initial therapy for an acute exacerbation of inflammatory bowel disease (IBD) is to rest the
bowel by making the patient NPO. Cobalamin (vitamin B12) is absorbed in the ileum, which is
not affected by ulcerative colitis. Although total colectomy is needed for some patients, there
is no indication that this patient is a candidate. Metoclopramide increases peristalsis and will
worsen symptoms.
Which nursing action will the nurse include in the plan of care when admitting a patient with an
exacerbation of inflammatory bowel disease (IBD)?
1|Page
,a. Restrict oral fluid intake.
b. Monitor stools for blood.
c. Increase dietary fiber intake.
d. Ambulate four times daily.
Answer: b
Since anemia or hemorrhage may occur with IBD, stools should be assessed for the presence
of blood. The other actions would not be appropriate for the patient with IBD. Because
dietary fiber may increase gastrointestinal (GI) motility and exacerbate the diarrhea, severe
fatigue is common with IBD exacerbations, and dehydration may occur.
After the nurse has finished teaching a patient with ulcerative colitis about sulfasalazine
(Azulfidine), which patient statement indicates that the teaching has been effective?
a. "I will need to use a sunscreen when I am outdoors."
b. "I will need to avoid contact with people who are sick."
c. "The medication will need to be tapered if I need surgery."
d. "The medication will prevent infections that cause the diarrhea."
Answer: A
Sulfasalazine may cause photosensitivity in some patients. It is not used to treat infections.
Sulfasalazine does not reduce immune function. Unlike corticosteroids, tapering of
sulfasalazine is not needed.
After the nurse has provided patient teaching about recommended dietary choices for a patient
with an acute exacerbation of inflammatory bowel disease (IBD), which diet choice by the
patient indicates a need for more teaching?
a. Scrambled eggs
b. White toast and jam
2|Page
,c. Oatmeal with cream
d. Pancakes with syrup
Answer: C
During acute exacerbations of IBD, the patient should avoid high-fiber foods such as whole
grains. High-fat foods also may cause diarrhea in some patients. The other choices are low
residue and would be appropriate for this patient.
A patient with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI)
with tan, fecal-smelling urine. The nurse will teach the patient...
a. to clean the perianal area carefully after any stools.
b. about fistula formation between the bowel and bladder.
c. to empty the bladder before and after sexual intercourse.
d. about the effects of corticosteroid use on immune function.
Answer: B
about fistula formation between the bowel and bladder.
Fistulas between the bowel and bladder occur in Crohn's disease and can lead to UTI. There is
no information indicating that the patient's risk for UTI is caused by poor cleaning or not
voiding before and after intercourse. Steroid use may increase the risk for infection, but the
characteristics of the patient's urine indicate that a fistula has occurred.
A patient who has ulcerative colitis has a proctocolectomy and ileostomy. Which information
will the nurse include in patient teaching?
a. Restrict fluid intake to prevent constant liquid drainage from the stoma.
b. Use care when eating high-fiber foods to avoid obstruction of the ileum.
c. Irrigate the ileostomy daily to avoid having to wear a drainage appliance.
d. Change the pouch every day to prevent leakage of contents onto the skin.
3|Page
, Answer: B
Use care when eating high-fiber foods to avoid obstruction of the ileum.
High-fiber foods are introduced gradually and should be well chewed to avoid obstruction of
the ileostomy. Patients with ileostomies lose the absorption of water in the colon and need to
take in increased amounts of fluid. The pouch should be drained frequently but is changed
every 5 to 7 days. The drainage from an ileostomy is liquid and continuous, so control by
irrigation is not possible.
A patient calls the clinic and tells the nurse about a new onset of severe and frequent, diarrhea.
The nurse anticipates that the patient will need to...
a. collect a stool specimen.
b. prepare for colonoscopy.
c. schedule a barium enema.
d. have blood cultures drawn.
Answer: A
Collect a stool specimen.
Acute diarrhea is usually caused by an infectious process and stool specimens are obtained for
culture and examined for parasites or white blood cells. There is no indication that the patient
needs a colonoscopy, blood cultures, or a barium enema.
A patient with Crohn's disease has megaloblastic anemia. The nurse will anticipate teaching the
patient about the ongoing need for...
a. oral ferrous sulfate tablets.
b. regular blood transfusions.
c. iron dextran (Imferon) infusion.
d. cobalamin (B12) nasal spray or injections.
4|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|GUARANTEED
PASS|BRAND NEW VERSION!!
A patient hospitalized with an acute exacerbation of ulcerative colitis is having 14 to 16 bloody
stools a day and crampy abdominal pain associated with the diarrhea. The nurse will plan to...
a. place the patient on NPO status.
b. administer IV metoclopramide (Reglan).
c. teach the patient about total colectomy surgery.
d. administer cobalamin (vitamin B12) injections.
Answer: A
An initial therapy for an acute exacerbation of inflammatory bowel disease (IBD) is to rest the
bowel by making the patient NPO. Cobalamin (vitamin B12) is absorbed in the ileum, which is
not affected by ulcerative colitis. Although total colectomy is needed for some patients, there
is no indication that this patient is a candidate. Metoclopramide increases peristalsis and will
worsen symptoms.
Which nursing action will the nurse include in the plan of care when admitting a patient with an
exacerbation of inflammatory bowel disease (IBD)?
1|Page
,a. Restrict oral fluid intake.
b. Monitor stools for blood.
c. Increase dietary fiber intake.
d. Ambulate four times daily.
Answer: b
Since anemia or hemorrhage may occur with IBD, stools should be assessed for the presence
of blood. The other actions would not be appropriate for the patient with IBD. Because
dietary fiber may increase gastrointestinal (GI) motility and exacerbate the diarrhea, severe
fatigue is common with IBD exacerbations, and dehydration may occur.
After the nurse has finished teaching a patient with ulcerative colitis about sulfasalazine
(Azulfidine), which patient statement indicates that the teaching has been effective?
a. "I will need to use a sunscreen when I am outdoors."
b. "I will need to avoid contact with people who are sick."
c. "The medication will need to be tapered if I need surgery."
d. "The medication will prevent infections that cause the diarrhea."
Answer: A
Sulfasalazine may cause photosensitivity in some patients. It is not used to treat infections.
Sulfasalazine does not reduce immune function. Unlike corticosteroids, tapering of
sulfasalazine is not needed.
After the nurse has provided patient teaching about recommended dietary choices for a patient
with an acute exacerbation of inflammatory bowel disease (IBD), which diet choice by the
patient indicates a need for more teaching?
a. Scrambled eggs
b. White toast and jam
2|Page
,c. Oatmeal with cream
d. Pancakes with syrup
Answer: C
During acute exacerbations of IBD, the patient should avoid high-fiber foods such as whole
grains. High-fat foods also may cause diarrhea in some patients. The other choices are low
residue and would be appropriate for this patient.
A patient with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI)
with tan, fecal-smelling urine. The nurse will teach the patient...
a. to clean the perianal area carefully after any stools.
b. about fistula formation between the bowel and bladder.
c. to empty the bladder before and after sexual intercourse.
d. about the effects of corticosteroid use on immune function.
Answer: B
about fistula formation between the bowel and bladder.
Fistulas between the bowel and bladder occur in Crohn's disease and can lead to UTI. There is
no information indicating that the patient's risk for UTI is caused by poor cleaning or not
voiding before and after intercourse. Steroid use may increase the risk for infection, but the
characteristics of the patient's urine indicate that a fistula has occurred.
A patient who has ulcerative colitis has a proctocolectomy and ileostomy. Which information
will the nurse include in patient teaching?
a. Restrict fluid intake to prevent constant liquid drainage from the stoma.
b. Use care when eating high-fiber foods to avoid obstruction of the ileum.
c. Irrigate the ileostomy daily to avoid having to wear a drainage appliance.
d. Change the pouch every day to prevent leakage of contents onto the skin.
3|Page
, Answer: B
Use care when eating high-fiber foods to avoid obstruction of the ileum.
High-fiber foods are introduced gradually and should be well chewed to avoid obstruction of
the ileostomy. Patients with ileostomies lose the absorption of water in the colon and need to
take in increased amounts of fluid. The pouch should be drained frequently but is changed
every 5 to 7 days. The drainage from an ileostomy is liquid and continuous, so control by
irrigation is not possible.
A patient calls the clinic and tells the nurse about a new onset of severe and frequent, diarrhea.
The nurse anticipates that the patient will need to...
a. collect a stool specimen.
b. prepare for colonoscopy.
c. schedule a barium enema.
d. have blood cultures drawn.
Answer: A
Collect a stool specimen.
Acute diarrhea is usually caused by an infectious process and stool specimens are obtained for
culture and examined for parasites or white blood cells. There is no indication that the patient
needs a colonoscopy, blood cultures, or a barium enema.
A patient with Crohn's disease has megaloblastic anemia. The nurse will anticipate teaching the
patient about the ongoing need for...
a. oral ferrous sulfate tablets.
b. regular blood transfusions.
c. iron dextran (Imferon) infusion.
d. cobalamin (B12) nasal spray or injections.
4|Page
