2026/2027: NURS 2207 GI Quiz [Questions and Answers Percentage Pass]
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1. Which autoantigens are re- 1. Crypt epithelial cells
sponsible for the develop-
ment of Crohn disease? Rationale:
Crypt epithelial cells are considered the autoantigens responsible
1. Crypt epithelial cells for Crohn disease. Thyroid cell surfaces are autoantigens respon-
sible for Hashimoto thyroiditis. The pulmonary and glomerular
2. Thyroid cell surface basement membranes act as autoantigens responsible for Good-
pasture syndrome.
3. Basement membranes of
the lungs
4. Basement membranes of
the glomeruli
2. Parenteral vitamins are pre- ANS: 1, 3, 4
scribed for the client with
Crohn disease. The client Rationale:
asks why the vitamins have Absorption through the gastrointestinal (GI) tract is impaired,
to be given intravenously (IV) and parenteral administration goes directly into the intravascular
rather than by mouth. Which compartment. Disease of the GI tract hampers absorption. Be-
rationales will the nurse pro- cause the mucosa of the intestinal tract is damaged, its ability to
vide? Select all that apply. absorb vitamins taken orally is greatly impaired. IV vitamins do
One, some, or all responses not decrease colonic irritability. Route of administration does not
may be correct. affect allergic response.
1. "They provide more rapid
action results."
2. "They decrease colon irri-
tability."
3. "Oral vitamins are less ef-
fective."
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4. "Intestinal absorption
may be inadequate."
5. "Allergic responses are
less likely to occur."
3. While awaiting surgery, a 1. Decreasing fecal bulk
client with a history of Crohn
disease is receiving total par- Rationale:
enteral nutrition (TPN) on an By decreasing fecal bulk and bowel stimulation, TPN provides
outpatient basis. The nurse rest for the bowel while the client awaits surgery. TPN does not
teaches the client that TPN prevent a bowel infection. TPN does not stimulate gastrointestinal
helps prepare for surgery by secretions. TPN promotes positive nitrogen balance.
which process?
1. Decreasing fecal bulk
2. Preventing bowel infec-
tion
3. Providing stimulation of
secretions
4. Maintaining negative ni-
trogen balance
4. A client is admitted to the 2. Meeting nutritional needs
hospital with a diagnosis of
Crohn disease. Which is im- Rationale:
portant for the nurse to in- To avoid gastrointestinal pain and diarrhea, these clients often
clude in the teaching plan refuse to eat and become malnourished. The consumption of a
for the client? high-calorie, high-protein diet is advised. Diarrhea, not constipa-
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tion, is a problem with Crohn disease. Preventing an increase in
1. Controlling constipation weakness is a secondary concern that results from malnutrition;
correcting the malnutrition will increase strength. Anticipating a
2. Meeting nutritional
sexual alteration generally is not a problem with Crohn disease.
needs
3. Preventing increased
weakness
4. Anticipating a sexual alter-
ation
5. A client with Crohn disease 2. Protein
is admitted to the hospital
with a history of chronic, Rationale:
bloody diarrhea, weight loss, Protein deficiency causes a low serum albumin level, which per-
and signs of general malnu- mits fluid shifts from the intravascular to the interstitial compart-
trition. The client has ane- ment, resulting in edema. Decreased protein also causes anemia;
mia, a low serum albumin protein intake must be increased. Although a deficiency of ferrous
level, and signs of negative sulfate will result in anemia, it will not cause the other adaptations.
nitrogen balance. The nurse Ascorbic acid is unrelated to these adaptations. Linoleic acid is
concludes that the client's unrelated to these adaptations.
health status is related to
which major deficiency?
1. Ferrous sulfate
2. Protein
3. Ascorbic acid
4. Linoleic acid
6.
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A client with the diagno- 1. Help the client explore personal attitudes.
sis of Crohn disease tells
the nurse, "My partner dates Rationale:
other people. I believe that Because emotional stress can influence the progress of Crohn
behavior has caused an in- disease, initially the nurse should help the client explore self-at-
crease in my symptoms." titudes to aid in better understanding the feelings engendered
Which is an appropriate ini- by the partner dating others. Initially, the nurse should help the
tial nursing response? client explore the situation and the feelings it engenders rather
than involve the partner. The client should make the decision
1. Help the client explore about continuing to date the partner. Scheduling the client and
personal attitudes. the partner for a counseling session is premature; the client is not
ready for a joint counseling session.
2. Educate the partner about
the illness and events that af-
fect the client's symptoms.
3. Suggest the client should
not date the partner to
determine if symptoms
change.
4. Schedule the client and
the partner for a counseling
session.
7. A client with severe Crohn 2. Projectile vomiting
disease develops a small
bowel obstruction. Which Rationale:
clinical finding would the Nausea and vomiting, accompanied by diffuse abdominal pain,
nurse expect the client to re- commonly occur in clients with small bowel obstruction; the vom-
port? iting may be projectile and may contain bile or fecal material.
Hematemesis is associated more closely with peptic ulcer disease.
1. Bloody vomitus Bleeding with defecation is associated with hemorrhoids and anal
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