NURS 3511 Week 9 IBD UPDATED
ACTUAL Questions and CORRECT
Answers
1. A 21-year-old patient with Crohn's disease presents with abdominal pain, non-bloody diarrhea, and
weight loss. The nurse notes a cobblestone appearance on the patient's colonoscopy report. What is the
most likely cause of these symptoms?
A) Gastric ulcer
B) Ulcerative colitis
C) Crohn's disease
D) Celiac disease
** - CORRECT ANSWER - : C) Crohn's disease**
2. A nurse is educating a patient newly diagnosed with inflammatory bowel disease (IBD). The patient
asks about the difference between Crohn's disease and ulcerative colitis. Which of the following is true
regarding Crohn's disease?
A) It affects only the large colon
B) It typically causes continuous inflammation
C) It can affect any segment of the GI tract
D) It does not cause complications such as fistulas
** - CORRECT ANSWER - : C) It can affect any segment of the GI tract**
3. A 17-year-old with a history of Crohn's disease presents with weight loss, fever, and mouth ulcers. The
nurse assesses the patient's growth charts and notes growth retardation. What is the most likely cause of
this symptom?
A) Decreased absorption of nutrients due to inflammation
B) Side effect of corticosteroid therapy
C) Poor diet related to anorexia
D) Development of a new autoimmune disorder
** - CORRECT ANSWER - : A) Decreased absorption of nutrients due to inflammation**
,4. A nurse is caring for a patient with Crohn's disease who is experiencing a flare-up. Which of the
following interventions should the nurse prioritize to manage the patient's symptoms?
A) Administering high-fiber foods to promote regular bowel movements
B) Providing a low-residue diet to reduce irritation of the GI tract
C) Encouraging vigorous exercise to stimulate bowel motility
D) Initiating IV fluid replacement and electrolyte monitoring
** - CORRECT ANSWER - : D) Initiating IV fluid replacement and electrolyte monitoring**
5. A patient with Crohn's disease is being discharged after a flare-up. The nurse provides education about
managing the disease. Which statement by the patient indicates a need for further teaching?
A) "I will take my medications exactly as prescribed."
B) "I can eat whatever I want as long as it doesn't cause me pain."
C) "I will monitor my weight and report any unexplained changes."
D) "I should avoid stress as much as possible."
** - CORRECT ANSWER - : B) "I can eat whatever I want as long as it doesn't cause me pain."**
6. A nurse is assessing a patient with inflammatory bowel disease (IBD) who is experiencing abdominal
pain and non-bloody diarrhea. The nurse should ask the patient about which of the following to identify
possible complications?
A) Difficulty breathing
B) Recent changes in bowel movements
C) Presence of joint pain or swelling
D) History of smoking
** - CORRECT ANSWER - : C) Presence of joint pain or swelling**
7. A 19-year-old patient with Crohn's disease is experiencing anal and perianal lesions. Which of the
following interventions should the nurse implement to manage these lesions?
A) Administer oral antibiotics to treat infection
B) Encourage the patient to avoid using any topical medications
,C) Apply prescribed topical treatments and provide pain relief
D) Increase fiber intake to promote healing
** - CORRECT ANSWER - : C) Apply prescribed topical treatments and provide pain relief**
8. A nurse is caring for a patient with Crohn's disease and notices that the patient is experiencing periods
of exacerbation and remission. Which statement best explains this phenomenon?
A) The patient's disease is progressively worsening and will not go into remission
B) The disease will remain in remission indefinitely once treated
C) Inflammatory bowel disease (IBD) is characterized by periods of flare-ups followed by symptom
relief
D) Remission occurs when the disease is no longer treatable or manageable
** - CORRECT ANSWER - : C) Inflammatory bowel disease (IBD) is characterized by periods of
flare-ups followed by symptom relief**
9. A patient with Crohn's disease is admitted with severe diarrhea and weight loss. The nurse understands
that which of the following is the primary reason for the patient's weight loss?
A) Increased metabolism due to fever
B) Malabsorption of nutrients from the inflamed intestine
C) Decreased appetite from medication side effects
D) Fluid loss from excessive urination
** - CORRECT ANSWER - : B) Malabsorption of nutrients from the inflamed intestine**
10. A nurse is providing discharge teaching to a patient with Crohn's disease about dietary modifications.
Which of the following statements by the patient indicates an understanding of the teaching?
A) "I should include high-fiber foods in my diet to help with digestion."
B) "Drinking plenty of dairy products will help soothe my GI tract."
C) "I should avoid spicy and high-fat foods to prevent flare-ups."
D) "Eating raw vegetables will help prevent constipation."
** - CORRECT ANSWER - : C) "I should avoid spicy and high-fat foods to prevent flare-ups."**
, 11. A patient with Crohn's disease is admitted with an exacerbation of symptoms. The nurse recognizes
that which of the following complications is most concerning?
A) Mild dehydration
B) Formation of intestinal strictures and fistulas
C) Episodes of nausea and vomiting
D) Loss of appetite
** - CORRECT ANSWER - : B) Formation of intestinal strictures and fistulas**
12. A nurse is caring for a patient with inflammatory bowel disease (IBD) who has been prescribed
corticosteroids for symptom management. Which nursing intervention is most important when monitoring
for medication side effects?
A) Monitor blood glucose levels regularly
B) Encourage increased sodium intake
C) Restrict fluid intake to prevent edema
D) Assess for signs of hypothermia
** - CORRECT ANSWER - : A) Monitor blood glucose levels regularly**
13. A patient with Crohn's disease asks the nurse why they are experiencing mouth ulcers. What is the
best response by the nurse?
A) "Mouth ulcers are a sign that your body is fighting an infection."
B) "They are caused by the inflammation that can occur anywhere in your GI tract, including your
mouth."
C) "They are a side effect of the pain medications you are taking."
D) "It is due to a vitamin B12 deficiency, which is unrelated to Crohn's disease."
** - CORRECT ANSWER - : B) "They are caused by the inflammation that can occur anywhere in
your GI tract, including your mouth."**.
14. A nurse is preparing a patient with suspected Crohn's disease for a colonoscopy. Which of the
following instructions should the nurse include in pre-procedure teaching?
A) "You may have a full meal up to 2 hours before the procedure."
B) "You will need to complete a bowel prep to clear stool from your colon."
ACTUAL Questions and CORRECT
Answers
1. A 21-year-old patient with Crohn's disease presents with abdominal pain, non-bloody diarrhea, and
weight loss. The nurse notes a cobblestone appearance on the patient's colonoscopy report. What is the
most likely cause of these symptoms?
A) Gastric ulcer
B) Ulcerative colitis
C) Crohn's disease
D) Celiac disease
** - CORRECT ANSWER - : C) Crohn's disease**
2. A nurse is educating a patient newly diagnosed with inflammatory bowel disease (IBD). The patient
asks about the difference between Crohn's disease and ulcerative colitis. Which of the following is true
regarding Crohn's disease?
A) It affects only the large colon
B) It typically causes continuous inflammation
C) It can affect any segment of the GI tract
D) It does not cause complications such as fistulas
** - CORRECT ANSWER - : C) It can affect any segment of the GI tract**
3. A 17-year-old with a history of Crohn's disease presents with weight loss, fever, and mouth ulcers. The
nurse assesses the patient's growth charts and notes growth retardation. What is the most likely cause of
this symptom?
A) Decreased absorption of nutrients due to inflammation
B) Side effect of corticosteroid therapy
C) Poor diet related to anorexia
D) Development of a new autoimmune disorder
** - CORRECT ANSWER - : A) Decreased absorption of nutrients due to inflammation**
,4. A nurse is caring for a patient with Crohn's disease who is experiencing a flare-up. Which of the
following interventions should the nurse prioritize to manage the patient's symptoms?
A) Administering high-fiber foods to promote regular bowel movements
B) Providing a low-residue diet to reduce irritation of the GI tract
C) Encouraging vigorous exercise to stimulate bowel motility
D) Initiating IV fluid replacement and electrolyte monitoring
** - CORRECT ANSWER - : D) Initiating IV fluid replacement and electrolyte monitoring**
5. A patient with Crohn's disease is being discharged after a flare-up. The nurse provides education about
managing the disease. Which statement by the patient indicates a need for further teaching?
A) "I will take my medications exactly as prescribed."
B) "I can eat whatever I want as long as it doesn't cause me pain."
C) "I will monitor my weight and report any unexplained changes."
D) "I should avoid stress as much as possible."
** - CORRECT ANSWER - : B) "I can eat whatever I want as long as it doesn't cause me pain."**
6. A nurse is assessing a patient with inflammatory bowel disease (IBD) who is experiencing abdominal
pain and non-bloody diarrhea. The nurse should ask the patient about which of the following to identify
possible complications?
A) Difficulty breathing
B) Recent changes in bowel movements
C) Presence of joint pain or swelling
D) History of smoking
** - CORRECT ANSWER - : C) Presence of joint pain or swelling**
7. A 19-year-old patient with Crohn's disease is experiencing anal and perianal lesions. Which of the
following interventions should the nurse implement to manage these lesions?
A) Administer oral antibiotics to treat infection
B) Encourage the patient to avoid using any topical medications
,C) Apply prescribed topical treatments and provide pain relief
D) Increase fiber intake to promote healing
** - CORRECT ANSWER - : C) Apply prescribed topical treatments and provide pain relief**
8. A nurse is caring for a patient with Crohn's disease and notices that the patient is experiencing periods
of exacerbation and remission. Which statement best explains this phenomenon?
A) The patient's disease is progressively worsening and will not go into remission
B) The disease will remain in remission indefinitely once treated
C) Inflammatory bowel disease (IBD) is characterized by periods of flare-ups followed by symptom
relief
D) Remission occurs when the disease is no longer treatable or manageable
** - CORRECT ANSWER - : C) Inflammatory bowel disease (IBD) is characterized by periods of
flare-ups followed by symptom relief**
9. A patient with Crohn's disease is admitted with severe diarrhea and weight loss. The nurse understands
that which of the following is the primary reason for the patient's weight loss?
A) Increased metabolism due to fever
B) Malabsorption of nutrients from the inflamed intestine
C) Decreased appetite from medication side effects
D) Fluid loss from excessive urination
** - CORRECT ANSWER - : B) Malabsorption of nutrients from the inflamed intestine**
10. A nurse is providing discharge teaching to a patient with Crohn's disease about dietary modifications.
Which of the following statements by the patient indicates an understanding of the teaching?
A) "I should include high-fiber foods in my diet to help with digestion."
B) "Drinking plenty of dairy products will help soothe my GI tract."
C) "I should avoid spicy and high-fat foods to prevent flare-ups."
D) "Eating raw vegetables will help prevent constipation."
** - CORRECT ANSWER - : C) "I should avoid spicy and high-fat foods to prevent flare-ups."**
, 11. A patient with Crohn's disease is admitted with an exacerbation of symptoms. The nurse recognizes
that which of the following complications is most concerning?
A) Mild dehydration
B) Formation of intestinal strictures and fistulas
C) Episodes of nausea and vomiting
D) Loss of appetite
** - CORRECT ANSWER - : B) Formation of intestinal strictures and fistulas**
12. A nurse is caring for a patient with inflammatory bowel disease (IBD) who has been prescribed
corticosteroids for symptom management. Which nursing intervention is most important when monitoring
for medication side effects?
A) Monitor blood glucose levels regularly
B) Encourage increased sodium intake
C) Restrict fluid intake to prevent edema
D) Assess for signs of hypothermia
** - CORRECT ANSWER - : A) Monitor blood glucose levels regularly**
13. A patient with Crohn's disease asks the nurse why they are experiencing mouth ulcers. What is the
best response by the nurse?
A) "Mouth ulcers are a sign that your body is fighting an infection."
B) "They are caused by the inflammation that can occur anywhere in your GI tract, including your
mouth."
C) "They are a side effect of the pain medications you are taking."
D) "It is due to a vitamin B12 deficiency, which is unrelated to Crohn's disease."
** - CORRECT ANSWER - : B) "They are caused by the inflammation that can occur anywhere in
your GI tract, including your mouth."**.
14. A nurse is preparing a patient with suspected Crohn's disease for a colonoscopy. Which of the
following instructions should the nurse include in pre-procedure teaching?
A) "You may have a full meal up to 2 hours before the procedure."
B) "You will need to complete a bowel prep to clear stool from your colon."
