GI Practice Test Questions
which s/s should the nurse expect to find in a client dx with ulcerative colitis?
1. twenty bloody stools a day
2. oral temp of 102
3. hard rigid abd
4. urinary stress incontinence
1 (twenty bloody stools a day the) colon is ulcerated and unable to absorb water,
resulting in bloody diarrhea. ten to 20 bloody diarrhea stools is the most common
symptom of ulcerative colitis
the client with type 2 diabetes is prescribed prednisone, a steroid, for an acute
exacerbation of inflammatory bowel disease. which intervention should the nurse
discuss with the client?
1. take this med on an empty stomach
2. notify the hcp if experiencing a moon face
3. take the steroid medicaiton as prescribed
4. notify the hcp if the blood glucose is over 160
3 (take the steroid medication as prescribed: the medicine must be tapered off to
prevent adrenal insufficiency, therefore, the client must take this medication as
prescribed. 1. steroids can erode the stomach and should be taken with food 2. a
moon face is an expected side effect of steroids 4. steroids may increase the clients
blood glucose, but diabetic medication regimens are usually not altered for the short
period of time the client with an acute exacerbation is prescribed steroids)
the client dx with IBD has a serum potassium level of 3.4 mEq/L. which action should
the nurse implement first?
1. notify the hcp
2. assess the client for muscle weakness
,3. request telemetry for the client
4. prepare to administer potassium IV
2 (assess the client for muscle weakness: muscle weakness may be a sign of
hypokalemia; hypokalemia can lead to cardiac dysrhythmias and can be life
threatening. assessment is priority for a potassium level just below normal level
which is 3.5-5.5
1. the hcp should be notified so potassium supplements can be ordered, but this is
not the first action
3. hypokalemia can lead to cardiac dysrhthmias, therefore, requesting telemetry is
appropriate, but its not the first intervention
4. the client will need potassium to correct the hypokalemia, but its not the first
intervention)
the client is dx with an acute exacerbation of ulcerative colitis. which intervention
should the nurse implement?
1. provide a low residue diet.
2. rest the clients bowels
3. assess vs daily
4. administer antacid orally
2 (rest the clients bowels: whenever a client has an acute exacerbation of a
gastrointestinal d/o, the first intervention is to place the bowel on rest. the client
should be npo with iv fluids to prevent dehydration
1. the client should be npo
3. the vs must be taken more often than daily in a client who is having an acute
exacerbation of ulcerative colitis
4. the client will receive anti inflammatory and antidiarrheal meds, not antacids,
which are used for gastroenteritis)
the client dx with IBD is prescribed tpn, which intervention should the nurse
implement
,1. check the clients glucose level
2. administer an oral hypoglycemic
3. assess the peripheral iv site
4. monitor the clients oral food intake
1 (check the clients glucose level: TPN is high in dextrose, which is glucose, therefore,
the clients blood glucose level must be monitored closely
2. the client may be on sliding scale regular insulin coverage for the high glucose
level
3. the tpn must be administered via a subclavian line bc of the high glucose level
4. the client is npo to put the bowel at rest, which is the rationale for tpn)
the client dx with an acute exacerbation of IBD. which priority intervention should
the nurse implement first?
1. weigh the client daily and document in the clients chart
2. teach coping strategies such as dietary modifications
3. record the frequency, amount, and color of stools
4. monitor the clients oral fluid intake every shift
3 (record the frequency, amount, and color of stools: the severity of the diarrhea
helps determine the need for fluid replacement. the liquid stool should be measured
as part of the total output. 1. weighing the pt will be included but not the priority
2.coping strategies help develop healthy ways to deal with this chronic disease,
which has remissions and exacerbations but its not the priority
4. the client will be NPO when theres an acute exacerbation to allow the bowel to
rest)
the client dx with crohns disease is crying and tells the nurse, i cant take it anymore. i
never know when i will get sick and end up in the hosp. which statement is the
nurses best response?
1. i understand how frustrating this must be for you
2. you must keep thinking about the good things in your life
, 3. i can see you are very upset. ill sit down and we can talk
4. are you thinking about doing anything like committing suicide?
3 (i can see you are very upset. ill sit down and we can talk: the client is crying and is
expressing feelings of powerlessness; therefore, the nurse should allow the client to
talk)
the client dx with ulcerative colitis has an ileostomy. which statement indicates the
client needs more teaching concerning the ileostomy?
1. my stoma should be pink and moist
2. i will irrigate my ileostomy every morning
3. if i get a red bumpy, itchy rash i will call my hcp
4. i will change my pouch if it starts leaking
2 (i will irrigate my ileostomy every morning: an ileostomy will drain liquid all the
time and shouldnt routinely be irrigated. a sigmoid colostomy may need daily
irrigation to evacuate feces)
the client dx with IBD is prescribed sulfasaliazine (asulfidine), a sulfonamide
antibiotic. which statement best describes the rationale for administering this
medication?
1. it is administered rectally to help decrease colon inflammation
2. this medicaiton slows gastrointestinal motility and reduces diarrhea
3. this medication kills the bacteria causing the exacerbation
4. it acts topically on the colon mucose to decrease inflammation
4 (it acts topically on the colon mucosa to decrease inflammation: asulfidine is poorly
absorbed from the gastrointestinal tract and acts topically on the colonic mucose to
inhibit the inflammatory process. IBD is not caused by bacteria)
the client is dx with crohns disease, also known as regional enteritis. which
statement by the client supports this dx?
which s/s should the nurse expect to find in a client dx with ulcerative colitis?
1. twenty bloody stools a day
2. oral temp of 102
3. hard rigid abd
4. urinary stress incontinence
1 (twenty bloody stools a day the) colon is ulcerated and unable to absorb water,
resulting in bloody diarrhea. ten to 20 bloody diarrhea stools is the most common
symptom of ulcerative colitis
the client with type 2 diabetes is prescribed prednisone, a steroid, for an acute
exacerbation of inflammatory bowel disease. which intervention should the nurse
discuss with the client?
1. take this med on an empty stomach
2. notify the hcp if experiencing a moon face
3. take the steroid medicaiton as prescribed
4. notify the hcp if the blood glucose is over 160
3 (take the steroid medication as prescribed: the medicine must be tapered off to
prevent adrenal insufficiency, therefore, the client must take this medication as
prescribed. 1. steroids can erode the stomach and should be taken with food 2. a
moon face is an expected side effect of steroids 4. steroids may increase the clients
blood glucose, but diabetic medication regimens are usually not altered for the short
period of time the client with an acute exacerbation is prescribed steroids)
the client dx with IBD has a serum potassium level of 3.4 mEq/L. which action should
the nurse implement first?
1. notify the hcp
2. assess the client for muscle weakness
,3. request telemetry for the client
4. prepare to administer potassium IV
2 (assess the client for muscle weakness: muscle weakness may be a sign of
hypokalemia; hypokalemia can lead to cardiac dysrhythmias and can be life
threatening. assessment is priority for a potassium level just below normal level
which is 3.5-5.5
1. the hcp should be notified so potassium supplements can be ordered, but this is
not the first action
3. hypokalemia can lead to cardiac dysrhthmias, therefore, requesting telemetry is
appropriate, but its not the first intervention
4. the client will need potassium to correct the hypokalemia, but its not the first
intervention)
the client is dx with an acute exacerbation of ulcerative colitis. which intervention
should the nurse implement?
1. provide a low residue diet.
2. rest the clients bowels
3. assess vs daily
4. administer antacid orally
2 (rest the clients bowels: whenever a client has an acute exacerbation of a
gastrointestinal d/o, the first intervention is to place the bowel on rest. the client
should be npo with iv fluids to prevent dehydration
1. the client should be npo
3. the vs must be taken more often than daily in a client who is having an acute
exacerbation of ulcerative colitis
4. the client will receive anti inflammatory and antidiarrheal meds, not antacids,
which are used for gastroenteritis)
the client dx with IBD is prescribed tpn, which intervention should the nurse
implement
,1. check the clients glucose level
2. administer an oral hypoglycemic
3. assess the peripheral iv site
4. monitor the clients oral food intake
1 (check the clients glucose level: TPN is high in dextrose, which is glucose, therefore,
the clients blood glucose level must be monitored closely
2. the client may be on sliding scale regular insulin coverage for the high glucose
level
3. the tpn must be administered via a subclavian line bc of the high glucose level
4. the client is npo to put the bowel at rest, which is the rationale for tpn)
the client dx with an acute exacerbation of IBD. which priority intervention should
the nurse implement first?
1. weigh the client daily and document in the clients chart
2. teach coping strategies such as dietary modifications
3. record the frequency, amount, and color of stools
4. monitor the clients oral fluid intake every shift
3 (record the frequency, amount, and color of stools: the severity of the diarrhea
helps determine the need for fluid replacement. the liquid stool should be measured
as part of the total output. 1. weighing the pt will be included but not the priority
2.coping strategies help develop healthy ways to deal with this chronic disease,
which has remissions and exacerbations but its not the priority
4. the client will be NPO when theres an acute exacerbation to allow the bowel to
rest)
the client dx with crohns disease is crying and tells the nurse, i cant take it anymore. i
never know when i will get sick and end up in the hosp. which statement is the
nurses best response?
1. i understand how frustrating this must be for you
2. you must keep thinking about the good things in your life
, 3. i can see you are very upset. ill sit down and we can talk
4. are you thinking about doing anything like committing suicide?
3 (i can see you are very upset. ill sit down and we can talk: the client is crying and is
expressing feelings of powerlessness; therefore, the nurse should allow the client to
talk)
the client dx with ulcerative colitis has an ileostomy. which statement indicates the
client needs more teaching concerning the ileostomy?
1. my stoma should be pink and moist
2. i will irrigate my ileostomy every morning
3. if i get a red bumpy, itchy rash i will call my hcp
4. i will change my pouch if it starts leaking
2 (i will irrigate my ileostomy every morning: an ileostomy will drain liquid all the
time and shouldnt routinely be irrigated. a sigmoid colostomy may need daily
irrigation to evacuate feces)
the client dx with IBD is prescribed sulfasaliazine (asulfidine), a sulfonamide
antibiotic. which statement best describes the rationale for administering this
medication?
1. it is administered rectally to help decrease colon inflammation
2. this medicaiton slows gastrointestinal motility and reduces diarrhea
3. this medication kills the bacteria causing the exacerbation
4. it acts topically on the colon mucose to decrease inflammation
4 (it acts topically on the colon mucosa to decrease inflammation: asulfidine is poorly
absorbed from the gastrointestinal tract and acts topically on the colonic mucose to
inhibit the inflammatory process. IBD is not caused by bacteria)
the client is dx with crohns disease, also known as regional enteritis. which
statement by the client supports this dx?
