NURS 2207 GI (2025) Actual Exam
Questions and Answers A+ Graded
Which .autoantigens .are .responsible .for .the .development .of .Crohn .disease?
1. .Crypt .epithelial .cells
2. .Thyroid .cell .surface
3. .Basement .membranes .of .the .lungs
4. .Basement .membranes .of .the .glomeruli .- .CORRECT .ANSWER-1. .Crypt
.epithelial .cells
Rationale:
Crypt .epithelial .cells .are .considered .the .autoantigens .responsible .for .Crohn
.disease. .Thyroid .cell .surfaces .are .autoantigens .responsible .for .Hashimoto
.thyroiditis. .The .pulmonary .and .glomerular .basement .membranes .act .as
.autoantigens .responsible .for .Goodpasture .syndrome.
Parenteral .vitamins .are .prescribed .for .the .client .with .Crohn .disease. .The .client
.asks .why .the .vitamins .have .to .be .given .intravenously .(IV) .rather .than .by
.mouth. .Which .rationales .will .the .nurse .provide? .Select .all .that .apply. .One,
.some, .or .all .responses .may .be .correct.
1. ."They .provide .more .rapid .action .results."
2. ."They .decrease .colon .irritability."
3. ."Oral .vitamins .are .less .effective."
4. ."Intestinal .absorption .may .be .inadequate."
5. ."Allergic .responses .are .less .likely .to .occur." .- .CORRECT .ANSWER-ANS: .1, .3,
.4
Rationale:
,Absorption .through .the .gastrointestinal .(GI) .tract .is .impaired, .and .parenteral
.administration .goes .directly .into .the .intravascular .compartment. .Disease .of .the
.GI .tract .hampers .absorption. .Because .the .mucosa .of .the .intestinal .tract .is
.damaged, .its .ability .to .absorb .vitamins .taken .orally .is .greatly .impaired. .IV
.vitamins .do .not .decrease .colonic .irritability. .Route .of .administration .does .not
.affect .allergic .response.
While .awaiting .surgery, .a .client .with .a .history .of .Crohn .disease .is .receiving
.total .parenteral .nutrition .(TPN) .on .an .outpatient .basis. .The .nurse .teaches .the
.client .that .TPN .helps .prepare .for .surgery .by .which .process?
1. .Decreasing .fecal .bulk
2. .Preventing .bowel .infection
3. .Providing .stimulation .of .secretions
4. .Maintaining .negative .nitrogen .balance .- .CORRECT .ANSWER-1. .Decreasing
.fecal .bulk
Rationale:
By .decreasing .fecal .bulk .and .bowel .stimulation, .TPN .provides .rest .for .the
.bowel .while .the .client .awaits .surgery. .TPN .does .not .prevent .a .bowel .infection.
.TPN .does .not .stimulate .gastrointestinal .secretions. .TPN .promotes .positive
.nitrogen .balance.
A .client .is .admitted .to .the .hospital .with .a .diagnosis .of .Crohn .disease. .Which .is
.important .for .the .nurse .to .include .in .the .teaching .plan .for .the .client?
1. .Controlling .constipation
2. .Meeting .nutritional .needs
3. .Preventing .increased .weakness
4. .Anticipating .a .sexual .alteration .- .CORRECT .ANSWER-2. .Meeting .nutritional
.needs
Rationale:
To .avoid .gastrointestinal .pain .and .diarrhea, .these .clients .often .refuse .to .eat
.and .become .malnourished. .The .consumption .of .a .high-calorie, .high-protein
.diet .is .advised. .Diarrhea, .not .constipation, .is .a .problem .with .Crohn .disease.
.Preventing .an .increase .in .weakness .is .a .secondary .concern .that .results .from
.malnutrition; .correcting .the .malnutrition .will .increase .strength. .Anticipating .a
.sexual .alteration .generally .is .not .a .problem .with .Crohn .disease.
A .client .with .Crohn .disease .is .admitted .to .the .hospital .with .a .history .of
.chronic, .bloody .diarrhea, .weight .loss, .and .signs .of .general .malnutrition. .The
.client .has .anemia, .a .low .serum .albumin .level, .and .signs .of .negative .nitrogen
,.balance. .The .nurse .concludes .that .the .client's .health .status .is .related .to .which
.major .deficiency?
1. .Ferrous .sulfate
2. .Protein
3. .Ascorbic .acid
4. .Linoleic .acid .- .CORRECT .ANSWER-2. .Protein
Rationale:
Protein .deficiency .causes .a .low .serum .albumin .level, .which .permits .fluid .shifts
.from .the .intravascular .to .the .interstitial .compartment, .resulting .in .edema.
.Decreased .protein .also .causes .anemia; .protein .intake .must .be .increased.
.Although .a .deficiency .of .ferrous .sulfate .will .result .in .anemia, .it .will .not .cause
.the .other .adaptations. .Ascorbic .acid .is .unrelated .to .these .adaptations. .Linoleic
.acid .is .unrelated .to .these .adaptations.
A .client .with .the .diagnosis .of .Crohn .disease .tells .the .nurse, ."My .partner .dates
.other .people. .I .believe .that .behavior .has .caused .an .increase .in .my .symptoms."
.Which .is .an .appropriate .initial .nursing .response?
1. .Help .the .client .explore .personal .attitudes.
2. .Educate .the .partner .about .the .illness .and .events .that .affect .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. .- .CORRECT
.ANSWER-1. .Help .the .client .explore .personal .attitudes.
Rationale:
Because .emotional .stress .can .influence .the .progress .of .Crohn .disease, .initially
.the .nurse .should .help .the .client .explore .self-attitudes .to .aid .in .better
.understanding .the .feelings .engendered .by .the .partner .dating .others. .Initially,
.the .nurse .should .help .the .client .explore .the .situation .and .the .feelings .it
.engenders .rather .than .involve .the .partner. .The .client .should .make .the .decision
.about .continuing .to .date .the .partner. .Scheduling .the .client .and .the .partner .for
.a .counseling .session .is .premature; .the .client .is .not .ready .for .a .joint
.counseling .session.
A .client .with .severe .Crohn .disease .develops .a .small .bowel .obstruction. .Which
.clinical .finding .would .the .nurse .expect .the .client .to .report?
1. .Bloody .vomitus
, 2. .Projectile .vomiting
3. .Bleeding .with .defecation
4. .Pain .in .the .left .lower .quadrant .- .CORRECT .ANSWER-2. .Projectile .vomiting .
Rationale:
Nausea .and .vomiting, .accompanied .by .diffuse .abdominal .pain, .commonly
.occur .in .clients .with .small .bowel .obstruction; .the .vomiting .may .be .projectile
.and .may .contain .bile .or .fecal .material. .Hematemesis .is .associated .more .closely
.with .peptic .ulcer .disease. .Bleeding .with .defecation .is .associated .with
.hemorrhoids .and .anal .fissures. .Pain .in .the .left .lower .quadrant .is .associated
.with .diverticulitis. .Pain .associated .with .a .small .bowel .obstruction .usually .is
.more .diffuse.
The .nurse .is .assessing .a .client .with .Crohn .disease .who .is .scheduled .for .an
.upper .gastrointestinal .series. .Which .condition .would .necessitate .the
.cancellation .of .the .procedure?
1. .Hemorrhoids
2. .Hyperkalemia
3. .Inflamed .colon
4. .Colon .perforation .- .CORRECT .ANSWER-4. .Colon .perforation
Rationale:
When .a .client .has .a .perforated .viscera, .barium .can .leak .out .of .the .intestinal
.tract .and .cause .inflammation .or .an .abscess. .Although .hemorrhoids .may .be
.irritating, .they .do .not .contraindicate .barium .studies. .Serum .potassium .is
.unaffected; .barium .is .insoluble .and .will .not .affect .blood .content. .Barium
.studies .are .not .contraindicated .when .the .bowel .is .inflamed. .An .upper
.gastrointestinal .series .is .useful .in .diagnosing .ulcerative .colitis .and .Crohn
.disease.
A .client .with .Crohn .disease .is .admitted .to .the .hospital .with .abdominal .pain,
.fever, .poor .skin .turgor, .and .having .experienced .10 .liquid .bowel .movements .in
.the .past .24 .hours. .The .nurse .suspects .that .the .client .is .dehydrated .based .on
.which .assessment .findings? .Select .all .that .apply. .One, .some, .or .all .responses
.may .be .correct.
1. .Moist .skin
2. .Sunken .eyes
3. .Decreased .apical .pulse
4. .Dry .mucous .membranes
Questions and Answers A+ Graded
Which .autoantigens .are .responsible .for .the .development .of .Crohn .disease?
1. .Crypt .epithelial .cells
2. .Thyroid .cell .surface
3. .Basement .membranes .of .the .lungs
4. .Basement .membranes .of .the .glomeruli .- .CORRECT .ANSWER-1. .Crypt
.epithelial .cells
Rationale:
Crypt .epithelial .cells .are .considered .the .autoantigens .responsible .for .Crohn
.disease. .Thyroid .cell .surfaces .are .autoantigens .responsible .for .Hashimoto
.thyroiditis. .The .pulmonary .and .glomerular .basement .membranes .act .as
.autoantigens .responsible .for .Goodpasture .syndrome.
Parenteral .vitamins .are .prescribed .for .the .client .with .Crohn .disease. .The .client
.asks .why .the .vitamins .have .to .be .given .intravenously .(IV) .rather .than .by
.mouth. .Which .rationales .will .the .nurse .provide? .Select .all .that .apply. .One,
.some, .or .all .responses .may .be .correct.
1. ."They .provide .more .rapid .action .results."
2. ."They .decrease .colon .irritability."
3. ."Oral .vitamins .are .less .effective."
4. ."Intestinal .absorption .may .be .inadequate."
5. ."Allergic .responses .are .less .likely .to .occur." .- .CORRECT .ANSWER-ANS: .1, .3,
.4
Rationale:
,Absorption .through .the .gastrointestinal .(GI) .tract .is .impaired, .and .parenteral
.administration .goes .directly .into .the .intravascular .compartment. .Disease .of .the
.GI .tract .hampers .absorption. .Because .the .mucosa .of .the .intestinal .tract .is
.damaged, .its .ability .to .absorb .vitamins .taken .orally .is .greatly .impaired. .IV
.vitamins .do .not .decrease .colonic .irritability. .Route .of .administration .does .not
.affect .allergic .response.
While .awaiting .surgery, .a .client .with .a .history .of .Crohn .disease .is .receiving
.total .parenteral .nutrition .(TPN) .on .an .outpatient .basis. .The .nurse .teaches .the
.client .that .TPN .helps .prepare .for .surgery .by .which .process?
1. .Decreasing .fecal .bulk
2. .Preventing .bowel .infection
3. .Providing .stimulation .of .secretions
4. .Maintaining .negative .nitrogen .balance .- .CORRECT .ANSWER-1. .Decreasing
.fecal .bulk
Rationale:
By .decreasing .fecal .bulk .and .bowel .stimulation, .TPN .provides .rest .for .the
.bowel .while .the .client .awaits .surgery. .TPN .does .not .prevent .a .bowel .infection.
.TPN .does .not .stimulate .gastrointestinal .secretions. .TPN .promotes .positive
.nitrogen .balance.
A .client .is .admitted .to .the .hospital .with .a .diagnosis .of .Crohn .disease. .Which .is
.important .for .the .nurse .to .include .in .the .teaching .plan .for .the .client?
1. .Controlling .constipation
2. .Meeting .nutritional .needs
3. .Preventing .increased .weakness
4. .Anticipating .a .sexual .alteration .- .CORRECT .ANSWER-2. .Meeting .nutritional
.needs
Rationale:
To .avoid .gastrointestinal .pain .and .diarrhea, .these .clients .often .refuse .to .eat
.and .become .malnourished. .The .consumption .of .a .high-calorie, .high-protein
.diet .is .advised. .Diarrhea, .not .constipation, .is .a .problem .with .Crohn .disease.
.Preventing .an .increase .in .weakness .is .a .secondary .concern .that .results .from
.malnutrition; .correcting .the .malnutrition .will .increase .strength. .Anticipating .a
.sexual .alteration .generally .is .not .a .problem .with .Crohn .disease.
A .client .with .Crohn .disease .is .admitted .to .the .hospital .with .a .history .of
.chronic, .bloody .diarrhea, .weight .loss, .and .signs .of .general .malnutrition. .The
.client .has .anemia, .a .low .serum .albumin .level, .and .signs .of .negative .nitrogen
,.balance. .The .nurse .concludes .that .the .client's .health .status .is .related .to .which
.major .deficiency?
1. .Ferrous .sulfate
2. .Protein
3. .Ascorbic .acid
4. .Linoleic .acid .- .CORRECT .ANSWER-2. .Protein
Rationale:
Protein .deficiency .causes .a .low .serum .albumin .level, .which .permits .fluid .shifts
.from .the .intravascular .to .the .interstitial .compartment, .resulting .in .edema.
.Decreased .protein .also .causes .anemia; .protein .intake .must .be .increased.
.Although .a .deficiency .of .ferrous .sulfate .will .result .in .anemia, .it .will .not .cause
.the .other .adaptations. .Ascorbic .acid .is .unrelated .to .these .adaptations. .Linoleic
.acid .is .unrelated .to .these .adaptations.
A .client .with .the .diagnosis .of .Crohn .disease .tells .the .nurse, ."My .partner .dates
.other .people. .I .believe .that .behavior .has .caused .an .increase .in .my .symptoms."
.Which .is .an .appropriate .initial .nursing .response?
1. .Help .the .client .explore .personal .attitudes.
2. .Educate .the .partner .about .the .illness .and .events .that .affect .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. .- .CORRECT
.ANSWER-1. .Help .the .client .explore .personal .attitudes.
Rationale:
Because .emotional .stress .can .influence .the .progress .of .Crohn .disease, .initially
.the .nurse .should .help .the .client .explore .self-attitudes .to .aid .in .better
.understanding .the .feelings .engendered .by .the .partner .dating .others. .Initially,
.the .nurse .should .help .the .client .explore .the .situation .and .the .feelings .it
.engenders .rather .than .involve .the .partner. .The .client .should .make .the .decision
.about .continuing .to .date .the .partner. .Scheduling .the .client .and .the .partner .for
.a .counseling .session .is .premature; .the .client .is .not .ready .for .a .joint
.counseling .session.
A .client .with .severe .Crohn .disease .develops .a .small .bowel .obstruction. .Which
.clinical .finding .would .the .nurse .expect .the .client .to .report?
1. .Bloody .vomitus
, 2. .Projectile .vomiting
3. .Bleeding .with .defecation
4. .Pain .in .the .left .lower .quadrant .- .CORRECT .ANSWER-2. .Projectile .vomiting .
Rationale:
Nausea .and .vomiting, .accompanied .by .diffuse .abdominal .pain, .commonly
.occur .in .clients .with .small .bowel .obstruction; .the .vomiting .may .be .projectile
.and .may .contain .bile .or .fecal .material. .Hematemesis .is .associated .more .closely
.with .peptic .ulcer .disease. .Bleeding .with .defecation .is .associated .with
.hemorrhoids .and .anal .fissures. .Pain .in .the .left .lower .quadrant .is .associated
.with .diverticulitis. .Pain .associated .with .a .small .bowel .obstruction .usually .is
.more .diffuse.
The .nurse .is .assessing .a .client .with .Crohn .disease .who .is .scheduled .for .an
.upper .gastrointestinal .series. .Which .condition .would .necessitate .the
.cancellation .of .the .procedure?
1. .Hemorrhoids
2. .Hyperkalemia
3. .Inflamed .colon
4. .Colon .perforation .- .CORRECT .ANSWER-4. .Colon .perforation
Rationale:
When .a .client .has .a .perforated .viscera, .barium .can .leak .out .of .the .intestinal
.tract .and .cause .inflammation .or .an .abscess. .Although .hemorrhoids .may .be
.irritating, .they .do .not .contraindicate .barium .studies. .Serum .potassium .is
.unaffected; .barium .is .insoluble .and .will .not .affect .blood .content. .Barium
.studies .are .not .contraindicated .when .the .bowel .is .inflamed. .An .upper
.gastrointestinal .series .is .useful .in .diagnosing .ulcerative .colitis .and .Crohn
.disease.
A .client .with .Crohn .disease .is .admitted .to .the .hospital .with .abdominal .pain,
.fever, .poor .skin .turgor, .and .having .experienced .10 .liquid .bowel .movements .in
.the .past .24 .hours. .The .nurse .suspects .that .the .client .is .dehydrated .based .on
.which .assessment .findings? .Select .all .that .apply. .One, .some, .or .all .responses
.may .be .correct.
1. .Moist .skin
2. .Sunken .eyes
3. .Decreased .apical .pulse
4. .Dry .mucous .membranes
