questions

You're providing teaching to a patient who has been newly diagnosed with Crohn's Disease. Which statement by the patient's spouse requires re-education? A. "Crohn's Disease can be scattered throughout the GI tract in patches with some areas appearing healthy while others are diseased." B. "There is no cure for Crohn's Disease." C. "Strictures are a common complication with Crohn's Disease." D. "Crohn's Disease can cause the haustra of the large intestine to lose its form."

D. "Crohn's Disease can cause the haustra of the large intestine to lose its form.

Which patient below is NOT at risk for developing nephrotic syndrome? A. An 8 year old male with diabetes mellitus. B. A 5 year old female diagnosed with minimal change disease. C. A 10 year old male with Lupus. D. A 7 year old male recently diagnosed with Goodpasture's Syndrome

D. A 7 year old male recently diagnosed with Goodpasture's Syndrome

You're assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection? A. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago. B. A 55 year old female who is post-opt day 7 from hip surgery. C. A 68 year old male who is experiencing nausea and vomiting. D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence.

D. A 87 year old female with Alzheimer's disease who is experiencing bowel incontinence.

A patient is admitted with ulcerative colitis. In the physician's notes, it is stated that the patient's barium enema results showed the patient has colitis that starts in the rectum and extends into the sigmoid and descending colon. As the nurse, you know that this is what type of ulcerative colitis? A. Right-sided colitis B. Proctosigmoiditis C. Ulcerative procotitis D. Left-sided colitis

D. Left-sided colitis

You're providing discharge teaching to a patient who was hospitalized for the treatment of a kidney stone. The type of kidney stone the patient experienced was a uric acid type stone. What type of foods will you educate the patient to avoid? A. Cabbage, spinach, tomatoes, strawberries B. Ice cream, milk, pork, cheese C. Beans, potatoes, corn, peas D. Liver, scallops, anchovies, sardines, pork

D. Liver, scallops, anchovies, sardines, pork

A patient, who is having spasms and burning while urinating due to a UTI, is prescribed "Pyridium" (Phenazopyridine). Which option below is a normal side effect of this drug? A. Hematuria B. Crystalluria C. Urethra mucous D. Orange colored urine

D. Orange colored urine

A patient experiencing a flare-up with Crohn's Disease is ordered complete bowel rest by the physician. You are administering TPN (total parental nutrition) per physician order. When developing the patient's nursing plan of care, which nursing diagnosis is MOST important to include in the care plan? A. Risk for allergy response B. Risk for unstable blood glucose level C. Risk for imbalance nutrition: more than body requirements D. Risk for imbalanced nutrition: less than body requirements

D. Risk for imbalanced nutrition: less than body requirements

A patient diagnosed with pancolitis is experiencing extreme abdominal distension, pain 10 on 1-10 scale in the abdomen, temperature of 103.6 'F, HR 120, and profuse diarrhea. What complication due you suspect the pain is experiencing? A. Fistulae B. Stricture C. Bowel obstruction D. Toxic megacolon

D. Toxic megacolon

You are providing pre-op teaching to a patient scheduled for a percutaneous nephrolithotomy. Which statement by the patient demonstrates the patient understood the pre-op teaching? A. "During the procedure the surgeon will move the stone down the ureter, so I can pass the stone in the urine. B. "I may have a nephrostomy tube after the procedure." C. "A scope is inserted through the urinary system from the urethra to the kidneys to assess the kidney stone." D. "This procedure is noninvasive and no incision is required."

B. "I may have a nephrostomy tube after the procedure."

You're providing an in-service to a group of nurses about the different types of kidney stones. You explain to the attendees that the most common type of kidney stone is made up of: A. Cholesterol B. Calcium and oxalate C. Calcium and phosphate D. Uric acid

B. Calcium and oxalate

Select the most common type of medications that may be ordered by a physician to treat nephrotic syndrome: A. Cardiac glycosides B. Corticosteroids C. Antibiotics D. Antihypertensives E. Diuretics F. Anticholinergics

B. Corticosteroids E. Diuretics

A patient with a urinary tract infection is taking Bactrim (Sulfamethoxazole/Trimethoprim). As the nurse you know it is important that the patient consumes 2.5 to 3 L of fluid per day to prevent which of the following complications? A. Brown urine B. Crystalluria C. Renal Stenosis D. Renal Calculi

B. Crystalluria

12. Select-ALL-the complications associated with Crohn's Disease: A. Loss of form to the haustra B. Fistulas C. Strictures D. Hemorrhoids E. Anal Fissure

B. Fistulas C. Strictures E. Anal Fissure

A patient is experiencing an acute episode of diverticulitis. The patient is having abdominal pain, temperature 102.6 'F, and elevated WBCs. As the nurse, you know it is important to: A. Encourage intake of high-fiber foods B. Monitor the patient for peritonitis C. Apply a heating pad to the patient's abdomen to help alleviate pain D. Encourage intake of full liquids

B. Monitor the patient for peritonitis

While providing care to a pediatric patient with acute glomerulonephritis, you note the urine output to be 10 mL/hr. The patient weighs 30 lbs. As the nurse, you will want to limit what type of foods from the patient's diet? A. Calcium-rich foods B. Potassium-rich foods C. Purine -rich foods D. None of the above because the patient's urinary output is normal based on the patient's weight.

B. Potassium-rich foods

The mother of a child, who was recently diagnosed with nephrotic syndrome, asks how she can identify early signs that her child is experiencing a relapse with the condition. You would tell her to monitor the child for the following: Select-all-that-apply: A. Weight loss B. Protein in the urine using an over-the-counter kit C. Tea-colored urine D. Swelling in the legs, hands, face, or abdomen

B. Protein in the urine using an over-the-counter kit D. Swelling in the legs, hands, face, or abdomen

You're providing care to a 6 year old male patient who is receiving treatment for nephrotic syndrome. Which assessment finding below requires you to notify the physician immediately? A. Frothy, dark urine B. Redden area on the patient's left leg that is swollen and warm C. Elevated lipid level on morning labs D. Urine test results that shows proteinuria

B. Redden area on the patient's left leg that is swollen and warm

Select all the following options that are NOT causes of appendicitis: A. Fecalith B. Routine usage of NSAIDs C. Infection due to Helicobacter pylori D. Lymph node enlargement due to viral or bacterial infection E. Diet low in fiber

B. Routine usage of NSAIDs C. Infection due to Helicobacter pylori E. Diet low in fiber

You're developing a nursing care plan for a patient with a kidney stone. Which of the following nursing interventions will you include in the patient's plan of care? A. Restrict calcium intake B. Strain urine with every void C. Keep patient in supine position to alleviate pain D. Maintain fluid restriction of 1-2 Liter per day

B. Strain urine with every void

A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen? A. "I'll hold the cup firmly against the urethra while collecting the sample." B. "I will cleanse back to front with the antiseptic wipe before peeing in the cup." C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup." D. "I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup."

C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."

You're providing discharge teaching to a patient who was hospitalized with diverticulitis. Which statement by the patient requires you to re-educate the patient? A. "It is important I consume a diet high in fiber and keep hydrated to keep my stool soft." B. "The physician prescribed me to take Psyllium every day which will help prevent constipation." C. "I will be sure to always cook and skin my fruits and vegetables rather than eating them fresh." D. "I will notify my physician if I develop abdominal pain and fever."

C. "I will be sure to always cook and skin my fruits and vegetables rather than eating them fresh."

3. Which medications are used in the treatment of Crohn's Disease and ulcerative colitis? SELECT-ALL-THAT-APPLY: A. Guanylate Cyclase-C agonists B. Anticholinergics C. 5-Aminosalicylates D. Antacids E. Corticosteroids F. Immune suppressors

C. 5-Aminosalicylates E. Corticosteroids F. Immune suppressors

Which patient below is at MOST risk for developing uric acid type kidney stones? A. A 53 year old female with recurrent urinary tract infections. B. A 6 year old male with cystinuria. C. A 63 year male with gout. D. A 25 year old female that follows a vegan diet and report eating high amounts of spinach and strawberries on a regular basis.

C. A 63 year male with gout.

A patient is receiving treatment for ulcerative colitis by taking Azathioprine. Which physician's order would the nurse question if received? A. Ambulate the patient twice day B. Low-fiber and high-protein diet C. Administer varicella vaccine intramuscularly D. Administer calcium carbonate by mouth daily

C. Administer varicella vaccine intramuscularly

In regards to question 5, this patient signs and symptoms are starting to subside. Which of the following food items would be best for the patient to consume? A. Oatmeal and bran B. Orange juice and eggs C. Chicken broth and Jello D. Salad with chicken

C. Chicken broth and Jello (clq + low fiber until healed, then high fiber)

The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order? A. First, hang the antibiotic, and then collect the urine culture. B. First, hang the antibiotic and when the antibiotic is finished infusing collect the urine culture. C. First, collect the urine culture, and then hang the antibiotic. D. First, collect the urine culture and then hold the dose of the antibiotic until the urine culture is back from the lab.

C. First, collect the urine culture, and then hang the antibiotic.

A physician has prescribed a patient with a severe case of Crohn's Disease to take a drug that works by suppressing the immune system. This medication achieves this by blocking a protein that plays a role the inflammatory process. Which drug does this describe? A. Azathioprine B. Sulfasalazine C. Infliximab D. Prednisone

C. Infliximab

A patient is suspected of having nephrotic syndrome due to a health history of Lupus. As the nurse you know that what substance(s) will be present in the urine to confirm this diagnosis? A. Red blood cells and mild protein B. Massive red blood cells and moderate protein C. Massive protein D. Elevated potassium and sodium

C. Massive protein

A 23 year old patient is admitted with suspected appendicitis. The patient states he is having pain around the umbilicus that extends into the lower part of his abdomen. In addition, he says that the pain is worst on the right lower quadrant. The patient points to his abdomen at a location which is about a one-third distance between the anterior superior iliac spine and umbilicus. This area is known as what? A. Rovsing's Point B. Hamman's Point C. McBurney's Point D. Murphy's Point

C. McBurney's Point

A patient who is experiencing poststreptococcal glomerulonephritis has edema mainly in the face and around the eyes. As the nurse, you know to expect the edema to be most prominent during the? A. Evening B. Afternoon C. Morning D. Bedtime

C. Morning

1. True or False: Crohn's Disease and ulcerative colitis are two forms of IBS (irritable bowel syndrome).

false Crohn's Disease and ulcerative colitis are two forms of IBD (irritable bowel disease)

You're caring for a patient with an indwelling catheter. The patient complains of spasm like pain at the catheter insertion site. Which of the following options below are other signs and symptoms the patient could experience or the nurse could observe if a urinary tract infection was present? SELECT-ALL-THAT-APPLY: A. Increased WBC B. Crystalluria C. Positive McBurney's Sign D. Feeling the need to void even though a catheter is present E. Dark and cloudy urine F. Cramping

A. Increased WBC D. Feeling the need to void even though a catheter is present E. Dark and cloudy urine F. Cramping

In patients who are experiencing acute glomerulonephritis, the glomerulus is permeable to what substances? A. Red blood cells and protein B. Protein and white blood cells C. Red blood cells, protein, and lipids D. Proteins

A. Red blood cells and protein

You're providing education to a patient with severe ulcerative colitis about Adalimumab. Which statement by the patient is CORRECT? A. "This medication is used as first-line treatment for ulcerative colitis." B. "My physician will order a TB skin test before I start taking this medication." C. "This medication works by increasing the tumor necrosis factor protein which helps decrease inflammation." D. "This medication is a corticosteroid. Therefore, I need to monitor my blood glucose levels regularly."

B. "My physician will order a TB skin test before I start taking this medication."

You're educating a group of outpatients about signs and symptoms of ulcerative colitis. Which of the following are NOT typical signs and symptoms of ulcerative colitis? SELECT-ALL-THAT-APPLY: A. Rectal Bleeding B. Abdominal mass C. Bloody diarrhea D. Fistulae E. Extreme Hungry F. Anemia

B. Abdominal mass D. Fistulae E. Extreme Hungry

You're collecting a urine sample on a patient who is experiencing proteinuria due to nephrotic syndrome. As the nurse, you know the urine will appear: A. Tea-colored B. Orange and frothy C. Dark and foamy D. Straw-colored

C. Dark and foamy

A patient is diagnosed nephrotic syndrome. What signs and symptoms below are common in this condition? Select-all-that-apply: A. Hypertension B. Decreased Glomerular Filtration Rate C. Foamy, frothy urine D. Massive Proteinuria E. Hyperlipidemia F. Edema G. Hematuria H. Hypoalbuminemia

C. Foamy, frothy urine D. Massive Proteinuria E. Hyperlipidemia F. Edema H. Hypoalbuminemia

A physician is explaining to a patient that the patient has a type of Crohn's Disease that is found in both the ileum and colon. As the nurse, you know this type of Crohn's Disease is called? A. Gastroduodenal Crohn's Disease B. Granulomatous Colitis C. Ileitis D. Ileocolitis

D. Ileocolitis

A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The family members report that this is not normal behavior for the patient. They explain that the patient is very active in the community and cares for herself. Based on the information you have gathered about the patient, which physician's order takes priority? A. "Collect a urinalysis" B. "Collect a T3 and T4 level" C. "Insert a Foley Catheter" D. "Keep patient NPO"

A. "Collect a urinalysis"

You're providing care to a patient with a uric acid kidney stone that is 2 mm in size per diagnostic imaging. The patient is having severe pain and rates their pain 10 on 1-10 scale. The physician has ordered a treatment plan to assist the patient in passing the kidney stone. What nursing intervention is PRIORITY for this patient based on the scenario? A. Administer pain medication B. Encourage fluid intake of 2-4 liters per day C. Massage the costovertebral area D. Implement a high protein diet

A. Administer pain medication

A patient with Crohn's Disease is taking corticosteroids. The patient is complaining of extreme thirst, polyuria, and blurred vision. What is your next nursing action? A. Check the patient's blood glucose B. Give the patient a food containing sugar (ex: orange juice) C. Administer oxygen via nasal cannula D. D. Assess bowel sounds

A. Check the patient's blood glucose

11. Which type of bowel disease is most likely to cause severe malnourishment? Ulcerative Colitis Crohn's Disease

Crohn's Disease

TRUE or FALSE: Poststreptococcal glomerulonephritis is a type of NEPHROTIC SYNDROME, which means there is the leakage of BOTH red blood cells and protein from the inflamed glomerulus into the filtrate. True False

False

True or False: A patient with Crohn's Disease can experience inflammation in the large intestine that affects mainly the mucosa (inner layer) of the bowel. True False

False

True or False: NSAIDs are used as first-line treatment for pain relief with patients with ulcerative colitis. True False

False

True or False: One of the main causes of nephrotic syndrome is a post streptococcal infection. True False

False

True or False: The appendix is found on the left lower side of the abdomen and is connected to the cecum of the large intestine. True False

False

You're providing education to a group of nursing students about the care of a patient with appendicitis. Which statement by a nursing student requires re-education about your teaching? A. "After an appendectomy the patient may have a nasogastric tube to remove stomach fluids and swallowed air." B. "Non-pharmacological techniques for a patient with appendicitis include application of heat to the abdomen and the side-lying position." C. "The nurse should monitor the patient for signs and symptoms of peritonitis which includes increased heart rate, respirations, temperature, abdominal distention, and intense abdominal pain." D. "It is normal for some patients to have shoulder pain after a laparoscopic appendectomy."

B. "Non-pharmacological techniques for a patient with appendicitis include application of heat to the abdomen and the side-lying position."

A 5 year old male is admitted with acute glomerulonephritis. On assessment, you note mild edema predominately in the face and tea-colored urine. The patient's blood pressure is 165/110, heart rate 95, oxygen saturation 98% on room air, and temperature 98.9 'F. In your nursing care plan, what nursing interventions will you include in this patient's plan of care? SELECT-ALL-THAT-APPLY: A. Initiate and maintain a high sodium diet daily. B. Monitor intake and output hourly. C. Encourage patient to ambulate every 2 hours while awake. D. Assess color of urine after every void. E. Weigh patient every daily on a standing scale. F. Encourage the patient to consume 4 L of fluid per day.

B. Monitor intake and output hourly. D. Assess color of urine after every void. E. Weigh patient every daily on a standing scale.

Most patients with diverticulosis are most likely to have diverticula located in the? A. Transverse colon B. Sigmoid Colon C. Rectum D. Ascending Colon

B. Sigmoid Colon

An 18 year old patient is admitted with appendicitis. Which statement by the patient requires immediate nursing intervention? A. "The pain hurts so much it is making me nauseous." B. "I have no appetite." C. "The pain seems to be gone now." D. "If I position myself on my right side, it makes the pain less intense."

C. "The pain seems to be gone now."

7. Which of the following is NOT a potential complication associated with ulcerative colitis? A. Toxic megacolon B. Anemia C. Stricture D. Peritonitis

C. Stricture

A patient with a kidney stone explains that the pain he is experiencing is intense, sharp, and wavelike that radiates to the scrotum. In addition, he explains it feels like he has to void but a small amount of urine is passed. Based on the patient's signs and symptoms, where may the kidney stone be located? A. Renal Calyx B. Renal Papilla C. Ureter D. Urethra

C. Ureter

A patient with a history of diverticulosis is admitted with abdominal pain. The physician suspects diverticulitis. What other findings would correlate with diverticulitis? SELECT-ALL-THAT-APPLY: A. Abdominal pain that is mainly present in the upper right quadrant B. Unrelenting cramping type pain C. Pain found at McBurney's Point D. Blood in stool E. Fever F. Reports of constipation G. Abdominal bloating H. Positive Cullen's Sign

B. Unrelenting cramping type pain D. Blood in stool E. Fever F. Reports of constipation G. Abdominal bloating

You're providing nursing education to a group of nursing students about diverticulosis versus diverticulitis. Which statement by the nursing students demonstrate they understand the education provided? A. "Most patients with diverticulitis are asymptomatic." B. "Diverticulosis tends to occur in young women with a family history of diverticulosis." C. "Diverticulitis, if not treated, can lead to abscess formation and peritonitis." D. "Patients with diverticulosis should at all times avoid eating seeds and nuts.

C. "Diverticulitis, if not treated, can lead to abscess formation and peritonitis."

10. A patient with severe ulcerative colitis had a barium enema. Which finding is associated with this disease? A. Cobble-stone appearance of the colon B. Cullen's Sign C. Lead-Pipe Sign D. McBurney's Sign

C. Lead-Pipe Sign

A patient is scheduled for an intravenous pyelogram (IVP) to assess for kidneys stones. Which finding below requires the nurse to contact the physician? A. Patient reports flank pain that radiates downward B. Patient has hematuria C. Patient is allergic to shellfish D. Patient has cloudy urine

C. Patient is allergic to shellfish

A patient is scheduled for appendectomy at noon. While performing your morning assessment, you note that the patient has a fever of 103.8 'F and rates abdominal pain 9 on 1-10. In addition, the abdomen is distended and the patient states, "I was feeling better last night but it seems the pain has become worst." The patient is having tachycardia and tachypnea. Based on the scenario, what do you suspect the patient is experiencing? A. Pulmonary embolism B. Colon Fistulae C. Peritonitis D. Hemorrhage

C. Peritonitis

A patient with Crohn's Disease is MOST likely to have the disease is what part of the GI tract? A. Rectum B. Duodenum of the small intestine C. Terminal Ileum D. Descending colon

C. Terminal Ileum

Thinking back to the scenario in question 3, what other signs and symptoms are associated with appendicitis. SELECT-ALL-THAT-APPLY: A. Increased red blood Cells B. Patient has the desire to be positioned in the prone position to relieve pain C. Umbilical pain that extends in the right lower quadrant D. Abdominal rebound tenderness E. Abdominal Flaccidity

C. Umbilical pain that extends in the right lower quadrant D. Abdominal rebound tenderness

13. A patient has the following signs and symptoms: abdominal cramping which is mainly located in the right lower side, ulcers in the mouth, bleeding anal fissure, and diarrhea. Based on the patient's signs and symptoms, which disease does this describe? Ulcerative Colitis Crohn's Disease

Crohn's Disease

4. ______________ is most commonly found in the terminal ileum and beginning of the colon. Ulcerative Colitis Crohn's Disease

Crohn's Disease

9. A patient had a colonoscopy which showed a "cobble-stone" appearance of the GI lining. This is found in: Ulcerative Colitis Crohn's Disease

Crohn's Disease

The physician orders a 24-hour urine collection on a patient with recurrent kidney stones. As the nurse you know that the specimen should be? A. Kept at room temperature B. Kept on ice or refrigerated C. Sent to the lab every four hours D. Kept at a temperature between 98.6 'F to 99.3'F

B. Kept on ice or refrigerated

As the nurse, you know that it is important to implement a low sodium diet for a patient with nephrotic syndrome. However, it is important to implement what other type of diet due to another complication associated with this syndrome? A. Low-phosphate B. Low-fat C. High-carbohydrate D. Low-potassium

B. Low-fat

True or False: Ulcerative colitis is a type of inflammatory bowel disease that causes inflammation and ulcer formation in the inner lining of the small intestine, specifically the terminal ileum. True False

False

True or False: Most patients with chronic diverticulitis require surgery at some point, such as a bowel resection. If the healthy bowel cannot be reconnected right away, a permanent colostomy will be created until it can be reconnected. True False

False (temprary not perm.)

During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform costovertebral angle percussion. The costovertebral angle is found? A. between the bottom of the 12th rib and spine B. between the right upper quadrant and umbilicus C. between the sternal notch and angle of Louis D. between the ischial spine and umbilicus

A. between the bottom of the 12th rib and spine

Your patient arrives back to their room after having extracoporeal shock wave lithotripsy (ESWL) for treatment of a kidney stone. What will be included in the patient's plan of care? SELECT-ALL-THAT-APPLY: A. Keep the patient in bed B. Encourage fluid intake of 3-4 liters per day C. Maintain nephrostomy tube D. Strain urine E. Keep dressing dry and intact

B. Encourage fluid intake of 3-4 liters per day D. Strain urine

Within the past month, the admission rate of patients with poststreptococcal glomerulonephritis has doubled on your unit. You are proving an in-service to your colleagues about this condition. Which statement is CORRECT about this condition? A. "This condition tends to present 6 months after a strep infection of the throat or skin." B. "It is important the patient consumes a diet rich in potassium based foods due to the risk of hypokalemia." C. "Patients are less likely to experience hematuria with this condition." D. "This condition is not caused by the streptococcal bacteria attacking the glomerulus, but by the immune system's response to the bacteria by creating an antigen-antibody complex which inflames the glomerulus."

D. "This condition is not caused by the streptococcal bacteria attacking the glomerulus, but by the immune system's response to the bacteria by creating an antigen-antibody complex which inflames the glomerulus."

You're providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT? A. "Void immediately after sexual intercourse." B. "Avoid wearing tight fitting underwear." C. "Try to void every 2-3 hours." D. "Use scented sanitary napkins or tampons during menstruation."

D. "Use scented sanitary napkins or tampons during menstruation."

True or False: Hypertension occurs in acute glomerulonephritis and is not a common finding with nephrotic syndrome. True False

True

5. ______________ affects the inner layer of the intestinal lining. Ulcerative Colitis Crohn's Disease

Ulcerative Colitis

6. Which bowel disease starts in the rectum and migrates in a continuous fashion throughout the colon? Ulcerative Colitis Crohn's Disease

Ulcerative Colitis

8. A patient has the following symptoms: urgent and frequent bowel movements of diarrhea that contains blood with pus and mucous, low hemoglobin/hematocrit, potassium level of 2.0. Based on the patient's signs and symptoms, which disease does this describe? Ulcerative Colitis Crohn's Disease

Ulcerative Colitis

Your patient is 4 days post-opt from an appendectomy. Which assessment finding requires further evaluation? A. The patient reports their last bowel movement was the day before surgery. B. The patient reports incisional pain. C. The patient coughs and deep breathes while splinting the abdominal incision. D. Options A and C

A. The patient reports their last bowel movement was the day before surgery.

A patient is newly diagnosed with mild ulcerative colitis. What type of anti-inflammatory medication is typically prescribed as first-line treatment for this condition? A. 5-Aminosalicylates (Sulfasalazine) B. Immunomodulators (Adalimumab) C. Corticosteroids (Prednisone) D. Immunosupressors (Azathioprine)

A. 5-Aminosalicylates (Sulfasalazine)

Which patient below is at MOST RISK for developing acute glomerulonephritis? A. A 3 year old male who has a positive ASO titer. B. A 5 year old male who is recovering from an appendectomy. C. An 18 year old male who is diagnosed with HIV. D. A 6 year old female newly diagnosed with measles.

A. A 3 year old male who has a positive ASO titer.

Select ALL of the following that are complications associated with Crohn's Disease: A. Cobble-stone appearance of GI lining B. Lead-pipe sign C. Toxic megacolon D. Fistula E. Abscess F. Anal Fissure

A. Cobble-stone appearance of GI lining D. Fistula E. Abscess F. Anal Fissure

A patient asks what type of testing is performed to assess for diverticulosis. As the nurse, you know that which test below is used to assess for diverticulosis? A. Colonoscopy B. Fleets enema C. Bronchoscopy D. Cystoscopy

A. Colonoscopy

2. Select ALL the options below that are similarities between ulcerative colitis and Crohn's Disease: A. Each cause inflammation B. Both affect the serosa layer C. Each are found from the mouth to anus D. They both increase colon cancer risk E. The cause of both is unknown D. The cure for both diseases includes total colectomy

A. Each cause inflammation D. They both increase colon cancer risk E. The cause of both is unknown

On your nursing care plan for a patient with a urinary tract infection, which of the following would be appropriate nursing interventions? SELECT-ALL-THAT-APPLY: A. Encourage voiding every 2-3 hours while awake. B. Restrict fluid intake to 1-2 liters per day. C. Monitor intake and output daily. D. The patient verbalizes the importance of using vaginal sprays to decrease reoccurrence of urinary tract infections prior to discharge home.

A. Encourage voiding every 2-3 hours while awake. C. Monitor intake and output daily.

Your patient with Crohn's Disease is admitted with an opening that has formed between the bowel and bladder. As the nurse, you know this is what type of complication associated with this disease? A. Enterovesical Fistula B. Rectovaginal Stricture C. Enteroenteric Fistula D. Perianal Fissure

A. Enterovesical Fistula

A patient is recovering after having an appendectomy. The patient is 48 hours post-opt from surgery and is tolerating full liquids. The physician orders for the patient to try solid foods. What types of foods should the patient incorporate in their diet? A. Foods high in fiber B. Foods low in fiber C. Foods high in carbohydrates D. Foods low in protein

A. Foods high in fiber

A patient is receiving treatment for Crohn's Disease. Which food found on the patient's food tray should the patient avoid? A. Fresh Salad B. White rice C. Baked chicken D. Cooked skinless apples

A. Fresh Salad

Which of the following are NOT a sign and symptom of acute glomerulonephritis (poststreptococcal)? SELECT-ALL-THAT-APPLY: A. Hypotension B. Increased Glomerular filtration rate C. Cola-colored urine D. Massive proteinuria E. Elevated BUN and creatinine F. Mild swelling in the face or eyes

A. Hypotension B. Increased Glomerular filtration rate D. Massive proteinuria

You're providing diet teaching to a patient with ulcerative colitis about what types of foods to avoid during a "flare-up". Which foods below should the patient avoid? SELECT-ALL-THAT-APPLY: A. Ice cream B. White Rice C. Fresh apples and pears D. Popcorn E. Cooked carrots

A. Ice cream C. Fresh apples and pears D. Popcorn

A patient with ulcerative colitis is scheduled for ileoanal anastomosis (J-Pouch) surgery. You know that this procedure: A. Removes the colon and rectum which allows a pouch to be created that will attach to the ileum. This will allow stool to pass from the small intestine to the anus. B. Removes the colon and rectum and creates a permanent ileostomy. C. Removes the colon and creates a temporary colostomy. D. Removes the rectum which allows a pouch to be created from the colon. This will allow stool to pass from the colon to the anus.

A. Removes the colon and rectum which allows a pouch to be created that will attach to the ileum. This will allow stool to pass from the small intestine to the anus.

A 6 year old male is diagnosed with nephrotic syndrome. In your nursing care plan you will include which of the following as a nursing diagnosis for this patient? A. Risk for infection B. Deficient fluid volume C. Constipation D. Overflow urinary incontinence

A. Risk for infection

You're providing education to a group of nursing students about nephrotic syndrome. A student describes the signs and symptoms of this condition. Which signs and symptoms verbalized by the student require you to re-educate the student about this topic? Select-all-that-apply: A. Slight proteinuria B. Hypoalbuminemia C. Edema D. Hyperlipidemia E. Tea-colored urine F. Hypertension

A. Slight proteinuria E. Tea-colored urine F. Hypertension

A 5 year-old male patient is experiencing acute glomerulonephritis. What signs and symptoms may you observe with this condition? A. Swelling in the face B. Hyperlipidemia C. Tea-colored urine D. Elevated BUN and creatinine level E. >3 Grams of protein loss in the urine per day

A. Swelling in the face C. Tea-colored urine D. Elevated BUN and creatinine level