Digestive & Gastrointestinal System Disorders | NCLEX Quiz 67
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.
Medical management of the client with diverticulitis should include which of the following treatments?
- A.
Reduced fluid intake
- B.
Increased fiber in diet
- C.
Administration of antibiotics
- D.
Exercises to increase intra-abdominal pressure
Correct Answer
C. Administration of antibioticsExplanation
Antibiotics are used to reduce the inflammation. The client isn’t typically isn’t allowed anything orally until the acute episode subsides. Parenteral fluids are given until the client feels better; then it’s recommended that the client drink eight 8-ounce glasses of water per day and gradually increase fiber in the diet to improve intestinal motility. During the acute phase. activities that increase intra-abdominal pressure should be avoided to decrease pain and the chance of intestinal obstruction.Rate this question:
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- 2.
Crohn’s disease can be described as a chronic relapsing disease. Which of the following areas in the GI system may be involved with this disease?
- A.
The entire length of the large colon
- B.
Only the sigmoid area
- C.
The entire large colon through the layers of mucosa and submucosa
- D.
The small intestine and colon; affecting the entire thickness of the bowel
Correct Answer
D. The small intestine and colon; affecting the entire thickness of the bowelExplanation
Crohn’s disease can involve any segment of the small intestine. the colon. or both. affecting the entire thickness of the bowel. Answers 1 and 3 describe ulcerative colitis. answer 2 is too specific and therefore. not likely.Rate this question:
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- 3.
Which area of the alimentary canal is the most common location for Crohn’s disease?
- A.
Ascending colon
- B.
Descending colon
- C.
Sigmoid colon
- D.
Terminal ileum
Correct Answer
D. Terminal ileumExplanation
Studies have shown that the terminal ileum is the most common site for recurrence in clients with Crohn’s disease. The other areas may be involved but aren’t as common.Rate this question:
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- 4.
Which of the following factors is believed to be linked to Crohn’s disease?
- A.
Constipation
- B.
Diet
- C.
Hereditary
- D.
Lack of exercise
Correct Answer
C. HereditaryExplanation
Although the definite cause of Crohn’s disease is unknown. it’s thought to be associated with infectious. immune. or psychological factors. Because it has a higher incidence in siblings. it may have a genetic cause.Rate this question:
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- 5.
Which of the following factors is believed to cause ulcerative colitis?
- A.
Acidic diet
- B.
Altered immunity
- C.
Chronic constipation
- D.
Emotional stress
Correct Answer
B. Altered immunityExplanation
Several theories exist regarding the cause of ulcerative colitis. One suggests altered immunity as the cause based on the extraintestinal characteristics of the disease. such as peripheral arthritis and cholangitis. Diet and constipation have no effect on the development of ulcerative colitis. Emotional stress can exacerbate the attacks but isn’t believed to be the primary cause.Rate this question:
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- 6.
Fistulas are most common with which of the following bowel disorders?
- A.
Crohn’s disease
- B.
Diverticulitis
- C.
Diverticulosis
- D.
Ulcerative colitis
Correct Answer
A. Crohn’s diseaseExplanation
The lesions of Crohn’s disease are transmural; that is. they involve all thickness of the bowel. These lesions may perforate the bowel wall. forming fistulas with adjacent structures. Fistulas don’t develop in diverticulitis or diverticulosis. The ulcers that occur in the submucosal and mucosal layers of the intestine in ulcerative colitis usually don’t progress to fistula formation as in Crohn’s disease.Rate this question:
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- 7.
Which of the following areas is the most common site of fistulas in client’s with Crohn’s disease?
- A.
Anorectal
- B.
Ileum
- C.
Rectovaginal
- D.
Transverse colon
Correct Answer
A. AnorectalExplanation
Fistulas occur in all these areas. but the anorectal area is most common because of the relative thinness of the intestinal wall in this area.Rate this question:
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- 8.
Which of the following associated disorders may a client with ulcerative colitis exhibit?
- A.
Gallstones
- B.
Hydronephrosis
- C.
Nephrolithiasis
- D.
Toxic megacolon
Correct Answer
D. Toxic megacolonExplanation
Toxic megacolon is extreme dilation of a segment of the diseased colon caused by paralysis of the colon. resulting in complete obstruction. This disorder is associated with both Crohn’s disease and ulcerative colitis. The other disorders are more commonly associated with Crohn’s disease.Rate this question:
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- 9.
Which of the following associated disorders may the client with Crohn’s disease exhibit?
- A.
Ankylosing spondylitis
- B.
Colon cancer
- C.
Malabsorption
- D.
Lactase deficiency
Correct Answer
C. MalabsorptionExplanation
Because of the transmural nature of Crohn’s disease lesions. malabsorption may occur with Crohn’s disease. Ankylosing spondylitis and colon cancer are more commonly associated with ulcerative colitis. Lactase deficiency is caused by a congenital defect in which an enzyme isn’t present.Rate this question:
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- 10.
Which of the following symptoms may be exhibited by a client with Crohn’s disease?
- A.
Bloody diarrhea
- B.
Narrow stools
- C.
N/V
- D.
Steatorrhea
Correct Answer
D. SteatorrheaExplanation
Steatorrhea from malabsorption can occur with Crohn’s disease. N/V. and bloody diarrhea are symptoms of ulcerative colitis. Narrow stools are associated with diverticular disease.Rate this question:
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Aug 18, 2023Quiz Edited by
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Oct 01, 2017Quiz Created by
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