Digestive & Gastrointestinal System Disorders | NCLEX Quiz 67

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  • 1/10 Questions

    Which of the following associated disorders may a client with ulcerative colitis exhibit?

    • Gallstones
    • Hydronephrosis
    • Nephrolithiasis
    • Toxic megacolon
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Digestive & Gastrointestinal System Disorders | NCLEX Quiz 67 - Quiz

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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?

    • The entire length of the large colon

    • Only the sigmoid area

    • The entire large colon through the layers of mucosa and submucosa

    • The small intestine and colon; affecting the entire thickness of the bowel

    Correct Answer
    A. The small intestine and colon; affecting the entire thickness of the bowel
    Explanation
    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.

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  • 3. 

    Which of the following factors is believed to be linked to Crohn’s disease?

    • Constipation

    • Diet

    • Hereditary

    • Lack of exercise

    Correct Answer
    A. Hereditary
    Explanation
    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.

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  • 4. 

    Medical management of the client with diverticulitis should include which of the following treatments?

    • Reduced fluid intake

    • Increased fiber in diet

    • Administration of antibiotics

    • Exercises to increase intra-abdominal pressure

    Correct Answer
    A. Administration of antibiotics
    Explanation
    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.

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  • 5. 

    Which area of the alimentary canal is the most common location for Crohn’s disease?

    • Ascending colon

    • Descending colon

    • Sigmoid colon

    • Terminal ileum

    Correct Answer
    A. Terminal ileum
    Explanation
    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.

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  • 6. 

    Fistulas are most common with which of the following bowel disorders?

    • Crohn’s disease

    • Diverticulitis

    • Diverticulosis

    • Ulcerative colitis

    Correct Answer
    A. Crohn’s disease
    Explanation
    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.

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  • 7. 

    Which of the following associated disorders may the client with Crohn’s disease exhibit?

    • Ankylosing spondylitis

    • Colon cancer

    • Malabsorption

    • Lactase deficiency

    Correct Answer
    A. Malabsorption
    Explanation
    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.

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  • 8. 

    Which of the following factors is believed to cause ulcerative colitis?

    • Acidic diet

    • Altered immunity

    • Chronic constipation

    • Emotional stress

    Correct Answer
    A. Altered immunity
    Explanation
    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.

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  • 9. 

    Which of the following symptoms may be exhibited by a client with Crohn’s disease?

    • Bloody diarrhea

    • Narrow stools

    • N/V

    • Steatorrhea

    Correct Answer
    A. Steatorrhea
    Explanation
    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.

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  • 10. 

    Which of the following areas is the most common site of fistulas in client’s with Crohn’s disease?

    • Anorectal

    • Ileum

    • Rectovaginal

    • Transverse colon

    Correct Answer
    A. Anorectal
    Explanation
    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.

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  • Aug 18, 2023
    Quiz Edited by
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  • Oct 01, 2017
    Quiz Created by
    Santepro
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