NCLEX Questions On Digestive And Gastrointestinal System Disorder

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  • 1/10 Questions

    Colon cancer is most closely associated with which of the following conditions?

    • Appendicitis
    • Hemorrhoids
    • Hiatal hernia
    • Ulcerative colitis
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About This Quiz

This NCLEX prep quiz focuses on digestive and gastrointestinal disorders, assessing knowledge on symptoms, diagnostic tests, and medical management for conditions like ulcerative colitis and Crohn's disease. It's designed to enhance understanding and preparedness for handling these medical conditions.

NCLEX Questions On Digestive And Gastrointestinal System Disorder - Quiz

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  • 2. 

    Which of the following symptoms is associated with ulcerative colitis?

    • Dumping syndrome

    • Rectal bleeding

    • Soft stools

    • Fistulas

    Correct Answer
    A. Rectal bleeding
    Explanation
    In ulcerative colitis. rectal bleeding is the predominant symptom. Soft stools are more commonly associated with Crohn’s disease. in which malabsorption is more of a problem. Dumping syndrome occurs after gastric surgeries. Fistulas are associated with Crohn’s disease.

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  • 3. 

    Surgical management of ulcerative colitis may be performed to treat which of the following complications?

    • Gastritis

    • Bowel herniation

    • Bowel outpouching

    • Bowel perforation

    Correct Answer
    A. Bowel perforation
    Explanation
    Perforation. obstruction. hemorrhage. and toxic megacolon are common complications of ulcerative colitis that may require surgery. Herniation and gastritis aren’t associated with irritable bowel diseases. and outpouching of the bowel is diverticulosis.

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  • 4. 

    During the first few days of recovery from ostomy surgery for ulcerative colitis. which of the following aspects should be the first priority of client care?

    • Body image

    • Ostomy care

    • Sexual concerns

    • Skin care

    Correct Answer
    A. Ostomy care
    Explanation
    Although all of these are concerns the nurse should address. being able to safely manage the ostomy is crucial for the client before discharge.

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  • 5. 

    If a client had irritable bowel syndrome. which of the following diagnostic tests would determine if the diagnosis is Crohn’s disease or ulcerative colitis?

    • Abdominal computed tomography (CT) scan

    • Abdominal x-ray

    • Barium swallow

    • Colonoscopy with biopsy

    Correct Answer
    A. Colonoscopy with biopsy
    Explanation
    A colonoscopy with biopsy can be performed to determine the state of the colon’s mucosal layers. presence of ulcerations. and level of cytologic development. An abdominal x-ray or CT scan wouldn’t provide the cytologic information necessary to diagnose which disease it is. A barium swallow doesn’t involve the intestine.

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  • 6. 

    Which of the following medications is most effective for treating the pain associated with irritable bowel disease?

    • Acetaminophen

    • Opiates

    • Steroids

    • Stool softeners

    Correct Answer
    A. Steroids
    Explanation
    The pain with irritable bowel disease is caused by inflammation. which steroids can reduce. Stool softeners aren’t necessary. Acetaminophen has little effect on the pain. and opiate narcotics won’t treat its underlying cause.

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  • 7. 

    In a client with Crohn’s disease. which of the following symptoms should not be a direct result of antibiotic therapy?

    • Decrease in bleeding

    • Decrease in temperature

    • Decrease in body weight

    • Decrease in the number of stools

    Correct Answer
    A. Decrease in body weight
    Explanation
    A decrease in body weight may occur during therapy due to inadequate dietary intake. but isn’t related to antibiotic therapy. Effective antibiotic therapy will be noted by a decrease in temperature. number of stools. and bleeding.

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  • 8. 

    Which of the following interventions should be included in the medical management of Crohn’s disease?

    • Increasing oral intake of fiber

    • Administering laxatives

    • Using long-term steroid therapy

    • Increasing physical activity

    Correct Answer
    A. Using long-term steroid therapy
    Explanation
    Management of Crohn’s disease may include long-term steroid therapy to reduce the inflammation associated with the deeper layers of the bowel wall. Other management focuses on bowel rest (not increasing oral intake) and reducing diarrhea with medications (not giving laxatives). The pain associated with Crohn’s disease may require bed rest. not an increase in physical activity.

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  • 9. 

    Which of the following diets is most commonly associated with colon cancer?

    • Low-fiber. high fat

    • Low-fat. high-fiber

    • Low-protein. high-carbohydrate

    • Low carbohydrate. high protein

    Correct Answer
    A. Low-fiber. high fat
    Explanation
    A low-fiber. high-fat diet reduced motility and increases the chance of constipation. The metabolic end products of this type of diet are carcinogenic. A low-fat. high-fiber diet is recommended to prevent colon cancer.

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  • 10. 

    Which of the following diagnostic tests should be performed annually over age 50 to screen for colon cancer?

    • Abdominal CT scan

    • Abdominal x-ray

    • Colonoscopy

    • Fecal occult blood test

    Correct Answer
    A. Fecal occult blood test
    Explanation
    Surface blood vessels of polyps and cancers are fragile and often bleed with the passage of stools. Abdominal x-ray and CT scan can help establish tumor size and metastasis. A colonoscopy can help locate a tumor as well as polyps. which can be removed before they become malignant.

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  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 01, 2017
    Quiz Created by
    Santepro
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