FREE IBD NCLEX Questions and Answers Questions and Answers

Question 1

Which signs/symptoms should the nurse expect to find in a client diagnosed with ulcerative colitis?

Accepted Answer

Twenty bloody stools a day

Answer

Oral temperature of 102 degrees Fahrenheit

Answer

Hard, rigid abdomen

Answer

Urinary stress incontinence

Question 2

The client diagnosed with inflammatory bowel disease has a serum potassium level of 3.4 mEq/L. Which action should the nurse implement first?

Accepted Answer

Assess the client for muscle weakness

Answer

Notify the healthcare provider

Answer

Request telemetry for the client

Answer

Prepare to administer potassium IV

Question 3

The client is diagnosed with an acute exacerbation of ulcerative colitis. Which intervention should the nurse implement?

Accepted Answer

Rest the client's bowels

Answer

Provide a low-residue diet

Answer

Asses vital signs daily

Answer

Administer antacids orally

Question 4

The client diagnosed with IBD is prescribed total parental nutrition (TPN). Which intervention should the nurse implement?

Accepted Answer

Check the client's glucose level

Answer

Administer an oral hypoglycemic

Answer

Assess the peripheral intravenous site

Answer

Monitor the client's oral food intake

Question 5

The client is diagnosed with an acute exacerbation of IBD. Which priority intervention should the nurse implement first?

Accepted Answer

Record the frequency, amount, and color of stools

Answer

Weigh the client daily and document it in the client's chart

Answer

Teach coping strategies such as dietary modifications

Answer

Monitor the client's oral fluid intake every shift

Question 6

The client diagnosed with Crohn's disease is crying and tells the nurse "I can't take it anymore. I never know when I will get sick and end up here in the hospital." Which statement is the nurse's best response?

Accepted Answer

I can see you are very upset. I'll sit down and we can talk.

Answer

I understand how frustrating this must be for you.

Answer

You must keep thinking about the good things in your life.

Answer

Are you thinking about doing anything like committing suicide?

Question 7

The nurse is caring for a child with inflammatory bowel disease​ (IBD) and severe diarrhea. Which goal should the nurse identify as a priority for this​ client?

Accepted Answer

The child maintains adequate hydration.

Answer

The child demonstrates healthy coping skills.

Answer

The child reports improved sleep.

Answer

The child​ self-administered prescribed medication.

Question 8

The client diagnosed with IBD is prescribed sulfasalazine (Asulﬁdine), a sulfonamide antibiotic. Which statement best describes the rationale for administering this medication?

Accepted Answer

It acts topically on the colon mucosa to decrease inﬂammation.

Answer

It is administered rectally to help decrease colon inﬂammation.

Answer

This medication slows gastrointestinal motility and reduces diarrhea.

Answer

This medication kills the bacteria causing the exacerbation.

Question 9

The client diagnosed with ulcerative colitis is prescribed a low-residue diet. Which meal selection indicates the client understands the diet teaching?

Accepted Answer

Roast pork, white rice, and plain custard.

Answer

Grilled hamburger on a wheat bun and fried potatoes.

Answer

A chicken salad sandwich and lettuce and tomato salad.

Answer

Fried ﬁsh, whole grain pasta, and fruit salad.

Question 10

The nurse is caring for a client in the early stages of Crohn’s disease. Which type of lesion should the nurse recall that occurs when at the beginning of this disease​ process?

Accepted Answer

Aphthoid

Answer

Crypt abscess

Answer

Canker sore

Answer

Fistula