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

Explanation:
Ulcerative colitis typically presents with symptoms such as bloody diarrhea, abdominal pain, and urgency to defecate. The presence of frequent bloody stools, as described in option 1, is a hallmark symptom of ulcerative colitis. Options 2, 3, and 4 are not typically associated with ulcerative colitis.

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

Explanation:
Option 2, "Assess the client for muscle weakness," is the priority because a low serum potassium level can cause muscle weakness. Assessing for this symptom helps the nurse understand the severity of the condition and guides further actions. Options 1, 3, and 4 may be necessary, but assessing for muscle weakness is the immediate priority to address the potential impact of low potassium levels on the client's health.

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

Explanation:
Option 2, "Rest the client's bowels," is the most appropriate intervention during an acute exacerbation of ulcerative colitis. This allows the colon to heal by reducing inflammation. Options 1, 3, and 4 may be relevant in other contexts but are not specifically targeted at managing an acute exacerbation of this condition.

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

Explanation:
"Check the client's glucose level" is a valid intervention, as monitoring glucose levels is essential when a client is receiving total parenteral nutrition (TPN). TPN solutions contain glucose, which can affect blood sugar levels, so regular monitoring helps prevent complications such as hyperglycemia or hypoglycemia.

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

Explanation:
During an acute exacerbation of inflammatory bowel disease (IBD), the priority intervention for the nurse is to closely monitor the client's gastrointestinal symptoms, particularly the frequency, amount, and color of stools. This assessment helps evaluate disease severity and guide treatment decisions.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

Free IBD NCLEX Questions and Answers Questions and Answers