IBD NCLEX 2

Question 1

A client with Crohn's disease develops a fistula between the bowel and bladder. Which symptom should the nurse expect to assess?

Accepted Answer

Pneumaturia (air in urine)

Answer

An enterovesical fistula allows bowel gas and bacteria to enter the bladder, causing pneumaturia and recurrent UTIs.

Question 2

A nurse is reviewing labs for a client with IBD who is on long-term sulfasalazine therapy. Which finding requires the most immediate follow-up?

Accepted Answer

Folate level 2.8 ng/mL (low)

Answer

Sulfasalazine inhibits folate absorption; a low folate level requires supplementation to prevent megaloblastic anemia and neural tube defects in pregnancy.

Question 3

A client with ulcerative colitis undergoes a total proctocolectomy with ileostomy. On postoperative day 2, the nurse notes the stoma output is 1,800 mL in 8 hours. The priority nursing action is to:

Accepted Answer

Notify the provider and prepare to give IV fluids

Answer

High-output ileostomy (>1,200–1,500 mL/day) risks dehydration and electrolyte imbalance; IV replacement and provider notification are the priority.

Question 4

Which dietary modification should the nurse teach a client with Crohn's disease affecting the terminal ileum?

Accepted Answer

Take B12 injections or supplements

Answer

The terminal ileum is the only site that absorbs vitamin B12, so Crohn's disease in that region impairs absorption and supplementation is necessary.

Question 5

A nurse administers infliximab to a client with Crohn's disease. Thirty minutes into the infusion the client reports chest tightness and develops urticaria. The first action is to:

Accepted Answer

Stop the infusion and call the provider

Answer

Chest tightness and urticaria during a biologic infusion indicate an infusion reaction or anaphylaxis; the infusion must be stopped immediately and the provider notified.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

IBD NCLEX 2