IBD NCLEX 5

Question 1

A client with ulcerative colitis develops a painful, raised, violaceous skin lesion on the lower leg that has necrotic edges. The nurse documents this extraintestinal manifestation as:

Accepted Answer

Pyoderma gangrenosum

Answer

Pyoderma gangrenosum presents as a painful ulcerating skin lesion with violaceous, undermined edges and is a classic extraintestinal manifestation of IBD.

Question 2

A client with IBD is being discharged on 6-mercaptopurine (6-MP). The nurse emphasizes that therapeutic effect typically takes how long?

Accepted Answer

3–6 months

Answer

Thiopurines like 6-MP have a delayed onset of action of 3–6 months, so corticosteroids are often used as a bridge therapy during this period.

Question 3

A nurse caring for a client with IBD notes the client is jaundiced with elevated alkaline phosphatase and a beaded biliary tree on MRCP. The nurse recognizes this as which IBD-associated hepatobiliary complication?

Accepted Answer

Primary sclerosing cholangitis (PSC)

Answer

Primary sclerosing cholangitis (PSC) causes multifocal bile duct strictures producing a beaded appearance on MRCP and is strongly associated with ulcerative colitis.

Question 4

A client with a newly created ileostomy reports that the output is green and liquid. The nurse should tell the client:

Accepted Answer

This is normal ileostomy output that may become more formed over time

Answer

Green, liquid output is normal immediately after ileostomy creation as the small bowel adapts; output typically becomes more yellow and paste-like over weeks.

Question 5

A nurse is assessing a client with Crohn's disease for signs of short bowel syndrome following extensive resection. Which complication is the nurse most likely to find?

Accepted Answer

Chronic diarrhea with malabsorption and weight loss

Answer

Extensive small bowel resection reduces absorptive surface area, causing chronic diarrhea, malabsorption of macronutrients and micronutrients, and progressive weight loss.

IBD - Inflammatory Bowel Disease Practice Test

IBD - Inflammatory Bowel Disease Practice Test

IBD NCLEX 5