MEDSURG (GI) GASTROINTESTINAL
EXAM 4 LATEST 2024-2025 ACTUAL
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
STUDYGUIDE
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?
1. "I understand how frustrating this must be for you."
2. "You must keep thinking about the good things in your
life."
3. "I can see you are very upset. I'll sit down and we can
talk."
4. "Are you thinking about doing anything like committing
suicide?" Correct Answer 3
The client diagnosed with ulcerative colitis has an
ileostomy. Which statement
indicates the client needs more teaching concerning the
ileostomy?
1. "My stoma should be pink and moist."
2. "I will irrigate my ileostomy every morning."
3. "If I get a red, bumpy, itchy rash I will call my HCP."
4. "I will change my pouch if it starts leaking." Correct
Answer 2
,The client diagnosed with IBD is prescribed sulfasalazine
(Asulfidine), a sulfonamide
antibiotic. Which statement best describes the rationale for
administering this
medication?
1. It is administered rectally to help decrease colon
inflammation.
2. This medication slows gastrointestinal motility and
reduces diarrhea.
3. This medication kills the bacteria causing the
exacerbation.
4. It acts topically on the colon mucosa to decrease
inflammation. Correct Answer 4
The client is diagnosed with Crohn's disease, also known
as regional enteritis. Which
statement by the client supports this diagnosis?
1. "My pain goes away when I have a bowel movement."
2. "I have bright red blood in my stool all the time."
3. "I have episodes of diarrhea and constipation."
4. "My abdomen is hard and rigid and I have a fever."
Correct Answer 1
The client diagnosed with ulcerative colitis is prescribed a
low-residue diet. Which
meal selection indicates the client understands the diet
teaching?
1. Grilled hamburger on a wheat bun and fried potatoes.
2. A chicken salad sandwich and lettuce and tomato salad.
3. Roast pork, white rice, and plain custard.
, 4. Fried fish, whole grain pasta, and fruit salad. Correct
Answer 3
Which assessment data support to the nurse the client's
diagnosis of gastric ulcer?
1. Presence of blood in the client's stool for the past
month.
2. Reports of a burning sensation moving like a wave.
3. Sharp pain in the upper abdomen after eating a heavy
meal.
4. Complaints of epigastric pain 30 to 60 minutes after
ingesting food. Correct Answer 4
The nurse is caring for a client diagnosed with rule-out
peptic ulcer disease. Which
test confirms this diagnosis?
1. Esophagogastroduodenoscopy.
2. Magnetic resonance imaging.
3. Occult blood test.
4. Gastric acid stimulation. Correct Answer 1
Which specific data should the nurse obtain from the client
who is suspected of
having peptic ulcer disease?
1. History of side effects experienced from all medications.
2. Use of nonsteroidal anti-inflammatory drugs (NSAIDs).
3. Any known allergies to drugs and environmental factors.
4. Medical histories of at least three (3) generations.
Correct Answer 2
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