2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
Midterm: Chapter 6 Quiz Total points 21/30
0 of 0 points
LAST NAME, FIRST NAME *
BACLEON, CRISTELLE MAE
Section *
MCQ 21 of 30 points
A nurse is working with a client who has chronic constipation. What should be 1/1
included in client teaching to promote normal bowel function?
A. Use glycerin suppositories on a regular basis.
B. Limit physical activity in order to promote bowel peristalsis.
C. Consume high-residue, high-fiber foods.
D. Resist the urge to defecate until the urge becomes intense.
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
A nurse is conducting health screening with a diverse group of clients. Which 1/1
client likely has the most risk factors for developing hemorrhoids?
A. A 45-year-old teacher who stands for 6 hours per day
B. A pregnant woman at 28 weeks' gestation
C. A 37-year-old construction worker who does heavy lifting
D. A 60-year-old professional who is under stress
An older adult who resides in an assisted living facility has sought care from the 1/1
nurse because of recurrent episodes of constipation. Which of the following
actions should the nurse first perform?
A. Encourage the client to take stool softener daily.
B. Assess the client's food and fluid intake.
C. Assess the client's surgical history.
D. Encourage the client to take fiber supplements.
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
A 16-year-old presents at the emergency department reporting right lower 1/1
quadrant pain and is subsequently diagnosed with appendicitis. When planning
this client's nursing care, the nurse should prioritize what nursing diagnosis?
A. Imbalanced nutrition: Less than body requirements related to decreased oral
intake
B. Risk for infection related to possible rupture of appendix
C. Constipation related to decreased bowel motility and decreased fluid intake
D. Chronic pain related to appendicitis
A nurse is providing care for a client who has a diagnosis of irritable bowel 1/1
syndrome (IBS). When planning this client's care, the nurse should collaborate
with the client and prioritize what goal?
A. Client will accurately identify foods that trigger symptoms.
B. Client will demonstrate appropriate care of his ileostomy.
C. Client will demonstrate appropriate use of standard infection control precautions.
D. Client will adhere to recommended guidelines for mobility and activity.
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
A client's health history is suggestive of inflammatory bowel disease. Which of 1/1
the following would suggest Crohn disease, rather than ulcerative colitis, as the
cause of the client's signs and symptoms?
A. A pattern of distinct exacerbations and remissions
B. Severe diarrhea
C. An absence of blood in stool
D. Involvement of the rectal mucosa
During a client's scheduled home visit, an older adult client has stated to the 1/1
community health nurse that the client has been experiencing hemorrhoids of
increasing severity in recent months. The nurse should recommend which of the
following?
A. Regular application of an OTC antibiotic ointment
B. Increased fluid and fiber intake
C. Daily use of OTC glycerin suppositories
D. Use of an NSAID to reduce inflammation
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
The nurse is providing care for a client whose inflammatory bowel disease has 0/1
necessitated hospital treatment. Which of the following would most likely be
included in the client's medication regimen?
A. Antidiarrheal medications 30 minutes before a meal
B. Antiemetics on a PRN basis
C. Vitamin B12 injections to prevent pernicious anemia
D. Beta adrenergic blockers to reduce bowel motility
A nurse is caring for an older adult who has been experiencing severe 1/1
Clostridium difficile-related diarrhea. When reviewing the client's most recent
laboratory tests, the nurse should prioritize what finding?
A. White blood cell level
B. Creatinine level
C. Hemoglobin level
D. Potassium level
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
A nurse at an outpatient surgery center is caring for a client who had a 1/1
hemorrhoidectomy. What discharge education topics should the nurse address
with this client?
A. The appropriate use of antibiotics to prevent postoperative infection
B. The correct procedure for taking a sitz bath
C. The need to eat a low-residue, low-fat diet for the next 2 weeks
D. The correct technique for keeping the perianal region clean without the use of
water
A nurse is planning discharge teaching for a 21-year-old client with a new 1/1
diagnosis of ulcerative colitis. When planning family assessment, the nurse
should recognize that which of the following factors will likely have the greatest
impact on the client's coping after discharge?
A. The family's ability to take care of the client's special diet needs
B. The family's ability to monitor the client's changing health status
C. The family's ability to provide emotional support
D. The family's ability to manage the client's medication regimen
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
A nurse is preparing to discharge a client home on parenteral nutrition. What 3/3
should an effective home care teaching program address? Select all that apply.
A. Preparing the client to troubleshoot for problems
B. Teaching the client and family strict aseptic technique
C. Teaching the client and family how to set up the infusion
D. Teaching the client to flush the line with sterile water
E. Teaching the client when it is safe to leave the access site open to air
The nurse would increase the comfort of the patient with appendicitis by: 1/1
a. Having the patient lie prone
b. Flexing the patient's right knee
c. Sitting the patient upright in a chair
d. Turning the patient onto his or her left side
"The nurse is caring for a patient in the emergency department with complaints 1/1
of acute abdominal pain, nausea, and vomiting. When the nurse palpates the
patient's left lower abdominal quadrant, the patient complains of pain in the
right lower quadrant. The nurse will document this as which of the following
diagnostic signs of appendicitis?
a. Rovsing sign
b. referred pain
c. Chvostek's sign
d. rebound tenderness
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
When preparing a male client, age 51, for surgery to treat appendicitis, the nurse 1/1
formulates a nursing diagnosis of Risk for infection related to inflammation,
perforation, and surgery. What is the rationale for choosing this nursing
diagnosis?
a. Obstruction of the appendix may increase venous drainage and cause the
appendix to rupture.
b. Obstruction of the appendix reduces arterial flow, leading to ischemia,
inflammation, and rupture of the appendix.
c. The appendix may develop gangrene and rupture, especially in a middle-aged
client.
d. Infection of the appendix diminishes necrotic arterial blood flow and increases
venous drainage.
A client is admitted with a diagnosis of acute appendicitis. When assessing the 1/1
abdomen, the nurse would expect to find rebound tenderness at which location?
a) Left lower quadrant
b) Left upper quadrant
c) Right upper quadrant
d) Right lower quadrant
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
The nurse is monitoring a client diagnosed with appendicitis who is scheduled 1/1
for surgery in 2 hours. The client begins to complain of increased abdominal
pain and begns to vomit. On assessment, the nurse notes that the abdomen is
distended and bowel sounds are diminished. Which is the appropriate nursing
intervention?
1. Based on the assessment information the nurse should suspect peritonitis, a
complication that is associated with appendicitis, and notify the physician.
2. Administering pain medication is not an appropriate intervention
3. Scheduling surgical time is not within the scope of practice of an RN.
4. Heat should never be applied to the abdomen of a patient suspected of having
peritonitis because of the risk of rupture.
A client with acute appendicitis develops a fever, tachycardia, and hypotension. 1/1
Based on these assessment findings, the nurse should further assess the client
for which of the following complications?
1. Deficient fluid volume.
2. Intestinal obstruction.
3. Bowel ischemia.
4. Peritonitis
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
If a client had irritable bowel syndrome, which of the following diagnostic tests 1/1
would determine if the diagnosis is Crohn's disease or ulcerative colitis?
1. Abdominal computed tomography (CT) scan
2. Abdominal x-ray
3. Barium swallow
4. Colonoscopy with biopsy
The nurse is caring for a hospitalized client with a diagnosis of ulcerative colitis. 0/1
Which finding, if noted on assessment of the client, would the nurse report to
the physician?
1. Bloody diarrhea
2. Hypotension
3. A hemoglobin of 12 mg/dL
4. Rebound tenderness
The nurse is planning care for a client in the early stages of ulcerative colitis. 1/1
Which part of the colon should the nurse understand to be initially affected by
ulcerativecolitis?
The rectosigmoid area
The transverse colon
The ileocecal junction
The duodenum
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
Differentiate Ulcerative Colitis from Chron's Disease (200 words max) ···/7
Ulcerative colitis (UC) and Crohn’s disease (CD) are both types of inflammatory bowel
disease (IBD) but differ in key characteristics. UC is confined to the colon and rectum, with
continuous inflammation that affects only the innermost mucosal layer. In contrast, CD can
affect any part of the gastrointestinal tract, from the mouth to the anus, with patchy, "skip
lesion" inflammation that penetrates all layers of the intestinal wall. Symptoms of UC
typically include bloody diarrhea, abdominal pain, urgency, and tenesmus, whereas CD often
presents with non-bloody diarrhea, crampy abdominal pain, weight loss, and complications
such as fistulas, strictures, and abscesses. UC is more likely to lead to toxic megacolon and
an increased risk of colon cancer, while CD is associated with malabsorption, perianal
disease, and bowel obstructions. Diagnosis relies on endoscopy, biopsy, and imaging
studies, revealing superficial inflammation in UC and deep, cobblestone-like lesions in CD.
Treatment for both includes aminosalicylates, corticosteroids, immunosuppressants, and
biologic therapies. While surgery can cure UC by removing the colon, CD is more challenging
to treat surgically, as it frequently recurs even after bowel resection. Proper differentiation
between UC and CD is essential for appropriate management and improved patient
outcomes.
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2/24/25, 3:28 PM Midterm: Chapter 6 Quiz
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