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WorksheetsGI disorders: PUD, GED, IBD
Total questions: 31
Worksheet time: 47mins
A nurse is caring for a patient with Crohn’s disease. Which clinical manifestations support this diagnosis? Select all that apply
Weight loss
Steatorrhea
Continuous rectal bleeding
Fistula formation
Skip lesions seen on colonoscopy
A patient with Crohn’s disease asks about surgery. Which teaching is most accurate?
Surgery will cure your disease.
Surgery may help relieve symptoms, but the disease can return.
Surgery is required to prevent cancer.
Surgery is always the first treatment option.
Which nursing interventions are appropriate during an acute exacerbation of ulcerative colitis? Select all that apply
Place the patient on a low-residue diet
Encourage fluid intake
Administer laxatives
Monitor for signs of anemia
Provide high-fat meals to prevent weight loss
A patient with Crohn’s disease is prescribed corticosteroids. Which finding requires immediate action by the nurse?
Moon face
Blood glucose of 220 mg/dL
Temperature of 101.5°F (38.6°C)
Weight gain of 3 lbs in 1 week
What intervention is a priority for a patient with history of ulcerative colitis admitted with dehydration?
Start IV fluids with electrolyte replacement
Obtain weight and baseline vitals
Administer prescribed aminosalicylates
Educate about low-residue diet
A nurse suspects malnutrition in a patient with Crohn’s disease. Which lab result best supports this?
Low hemoglobin and hematocrit
Low serum albumin
Elevated ESR
Elevated WBC
The nurse is teaching a patient with IBD about dietary modifications. Which foods should be avoided during a flare? Select all that apply
Popcorn
Fried chicken
Oatmeal
Raw vegetables
Spicy salsa
Which nursing outcome indicates effective treatment for a patient with IBD?
Patient reports 10–12 stools/day
Hemoglobin level decreases
Weight is stable with adequate intake
Patient requires repeated IV fluid boluses
A nurse provides teaching to a patient newly diagnosed with PUD. Which statements indicate understanding? Select all that apply
I will avoid aspirin and ibuprofen.
I can drink coffee as long as it’s decaf.
I should stop smoking.
I will eat small, frequent meals.
I should avoid alcohol.
A patient with PUD reports sudden severe abdominal pain, rigid abdomen, and absent bowel sounds. What is the priority action?
Administer prescribed proton pump inhibitor
Insert NG tube for decompression
Alert charge nurse
Administer laxatives
The nurse provides discharge teaching for a patient post-gastrectomy for refractory ulcer. Which complications should the nurse emphasize monitoring for? Select all that apply
Dumping syndrome
Pernicious anemia
Bowel perforation
Recurrent constipation
A patient with duodenal ulcer asks how their symptoms differ from gastric ulcer. Which statement by the nurse is correct?
Your pain usually worsens immediately after eating.
Your pain is more likely to improve with food.
You are more likely to have hematemesis than melena.
Your ulcers are usually found in the stomach lining.
A patient with chronic PUD asks about dietary modifications. Which statement by the nurse is best?
You must avoid all spicy foods permanently.
Limit foods that worsen your symptoms.
Eat a high-fiber diet, like whole grains.
The nurse cares for a patient with refractory PUD. Which surgical complication is associated with gastrectomy?
Perforation
Dumping syndrome
Fistula formation
Small bowel obstruction
Which task related to dumping syndrome care can be safely delegated to an experienced UAP?
Reinforcing dietary teaching
Monitoring for orthostatic hypotension
Assisting the patient to lie down after meals
Educating on fluid restriction
After teaching about lifestyle changes for dumping syndrome, which patient choice indicates successful learning?
Drinks 1 glass of water with each meal
Eats high-fat fried foods to delay gastric emptying
Eats slowly and avoid fluids with meals
Avoids all protein sources
A patient with dumping syndrome presents with diaphoresis and confusion 2 hours post-meal. Which lab result is most consistent with this finding?
Blood glucose 52 mg/dL
Hemoglobin 8 g/dL
Sodium 150 mEq/L
Potassium 3.2 mEq/L
Which meal selection indicates correct understanding of a gluten-free diet?
Whole wheat toast with butter
Rice with grilled salmon and vegetables
Barley soup and salad
Oatmeal with milk
Which task can be delegated to a UAP caring for a patient with celiac disease?
Teaching the patient about gluten-free foods
Observing for steatorrhea
Assisting the patient to obtain a daily weight
Interpreting lab values
Which statement indicates need for further teaching about celiac disease?
I can have corn tortillas instead of flour tortillas.
I will check labels for hidden gluten in processed foods.
I can still eat barley in small amounts.
I will need to avoid rye bread.
A patient asks why a strict gluten-free diet is necessary. The nurse explains it prevents:
Hypoglycemia
Intestinal damage and malnutrition
Hypertension
Kidney disease
The patient selects the following lunch: grilled chicken, steamed broccoli, mashed potatoes, and wheat roll. Which item should the nurse remove?
Grilled chicken
Mashed potatoes
Wheat roll
Broccoli
A patient with celiac disease expresses frustration at social events. What is the most therapeutic nurse response?
You should bring your own gluten-free food to events.
If you eat small amounts of gluten it won’t matter.
As long as you avoid wheat you can eat other foods
Avoid social gatherings to prevent frustration
A patient with suspected Clostridioides difficile (C. diff) infection has 10 watery stools/day. Which nursing action is priority?
Place the patient in contact isolation
Encourage increased oral fluid intake
Administer antidiarrheal medication
Obtain a stool culture
Which finding is most concerning in a patient with GI infection?
Mild abdominal cramping
Low-grade fever of 100.2°F
Heart rate 132 bpm and BP 86/52
Loose stools 3x/day
A patient with acute gastritis is admitted with nausea and vomiting. Which assessment finding requires immediate action?
Heartburn after meals
Coffee-ground emesis
Anorexia and bloating
Mild abdominal tenderness
Which snack choice is most appropriate for a patient with gastritis?
Buttered popcorn
Banana and applesauce
Chocolate chip cookie
Tomato juice
Which symptom best differentiates GERD from angina?
Substernal chest pain
Pain radiating to the jaw
Pain worsens when lying down
Pain relieved by rest
A patient with GERD reports frequent regurgitation at night. Which nursing diagnosis is most appropriate?
Disturbed sleep pattern
Imbalanced nutrition: more than body requirements
Deficient fluid volume
Ineffective tissue perfusion
The nurse suspects aspiration pneumonia in a patient with GERD. Which finding supports this?
Hoarseness
Cough with sputum, crackles in lungs
Burning sensation in throat
Chest discomfort after meals
A patient reports GERD symptoms unrelieved by medication. Which action should the nurse take first?
Ask about dietary habits and triggers
Refer for surgical evaluation
Increase the PPI dose independently
Suggest over-the-counter antacids
