What clinical term describes the feeling of needing to pass stool even when the bowel is empty?
4 Inflammatory Bowel Disease Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Inflammatory Bowel Disease, test your knowledge, and prepare for your next test or exam.
True or false: Avoiding smoking is recommended because smoking worsens Crohn’s disease outcomes.
- A
True
- B
False
In ulcerative colitis, inflammation usually begins in the and extends continuously toward the proximal colon.
Which pattern is most typical of ulcerative colitis?
- A
Patchy inflammation that may occur anywhere from the mouth to the anus
- B
Continuous inflammation that usually starts in the rectum and extends through the colon
- C
Full-thickness inflammation limited to the terminal ileum
- D
Inflammation of the stomach with normal tissue throughout the colon
What abbreviation is commonly used for 5-aminosalicylates?
True or false: Irritable bowel syndrome causes the intestinal inflammation and tissue damage characteristic of inflammatory bowel disease.
- A
True
- B
False
Corticosteroids may be used short term to induce control of a flare, but they are not used as therapy.
A patient with IBD has diarrhea and is concerned about nutrition. Select all appropriate education points.
- A
Maintain fluids, especially during diarrhea.
- B
Follow one specific diet because it cures IBD for everyone.
- C
Choose a balanced diet as tolerated.
- D
Ask about a registered dietitian if weight loss or restricted intake is a concern.
A patient with ulcerative colitis has no current diarrhea or bleeding and asks whether to stop maintenance medication. What is the best response?
- A
Stop the medicine until diarrhea returns.
- B
Take the medicine only when blood appears in the stool.
- C
Continue the medicine as prescribed and discuss changes with the IBD team.
- D
Replace the medicine with an over-the-counter antidiarrheal.
Before a patient starts certain immunosuppressive IBD therapies, which preparation may be appropriate?
- A
A routine test for food intolerance, with no need to review vaccines
- B
Screening for infections such as tuberculosis and hepatitis B, and review of vaccination status
- C
A requirement to stop every maintenance medicine permanently
- D
A guarantee that infection cannot occur during treatment
A patient with Crohn’s disease develops cramping pain, abdominal distension, repeated vomiting, and reduced passage of stool or gas. Select all appropriate actions.
- A
Promptly notify the clinician.
- B
Give a laxative to encourage passage of stool.
- C
Keep the patient NPO if ordered.
- D
Avoid antidiarrheal medication unless specifically directed.
A patient with IBD reports worsening diarrhea and abdominal pain. Which response best reflects safe flare assessment?
- A
Assume the symptoms are an IBD flare and increase the medication dose.
- B
Recommend an over-the-counter antidiarrheal without contacting the care team.
- C
Notify the treating team and follow the ordered evaluation plan, considering other causes.
- D
Wait until the next routine appointment because worsening symptoms are expected.
A patient with severe colitis develops abdominal distension, fever, tachycardia, and worsening tenderness. Explain the concern and the immediate nursing priority, including a medication safety consideration.
A patient asks how often colonoscopy surveillance is needed for IBD. Which response is most accurate?
- A
Every patient should follow the same fixed schedule, regardless of disease features.
- B
Follow-up and colonoscopy surveillance should be kept, with timing based on disease extent, duration, and individual risk.
- C
Surveillance is unnecessary if symptoms improve.
- D
Only new rectal bleeding determines whether surveillance is needed.
True or false: Irritable bowel syndrome does not cause the intestinal inflammation and tissue damage characteristic of inflammatory bowel disease.
- A
True
- B
False
What term describes the patchy areas of inflammation that may occur in Crohn’s disease?
What is a common site of Crohn’s disease in the small intestine?
A patient with Crohn’s disease asks whether a 5-aminosalicylate is an effective maintenance treatment for them. Which response best reflects the material?
- A
Use a 5-aminosalicylate as standard maintenance therapy for Crohn’s disease.
- B
Ask the IBD team to review a treatment plan suited to Crohn’s disease rather than relying on 5-aminosalicylates for maintenance.
- C
Stop all maintenance medicines while symptoms are absent.
- D
Use corticosteroids indefinitely to prevent future flares.
A patient with IBD asks which diet will prevent symptoms for everyone with the condition. Which response is most appropriate?
- A
Follow the same restrictive diet as every other person with IBD.
- B
Avoid all foods that can cause diarrhea, regardless of individual tolerance.
- C
Choose a balanced diet as tolerated and consider tracking foods and symptoms to identify personal triggers.
- D
Use diet instead of prescribed maintenance medicines once symptoms improve.
A patient with IBD is considering taking ibuprofen for pain. Which advice is most appropriate?
- A
Start an NSAID such as ibuprofen without consulting the care team.
- B
Discuss NSAID use with the care team because these medicines may aggravate symptoms for some people.
- C
Use NSAIDs regularly to prevent IBD flares.
- D
Stop prescribed IBD medication and substitute an NSAID.
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