The nurse is reviewing the record of a client with Crohns disease

This is a quiz that contains NCLEX review questions for Crohn’s Disease. As a nurse providing care to a patient with Crohn’s Disease, it is important to know the classic signs and symptoms of Crohn’s Disease, types of Crohn’s Disease, medications used to treat the condition, the complications, treatments, and nursing interventions.

In the previous NCLEX review series, I explained about other GI disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well.

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1. True or False: A patient with Crohn’s Disease can experience inflammation in the large intestine that affects mainly the mucosa (inner layer) of the bowel.

2. A patient with Crohn’s Disease is most likely to have the disease is what part of the GI tract?

A. Rectum

B. Duodenum of the small intestine

C. Terminal Ileum

D. Descending colon

3. You’re providing teaching to a patient who has been newly diagnosed with Crohn’s Disease. Which statement by the patient’s spouse requires re-education?

A. “Crohn’s Disease can be scattered throughout the GI tract in patches with some areas appearing healthy while others are diseased.”

B. “There is no cure for Crohn’s Disease.”

C. “Strictures are a common complication with Crohn’s Disease.”

D. “Crohn’s Disease can cause the haustra of the large intestine to lose its form.”

4. A physician is explaining to a patient that the patient has a type of Crohn’s Disease that is found in both the ileum and colon. As the nurse, you know this type of Crohn’s Disease is called?

A. Gastroduodenal Crohn’s Disease

B. Granulomatous Colitis

C. Ileitis

D. Ileocolitis

5. Select ALL of the following that are complications associated with Crohn’s Disease:

A. Cobble-stone appearance of GI lining

B. Lead-pipe sign

C. Toxic megacolon

D. Fistula

E. Abscess

F. Anal Fissure

6. Your patient with Crohn’s Disease is admitted with an opening that has formed between the bowel and bladder. As the nurse, you know this is what type of complication associated with this disease?

A. Enterovesical Fistula

B. Rectovaginal Stricture

C. Enteroenteric Fistula

D. Perianal Fissure

7. A patient experiencing a flare-up with Crohn’s Disease is ordered complete bowel rest by the physician. You are administering TPN (total parental nutrition) per physician order. When developing the patient’s nursing plan of care, which nursing diagnosis is MOST important to include in the care plan?

A. Risk for allergy response

B. Risk for unstable blood glucose level

C. Risk for imbalance nutrition: more than body requirements

D. Risk for imbalanced nutrition: less than body requirements

8. A patient is receiving treatment for Crohn’s Disease. Which food found on the patient’s food tray should the patient avoid?

A. Fresh Salad

B. White rice

C. Baked chicken

D. Cooked skinless apples

9. A physician has prescribed a patient with a severe case of Crohn’s Disease to take a drug that works by suppressing the immune system. This medication achieves this by blocking a protein that plays a role the inflammatory process. Which drug does this describe?

A. Azathioprine

B. Sulfasalazine

C. Infliximab

D. Prednisone

10. A patient with Crohn’s Disease is taking corticosteroids. The patient is complaining of extreme thirst, polyuria, and blurred vision. What is your next nursing action?

A. Check the patient’s blood glucose

B. Give the patient a food containing sugar (ex: orange juice)

C. Administer oxygen via nasal cannula

D. Assess bowel sounds

Answer Key:

1. False 2. C 3. D 4. D 5. A, D, E, F 6. A 7. D 8. A 9. C

10. A

The nurse is reviewing the record of a client with Crohn’s disease. Which stool characteristic should the nurse expect to note documented in the client’s record?

1. Diarrhea 2. Chronic constipation 3. Constipation alternating with diarrhea 4. Stool constantly oozing from the rectum


A. Description

An inflammatory disease that can occur anywhere in the gastrointestinal tract but most often affects the terminal ileum and leads to thickening and scarring, a narrowed lumen, fistulas, ulcerations, and abscesses Characterized by remissions and exacerbations

B. Assessment

Fever Cramp-like and colicky pain after meals Diarrhea (semisolid), which may contain mucus and pus Abdominal distention Anorexia, nausea, and vomiting Weight loss Anemia Dehydration Electrolyte imbalances Malnutrition (may be worse than that seen in ulcerative colitis)

C. Interventions:

Care is similar to that for the client with ulcerative colitis; however, surgery may be necessary but is avoided for as long possible because recurrence of the disease process in the same region is likely to occur.

1. The nurse is reviewing the record of aclient with Crohn’s disease. Which stoolcharacteristic should the nurse expect tonote documented in the client’s record?A. DiarrheaB. Chronic constipationC. Constipation alternating with diarrheaD. Stool constantly oozing from therectum