Ulcerative colitis &  If the chronic kidney disease

progresses to kidney failure, the

Renal failure following complications are possible,
  except: 
A. Osteomalacia
 Ulcerative colitis can be cured with
B. Pericarditis
antibiotics.  C. Hypokalemia
Yes D. Male erectile dysfunction
No
 The most common early sign of
 What causes ulcerative colitis? 
kidney disease is: 
A. Intestinal viruses
A. Sodium retention
B. The cause is unknown
B. Development of metabolic acidosis
C. Parasites
C. Elevated BUN level
D. Contaminated food
D. Inability to dilute or concentrate urine
E. Bacteria
 Which of the following symptoms is
 What is the most important nursing
associated with ulcerative colitis? 
diagnosis for a patient in end-stage
A. Dumping syndrome
renal disease?  B. Rectal bleeding
A. Risk for injury C. Soft stools
B. Fluid volume excess D. Fistulas
C. Activity intolerance
 The best test to measure your level
D. Altered nutrition: less than body
requirements of kidney function and determine
 When a person has UC, sores called your stage of kidney disease. 
A. Glomerular filtration rate
ulcers develop inside the colon.
B. Kidney Scan
What Foods should be avoided with C. Urine Test
Ulcerative Colitis? Select all that D. Blood test
apply. *  Surgical management of ulcerative
Alcohol. colitis may be performed to treat
Caffeine.
which of the following
Non- dairy products
Dried beans, peas, and legumes. complications? 
Fresh fruits and vegetable. A. Gastritis
B. Bowel herniation
 A patient is admitted to the hospital
C. Bowel outpouching
with CKD. The nurse understands D. Bowel perforation
that this condition is characterized  A sudden episode of kidney failure or
by  kidney damage which is caused by
A. progressive irreversible destruction of the
an event that leads to kidney
kidneys
B. a rapid decrease in urine output with an malfunction, such as dehydration,
elevated BUN blood loss from major surgery or
C. an increasing creatinine clearance with a injury, or the use of medicines. 
decrease in urine output A. End Stage Renal Disease
D. confusion with coma B. Chronic Renal Failure
 What is the safest medication for C. Acute Kidney Injury
Ulcerative Colitis? * D. Cardiovascular disease
A. Budesonide  A 55 year old male patient is
B. Streptomycin diagnosed with chronic kidney
C. Aspirin disease. The patient’s recent GFR
D. Mesalamine was 25 mL/min. What stage of
 chronic kidney disease is this known  The patient undergoes hemodialysis
as?  about three times per week. Each
A. Stage 1 session lasts for at least 3 hours. 
B. Stage 3 TRUE
C. Stage 4 FALSE
D. Stage 5 MAYBE
   Which of the following associated
 Which is not a risk factors of disorders may a client with ulcerative
ulcerative colitis?  colitis exhibit? 
A. Genes-you're at higher risk if you have a A. Gallstones
close relative, such as a parent, sibling or B. Hydronephrosis
child with the disease C. Nephrolithiasis
B. Environmental factors e.g .fumes, D. Toxic megacolon
chemicals, pollen  
C. Ethnicity-whites have the highest risk of the  Refers to inflammation of the inner
disease
D. Age -it usually begins before the age of 30
lining of the colon 
A. Colitis
 The patient is undergoing
B. Crohn's disease
hemodialysis with an internal C. Proctitis
arteriovenous fistula in place. What D. Pancolitis
do you do to prevent complications  ALL are possible complications of
associated with this device?  ulcerative colitis, except: 
A. Report a bruit or thrill over the fistula to the A. Perforated anus
doctor. B. Osteoporosis
B. Avoid taking blood pressures in the arm C. Diabetes
with the fistula. D. Liver disease
C. Palpate pulses above the fistula E. Dehydration
D. Insert I.V. lines above the fistula.  Ulcerative colitis is related to what
 The kidneys are responsible for similar condition? 
performing all the following functions A. Indigestion
EXCEPT?  B. Acid reflux disease (GERD)
A. Activating Vitamin D C. Anorexia
B. Secreting Renin D. Crohn's disease
C. Secreting Erythropoietin  ______________ is solely filtered
D. Maintaining cortisol production from the bloodstream via the
 It’s a mild form of ulcerative colitis glomerulus and is NOT reabsorbed
where only the rectum is inflamed.  back into the bloodstream but is
A. Ulcerative proctitis excreted through the urine. 
B. Left sided- colitis A. Urea
C. Proctosigmoiditis B. Creatinine
D. Pancolitis C. Potassium
 A patient with CKD has a low D. Magnesium
erythropoietin (EPO) level. The  A person who suffers from ulcerative
patient is at risk for?  colitis for a long period of time is at
A. Hypercalcemia risk for…
B. Anemia A. Hemorrhoids
C. Blood clots B. Colon cancer
D. Hyperkalemia C. Fecal incontinence
D. Parkinson's disease
E. Crohn's Disease
 Symptoms of ulcerative colitis can B. Replace fluids orally or through an injection
include...  into the vein
A. Rectal bleeding C. Stop intake of all foods
B. Abdominal pain D. Apply ice to skin
C. Diarrhea  Which of these is a sign of
D. All of the above dehydration? 
 Ulcerative colitis affects the colon. A. Increase urination
The colon is also referred to as B. Reduced thirst
the...  C. Moist skin
A. Small intestine D. Dizziness
B. Large intestine  Which of these cases of
C. Sphincter gastroenteritis will benefit from
D. Appendix antibiotic? 
 The doctor may take a small A. Salmonella
samples of tissue for laboratory B. Rotavirus
analysis and for him to make a C. Norovirus
D. Crohn’s Disease
diagnosis. 
 Which of these is a protozoan that
A. Colonoscopy
B. Sigmoidoscopy causes gastroenteritis? 
C. Endoscopy A. Campylobacter
D. Biopsy B. E. coli
E. CT Scan C. Shigella
D. Giardia lamblia
Acute gastroenteritis  What are the possible complications
Which among these is a preferred fluid of gastroenteritis? 
to replace the loss caused by A. Systemic infection (e.g. meningitis, arthritis)
gastroenteritis?  with Salmonellas infection
A, Clean water B. Dehydration, Chronic diarrhea
B. Normal Saline C. Sepsis and malabsorption
C. Oral rehydration solution D. Transient Lactose Intolerance
D. Colas and sodas E. A & B
F. B & C
 The meaning of "enteritis" in the
G. All of the choices
word gastroenteritis is? 
 It helps the patient to stop feeling or
A. Inflammation of the stomach
B. Inflammation of the intestines being sick of nausea or vomiting. 
C. The entry of bacteria into the mouth A. Domperidone
D. None of the above B. Amoxicillin
C. Ciprofloxacin
 The patient go beyond 5 to 6 percent
D. Thyroxine
of lost fluid volume and usually start
 Which of these is the most common
to get symptoms of fatigue,
complication of gastroenteritis? 
dizziness, and headaches.  A. Blurring of vision
A. Mild dehydration B. heart attack
B. Moderate dehydration C. Osteoporosis
C. Severe Dehydration D. Dehydration
D. Any of these stages
 Which of these foods are advised in
 Which is the first step in the
a person suffering from AGE? 
treatment of diarrhea due to A. Foods high in fats
gastroenteritis?  B. Milk and other dairy products
A. Start the antibiotic immediately C. Chocolates and sweets
D. Bland diets like potato and soft rice
 E. coli is a gastroenteritis causing C. Allergy which is triggered by an asthma
pathogen of which ‘type’?  reaction is called allergy-induced asthma.
A. Fungal D. Allergies and asthma often occur together.
B . Bacterial  Environmental risk factors for the
C. Viral development of asthma include: 
D. Parasitic A. Socioeconomic status
 It relieves symptoms such as B  Allergen exposure
nausea, vomiting, heartburn, a C. Exposure to second hand tobacco smoke
feeling of fullness after meals, and at infancy
D. All of the above
loss of appetite. 
 Asthma is a chronic respiratory
A. Omeprazole
B. Potassium Chloride disease. 
C. Metronidazole A. TRUE
D. Metoclopramide B. FALSE
 ALL are signs of dehydration,  An asthma ______________ occurs
except:  when asthma symptoms become
A. dry mouth and fatigue worse than usual. *
B. high heart rate but low blood pressure A. Crisis
C. dizziness B. Attack
D. weakness C. Event
E. increased urine output D. All of the above
 A glass of clean water in which a  What causes an asthma attack? 
teaspoon of sugar and a pinch of salt A. Allergens or the flu
is added can be used in case oral B. Smoke
C. Exercise
rehydration solution is not D. All of the above
available. *  Select all the following that can
A. TRUE
B. FALSE
trigger an asthma 
Tobacco Smoke.
ASTHMA Dust Mites.
Pests (e.g., cockroaches, mice)
 What is the cure for asthma? 
Caffeine
A. There is no cure
Malnutrition
B. It depends on the patient
Having a relative with an asthma at home
 The body's reaction to a normally
 
harmless substance such as pollen,
 
molds, animal dander, latex, certain
 Which of the following medication is
foods and insect stings. 
A. Exacerbation
not prescribed to our patient? 
A. Ipratropium 20mcg/Salbutamol 100mcg
B. Asthma attack
B. Paracetamol 500mg/tablet
C. Allergy
C. Cefuroxime 500mg/tablet
D. Sensitization
D. Azithromycin 500mg/tablet
 Which statement is wrong in
 The organ system affected by
describing allergy and asthma? 
A .Both conditions can make breathing
asthma 
A. Lungs
difficult.
B. Alveoli
B. Allergies and asthma can be triggered by
C. Air sacs
some of the same things, including pollen,
D. Brochioles
dust, and  
E. All of the above
    mold.
 Bronchial wall thickening which
occurs when excess fluid or mucus
 buildup in the small airway passages D. Basophil
of the lung. 
A. Pulmonary hyperinflation
Pulmonary
B. Pulmonary edema
C. Peribronchial cuffing
Tuberculosis
D. All of the above  The difference between latent TB
 Symptoms more than twice a week, infection and TB disease is that: 
A. people with latent TB infection are not
but no more than once in a single
infectious, whereas people with TB disease
day  can be infectious
A. Mild persistent B. only TB disease can be detected by a
B. Mild intermittent tuberculin skin test; latent TB infection cannot
C. Moderate persistent C. people with latent TB infection are
D. Severe persistent infectious, whereas people with TB disease
 What is a common symptom of are not
asthma?  D. latent TB infection is curable but TB
A. Wheezing disease is not
B. Whistling  A new TB vaccine is required
C.Full breaths because BCG does not consistently
D. Snoring
protect against pulmonary TB. *
 Asthma is basically:  A. TRUE
An infectious disease B. FALSE
An autoimmune disease
 The standard treatment for latent TB
An atopic disease
A malignant disease infection is to: 
A. give isoniazid daily for 9 months
 What is the value that is measured
B. give rifampin and isoniazid daily for 18
by spirometry?  months
A. Residual volume C. closely monitor the patient’s health status
B. Total lung capacity and then give isoniazid only if TB disease
C. Functional residual capacity develops
D. Forced expiratory volume  D. treat with a regimen of 4 drugs for 6
 Which is a wrong statement by a months e. treat with a regimen of 3 drugs for
patient about using an inhaler, who 12 months
is on treatment for asthma?   Which is true about TB? 
A. “I should inhale before using the inhaler.” A. It is spread through the air from one person
B. “I should place my lips firmly around the to another.
mouthpiece.” B. When a person breathes in TB bacteria, the
C. “I should hold my breath 8-10 seconds after bacteria can settle in the lungs and begin to
using the inhaler.” grow
D. “I should wait 1-2 minutes between puffs.” C. TB in the lungs or throat can be infectious.
 How long does an asthma attack D. TB in other parts of the body, such as the
last?  kidney or spine, is usually not infectious.
A. Usually about two hours E. ALL of the above
B. Several hours or days  What is the most common site for TB
 _____________ is a globulin disease? 
(protein) produced by B cells as a A. larynx
defense mechanism against foreign B. pleura
C. lungs
materials. 
D. lymph node
A. Antigen
E. brain
B. Antibody
C. Mast cell  Which of the following medical
conditions places a person at highest
 risk of developing TB disease after A. contact with blood contaminated with TB
becoming infected:  bacteria
A. fatigue B. contact with clothing contaminated with TB
B. less than ideal body weight bacteria
C. pneumonia C. breathing in TB bacteria expelled by a
D. HIV infection person with infectious TB
E. diabetes D. eating with utensils used by a person with
 Drug resistance is more common in infectious TB
F. all of the above
people who: 
 The most common medicines used
A. have spent time with someone with drug-
resistant TB disease to treat TB disease are Isoniazid
B. do not take all of their prescribed medicine (INH), Rifampin (RIF), Ethambutol
C. develop TB disease again, after having (EMB) and Pyrazinamide (PZA).
taken TB medicine in the past Which of these are the first-line
D. when the drugs are of poor quality drugs to treat tuberculosis? 
E. ALL of the above A. Isoniazid and Rifampin
  B. Ethambutol and Pyrazinamide
 What makes TB hard to diagnose?  C.Pyrazinamide and Isoniazid
A. Symptoms aren't always obvious D. Rifampi and Ethambutol
B. Symptoms come and go  Which of the following statements is
C. The disease may take years to become FALSE about chest X-rays for TB
active diagnosis: 
D. A and B A. Chest X-rays have good sensitivity, but
 Which are common symptoms of poor specificity
tuberculosis select all that apply?  B. Chest X-rays can help determine the
A. cough that lasts more than three weeks. severity of lung damage
B. Loss of appetite C. Chest X-rays alone is sufficient to diagnose
C. Fever. pulmonary TB
D. Night sweat D. Chest X-rays can look similar in patients
E. Dizziness with old, inactive TB and those with currently
F. Urticaria active TB disease
 Which of the following diagnostic  Tuberculosis is caused by 
tests is definitive for TB?  A. virus
A.Chest x-ray B. bacterium
B. Mantoux test C. pox
C. Sputum culture D. parasite
D. Tuberculin test E. fungus
   ALL may happen if the patient does
  not complete the course of treatment
 What is causing TB to become a of TB, except: *
serious public health problem?  A. The patient can stay sick for a longer time
A. The rise in number of people with HIV B. TB germs can be passed on to others
infection C. It can become harder or impossible to cure
B. An increasing number of immigrants from D. The patient may have to continue taking his
areas of the world where TB is common medication
C. An increasing number of homeless people  Tuberculosis (TB) is caused by a
D. People who don't take their TB treatment virus? *
correctly A. TRUE
E. All of the above B. FALSE
 TB infection is spread by: 
COPD B. FALSE
 The nurse is planning to teach a
 Breathlessness or being short of client with COPD how to cough
breath is called  effectively. Which of the following
A. Dyspnea instructions should be included? 
B. Apnea A. Take a deep abdominal breath, bend
C .Bronchitis forward, and cough 3 to 4 times on exhalation.
D. Winded B. Lie flat on back, splint the thorax, take two
 When teaching a client with COPD to deep breaths and cough.
conserve energy, the nurse should C. Take several rapid, shallow breaths and
teach the client to lift objects:  then cough forcefully.
A. While inhaling through an open mouth. D. Assume a side-lying position, extend the
B. While exhaling through pursed lips. arm over the head, and alternate deep
C. After exhaling but before inhaling. breathing with coughing.
D. While taking a deep breath and holding it  Select all that apply. COPD can
 COPD is almost always caused by  cause many complications,
A. Pollution including: 
B. Dust A. Heart problems
C. Smoking B. Lung cancer
D. asbestos C. Respiratory infections
 A patient with emphysema may D. Diabetes
present with all of the following E. Glaucoma
symptoms EXCEPT?   Which of the following is a priority
A. Barrel chest goal for the client with COPD? 
B. Hyperinflation of the lungs A. Maintaining functional ability.
C. Hypoventilation B. Minimizing chest pain.
D. Hypercapnia C. Increasing carbon dioxide levels in the
 This test measures how well your blood.
lungs are bringing oxygen into your D. Treating infectious agents.
blood and removing carbon dioxide.   COPD is reversible and tends to
A. CT SCAN happens gradually 
B. ABG Analysis A. TRUE
C. Chest x-ray B. FALSE
D. Spirometry  What would the nurse monitor for
 What is true about people with before applying oxygen to a COPD
COPD?  patient? 
A. People with COPD experience more A. Breath sounds
headaches B. Heart rate
B. People with COPD are infertile. C. BP
C. People with COPD burn more calories. D. Respirations
D. People with COPD tend to be short in
height.  
 ALL are prescribed medication for  
Mr. Dado, except:   
A. Ceftriaxone 2 gm IV
B. Doxofylline 200 mg/tab Pneumonia
C. Clonidine 75 mg/tab  
D. Rifampicin 150 mg/cap  It is used to protect the patient from
 Cyanosis is also a symptom of germs when his immune system is
COPD.  not working properly.
A. TRUE
A. Quarantine
B. Isolation
C. Reverse Isolation
D. ALL of the above
 What are some ways to diagnose
pneumonia?  variety of organisms, such as
A.Chest X-ray
B. sputum cultures
C. ABG.
D. CBC
E. A, B and C only
F. ALL of the above
 You are more likely to acquire
pneumonia for all the following
reasons, EXCEPT  pneumonia. The nurse knows the
Smoking
History of chronic lung disease
Antibiotic use within the past 3 months
Living in cold environment
 What is the indication of
Azithromycin 500mg OD?  D. hypoxemia
A. Pain reliever
B. Antiulcernt
C. Antibiotic
D. Antidiuretics
 The nurse is reviewing a pneumonia
pt.'s lab results. What does she
expect to see?  C. Empyema
A. decreased Hgb
B. increased RBCs
C. decreased neutrophils
D. decreased WBCs
E   increased WBCs
 A part of your Case Study that
indicate factors contributing to the
condition or disease process of the
problem.  D. hyperresonance to percussion.
A. Physical Assessment
B. Etiology
C. Symptomatology
D. Symptoms manifested
 The pt is suspected on having
community-acquired pneumonia.
The nurse anticipates which of the
following tests to be done to dx pt.
Select all that apply.  D. A & B only
A. sputum gram stain
B. Pulmonary function test
C. fluorescein bronchoscopy
D. peak flow meter measurement
E. chest x-ray
 An infection that causes
inflammation in the lungs and results
in fluid build-up, fever, cough, and
difficulty breathing. It’s caused by a
viruses, bacteria, and fungi. 
A. Bronchitis
B. Covid 19
C. Pneumonia
D. Emphysema
 A pt. is seen in the vaccination site
with community-acquired
most common symptoms that this pt.
may have are_______. Select all
that apply. 
A. dyspnea
C. back pain
E. chest discomfort
F. a smoker
 What is the most serious
complication of pneumonia? 
A. Pleural effusions
B. Sepsis
D. Pleurisy
 During assessment of the chest in a
patient with pneumococcal
pneumonia, the nurse would expect
to find 
A. vesicular breath sounds.
B. increased tactile fremitus.
C. dry, nonproductive cough.
 Why are people in hospitals more
likely to get hospital-acquired
pneumonia? 
A. Because they are sicker and unable to fight
off germs
B. Germs in the hospital are more dangerous
than those in the community
C. Because they are on a ventilator which can
cause pneumonia
E. All of the above
 A thin linings between the lungs and
ribcage (pleura) become inflamed,
which can lead to respiratory failure. 
A. Pleurisy A. 3 to 5 days before the period starts
B. Pleural effusions B. 3 to 5 days after the period starts
C. Empyema C. anytime every month
D. Bacteremia
D. same day every month
 ALL are various complications of
pneumonia, except; 
A. Atelectasis
B. pleurisy
C. bacteremia
D. acute respiratory failure
E. renal failure
 Which microorganism is most likely
to cause pneumonia? 
A. Bacteria
B. Viruses
C. Fungi
D. ALL of the above
 Pneumonia is a what type of
condition? 
A. Cardiac
B. Circulatory
C. Respiratory
D. Systemic
 
 What type of pneumonia is more
common in adults and elderly? 
A. Streptococcus pneumoniae
B. Staphylococcus aureus
C. Pseudomonas
D. Haemophilus
E. All of the above
 What foods may cause colon
cancer? *
A. Leafy greens
B. Dairy products
C. Red meat and processed meats
D. Caffeine
 What is usually the first sign of
breast cancer? *
A. lump in the breast or underarm that
stay and doesn't go away
B. inverted nipple
C. change in size, shape, or appearance
of a breast
D. flaking of the pigmented area of skin
surrounding the nipple or breast skin
 
 The best time to do a monthly self
breast exam is *