Quiz
Upper GI
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Questions in this quiz (21)
1A patient who has gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which patient statement to the nurse indicates that additional teaching about GERD is needed?
- A“I quit smoking years ago, but I chew gum.”
- B“I eat small meals and have a bedtime snack.”
- C“I take antacids between meals and at bedtime each night.”
- D“I sleep with the head of the bed elevated on 4-inch blocks.”
2A 68-yr-old male patient with a stroke is unconscious and unresponsive to stimuli. After learning that the patient has a history of gastroesophageal reflux disease (GERD), what should the nurse plan to assess more frequently than is routine?
- AApical pulse
- BBowel sounds
- CBreath sounds
- DAbdominal girth
3How should the nurse explain esomeprazole (Nexium) to a patient with recurring heartburn?
- A“It reduces gastroesophageal reflux by increasing the rate of gastric emptying.”
- B“It neutralizes stomach acid and provides relief of symptoms in a few minutes.”
- C“It coats and protects the lining of the stomach and esophagus from gastric acid.”
- D“It treats gastroesophageal reflux disease by decreasing stomach acid production.”
4Which patient choice for a snack 3 hours before bedtime indicates that the nurse’s teaching about gastroesophageal reflux disease (GERD) has been effective?
- AChocolate pudding
- BGlass of low-fat milk
- CCherry gelatin with fruit
- DPeanut butter and jelly sandwich
5What should the nurse anticipate teaching a patient with a new report of heartburn?
- AA barium swallow
- BRadionuclide tests
- CEndoscopy procedures
- DProton pump inhibitors
6Which information will the nurse provide for a patient with newly diagnosed gastroesophageal reflux disease (GERD)?
- A“Peppermint tea may reduce your symptoms.”
- B“Keep the head of your bed elevated on blocks.”
- C“You should avoid eating between meals to reduce acid secretion.”
- D“Vigorous physical activities may increase the incidence of reflux.”
7Which statement by a patient with chronic atrophic gastritis indicates that the nurse’s teaching regarding cobalamin injections has been effective?
- A“The cobalamin injections will prevent gastric inflammation.”
- B“The cobalamin injections will prevent me from becoming anemic.”
- C“These injections will increase the hydrochloric acid in my stomach.”
- D“These injections will decrease my risk for developing stomach cancer.”
8A patient has peptic ulcer disease that has been associated with Helicobacter pylori. About which medications will the nurse plan to teach the patient?
- ASucralfate (Carafate), nystatin, and bismuth (Pepto-Bismol)
- BMetoclopramide (Reglan), bethanechol (Urecholine), and promethazine
- CAmoxicillin (Amoxil), clarithromycin (Biaxin), and omeprazole (Prilosec)
- DFamotidine (Pepcid), magnesium hydroxide (Mylanta), and pantoprazole
(Protonix)
9 What diagnostic test should the nurse anticipate for an older patient who is vomiting “coffee-ground” emesis?
- AEndoscopy
- BAngiography
- CBarium studies
- DGastric analysis
10 Which information will the nurse include when teaching a patient with peptic ulcer disease about the effect of ranitidine (Zantac)?
- A“Ranitidine absorbs the excess gastric acid.”
- B"Ranitidine decreases gastric acid secretion."
- C“Ranitidine constricts the blood vessels near the ulcer.”
- D“Ranitidine covers the ulcer with a protective material.”
11A young adult patient is hospitalized with massive abdominal trauma from a motor vehicle crash. The patient asks the nurse about the purpose of receiving famotidine (Pepcid). What should the nurse explain about the action of the medication?
- A“It decreases nausea and vomiting.”
- B“It inhibits development of stress ulcers.”
- C"It lowers the risk for H. pylori infection.”
- D“It prevents aspiration of gastric contents.”
12A patient admitted with a peptic ulcer has a nasogastric (NG) tube in place. When the patient develops sudden, severe upper abdominal pain, diaphoresis, and a firm abdomen, which action should the nurse take?
- AIrrigate the NG tube.
- BCheck the vital signs.
- CGive the ordered antacid
- DElevate the foot of the bed.
13A patient who underwent a gastroduodenostomy (Billroth I) 12 hours ago reports increasing abdominal pain. The patient has no bowel sounds and 200 mL of bright red nasogastric (NG) drainage in the past hour. What is the highest priority action by the nurse?
- AMonitor drainage.
- BContact the surgeon.
- CIrrigate the NG tube.
- DGive prescribed morphine.
14At his first postoperative checkup appointment after a gastrojejunostomy (Billroth II), a patient reports that dizziness, weakness, and palpitations occur about 20 minutes after each meal. What should the nurse teach the patient to do?
- AIncrease the amount of fluid with meals.
- BEat foods that are higher in carbohydrates.
- CLie down for about 30 minutes after eating.
- DDrink sugared fluids or eat candy after meals.
15The health care provider prescribes antacids and sucralfate (Carafate) for treatment of a patient’s peptic ulcer. What should the nurse teach the patient to take?
- ASucralfate at bedtime and antacids before each meal
- BSucralfate and antacids together 30 minutes before meals
- CAntacids 30 minutes before each dose of sucralfate is taken
- DAntacids after meals and sucralfate 30 minutes before meals
16Which information about dietary management should the nurse include when teaching a patient with peptic ulcer disease (PUD)?
- A“You will need to remain on a bland diet.”
- B“Avoid foods that cause pain after you eat them.”
- C“High-protein foods are least likely to cause pain.”
- D“You should avoid eating any raw fruits and vegetables.”
17Which patient should the nurse assess first after receiving change-of-shift report?
- AA patient with esophageal varices who has a rapid heart rate
- BA patient with a history of gastrointestinal bleeding who has melena
- CA patient with nausea who has a dose of metoclopramide (Reglan) due
- DA patient who is crying after receiving a diagnosis of esophageal cancer
18A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4 hours ago. Which assessment finding is most important for the nurse to address immediately?
- AThe patient reports 7/10 (0 to 10 scale) abdominal pain.
- BThe patient is experiencing intermittent waves of nausea.
- CThe patient has no breath sounds in the left anterior chest.
- DThe patient has hypoactive bowel sounds in all four quadrants.
19Which assessment should the nurse perform first for a patient who just vomited bright red blood?
- AMeasuring the quantity of emesis
- BPalpating the abdomen for distention
- CAuscultating the chest for breath sounds
- DTaking the blood pressure (BP) and pulse
20An 80-yr-old patient who is hospitalized with peptic ulcer disease develops new-onset auditory hallucinations. Which prescribed medication will the nurse discuss with the health care provider before administration?
- ASucralfate (Carafate)
- BAluminum hydroxide
- COmeprazole (Prilosec)
- DMetoclopramide (Reglan)
21After change-of-shift report, which patient should the nurse assess first?
- AA 42-yr-old patient who has acute gastritis and ongoing epigastric pain
- BA 70-yr-old patient with a hiatal hernia who experiences frequent heartburn
- CA 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
- DA 53-yr-old patient who has dumping syndrome after a recent partial gastrectomy
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- Description
- Nursing Quiz on Upper GI , created by Lexie McAlister on 09/12/2020.
- Author
- Lexie McAlister
- Language
- English
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- History
- Created on 9 Dec 2020 · updated on 9 Dec 2020
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