NURSING 326 FINAL EXAM FINAL PAPER 2026
SOLVED QUESTIONS ACCURATE RESPONSES
◉ The nurse on a medical unit has received the morning report.
Which medication should the nurse administer first?
A. The proton-pump inhibitor pantoprazole (Protonix) to a client on
call to surgery.
B. The antacid calcium carbonate (TUMS) to a client complaining of
indigestion.
C. The antimicrobial bismuth (Pepto-Bismol) to a client diagnosed
with an ulcer.
D, The H2 blocker famotidine (Pepcid) to a client diagnosed with
GERD. Answer: A
A medication for a client on call to sur- gery is a priority; the client's
surgery could be delayed if the medication has not been
administered when the call to surgery comes.
◉ Which statement is the scientific rationale for administering a
proton-pump inhibitor (PPI) to a client diagnosed with
gastrointestinal reflux disease (GERD)?
A. PPI medications neutralize the gastric secretions.
,B. PPI medications block H2 receptors on the parietal cells.
C. PPI medications inhibit the enzyme that generates gastric acid.
D. PPI medications form a protective barrier against acid and
pepsin.. Answer: c
Proton-pump inhibitors inhibit the enzyme that generates gastric
acid.
◉ Which statement is an advantage to administering a histamine2
blocker rather than an antacid to a client diagnosed with
gastroesophageal reflux disease (GERD)?
1. Antacids are more potent than H2 blockers in relieving the
symptoms of GERD.
2. Histamine2 blockers have more side effects than antacids.
3. Histamine2 blockers are less expensive than antacids.
4. Histamine2 blockers require less frequent dosing than antacids..
Answer: d
H2 blockers require less frequent administration than do antacids,
which require frequent administration, seven or more times a day,
for therapeutic effects. The fewer times a client is expected to take a
,medication, the more likely the client is to comply with a medication
regimen.
◉ Which side effects would the nurse explain to the male client who
is prescribed cime- tidine (Tagamet), a histamine2 blocker?
A. The medication can cause indigestion and heartburn.
B. The medication can cause impotence and gynecomastia.
C. The medication can cause insomnia and hypervigilance.
D. The medication can cause Zollinger-Ellison syndrome.. Answer: B
Over time, Tagamet can cause males to become impotent, have
decreased libido, and have breast development (gynecomastia).
◉ The home health-care nurse is caring for a male client diagnosed
with a hiatal hernia and reflux. Which data indicates the medication
therapy is effective?
A. The client takes the antacid 1 hour before and 3 hours after a
meal.
, B. The client complains of indigestion after eating a large meal.
C. The client states that he did not wake up with heartburn during
the night.
D. The client has lost 3 pounds in the past 2 weeks.. Answer: C
◉ The nurse is preparing to administer the proton-pump inhibitor
esomeprazole (Nexium). Which intervention should the nurse
implement? Select all that apply.
1. Order an infusion pump for the client.
2. Elevate the client's head of the bed.
3. Check the client's ID band with MAR.
4. Check for allergies to cephalosporin.
5. Ask the client his or her date of birth.. Answer: 2,3,5
◉ The nurse is discharging a client diagnosed with gastroesophageal
reflux disease (GERD). Which information should the nurse include
in the teaching?
A. There are no complications of GERD as long as the client takes the
medications.
B. Notify the health-care provider if the medication does not resolve
the symptoms.
C. Immediately after a meal, lie down for at least 45 minutes.
D. If any discomfort is noted, take an NSAID for the pain.. Answer: B
SOLVED QUESTIONS ACCURATE RESPONSES
◉ The nurse on a medical unit has received the morning report.
Which medication should the nurse administer first?
A. The proton-pump inhibitor pantoprazole (Protonix) to a client on
call to surgery.
B. The antacid calcium carbonate (TUMS) to a client complaining of
indigestion.
C. The antimicrobial bismuth (Pepto-Bismol) to a client diagnosed
with an ulcer.
D, The H2 blocker famotidine (Pepcid) to a client diagnosed with
GERD. Answer: A
A medication for a client on call to sur- gery is a priority; the client's
surgery could be delayed if the medication has not been
administered when the call to surgery comes.
◉ Which statement is the scientific rationale for administering a
proton-pump inhibitor (PPI) to a client diagnosed with
gastrointestinal reflux disease (GERD)?
A. PPI medications neutralize the gastric secretions.
,B. PPI medications block H2 receptors on the parietal cells.
C. PPI medications inhibit the enzyme that generates gastric acid.
D. PPI medications form a protective barrier against acid and
pepsin.. Answer: c
Proton-pump inhibitors inhibit the enzyme that generates gastric
acid.
◉ Which statement is an advantage to administering a histamine2
blocker rather than an antacid to a client diagnosed with
gastroesophageal reflux disease (GERD)?
1. Antacids are more potent than H2 blockers in relieving the
symptoms of GERD.
2. Histamine2 blockers have more side effects than antacids.
3. Histamine2 blockers are less expensive than antacids.
4. Histamine2 blockers require less frequent dosing than antacids..
Answer: d
H2 blockers require less frequent administration than do antacids,
which require frequent administration, seven or more times a day,
for therapeutic effects. The fewer times a client is expected to take a
,medication, the more likely the client is to comply with a medication
regimen.
◉ Which side effects would the nurse explain to the male client who
is prescribed cime- tidine (Tagamet), a histamine2 blocker?
A. The medication can cause indigestion and heartburn.
B. The medication can cause impotence and gynecomastia.
C. The medication can cause insomnia and hypervigilance.
D. The medication can cause Zollinger-Ellison syndrome.. Answer: B
Over time, Tagamet can cause males to become impotent, have
decreased libido, and have breast development (gynecomastia).
◉ The home health-care nurse is caring for a male client diagnosed
with a hiatal hernia and reflux. Which data indicates the medication
therapy is effective?
A. The client takes the antacid 1 hour before and 3 hours after a
meal.
, B. The client complains of indigestion after eating a large meal.
C. The client states that he did not wake up with heartburn during
the night.
D. The client has lost 3 pounds in the past 2 weeks.. Answer: C
◉ The nurse is preparing to administer the proton-pump inhibitor
esomeprazole (Nexium). Which intervention should the nurse
implement? Select all that apply.
1. Order an infusion pump for the client.
2. Elevate the client's head of the bed.
3. Check the client's ID band with MAR.
4. Check for allergies to cephalosporin.
5. Ask the client his or her date of birth.. Answer: 2,3,5
◉ The nurse is discharging a client diagnosed with gastroesophageal
reflux disease (GERD). Which information should the nurse include
in the teaching?
A. There are no complications of GERD as long as the client takes the
medications.
B. Notify the health-care provider if the medication does not resolve
the symptoms.
C. Immediately after a meal, lie down for at least 45 minutes.
D. If any discomfort is noted, take an NSAID for the pain.. Answer: B
