Page 1 of 81
Medical-Surgical Nursing Gastrointestinal (GI) System and
Disorders
Gastrointestinal (GI) Disorders Unit, focusing heavily on
Peptic Ulcer Disease (PUD), Gastric Pharmacology, and
Nursing Interventions
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
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Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
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exam today!
, Page 2 of 81
TIME : HOUR
The patient with peptic ulcer disease is on sucralfate medication. Which
outcome does the nurse anticipate?
A. Healing of ulcer
B. Reduction in acid secretion
C. Protection of ulcer from acids
D. Neutralization of gastric acid secretion
C. Protection of ulcer from acids
Rationale: Sucralfate acts by forming a protective layer around an ulcer that serves
as a barrier against acid, bile salts, and enzymes in the stomach.
P. 1060
What is the action of histamine blockers?
They are used to promote ulcer healing.
P. 1060
What is the role of proton pump inhibitors?
Reduce gastric acid secretion.
What is the action of antacids?
Increase gastric pH and neutralize gastric acid secretion.
Which histamine-receptor blocker is available only for oral administration?
A. Nizatidine
B. Cimetidine
C. Famotidine
D. Pepcid Complete
, Page 3 of 81
A. Nizatidine
Rationale: Nizatidine is available only for oral administration, the medication is used
to promote ulcer healing.
Cimetidine and famotidine are histamine H2 blockers that can be given orally or
through IV.
What preparation combines an H2 receptor blocker with an antacid?
Pepcid Complete which includes famotidine, calcium carbonate, and magnesium
hydroxide.
P. 1059
A patient with a peptic ulcer begins vomiting. Which type of vomitus is
associated with bleeding in the stomach?
A. Fecal
B. Bilious
C. Coffee ground
D. Undigested food
C. Coffee ground
Rationale: The appearance of blood exposed to hydrochloric acid and other digestive
enzymes in the stomach is dark brown with a coffee ground consistency. This should
be reported by the nurse.
P 1052
If a patient has fecal vomitus, what may this indicate?
Total bowel obstruction.
What does bilious vomitus (undigested food)
Various gastrointestinal disturbances such as gallbladder disease, gastroenteritis, or
gastritis.
P. 1052
The nurse is caring for a patient with suspected posterior duodenal ulcer
penetration of the pancreas. Which laboratory study would diagnose the
patient's condition?
A. Liver enzyme studies
B. Serum amylase determination
C. Complete blood count test
D. Serum gastrin level determination
, Page 4 of 81
B. Serum amylase determination
Rationale:
Serum amylase determination is done to determine pancreatic function in a patient
with suspected posterior duodenal ulcer penetration of the pancreas.
What are liver enzyme studies used to detect?
Liver problems that may complicate ulcer healing.
What is a CBC test used to indicate in a patient with ulcer bleeding?
A CBC test may indicate anemia secondary to ulcer bleeding.
What are serum gastrin levels used in a patient with ulcer bleeding?
Possible gastritis.
Which therapy is used to treat pyloric obstruction?
A. Vagotomy
B. Gastrojejunostomy
C. Endoscopic dilation
D. Gastroduodenostomy
C. Endoscopic dilation
An endoscopy with balloon dilation is used in the treatment of pyloric obstruction.
What is a vagotomy?
a surgical operation in which one or more branches of the vagus nerve are
selectively cut, typically to reduce the rate of gastric secretion (e.g., in treating peptic
ulcers).
What is a gastrojejunostomy?
It involves a partial gastrectomy with removal of two thirds of the stomach and an
anastomosis of the gastric stump to the jejunum.
What is a gastroduodenostomy?
A partial gastrectomy with removal of two thirds of the stomach and an anastomosis
of the gastric stum to the duodenum.
P. 1063
Which medications relieve gastric ulcer pain through their effects on afferent
pain fiber transmission? Select all that apply.
A. Impramine
B. Bismuth
C. Doxepin
Medical-Surgical Nursing Gastrointestinal (GI) System and
Disorders
Gastrointestinal (GI) Disorders Unit, focusing heavily on
Peptic Ulcer Disease (PUD), Gastric Pharmacology, and
Nursing Interventions
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
, Page 2 of 81
TIME : HOUR
The patient with peptic ulcer disease is on sucralfate medication. Which
outcome does the nurse anticipate?
A. Healing of ulcer
B. Reduction in acid secretion
C. Protection of ulcer from acids
D. Neutralization of gastric acid secretion
C. Protection of ulcer from acids
Rationale: Sucralfate acts by forming a protective layer around an ulcer that serves
as a barrier against acid, bile salts, and enzymes in the stomach.
P. 1060
What is the action of histamine blockers?
They are used to promote ulcer healing.
P. 1060
What is the role of proton pump inhibitors?
Reduce gastric acid secretion.
What is the action of antacids?
Increase gastric pH and neutralize gastric acid secretion.
Which histamine-receptor blocker is available only for oral administration?
A. Nizatidine
B. Cimetidine
C. Famotidine
D. Pepcid Complete
, Page 3 of 81
A. Nizatidine
Rationale: Nizatidine is available only for oral administration, the medication is used
to promote ulcer healing.
Cimetidine and famotidine are histamine H2 blockers that can be given orally or
through IV.
What preparation combines an H2 receptor blocker with an antacid?
Pepcid Complete which includes famotidine, calcium carbonate, and magnesium
hydroxide.
P. 1059
A patient with a peptic ulcer begins vomiting. Which type of vomitus is
associated with bleeding in the stomach?
A. Fecal
B. Bilious
C. Coffee ground
D. Undigested food
C. Coffee ground
Rationale: The appearance of blood exposed to hydrochloric acid and other digestive
enzymes in the stomach is dark brown with a coffee ground consistency. This should
be reported by the nurse.
P 1052
If a patient has fecal vomitus, what may this indicate?
Total bowel obstruction.
What does bilious vomitus (undigested food)
Various gastrointestinal disturbances such as gallbladder disease, gastroenteritis, or
gastritis.
P. 1052
The nurse is caring for a patient with suspected posterior duodenal ulcer
penetration of the pancreas. Which laboratory study would diagnose the
patient's condition?
A. Liver enzyme studies
B. Serum amylase determination
C. Complete blood count test
D. Serum gastrin level determination
, Page 4 of 81
B. Serum amylase determination
Rationale:
Serum amylase determination is done to determine pancreatic function in a patient
with suspected posterior duodenal ulcer penetration of the pancreas.
What are liver enzyme studies used to detect?
Liver problems that may complicate ulcer healing.
What is a CBC test used to indicate in a patient with ulcer bleeding?
A CBC test may indicate anemia secondary to ulcer bleeding.
What are serum gastrin levels used in a patient with ulcer bleeding?
Possible gastritis.
Which therapy is used to treat pyloric obstruction?
A. Vagotomy
B. Gastrojejunostomy
C. Endoscopic dilation
D. Gastroduodenostomy
C. Endoscopic dilation
An endoscopy with balloon dilation is used in the treatment of pyloric obstruction.
What is a vagotomy?
a surgical operation in which one or more branches of the vagus nerve are
selectively cut, typically to reduce the rate of gastric secretion (e.g., in treating peptic
ulcers).
What is a gastrojejunostomy?
It involves a partial gastrectomy with removal of two thirds of the stomach and an
anastomosis of the gastric stump to the jejunum.
What is a gastroduodenostomy?
A partial gastrectomy with removal of two thirds of the stomach and an anastomosis
of the gastric stum to the duodenum.
P. 1063
Which medications relieve gastric ulcer pain through their effects on afferent
pain fiber transmission? Select all that apply.
A. Impramine
B. Bismuth
C. Doxepin
