NURS 405 QUIZ 4 REVIEW|COMPLETE STUDY
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
[GI Function] What are the major functions of the GI tract? Answer:
Ingestion/propulsion, mechanical and chemical digestion, secretion, absorption,
motility regulation, and elimination.
[GI Function] Where are most nutrients absorbed? Answer: Primarily in the small
intestine.
[GI Function] What does the colon mainly absorb? Answer: Water and electrolytes.
[GERD] What is GERD? Answer: Backflow of gastric or duodenal contents into
the esophagus.
[GERD] What causes GERD? Answer: Often an incompetent lower esophageal
sphincter; may also involve hiatal hernia, pyloric stenosis, or motility disorder.
[GERD] What are common symptoms? Answer: Heartburn, regurgitation, chest
pain, globus sensation, nausea/vomiting, cough after eating, sore throat, and
hoarseness.
[GERD] What are common risk factors/triggers? Answer: Tobacco,
coffee/caffeine, alcohol, H. pylori, fatty/spicy foods, chocolate, citrus,
peppermint/spearmint, carbonated beverages.
[GERD] What position helps reduce reflux? Answer: Elevate head of bed 30-45
degrees and remain upright for 2-3 hours after eating.
[GERD] What eating pattern is recommended? Answer: Small, frequent meals
instead of large meals.
[GERD] What bedtime teaching is important? Answer: Avoid eating or drinking
about 2 hours before bedtime; do not lie down right after meals.
[GERD] What medications may be prescribed? Answer: PPIs, H2 receptor
antagonists, or antacids.
1
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,[GERD] When should PPIs be taken for best effect? Answer: Usually 30-60
minutes before meals.
[GERD] What respiratory complication should the nurse monitor for? Answer:
Aspiration or respiratory distress related to regurgitation/reflux.
[GERD] What lifestyle teaching matters? Answer: Weight management, smoking
cessation, avoiding tight clothing, tracking symptom triggers, and medication
adherence.
[Gastritis] What is gastritis? Answer: Disruption/inflammation of the stomach
mucosal barrier that normally protects tissue from digestive juices.
[Acute Gastritis] What can cause acute gastritis? Answer: Dietary indiscretion,
medications, alcohol, bile reflux, and radiation therapy.
[Acute Gastritis] What are common symptoms? Answer: Epigastric pain,
dyspepsia, anorexia, hiccups, nausea, and vomiting.
[Gastritis] What bleeding signs can erosive gastritis cause? Answer: Melena,
hematemesis, or hematochezia.
[Chronic Gastritis] What are common causes/risk factors? Answer: H. pylori,
stomach ulcers, autoimmune disease, dietary factors, medications, alcohol,
smoking, chronic bile/pancreatic reflux.
[Chronic Gastritis] What symptoms may occur? Answer: Fatigue, pyrosis,
belching, sour taste, halitosis, early satiety, anorexia, nausea, and vomiting.
[Chronic Gastritis] Why can pernicious anemia occur? Answer: Chronic gastritis
can impair B12 absorption.
[Acute Gastritis] What is initial medical management? Answer: Refrain from
alcohol and food until symptoms subside; supportive therapy such as IV fluids, NG
intubation, antacids, H2 blockers, or PPIs as ordered.
2
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, [Gastritis] What should the nurse monitor? Answer: Intake/output, dehydration,
electrolyte imbalance, hemorrhage, pain, and response to diet/medications.
[Gastritis] What should the nurse discourage? Answer: Caffeinated beverages,
alcohol, cigarette smoking, and NSAID use as appropriate.
[PUD] What is peptic ulcer disease? Answer: Erosion of a mucous membrane
forming an excavation in the stomach, pylorus, duodenum, or esophagus.
[PUD] What infection is associated with PUD? Answer: Helicobacter pylori.
[PUD] What are risk factors? Answer: Excess stomach acid, chronic NSAID use,
alcohol, smoking, dietary factors, and family tendency.
[PUD] What is classic pain? Answer: Dull, gnawing, or burning midepigastric
pain; heartburn and vomiting may occur.
[PUD] What are treatment goals? Answer: Heal the ulcer, treat H. pylori infection
if present, and prevent recurrence/complications.
[PUD] What lifestyle changes are taught? Answer: Avoid NSAIDs, abstain from
alcohol, quit smoking, manage stress, and adjust diet as needed.
[PUD] What complications must the nurse monitor for? Answer: Hemorrhage,
perforation/penetration, and gastric outlet obstruction.
[PUD] What suggests hemorrhage? Answer: Hematemesis, melena, dizziness,
hypotension, tachycardia, or falling Hgb/Hct.
[PUD] What suggests perforation? Answer: Sudden severe abdominal pain, rigid
abdomen, rebound tenderness, signs of peritonitis.
[PUD] What suggests gastric outlet obstruction? Answer: Vomiting, abdominal
distention, inability to tolerate intake, and retained gastric contents.
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
[GI Function] What are the major functions of the GI tract? Answer:
Ingestion/propulsion, mechanical and chemical digestion, secretion, absorption,
motility regulation, and elimination.
[GI Function] Where are most nutrients absorbed? Answer: Primarily in the small
intestine.
[GI Function] What does the colon mainly absorb? Answer: Water and electrolytes.
[GERD] What is GERD? Answer: Backflow of gastric or duodenal contents into
the esophagus.
[GERD] What causes GERD? Answer: Often an incompetent lower esophageal
sphincter; may also involve hiatal hernia, pyloric stenosis, or motility disorder.
[GERD] What are common symptoms? Answer: Heartburn, regurgitation, chest
pain, globus sensation, nausea/vomiting, cough after eating, sore throat, and
hoarseness.
[GERD] What are common risk factors/triggers? Answer: Tobacco,
coffee/caffeine, alcohol, H. pylori, fatty/spicy foods, chocolate, citrus,
peppermint/spearmint, carbonated beverages.
[GERD] What position helps reduce reflux? Answer: Elevate head of bed 30-45
degrees and remain upright for 2-3 hours after eating.
[GERD] What eating pattern is recommended? Answer: Small, frequent meals
instead of large meals.
[GERD] What bedtime teaching is important? Answer: Avoid eating or drinking
about 2 hours before bedtime; do not lie down right after meals.
[GERD] What medications may be prescribed? Answer: PPIs, H2 receptor
antagonists, or antacids.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,[GERD] When should PPIs be taken for best effect? Answer: Usually 30-60
minutes before meals.
[GERD] What respiratory complication should the nurse monitor for? Answer:
Aspiration or respiratory distress related to regurgitation/reflux.
[GERD] What lifestyle teaching matters? Answer: Weight management, smoking
cessation, avoiding tight clothing, tracking symptom triggers, and medication
adherence.
[Gastritis] What is gastritis? Answer: Disruption/inflammation of the stomach
mucosal barrier that normally protects tissue from digestive juices.
[Acute Gastritis] What can cause acute gastritis? Answer: Dietary indiscretion,
medications, alcohol, bile reflux, and radiation therapy.
[Acute Gastritis] What are common symptoms? Answer: Epigastric pain,
dyspepsia, anorexia, hiccups, nausea, and vomiting.
[Gastritis] What bleeding signs can erosive gastritis cause? Answer: Melena,
hematemesis, or hematochezia.
[Chronic Gastritis] What are common causes/risk factors? Answer: H. pylori,
stomach ulcers, autoimmune disease, dietary factors, medications, alcohol,
smoking, chronic bile/pancreatic reflux.
[Chronic Gastritis] What symptoms may occur? Answer: Fatigue, pyrosis,
belching, sour taste, halitosis, early satiety, anorexia, nausea, and vomiting.
[Chronic Gastritis] Why can pernicious anemia occur? Answer: Chronic gastritis
can impair B12 absorption.
[Acute Gastritis] What is initial medical management? Answer: Refrain from
alcohol and food until symptoms subside; supportive therapy such as IV fluids, NG
intubation, antacids, H2 blockers, or PPIs as ordered.
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, [Gastritis] What should the nurse monitor? Answer: Intake/output, dehydration,
electrolyte imbalance, hemorrhage, pain, and response to diet/medications.
[Gastritis] What should the nurse discourage? Answer: Caffeinated beverages,
alcohol, cigarette smoking, and NSAID use as appropriate.
[PUD] What is peptic ulcer disease? Answer: Erosion of a mucous membrane
forming an excavation in the stomach, pylorus, duodenum, or esophagus.
[PUD] What infection is associated with PUD? Answer: Helicobacter pylori.
[PUD] What are risk factors? Answer: Excess stomach acid, chronic NSAID use,
alcohol, smoking, dietary factors, and family tendency.
[PUD] What is classic pain? Answer: Dull, gnawing, or burning midepigastric
pain; heartburn and vomiting may occur.
[PUD] What are treatment goals? Answer: Heal the ulcer, treat H. pylori infection
if present, and prevent recurrence/complications.
[PUD] What lifestyle changes are taught? Answer: Avoid NSAIDs, abstain from
alcohol, quit smoking, manage stress, and adjust diet as needed.
[PUD] What complications must the nurse monitor for? Answer: Hemorrhage,
perforation/penetration, and gastric outlet obstruction.
[PUD] What suggests hemorrhage? Answer: Hematemesis, melena, dizziness,
hypotension, tachycardia, or falling Hgb/Hct.
[PUD] What suggests perforation? Answer: Sudden severe abdominal pain, rigid
abdomen, rebound tenderness, signs of peritonitis.
[PUD] What suggests gastric outlet obstruction? Answer: Vomiting, abdominal
distention, inability to tolerate intake, and retained gastric contents.
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
