GALEN COLLEGE NUR 242 EXAM 3 STREB NOTES QUESTIONS & ANSWERS 2026… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Galen College NUR 242
Exam 3 Streb Notes
Questions & Answers 2026-
2027 (Rationales)
Verified Answers Exam Ready With Rationales
100 QUESTIONS
DOCUMENT OVERVIEW
This document contains 100 verified questions with correct answers and detailed rationales focused on
nursing concepts. Each question is designed to reinforce understanding of key principles, making it
suitable for exam preparation, course review, and certification study. The thorough explanations provided
alongside each answer ensure a comprehensive grasp of the subject matter.
CONTENTS
01 Gastroesophageal Disorders Q1–Q16
02 Gastritis and Peptic Ulcers Q17–Q26
03 Intestinal Obstructions Q27–Q39
Page 1
, 04 Appendicitis and Peritonitis Q40–Q49
05 Gastroenteritis and Inflammatory Bowel Disease Q50–Q65
06 Ulcerative Colitis and Diverticulitis Q66–Q80
07 Hepatitis and Cholelithiasis Q81–Q94
08 Nutritional Assessment and Interventions Q95–Q100
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
GERD Risk factors include
CORRECT ANSWER
Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors
play a big part especially alcohol and smoking.
RATIONALE
Consumption of irritants like caffeine, alcohol, and spicy foods increases gastric acid production and relaxes the
lower esophageal sphincter, exacerbating gastroesophageal reflux. Lifestyle choices, particularly smoking and
alcohol consumption, further compromise esophageal barrier function and motility, heightening GERD risk.
Q2 QUESTION 2 OF 100
GERD the nursing assessment should include
CORRECT ANSWER
asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
RATIONALE
Assessing for a history of heartburn and atypical chest pain is critical in diagnosing gastroesophageal reflux disease
(GERD), as these symptoms are indicative of esophageal irritation and inflammation caused by the backflow of
gastric contents. Understanding the symptomatology helps healthcare providers differentiate GERD from other
potential causes of chest pain, ensuring appropriate management.
Page 2
, Q3 QUESTION 3 OF 100
GERD manifests differently depending on
CORRECT ANSWER
the patient and the severity of the disorder
RATIONALE
Variability in gastroesophageal reflux disease (GERD) symptoms arises from individual differences in anatomy,
physiology, and lifestyle factors, as well as the degree of esophageal damage and acid exposure. This diversity
underscores the need for personalized assessment and management strategies tailored to each patient's
presentation.
Q4 QUESTION 4 OF 100
GERD most common symptoms
CORRECT ANSWER
-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
RATIONALE
Heartburn and dyspepsia are hallmark manifestations of gastroesophageal reflux disease (GERD) due to the
backflow of stomach acid irritating the esophagus, resulting in a burning sensation and discomfort in the chest.
Recognizing these symptoms is crucial for diagnosing GERD and differentiating it from other gastrointestinal
disorders.
Q5 QUESTION 5 OF 100
GERD pain usually develops within
CORRECT ANSWER
30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI
Page 3
, RATIONALE
Gastroesophageal reflux disease (GERD) is characterized by the retrograde movement of gastric contents into the
esophagus, often triggered by meal intake, leading to symptoms like heartburn that typically manifest 30-60
minutes postprandially due to increased gastric pressure and lower esophageal sphincter relaxation. This timing is
clinically significant as it helps differentiate GERD from other conditions, such as myocardial infarction, which may
present similarly.
Q6 QUESTION 6 OF 100
GERD symptoms are exacerbated when
CORRECT ANSWER
lying down flat or bending over
RATIONALE
Lying flat or bending over increases intra-abdominal pressure and decreases the effectiveness of the lower
esophageal sphincter, facilitating the reflux of gastric contents into the esophagus. This mechanical alteration
directly exacerbates the symptoms of gastroesophageal reflux disease (GERD).
Q7 QUESTION 7 OF 100
GERD regurgitation may lead to
CORRECT ANSWER
Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
RATIONALE
Regurgitation in GERD can result in the reflux of gastric contents into the esophagus, leading to aspiration,
particularly when patients are supine, which increases the risk of bronchitis due to inhalation of acidic material. This
highlights the importance of positioning in managing GERD symptoms to prevent respiratory complications.
Q8 QUESTION 8 OF 100
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Galen College NUR 242
Exam 3 Streb Notes
Questions & Answers 2026-
2027 (Rationales)
Verified Answers Exam Ready With Rationales
100 QUESTIONS
DOCUMENT OVERVIEW
This document contains 100 verified questions with correct answers and detailed rationales focused on
nursing concepts. Each question is designed to reinforce understanding of key principles, making it
suitable for exam preparation, course review, and certification study. The thorough explanations provided
alongside each answer ensure a comprehensive grasp of the subject matter.
CONTENTS
01 Gastroesophageal Disorders Q1–Q16
02 Gastritis and Peptic Ulcers Q17–Q26
03 Intestinal Obstructions Q27–Q39
Page 1
, 04 Appendicitis and Peritonitis Q40–Q49
05 Gastroenteritis and Inflammatory Bowel Disease Q50–Q65
06 Ulcerative Colitis and Diverticulitis Q66–Q80
07 Hepatitis and Cholelithiasis Q81–Q94
08 Nutritional Assessment and Interventions Q95–Q100
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 100
GERD Risk factors include
CORRECT ANSWER
Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors
play a big part especially alcohol and smoking.
RATIONALE
Consumption of irritants like caffeine, alcohol, and spicy foods increases gastric acid production and relaxes the
lower esophageal sphincter, exacerbating gastroesophageal reflux. Lifestyle choices, particularly smoking and
alcohol consumption, further compromise esophageal barrier function and motility, heightening GERD risk.
Q2 QUESTION 2 OF 100
GERD the nursing assessment should include
CORRECT ANSWER
asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents.
RATIONALE
Assessing for a history of heartburn and atypical chest pain is critical in diagnosing gastroesophageal reflux disease
(GERD), as these symptoms are indicative of esophageal irritation and inflammation caused by the backflow of
gastric contents. Understanding the symptomatology helps healthcare providers differentiate GERD from other
potential causes of chest pain, ensuring appropriate management.
Page 2
, Q3 QUESTION 3 OF 100
GERD manifests differently depending on
CORRECT ANSWER
the patient and the severity of the disorder
RATIONALE
Variability in gastroesophageal reflux disease (GERD) symptoms arises from individual differences in anatomy,
physiology, and lifestyle factors, as well as the degree of esophageal damage and acid exposure. This diversity
underscores the need for personalized assessment and management strategies tailored to each patient's
presentation.
Q4 QUESTION 4 OF 100
GERD most common symptoms
CORRECT ANSWER
-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
RATIONALE
Heartburn and dyspepsia are hallmark manifestations of gastroesophageal reflux disease (GERD) due to the
backflow of stomach acid irritating the esophagus, resulting in a burning sensation and discomfort in the chest.
Recognizing these symptoms is crucial for diagnosing GERD and differentiating it from other gastrointestinal
disorders.
Q5 QUESTION 5 OF 100
GERD pain usually develops within
CORRECT ANSWER
30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI
Page 3
, RATIONALE
Gastroesophageal reflux disease (GERD) is characterized by the retrograde movement of gastric contents into the
esophagus, often triggered by meal intake, leading to symptoms like heartburn that typically manifest 30-60
minutes postprandially due to increased gastric pressure and lower esophageal sphincter relaxation. This timing is
clinically significant as it helps differentiate GERD from other conditions, such as myocardial infarction, which may
present similarly.
Q6 QUESTION 6 OF 100
GERD symptoms are exacerbated when
CORRECT ANSWER
lying down flat or bending over
RATIONALE
Lying flat or bending over increases intra-abdominal pressure and decreases the effectiveness of the lower
esophageal sphincter, facilitating the reflux of gastric contents into the esophagus. This mechanical alteration
directly exacerbates the symptoms of gastroesophageal reflux disease (GERD).
Q7 QUESTION 7 OF 100
GERD regurgitation may lead to
CORRECT ANSWER
Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
RATIONALE
Regurgitation in GERD can result in the reflux of gastric contents into the esophagus, leading to aspiration,
particularly when patients are supine, which increases the risk of bronchitis due to inhalation of acidic material. This
highlights the importance of positioning in managing GERD symptoms to prevent respiratory complications.
Q8 QUESTION 8 OF 100
Page 4
