NUR 301 EXAM 4 Questions with Verified Answers (Correct
Update)
Question 1: What do H2 blockers do?
Answer: reduces gastric acid secretion and lowers concentration of hydrogen ions in the stomach
Question 2: What do H2 blockers end with?
Answer: tidine Ranitidine (Zantac)
Question 3: A RN is taking care of a male patient who's been taking cimetidine for treatment of a
duodenal ulcer. Which of the following manifestations is priority to report to provider?
A. Emesis that looks like coffee grounds
B. Erectile dysfunction
C. muscle pain
D. gynecomastia
Answer: A. Emesis that looks like coffee grounds! Indication of a GI bleed, meaning the
medication was ineffective.
Question 4: What activities should a client avoid when taking an H2 blocker?
Answer: Smoking, alcohol, foods that cause GI irritation, NSAIDS
Question 5: What do proton pump inhibitors do?
Answer: Supresses gastric acid secretion
Question 6: What do PPIs end with?
Answer: prazole Omeprazole (Prilosec)
Question 7: What do PPIs treat?
Answer: GERD, peptic ulcers, reduces dyspepsia (burping, bloating, nausea)
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, Question 8: RN is providing discharge information for a client who had a bleeding ulcer and has
been prescribed omeprazole. Which of the following statements should the RN include in teaching?
A. "You will need to take this med for the next 6 months
B. "Taking this medication will decrease your risk of pneumonia"
C. "You should take this medication before breakfast everyday"
D. "Watch for the serious adverse effects of tachycardia and palpitations while taking this medication"
Answer: C! You should take omeprazole once daily 30 min before breakfast!
Question 9: RN is administering a client the first dose of Sucralfate. Which of the following
explanations should the nurse use to explain the MOA?
A. "sucralfate decreases gastric acid secretions"
B. sucralfate forms a gel-like substance that protects ulcers
C. sucralfate inactivates H. Pylori
D. sucralfate inhibits the production of gastric acid
Answer: B! action of sucralfate is the formation of gel-like protectant that adheres to the surface
of ulcers
Question 10: A RN is teaching a client who has a prescription of sucralfate for treatment of a
duodenal ulcer. Which of the following statements from the client indicates an understanding of
teaching?
A. "I should take this med 1 hour before all meals and at bedtime"
B. "I should only take this med for about 2 weeks"
C. "It's ok to take them with antacids"
D. "I should swallow these tablets whole"
Answer: A! Sucralfate should be taken 4 times a day! Take 1 hour before breakfast, lunch, and
dinner, and at bedtime. This allows time to coat the stomach before eating.
Question 11: What do antacids do?
Answer: neutralize stomach acid
Question 12: An RN is teaching a client who has dyspepsia about antacids. Which education should
she include?
A. Take antacids 1 hour before or 2 hours after other medications
B. Increase your sodium intake to avoid hyponatremia
C. avoid combining antacids due to increased risk of adverse effects
D. Antacids are taken 3 times daily
Answer: A! Should take antacids at least 1 hour BEFORE other meds or at least 2 hours AFTER
other medications. Because they increase gastric pH they interfere with medication absorption.
Page 2
Update)
Question 1: What do H2 blockers do?
Answer: reduces gastric acid secretion and lowers concentration of hydrogen ions in the stomach
Question 2: What do H2 blockers end with?
Answer: tidine Ranitidine (Zantac)
Question 3: A RN is taking care of a male patient who's been taking cimetidine for treatment of a
duodenal ulcer. Which of the following manifestations is priority to report to provider?
A. Emesis that looks like coffee grounds
B. Erectile dysfunction
C. muscle pain
D. gynecomastia
Answer: A. Emesis that looks like coffee grounds! Indication of a GI bleed, meaning the
medication was ineffective.
Question 4: What activities should a client avoid when taking an H2 blocker?
Answer: Smoking, alcohol, foods that cause GI irritation, NSAIDS
Question 5: What do proton pump inhibitors do?
Answer: Supresses gastric acid secretion
Question 6: What do PPIs end with?
Answer: prazole Omeprazole (Prilosec)
Question 7: What do PPIs treat?
Answer: GERD, peptic ulcers, reduces dyspepsia (burping, bloating, nausea)
Page 1
, Question 8: RN is providing discharge information for a client who had a bleeding ulcer and has
been prescribed omeprazole. Which of the following statements should the RN include in teaching?
A. "You will need to take this med for the next 6 months
B. "Taking this medication will decrease your risk of pneumonia"
C. "You should take this medication before breakfast everyday"
D. "Watch for the serious adverse effects of tachycardia and palpitations while taking this medication"
Answer: C! You should take omeprazole once daily 30 min before breakfast!
Question 9: RN is administering a client the first dose of Sucralfate. Which of the following
explanations should the nurse use to explain the MOA?
A. "sucralfate decreases gastric acid secretions"
B. sucralfate forms a gel-like substance that protects ulcers
C. sucralfate inactivates H. Pylori
D. sucralfate inhibits the production of gastric acid
Answer: B! action of sucralfate is the formation of gel-like protectant that adheres to the surface
of ulcers
Question 10: A RN is teaching a client who has a prescription of sucralfate for treatment of a
duodenal ulcer. Which of the following statements from the client indicates an understanding of
teaching?
A. "I should take this med 1 hour before all meals and at bedtime"
B. "I should only take this med for about 2 weeks"
C. "It's ok to take them with antacids"
D. "I should swallow these tablets whole"
Answer: A! Sucralfate should be taken 4 times a day! Take 1 hour before breakfast, lunch, and
dinner, and at bedtime. This allows time to coat the stomach before eating.
Question 11: What do antacids do?
Answer: neutralize stomach acid
Question 12: An RN is teaching a client who has dyspepsia about antacids. Which education should
she include?
A. Take antacids 1 hour before or 2 hours after other medications
B. Increase your sodium intake to avoid hyponatremia
C. avoid combining antacids due to increased risk of adverse effects
D. Antacids are taken 3 times daily
Answer: A! Should take antacids at least 1 hour BEFORE other meds or at least 2 hours AFTER
other medications. Because they increase gastric pH they interfere with medication absorption.
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