Chapter 47 Nursing School Test Banks
A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. When teaching the patient a
his new diagnosis,
1. how should the nurse best describe a peptic ulcer?
A) Inflammation of the lining of the stomach
B) Erosion of the lining of the stomach or intestine
C) Bleeding from the mucosa in the stomach
D) Viral invasion of the stomach wall
Ans: B
Feedback:
A peptic ulcer is erosion of the lining of the stomach or intestine. Peptic ulcers are often accompanied by
bleeding and inflammation, but these are not the definitive characteristics.
A patient comes to the clinic complaining of pain in the epigastric region. What assessment question during
health interview would most help the nurse
2. determine if the patient has a peptic ulcer?
A) Does your pain resolve when you have something to eat?
B) Do over-the-counter pain medications help your pain?
C) Does your pain get worse if you get up and do some exercise?
D) Do you find that your pain is worse when you need to have a bowel movement?
Ans: A
Feedback:
Pain relief after eating is associated with duodenal ulcers. The pain of peptic ulcers is generally unrelated to
activity or bowel function and may or may not respond to analgesics.
A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How shou
the nurse best describe this medications therapeutic
3. action?
A) This medication will reduce the amount of acid secreted in your stomach.
B) This medication will make the lining of your stomach more resistant to damage.
C) This medication will specifically address the pain that accompanies peptic ulcer disease.
D) This medication will help your stomach lining to repair itself.
Ans: A
Feedback:
Proton pump inhibitors like Prilosec inhibit the synthesis of stomach acid. PPIs do not increase the durability
the stomach lining, relieve pain, or stimulate tissue
repair.
A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patients family is distraught an
angry that she was not diagnosed earlier in the course of her disease. What factor contributes to the fact th
4. gastric cancer is often detected at a later stage?
A) Gastric cancer does not cause signs or symptoms until metastasis has occurred.
, B) Adherence to screening recommendations for gastric cancer is exceptionally low.
C) Early symptoms of gastric cancer are usually attributed to constipation.
D) The early symptoms of gastric cancer are usually not alarming or highly unusual.
Ans: D
Feedback:
Symptoms of early gastric cancer, such as pain relieved by antacids, resemble those of benign ulcers and a
seldom definitive. Symptoms are rarely a cause for
alarm or for detailed diagnostic testing. Symptoms precede metastasis, however, and do not include
constipation.
A nurse is preparing to discharge a patient after recovery from gastric surgery. What is an appropriate disch
5. outcome for this patient?
A) The patients bowel movements maintain a loose consistency.
B) The patient is able to tolerate three large meals a day.
C) The patient maintains or gains weight.
D) The patient consumes a diet high in calcium.
Ans: C
Feedback:
Expected outcomes for the patient following gastric surgery include ensuring that the patient is maintaining
gaining weight (patient should be weighed daily), experiencing no excessive diarrhea, and tolerating six sm
meals a day. Patients may require vitamin B12 supplementation by the intramuscular route and do not
require a diet excessively rich in calcium.
A nurse caring for a patient who has had bariatric surgery is developing a teaching plan in anticipation of th
6. patients discharge. Which of the following is essential to include?
A) Drink a minimum of 12 ounces of fluid with each meal.
B) Eat several small meals daily spaced at equal intervals.
C) Choose foods that are high in simple carbohydrates.
D) Sit upright when eating and for 30 minutes afterward.
Ans: B
Feedback:
Due to decreased stomach capacity, the patient must consume small meals at intervals to meet nutritional
requirements while avoiding a feeling of fullness and complications such as dumping syndrome. The patien
should not consume fluids with meals and low-Fowlers positioning is recommended during and after meals.
Carbohydrates should be limited.
A nurse is completing a health history on a patient whose diagnosis is chronic gastritis. Which of the data sh
the nurse consider most significantly related to
7. the etiology of the patients health problem?
A) Consumes one or more protein drinks daily.
B) Takes over-the-counter antacids frequently throughout the day.
C) Smokes one pack of cigarettes daily.
D) Reports a history of social drinking on a weekly basis.
Ans: C
A nurse is caring for a patient who just has been diagnosed with a peptic ulcer. When teaching the patient a
his new diagnosis,
1. how should the nurse best describe a peptic ulcer?
A) Inflammation of the lining of the stomach
B) Erosion of the lining of the stomach or intestine
C) Bleeding from the mucosa in the stomach
D) Viral invasion of the stomach wall
Ans: B
Feedback:
A peptic ulcer is erosion of the lining of the stomach or intestine. Peptic ulcers are often accompanied by
bleeding and inflammation, but these are not the definitive characteristics.
A patient comes to the clinic complaining of pain in the epigastric region. What assessment question during
health interview would most help the nurse
2. determine if the patient has a peptic ulcer?
A) Does your pain resolve when you have something to eat?
B) Do over-the-counter pain medications help your pain?
C) Does your pain get worse if you get up and do some exercise?
D) Do you find that your pain is worse when you need to have a bowel movement?
Ans: A
Feedback:
Pain relief after eating is associated with duodenal ulcers. The pain of peptic ulcers is generally unrelated to
activity or bowel function and may or may not respond to analgesics.
A patient with a diagnosis of peptic ulcer disease has just been prescribed omeprazole (Prilosec). How shou
the nurse best describe this medications therapeutic
3. action?
A) This medication will reduce the amount of acid secreted in your stomach.
B) This medication will make the lining of your stomach more resistant to damage.
C) This medication will specifically address the pain that accompanies peptic ulcer disease.
D) This medication will help your stomach lining to repair itself.
Ans: A
Feedback:
Proton pump inhibitors like Prilosec inhibit the synthesis of stomach acid. PPIs do not increase the durability
the stomach lining, relieve pain, or stimulate tissue
repair.
A nurse is admitting a patient diagnosed with late-stage gastric cancer. The patients family is distraught an
angry that she was not diagnosed earlier in the course of her disease. What factor contributes to the fact th
4. gastric cancer is often detected at a later stage?
A) Gastric cancer does not cause signs or symptoms until metastasis has occurred.
, B) Adherence to screening recommendations for gastric cancer is exceptionally low.
C) Early symptoms of gastric cancer are usually attributed to constipation.
D) The early symptoms of gastric cancer are usually not alarming or highly unusual.
Ans: D
Feedback:
Symptoms of early gastric cancer, such as pain relieved by antacids, resemble those of benign ulcers and a
seldom definitive. Symptoms are rarely a cause for
alarm or for detailed diagnostic testing. Symptoms precede metastasis, however, and do not include
constipation.
A nurse is preparing to discharge a patient after recovery from gastric surgery. What is an appropriate disch
5. outcome for this patient?
A) The patients bowel movements maintain a loose consistency.
B) The patient is able to tolerate three large meals a day.
C) The patient maintains or gains weight.
D) The patient consumes a diet high in calcium.
Ans: C
Feedback:
Expected outcomes for the patient following gastric surgery include ensuring that the patient is maintaining
gaining weight (patient should be weighed daily), experiencing no excessive diarrhea, and tolerating six sm
meals a day. Patients may require vitamin B12 supplementation by the intramuscular route and do not
require a diet excessively rich in calcium.
A nurse caring for a patient who has had bariatric surgery is developing a teaching plan in anticipation of th
6. patients discharge. Which of the following is essential to include?
A) Drink a minimum of 12 ounces of fluid with each meal.
B) Eat several small meals daily spaced at equal intervals.
C) Choose foods that are high in simple carbohydrates.
D) Sit upright when eating and for 30 minutes afterward.
Ans: B
Feedback:
Due to decreased stomach capacity, the patient must consume small meals at intervals to meet nutritional
requirements while avoiding a feeling of fullness and complications such as dumping syndrome. The patien
should not consume fluids with meals and low-Fowlers positioning is recommended during and after meals.
Carbohydrates should be limited.
A nurse is completing a health history on a patient whose diagnosis is chronic gastritis. Which of the data sh
the nurse consider most significantly related to
7. the etiology of the patients health problem?
A) Consumes one or more protein drinks daily.
B) Takes over-the-counter antacids frequently throughout the day.
C) Smokes one pack of cigarettes daily.
D) Reports a history of social drinking on a weekly basis.
Ans: C
