©SIRJOEL 2024/2025 ALL RIGHTS RESERVED.
Peptic ulcer disease practice Exam Questions
And Answers 100% Guaranteed Pass.
A client with peptic ulcer disease (PUD) asks why stomach pain occurs 2 to 3 hours after eating.
Which response should the nurse make to this client?
A."The pain occurs when your stomach is empty."
B."The food that you ate for dinner likely contained too much fat, causing pain."
C."The acid in your stomach is increased at night, causing pain."
D."The food in your stomach takes longer to digest at night, which causes pain." -
Answer✔A."The pain occurs when your stomach is empty."
Pain from PUD occurs when the stomach is empty, typically 2dash3 hours after a meal. The
other responses are incorrect.
The nurse is reviewing the complications of peptic ulcer disease (PUD) with a group of new staff
nurses. Which statement regarding peritonitis should the nurse include in the teaching?
A.
"Peritonitis occurs due to the obstruction of the pyloric region of the stomach and duodenum.
The increased pressure from the obstruction leads to peritonitis."
B."Peritonitis occurs when the ulcer penetrates through the mucosal wall, causing gastric or
duodenal contents to enter the peritoneum."
C."Chemical peritonitis occurs between 6 and 12 hours after perforation, when the acids from the
stomach or duodenum create an inflammatory response."
D."Bacterial peritonitis happens immediately after perforation as bacteria proliferate in the
peritoneal cavity." - Answer✔B."Peritonitis occurs when the ulcer penetrates through the
mucosal wall, causing gastric or duodenal contents to enter the peritoneum."
1|Page
, ©SIRJOEL 2024/2025 ALL RIGHTS RESERVED.
Peritonitis occurs due to the ulcer penetrating through the mucosal wall, causing gastric or
duodenal contents to enter the peritoneum. Chemical peritonitis is immediate after perforation.
Bacterial peritonitis occurs between 6 and 12 hours after perforation. Gastric outlet obstruction,
not perforation, occurs due to the obstruction of the pyloric region of the stomach and
duodenum.
The nurse is reviewing risk factors for peptic ulcer disease (PUD) with a group of community
members. Which factor should the nurse include in the presentation? (Select all that apply.)
A.Chronic alcohol abuse
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs - Answer✔B,C,D,E
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs
Cigarette smoking, chronic use of NSAIDs, chronic H. pylori infection, and unsanitary living
conditions are all risk factors for PUD. Chronic alcohol abuse is not considered a risk factor for
PUD.
Which pathophysiologic change contributing to the development of peptic ulcer disease occurs
secondary to H. pylori infection? (Select all that apply.)
A.The inflammatory response to H. pylori contributes to epithelial cell damage without
producing immunity.
B.Prostaglandin synthesis is interrupted, which impacts the ability to maintain the gastric
mucosal barrier.
C.Production of protective bicarbonate by the epithelial cells is inhibited.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which protects the gastric
mucosa.
E.Topical injury occurs due to H. pylori crossing the lipid membranes of gastric epithelial cells. -
Answer✔A,D
A.The inflammatory response to H. pylori contributes to epithelial cell damage without
producing immunity.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which protects the gastric
mucosa.
2|Page
Peptic ulcer disease practice Exam Questions
And Answers 100% Guaranteed Pass.
A client with peptic ulcer disease (PUD) asks why stomach pain occurs 2 to 3 hours after eating.
Which response should the nurse make to this client?
A."The pain occurs when your stomach is empty."
B."The food that you ate for dinner likely contained too much fat, causing pain."
C."The acid in your stomach is increased at night, causing pain."
D."The food in your stomach takes longer to digest at night, which causes pain." -
Answer✔A."The pain occurs when your stomach is empty."
Pain from PUD occurs when the stomach is empty, typically 2dash3 hours after a meal. The
other responses are incorrect.
The nurse is reviewing the complications of peptic ulcer disease (PUD) with a group of new staff
nurses. Which statement regarding peritonitis should the nurse include in the teaching?
A.
"Peritonitis occurs due to the obstruction of the pyloric region of the stomach and duodenum.
The increased pressure from the obstruction leads to peritonitis."
B."Peritonitis occurs when the ulcer penetrates through the mucosal wall, causing gastric or
duodenal contents to enter the peritoneum."
C."Chemical peritonitis occurs between 6 and 12 hours after perforation, when the acids from the
stomach or duodenum create an inflammatory response."
D."Bacterial peritonitis happens immediately after perforation as bacteria proliferate in the
peritoneal cavity." - Answer✔B."Peritonitis occurs when the ulcer penetrates through the
mucosal wall, causing gastric or duodenal contents to enter the peritoneum."
1|Page
, ©SIRJOEL 2024/2025 ALL RIGHTS RESERVED.
Peritonitis occurs due to the ulcer penetrating through the mucosal wall, causing gastric or
duodenal contents to enter the peritoneum. Chemical peritonitis is immediate after perforation.
Bacterial peritonitis occurs between 6 and 12 hours after perforation. Gastric outlet obstruction,
not perforation, occurs due to the obstruction of the pyloric region of the stomach and
duodenum.
The nurse is reviewing risk factors for peptic ulcer disease (PUD) with a group of community
members. Which factor should the nurse include in the presentation? (Select all that apply.)
A.Chronic alcohol abuse
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs - Answer✔B,C,D,E
B.Cigarette smoking
C.Unsanitary living conditions
D.Chronic H. pylori infection
E.Chronic use of NSAIDs
Cigarette smoking, chronic use of NSAIDs, chronic H. pylori infection, and unsanitary living
conditions are all risk factors for PUD. Chronic alcohol abuse is not considered a risk factor for
PUD.
Which pathophysiologic change contributing to the development of peptic ulcer disease occurs
secondary to H. pylori infection? (Select all that apply.)
A.The inflammatory response to H. pylori contributes to epithelial cell damage without
producing immunity.
B.Prostaglandin synthesis is interrupted, which impacts the ability to maintain the gastric
mucosal barrier.
C.Production of protective bicarbonate by the epithelial cells is inhibited.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which protects the gastric
mucosa.
E.Topical injury occurs due to H. pylori crossing the lipid membranes of gastric epithelial cells. -
Answer✔A,D
A.The inflammatory response to H. pylori contributes to epithelial cell damage without
producing immunity.
D.Enzymes are produced that reduce the efficacy of the mucous gel, which protects the gastric
mucosa.
2|Page
