NURS 342 Test #2 - Ch. 41 - Upper Gastrointestinal
Problems - Evolve NCLEX practice Questions With
Complete Solutions
A 74-yr-old female patient with osteoporosis is diagnosed with
gastroesophageal reflux disease (GERD). Which over-the-
counter medication to treat GERD should be used with caution?
a. Sucralfate
b. Cimetidine
c. Omeprazole
d. Metoclopramide Correct Answers c. Omeprazole
There is a potential link between proton pump inhibitors (PPIs)
(e.g., omeprazole) use and bone metabolism. Long-term use or
high doses of PPIs may increase the risk of fractures of the hip,
wrist, and spine.
A patient complaining of nausea receives a dose of
metoclopramide. Which potential adverse effect should the
nurse tell the patient to report?
a. Tremors
b. Constipation
c. Double vision
d. Numbness in fingers and toes Correct Answers a. Tremors
Extrapyramidal side effects, including tremors and tardive
dyskinesias, may occur with metoclopramide administration.
Constipation, double vision, and numbness in fingers and toes
are not adverse effects of metoclopramide.
, A patient has a sliding hiatal hernia. What nursing intervention
will reduce the symptoms of heartburn and dyspepsia?
a. Keeping the patient NPO
b. Putting the bed in the Trendelenburg position
c. Having the patient eat 4 to 6 smaller meals each day
d. Giving various antacids to determine which one works for the
patient Correct Answers c. Having the patient eat 4 to 6 smaller
meals each day
Eating smaller meals during the day will decrease the gastric
pressure and symptoms of hiatal hernia. Keeping the patient
NPO or in a Trendelenburg position is not safe or realistic for a
long period of time for any patient. Varying antacids will only
be done with the health care provider's prescription, so this is
not a nursing intervention.
A patient is seeking emergency care after choking on a piece of
steak. The nursing assessment reveals a history of alcoholism,
cigarette smoking, and hemoptysis. Which diagnostic study is
most likely to be performed on this patient?
a. Barium swallow
b. Endoscopic biopsy
c. Capsule endoscopy
d. Endoscopic ultrasonography Correct Answers b. Endoscopic
biopsy
Because of this patient's history of excessive alcohol intake,
smoking, and hemoptysis and the current choking episode,
cancer may be present. A biopsy is necessary to make a
definitive diagnosis of carcinoma, so an endoscope will be used
to obtain a biopsy and observe other abnormalities as well. A
Problems - Evolve NCLEX practice Questions With
Complete Solutions
A 74-yr-old female patient with osteoporosis is diagnosed with
gastroesophageal reflux disease (GERD). Which over-the-
counter medication to treat GERD should be used with caution?
a. Sucralfate
b. Cimetidine
c. Omeprazole
d. Metoclopramide Correct Answers c. Omeprazole
There is a potential link between proton pump inhibitors (PPIs)
(e.g., omeprazole) use and bone metabolism. Long-term use or
high doses of PPIs may increase the risk of fractures of the hip,
wrist, and spine.
A patient complaining of nausea receives a dose of
metoclopramide. Which potential adverse effect should the
nurse tell the patient to report?
a. Tremors
b. Constipation
c. Double vision
d. Numbness in fingers and toes Correct Answers a. Tremors
Extrapyramidal side effects, including tremors and tardive
dyskinesias, may occur with metoclopramide administration.
Constipation, double vision, and numbness in fingers and toes
are not adverse effects of metoclopramide.
, A patient has a sliding hiatal hernia. What nursing intervention
will reduce the symptoms of heartburn and dyspepsia?
a. Keeping the patient NPO
b. Putting the bed in the Trendelenburg position
c. Having the patient eat 4 to 6 smaller meals each day
d. Giving various antacids to determine which one works for the
patient Correct Answers c. Having the patient eat 4 to 6 smaller
meals each day
Eating smaller meals during the day will decrease the gastric
pressure and symptoms of hiatal hernia. Keeping the patient
NPO or in a Trendelenburg position is not safe or realistic for a
long period of time for any patient. Varying antacids will only
be done with the health care provider's prescription, so this is
not a nursing intervention.
A patient is seeking emergency care after choking on a piece of
steak. The nursing assessment reveals a history of alcoholism,
cigarette smoking, and hemoptysis. Which diagnostic study is
most likely to be performed on this patient?
a. Barium swallow
b. Endoscopic biopsy
c. Capsule endoscopy
d. Endoscopic ultrasonography Correct Answers b. Endoscopic
biopsy
Because of this patient's history of excessive alcohol intake,
smoking, and hemoptysis and the current choking episode,
cancer may be present. A biopsy is necessary to make a
definitive diagnosis of carcinoma, so an endoscope will be used
to obtain a biopsy and observe other abnormalities as well. A
