NUR 511 – GI UPDATED ACTUAL Exam
Questions and CORRECT Answers
_______ is considered a disease but more realistically, it should be categorized as a
syndrome/combination of symptoms - CORRECT ANSWER - GERD
GERD - CORRECT ANSWER - Increased pressure from the stomach forces digestive
fluids into the esophagus
incomplete sphincter - CORRECT ANSWER - the sphincter does not close all the way.
This causes backflow
In kids the most common cause of GER/GERD is the ________________ - CORRECT
ANSWER - Incompetent sphincter
GERD manifestations - CORRECT ANSWER - ○ Heartburn (pyrosis)
○ Dyspnea
○ Regurgitation of hot, bitter, sour materials
○ Pain with swallowing - feeling of lump in throat
○ Early satiety - post-meal bloating, N/V, hypersalivation, dental erosion
○ Sleep disturbances
○ Can mimic cardiac chest pain
○ Respiratory infections - bronchitis, laryngitis, PNA (due to aspirations while recumbent)
○ Dry cough - secretions in the airway
Complications associated with GERD - CORRECT ANSWER - Esophagitis / esophageal
ulcers
Esophageal stricture
Barret's esophagus
,Chronic lung issues (Asthma)
Esophageal stricture - CORRECT ANSWER - abnormal narrowing of the esophagus
Two main ways to treat esophageal stricture? - CORRECT ANSWER - - Surgery
correction
- PPI's and antacids
Barret's esophagus - CORRECT ANSWER - a condition that occurs when the cells in the
epithelial tissue of the esophagus are damaged by chronic acid exposure
Barret's esophagus increases the risk of what? - CORRECT ANSWER - Cancer
Collaborative Care of GERD? - CORRECT ANSWER - H&P
UGI endoscopy - with biopsy
Barium Swallow
Bernstein test
Bernstein test - CORRECT ANSWER - A test where salt water and acidic solution is
passed into your stomach at different times to see if you become symptomatic to the acidic
solution. If you do, you may have GERD
Barium Swallow - CORRECT ANSWER - radiographic examination of the esophagus,
stomach, and small intestine after oral administration of barium sulfate
What are some foods that relax the sphincter? - CORRECT ANSWER - MINT!!,
chocolate, caffeine, tea, nicotine, and valium
Cytoprotective Agents - CORRECT ANSWER - Drugs that protect cells from damage
, Prokinetic Agents - CORRECT ANSWER - Drugs that increase the motility of the GI tract
Proton Pump Inhibitors - CORRECT ANSWER - Drugs that decrease the amount of acid
produced by the stomach
Same as H2 antagonists but used for chronic cases
H2 antagonists - CORRECT ANSWER - Drugs that decrease the production of stomach
acid
Same as a PPI but used for milder cases
Antacids - CORRECT ANSWER - neutralize the acids in the stomach
For what drug type must the nurse avoid meds 2 hours before and 1 hour after due to high
likelihood of interactions. - CORRECT ANSWER - Antacids
In esophageal stricture what is happening to the tissues? - CORRECT ANSWER - They
are scarring
How do PPIs treat esophageal stricture? - CORRECT ANSWER - It promotes regular cell
growth rather than scar tissue formation
What type of side effects must the nurse be aware of in regard to prokinetic drugs? - CORRECT
ANSWER - Neuro side effects
Parkinson's, SI, tardive dyskinesia,
Questions and CORRECT Answers
_______ is considered a disease but more realistically, it should be categorized as a
syndrome/combination of symptoms - CORRECT ANSWER - GERD
GERD - CORRECT ANSWER - Increased pressure from the stomach forces digestive
fluids into the esophagus
incomplete sphincter - CORRECT ANSWER - the sphincter does not close all the way.
This causes backflow
In kids the most common cause of GER/GERD is the ________________ - CORRECT
ANSWER - Incompetent sphincter
GERD manifestations - CORRECT ANSWER - ○ Heartburn (pyrosis)
○ Dyspnea
○ Regurgitation of hot, bitter, sour materials
○ Pain with swallowing - feeling of lump in throat
○ Early satiety - post-meal bloating, N/V, hypersalivation, dental erosion
○ Sleep disturbances
○ Can mimic cardiac chest pain
○ Respiratory infections - bronchitis, laryngitis, PNA (due to aspirations while recumbent)
○ Dry cough - secretions in the airway
Complications associated with GERD - CORRECT ANSWER - Esophagitis / esophageal
ulcers
Esophageal stricture
Barret's esophagus
,Chronic lung issues (Asthma)
Esophageal stricture - CORRECT ANSWER - abnormal narrowing of the esophagus
Two main ways to treat esophageal stricture? - CORRECT ANSWER - - Surgery
correction
- PPI's and antacids
Barret's esophagus - CORRECT ANSWER - a condition that occurs when the cells in the
epithelial tissue of the esophagus are damaged by chronic acid exposure
Barret's esophagus increases the risk of what? - CORRECT ANSWER - Cancer
Collaborative Care of GERD? - CORRECT ANSWER - H&P
UGI endoscopy - with biopsy
Barium Swallow
Bernstein test
Bernstein test - CORRECT ANSWER - A test where salt water and acidic solution is
passed into your stomach at different times to see if you become symptomatic to the acidic
solution. If you do, you may have GERD
Barium Swallow - CORRECT ANSWER - radiographic examination of the esophagus,
stomach, and small intestine after oral administration of barium sulfate
What are some foods that relax the sphincter? - CORRECT ANSWER - MINT!!,
chocolate, caffeine, tea, nicotine, and valium
Cytoprotective Agents - CORRECT ANSWER - Drugs that protect cells from damage
, Prokinetic Agents - CORRECT ANSWER - Drugs that increase the motility of the GI tract
Proton Pump Inhibitors - CORRECT ANSWER - Drugs that decrease the amount of acid
produced by the stomach
Same as H2 antagonists but used for chronic cases
H2 antagonists - CORRECT ANSWER - Drugs that decrease the production of stomach
acid
Same as a PPI but used for milder cases
Antacids - CORRECT ANSWER - neutralize the acids in the stomach
For what drug type must the nurse avoid meds 2 hours before and 1 hour after due to high
likelihood of interactions. - CORRECT ANSWER - Antacids
In esophageal stricture what is happening to the tissues? - CORRECT ANSWER - They
are scarring
How do PPIs treat esophageal stricture? - CORRECT ANSWER - It promotes regular cell
growth rather than scar tissue formation
What type of side effects must the nurse be aware of in regard to prokinetic drugs? - CORRECT
ANSWER - Neuro side effects
Parkinson's, SI, tardive dyskinesia,
