NUR 170 Med-Surg Exam 4 Practice
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Module: Gastrointestinal Disorders (GERD, Hiatal Hernia, PUD)
1. A nurse is providing dietary teaching to a patient diagnosed with gastroesophageal reflux disease
(GERD). Which of the following food choices by the patient indicates a need for further teaching?
A. Baked chicken breast
B. Decaffeinated herbal tea
C. Chocolate pudding
D. Mashed potatoes
2. A patient with a hiatal hernia asks the nurse to explain the condition. Which statement by the nurse
is most accurate?
A. "It is a weakening of the muscles in the abdominal wall that allows the bowel to protrude."
B. "It is an inflammation of the stomach lining caused by bacteria."
C. "It is a protrusion of the stomach through an opening in the diaphragm."
D. "It is a backflow of gastric acid into the esophagus causing erosion."
3. A patient is scheduled for a Nissen fundoplication. The nurse explains that the purpose of this
surgery is to:
A. Remove a portion of the stomach.
B. Wrap a portion of the stomach around the esophagus to reinforce the sphincter.
C. Create an opening in the colon for waste elimination.
D. Remove gallstones from the bile duct.
4. The nurse is reinforcing discharge instructions with a patient post-Nissen fundoplication. Which
patient statement indicates a correct understanding of the teaching?
A. "I will need to sleep flat to keep pressure off my incision."
B. "I should drink plenty of fluids with my meals to help food go down."
C. "I understand that I may not be able to vomit or belch after this surgery."
D. "I can resume my weightlifting routine in about one week."
5. A patient with peptic ulcer disease (PUD) asks the nurse, "What typically causes this?" The nurse's
best response is based on the understanding that the most common causes are:
A. Stress and a diet high in spicy foods.
B. H. pylori infection and long-term use of NSAIDs.
C. A family history of colorectal cancer.
D. Drinking large amounts of caffeine daily.
6. The nurse is assessing a patient with a suspected duodenal ulcer. Which characteristic of pain does
the nurse expect the patient to report?
A. Pain that worsens immediately after eating.
, B. A dull, aching pain that is constant and unrelieved.
C. Pain that occurs 2-3 hours after a meal and is relieved by eating.
D. Sharp, sudden pain in the right lower quadrant.
7. The nurse assesses a patient in the emergency department with a sudden onset of severe, sharp
abdominal pain that started as a dull ache. The patient's abdomen is rigid and board-like. The nurse
should suspect:
A. Gastroesophageal reflux.
B. A perforated ulcer.
C. An intestinal obstruction.
D. Uncomplicated gastritis.
8. The nurse is reviewing the medication list for a patient with PUD. Which medication, if taken
regularly, could be contributing to the patient's condition?
A. Acetaminophen (Tylenol)
B. Ibuprofen (Motrin)
C. Amoxicillin
D. Famotidine (Pepcid)
9. A patient with PUD has a sudden onset of dizziness, hypotension, and tachycardia. The nurse notes
that the patient has passed a large, black, tarry stool. The nurse should first:
A. Reassure the patient that this is a common finding.
B. Check the patient's vital signs and notify the healthcare provider immediately.
C. Document the finding and continue to monitor.
D. Administer a prescribed antacid.
10. Which of the following assessment findings in a patient with PUD would be most indicative of a
potential hemorrhage and warrant immediate notification of the healthcare provider?
A. Heartburn after eating a large meal
B. Coffee-ground emesis
C. Mild, intermittent epigastric pain
D. Belching and bloating
11. A patient is scheduled for an upper GI series (barium swallow). Post-procedure teaching should
include which of the following?
A. "You will need to remain NPO for 24 hours after the test."
B. "Increase your fluid intake today to help flush out the barium."
C. "Your stools may be black and tarry for several days, which is normal."
D. "You may experience some cramping, but this is expected."
12. The nurse is providing care for a patient immediately after an esophagogastroduodenoscopy
(EGD). What is the priority nursing action?
A. Offer the patient a glass of water to soothe the sore throat.
B. Ambulate the patient to prevent gas pain.
C. Check for the return of the gag reflex before offering fluids.
D. Position the patient flat on the left side.
Test latest with A+ GRADED RESULTS
Module: Gastrointestinal Disorders (GERD, Hiatal Hernia, PUD)
1. A nurse is providing dietary teaching to a patient diagnosed with gastroesophageal reflux disease
(GERD). Which of the following food choices by the patient indicates a need for further teaching?
A. Baked chicken breast
B. Decaffeinated herbal tea
C. Chocolate pudding
D. Mashed potatoes
2. A patient with a hiatal hernia asks the nurse to explain the condition. Which statement by the nurse
is most accurate?
A. "It is a weakening of the muscles in the abdominal wall that allows the bowel to protrude."
B. "It is an inflammation of the stomach lining caused by bacteria."
C. "It is a protrusion of the stomach through an opening in the diaphragm."
D. "It is a backflow of gastric acid into the esophagus causing erosion."
3. A patient is scheduled for a Nissen fundoplication. The nurse explains that the purpose of this
surgery is to:
A. Remove a portion of the stomach.
B. Wrap a portion of the stomach around the esophagus to reinforce the sphincter.
C. Create an opening in the colon for waste elimination.
D. Remove gallstones from the bile duct.
4. The nurse is reinforcing discharge instructions with a patient post-Nissen fundoplication. Which
patient statement indicates a correct understanding of the teaching?
A. "I will need to sleep flat to keep pressure off my incision."
B. "I should drink plenty of fluids with my meals to help food go down."
C. "I understand that I may not be able to vomit or belch after this surgery."
D. "I can resume my weightlifting routine in about one week."
5. A patient with peptic ulcer disease (PUD) asks the nurse, "What typically causes this?" The nurse's
best response is based on the understanding that the most common causes are:
A. Stress and a diet high in spicy foods.
B. H. pylori infection and long-term use of NSAIDs.
C. A family history of colorectal cancer.
D. Drinking large amounts of caffeine daily.
6. The nurse is assessing a patient with a suspected duodenal ulcer. Which characteristic of pain does
the nurse expect the patient to report?
A. Pain that worsens immediately after eating.
, B. A dull, aching pain that is constant and unrelieved.
C. Pain that occurs 2-3 hours after a meal and is relieved by eating.
D. Sharp, sudden pain in the right lower quadrant.
7. The nurse assesses a patient in the emergency department with a sudden onset of severe, sharp
abdominal pain that started as a dull ache. The patient's abdomen is rigid and board-like. The nurse
should suspect:
A. Gastroesophageal reflux.
B. A perforated ulcer.
C. An intestinal obstruction.
D. Uncomplicated gastritis.
8. The nurse is reviewing the medication list for a patient with PUD. Which medication, if taken
regularly, could be contributing to the patient's condition?
A. Acetaminophen (Tylenol)
B. Ibuprofen (Motrin)
C. Amoxicillin
D. Famotidine (Pepcid)
9. A patient with PUD has a sudden onset of dizziness, hypotension, and tachycardia. The nurse notes
that the patient has passed a large, black, tarry stool. The nurse should first:
A. Reassure the patient that this is a common finding.
B. Check the patient's vital signs and notify the healthcare provider immediately.
C. Document the finding and continue to monitor.
D. Administer a prescribed antacid.
10. Which of the following assessment findings in a patient with PUD would be most indicative of a
potential hemorrhage and warrant immediate notification of the healthcare provider?
A. Heartburn after eating a large meal
B. Coffee-ground emesis
C. Mild, intermittent epigastric pain
D. Belching and bloating
11. A patient is scheduled for an upper GI series (barium swallow). Post-procedure teaching should
include which of the following?
A. "You will need to remain NPO for 24 hours after the test."
B. "Increase your fluid intake today to help flush out the barium."
C. "Your stools may be black and tarry for several days, which is normal."
D. "You may experience some cramping, but this is expected."
12. The nurse is providing care for a patient immediately after an esophagogastroduodenoscopy
(EGD). What is the priority nursing action?
A. Offer the patient a glass of water to soothe the sore throat.
B. Ambulate the patient to prevent gas pain.
C. Check for the return of the gag reflex before offering fluids.
D. Position the patient flat on the left side.
