PREBOARDS NP4 EXAM QUESTIONS
AND ANSWERS 100% PASS 2026/2027
1. Management of Gastroesophageal reflux (GERD) begins on teaching the client to avoid
situations that cause decreased lower esophageal sphincter pressure and esophageal irritation.
Which statement by a client who has received education about GERD indicates that the nurse
may need to provide additional teaching?
A. "I will take antacids before I eat."
B. "I should have my big meal at lunchtime."
C. "I am going to quit smoking today."
D. "I should use two pillows to sleep on at night." - ANS B. "I should have my big meal at
lunchtime."
2. Which snack choice by a client with gastroesophageal reflux disease (GERD) indicates that the
nurse's teaching about appropriate diet has been effective?
A. Chocolate pudding
B. Peppermint tea
C. Cheese sandwich
D. Dried apples - ANS D. Dried apples
2026/2027 ALLRIGHTS RESERVED
1
,3. Kate 54 years old is diagnosed of Esophageal Cancer. Which information about a client who
has Esophageal cancer being admitted for an Esophagogastrectomy is of most concern to the
nurse?
A. The client complains of odynophagia.
B. The client has difficulty swallowing soft foods.
C. The client has had radiation for 6 weeks.
D. The client's serum albumin level is 1.7 mg/dL. - ANS D. The client's serum albumin level is
1.7 mg/dL.
4. Another client who was admitted with Acute Gastritis with nausea and vomiting has been on
NPO (nothing by mouth) for 2 days. The client has a new "diet as tolerated" order. What should
the nurse offer to the client?
A. Tomato juice
B. Tossed salad
C. Cherry gelatin
D. Nonfat milk - ANS C. Cherry gelatin
5. Nurse Timmy received a new female client. Fifteen minutes after eating, a client who has had
a Gastrojejunostomy complains of abdominal cramping and palpitations. Which action should
the nurse take?
A. Administer prn metoclopramide (Reglan).
B. Have the client lie down.
C. Place the client on NPO status for 24 hours.
D. Notify the physician. - ANS B. Have the client lie down.
2026/2027 ALLRIGHTS RESERVED
2
,6. Nurse Estela prepares which of the following diagnostic studies to confirm the real cause of
the problem:
A. an esophagogastroduodenoscopy (EGD).
B. an upper gastrointestinal (GI) tract x-ray series.
C. blood testing for Helicobacter pylori.
D. stool testing for occult blood. - ANS A. an esophagogastroduodenoscopy (EGD).
7. Nurse Estela is caring for a client who returned to the nursing unit 6 hours ago after having an
Esophagogastrectomy. Which nursing action should be included in the plan of care at this time?
A. Keep head of bed elevated to 30 degrees.
B. Initiate tube feedings at 30 mL/hr.
C. Reposition nasogastric tube as needed for abdominal distention.
D. Report bloody nasogastric drainage to the physician stat. - ANS A. Keep head of bed
elevated to 30 degrees.
8. Which information about a client who is taking a full liquid diet 6 days after an
Esophagogastrectomy should nurse Estela report immediately to the Physician?
A. The client refuses to take more than 100 mL.
B. The client has hypotonic bowel sounds.
C. The client's blood pressure is 88/46 mm Hg.
D. The client has bibasilar fine lung crackles. - ANS C. The client's blood pressure is 88/46 mm
Hg.
2026/2027 ALLRIGHTS RESERVED
3
, 9. Angel a charge nurse is preparing the client with a Peptic Ulcer and has Ranitidine (Zantac)
scheduled for 10:00 AM. What time should Nurse Angel administer the ordered 30 mL of
calcium carbonate-magnesium carbonate (Mylanta)?
A. 9:00 AM
B. 9:30 AM
C. 10:00 AM
D. 11:00 AM - ANS A. 9:00 AM
10. Nurse Angel has another client with duodenal ulcer. Which information about a client
admitted with a Duodenal ulcer should Nurse Angel report immediately to the Physician?
A. The client's abdomen is rigid and painful.
B. The client is complaining of intermittent nausea.
C. The client's NG drainage has a coffee-ground appearance.
D. The client reports drinking approximately 10 beers every day. - ANS A. The client's
abdomen is rigid and painful.
Situation: Cancer ranks third in the leading cause of morbidity and mortality in our country.
Early detection increases the survival rate. Virgie an Oncology nurse is responsible for screening
and educating clients with Cancer.
11. A client who has been diagnosed with gastric cancer tells nurse Virgie, "I am so afraid!"
Which response by the nurse is most appropriate?
A. "Can you tell me more about why you are afraid?"
B. "Do you think that an antianxiety medication would help?"
C. "Perhaps talking to a clergyman would help decrease your fear."
2026/2027 ALLRIGHTS RESERVED
4
AND ANSWERS 100% PASS 2026/2027
1. Management of Gastroesophageal reflux (GERD) begins on teaching the client to avoid
situations that cause decreased lower esophageal sphincter pressure and esophageal irritation.
Which statement by a client who has received education about GERD indicates that the nurse
may need to provide additional teaching?
A. "I will take antacids before I eat."
B. "I should have my big meal at lunchtime."
C. "I am going to quit smoking today."
D. "I should use two pillows to sleep on at night." - ANS B. "I should have my big meal at
lunchtime."
2. Which snack choice by a client with gastroesophageal reflux disease (GERD) indicates that the
nurse's teaching about appropriate diet has been effective?
A. Chocolate pudding
B. Peppermint tea
C. Cheese sandwich
D. Dried apples - ANS D. Dried apples
2026/2027 ALLRIGHTS RESERVED
1
,3. Kate 54 years old is diagnosed of Esophageal Cancer. Which information about a client who
has Esophageal cancer being admitted for an Esophagogastrectomy is of most concern to the
nurse?
A. The client complains of odynophagia.
B. The client has difficulty swallowing soft foods.
C. The client has had radiation for 6 weeks.
D. The client's serum albumin level is 1.7 mg/dL. - ANS D. The client's serum albumin level is
1.7 mg/dL.
4. Another client who was admitted with Acute Gastritis with nausea and vomiting has been on
NPO (nothing by mouth) for 2 days. The client has a new "diet as tolerated" order. What should
the nurse offer to the client?
A. Tomato juice
B. Tossed salad
C. Cherry gelatin
D. Nonfat milk - ANS C. Cherry gelatin
5. Nurse Timmy received a new female client. Fifteen minutes after eating, a client who has had
a Gastrojejunostomy complains of abdominal cramping and palpitations. Which action should
the nurse take?
A. Administer prn metoclopramide (Reglan).
B. Have the client lie down.
C. Place the client on NPO status for 24 hours.
D. Notify the physician. - ANS B. Have the client lie down.
2026/2027 ALLRIGHTS RESERVED
2
,6. Nurse Estela prepares which of the following diagnostic studies to confirm the real cause of
the problem:
A. an esophagogastroduodenoscopy (EGD).
B. an upper gastrointestinal (GI) tract x-ray series.
C. blood testing for Helicobacter pylori.
D. stool testing for occult blood. - ANS A. an esophagogastroduodenoscopy (EGD).
7. Nurse Estela is caring for a client who returned to the nursing unit 6 hours ago after having an
Esophagogastrectomy. Which nursing action should be included in the plan of care at this time?
A. Keep head of bed elevated to 30 degrees.
B. Initiate tube feedings at 30 mL/hr.
C. Reposition nasogastric tube as needed for abdominal distention.
D. Report bloody nasogastric drainage to the physician stat. - ANS A. Keep head of bed
elevated to 30 degrees.
8. Which information about a client who is taking a full liquid diet 6 days after an
Esophagogastrectomy should nurse Estela report immediately to the Physician?
A. The client refuses to take more than 100 mL.
B. The client has hypotonic bowel sounds.
C. The client's blood pressure is 88/46 mm Hg.
D. The client has bibasilar fine lung crackles. - ANS C. The client's blood pressure is 88/46 mm
Hg.
2026/2027 ALLRIGHTS RESERVED
3
, 9. Angel a charge nurse is preparing the client with a Peptic Ulcer and has Ranitidine (Zantac)
scheduled for 10:00 AM. What time should Nurse Angel administer the ordered 30 mL of
calcium carbonate-magnesium carbonate (Mylanta)?
A. 9:00 AM
B. 9:30 AM
C. 10:00 AM
D. 11:00 AM - ANS A. 9:00 AM
10. Nurse Angel has another client with duodenal ulcer. Which information about a client
admitted with a Duodenal ulcer should Nurse Angel report immediately to the Physician?
A. The client's abdomen is rigid and painful.
B. The client is complaining of intermittent nausea.
C. The client's NG drainage has a coffee-ground appearance.
D. The client reports drinking approximately 10 beers every day. - ANS A. The client's
abdomen is rigid and painful.
Situation: Cancer ranks third in the leading cause of morbidity and mortality in our country.
Early detection increases the survival rate. Virgie an Oncology nurse is responsible for screening
and educating clients with Cancer.
11. A client who has been diagnosed with gastric cancer tells nurse Virgie, "I am so afraid!"
Which response by the nurse is most appropriate?
A. "Can you tell me more about why you are afraid?"
B. "Do you think that an antianxiety medication would help?"
C. "Perhaps talking to a clergyman would help decrease your fear."
2026/2027 ALLRIGHTS RESERVED
4
