1|Page
NURS 502 EXAM 4 NEWEST 2026 ACTUAL EXAM TEST BANK|
COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADRED A+| (MOST RECENT!!)
Which item should the nurse offer to the patient restarting oral intake
after being NPO due to nausea and vomiting?
a. Glass of orange juice
b. Dish of lemon gelatin
c. Cup of coffee with cream
d. Bowl of hot chicken broth ......ANSWER......B
Clear cool liquids are usually the first foods started after a patient has
been nauseated. Acidic foods such as orange juice, very hot foods, and
coffee are poorly tolerated when patients have been nauseated.
A patient who has gastroesophageal reflux disease (GERD) is
experiencing increasing discomfort. Which patient statement to the
nurse indicates that additional teaching about GERD is needed?
a. "I quit smoking years ago, but I chew gum."
b. "I eat small meals and have a bedtime snack."
c. "I take antacids between meals and at bedtime each night."
d. "I sleep with the head of the bed elevated on 4-inch blocks."
......ANSWER......B
GERD is exacerbated by eating late at night, and the nurse should plan
to teach the patient to avoid eating at bedtime. The other patient
actions are appropriate to control symptoms of GERD.
,2|Page
A 68-yr-old male patient with a stroke is unconscious and unresponsive
to stimuli. After learning that the patient has a history of
gastroesophageal reflux disease (GERD), what should the nurse plan to
assess more frequently than is routine?
a. Apical pulse
b. Bowel sounds
c. Breath sounds
d. Abdominal girth ......ANSWER......C
Because GERD may cause aspiration, the unconscious patient is at risk
for developing aspiration pneumonia. Bowel sounds, abdominal girth,
and apical pulse will not be affected by the patient's stroke or GERD and
do not require more frequent monitoring than the routine.
Which patient choice for a snack 3 hours before bedtime indicates that
the nurse's teaching about gastroesophageal reflux disease (GERD) has
been effective?
a. Chocolate pudding
b. Glass of low-fat milk
c. Cherry gelatin with fruit
d. Peanut butter and jelly sandwich ......ANSWER......C
Gelatin and fruit are low fat and will not decrease lower esophageal
sphincter (LES) pressure. Foods such as chocolate are avoided because
they lower LES pressure. Milk products increase gastric acid secretion.
,3|Page
High-fat foods such as peanut butter decrease both gastric emptying
and LES pressure.
Which information will the nurse provide for a patient with newly
diagnosed gastroesophageal reflux disease (GERD)?
a. "Peppermint tea may reduce your symptoms."
b. "Keep the head of your bed elevated on blocks."
c. "You should avoid eating between meals to reduce acid secretion."
d. "Vigorous physical activities may increase the incidence of reflux."
......ANSWER......B
Elevating the head of the bed will reduce the incidence of reflux while
the patient is sleeping. Peppermint will decrease lower esophageal
sphincter (LES) pressure and increase the chance for reflux. Small,
frequent meals are recommended to avoid abdominal distention. There
is no need to make changes in physical activities because of GERD.
A patient vomiting blood-streaked fluid is admitted to the hospital with
acute gastritis. What should the nurse ask the patient about to
determine possible risk factors for gastritis?
a. The amount of saturated fat in the diet
b. A family history of gastric or colon cancer
c. Use of nonsteroidal antiinflammatory drugs
d. A history of a large recent weight gain or loss ......ANSWER......C
, 4|Page
Use of an NSAID is associated with damage to the gastric mucosa, which
can result in acute gastritis. Family history, recent weight gain or loss,
and fatty foods are not risk factors for acute gastritis.
Which action should the nurse in the emergency department anticipate
for a young adult patient who has had several acute episodes of bloody
diarrhea?
a. Obtain a stool specimen for culture.
b. Administer antidiarrheal medication.
c. Provide teaching about antibiotic therapy.
d. Teach the adverse effects of acetaminophen (Tylenol).
......ANSWER......A
Patients with bloody diarrhea should have a stool culture for
Escherichia coli O157:H7. Antidiarrheal medications are usually avoided
for possible infectious diarrhea to avoid prolonging the infection.
Antibiotic therapy in the treatment of infectious diarrhea is
controversial because it may precipitate kidney complications.
Acetaminophen does not cause bloody diarrhea.
What diagnostic test should the nurse anticipate for an older patient
who is vomiting "coffee-ground" emesis?
a. Endoscopy
b. Angiography
c. Barium studies
d. Gastric analysis ......ANSWER......A
NURS 502 EXAM 4 NEWEST 2026 ACTUAL EXAM TEST BANK|
COMPLETE EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADRED A+| (MOST RECENT!!)
Which item should the nurse offer to the patient restarting oral intake
after being NPO due to nausea and vomiting?
a. Glass of orange juice
b. Dish of lemon gelatin
c. Cup of coffee with cream
d. Bowl of hot chicken broth ......ANSWER......B
Clear cool liquids are usually the first foods started after a patient has
been nauseated. Acidic foods such as orange juice, very hot foods, and
coffee are poorly tolerated when patients have been nauseated.
A patient who has gastroesophageal reflux disease (GERD) is
experiencing increasing discomfort. Which patient statement to the
nurse indicates that additional teaching about GERD is needed?
a. "I quit smoking years ago, but I chew gum."
b. "I eat small meals and have a bedtime snack."
c. "I take antacids between meals and at bedtime each night."
d. "I sleep with the head of the bed elevated on 4-inch blocks."
......ANSWER......B
GERD is exacerbated by eating late at night, and the nurse should plan
to teach the patient to avoid eating at bedtime. The other patient
actions are appropriate to control symptoms of GERD.
,2|Page
A 68-yr-old male patient with a stroke is unconscious and unresponsive
to stimuli. After learning that the patient has a history of
gastroesophageal reflux disease (GERD), what should the nurse plan to
assess more frequently than is routine?
a. Apical pulse
b. Bowel sounds
c. Breath sounds
d. Abdominal girth ......ANSWER......C
Because GERD may cause aspiration, the unconscious patient is at risk
for developing aspiration pneumonia. Bowel sounds, abdominal girth,
and apical pulse will not be affected by the patient's stroke or GERD and
do not require more frequent monitoring than the routine.
Which patient choice for a snack 3 hours before bedtime indicates that
the nurse's teaching about gastroesophageal reflux disease (GERD) has
been effective?
a. Chocolate pudding
b. Glass of low-fat milk
c. Cherry gelatin with fruit
d. Peanut butter and jelly sandwich ......ANSWER......C
Gelatin and fruit are low fat and will not decrease lower esophageal
sphincter (LES) pressure. Foods such as chocolate are avoided because
they lower LES pressure. Milk products increase gastric acid secretion.
,3|Page
High-fat foods such as peanut butter decrease both gastric emptying
and LES pressure.
Which information will the nurse provide for a patient with newly
diagnosed gastroesophageal reflux disease (GERD)?
a. "Peppermint tea may reduce your symptoms."
b. "Keep the head of your bed elevated on blocks."
c. "You should avoid eating between meals to reduce acid secretion."
d. "Vigorous physical activities may increase the incidence of reflux."
......ANSWER......B
Elevating the head of the bed will reduce the incidence of reflux while
the patient is sleeping. Peppermint will decrease lower esophageal
sphincter (LES) pressure and increase the chance for reflux. Small,
frequent meals are recommended to avoid abdominal distention. There
is no need to make changes in physical activities because of GERD.
A patient vomiting blood-streaked fluid is admitted to the hospital with
acute gastritis. What should the nurse ask the patient about to
determine possible risk factors for gastritis?
a. The amount of saturated fat in the diet
b. A family history of gastric or colon cancer
c. Use of nonsteroidal antiinflammatory drugs
d. A history of a large recent weight gain or loss ......ANSWER......C
, 4|Page
Use of an NSAID is associated with damage to the gastric mucosa, which
can result in acute gastritis. Family history, recent weight gain or loss,
and fatty foods are not risk factors for acute gastritis.
Which action should the nurse in the emergency department anticipate
for a young adult patient who has had several acute episodes of bloody
diarrhea?
a. Obtain a stool specimen for culture.
b. Administer antidiarrheal medication.
c. Provide teaching about antibiotic therapy.
d. Teach the adverse effects of acetaminophen (Tylenol).
......ANSWER......A
Patients with bloody diarrhea should have a stool culture for
Escherichia coli O157:H7. Antidiarrheal medications are usually avoided
for possible infectious diarrhea to avoid prolonging the infection.
Antibiotic therapy in the treatment of infectious diarrhea is
controversial because it may precipitate kidney complications.
Acetaminophen does not cause bloody diarrhea.
What diagnostic test should the nurse anticipate for an older patient
who is vomiting "coffee-ground" emesis?
a. Endoscopy
b. Angiography
c. Barium studies
d. Gastric analysis ......ANSWER......A
