Bank with 500 Latest Exam Questions and
Correct Answers/ NURS 5432 Final Exam Latest
2026-2027 Prep Test Bank / FNP 1
What is the first step for managing GERD?
A) Lifestyle modifications and antacids PRN for relief
B) Add H2 receptor blockers
C) Add a proton pump inhibitor
D) Endoscopy referral -ANSWER- A) Lifestyle modifications and antacids PRN
for relief
What is the second step for managing GERD?
A) Lifestyle modifications and antacids PRN for relief
B) Add H2 receptor blockers
C) Add a proton pump inhibitor
D) Endoscopy referral -ANSWER- B) Add H2 receptor blockers
What are the names and doses of H2 blockers that you would prescribe for GERD?
A) Ranitidine 150mg BID or Famotidine 20mg BID
B) Ranitidine 300mg daily or Famotidine 40mg daily
C) Cimetidine 400mg BID or Nizatidine 150mg BID
D) Ranitidine 75mg BID or Famotidine 10mg BID -ANSWER- A) Ranitidine
150mg BID or Famotidine 20mg BID
What is the third step for managing GERD (moderate to severe symptoms)?
A) Lifestyle modifications and antacids PRN for relief
B) Add H2 receptor blockers
C) Add a proton pump inhibitor (PPI)
D) Endoscopy referral -ANSWER- C) Add a proton pump inhibitor (PPI)
What is the fourth step for managing GERD?
A) Lifestyle modifications and antacids PRN for relief
B) Add H2 receptor blockers
C) Add a proton pump inhibitor
,D) Endoscopy referral (if symptoms persist despite PPI) -ANSWER- D)
Endoscopy referral (if symptoms persist despite PPI)
What are the two primary causes of peptic ulcer disease?
A) H. pylori bacteria and NSAIDs
B) Stress and spicy food
C) Alcohol and caffeine
D) Smoking and genetics -ANSWER- A) H. pylori bacteria and NSAIDs
Why would someone with a gastric ulcer present with symptoms of weight loss?
A) The pain increases when eating, leading to decreased food intake
B) The pain decreases when eating, allowing for normal intake
C) The pain is constant regardless of eating
D) The pain occurs only at night -ANSWER- A) The pain increases when eating,
leading to decreased food intake
A duodenal ulcer gets relieved by eating and the pain gets worse at night. True or
False?
A) True
B) False -ANSWER- A) True
What are the 4 medications included in the first-line treatment of H. pylori?
A) Clarithromycin, Amoxicillin, Metronidazole, Proton Pump Inhibitors
B) Clarithromycin, Amoxicillin, Tetracycline, Bismuth
C) Metronidazole, Tetracycline, Bismuth, PPI
D) Amoxicillin, Metronidazole, Bismuth, PPI -ANSWER- A) Clarithromycin,
Amoxicillin, Metronidazole, Proton Pump Inhibitors
How many days is quadruple therapy for peptic ulcer disease?
A) 7 days
B) 10 days
C) 14 days
D) 21 days -ANSWER- C) 14 days
What is the dose of Clarithromycin for the treatment of H. pylori?
A) 250mg BID
B) 500mg BID
C) 500mg TID
D) 1g BID -ANSWER- B) 500mg BID
,What is the dose of Amoxicillin for the treatment of H. pylori?
A) 500mg BID
B) 750mg BID
C) 1g BID
D) 500mg TID -ANSWER- C) 1g BID
What is the dose of Metronidazole for the treatment of H. pylori?
A) 250mg BID
B) 500mg BID
C) 500mg TID
D) 250mg TID -ANSWER- B) 500mg BID
What is the second-line treatment for H. pylori?
A) Bismuth Subsalicylate 525mg QID, Tetracycline 500mg BID, Metronidazole
500mg BID, PPI
B) Clarithromycin, Amoxicillin, Metronidazole, PPI
C) Amoxicillin, Metronidazole, Bismuth, PPI
D) Tetracycline, Metronidazole, PPI, Bismuth -ANSWER- A) Bismuth
Subsalicylate 525mg QID, Tetracycline 500mg BID, Metronidazole 500mg BID,
PPI
How does Sucralfate work?
A) Forms a protective barrier against acid and pepsin, allowing the ulcer to heal
B) Neutralizes stomach acid
C) Kills H. pylori bacteria
D) Reduces gastric acid secretion -ANSWER- A) Forms a protective barrier
against acid and pepsin, allowing the ulcer to heal
How can you help Sucralfate with the absorption of medications such as phenytoin,
warfarin, and digoxin?
A) Take the medication two hours apart from Sucralfate
B) Take the medications together
C) Take Sucralfate 30 minutes before meals
D) Take Sucralfate with a full glass of water -ANSWER- A) Take the medication
two hours apart from Sucralfate
Which medication helps to specifically prevent NSAID-induced ulcers?
A) Sucralfate
B) Misoprostol
, C) Calcium carbonate
D) Sodium bicarbonate -ANSWER- B) Misoprostol
It's important to separate antacids from other medications by at least one hour to
avoid altered absorption. True or False?
A) True
B) False -ANSWER- A) True
What are three tests to confirm H. pylori bacteria?
A) Urea breath test, stool antigen test, endoscopic biopsy with histology (GOLD
STANDARD)
B) Blood test, stool culture, CT scan
C) Upper endoscopy, barium swallow, CT scan
D) Urea breath test, blood test, stool culture -ANSWER- A) Urea breath test, stool
antigen test, endoscopic biopsy with histology (GOLD STANDARD)
What is the quality of diarrhea for someone with ulcerative colitis?
A) Watery with no blood
B) Bloody with mucus
C) Frothy with undigested food
D) Explosive and watery -ANSWER- B) Bloody with mucus
A patient with < 4 stools per day, with or without blood, and normal ESR has what
level of ulcerative colitis?
A) Mild
B) Moderate
C) Severe
D) Fulminant -ANSWER- A) Mild
A patient with 11 stools, continuous bleeding, and colonic dilation on X-ray has
what level of ulcerative colitis?
A) Mild
B) Moderate
C) Severe
D) Fulminant -ANSWER- D) Fulminant
A patient with 6 bloody stools, fever, tachycardia, anemia, and a high ESR has
what level of ulcerative colitis?
A) Mild
B) Moderate