NRS 3025 MIDTERM QUESTIONS 2026/2027 | NURSING STUDY GUIDE,
PRACTICE QUESTIONS, ANSWERS & EXAM REVIEW
Which patient statement alerts the nurse to perform a thorough GI history and focused assessment?
"I don't like the taste of spicy foods."
"I got dentures four years ago."
"I experience occasional constipation."
"I take ibuprofen three times daily for arthritis." - ANS ✔✔D
Large amounts of aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can
predispose the patient to peptic ulcer disease and GI bleeding
A 23-year-old female patient reports having red, raised lesions at the base of her tongue and on the
inside of her mouth for the past 3 weeks. What priority assessment question should the nurse ask?
A. "Do you smoke cigarettes?"
B. "What type of work do you do?"
C. "Have you seen a dentist recently?"
D. "Do you have a history of human papillomavirus? - ANS ✔✔D.
It is now confirmed that in younger age groups, including those who have never used tobacco products,
mouth lesions can be caused by human papillomavirus (HPV). HPV, particularly version 16, has been
shown to be sexually transmitted between partners and is conclusively implicated in the increasing
incidence of young, nonsmoking oral cancer patients.
A 68-year-old patient with a history of arthritis and hypertension is admitted reporting progressive
epigastric cramping, dyspepsia, nausea, and dark, sticky stools for 3 days. Which order will the nurse
question?
A. IV fluids, normal saline at 125 ml/hr
B. Guaiac stool sample 2
C. Naproxen (Naprosyn) 500 mg twice daily
D. Stool sample for bacterial testing - ANS ✔✔C
Long-term NSAID use creates a high risk for acute gastritis. Naproxen is an NSAID that may be used to
treat arthritis. Other risk factors for acute gastritis include alcohol, caffeine, and corticosteroids. IV fluids
may or may not be needed to replace any fluids or blood lost from the patient's gastritis. Stool guaiac is
nonspecific but may be ordered to confirm blood in the stool, and a stool sample may be used to test for
the presence of H Pylori infection. However, it is not as accurate as blood or breath tests.
What priority laboratory analysis should the nurse review when caring for a patient with Crohn's
disease?
A. C-reactive protein
B. Serum albumin
C. Hemoglobin
D. Potassium - ANS ✔✔C
PRACTICE QUESTIONS, ANSWERS & EXAM REVIEW
Which patient statement alerts the nurse to perform a thorough GI history and focused assessment?
"I don't like the taste of spicy foods."
"I got dentures four years ago."
"I experience occasional constipation."
"I take ibuprofen three times daily for arthritis." - ANS ✔✔D
Large amounts of aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can
predispose the patient to peptic ulcer disease and GI bleeding
A 23-year-old female patient reports having red, raised lesions at the base of her tongue and on the
inside of her mouth for the past 3 weeks. What priority assessment question should the nurse ask?
A. "Do you smoke cigarettes?"
B. "What type of work do you do?"
C. "Have you seen a dentist recently?"
D. "Do you have a history of human papillomavirus? - ANS ✔✔D.
It is now confirmed that in younger age groups, including those who have never used tobacco products,
mouth lesions can be caused by human papillomavirus (HPV). HPV, particularly version 16, has been
shown to be sexually transmitted between partners and is conclusively implicated in the increasing
incidence of young, nonsmoking oral cancer patients.
A 68-year-old patient with a history of arthritis and hypertension is admitted reporting progressive
epigastric cramping, dyspepsia, nausea, and dark, sticky stools for 3 days. Which order will the nurse
question?
A. IV fluids, normal saline at 125 ml/hr
B. Guaiac stool sample 2
C. Naproxen (Naprosyn) 500 mg twice daily
D. Stool sample for bacterial testing - ANS ✔✔C
Long-term NSAID use creates a high risk for acute gastritis. Naproxen is an NSAID that may be used to
treat arthritis. Other risk factors for acute gastritis include alcohol, caffeine, and corticosteroids. IV fluids
may or may not be needed to replace any fluids or blood lost from the patient's gastritis. Stool guaiac is
nonspecific but may be ordered to confirm blood in the stool, and a stool sample may be used to test for
the presence of H Pylori infection. However, it is not as accurate as blood or breath tests.
What priority laboratory analysis should the nurse review when caring for a patient with Crohn's
disease?
A. C-reactive protein
B. Serum albumin
C. Hemoglobin
D. Potassium - ANS ✔✔C
