NR 507 EDAPT TEST PAPER FULL
SOLUTION QUESTIONS AND CORRECT
ANSWERS GRADED A+
●● A 50-year-old is diagnosed with gastroesophageal reflux disease.
This condition is caused by:
Reverse peristalsis of the stomach.
Sympathetic nerve stimulation.
Fibrosis of the lower third of the esophagus.
Loss of muscle tone at the lower esophageal sphincter.
Answer: Loss of muscle tone at the lower esophageal sphincter.
The disease is due to the loss of muscle tone at the lower esophageal
sphincter.
●● Which of the following symptoms are typical GERD symptoms?
Heart burn and regurgitation
Cough and hoarseness
Chest pain and globus (lump in the throat)
Epigastric pain and belching
,Answer: Heart burn and regurgitation
●● ___________ is a risk factor for the development of GERD.
Obesity
Taking beta blockers
Inguinal hernia
Asthma
Answer: Obesity
Obesity is the only choice listed that is a risk factor to developing
GERD. Obesity exerts pressure on the lower esophageal sphincter which
causes the up-flow of acid from the stomach into the esophagus.
●● The bacteria that is associated with GERD is:
Pseudomonas
Staph aureus
H. pylori
E. Coli
Answer: H. pylori
●● Typical associated GERD symptoms:
,Answer: Heart burn
Regurgitation (reflux)
●● Atypical associated GERD symptoms:
Answer: Chest pain
Hoarseness
Cough
Asthma
Globus (lump in throat)
●● Associated GERD symptoms:
Answer: Dyspepsia
Epigastric pain
Bloating
Belching
Nausea
●● Complications of H. pylori include:
Answer: dyspepsia and adenocarcinoma.
●● With GERD the patient will report:
, Answer: burning or reflux that occurs 30-90 minutes following a meal;
the symptoms are worse in a reclining position, but symptoms improve
with sitting or standing or when an antacid is taken. Sour taste, lump in
the throat, cough, hoarseness, worsening asthma episodes, epigastric
pain and chest pain may also be reported.
●● Warning signs for GERD:
Answer: Symptoms over the age of 50
Dysphagia
Odynophagia (pain on swallowing)
N/V
Weight loss
Melena
Early satiety
●● During collection of the social, diet and medication history, the NP
should explore if:
Answer: the patient smokes or drinks alcohol, ingests foods that triggers
reflux (i.e. peppermint and chocolate) or takes medications which may
be predispose the patient to GERD by relaxing the LES allowing for the
reflux of acid.
●● These tests require a referral to a gastroenterologist and may be used
to establish the diagnosis:
SOLUTION QUESTIONS AND CORRECT
ANSWERS GRADED A+
●● A 50-year-old is diagnosed with gastroesophageal reflux disease.
This condition is caused by:
Reverse peristalsis of the stomach.
Sympathetic nerve stimulation.
Fibrosis of the lower third of the esophagus.
Loss of muscle tone at the lower esophageal sphincter.
Answer: Loss of muscle tone at the lower esophageal sphincter.
The disease is due to the loss of muscle tone at the lower esophageal
sphincter.
●● Which of the following symptoms are typical GERD symptoms?
Heart burn and regurgitation
Cough and hoarseness
Chest pain and globus (lump in the throat)
Epigastric pain and belching
,Answer: Heart burn and regurgitation
●● ___________ is a risk factor for the development of GERD.
Obesity
Taking beta blockers
Inguinal hernia
Asthma
Answer: Obesity
Obesity is the only choice listed that is a risk factor to developing
GERD. Obesity exerts pressure on the lower esophageal sphincter which
causes the up-flow of acid from the stomach into the esophagus.
●● The bacteria that is associated with GERD is:
Pseudomonas
Staph aureus
H. pylori
E. Coli
Answer: H. pylori
●● Typical associated GERD symptoms:
,Answer: Heart burn
Regurgitation (reflux)
●● Atypical associated GERD symptoms:
Answer: Chest pain
Hoarseness
Cough
Asthma
Globus (lump in throat)
●● Associated GERD symptoms:
Answer: Dyspepsia
Epigastric pain
Bloating
Belching
Nausea
●● Complications of H. pylori include:
Answer: dyspepsia and adenocarcinoma.
●● With GERD the patient will report:
, Answer: burning or reflux that occurs 30-90 minutes following a meal;
the symptoms are worse in a reclining position, but symptoms improve
with sitting or standing or when an antacid is taken. Sour taste, lump in
the throat, cough, hoarseness, worsening asthma episodes, epigastric
pain and chest pain may also be reported.
●● Warning signs for GERD:
Answer: Symptoms over the age of 50
Dysphagia
Odynophagia (pain on swallowing)
N/V
Weight loss
Melena
Early satiety
●● During collection of the social, diet and medication history, the NP
should explore if:
Answer: the patient smokes or drinks alcohol, ingests foods that triggers
reflux (i.e. peppermint and chocolate) or takes medications which may
be predispose the patient to GERD by relaxing the LES allowing for the
reflux of acid.
●● These tests require a referral to a gastroenterologist and may be used
to establish the diagnosis:
