,NSG-320 Adult Health Nursing I — INSTANT
PDF DOWNLOAD — Verified NSG-320 Exam 3 |
Grand Canyon University | Q & A | 2026/2027
Edition
1. A nurse is teaching a patient about gastroesophageal reflux disease (GERD). Which statement
by the patient indicates correct understanding?
A. “I should lie down immediately after eating.”
B. “I shhould avoid caffeine, spicy foods, and alcohol.”
C. “I should eat large meals to reduce acid production.”
D. “I should wear tight clothing to prevent reflux.”
Correct Answer: B
Rationale: Patients with GERD should avoid trigger foods such as caffeine, spicy foods, alcohol,
and chocolate. They should remain upright for at least 2 hours after eating, eat small frequent
meals, and avoid tight clothing.
2. A nurse is teaching a patient about GERD management. Which instruction is most important?
A. “Elevate the head of your bed 6–8 inches.”
B. “Lie flat after meals.”
C. “Drink large amounts of water with meals.”
,D. “Take antacids only when you have severe symptoms.”
Correct Answer: A
Rationale: Elevating the head of the bed 6–8 inches uses gravity to reduce reflux. Patients
should avoid lying flat after meals. Antacids should be taken as prescribed, not only for severe
symptoms.
3. A nurse is reviewing the complications of GERD. Which condition is a complication of chronic
GERD?
A. Barrett’s esophagus
B. Peptic ulcer disease
C. Gastric cancer
D. Crohn’s disease
Correct Answer: A
Rationale: Barrett’s esophagus is a complication of chronic GERD in which the normal squamous
epithelium of the esophagus is replaced by columnar epithelium, increasing the risk of
esophageal cancer.
4. A nurse is teaching a patient about proton pump inhibitors (PPIs). When should the nurse
instruct the patient to take this medication?
, A. 30 minutes before meals
B. With meals
C. At bedtime
D. Only when symptoms occur
Correct Answer: A
Rationale: PPIs should be taken 30 minutes before meals for optimal effectiveness. They
suppress gastric acid secretion by inhibiting the hydrogen-potassium ATPase pump.
5. A nurse is teaching a patient about antacids. Which instruction is most important?
A. “Separate antacids from other medications by 1–2 hours.”
B. “Take antacids with all other medications.”
C. “Take antacids on an empty stomach only.”
D. “Antacids can be taken indefinitely without monitoring.”
Correct Answer: A
Rationale: Antacids can interfere with the absorption of other medications. They should be
separated from other medications by 1–2 hours.
PDF DOWNLOAD — Verified NSG-320 Exam 3 |
Grand Canyon University | Q & A | 2026/2027
Edition
1. A nurse is teaching a patient about gastroesophageal reflux disease (GERD). Which statement
by the patient indicates correct understanding?
A. “I should lie down immediately after eating.”
B. “I shhould avoid caffeine, spicy foods, and alcohol.”
C. “I should eat large meals to reduce acid production.”
D. “I should wear tight clothing to prevent reflux.”
Correct Answer: B
Rationale: Patients with GERD should avoid trigger foods such as caffeine, spicy foods, alcohol,
and chocolate. They should remain upright for at least 2 hours after eating, eat small frequent
meals, and avoid tight clothing.
2. A nurse is teaching a patient about GERD management. Which instruction is most important?
A. “Elevate the head of your bed 6–8 inches.”
B. “Lie flat after meals.”
C. “Drink large amounts of water with meals.”
,D. “Take antacids only when you have severe symptoms.”
Correct Answer: A
Rationale: Elevating the head of the bed 6–8 inches uses gravity to reduce reflux. Patients
should avoid lying flat after meals. Antacids should be taken as prescribed, not only for severe
symptoms.
3. A nurse is reviewing the complications of GERD. Which condition is a complication of chronic
GERD?
A. Barrett’s esophagus
B. Peptic ulcer disease
C. Gastric cancer
D. Crohn’s disease
Correct Answer: A
Rationale: Barrett’s esophagus is a complication of chronic GERD in which the normal squamous
epithelium of the esophagus is replaced by columnar epithelium, increasing the risk of
esophageal cancer.
4. A nurse is teaching a patient about proton pump inhibitors (PPIs). When should the nurse
instruct the patient to take this medication?
, A. 30 minutes before meals
B. With meals
C. At bedtime
D. Only when symptoms occur
Correct Answer: A
Rationale: PPIs should be taken 30 minutes before meals for optimal effectiveness. They
suppress gastric acid secretion by inhibiting the hydrogen-potassium ATPase pump.
5. A nurse is teaching a patient about antacids. Which instruction is most important?
A. “Separate antacids from other medications by 1–2 hours.”
B. “Take antacids with all other medications.”
C. “Take antacids on an empty stomach only.”
D. “Antacids can be taken indefinitely without monitoring.”
Correct Answer: A
Rationale: Antacids can interfere with the absorption of other medications. They should be
separated from other medications by 1–2 hours.
