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GALEN NUR 242 EXAM 3 (STREB)
STUDY GUIDE
GASTROINTESTINAL &
RESPIRATORY DISORDERS
## SECTION 1: GERD & HIATAL HERNIA
**1. A client with GERD is being discharged. Which statement
indicates the client understands the discharge teaching?**
A. "I should lie down immediately after meals to rest my
stomach."
B. "I will elevate the head of my bed with blocks when
sleeping."
C. "I can continue eating spicy foods as long as I take my
medication."
D. "I should drink large amounts of fluids with my meals."
**Correct answer:** B. "I will elevate the head of my bed with
blocks when sleeping."
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**Rationale:** Elevating the head of the bed allows gravity to
prevent acid from refluxing into the esophagus during sleep.
Lying flat after meals worsens reflux. Spicy foods should be
avoided, and large fluid intake with meals can increase gastric
pressure .
---
**2. GERD most common symptoms include:**
A. Diarrhea and vomiting
B. Heartburn (pyrosis) and dyspepsia (indigestion)
C. Constipation and bloating
D. Hematemesis and melena
**Correct answer:** B. Heartburn (pyrosis) and dyspepsia
(indigestion)
**Rationale:** GERD most common symptoms are heartburn
(pyrosis) and dyspepsia (indigestion). These may be described
as substernal burning moving up and down the chest .
---
**3. GERD pain usually develops within how long after
meals?**
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A. 5-10 minutes
B. 30-60 minutes
C. 2-3 hours
D. 4-6 hours
**Correct answer:** B. 30-60 minutes
**Rationale:** GERD pain usually develops within 30-60
minutes after meals. Severe heartburn pain can radiate to the
neck, jaw, or back, and patients may think they are having an
MI .
---
**4. GERD symptoms are exacerbated when:**
A. Sitting upright
B. Walking
C. Lying down flat or bending over
D. Drinking water
**Correct answer:** C. Lying down flat or bending over
GALEN NUR 242 EXAM 3 (STREB)
STUDY GUIDE
GASTROINTESTINAL &
RESPIRATORY DISORDERS
## SECTION 1: GERD & HIATAL HERNIA
**1. A client with GERD is being discharged. Which statement
indicates the client understands the discharge teaching?**
A. "I should lie down immediately after meals to rest my
stomach."
B. "I will elevate the head of my bed with blocks when
sleeping."
C. "I can continue eating spicy foods as long as I take my
medication."
D. "I should drink large amounts of fluids with my meals."
**Correct answer:** B. "I will elevate the head of my bed with
blocks when sleeping."
,2 | Page
**Rationale:** Elevating the head of the bed allows gravity to
prevent acid from refluxing into the esophagus during sleep.
Lying flat after meals worsens reflux. Spicy foods should be
avoided, and large fluid intake with meals can increase gastric
pressure .
---
**2. GERD most common symptoms include:**
A. Diarrhea and vomiting
B. Heartburn (pyrosis) and dyspepsia (indigestion)
C. Constipation and bloating
D. Hematemesis and melena
**Correct answer:** B. Heartburn (pyrosis) and dyspepsia
(indigestion)
**Rationale:** GERD most common symptoms are heartburn
(pyrosis) and dyspepsia (indigestion). These may be described
as substernal burning moving up and down the chest .
---
**3. GERD pain usually develops within how long after
meals?**
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A. 5-10 minutes
B. 30-60 minutes
C. 2-3 hours
D. 4-6 hours
**Correct answer:** B. 30-60 minutes
**Rationale:** GERD pain usually develops within 30-60
minutes after meals. Severe heartburn pain can radiate to the
neck, jaw, or back, and patients may think they are having an
MI .
---
**4. GERD symptoms are exacerbated when:**
A. Sitting upright
B. Walking
C. Lying down flat or bending over
D. Drinking water
**Correct answer:** C. Lying down flat or bending over
