GERD practice questions and answers 2024/2025 Solved
100%
The nurse assesses assigned clients after receiving handoff communication.
For which assessment finding for a client with gastroesophageal reflux
disease (GERD) should the nurse provide immediate intervention?
A.A client who complains of chest pain
B.A client who complains of a sore throat
C.A client who vomits gastric acid after an evening snack
D.A client who complains of increasing heartburn while lying down
A.A client who complains of chest pain
-It is not uncommon for a client with GERD to complain of chest pain. This
assessment finding, however, should not be ignored and would require the nurse to
provide immediate intervention. The other assessment findings are typical of GERD
and do not require immediate attention.
The nurse is providing care to a pediatric client hospitalized for the treatment
of severe gastroesophageal reflux disease (GERD). For which finding should
the nurse provide immediate intervention?
A.Hoarseness
B.Regurgitation of sour material into the mouth
C.Wheezing
D.Tooth erosion
C.Wheezing
-Pediatric clients diagnosed with GERD will exhibit different symptoms than do adult
clients. The clinical manifestation of wheezing indicates a respiratory issue that can
often occur in pediatric clients with GERD. This finding requires immediate
intervention by the nurse. The other clinical manifestations do not require immediate
intervention
After reviewing a client's health history, the nurse decides to assess for
symptoms of gastroesophageal reflux disease (GERD). Which factor caused
the nurse to make this clinical decision? (Select all that apply.)
A.Smoking
B.Asthma
C.Heart disease
D.Obesity
E.Inguinal hernia
A,D
A. smoking
D. obesity
Obesity and smoking are risk factors for the development of GERD. Regurgitation
from GERD can cause atypical chest pain in adults and wheezing in children, but
asthma and heart disease are not causative factors. Hiatal hernias, not inguinal
hernias, are risk factors for the onset of GERD.
The nurse is teaching the client with gastroesophageal reflux disease (GERD)
about following treatment and taking medications to prevent complications.
, Which complication should the nurse emphasize can occur due to untreated
GERD?
A.Asthma
B.Hiatal hernia
C.Trisomy 21
D.Esophageal stricture
D.Esophageal stricture
Esophageal strictures can occur from repeated irritation and ulceration from GERD.
Asthma, trisomy 21, and hiatal hernias are risk factors, not complications.
The nurse is assessing a child for suspected gastroesophageal reflux disease
(GERD). Which symptom should the nurse consider consistent with this
disease? (Select all that apply.)
A.Asthma
B.Sore throat
C.Obesity
D.Weight gain
E.Recurrent pneumonia
A,B,E
A.Asthma
B.Sore throat
E.Recurrent pneumonia
-Children under the age of 12 years with GERD experience different symptoms than
adults. These include asthma, sore throat, and recurrent pneumonia due to reflux of
acidic gastric contents. Obesity is a risk factor, not a clinical manifestation. Weight
loss, not weight gain, is more common.
An older adult client with gastroesophageal reflux disease (GERD) is
scheduled for a Nissen fundoplication and asks the nurse to explain the
procedure to family members. Which information should the nurse provide?
A."Nissen fundoplication is surgery where the stomach is wrapped around the
lower esophagus and sewn together."
B."Nissen fundoplication is also recommended to reduce risks associated with
esophageal cancer."
C."Nissen fundoplication is suturing, burning spots on, and creating scarring
of the muscle surrounding the sphincter."
D."Nissen fundoplication is antireflux surgery that decreases pressure to the
upper esophagus inhibiting gastric content reflux."
A."Nissen fundoplication is surgery where the stomach is wrapped around the lower
esophagus and sewn together."
-Nissen fundoplication includes open surgery where the stomach is wrapped around
the lower esophagus and the edges are sutured. The other answers do not
accurately describe a Nissen fundoplication.
A client with gastroesophageal reflux disease (GERD) is prescribed a proton
pump inhibitor. Which information should the nurse provide when teaching the
client about this medication?
A.Temporarily reduces gastric pain
B.Neutralizes gastric acid secretion
100%
The nurse assesses assigned clients after receiving handoff communication.
For which assessment finding for a client with gastroesophageal reflux
disease (GERD) should the nurse provide immediate intervention?
A.A client who complains of chest pain
B.A client who complains of a sore throat
C.A client who vomits gastric acid after an evening snack
D.A client who complains of increasing heartburn while lying down
A.A client who complains of chest pain
-It is not uncommon for a client with GERD to complain of chest pain. This
assessment finding, however, should not be ignored and would require the nurse to
provide immediate intervention. The other assessment findings are typical of GERD
and do not require immediate attention.
The nurse is providing care to a pediatric client hospitalized for the treatment
of severe gastroesophageal reflux disease (GERD). For which finding should
the nurse provide immediate intervention?
A.Hoarseness
B.Regurgitation of sour material into the mouth
C.Wheezing
D.Tooth erosion
C.Wheezing
-Pediatric clients diagnosed with GERD will exhibit different symptoms than do adult
clients. The clinical manifestation of wheezing indicates a respiratory issue that can
often occur in pediatric clients with GERD. This finding requires immediate
intervention by the nurse. The other clinical manifestations do not require immediate
intervention
After reviewing a client's health history, the nurse decides to assess for
symptoms of gastroesophageal reflux disease (GERD). Which factor caused
the nurse to make this clinical decision? (Select all that apply.)
A.Smoking
B.Asthma
C.Heart disease
D.Obesity
E.Inguinal hernia
A,D
A. smoking
D. obesity
Obesity and smoking are risk factors for the development of GERD. Regurgitation
from GERD can cause atypical chest pain in adults and wheezing in children, but
asthma and heart disease are not causative factors. Hiatal hernias, not inguinal
hernias, are risk factors for the onset of GERD.
The nurse is teaching the client with gastroesophageal reflux disease (GERD)
about following treatment and taking medications to prevent complications.
, Which complication should the nurse emphasize can occur due to untreated
GERD?
A.Asthma
B.Hiatal hernia
C.Trisomy 21
D.Esophageal stricture
D.Esophageal stricture
Esophageal strictures can occur from repeated irritation and ulceration from GERD.
Asthma, trisomy 21, and hiatal hernias are risk factors, not complications.
The nurse is assessing a child for suspected gastroesophageal reflux disease
(GERD). Which symptom should the nurse consider consistent with this
disease? (Select all that apply.)
A.Asthma
B.Sore throat
C.Obesity
D.Weight gain
E.Recurrent pneumonia
A,B,E
A.Asthma
B.Sore throat
E.Recurrent pneumonia
-Children under the age of 12 years with GERD experience different symptoms than
adults. These include asthma, sore throat, and recurrent pneumonia due to reflux of
acidic gastric contents. Obesity is a risk factor, not a clinical manifestation. Weight
loss, not weight gain, is more common.
An older adult client with gastroesophageal reflux disease (GERD) is
scheduled for a Nissen fundoplication and asks the nurse to explain the
procedure to family members. Which information should the nurse provide?
A."Nissen fundoplication is surgery where the stomach is wrapped around the
lower esophagus and sewn together."
B."Nissen fundoplication is also recommended to reduce risks associated with
esophageal cancer."
C."Nissen fundoplication is suturing, burning spots on, and creating scarring
of the muscle surrounding the sphincter."
D."Nissen fundoplication is antireflux surgery that decreases pressure to the
upper esophagus inhibiting gastric content reflux."
A."Nissen fundoplication is surgery where the stomach is wrapped around the lower
esophagus and sewn together."
-Nissen fundoplication includes open surgery where the stomach is wrapped around
the lower esophagus and the edges are sutured. The other answers do not
accurately describe a Nissen fundoplication.
A client with gastroesophageal reflux disease (GERD) is prescribed a proton
pump inhibitor. Which information should the nurse provide when teaching the
client about this medication?
A.Temporarily reduces gastric pain
B.Neutralizes gastric acid secretion
