NURS4500 Final Exam Gastrointestinal Exam with
Complete Solutions
The nurse is preparing a client diagnosed with GERD for discharge following an
esophagogastroduodenoscopy. Which statement indicates the client understands the
discharge instructions?
1. "I should not eat for at least one (1) day following this procedure."
2. "I can lie down whenever I want after a meal. It won't make a difference."
3. "The stomach contents won't bother my esophagus but will make me nauseous."
4. "I should avoid orange juice and eating tomatoes until my esophagus heals." Correct-4.
"I should avoid orange juice and eating tomatoes until my esophagus heals."
The nurse is planning the care of a client diagnosed with lower esophageal sphincter
dysfunction. Which dietary modifications should be included in the plan of care?
1. Allow any of the client's favorite foods as long as the amount is limited.
2. Have the client perform eructation exercises several times a day.
3. Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
,4. Encourage the client to consume a glass of red wine with one (1) meal a day. Correct-3.
Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
The nurse is caring for a client diagnosed with GERD. Which nursing interventions should be
implemented?
1. Place the client prone in bed and administer nonsteroidal anti-inflammatory medications.
2. Have the client remain upright at all times and walk for 30 minutes three (3) times a week.
3. Instruct the client to maintain a right lateral side-lying position and take antacids before
meals.
4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with the client.
Correct-4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with
the client.
The nurse is caring for an adult client diagnosed with GERD. Which condition is the most
common comorbid disease associated with GERD?
1. Adult-onset asthma.
2. Pancreatitis.
,3. Peptic ulcer disease.
4. Increased gastric emptying. Correct-1. Adult-onset asthma.
The male client tells the nurse he has been experiencing "heartburn" at night that awakens
him. Which assessment question should the nurse ask?
1. "How much weight have you gained recently?"
2. "What have you done to alleviate the heartburn?"
3. "Do you consume many milk and dairy products?"
4. "Have you been around anyone with a stomach virus?" Correct-2. "What have you done
to alleviate the heartburn?"
The nurse caring for a client diagnosed with GERD writes the client problem of "behavior
modification." Which intervention should be included for this problem?
1. Teach the client to sleep with a foam wedge under the head.
2. Encourage the client to decrease the amount of smoking.
3. Instruct the client to take over-the-counter medication for relief of pain.
, 4. Discuss the need to attend Alcoholics Anonymous to quit drinking. Correct-1. Teach the
client to sleep with a foam wedge under the head.
The nurse is administering morning medications at 0730. Which medication should have
priority?
1. A proton pump inhibitor.
2. A nonnarcotic analgesic.
3. A histamine receptor antagonist.
4. A mucosal barrier agent. Correct-4. A mucosal barrier agent.
The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants
notifying the HCP?
1. The client's Bernstein esophageal test was positive.
2. The client's abdominal x-ray shows a hiatal hernia.
3. The client's WBC count is 14,000/mm3.
Complete Solutions
The nurse is preparing a client diagnosed with GERD for discharge following an
esophagogastroduodenoscopy. Which statement indicates the client understands the
discharge instructions?
1. "I should not eat for at least one (1) day following this procedure."
2. "I can lie down whenever I want after a meal. It won't make a difference."
3. "The stomach contents won't bother my esophagus but will make me nauseous."
4. "I should avoid orange juice and eating tomatoes until my esophagus heals." Correct-4.
"I should avoid orange juice and eating tomatoes until my esophagus heals."
The nurse is planning the care of a client diagnosed with lower esophageal sphincter
dysfunction. Which dietary modifications should be included in the plan of care?
1. Allow any of the client's favorite foods as long as the amount is limited.
2. Have the client perform eructation exercises several times a day.
3. Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
,4. Encourage the client to consume a glass of red wine with one (1) meal a day. Correct-3.
Eat four (4) to six (6) small meals a day and limit fluids during mealtimes.
The nurse is caring for a client diagnosed with GERD. Which nursing interventions should be
implemented?
1. Place the client prone in bed and administer nonsteroidal anti-inflammatory medications.
2. Have the client remain upright at all times and walk for 30 minutes three (3) times a week.
3. Instruct the client to maintain a right lateral side-lying position and take antacids before
meals.
4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with the client.
Correct-4. Elevate the head of the bed 30 degrees and discuss lifestyle modifications with
the client.
The nurse is caring for an adult client diagnosed with GERD. Which condition is the most
common comorbid disease associated with GERD?
1. Adult-onset asthma.
2. Pancreatitis.
,3. Peptic ulcer disease.
4. Increased gastric emptying. Correct-1. Adult-onset asthma.
The male client tells the nurse he has been experiencing "heartburn" at night that awakens
him. Which assessment question should the nurse ask?
1. "How much weight have you gained recently?"
2. "What have you done to alleviate the heartburn?"
3. "Do you consume many milk and dairy products?"
4. "Have you been around anyone with a stomach virus?" Correct-2. "What have you done
to alleviate the heartburn?"
The nurse caring for a client diagnosed with GERD writes the client problem of "behavior
modification." Which intervention should be included for this problem?
1. Teach the client to sleep with a foam wedge under the head.
2. Encourage the client to decrease the amount of smoking.
3. Instruct the client to take over-the-counter medication for relief of pain.
, 4. Discuss the need to attend Alcoholics Anonymous to quit drinking. Correct-1. Teach the
client to sleep with a foam wedge under the head.
The nurse is administering morning medications at 0730. Which medication should have
priority?
1. A proton pump inhibitor.
2. A nonnarcotic analgesic.
3. A histamine receptor antagonist.
4. A mucosal barrier agent. Correct-4. A mucosal barrier agent.
The nurse is preparing a client diagnosed with GERD for surgery. Which information warrants
notifying the HCP?
1. The client's Bernstein esophageal test was positive.
2. The client's abdominal x-ray shows a hiatal hernia.
3. The client's WBC count is 14,000/mm3.
