Advanced Pharmacology-GI Review
2025| A level Questions and Answers|
100% correct
1. A nurse is administering omeprazole to a patient with gastroesophageal reflux disease
(GERD). What is the primary action of this medication?
It inhibits gastric acid secretion by blocking the proton pump.
2. A patient is prescribed metoclopramide for nausea. What is an important side effect the nurse
should monitor for?
Extrapyramidal symptoms such as tremors or rigidity.
3. A nurse is teaching a patient about the use of sucralfate. What key point should the nurse
include?
Take the medication on an empty stomach to enhance its protective effects on the gastric
mucosa.
4. A patient with chronic diarrhea is prescribed loperamide. What is a critical consideration for
the nurse when administering this medication?
Monitor the patient for signs of dehydration and electrolyte imbalance.
1
, 5. A nurse is caring for a patient receiving a long-term therapy with a proton pump inhibitor
(PPI). What is a potential risk associated with prolonged use?
Increased risk of Clostridium difficile infection and bone fractures.
6. A patient with peptic ulcer disease is prescribed ranitidine. What is the primary mechanism of
action for this medication?
It blocks histamine H2 receptors, reducing gastric acid secretion.
7. A nurse is educating a patient about the use of bisacodyl for constipation. What important
instruction should be included?
Do not take with milk or antacids, as they can affect the medication's absorption.
8. A patient with a history of pancreatitis is prescribed pancrelipase. What should the nurse
instruct the patient regarding this enzyme replacement therapy?
Take the medication with meals to aid in the digestion of fats, proteins, and carbohydrates.
9. A nurse is monitoring a patient who has received a dose of magnesium hydroxide for
indigestion. What side effect should the nurse be aware of?
Diarrhea, as magnesium can have a laxative effect.
10. A patient is prescribed sulfasalazine for ulcerative colitis. What is a critical nursing
consideration for this medication?
Monitor for hypersensitivity reactions, including skin rash or fever.
2
2025| A level Questions and Answers|
100% correct
1. A nurse is administering omeprazole to a patient with gastroesophageal reflux disease
(GERD). What is the primary action of this medication?
It inhibits gastric acid secretion by blocking the proton pump.
2. A patient is prescribed metoclopramide for nausea. What is an important side effect the nurse
should monitor for?
Extrapyramidal symptoms such as tremors or rigidity.
3. A nurse is teaching a patient about the use of sucralfate. What key point should the nurse
include?
Take the medication on an empty stomach to enhance its protective effects on the gastric
mucosa.
4. A patient with chronic diarrhea is prescribed loperamide. What is a critical consideration for
the nurse when administering this medication?
Monitor the patient for signs of dehydration and electrolyte imbalance.
1
, 5. A nurse is caring for a patient receiving a long-term therapy with a proton pump inhibitor
(PPI). What is a potential risk associated with prolonged use?
Increased risk of Clostridium difficile infection and bone fractures.
6. A patient with peptic ulcer disease is prescribed ranitidine. What is the primary mechanism of
action for this medication?
It blocks histamine H2 receptors, reducing gastric acid secretion.
7. A nurse is educating a patient about the use of bisacodyl for constipation. What important
instruction should be included?
Do not take with milk or antacids, as they can affect the medication's absorption.
8. A patient with a history of pancreatitis is prescribed pancrelipase. What should the nurse
instruct the patient regarding this enzyme replacement therapy?
Take the medication with meals to aid in the digestion of fats, proteins, and carbohydrates.
9. A nurse is monitoring a patient who has received a dose of magnesium hydroxide for
indigestion. What side effect should the nurse be aware of?
Diarrhea, as magnesium can have a laxative effect.
10. A patient is prescribed sulfasalazine for ulcerative colitis. What is a critical nursing
consideration for this medication?
Monitor for hypersensitivity reactions, including skin rash or fever.
2
