©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
HESI Upper GI Practice Questions And
Answers (Guaranteed A+)
A client who is diagnosed with a *duodenal ulcer asks*, "Now that I have an ulcer, what comes
next?" What is the nurse's best response?
a. "Most peptic ulcers heal with medical treatment."
b. "Clients with peptic ulcers have pain while eating."
c. "Early surgery is advisable, especially after the first attack."
d. "If ulcers are untreated, cancer of the stomach can develop." - answer✔Most peptic ulcers
heal with medical treatment."
Treatment with medications, rest, diet, and stress reduction relieves symptoms, heals the ulcer,
and prevents complications and recurrence. Clients with duodenal ulcers have pain after eating
and especially at night; gastric ulcers cause pain during or close to eating. Surgery may be done
after multiple recurrences and for treating complications. Perforation, pyloric obstruction, and
hemorrhage, not cancer, are major complications.
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A nurse is performing the initial history and physical examination of a client with a diagnosis of
*duodenal ulcer*. Which type of pain does the nurse expect the client to describe?
a. Pain that is relieved with eating
b. Pain that is worse with antacids
c. Pain that is relieved with sleep
d. Pain that is worse one hour after eating - answer✔Pain that is relieved with eating
Duodenal ulcer pain is relieved with food and antacids and often awakens the client at night
when sleeping. Gastric ulcer pain is worse with eating or one hour after eating.
*Duodenal ulcer* pain is relieved with - answer✔Food and antacids
it often awakens the client at night when sleeping
*Gastric ulcer* pain is worse with - answer✔eating or one hour after eating.
A nurse is obtaining a health history from a client with the diagnosis of *peptic ulcer disease*.
Which client statement provides evidence to support the identification of a possible
contributory factor?
a. My blood type is A positive."
b. "I smoke one pack of cigarettes a day."
2|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
c. "I have been overweight most of my life."
d. "My blood pressure has been high lately." - answer✔"I smoke one pack of cigarettes a day."
Smoking cigarettes increases the acidity of gastrointestinal secretions, which damages the
mucosal lining. While *blood type O is more frequently associated with duodenal ulcer*, type A
has no significance. Being overweight is unrelated to peptic ulcer disease. High blood pressure
is not directly related to peptic ulcer disease.
Which is the priority intervention for the *dependent* client with peptic ulcer disease (PUD)
who is vomiting bright red blood?
a. Apply oxygen
b. Place the client in a side-lying position
c. Prepare to administer packed red blood cells
d. Assess the client's pulse and blood pressure - answer✔Place the client in a side-lying position
Recall the airway, breathing, and circulation (ABCs) of priority care. The client who needs
assistance to manage self-care (dependent) should be placed in the side-lying position when
vomiting to prevent aspiration. The use of supplemental oxygen may support oxygen saturation
in the client with decreased hemoglobin because of gastrointestinal bleeding. However, in the
dependent client who is vomiting, applying oxygen is of lower priority than placing the client in
3|Page
ALL RIGHTS RESERVED.
HESI Upper GI Practice Questions And
Answers (Guaranteed A+)
A client who is diagnosed with a *duodenal ulcer asks*, "Now that I have an ulcer, what comes
next?" What is the nurse's best response?
a. "Most peptic ulcers heal with medical treatment."
b. "Clients with peptic ulcers have pain while eating."
c. "Early surgery is advisable, especially after the first attack."
d. "If ulcers are untreated, cancer of the stomach can develop." - answer✔Most peptic ulcers
heal with medical treatment."
Treatment with medications, rest, diet, and stress reduction relieves symptoms, heals the ulcer,
and prevents complications and recurrence. Clients with duodenal ulcers have pain after eating
and especially at night; gastric ulcers cause pain during or close to eating. Surgery may be done
after multiple recurrences and for treating complications. Perforation, pyloric obstruction, and
hemorrhage, not cancer, are major complications.
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A nurse is performing the initial history and physical examination of a client with a diagnosis of
*duodenal ulcer*. Which type of pain does the nurse expect the client to describe?
a. Pain that is relieved with eating
b. Pain that is worse with antacids
c. Pain that is relieved with sleep
d. Pain that is worse one hour after eating - answer✔Pain that is relieved with eating
Duodenal ulcer pain is relieved with food and antacids and often awakens the client at night
when sleeping. Gastric ulcer pain is worse with eating or one hour after eating.
*Duodenal ulcer* pain is relieved with - answer✔Food and antacids
it often awakens the client at night when sleeping
*Gastric ulcer* pain is worse with - answer✔eating or one hour after eating.
A nurse is obtaining a health history from a client with the diagnosis of *peptic ulcer disease*.
Which client statement provides evidence to support the identification of a possible
contributory factor?
a. My blood type is A positive."
b. "I smoke one pack of cigarettes a day."
2|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
c. "I have been overweight most of my life."
d. "My blood pressure has been high lately." - answer✔"I smoke one pack of cigarettes a day."
Smoking cigarettes increases the acidity of gastrointestinal secretions, which damages the
mucosal lining. While *blood type O is more frequently associated with duodenal ulcer*, type A
has no significance. Being overweight is unrelated to peptic ulcer disease. High blood pressure
is not directly related to peptic ulcer disease.
Which is the priority intervention for the *dependent* client with peptic ulcer disease (PUD)
who is vomiting bright red blood?
a. Apply oxygen
b. Place the client in a side-lying position
c. Prepare to administer packed red blood cells
d. Assess the client's pulse and blood pressure - answer✔Place the client in a side-lying position
Recall the airway, breathing, and circulation (ABCs) of priority care. The client who needs
assistance to manage self-care (dependent) should be placed in the side-lying position when
vomiting to prevent aspiration. The use of supplemental oxygen may support oxygen saturation
in the client with decreased hemoglobin because of gastrointestinal bleeding. However, in the
dependent client who is vomiting, applying oxygen is of lower priority than placing the client in
3|Page
