GERI FINAL LATEST EXAM 2025 WITH ACTUAL
QUESTIONS AND CORRECT ANSWERS/ALREADY
GRADED A+
When speaking about Oropharynx what is a nursing DX
that comes to mind and why? - ✔✔ANSW✔✔..Impaired
nutrition due to poor bone atrophy, GUM RECESSION
worn dentin and enamel, tooth loss & damage.
What does increase salty and sweet threshold mean? -
✔✔ANSW✔✔..You need more salt to taste salt, and
more sugar to taste sweet.
What is the net effect when you have changes in the
Oropharynx? - ✔✔ANSW✔✔..Food chewed decrease
effectively
Food in mouth longer
larger pieces swallowed
Increase prone to dysphagia, choking, aspiration.
You should have nothing to eat ______ hours before bed
to prevent aspiration, decreased acidity of food. -
✔✔ANSW✔✔..2-3
,With GERD what do you need to watch out for? -
✔✔ANSW✔✔..More prone to regurgitate the contents
back up.
Esophagus injury due to acid contents.
Increase risk of cancer
Increase risk of mortality due to asphyxiation.
Risk of pneumonia due to aspiration.
Can medication interact with stomach contents and make
them more acidotic? - ✔✔ANSW✔✔..Yes, this will
cause the food to back up, smooth muscle tissue
excoriation (breakdown), increase risk for tears, bleeding,
esophageal tearing.
The GI changes in the esophagus overall is what? -
✔✔ANSW✔✔..There is not enough force to propel the
food down.
Does the stomach have a decrease or increase in gastric
mucosal cytoprotection? - ✔✔ANSW✔✔..Decrease,
causing the elders increased risk of infection.
Does the stomach have a decrease or increase in response
to injury? - ✔✔ANSW✔✔..Decrease risk of injury.
,Does the stomach have a decrease or increase in mucosal
proliferation and regeneration? -
✔✔ANSW✔✔..Decrease gastric proliferation and
regeneration so there is more of a risk of peptic ulcers.
In the small intestines you will see a change in the uptake
of what? - ✔✔ANSW✔✔..Decreased uptake of:
Vit D
Folic Acid
Vit. B12
CA
Cu
Zn
Fatty acids
Cholesterol
Why is there a decrease in uptake? -
✔✔ANSW✔✔..Because a lot of elders are malnourished
and do not take enough nutrients in.
What is the net effect when you have changes in the
Esophagus? - ✔✔ANSW✔✔..Motility changes increase
prone to GERD and med-induced esophageal injury.
What is the net effect when you have changes in the
Stomach? - ✔✔ANSW✔✔..Increased susceptibility to GI
infection
, What is the net effect when you have changes in the
Small Intestines? - ✔✔ANSW✔✔..Prone to bacterial
overgrowth and malabsorption
What is the net effect when you have changes in the
Large Intestines? - ✔✔ANSW✔✔..Prone to
diverticulosis/itis, constipation
What is the net effect when you have changes in the
Liver? - ✔✔ANSW✔✔..Prone to cholelithiasis
What is the GI assessment? - ✔✔ANSW✔✔..Look:
Flat/distended/obese
Listen: Bowel sound all 4 quad
Feel: Soft/firm/tender
Last Bowel Movement
I/O's
N/V?
Diet
Meds?
How long do you listen to bowel sounds, before saying
hypo-active? - ✔✔ANSW✔✔..At least one minute in
each quadrant.
QUESTIONS AND CORRECT ANSWERS/ALREADY
GRADED A+
When speaking about Oropharynx what is a nursing DX
that comes to mind and why? - ✔✔ANSW✔✔..Impaired
nutrition due to poor bone atrophy, GUM RECESSION
worn dentin and enamel, tooth loss & damage.
What does increase salty and sweet threshold mean? -
✔✔ANSW✔✔..You need more salt to taste salt, and
more sugar to taste sweet.
What is the net effect when you have changes in the
Oropharynx? - ✔✔ANSW✔✔..Food chewed decrease
effectively
Food in mouth longer
larger pieces swallowed
Increase prone to dysphagia, choking, aspiration.
You should have nothing to eat ______ hours before bed
to prevent aspiration, decreased acidity of food. -
✔✔ANSW✔✔..2-3
,With GERD what do you need to watch out for? -
✔✔ANSW✔✔..More prone to regurgitate the contents
back up.
Esophagus injury due to acid contents.
Increase risk of cancer
Increase risk of mortality due to asphyxiation.
Risk of pneumonia due to aspiration.
Can medication interact with stomach contents and make
them more acidotic? - ✔✔ANSW✔✔..Yes, this will
cause the food to back up, smooth muscle tissue
excoriation (breakdown), increase risk for tears, bleeding,
esophageal tearing.
The GI changes in the esophagus overall is what? -
✔✔ANSW✔✔..There is not enough force to propel the
food down.
Does the stomach have a decrease or increase in gastric
mucosal cytoprotection? - ✔✔ANSW✔✔..Decrease,
causing the elders increased risk of infection.
Does the stomach have a decrease or increase in response
to injury? - ✔✔ANSW✔✔..Decrease risk of injury.
,Does the stomach have a decrease or increase in mucosal
proliferation and regeneration? -
✔✔ANSW✔✔..Decrease gastric proliferation and
regeneration so there is more of a risk of peptic ulcers.
In the small intestines you will see a change in the uptake
of what? - ✔✔ANSW✔✔..Decreased uptake of:
Vit D
Folic Acid
Vit. B12
CA
Cu
Zn
Fatty acids
Cholesterol
Why is there a decrease in uptake? -
✔✔ANSW✔✔..Because a lot of elders are malnourished
and do not take enough nutrients in.
What is the net effect when you have changes in the
Esophagus? - ✔✔ANSW✔✔..Motility changes increase
prone to GERD and med-induced esophageal injury.
What is the net effect when you have changes in the
Stomach? - ✔✔ANSW✔✔..Increased susceptibility to GI
infection
, What is the net effect when you have changes in the
Small Intestines? - ✔✔ANSW✔✔..Prone to bacterial
overgrowth and malabsorption
What is the net effect when you have changes in the
Large Intestines? - ✔✔ANSW✔✔..Prone to
diverticulosis/itis, constipation
What is the net effect when you have changes in the
Liver? - ✔✔ANSW✔✔..Prone to cholelithiasis
What is the GI assessment? - ✔✔ANSW✔✔..Look:
Flat/distended/obese
Listen: Bowel sound all 4 quad
Feel: Soft/firm/tender
Last Bowel Movement
I/O's
N/V?
Diet
Meds?
How long do you listen to bowel sounds, before saying
hypo-active? - ✔✔ANSW✔✔..At least one minute in
each quadrant.
