PEPTIC ULCER DISEASE PRACTICE QUESTIONS
(TEST #2, FALL 2025) ANSWERED CORRECTLY
TO PASS!!
Which assessment data supports the client's diagnosis of gastric ulcer to the
nurse?
1. Presence of blood in the client's stool for the past month.
2. Reports of a burning sensation moving like a wave.
3. Sharp pain in the upper abdomen after eating a heavy meal.
4. Complaints of epigastric pain 30 to 60 minutes after ingesting food Answer -
1. The presence of blood does not specifically indicate diagnosis of an ulcer.
The client could have hemorrhoids or cancer resulting in the presence of blood.
2. A wavelike burning sensation is a symptom of gastroesophageal reflux
Sharp pain in the upper abdomen after eating a heavy meal is a symptom of
gallbladder disease
4. In a client diagnosed with a gastric ulcer, pain usually occurs 30 to 60
minutes after eating but not at night. In contrast, a client with a duodenal ulcer
has pain during the night often relieved by eating food. Pain occurs one (1) to
three (3) hours after meals.
TEST-TAKING HINT: This question asks the test taker to identify assessment data
specific to the disease process. Many diseases have similar symptoms, but the
timing of symptoms or their location may help rule out some diseases and
,provide the health-care provider with a key to diagnose a specific disease—in
this case, peptic ulcer disease. Nurses are usually the major source for
information to the health-care team
The nurse is caring for a client diagnosed with rule-out peptic ulcer disease.
Which test confirms this diagnosis?
1. Esophagogastroduodenoscopy.
2. Magnetic resonance imaging (MRI).
3. Occult blood test.
4. Gastric acid stimulation. Answer - 1. The esophagogastroduodenoscopy
(EGD) is an invasive diagnostic test that visualizes the esophagus, stomach, and
duodenum to accurately diagnose an ulcer and evaluate the effectiveness of
the client's treatment.
2. Magnetic resonance imaging (MRI) shows cross-sectional images of tissue or
blood flow.
3. An occult blood test shows the presence of blood but not the source.
4. A gastric acid stimulation test is used to understand the pathophysiology of
ulcer disease, but it has limited usefulness.
TEST-TAKING HINT: If the test taker has no idea what the correct answer is,
knowledge of anatomy can help identify the answer. A peptic ulcer is an ulcer
in the stomach, and in option "1" the word "esophagogastroduodenoscopy"
has "gastro," which refers to the stomach. Therefore, this would be the best
option to select as the correct answer.
, Which specific data should the nurse obtain from the client who is suspected of
having peptic ulcer disease?
1. History of side effects experienced from all medications. 2. Use of
nonsteroidal anti-inflammatory drugs (NSAIDs).
3. Any known allergies to drugs and environmental factors.
4. Medical histories of at least three (3) generations. Answer - 1. A history of
problems the client has experienced with medications is taken during the
admission interview. This information does not specifically address peptic ulcer
disease.
2. Use of NSAIDs places the client at risk for peptic ulcer disease and
hemorrhage. NSAIDs suppress the production of prostaglandin in the stomach,
which is a protective mechanism to prevent damage from hydrochloric acid.
3. Allergies are included for safety, but this is not specific for peptic ulcer
disease.
4. Information needs to be obtained about past generations so the nurse can
analyze any potential health problems, but this is not specific for peptic ulcer
disease
TEST-TAKING HINT: The words "specific data" indicate there will be appropriate
data in one (1) or more of the answer options but only one (1) is specific to
peptic ulcer disease
Which physical examination should the nurse implement first when assessing
the client diagnosed with peptic ulcer disease?
1. Auscultate the client's bowel sounds in all four quadrants.
(TEST #2, FALL 2025) ANSWERED CORRECTLY
TO PASS!!
Which assessment data supports the client's diagnosis of gastric ulcer to the
nurse?
1. Presence of blood in the client's stool for the past month.
2. Reports of a burning sensation moving like a wave.
3. Sharp pain in the upper abdomen after eating a heavy meal.
4. Complaints of epigastric pain 30 to 60 minutes after ingesting food Answer -
1. The presence of blood does not specifically indicate diagnosis of an ulcer.
The client could have hemorrhoids or cancer resulting in the presence of blood.
2. A wavelike burning sensation is a symptom of gastroesophageal reflux
Sharp pain in the upper abdomen after eating a heavy meal is a symptom of
gallbladder disease
4. In a client diagnosed with a gastric ulcer, pain usually occurs 30 to 60
minutes after eating but not at night. In contrast, a client with a duodenal ulcer
has pain during the night often relieved by eating food. Pain occurs one (1) to
three (3) hours after meals.
TEST-TAKING HINT: This question asks the test taker to identify assessment data
specific to the disease process. Many diseases have similar symptoms, but the
timing of symptoms or their location may help rule out some diseases and
,provide the health-care provider with a key to diagnose a specific disease—in
this case, peptic ulcer disease. Nurses are usually the major source for
information to the health-care team
The nurse is caring for a client diagnosed with rule-out peptic ulcer disease.
Which test confirms this diagnosis?
1. Esophagogastroduodenoscopy.
2. Magnetic resonance imaging (MRI).
3. Occult blood test.
4. Gastric acid stimulation. Answer - 1. The esophagogastroduodenoscopy
(EGD) is an invasive diagnostic test that visualizes the esophagus, stomach, and
duodenum to accurately diagnose an ulcer and evaluate the effectiveness of
the client's treatment.
2. Magnetic resonance imaging (MRI) shows cross-sectional images of tissue or
blood flow.
3. An occult blood test shows the presence of blood but not the source.
4. A gastric acid stimulation test is used to understand the pathophysiology of
ulcer disease, but it has limited usefulness.
TEST-TAKING HINT: If the test taker has no idea what the correct answer is,
knowledge of anatomy can help identify the answer. A peptic ulcer is an ulcer
in the stomach, and in option "1" the word "esophagogastroduodenoscopy"
has "gastro," which refers to the stomach. Therefore, this would be the best
option to select as the correct answer.
, Which specific data should the nurse obtain from the client who is suspected of
having peptic ulcer disease?
1. History of side effects experienced from all medications. 2. Use of
nonsteroidal anti-inflammatory drugs (NSAIDs).
3. Any known allergies to drugs and environmental factors.
4. Medical histories of at least three (3) generations. Answer - 1. A history of
problems the client has experienced with medications is taken during the
admission interview. This information does not specifically address peptic ulcer
disease.
2. Use of NSAIDs places the client at risk for peptic ulcer disease and
hemorrhage. NSAIDs suppress the production of prostaglandin in the stomach,
which is a protective mechanism to prevent damage from hydrochloric acid.
3. Allergies are included for safety, but this is not specific for peptic ulcer
disease.
4. Information needs to be obtained about past generations so the nurse can
analyze any potential health problems, but this is not specific for peptic ulcer
disease
TEST-TAKING HINT: The words "specific data" indicate there will be appropriate
data in one (1) or more of the answer options but only one (1) is specific to
peptic ulcer disease
Which physical examination should the nurse implement first when assessing
the client diagnosed with peptic ulcer disease?
1. Auscultate the client's bowel sounds in all four quadrants.
