Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
1. Which assessment
1. The presence of blood does not specifically indicate
data supports the
diagnosis of an ulcer. The client could have hemorrhoids or
client's diag-
cancer resulting in
nosis of gastric ulcer to the the presence of blood.
nurse?
2. A wavelike burning sensation is a symptom of
1. Presence of blood in gastroesophageal reflux
the client's stool for
the past month. Sharp pain in the upper abdomen after eating a heavy meal
is a
2. Reports of a burning sen- symptom of gallbladder disease
sation moving like a
wave. 4. In a client diagnosed with a gastric ulcer, pain usually
3. Sharp pain in the up- occurs 30 to 60 minutes after eating but not at night. In
per abdomen after eating a contrast, a client with
a duodenal ulcer has pain during the night often
relieved by eating
heavy meal.
4. Complaints of food. Pain occurs one (1) to three (3) hours after meals.
epigastric
pain 30 to 60 minutes after
TEST-TAKING HINT: This question asks the test taker to
identify as-
ingesting food dis- ease. Which test confirms this
diagnosis?
1. Esophagogastroduo- denoscopy.
2. Magnetic resonance
2. The nurse is caring
for a client
diagnosed with
rule-out peptic ulcer
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
sessment 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
1. The
esophagogastroduodenoscopy (EGD)
is an invasive diagnos- tic test that
visualizes the esophagus, stomach,
and duodenum to accurately diagnose
an ulcer and evaluate the
ettectiveness 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.
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
imaging (MRI).
3. Occult blood test.
4. Gastric acid 4. Which physical examina- tion
stimulation.
should the nurse im-
3. Which specific data
should the nurse
obtain from the client
who is suspected of
having peptic ulcer dis-
ease?
1. History of side
effects experienced
from all med- ications.
2. Use of nons- teroidal
anti-inflammatory
drugs (NSAIDs).
3. Any known
allergies to drugs and
environmental
factors.
4. Medical histories of
at least three (3)
generations.
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
disease.
4. A gastric acid stimulation test is
used to understand the patho- 4. Information needs to be obtained about past
physiology of ulcer disease, but it has generations so the nurse can analyze any potential health
limited usefulness. problems, but this is not specific for peptic ulcer disease
TEST-TAKING HINT: If the test taker has TEST-TAKING HINT: The words "specific data" indicate there
no idea what the correct answer is, will be appropriate data in one (1) or more of the answer
knowledge of anatomy can help options but only one (1) is specific to peptic ulcer disease
identify the answer. A peptic ulcer is an
ulcer in the stomach, and in option "1" 1. Auscultation should be used prior to palpation or
the word percussion when assessing the abdomen. Manipulation of
"esophagogastroduodenoscopy" has the abdomen can
"gastro," which refers to the stomach.
Therefore, this would be the best option to
select as the correct 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
Correct Solutions
1. Which assessment
1. The presence of blood does not specifically indicate
data supports the
diagnosis of an ulcer. The client could have hemorrhoids or
client's diag-
cancer resulting in
nosis of gastric ulcer to the the presence of blood.
nurse?
2. A wavelike burning sensation is a symptom of
1. Presence of blood in gastroesophageal reflux
the client's stool for
the past month. Sharp pain in the upper abdomen after eating a heavy meal
is a
2. Reports of a burning sen- symptom of gallbladder disease
sation moving like a
wave. 4. In a client diagnosed with a gastric ulcer, pain usually
3. Sharp pain in the up- occurs 30 to 60 minutes after eating but not at night. In
per abdomen after eating a contrast, a client with
a duodenal ulcer has pain during the night often
relieved by eating
heavy meal.
4. Complaints of food. Pain occurs one (1) to three (3) hours after meals.
epigastric
pain 30 to 60 minutes after
TEST-TAKING HINT: This question asks the test taker to
identify as-
ingesting food dis- ease. Which test confirms this
diagnosis?
1. Esophagogastroduo- denoscopy.
2. Magnetic resonance
2. The nurse is caring
for a client
diagnosed with
rule-out peptic ulcer
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
sessment 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
1. The
esophagogastroduodenoscopy (EGD)
is an invasive diagnos- tic test that
visualizes the esophagus, stomach,
and duodenum to accurately diagnose
an ulcer and evaluate the
ettectiveness 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.
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
imaging (MRI).
3. Occult blood test.
4. Gastric acid 4. Which physical examina- tion
stimulation.
should the nurse im-
3. Which specific data
should the nurse
obtain from the client
who is suspected of
having peptic ulcer dis-
ease?
1. History of side
effects experienced
from all med- ications.
2. Use of nons- teroidal
anti-inflammatory
drugs (NSAIDs).
3. Any known
allergies to drugs and
environmental
factors.
4. Medical histories of
at least three (3)
generations.
, Peptic Ulcer Disease Practice Questions (Test #2, Fall 2020) With
Correct Solutions
disease.
4. A gastric acid stimulation test is
used to understand the patho- 4. Information needs to be obtained about past
physiology of ulcer disease, but it has generations so the nurse can analyze any potential health
limited usefulness. problems, but this is not specific for peptic ulcer disease
TEST-TAKING HINT: If the test taker has TEST-TAKING HINT: The words "specific data" indicate there
no idea what the correct answer is, will be appropriate data in one (1) or more of the answer
knowledge of anatomy can help options but only one (1) is specific to peptic ulcer disease
identify the answer. A peptic ulcer is an
ulcer in the stomach, and in option "1" 1. Auscultation should be used prior to palpation or
the word percussion when assessing the abdomen. Manipulation of
"esophagogastroduodenoscopy" has the abdomen can
"gastro," which refers to the stomach.
Therefore, this would be the best option to
select as the correct 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
