NUR 651 2025 Fast Track Review | Updated
Quizzes with 100% Correct Answers
Gastroesophageal reflux disease may be aggravated by the following medication that affects
lower esophageal sphincter (LES) tone:1. Calcium carbonate2. Estrogen3. Furosemide4.
Metoclopramide - 2
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food
or drink that may aggravate GERD include: - 2
Metoclopramide improves gastroesophageal reflux disease symptoms by:1. Reducing acid
secretion2. Increasing gastric pH3. Increasing lower esophageal tone4. Decreasing lower
esophageal tone - 3
Antacids treat gastroesophageal reflux disease by:1. Increasing lower esophageal tone2.
Increasing gastric pH3. Inhibiting gastric acid secretion4. Increasing serum calcium level -
2
When treating patients using the "Step-Down" approach the patient with gastroesophageal
reflux disease is started on _______ first.1. Antacids2. Histamine2 receptor antagonists3.
Prokinetics4. Proton pump inhibitors - 4
If a patient with symptoms of gastroesophageal reflux disease states that he has been self-
treating at home with OTC ranitidine daily, the appropriate treatment would be:1. Prokinetic
(metoclopramide) for 4 to 8 weeks2. Proton pump inhibitor (omeprazole) for 12 weeks3.
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks4. Cytoprotective drug (misoprostol)
for 2 weeks - 2
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is
not improving, the plan of care would be:1. Prokinetic (metoclopramide) for 8 to 12 weeks2.
Proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks3. Histamine2 receptor
antagonist (ranitidine) for 4 to 8 weeks4. Cytoprotective drug (misoprostol) for 4 to 8 weeks -
2
The next step in treatment when a patient has been on proton pump inhibitors twice daily for
12 weeks and not improving is:1. Add a prokinetic (metoclopramide)2. Referral for endoscopy3.
Switch to another proton pump inhibitor4. Add a cytoprotective drug - 2
Quizzes with 100% Correct Answers
Gastroesophageal reflux disease may be aggravated by the following medication that affects
lower esophageal sphincter (LES) tone:1. Calcium carbonate2. Estrogen3. Furosemide4.
Metoclopramide - 2
Lifestyle changes are the first step in treatment of gastroesophageal reflux disease (GERD). Food
or drink that may aggravate GERD include: - 2
Metoclopramide improves gastroesophageal reflux disease symptoms by:1. Reducing acid
secretion2. Increasing gastric pH3. Increasing lower esophageal tone4. Decreasing lower
esophageal tone - 3
Antacids treat gastroesophageal reflux disease by:1. Increasing lower esophageal tone2.
Increasing gastric pH3. Inhibiting gastric acid secretion4. Increasing serum calcium level -
2
When treating patients using the "Step-Down" approach the patient with gastroesophageal
reflux disease is started on _______ first.1. Antacids2. Histamine2 receptor antagonists3.
Prokinetics4. Proton pump inhibitors - 4
If a patient with symptoms of gastroesophageal reflux disease states that he has been self-
treating at home with OTC ranitidine daily, the appropriate treatment would be:1. Prokinetic
(metoclopramide) for 4 to 8 weeks2. Proton pump inhibitor (omeprazole) for 12 weeks3.
Histamine2 receptor antagonist (ranitidine) for 4 to 8 weeks4. Cytoprotective drug (misoprostol)
for 2 weeks - 2
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is
not improving, the plan of care would be:1. Prokinetic (metoclopramide) for 8 to 12 weeks2.
Proton pump inhibitor (omeprazole) twice a day for 4 to 8 weeks3. Histamine2 receptor
antagonist (ranitidine) for 4 to 8 weeks4. Cytoprotective drug (misoprostol) for 4 to 8 weeks -
2
The next step in treatment when a patient has been on proton pump inhibitors twice daily for
12 weeks and not improving is:1. Add a prokinetic (metoclopramide)2. Referral for endoscopy3.
Switch to another proton pump inhibitor4. Add a cytoprotective drug - 2
