pg. 1
, Gastrointestinal Pharmacology Exam
2025–2026 | Verified Questions, Answers,
and NCLEX-Style Study Guide for
Nursing Students
* Which of the following is true concerning colorectal cancer?
a. Most colorectal cancers are found during rectal examination
b. Rectal carcinoma is more common than cancers involving the colon
c. Early manifestations include abdominal pain and cramping
d. Later disease presentation often includes iron-deficiency anemia -
ANSWER -d. Later disease presentation often includes iron-deficiency
anemia
* According to the American Cancer Society recommendations, which
of the following is the preferred method for annual colorectal cancer
screening in a 51 year old man?
a. digital rectal examination
b. fecal occult blood test
c. colonoscopy
d. barium enema study - ANSWER -b. fecal occult blood test
pg. 2
,* Which of the following is most likely to be noted in a person with
colorectal cancer?
a. gross rectal bleeding
b. weight loss
c. few symptoms
d. nausea and vomiting - ANSWER -c. few symptoms
* Which of the following does not increase a patient's risk of developing
colorectal cancer?
a. family history of colorectal cancer
b. familial polyposis
c. personal history of neoplasm
d. long-term aspirin therapy - ANSWER -d. long-term aspirin therapy
According to current American Cancer Society data, colorectal cancer is
the number _______ cause of cancer death in mean and women?
a. 1
b. 3
c. 5
d. 7 - ANSWER -b. 3
* A 35 year old woman complains of a 6 month history of periodic
"heartburn" primarily after eating tomato baed sauces. Her weight is
pg. 3
, unchanged and examination reveals a single altered finding of epigastric
tenderness without rebound. As first-line therapy you advise:
a. avoiding trigger foods
b. the use of a pro kinetic agent
c. addition of sucralfate with meals
d. increased fluid intake - ANSWER -a. avoiding trigger foods
* You see a 62 year old man diagnosed with esophageal columnar
epithelial metaplasia. You realize he is at increased risk for:
a. esophageal stricture
b. esophageal adenocarcinoma
c. gastroesophageal reflux
d. H. pylori colonization - ANSWER -b. esophageal adenocarcinoma
* In caring for a patient with symptomatic gastroesophageal reflux, you
prescribe a PPI to:
a. enhance motility
b. increase the pH of the stomach
c. reduce lower esophageal pressure
d. help limit H. pylori growth - ANSWER -b. increase the pH of the
stomach
pg. 4
, Gastrointestinal Pharmacology Exam
2025–2026 | Verified Questions, Answers,
and NCLEX-Style Study Guide for
Nursing Students
* Which of the following is true concerning colorectal cancer?
a. Most colorectal cancers are found during rectal examination
b. Rectal carcinoma is more common than cancers involving the colon
c. Early manifestations include abdominal pain and cramping
d. Later disease presentation often includes iron-deficiency anemia -
ANSWER -d. Later disease presentation often includes iron-deficiency
anemia
* According to the American Cancer Society recommendations, which
of the following is the preferred method for annual colorectal cancer
screening in a 51 year old man?
a. digital rectal examination
b. fecal occult blood test
c. colonoscopy
d. barium enema study - ANSWER -b. fecal occult blood test
pg. 2
,* Which of the following is most likely to be noted in a person with
colorectal cancer?
a. gross rectal bleeding
b. weight loss
c. few symptoms
d. nausea and vomiting - ANSWER -c. few symptoms
* Which of the following does not increase a patient's risk of developing
colorectal cancer?
a. family history of colorectal cancer
b. familial polyposis
c. personal history of neoplasm
d. long-term aspirin therapy - ANSWER -d. long-term aspirin therapy
According to current American Cancer Society data, colorectal cancer is
the number _______ cause of cancer death in mean and women?
a. 1
b. 3
c. 5
d. 7 - ANSWER -b. 3
* A 35 year old woman complains of a 6 month history of periodic
"heartburn" primarily after eating tomato baed sauces. Her weight is
pg. 3
, unchanged and examination reveals a single altered finding of epigastric
tenderness without rebound. As first-line therapy you advise:
a. avoiding trigger foods
b. the use of a pro kinetic agent
c. addition of sucralfate with meals
d. increased fluid intake - ANSWER -a. avoiding trigger foods
* You see a 62 year old man diagnosed with esophageal columnar
epithelial metaplasia. You realize he is at increased risk for:
a. esophageal stricture
b. esophageal adenocarcinoma
c. gastroesophageal reflux
d. H. pylori colonization - ANSWER -b. esophageal adenocarcinoma
* In caring for a patient with symptomatic gastroesophageal reflux, you
prescribe a PPI to:
a. enhance motility
b. increase the pH of the stomach
c. reduce lower esophageal pressure
d. help limit H. pylori growth - ANSWER -b. increase the pH of the
stomach
pg. 4
