NUR 242 MED SURG EXAM 3 2025-2026|
ACTUAL UPDATED EXAM WITH EXPERTLY AND
CORRECTLY ANSWERED QUESTIONS| ACE
YOUR GRADES |GALEN COLLEGE OF NURSING.
PUD increased risk factor in - CORRECT ANS>>Smokers
smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an
acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a
reduction in mucosal blood flow.
Patient should attend a smoking cessation course.
Gastric Cancer - CORRECT ANS>>Stomach cancers tend to develop slowly over many years.
Before a true cancer develops, pre-cancerous changes often occur in the inner lining (mucosa)
of the stomach. These early changes rarely cause symptoms and therefore often go undetected
The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection.
Antibiotics can kill the bacteria called - CORRECT ANS>>Helicobacter pylori (H. pylori), which
is though to be a major cause of stomach cancer
Gastrectomy post care - CORRECT ANS>>Administer protein and vitamin supplements to
foster wound repair and tissue building. Eat small, frequent meals.
Stress the importance of long term vitamin B12 injections after - CORRECT ANS>>gastrectomy
to prevent surgically induced pernicious anemia
Irritable bowel syndrome (IBS) - CORRECT ANS>>refers to a disorder that involves abdominal
pain and cramping, as well as changes in bowel movements
IBS risk factors include - CORRECT ANS>>consuming a diet high in fats and gas producing
foods. Consuming carbonated beverages, caffeine and alcohol contribute to the development.
IBS related factors - CORRECT ANS>>Smoking and stress. Emotional experiences such as
anxiety and depression are also a factor as this affects the autonomic nervous system and it
innervation to the bowel.
,Nursing care for the patient with IBS focuses on - CORRECT ANS>> education and emotional
support. Help the patient implement lifestyle changes that reduce stress. Remind the patient
about regular exercise, Discourage smoking while encouraging the need for regular physical
examinations
Intestinal obstruction is - CORRECT ANS>>a partial or complete blockage of the bowel that
results in the failure of the intestinal contents to pass through
GERD Risk factors include - CORRECT ANS>>Consumption of foods such as caffeine, alcohol,
spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol
and smoking.
GERD the nursing assessment should include - CORRECT ANS>>asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - CORRECT ANS>>the patient and the severity of the
disorder
GERD most common symptoms - CORRECT ANS>>-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - CORRECT ANS>>30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are
having an MI
GERD symptoms are exacerbated when - CORRECT ANS>>lying down flat or bending over
GERD regurgitation may lead to - CORRECT ANS>>Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
Symptoms of GERD include - CORRECT ANS>>Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
, Hiatal Hernia - CORRECT ANS>>A condition where a part of the stomach that normally is
located in the abdominal cavity protrudes through the esophageal hiatus to rest within the chest
cavity
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse
when - CORRECT ANS>>Lying flat and may resolve with sitting up or walking.
Hiatal Hernia patients should immediately report - CORRECT ANS>> abdominal pain with
nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - CORRECT ANS>>elevating the head of the bed
when sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining
upright after meals.
Hiatal hernia Diet should consist of - CORRECT ANS>>small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - CORRECT ANS>>spicy, greasy foods,
onions, tomatoes and citrus fruits
Gastritis occurs when - CORRECT ANS>>the lining of the stomach known as the mucosa
becomes inflamed or swollen. When the stomach mucosa becomes inflamed edema,
hemorrhage and erosion of the mucosa occur.
Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop
taking irritating medications such as - CORRECT ANS>> ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would
include - CORRECT ANS>>Antacids, H2 antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - CORRECT ANS>>Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS.
Peptic Ulcers Disease - CORRECT ANS>>are a break in the mucous lining of gastrointestinal
tract from continued contact with gastric juice. This results in inflammation. Pain that is
worsened by the ingestion of food.
ACTUAL UPDATED EXAM WITH EXPERTLY AND
CORRECTLY ANSWERED QUESTIONS| ACE
YOUR GRADES |GALEN COLLEGE OF NURSING.
PUD increased risk factor in - CORRECT ANS>>Smokers
smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an
acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a
reduction in mucosal blood flow.
Patient should attend a smoking cessation course.
Gastric Cancer - CORRECT ANS>>Stomach cancers tend to develop slowly over many years.
Before a true cancer develops, pre-cancerous changes often occur in the inner lining (mucosa)
of the stomach. These early changes rarely cause symptoms and therefore often go undetected
The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection.
Antibiotics can kill the bacteria called - CORRECT ANS>>Helicobacter pylori (H. pylori), which
is though to be a major cause of stomach cancer
Gastrectomy post care - CORRECT ANS>>Administer protein and vitamin supplements to
foster wound repair and tissue building. Eat small, frequent meals.
Stress the importance of long term vitamin B12 injections after - CORRECT ANS>>gastrectomy
to prevent surgically induced pernicious anemia
Irritable bowel syndrome (IBS) - CORRECT ANS>>refers to a disorder that involves abdominal
pain and cramping, as well as changes in bowel movements
IBS risk factors include - CORRECT ANS>>consuming a diet high in fats and gas producing
foods. Consuming carbonated beverages, caffeine and alcohol contribute to the development.
IBS related factors - CORRECT ANS>>Smoking and stress. Emotional experiences such as
anxiety and depression are also a factor as this affects the autonomic nervous system and it
innervation to the bowel.
,Nursing care for the patient with IBS focuses on - CORRECT ANS>> education and emotional
support. Help the patient implement lifestyle changes that reduce stress. Remind the patient
about regular exercise, Discourage smoking while encouraging the need for regular physical
examinations
Intestinal obstruction is - CORRECT ANS>>a partial or complete blockage of the bowel that
results in the failure of the intestinal contents to pass through
GERD Risk factors include - CORRECT ANS>>Consumption of foods such as caffeine, alcohol,
spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol
and smoking.
GERD the nursing assessment should include - CORRECT ANS>>asking about a history of
heartburn or atypical chest pain associated with the reflux of GI contents.
GERD manifests differently depending on - CORRECT ANS>>the patient and the severity of the
disorder
GERD most common symptoms - CORRECT ANS>>-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
(May be described as substernal burning moving up and down the chest)
GERD pain usually develops within - CORRECT ANS>>30-60 minutes after meals
Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are
having an MI
GERD symptoms are exacerbated when - CORRECT ANS>>lying down flat or bending over
GERD regurgitation may lead to - CORRECT ANS>>Aspiration or bronchitis
These patients are at risk of aspirating when lying flat
Symptoms of GERD include - CORRECT ANS>>Coughing or wheezing at night, dysphagia,
belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles.
, Hiatal Hernia - CORRECT ANS>>A condition where a part of the stomach that normally is
located in the abdominal cavity protrudes through the esophageal hiatus to rest within the chest
cavity
Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse
when - CORRECT ANS>>Lying flat and may resolve with sitting up or walking.
Hiatal Hernia patients should immediately report - CORRECT ANS>> abdominal pain with
nausea, vomiting, and fever
Hiatal Hernia lifestyle changes may include - CORRECT ANS>>elevating the head of the bed
when sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining
upright after meals.
Hiatal hernia Diet should consist of - CORRECT ANS>>small frequent meals instead of eating
two or three larger meals a day. Avoid vigorous movement after meals.
Hiatal hernia foods that should be avoided include - CORRECT ANS>>spicy, greasy foods,
onions, tomatoes and citrus fruits
Gastritis occurs when - CORRECT ANS>>the lining of the stomach known as the mucosa
becomes inflamed or swollen. When the stomach mucosa becomes inflamed edema,
hemorrhage and erosion of the mucosa occur.
Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop
taking irritating medications such as - CORRECT ANS>> ASA and NSAIDS
Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would
include - CORRECT ANS>>Antacids, H2 antagonists, and Proton pump inhibitors
The patient with Gastritis is at risk for - CORRECT ANS>>Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS.
Peptic Ulcers Disease - CORRECT ANS>>are a break in the mucous lining of gastrointestinal
tract from continued contact with gastric juice. This results in inflammation. Pain that is
worsened by the ingestion of food.
