NUR1211 - Cumulative Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
1. GERD Diagnosis - ESOPHAGEAL PH MONITORING
& Management · Thin catheter or wireless capsule records esophageal pH for 24-48 hrs
· Tracks acid exposure during meals, sleep, and posture changes
Know the gold · Most accurate for identifying non-erosive GERD or atypical symptoms (e.g.,
standard test for chronic cough, hoarseness)
GERD and when · Patient Task: Keep symptom/meal/activity log during test period
it's used
2. GERD Diagnosis - Examples: Omeprazole, Pantoprazole, Esomeprazole
& Management - Action: Suppress gastric acid secretion by inhibiting the H+/K+ ATPase pump in
parietal cells.
Understand how - Long-term risks: Fractures (osteoporosis), C. diflcile infection, pneumonia
proton pump in- - Nursing: Monitor electrolytes, assess for hypoglycemia in diabetics
hibitors (PPIs)
work and proto-
type drug
3. GERD Diagnosis - ESOPHAGOGASTRODUODENOSCOPY (EGD)
& Management · Biopsies taken to rule out malignancy (adenocarcinoma)
· Direct visualization (scope/camera)
Be able to dif-
- ESOPHAGEAL MANOMETRY
ferentiate diag-
· Measures LES pressure and esophageal peristalsis
nostic tools like
· Useful in preoperative assessment and diagnosing motility disorders (e.g.,
EGD, manome-
achalasia, inettective motility)
try, and pH moni- · Involves insertion of catheter with pressure sensors
toring—each has
a role in GERD What are some
evaluation.
4. Hiatal Hernia
,- ESOPHAGEAL PH MONITORING and smoking cessation.
· Most accurate for identifying non-
erosive GERD or atypical
symptoms
· Tracks acid exposure
· Invo
lves
thin
cathe
ter or
wirel
ess
capsu
le to
recor
d pH
Weig
ht
mana
geme
nt
, lifestyle modifi-
cations for man-
aging a hiatal
hernia?
5. Hiatal Hernia Fatty foods, chocolate, catteine, peppermint, citrus, and alcohol.
What dietary trig-
gers should be
avoided in hiatal
hernia manage-
ment?
6. Hiatal Hernia At least 2 hours.
How long should
a patient wait to
lie down after
eating to man-
age a hiatal her-
nia?
7. Hiatal Hernia Eat small, frequent meals; avoid large meals and late-night eating.
What is the rec-
ommended meal
frequency for
someone with a
hiatal hernia?
8. Hiatal Hernia Wear loose clothing.
What type of
, clothing is rec-
ommended for
patients with a
hiatal hernia?
9. Hiatal Hernia 6-8 inches.
How much
should the head
of the bed be ele-
vated for manag-
ing hiatal hernia
symptoms?
10. Hiatal Hernia To monitor for potential complications.
Why is lifelong
follow-up impor-
tant in Barrett's
esophagus?
11. Hiatal Hernia - Purpose: Neutralize excess stomach acid and short-term relief
- Risks: Rebound Acidity (with overuse) / Diarrhea / Electrolyte Imbalance /
Understand the Hypermagnesemia / Interaction with Other GERD Meds
purpose and Organ System Involved in Excretion: Renal (urinary system) - Kidneys
risks of
magne-
sium-based
antacids—what
organ system is
involved in
excretion?
CORRECT Answers
1. GERD Diagnosis - ESOPHAGEAL PH MONITORING
& Management · Thin catheter or wireless capsule records esophageal pH for 24-48 hrs
· Tracks acid exposure during meals, sleep, and posture changes
Know the gold · Most accurate for identifying non-erosive GERD or atypical symptoms (e.g.,
standard test for chronic cough, hoarseness)
GERD and when · Patient Task: Keep symptom/meal/activity log during test period
it's used
2. GERD Diagnosis - Examples: Omeprazole, Pantoprazole, Esomeprazole
& Management - Action: Suppress gastric acid secretion by inhibiting the H+/K+ ATPase pump in
parietal cells.
Understand how - Long-term risks: Fractures (osteoporosis), C. diflcile infection, pneumonia
proton pump in- - Nursing: Monitor electrolytes, assess for hypoglycemia in diabetics
hibitors (PPIs)
work and proto-
type drug
3. GERD Diagnosis - ESOPHAGOGASTRODUODENOSCOPY (EGD)
& Management · Biopsies taken to rule out malignancy (adenocarcinoma)
· Direct visualization (scope/camera)
Be able to dif-
- ESOPHAGEAL MANOMETRY
ferentiate diag-
· Measures LES pressure and esophageal peristalsis
nostic tools like
· Useful in preoperative assessment and diagnosing motility disorders (e.g.,
EGD, manome-
achalasia, inettective motility)
try, and pH moni- · Involves insertion of catheter with pressure sensors
toring—each has
a role in GERD What are some
evaluation.
4. Hiatal Hernia
,- ESOPHAGEAL PH MONITORING and smoking cessation.
· Most accurate for identifying non-
erosive GERD or atypical
symptoms
· Tracks acid exposure
· Invo
lves
thin
cathe
ter or
wirel
ess
capsu
le to
recor
d pH
Weig
ht
mana
geme
nt
, lifestyle modifi-
cations for man-
aging a hiatal
hernia?
5. Hiatal Hernia Fatty foods, chocolate, catteine, peppermint, citrus, and alcohol.
What dietary trig-
gers should be
avoided in hiatal
hernia manage-
ment?
6. Hiatal Hernia At least 2 hours.
How long should
a patient wait to
lie down after
eating to man-
age a hiatal her-
nia?
7. Hiatal Hernia Eat small, frequent meals; avoid large meals and late-night eating.
What is the rec-
ommended meal
frequency for
someone with a
hiatal hernia?
8. Hiatal Hernia Wear loose clothing.
What type of
, clothing is rec-
ommended for
patients with a
hiatal hernia?
9. Hiatal Hernia 6-8 inches.
How much
should the head
of the bed be ele-
vated for manag-
ing hiatal hernia
symptoms?
10. Hiatal Hernia To monitor for potential complications.
Why is lifelong
follow-up impor-
tant in Barrett's
esophagus?
11. Hiatal Hernia - Purpose: Neutralize excess stomach acid and short-term relief
- Risks: Rebound Acidity (with overuse) / Diarrhea / Electrolyte Imbalance /
Understand the Hypermagnesemia / Interaction with Other GERD Meds
purpose and Organ System Involved in Excretion: Renal (urinary system) - Kidneys
risks of
magne-
sium-based
antacids—what
organ system is
involved in
excretion?
