NU 185
EXAM 3 3
NCLEX Style Questions w/ Rationales
Medical-Surgical Nursing II
Galen College of Nursing
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains NCLEX-style Exam questions
tailored to the NU 185 course at Galen College of
Nursing
It covers core topics assessed in the course and reflects the actual exam
format and question style.
Each question is followed by a correct answer and rationale to support
exam preparation.
,A nurse is teaching a client newly diagnosed with chronic gastritis. Which
of the following statements indicates a need for further teaching?
A. "I will avoid drinking alcohol."
B. "I should take NSAIDs regularly for my joint pain."
C. "I will quit smoking."
D. "I will follow up with my provider about my H. pylori test."
Correct Answer: B
Rationale:
NSAIDs (like ibuprofen) are a major irritant to the gastric lining and a common
cause of both acute and chronic gastritis. Clients with chronic gastritis should
avoid regular NSAID use. The other choices reflect appropriate understanding
and management.
Which statement made by a client with GERD indicates correct
understanding of discharge teaching?
A. "I'll lie down right after eating to help with digestion."
B. "I will eat small meals throughout the day."
C. "I should avoid elevating the head of my bed."
D. "Spicy foods help reduce acid production."
Correct Answer: B
Rationale:
Small, frequent meals reduce gastric pressure and acid reflux. Lying down after
meals and spicy foods worsen GERD. The head of the bed should be elevated 6-8
inches to reduce nighttime reflux.
A client with a history of peptic ulcer disease presents with a rigid abdomen
and severe pain. Which action should the nurse take first?
A. Administer prescribed pain medication
B. Notify the healthcare provider
C. Check the client's last stool for occult blood
D. Place the client in a high Fowler's position
, Correct Answer: B
Rationale:
A rigid abdomen indicates possible perforation — a life-threatening complication
of PUD. This is a medical emergency, and the provider should be notified
immediately. Pain meds may mask symptoms and delay intervention.
A client diagnosed with H. pylori infection is prescribed triple therapy.
Which combination of medications would the nurse expect to administer?
A. A PPI, a laxative, and an antacid
B. A PPI, amoxicillin, and clarithromycin
C. An H2 blocker, bismuth, and prednisone
D. A PPI, sucralfate, and ibuprofen
Correct Answer: B
Rationale:
Triple therapy for H. pylori typically includes:
• A proton pump inhibitor (PPI) like omeprazole
• Amoxicillin
• Clarithromycin
This combination eradicates the bacteria and reduces acid to promote healing.
The other options are incorrect or harmful (e.g., ibuprofen can worsen ulcers).
A 5-week-old infant presents with projectile vomiting after feeds and signs
of dehydration. Which finding would the nurse expect during assessment?
A. Decreased bowel sounds
B. Olive-shaped mass in the right upper quadrant
C. Hyperactive reflexes
D. Cyanosis around the lips
Correct Answer: B
Rationale:
Pyloric stenosis causes hypertrophy of the pylorus, leading to an olive-shaped
mass and projectile vomiting. Dehydration, visible peristalsis, and metabolic
alkalosis are also common. Cyanosis and reflex changes are not typical findings.
EXAM 3 3
NCLEX Style Questions w/ Rationales
Medical-Surgical Nursing II
Galen College of Nursing
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains NCLEX-style Exam questions
tailored to the NU 185 course at Galen College of
Nursing
It covers core topics assessed in the course and reflects the actual exam
format and question style.
Each question is followed by a correct answer and rationale to support
exam preparation.
,A nurse is teaching a client newly diagnosed with chronic gastritis. Which
of the following statements indicates a need for further teaching?
A. "I will avoid drinking alcohol."
B. "I should take NSAIDs regularly for my joint pain."
C. "I will quit smoking."
D. "I will follow up with my provider about my H. pylori test."
Correct Answer: B
Rationale:
NSAIDs (like ibuprofen) are a major irritant to the gastric lining and a common
cause of both acute and chronic gastritis. Clients with chronic gastritis should
avoid regular NSAID use. The other choices reflect appropriate understanding
and management.
Which statement made by a client with GERD indicates correct
understanding of discharge teaching?
A. "I'll lie down right after eating to help with digestion."
B. "I will eat small meals throughout the day."
C. "I should avoid elevating the head of my bed."
D. "Spicy foods help reduce acid production."
Correct Answer: B
Rationale:
Small, frequent meals reduce gastric pressure and acid reflux. Lying down after
meals and spicy foods worsen GERD. The head of the bed should be elevated 6-8
inches to reduce nighttime reflux.
A client with a history of peptic ulcer disease presents with a rigid abdomen
and severe pain. Which action should the nurse take first?
A. Administer prescribed pain medication
B. Notify the healthcare provider
C. Check the client's last stool for occult blood
D. Place the client in a high Fowler's position
, Correct Answer: B
Rationale:
A rigid abdomen indicates possible perforation — a life-threatening complication
of PUD. This is a medical emergency, and the provider should be notified
immediately. Pain meds may mask symptoms and delay intervention.
A client diagnosed with H. pylori infection is prescribed triple therapy.
Which combination of medications would the nurse expect to administer?
A. A PPI, a laxative, and an antacid
B. A PPI, amoxicillin, and clarithromycin
C. An H2 blocker, bismuth, and prednisone
D. A PPI, sucralfate, and ibuprofen
Correct Answer: B
Rationale:
Triple therapy for H. pylori typically includes:
• A proton pump inhibitor (PPI) like omeprazole
• Amoxicillin
• Clarithromycin
This combination eradicates the bacteria and reduces acid to promote healing.
The other options are incorrect or harmful (e.g., ibuprofen can worsen ulcers).
A 5-week-old infant presents with projectile vomiting after feeds and signs
of dehydration. Which finding would the nurse expect during assessment?
A. Decreased bowel sounds
B. Olive-shaped mass in the right upper quadrant
C. Hyperactive reflexes
D. Cyanosis around the lips
Correct Answer: B
Rationale:
Pyloric stenosis causes hypertrophy of the pylorus, leading to an olive-shaped
mass and projectile vomiting. Dehydration, visible peristalsis, and metabolic
alkalosis are also common. Cyanosis and reflex changes are not typical findings.
