NCLEX GERD Practice (EXAM 1)
Questions With 100% Correct Answer
Which of the following foods can relax the LES and should be avoided in
a patient with GERD? (Select all that apply)
A. Chocolate
B. Peppermint
C. Coffee
D. Baked Chicken
Ans:>> A, B, C
Rationale: these foods lower LES tone and promote reflux
Quiz The nurse is teaching a client with GERD about lifestyle
modifications. Which instructions should be included?
A. Elevate HOB 6-8 in when sleeping
B. Avoid eating 2-3 hrs before lying down
C. Limit caffeine and alcohol intake
, D. Wear tight clothing around the waist to reduce reflux
E. Eat small, frequent meals
Ans:>> A, B, C, E
Rationale: wearing tight clothing increases pressure in the abdomen
and worsens reflux
Quiz A client with GERD is prescribed Metoclopramide. Which nursing
action has the highest priority?
A. Teach the client to avoid spicy foods
B. Monitor for abnormal involuntary movements
C. Check for drug interactions with PPIs
D. Encourage sitting upright after meals
Ans:>> B
Rationale: Metoclopramide (a motility drug) carries a black box warning
for tardive dyskinesias and EPS. Monitoring for abnormal movements is
the priority safety action
Quiz A patient with GERD reports chronic cough, hoarseness, and
frequent throat cleaning but denies heartburn. Which condition does
the nurse suspect?
Questions With 100% Correct Answer
Which of the following foods can relax the LES and should be avoided in
a patient with GERD? (Select all that apply)
A. Chocolate
B. Peppermint
C. Coffee
D. Baked Chicken
Ans:>> A, B, C
Rationale: these foods lower LES tone and promote reflux
Quiz The nurse is teaching a client with GERD about lifestyle
modifications. Which instructions should be included?
A. Elevate HOB 6-8 in when sleeping
B. Avoid eating 2-3 hrs before lying down
C. Limit caffeine and alcohol intake
, D. Wear tight clothing around the waist to reduce reflux
E. Eat small, frequent meals
Ans:>> A, B, C, E
Rationale: wearing tight clothing increases pressure in the abdomen
and worsens reflux
Quiz A client with GERD is prescribed Metoclopramide. Which nursing
action has the highest priority?
A. Teach the client to avoid spicy foods
B. Monitor for abnormal involuntary movements
C. Check for drug interactions with PPIs
D. Encourage sitting upright after meals
Ans:>> B
Rationale: Metoclopramide (a motility drug) carries a black box warning
for tardive dyskinesias and EPS. Monitoring for abnormal movements is
the priority safety action
Quiz A patient with GERD reports chronic cough, hoarseness, and
frequent throat cleaning but denies heartburn. Which condition does
the nurse suspect?
