ATI LPN
Gastrointestinal System Questions and Answers Questions
Question 1 of 5
A 60-year-old female with a history of PUD is admitted with complaints of epigastric pain that radiates to her back, nausea, and vomiting. The pain intensifies after eating. What is the most likely diagnosis?
Correct Answer: B
Rationale: Pain radiating to the back and worsening after eating, with nausea and vomiting, strongly suggests a perforated peptic ulcer in a PUD patient.
Question 2 of 5
A patient with PUD reports severe pain 30 minutes after eating. The pain is not relieved by antacids. What should the nurse suspect?
Correct Answer: A
Rationale: Pain shortly after eating, unrelieved by antacids, is typical of a gastric ulcer due to acid irritation.
Question 3 of 5
A patient with PUD who is taking NSAIDs reports worsening symptoms. The nurse should suggest which of the following to the physician?
Correct Answer: A
Rationale: NSAIDs worsen PUD; switching to acetaminophen reduces mucosal irritation.
Question 4 of 5
A patient with PUD presents with signs of dehydration, including dry mucous membranes and hypotension. The nurse should anticipate which intervention?
Correct Answer: A
Rationale: IV fluids are needed to correct dehydration and stabilize blood pressure.
Question 5 of 5
What is the most definitive diagnostic test for peptic ulcer disease?
Correct Answer: B
Rationale: Endoscopy with biopsy is the most definitive test for PUD, allowing visualization of ulcers and testing for H. pylori, a common cause. Barium swallow can detect ulcers but is less specific. CT scan is used for complications like perforation, not primary diagnosis. Fecal occult blood detects bleeding but not the ulcer itself.