ATI LPN
Questions for Review of Systems Gastrointestinal Questions
Question 1 of 5
A patient with a history of PUD is experiencing severe, sharp, and sudden abdominal pain. What is the nurse's immediate action?
Correct Answer: B
Rationale: Sudden, severe pain may indicate a perforation, a medical emergency requiring immediate physician intervention to prevent complications like peritonitis.
Question 2 of 5
Which symptom is most likely to occur with a duodenal ulcer rather than a gastric ulcer?
Correct Answer: A
Rationale: Duodenal ulcer pain is typically relieved by eating due to buffering of acid, unlike gastric ulcers where pain often worsens with food.
Question 3 of 5
In managing PUD, why is it important for patients to avoid eating spicy foods?
Correct Answer: A
Rationale: Spicy foods stimulate gastric acid secretion, exacerbating PUD symptoms and delaying healing.
Question 4 of 5
A patient with PUD is receiving sucralfate. The nurse knows that sucralfate should be administered:
Correct Answer: B
Rationale: Sucralfate works best on an empty stomach, forming a protective barrier over ulcers before meals.
Question 5 of 5
A patient with a known history of PUD is scheduled for a urea breath test. What pretest instruction should the nurse provide?
Correct Answer: A
Rationale: Antibiotics and bismuth can suppress H. pylori, leading to false negatives, so they must be avoided for 2 weeks prior.