ATI LPN
Questions for Review of Systems Gastrointestinal Questions
Question 1 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.
Question 2 of 5
A patient with a history of PUD is scheduled for surgery due to recurrent ulcers. What preoperative teaching should the nurse provide?
Correct Answer: C
Rationale: NPO for 8 hours pre-surgery reduces aspiration risk.
Question 3 of 5
Which of the following clients is at highest risk for developing gastritis?
Correct Answer: C
Rationale: Chronic NSAID use, as in the 65-year-old male, is a well-established risk factor for gastritis due to its inhibition of prostaglandin synthesis, which protects the stomach lining. Chronic smoking increases risk but less directly than NSAIDs. Occasional alcohol use is a lower risk compared to chronic use. Family history of hypertension is unrelated to gastritis risk.
Question 4 of 5
In childhood gastro-oesophageal reflux disease: ( Select one that does not apply)
Correct Answer: B
Rationale: Up to 10% of childhood gastro-oesophageal reflux disease patients have associated respiratory symptoms, possibly linked to aspiration. The best objective test is 24-h oesophageal pH monitoring. Metoclopramide is contraindicated for those under 20 years because of severe dystonic reactions. Cisapride is probably the best prokinetic drug for children.
Question 5 of 5
A student has a hamburger, french fries, and soda for lunch. Which sequence represents the correct order of events in the nutritional processing of this food?
Correct Answer: A
Rationale: Nutritional processing follows: ingestion (intake), digestion (breakdown), absorption (nutrient uptake), and egestion (waste removal). Only A reflects this logical sequence.