ATI LPN
Upper Gastrointestinal System NCLEX Questions Questions
Question 1 of 5
A patient with PUD asks about the role of stress in ulcer formation. The nurse should explain that:
Correct Answer: B
Rationale: Stress can increase gastric acid secretion via the hypothalamic-pituitary-adrenal axis, worsening PUD symptoms, though it's not the primary cause.
Question 2 of 5
A patient with PUD reports increased pain shortly after eating. Which type of ulcer is this patient most likely experiencing?
Correct Answer: B
Rationale: Gastric ulcer pain typically worsens after eating due to acid irritation of the ulcerated mucosa.
Question 3 of 5
A patient with a history of PUD is experiencing persistent epigastric pain unrelieved by antacids. What is the nurse's next step?
Correct Answer: B
Rationale: Persistent pain despite antacids may indicate a complication (e.g., perforation, bleeding), requiring physician evaluation.
Question 4 of 5
A patient with PUD is prescribed a combination of antibiotics and a proton pump inhibitor (PPI). The nurse knows that the rationale for this therapy is:
Correct Answer: C
Rationale: This combination targets H. pylori eradication (antibiotics) and acid reduction (PPI) to heal ulcers and prevent recurrence.
Question 5 of 5
A patient with chronic PUD reports persistent heartburn and acid reflux despite taking prescribed medications. The nurse should anticipate the need for:
Correct Answer: A
Rationale: Persistent symptoms suggest non-compliance with diet/lifestyle, warranting a review.