ATI LPN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
A patient with PUD asks the nurse why it's important to avoid NSAIDs. The nurse's best response is:
Correct Answer: B
Rationale: NSAIDs reduce prostaglandins, decreasing blood flow and mucosal protection, leading to ulcer formation.
Question 2 of 5
A patient with a history of PUD and a positive H. pylori test is prescribed a combination of antibiotics and a proton pump inhibitor. The patient asks why so many medications are needed. The nurse should explain:
Correct Answer: B
Rationale: The regimen reduces acid (PPI) and eradicates H. pylori (antibiotics) synergistically.
Question 3 of 5
Which of the following statements indicates that a client with chronic gastritis understands the dietary modifications needed to manage their condition?
Correct Answer: A
Rationale: Avoiding spicy foods and caffeinated beverages helps reduce gastric irritation in chronic gastritis, indicating proper understanding. Occasional wine may still irritate the stomach lining. Increasing dairy can worsen symptoms in some due to lactose or fat content. Small, frequent meals are recommended, not avoided, to reduce acid load.
Question 4 of 5
Drug overdosage in parkinsonian patients may cause pronounced gastrointestinal side-effects related to:
Correct Answer: A
Rationale: Bromocriptine's usefulness is severely limited by nausea and vomiting, and this is a problem even in therapeutic doses. Benzhexol and other atropinics may cause dry mouth, gastrooesophageal reflux and constipation. However, the most serious adverse effects for these drugs are neuropsychiatric.
Question 5 of 5
Which words best complete the lettered blanks in the two sentences below? Organic compounds, such as proteins and starches, are too __A__ to diffuse into cells. Proteins are digested into __B__ and starches are digested into __C__.
Correct Answer: C
Rationale: Proteins and starches are too large to diffuse into cells. Proteins are digested into amino acids , and starches into simple sugars , matching digestion products.