ATI LPN
Upper Gastrointestinal System NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient with a history of PUD is started on a proton pump inhibitor (PPI) and asks why this medication is necessary. The nurse's best response is:
Correct Answer: C
Rationale: PPIs reduce acid production, aiding ulcer healing.
Question 5 of 5
A client with acute gastritis is likely to present with which of the following symptoms?
Correct Answer: B
Rationale: Acute gastritis typically presents with nausea, vomiting, and epigastric pain, often exacerbated by eating, due to irritation of the stomach lining. Black, tarry stools suggest upper GI bleeding, which may complicate gastritis but isn't a primary symptom. Severe weight loss and diarrhea are more indicative of chronic conditions like malignancy or malabsorption. Difficulty swallowing and cough relate more to esophageal issues like GERD.