ATI LPN
Upper Gastrointestinal System NCLEX Questions Questions
Question 1 of 5
All of the following are absolute contraindications to immediate liver transplantation except
Correct Answer: B
Rationale: Patients with acute infection outside the liver, severe cardiac or pulmonary disease, or metastatic cancer are not eligible for liver transplantation. Patients with HIV, however, are candidates for transplant if they do not have advanced disease (CD4 <200, viral load >400 copies/mL).
Question 2 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 3 of 5
Which diagnostic test can provide definitive evidence of a perforated peptic ulcer?
Correct Answer: B
Rationale: A CT scan definitively identifies free air and fluid in the peritoneal cavity, confirming a perforated peptic ulcer.
Question 4 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 5 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.