ATI RN
Gastrointestinal drug Questions
Question 1 of 5
Castor oil is classified as which type of laxative?
Correct Answer: C
Rationale: Castor oil is an irritant laxative that stimulates intestinal peristalsis after being hydrolyzed to ricinoleic acid.
Question 2 of 5
We have two patients; one requires suppression of emesis caused by an anticancer drug. Another patient has severe diabetic gastroparesis and gastroesophageal reflux, which requires relief. Which drug would be most suitable for both indications?
Correct Answer: D
Rationale: Metoclopramide is an anti-emetic and prokinetic, useful for chemotherapy-induced nausea and gastroparesis.
Question 3 of 5
A patient has multiple gastric ulcers. Shortly after consuming a large meal he experiences significant GI distress- He takes an OTC heart-burn remedy. Within few minutes he develops severe pain and upper GI blood loss and is transported to the hospital. Endoscopy confirms multiple bleeds. Which of the following drugs or products did the patient most likely take?
Correct Answer: B
Rationale: Sodium bicarbonate can cause rapid gas production (CO2), potentially leading to ulcer perforation and bleeding.
Question 4 of 5
A 55-year-old woman with insulin-dependent diabetes of 40 years' duration complains of severe bloating and abdominal distress, especially after meals. Evaluation is consistent with diabetic gastroparesis. The prokinetic drug you would be most likely to recommend is
Correct Answer: D
Rationale: Metoclopramide enhances gastric emptying, making it ideal for diabetic gastroparesis.
Question 5 of 5
A 45-year-old man with a duodenal ulcer was treated with a combination of drugs intended to heal the mucosal damage and to eradicate Helicobacter pylori. An antibacterial drug that is used commonly to eradicate intestinal Helicobacter pylori is
Correct Answer: C
Rationale: Clarithromycin is a key antibiotic in H. pylori eradication regimens due to its effectiveness against this bacterium.