ATI LPN
Upper Gastrointestinal System NCLEX Questions Questions
Question 1 of 5
Patients with autoimmune hepatitis disease may have the following presentations except
Correct Answer: C
Rationale: Autoimmune hepatitis may present with a fulminant or subfulminant course with new onset of hepatic encephalopathy and transaminases greater than 2000. It tends to relapse without maintenance treatment, and responds well to oral prednisone in a vast majority of cases. However, autoimmune hepatitis does not tend to present with a cholestatic picture as described in C, unless associated with overlap syndromes with PBC or cholangiopathy.
Question 2 of 5
Which medication is often used in the treatment regimen for PUD to eradicate H. pylori?
Correct Answer: A
Rationale: Antibiotics (e.g., amoxicillin, clarithromycin) are essential to eradicate H. pylori, a primary cause of PUD, as part of combination therapy.
Question 3 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 4 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 5 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.