ATI LPN
Upper Gastrointestinal System NCLEX Questions Questions
Question 1 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 2 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 3 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 4 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.
Question 5 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.