ATI LPN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
Which of the following is a long-term complication of chronic PUD?
Correct Answer: A
Rationale: Chronic PUD can lead to scarring and gastric outlet obstruction, impeding food passage from the stomach.
Question 2 of 5
A patient with PUD asks the nurse why it's important to avoid NSAIDs. The nurse's best response is:
Correct Answer: B
Rationale: NSAIDs reduce prostaglandins, decreasing blood flow and mucosal protection, leading to ulcer formation.
Question 3 of 5
A patient with a history of PUD is admitted with symptoms of shock after experiencing hematemesis. What is the most important nursing intervention?
Correct Answer: A
Rationale: Blood products address hypovolemic shock from bleeding, the most urgent need.
Question 4 of 5
A patient with a history of PUD and a positive H. pylori test is prescribed a combination of antibiotics and a proton pump inhibitor. The patient asks why so many medications are needed. The nurse should explain:
Correct Answer: B
Rationale: The regimen reduces acid (PPI) and eradicates H. pylori (antibiotics) synergistically.
Question 5 of 5
Which of the following statements indicates that a client with chronic gastritis understands the dietary modifications needed to manage their condition?
Correct Answer: A
Rationale: Avoiding spicy foods and caffeinated beverages helps reduce gastric irritation in chronic gastritis, indicating proper understanding. Occasional wine may still irritate the stomach lining. Increasing dairy can worsen symptoms in some due to lactose or fat content. Small, frequent meals are recommended, not avoided, to reduce acid load.