ATI LPN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
Which of the following is an expected outcome of effective PUD management?
Correct Answer: B
Rationale: Step 1: Effective PUD management involves eradicating H. pylori bacteria. Step 2: Absence of H. pylori on follow-up testing indicates successful treatment. Step 3: Therefore, the expected outcome of effective PUD management is the absence of H. pylori on follow-up testing, making choice B the correct answer. Summary: Choices A, C, and D are incorrect as they do not directly relate to the key aspect of PUD management, which is eradicating H. pylori.
Question 2 of 5
The nurse is caring for a patient with a newly diagnosed duodenal ulcer. Which statement made by the patient indicates the need for further teaching?
Correct Answer: B
Rationale: The correct answer is B because taking antacids immediately after meals is not recommended for duodenal ulcers. Antacids should be taken 1-3 hours after meals or at bedtime for optimal effectiveness. Choice A is correct as caffeine can stimulate acid production. Choices C and D are also correct as smoking and stress can aggravate duodenal ulcers.
Question 3 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: The correct answer is B because NSAIDs inhibit prostaglandin synthesis, reducing blood flow to the stomach lining, which can lead to ulcer formation. This is important for a patient with PUD as it can exacerbate their condition. Choice A is incorrect as NSAIDs do not cause fluid retention in PUD. Choice C is incorrect as NSAIDs actually decrease mucus production, making the stomach lining more vulnerable. Choice D is incorrect as NSAIDs are more likely to cause gastrointestinal issues like ulcers rather than constipation.
Question 4 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: The correct answer is A: Administering blood products as prescribed. In a patient with shock due to hematemesis from a history of PUD, the priority is to address the acute blood loss to stabilize the patient's condition. Administering blood products helps restore blood volume and oxygen-carrying capacity, which are crucial in shock management. Monitoring urine output (B) is important but secondary to addressing the acute blood loss. Assessing pain level (C) is important but not the priority in a patient in shock. Preparing for emergency surgery (D) may be needed but is not the immediate priority in this situation.
Question 5 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: Correct Answer: B - The medications work together to reduce acid and eliminate the infection. Rationale: 1. Antibiotics target and eliminate H. pylori infection, a leading cause of PUD. 2. Proton pump inhibitors reduce gastric acid production, aiding in ulcer healing. 3. Combining antibiotics and PPIs effectively treats both infection and acid production. 4. This comprehensive approach helps resolve the underlying causes of PUD efficiently. Incorrect Choices: A: Each medication targets a different cause of your ulcer. - Not accurate as antibiotics and PPIs target infection and acid production. C: One medication reduces acid, and the others help your stomach heal. - Oversimplifies the treatment process. D: The combination ensures that your symptoms will be controlled quickly. - Focuses on symptom management rather than addressing the root causes.