ATI LPN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
Which of the following is NOT a typical cause of PUD?
Correct Answer: D
Rationale: The correct answer is D: High intake of dairy products. PUD (Peptic Ulcer Disease) is commonly caused by factors like chronic NSAID use, H. pylori infection, and excessive alcohol consumption. High dairy intake does not directly contribute to PUD. Dairy products usually do not irritate the stomach lining or lead to ulcer formation. Thus, it is not a typical cause of PUD.
Question 2 of 5
Which of the following is a long-term complication of chronic PUD?
Correct Answer: A
Rationale: The correct answer is A: Gastric outlet obstruction. Chronic PUD can lead to scarring and inflammation in the stomach lining, causing narrowing or blockage of the pyloric valve, leading to gastric outlet obstruction. This complication can manifest as persistent nausea, vomiting, and weight loss. The other choices, B, C, and D, are not typically associated with chronic PUD. Gallbladder disease is more commonly linked to gallstones, chronic kidney disease to conditions affecting the kidneys, and pulmonary embolism to blood clots in the lungs.
Question 3 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 4 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 5 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.