ATI LPN
NCLEX Questions Gastrointestinal System Questions
Question 1 of 5
Which of the following is the most common cause of Peptic Ulcer Disease (PUD)?
Correct Answer: A
Rationale: The correct answer is A: Bacterial infection by Helicobacter pylori. H. pylori is the most common cause of Peptic Ulcer Disease (PUD) as it infects the stomach lining, leading to inflammation and ulcer formation. Studies have shown a strong association between H. pylori infection and PUD. Other choices like high-fat diet and smoking can exacerbate PUD symptoms but are not the primary cause. Viral infections are not known to be a common cause of PUD. Therefore, A is the correct choice based on scientific evidence and research.
Question 2 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 3 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 4 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 5 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.