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Week 5 Module 1 GERD + GI ULCERS

Total questions: 30

Worksheet time: 3600secs

Name
Class
Date
1.

You are taking care of patient JN, Upon assessment you noticed that the patient has high blood pressure, which of the following medication is indicated for the patient?

a)

Ranitidine

b)

Amlodipine

c)

Omeprazole

d)

Metoclopramide

e)

Atorvastatin

2.

You are taking care of JN, upon assessment you noticed that his Lipid profile result shows high LDH, Which of the following medication is indicated for the patient?

a)

Ranitidine

b)

Amlodipine

c)

Omeprazole

d)

Metoclopramide

e)

Atorvastatin

3.

Which of the following medication has antihypertensive effects? Select all that apply?

a)

Telmesartan

b)

Atorvastatin

c)

Metformin

d)

Amlodipine

e)

Aluminum hydroxide

4.

Medication for patients with gastric ulcer are important in the pharmacological treatment of the patient. Which of the following medication is classified as a Proton pump inhibitor?

a)

Omeprazole

b)

Ranitidine

c)

Metoclopramide

d)

Aluminum hydroxide

e)

Atorvastatin

5.

You are assessing the patient for risk factors that might predispose the patient to have the disease. Which of the following are examples of predisposing factors? Select all that apply.

a)

Age

b)

Gender

c)

Alcohol intake

d)

Caffeine intake

e)

H.pylori

6.

You are trying to identify the pathophysiology of the patient with GERD. Which of the following are precipitating factors of the patient? Select all that apply

a)

Age

b)

Gender

c)

Alcohol intake

d)

Caffeine intake

e)

H.pylori

7.

You are taking care of a patient with gastirc ulcer. One of your medication is Aluminum hydroxide, Which of the following side effects should you watch out for?

a)

Constipation

b)

Hypotension

c)

Diarrhea

d)

Drowsiness

e)

Nausea and vomiting

8.

You are a medicating nurse in the medical surgical ward. You have a medication which is Magnesium hyroxide, when giving this to the patient which of the following side effects should you watch out for?

a)

Constipation

b)

Hypotension

c)

Diarrhea

d)

Drowsiness

e)

Nausea and vomiting

9.

You are taking care of a patient with GERD, he is complaining of pyrosis and is regurgitating and vomiting gastric acids secretion. He complains of epigastric pain and difficulty of breathing which of the following intervention should the nurse prioritize?

a)

Assess for patent airway

b)

Assess for pain

c)

Assess for fluid volume deficit

d)

Assess for impaired tissue integrity

e)

Assess for fluid volume excess

10.

You are taking care of a patient with GERD, which of the following foods/things should be avoided? Select all that apply

a)

Caffeine

b)

Beer

c)

Carbonated drink

d)

Tobacco

e)

Milk

11.

You are taking care of Frank who has GERD, you are giving discharge instructions to frank in order to manage GERD, All of the following health teachings area correct, EXCEPT?

a)

Maintain normal body weight

b)

Elevate the head of the bed by atleast 30degress

c)

Low fat diet

d)

Wear tight fitting clothes

e)

Avoid eating or drinking 2 hours before bedtime

12.

It is a condition in which the lining of the esophageal mucosa is altered from squamous mucosa to columnar lined epithelium that resembles the intestines'?

a)

Barret esophagus

b)

Cancer of the Esophagus

c)

Diverticulitis

d)

Benign tumor of the Esophagus

e)

Gastroesophageal reflux disease

13.

Which of the following symptoms where not present in your patient JN, Select all that apply?

a)

pyrosis

b)

belching

c)

hematemesis

d)

epigastric pain

e)

melena

14.

You are assessing the patients electrolyte results. Which of the following is the normal result for Potassium?

a)

1.5 mg/dl

b)

2.5 mg/dl

c)

3.5 mg/dl

d)

95 mg/dl

e)

135 mg/dl

15.

You are assessing the patients electrolyte results. Which of the following is the normal result for Sodium?

a)

1.5 mg/dl

b)

2.5 mg/dl

c)

3.5 mg/dl

d)

95 mg/dl

e)

135 mg/dl

16.

you are taking care of patient JN, Upon assessment you noticed that he has a low sodium electrolyte result. Which medication is given to patient with hyponatremia?

a)

Sodium bicarbonate

b)

NaCl

c)

Kalium durule

d)

Aluminum hydroxide

e)

Dopamine

17.

You assessing a patient with GERD and gastric ulcer. All of the following are objective signs, EXCEPT?

a)

Pain scale of 8/10

b)

BP of 160/100

c)

Vomiting

d)

Platelet - 201

e)

Hoarseness of voice

18.

Upon assessment you found out that the patient is na alcoholic and a smoker, Which of the following is the disease process of patients with GERD?

a)

Cause the increase the gastric acid production

b)

Cause the dysfunction of the lower esophageal spinchter

c)

Cause the accumulation of H.pylori

d)

Cause the ulceration of the stomach lining

e)

Cause the increase in esophageal pressure

19.

Which of the following is the nursing intervention done for patients that will undergo Chest Xray?

a)

Place the patient NPO

b)

Remove all metallic objects

c)

Sedate the patient prior the procedure

d)

Ensure to empty the bladder

e)

Ask the patient to eat before the procedure

20.

Which of the following diagnostic test provides a definitive diagnosis for gastric ulcer?

a)

ESOPHAGEAL MANOMETRY

b)

CBC

c)

MRI

d)

ENDOSCOPY

e)

ULTRASOUND

21.

You are taking care of a patient with doudenal ulcer. Which of the following signs and symptoms do you expect? Select all that apply

a)

hypersecretion of stomach acid

b)

pain increased by meals

c)

pain relieved by meals

d)

hyposecretion of stomach acid

e)

weight lose

22.

You are assigned in the medical surgical ward, the doctor asks you which of the following patient is most likely to have Zollinger Ellison syndrome? You are correct if you answer which of the following patients?

a)

Lyka who is admitted due to severe burns

b)

Rhea who has abdominal pain that is relieved by meals

c)

All of them mostlikely have Zollinger Ellison syndrome

d)

Paula who is rushed to the ER due to head injury

e)

Amanda who has severe burns on the head

23.

Post barium enema you would expect the patient’s fecal matter to be in what color?

a)

Whitish to gray in color

b)

Dark brown in color

c)

Greenish in color

d)

Yellowish in color

e)

Dard red in color

24.

You are assisting in the endoscopic procedure of your patient. All of the following are correct nursing interventions, EXCEPT?

a)

Place the patient NPO 8hrs prior the examination

b)

Atropine may be given to reduce the secretions

c)

The patient is positioned in the right lateral position

d)

The patient is given local anesthetic gargle or spray

e)

Glucagon may be given to relax the smooth muscles

25.

You are taking care of a patient with gastric ulceration Which of the following diet is recommended for your patient?

a)

High residue diet

b)

Low salt low fat diet

c)

NPO

d)

Low residue diet

e)

Diet as Tolerated

26.

You friend is experiencing nausea and vomiting, as a knowledgeable nurse which of the following is your priority intervention?

a)

Provide the client health teaching about taking crackers and dry toast

b)

Inform the client to go immediately to the hospital for assessment

c)

Provide health teaching that nausea and vomiting usually goes away on its own

d)

Inform the client about OTC drugs to help with his condition such as Diphenhydramine

e)

Inform the client that he need to have IVF insertion

27.

As a medicating nurse you should be able to easily differentiate medications. Which of the following is a H2-receptor antagonist?

a)

Ranitidine

b)

Calcium carbonate

c)

Hyoscine

d)

Omeprazole

e)

Misoprostol

28.

How old is your patient JN?

a)

45

b)

50

c)

55

d)

60

e)

65

29.

Your patient complains of constipation, how frequent was he able to have his bowel movements?

a)

once a week

b)

once a day

c)

once every 3 days

d)

once every other day

e)

once a month

30.

How many days was your patient JN, not able to eat 3 times a day due to abdominal pain?

a)

3 days

b)

1 week

c)

2 weeks

d)

5 days

e)

3 weeks