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GI medications practice quiz

Total questions: 16

Worksheet time: 23mins

Name
Class
Date
1.

A patient with a gastric ulcer is prescribed sucralfate. When should the nurse instruct the patient to take it?

a)

With meals

b)

30 minutes before meals

c)

At bedtime only

d)

After antacids

2.

The nurse provides teaching about OTC antacids. Which statement by the client requires further clarification?

a)

I will take antacids 1–3 hours after meals and at bedtime.

b)

I’ll take my prescribed antibiotic at the same time as the antacid.

c)

I understand these may interfere with absorption of other medications.

d)

I’ll notify my provider if I need to take them frequently.

3.

A client frequently takes OTC calcium carbonate (Tums). Which complication is the nurse most concerned about?

a)

Hyperkalemia

b)

Hypercalcemia and constipation

c)

Hypophosphatemia and diarrhea

d)

Iron-deficiency anemia

4.

Long-term PPI use increases risk for which complications? SELECT ALL THAT APPLY

a)

Vitamin B12 deficiency

b)

Osteoporosis-related fractures

c)

Increased risk for pneumonia

d)

Kidney stones

5.

Which teaching should the nurse include for a patient prescribed famotidine?

a)

Take with a glass of milk

b)

Report confusion or agitation

c)

Expect diarrhea as a normal effect

d)

Avoid taking at bedtime

6.

Which medication should not be taken simultaneously with an H2 blocker?

a)

Iron supplements

b)

Antacids

c)

Beta-blockers

d)

Multivitamins

7.

The nurse provides education about aluminum hydroxide. Which side effect is most likely?

a)

Diarrhea

b)

Constipation

c)

GI bleeding

d)

Hyperkalemia

8.

Which patient should avoid sodium bicarbonate antacids?

a)

Patient with hypertension and heart failure

b)

Patient with occasional GERD

c)

Patient with constipation

d)

Patient with peptic ulcer disease

9.

A patient asks how to take antacids with other medications. Which instruction is correct?

a)

Take antacids at the same time as other medications.

b)

Take other medications 1-2 hours before or after antacids.

c)

Antacids do not interact with other medications.

d)

Take antacids only at bedtime.

10.

Which laxative is most appropriate for a patient on opioids?

a)

Senna (stimulant)

b)

Docusate (stool softener)

c)

Psyllium (bulk-forming)

d)

Lactulose (osmotic)

11.

Which teaching should the nurse include for a patient taking bisacodyl suppositories?

a)

This medication is safe for long-term daily use.

b)

Expect bowel movement within 15–60 minutes.

c)

Take with milk for best results.

d)

Store at room temperature in a humid place.

12.

Which assessment is most important before administering laxatives to a patient with constipation?

a)

Bowel sounds

b)

Weight history

c)

Skin turgor

d)

Hemoglobin

13.

Which statement about famotidine requires correction?

a)

It decreases gastric acid secretion.

b)

It may cause confusion in older adults.

c)

It can be taken with or without meals.

d)

It is the drug of choice for rapid heartburn relief.

14.

Sucralfate is prescribed. Which teaching is correct?

a)

Take with meals for best absorption.

b)

Take on an empty stomach, 1 hr before meals.

c)

It neutralizes stomach acid.

d)

It works immediately to relieve heartburn.

15.

Teaching for metoclopramide includes:

a)

Report lip smacking or involuntary movements.

b)

Take with antacids for best results.

c)

It causes dependence if taken >2 weeks.

d)

It is safe to use long-term for nausea.

16.

Which finding is priority to report in a patient taking H2 blockers?

a)

Mild headache

b)

Occasional constipation

c)

New onset confusion in older adult

d)

Decreased appetite