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Galen NUR 242 Exam 3 GI Set 2026 – 110 Questions | GERD, PUD, IBD, IBS, Obstruction, Gallbladder

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This in-depth review includes 110 expertly verified questions and answers for NUR 242 Exam 3 at Galen College of Nursing, with full focus on Gastrointestinal (GI) disorders. Designed for advanced medical-surgical nursing students, it prepares learners for exams and clinicals by covering pathophysiology, diagnostics, medications, patient education, and evidence-based interventions related to critical GI conditions. The document begins with essential information on GERD—causes, symptoms, risk factors (e.g., obesity, pregnancy, medications), diagnostics (EGD, pH monitoring), and treatments such as lifestyle changes, PPIs, and surgical repair (Nissen fundoplication). It then transitions into Peptic Ulcer Disease (PUD), discussing distinctions between gastric and duodenal ulcers, H. pylori, NSAID risks, alarm symptoms, and complications like perforation and bleeding. Further sections cover: IBS vs. IBD (Crohn’s & Ulcerative Colitis): diagnostics, symptom profiles, dietary guidance, and medication classes (e.g., biologics, steroids, aminosalicylates) Appendicitis and GI obstruction: signs, diagnostic maneuvers (psoas, obturator), and red flags for peritonitis Diverticulitis: workup, contraindicated procedures, and safe dietary progressions Gallbladder disorders: cholelithiasis, cholecystitis, choledocholithiasis, with Murphy’s sign, jaundice, and ERCP prep and aftercare fully explained Dumping syndrome and gastrectomy complications: causes, symptoms, and patient teaching Malabsorption syndromes: duodenal vs jejunal vs ileal nutrient loss breakdown Electrolyte considerations and lab monitoring for conditions like gastroenteritis and obstruction This document is ideal for: Nursing students in Galen’s NUR 242 – Advanced Medical-Surgical Nursing ADN/BSN candidates preparing for GI system exams Students prepping for NCLEX-RN with a focus on GI content Clinical educators seeking scenario-based GI questions and answers Keywords: NUR 242, Galen College, GI exam review, GERD, peptic ulcer disease, H. pylori, Crohn’s disease, ulcerative colitis, IBS, dumping syndrome, ileostomy care, appendicitis, diverticulitis, cholecystitis, gallstones, Murphy’s sign, ERCP, intestinal obstruction, peritonitis, metabolic alkalosis, nursing pharmacology, NCLEX GI prep

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Galen NUR 242 Exam 3 GI Set
2026 Exam Questions and
Answers | A+ Score Assured



GERD - 🧠 ANSWER ✔✔gastroesophageal reflux disease


What causes GERD? - 🧠 ANSWER ✔✔excessive relaxation of the lower

esophageal sphincter

What is the purpose of the lower esophageal sphincter (LES) ? - 🧠

ANSWER ✔✔prevents contents of the stomach from going back up into the

esophagus

,What are the risk factors of GERD? - 🧠 ANSWER ✔✔obesity, dietary items,

alcohol consumption, smoking, medications, hiatal hernia, pregnancy, NG

tube


Why is obesity a risk factor of GERD? - 🧠 ANSWER ✔✔increases the

intragastric pressure which results in an increase in frequency of LES

relaxation


What foods can contribute to GERD? - 🧠 ANSWER ✔✔fatty items,

chocolate, caffeine, citrus, tomato and tomato products, peppermint,

spearmint


What medications can contribute to GERD? - 🧠 ANSWER ✔✔calcium

channel blockers (amlodipine, nifedipine), nitrates, anticholinergics

(loratadine, Zyrtec, Allegra), Beta Agonist, Nicotine, Progesterone


How does a hiatal hernia contribute to GERD? - 🧠 ANSWER ✔✔stomach

moves into the chest cavity causing a weakened sphincter


What are the symptoms of GERD? - 🧠 ANSWER ✔✔heartburn that is

worse with bending over or lying down too soon after eating, chest pain,

dysphagia (difficulty swallowing), odynophagia (painful swallowing),

, metallic taste, poor dentition (acid erosion), extraesophageal symptoms

(cough, hoarseness and wheezing)

Why are extraesophageal symptoms of GERD dangerous? - 🧠 ANSWER

✔✔Typically indicate the patient has aspirated which can result in

pneumonia, lung damage, vocal cord damage, laryngitis


What condition can long term GERD lead to? - 🧠 ANSWER ✔✔Barrett's

Esophagus which leads to esophageal cancer


How is GERD diagnosed? - 🧠 ANSWER ✔✔clinical signs and symptoms,

EGD, 24 hour pH monitoring and manometry


What occurs during an EGD? - 🧠 ANSWER ✔✔tube with camera is

introduced down a patient's throat where biopsies can be taken as needed


When is an EGD in GERD? - 🧠 ANSWER ✔✔If the clinician is questioning

the diagnosis or the patient is having complications of long standing GERD

What is 24 hour pH monitoring and manometry? - 🧠 ANSWER

✔✔transnasal catheter is inserted for 24 hours and detects changes in pH;

if the pH is less than 4 it is indicative of GERD




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