Med Surg- GASTROINTESTINAL EXAM || MOST RECENT EXAM
2026-2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST EXAM |
JUST RELEASED!!
What is the preoperative care for ileostomies? - ANSWER --Low
residue diet 7-
10 days before surgery to remove fecal matter from colon
-Clear liquids 24-72 hrs before surgery
-Antibiotics prophilactically
-Laxative and enemas
-NGT to remove stomach contents
-Blood or protein replacement PRN
-Abdomen is marked for proper placement
-Arrange a visit with another ostomy pt
What is the postoperative care for ileostomies? - ANSWER --
NPO first 48 hrs,
until peristalsis
returns
-NGT removed when peristalsis returns (passing
gas, and feces)
-Clear liquids, soft bland and progressing
-Asses for peristalsis, flatus/belching, BS, abdominal
distention, BM
-Monitor IV usually maintained 4-5 days (fluid and electrolytes)
-Pain assessment
,What is the postoperative care for the ileostomy stoma site? -
ANSWER -Collection device usually clear
-Normal is pink, pale red and
shiny -Deep purple- no blood
supply.
-Later it will shrink in size and less colored
-Slight bleeding is normal
-Observe for signs of edema
-Fecal output does not occur for 2-4 days due to pre op
emptying and NPO status
What is the pt education related to ileostomies? - ANSWER --
Controlling odor a. good hygiene
b. eliminating certain foods:
eggs, fish, garlic, raw onions, sauerkraut, corn, broccoli,
cabbage, beans, and spicy foods
carbonated beverages, eating too quickly
-Release gas
-Preventing blockage from constipation, avoid dry foods, corn,
nuts, foods very high in fiber
-Should not take time released capsules or enteric tabs- not
enough time for absorption
What is peptic ulcer disease? - ANSWER --Ulceration
(excavation), loss of tissue of the upper GI tract (esophagus,
stomach, duodenum)
-80% are duodenal
-*They develop when mucosa can not protect itself from
corrosive substances.*
,(ex. gastric acid, pepsinogen, alcohol, bile salts, and irritating
foods)
What are causative factors of peptic ulcers? - ANSWER --
Helicobacter pylori- rich in an enzyme that causes corrosion of
GI mucosa by damaging mucous coating
-Genetic: family history, 3x expected rate
-Hot spicy food, milk, caffeine, ETOH
-Tension, anxiety, stress
-Medications (ASA,
NSAIDS) -Cigarette
smoking- more than ½
pack a day
-"Ulcer personality"-
a. high strong, angry, stress
-Hyper or hypo acidity of the
mucosa
What are diagnostic tests for peptic ulcers? - ANSWER -1. *PE*
-Pain, Epigastric tenderness, Abdominal distention, Hypoactive
or absent bowel sounds, Pain relieved by food
2. *UGI- (barium swallow)*
3. *Endoscopy*
-site/bleeding, benign/malignant, biopsy can be done
4. *Gastric analysis* -Levels of HCL or pH
a. *gastric low pH, duodenal high pH*
5. *Stool for occult blood*
, What is the treatment used for peptic ulcers? - ANSWER --
Conservatively to
avoid surgery: should continue even after
ulcer heals
*(6 weeks with drugs, 6 months with
antacids)*
What are some peptic ulcer medications? - ANSWER -1.
*Antacids*
(Amphogel®, Gaviscon®, Maalox®, Mylanta®)
-1 to 3 hours after meals
2. *Antibiotics*- to treat the H. pylori (Flagyl, Amoxil®)
3. *Carafete®*- forms thick barrier in crater
4. *Histamine receptor antagonists*
-Zantac® (ranitidine)
-Pepcid® (famotidine)
-Axid® (nizatidine)
-Tagamet®(cimetidine)
5. *Proton pump inhibitor* (parietal cells on mucosa)
-Prilosec (omeprazole)
-Prevacid® (lansoprazole)
-Protonix® (pantoprazole)
-Aciphex® (rabeprozole)
-Nexium® (esomeprazole)
What is the patient teaching for someone with peptic ulcers? -
ANSWER *Prevention:*
-Restrict foods that increase symptoms
-ETOH, caffeine, milk/cream
2026-2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST EXAM |
JUST RELEASED!!
What is the preoperative care for ileostomies? - ANSWER --Low
residue diet 7-
10 days before surgery to remove fecal matter from colon
-Clear liquids 24-72 hrs before surgery
-Antibiotics prophilactically
-Laxative and enemas
-NGT to remove stomach contents
-Blood or protein replacement PRN
-Abdomen is marked for proper placement
-Arrange a visit with another ostomy pt
What is the postoperative care for ileostomies? - ANSWER --
NPO first 48 hrs,
until peristalsis
returns
-NGT removed when peristalsis returns (passing
gas, and feces)
-Clear liquids, soft bland and progressing
-Asses for peristalsis, flatus/belching, BS, abdominal
distention, BM
-Monitor IV usually maintained 4-5 days (fluid and electrolytes)
-Pain assessment
,What is the postoperative care for the ileostomy stoma site? -
ANSWER -Collection device usually clear
-Normal is pink, pale red and
shiny -Deep purple- no blood
supply.
-Later it will shrink in size and less colored
-Slight bleeding is normal
-Observe for signs of edema
-Fecal output does not occur for 2-4 days due to pre op
emptying and NPO status
What is the pt education related to ileostomies? - ANSWER --
Controlling odor a. good hygiene
b. eliminating certain foods:
eggs, fish, garlic, raw onions, sauerkraut, corn, broccoli,
cabbage, beans, and spicy foods
carbonated beverages, eating too quickly
-Release gas
-Preventing blockage from constipation, avoid dry foods, corn,
nuts, foods very high in fiber
-Should not take time released capsules or enteric tabs- not
enough time for absorption
What is peptic ulcer disease? - ANSWER --Ulceration
(excavation), loss of tissue of the upper GI tract (esophagus,
stomach, duodenum)
-80% are duodenal
-*They develop when mucosa can not protect itself from
corrosive substances.*
,(ex. gastric acid, pepsinogen, alcohol, bile salts, and irritating
foods)
What are causative factors of peptic ulcers? - ANSWER --
Helicobacter pylori- rich in an enzyme that causes corrosion of
GI mucosa by damaging mucous coating
-Genetic: family history, 3x expected rate
-Hot spicy food, milk, caffeine, ETOH
-Tension, anxiety, stress
-Medications (ASA,
NSAIDS) -Cigarette
smoking- more than ½
pack a day
-"Ulcer personality"-
a. high strong, angry, stress
-Hyper or hypo acidity of the
mucosa
What are diagnostic tests for peptic ulcers? - ANSWER -1. *PE*
-Pain, Epigastric tenderness, Abdominal distention, Hypoactive
or absent bowel sounds, Pain relieved by food
2. *UGI- (barium swallow)*
3. *Endoscopy*
-site/bleeding, benign/malignant, biopsy can be done
4. *Gastric analysis* -Levels of HCL or pH
a. *gastric low pH, duodenal high pH*
5. *Stool for occult blood*
, What is the treatment used for peptic ulcers? - ANSWER --
Conservatively to
avoid surgery: should continue even after
ulcer heals
*(6 weeks with drugs, 6 months with
antacids)*
What are some peptic ulcer medications? - ANSWER -1.
*Antacids*
(Amphogel®, Gaviscon®, Maalox®, Mylanta®)
-1 to 3 hours after meals
2. *Antibiotics*- to treat the H. pylori (Flagyl, Amoxil®)
3. *Carafete®*- forms thick barrier in crater
4. *Histamine receptor antagonists*
-Zantac® (ranitidine)
-Pepcid® (famotidine)
-Axid® (nizatidine)
-Tagamet®(cimetidine)
5. *Proton pump inhibitor* (parietal cells on mucosa)
-Prilosec (omeprazole)
-Prevacid® (lansoprazole)
-Protonix® (pantoprazole)
-Aciphex® (rabeprozole)
-Nexium® (esomeprazole)
What is the patient teaching for someone with peptic ulcers? -
ANSWER *Prevention:*
-Restrict foods that increase symptoms
-ETOH, caffeine, milk/cream
