GERD NCLEX REVIEW
QUIZLET - NURSING STUDY
AID QUESTIONS WITH
VERIFIED ANSWERS
,GERD NCLEX QUIZ 3. Gastroesophageal reflux disease (GERD)
weakens the lower esophageal sphincter,
D. 1. The nurse explains to the patient
predisposing older persons to risk for
with gastroesophageal reflux disease
that this disorder: impaired swallowing. In managing the
symptoms associated with GERD, the nurse
A. results in acid erosion and ulceration of should assign the highest priority to which of
the esophagus caused by frequent vomiting, the following interventions?
B. will require surgical wrapping or repair of 1. Decrease daily intake of vegetables and
the pyloric sphincter to control the water, and ambulate frequently
symptoms, 2. Drink coffee diluted with milk at each
meal, and remain in an upright position for
C. is the protrusion of a portion of the
30 minutes.
stomach into to esophagus through an
3. Eat small, frequent meals, and remain in
opening in the diaphragm,
an upright position for at least 30 minutes
D. often involves relaxation of the lower after eating
esophageal sphincter, allowing stomach 4. Avoid over-the-counter drugs that have
contents to back up into the espophagus antacids in them
ANSWER: 3, Eating small and frequent
meals requires less release of
2. "Which of the following types of gastritis hydrochloric acid. Remaining in an
is associated with Helicobacter pylori and upright position for 30 minutes after
duodenal ulcers? meals prevents reflux into the
1. Erosive (hemorrhagic) gastritis esophagus which is often exacerbated
when lying down, expecially after a large
2. Fundic gland gastritis (type A) meal which makes the patient tired
3. Antral gland gastritis (type B)
4.Aspiring-induced gastric ulcer 4. The client with a hiatal hernia chronically
experiences heartburn following meals. The
ANSWER: 3 - Erosive (hemorrhagic)
nurse plans to teach the client to avoid
gastritis can be
which action because it is contraindicated
caused by ingestion of substances that
with hiatal hernia?
irritate the gastric mucosa. Fundic gland
gastritis (type A) is associated with 1. Lying recumbent following meals
diffuse severe mucosal atrophy and the 2. Taking in small, frequent, bland meals
presence of pernicious anemia. Antral 3. Raising the head of the bed on 6-inch
gland gastritis (type B) is the most blocks
common form of gastritis, and is 4. Taking H2-receptor antagonist
associated with Helicobacter pylori and medication
duodenal ulcers
ANSWER: 1 Laying recumbant following
meals or at night will cause reflux and
pain. Relief is usually achieved with the
intake of small, bland meals, use of H2
receptor antagonists and antacids, and
elevation of the thorax after meals and
during sleep
, 5. What response should a nurse offer to a ghte night that is often relieved by eating
client who asks why he's having a vagotomy food. Pain occurs 1-3 hours after meals
to treat his ulcer?
7. When assessing the client with the
1. To repair a hole in the stomach diagnosis of peptic ulcer disease, which
2. to reduce the ability of the stomach to physical examination should the nurse
produce acid implement first?
3. to prevent the stomach from sliding into
1. Auscultate the client's bowel sounds in all
the chest
four quadrants.
4. to remove a potentially malignant lesion
2. Palpate the abdominal area for
in the stomach
tenderness.
Answer 2: A vagotomy is perfomred to 3. Percuss the abdominal borders to identify
elimniate the acid-secreting stimulus to organs.
gastric cells. a perforation would be 4. Assess the tender area progressing to
repaired with a gastric resection. Repair nontender
of hiatal hernia (fundoplication) prevents
Correct answer: #1. Auscultation should
the stomach from sliding through the
be used prior to palpa-tion or percussion
diaphragm. Removal of a potentially
when assessing the abdomen. If the
malignant tumor wouldn't reduce the
nurse manipulates the abdomen, the
entire acid-producing mechanism
bowel sounds can be altered and give
false information
6. Which assessment data support the
client's diagnosis of gastric ulcer?
8. The nurse is monitoring a client with a
1. Presence of blood in the client's stool for diagnosis of peptic ulcer. Which
the past month. assessment finding would most likely
2. Complaints of a burning sensation that indicate perforation of the ulcer?
moves like a wave.
1. Bradycardia
3. Sharp pain in the upper abdomen after
2. Numbness in the legs
eating a heavy meal.
3. Nausea and vomiting
4. Comparison of complaints of pain with
4. A rigid, board-like abdomen
ingestion of food and sleep
ANSWER: 4, Perforation of an ulcer is a
"1. The presence of blood does not
specifically indicate diagnosis of an surgical emergency and is characterized
ulcer. The client could have hemorrhoids by sudden, sharp, intolerable severe
or cancer that would result in the pain beginning in the midepigastric area
and spreading over the abdomen, which
presence of blood. 2. A wavelike burning
sensation is a symptom of become rigid and board-like. Nausea and
gastroesophageal reflus. 3. Sharp pain in vomiting may occur. Tachycardia may
the upper abdomen after eating a heavy occur as hypovolemic shock develops.
Numbness in the legs is not an
meal is a symptom of gallbladder
disease. 4. (CORRECT) In a client associated finding
diagosed with a gastric ulcer, pain
usually occurs 30-60 minutes after
eating, but not at night. In contrast, a
client with duodenal ulcer has pain durin
QUIZLET - NURSING STUDY
AID QUESTIONS WITH
VERIFIED ANSWERS
,GERD NCLEX QUIZ 3. Gastroesophageal reflux disease (GERD)
weakens the lower esophageal sphincter,
D. 1. The nurse explains to the patient
predisposing older persons to risk for
with gastroesophageal reflux disease
that this disorder: impaired swallowing. In managing the
symptoms associated with GERD, the nurse
A. results in acid erosion and ulceration of should assign the highest priority to which of
the esophagus caused by frequent vomiting, the following interventions?
B. will require surgical wrapping or repair of 1. Decrease daily intake of vegetables and
the pyloric sphincter to control the water, and ambulate frequently
symptoms, 2. Drink coffee diluted with milk at each
meal, and remain in an upright position for
C. is the protrusion of a portion of the
30 minutes.
stomach into to esophagus through an
3. Eat small, frequent meals, and remain in
opening in the diaphragm,
an upright position for at least 30 minutes
D. often involves relaxation of the lower after eating
esophageal sphincter, allowing stomach 4. Avoid over-the-counter drugs that have
contents to back up into the espophagus antacids in them
ANSWER: 3, Eating small and frequent
meals requires less release of
2. "Which of the following types of gastritis hydrochloric acid. Remaining in an
is associated with Helicobacter pylori and upright position for 30 minutes after
duodenal ulcers? meals prevents reflux into the
1. Erosive (hemorrhagic) gastritis esophagus which is often exacerbated
when lying down, expecially after a large
2. Fundic gland gastritis (type A) meal which makes the patient tired
3. Antral gland gastritis (type B)
4.Aspiring-induced gastric ulcer 4. The client with a hiatal hernia chronically
experiences heartburn following meals. The
ANSWER: 3 - Erosive (hemorrhagic)
nurse plans to teach the client to avoid
gastritis can be
which action because it is contraindicated
caused by ingestion of substances that
with hiatal hernia?
irritate the gastric mucosa. Fundic gland
gastritis (type A) is associated with 1. Lying recumbent following meals
diffuse severe mucosal atrophy and the 2. Taking in small, frequent, bland meals
presence of pernicious anemia. Antral 3. Raising the head of the bed on 6-inch
gland gastritis (type B) is the most blocks
common form of gastritis, and is 4. Taking H2-receptor antagonist
associated with Helicobacter pylori and medication
duodenal ulcers
ANSWER: 1 Laying recumbant following
meals or at night will cause reflux and
pain. Relief is usually achieved with the
intake of small, bland meals, use of H2
receptor antagonists and antacids, and
elevation of the thorax after meals and
during sleep
, 5. What response should a nurse offer to a ghte night that is often relieved by eating
client who asks why he's having a vagotomy food. Pain occurs 1-3 hours after meals
to treat his ulcer?
7. When assessing the client with the
1. To repair a hole in the stomach diagnosis of peptic ulcer disease, which
2. to reduce the ability of the stomach to physical examination should the nurse
produce acid implement first?
3. to prevent the stomach from sliding into
1. Auscultate the client's bowel sounds in all
the chest
four quadrants.
4. to remove a potentially malignant lesion
2. Palpate the abdominal area for
in the stomach
tenderness.
Answer 2: A vagotomy is perfomred to 3. Percuss the abdominal borders to identify
elimniate the acid-secreting stimulus to organs.
gastric cells. a perforation would be 4. Assess the tender area progressing to
repaired with a gastric resection. Repair nontender
of hiatal hernia (fundoplication) prevents
Correct answer: #1. Auscultation should
the stomach from sliding through the
be used prior to palpa-tion or percussion
diaphragm. Removal of a potentially
when assessing the abdomen. If the
malignant tumor wouldn't reduce the
nurse manipulates the abdomen, the
entire acid-producing mechanism
bowel sounds can be altered and give
false information
6. Which assessment data support the
client's diagnosis of gastric ulcer?
8. The nurse is monitoring a client with a
1. Presence of blood in the client's stool for diagnosis of peptic ulcer. Which
the past month. assessment finding would most likely
2. Complaints of a burning sensation that indicate perforation of the ulcer?
moves like a wave.
1. Bradycardia
3. Sharp pain in the upper abdomen after
2. Numbness in the legs
eating a heavy meal.
3. Nausea and vomiting
4. Comparison of complaints of pain with
4. A rigid, board-like abdomen
ingestion of food and sleep
ANSWER: 4, Perforation of an ulcer is a
"1. The presence of blood does not
specifically indicate diagnosis of an surgical emergency and is characterized
ulcer. The client could have hemorrhoids by sudden, sharp, intolerable severe
or cancer that would result in the pain beginning in the midepigastric area
and spreading over the abdomen, which
presence of blood. 2. A wavelike burning
sensation is a symptom of become rigid and board-like. Nausea and
gastroesophageal reflus. 3. Sharp pain in vomiting may occur. Tachycardia may
the upper abdomen after eating a heavy occur as hypovolemic shock develops.
Numbness in the legs is not an
meal is a symptom of gallbladder
disease. 4. (CORRECT) In a client associated finding
diagosed with a gastric ulcer, pain
usually occurs 30-60 minutes after
eating, but not at night. In contrast, a
client with duodenal ulcer has pain durin
