ADN Week 6 GI & Pharmacology Integration Quiz 2026/2027 Update
|Galen College
1. A patient is prescribed Omeprazole for the treatment of GERD. Which
statement by the patient indicates a need for further teaching?
A. I should take this medication 30 minutes before breakfast.
B. I will report any persistent diarrhea to my healthcare provider.
C. I can crush the capsule and mix it with applesauce.
D. I should increase my intake of vitamin D and calcium.
Answer: C
Rationale: PPIs like Omeprazole are usually enteric-coated and should not be crushed or
chewed because it destroys the coating that protects the medication from stomach acid.
2. Which medication is classified as a mucosal protectant and should be taken
on an empty stomach to treat a duodenal ulcer?
A. Famotidine
B. Sucralfate
C. Calcium Carbonate
D. Pantoprazole
Answer: B
Rationale: Sucralfate creates a protective barrier over the ulcer crater and must be taken
on an empty stomach, usually 1 hour before meals and at bedtime.
,3. A nurse is administering Lactulose to a patient with cirrhosis. What is the
primary therapeutic goal of this medication?
A. To reduce abdominal pain and cramping
B. To decrease serum ammonia levels
C. To increase serum potassium levels
D. To promote the absorption of fat-soluble vitamins
Answer: B
Rationale: Lactulose is used in liver failure to lower ammonia levels by drawing it into the
colon to be excreted through bowel movements.
4. A patient taking Misoprostol for NSAID-induced ulcer prevention must be
educated on which contraindication?
A. Hypotension
B. Chronic obstructive pulmonary disease
C. Pregnancy
D. History of migraines
Answer: C
Rationale: Misoprostol is a prostaglandin analog that can cause uterine contractions and is
strictly contraindicated during pregnancy (Category X).
5. The nurse is preparing to administer Pancrelipase to a patient with chronic
pancreatitis. When should this medication be given?
A. Once daily in the morning
B. With every meal and snack
C. One hour after meals
D. Only when experiencing abdominal pain
Answer: B
Rationale: Pancrelipase contains digestive enzymes that must be present in the GI tract
when food is consumed to aid in digestion.
, 6. Which side effect is most common in a patient taking Aluminum Hydroxide
antacids?
A. Diarrhea
B. Flatulence
C. Constipation
D. Tachycardia
Answer: C
Rationale: Aluminum-based antacids are known to cause constipation, whereas
magnesium-based antacids typically cause diarrhea.
7. A patient is prescribed Metoclopramide. The nurse should monitor for which
serious adverse effect related to the central nervous system?
A. Hyperreflexia
B. Insomnia
C. Tardive dyskinesia
D. Ototoxicity
Answer: C
Rationale: Metoclopramide is a dopamine antagonist and carries a black box warning for
tardive dyskinesia, characterized by involuntary movements.
8. What is the mechanism of action for Ondansetron?
A. Blocks dopamine receptors in the CTZ
B. Blocks serotonin receptors in the CTZ
C. Inhibits the H+/K+ ATPase pump
D. Stimulates gastric emptying
Answer: B
Rationale: Ondansetron is a serotonin (5-HT3) receptor antagonist used to prevent nausea
and vomiting.
|Galen College
1. A patient is prescribed Omeprazole for the treatment of GERD. Which
statement by the patient indicates a need for further teaching?
A. I should take this medication 30 minutes before breakfast.
B. I will report any persistent diarrhea to my healthcare provider.
C. I can crush the capsule and mix it with applesauce.
D. I should increase my intake of vitamin D and calcium.
Answer: C
Rationale: PPIs like Omeprazole are usually enteric-coated and should not be crushed or
chewed because it destroys the coating that protects the medication from stomach acid.
2. Which medication is classified as a mucosal protectant and should be taken
on an empty stomach to treat a duodenal ulcer?
A. Famotidine
B. Sucralfate
C. Calcium Carbonate
D. Pantoprazole
Answer: B
Rationale: Sucralfate creates a protective barrier over the ulcer crater and must be taken
on an empty stomach, usually 1 hour before meals and at bedtime.
,3. A nurse is administering Lactulose to a patient with cirrhosis. What is the
primary therapeutic goal of this medication?
A. To reduce abdominal pain and cramping
B. To decrease serum ammonia levels
C. To increase serum potassium levels
D. To promote the absorption of fat-soluble vitamins
Answer: B
Rationale: Lactulose is used in liver failure to lower ammonia levels by drawing it into the
colon to be excreted through bowel movements.
4. A patient taking Misoprostol for NSAID-induced ulcer prevention must be
educated on which contraindication?
A. Hypotension
B. Chronic obstructive pulmonary disease
C. Pregnancy
D. History of migraines
Answer: C
Rationale: Misoprostol is a prostaglandin analog that can cause uterine contractions and is
strictly contraindicated during pregnancy (Category X).
5. The nurse is preparing to administer Pancrelipase to a patient with chronic
pancreatitis. When should this medication be given?
A. Once daily in the morning
B. With every meal and snack
C. One hour after meals
D. Only when experiencing abdominal pain
Answer: B
Rationale: Pancrelipase contains digestive enzymes that must be present in the GI tract
when food is consumed to aid in digestion.
, 6. Which side effect is most common in a patient taking Aluminum Hydroxide
antacids?
A. Diarrhea
B. Flatulence
C. Constipation
D. Tachycardia
Answer: C
Rationale: Aluminum-based antacids are known to cause constipation, whereas
magnesium-based antacids typically cause diarrhea.
7. A patient is prescribed Metoclopramide. The nurse should monitor for which
serious adverse effect related to the central nervous system?
A. Hyperreflexia
B. Insomnia
C. Tardive dyskinesia
D. Ototoxicity
Answer: C
Rationale: Metoclopramide is a dopamine antagonist and carries a black box warning for
tardive dyskinesia, characterized by involuntary movements.
8. What is the mechanism of action for Ondansetron?
A. Blocks dopamine receptors in the CTZ
B. Blocks serotonin receptors in the CTZ
C. Inhibits the H+/K+ ATPase pump
D. Stimulates gastric emptying
Answer: B
Rationale: Ondansetron is a serotonin (5-HT3) receptor antagonist used to prevent nausea
and vomiting.
