Adult GI Davis Advantage Questions,
NURS 342 EXAM 5 Davis Advantage, Davis
Advantage: Chapter 29 - Disorders of the
Esophagus, Stomach, and Small Intestine,
Med-Surg: GERD Davis Edge, Davis Ch.
56: Oral & Esophageal Disorders, DAVIS
ADVANTAGE - Exam Questions and
correct Answers 2025/2026
The nurse recognizes which risk factors for the development of stomatitis? (Select all that
apply.) A. High-fiber diet B. Radiation therapy C. Past history of skin cancer D. Poor dental
hygiene E. Smoking - ANS-B. Radiation therapy
D. Poor dental hygiene
E. Smoking
The nurse correlates which clinical manifestation to type I hiatal hernia? A. Heartburn B. GERD
C. Chest pain D. Anorexia - ANS-D. Anorexia
In preparing a patient for esophageal manometry, which content does the nurse include in
preprocedure teaching? A. This test measures the acid content in your stomach. B. This test
measures the pressure and action of the esophagus. C. This test allows a sample of the
esophagus to be obtained. D. This test is used - ANS-B. This test measures the pressure and
action of the esophagus.
Which statement by the patient undergoing external beam radiation indicates the need for
further teaching? A. "My grandchildren will not be able to visit because I will be radioactive." B.
"This therapy will hopefully decrease the size of the tumor." C. "I will have daily radiation
treatments for several weeks." D. "At least this procedure is not painful." - ANS-A. "My
grandchildren will not be able to visit because I will be radioactive."
,In caring for a patient who sustained a Le Fort fracture, the nurse monitors for which
complications? (Select all that apply.) A. TMJ pain B. Esophageal strictures C. Airway
obstruction D. Infection E. Dyspepsia - ANS-A. TMJ pain
C. Airway obstruction
D. Infection
The nurse implements which interventions to decrease the risk of dumping syndrome in the
patient after esophageal resection for cancer? A. Limit diet to clear liquids only. B. Increase
protein in diet. C. Increase simple sugars in the diet. D. Provide 8 to 10 small meals. - ANS-B.
Increase protein in diet.
The nurse includes which information in the discharge teaching plan for the patient who
sustained esophageal trauma? A. Take ordered antibiotics until your temperature is normal. B.
Limit pain medications to times of severe pain. C. Check your temperature every other day. D.
Notify your provider if increased drainage is noted from that injured area. - ANS-D. Notify your
provider if increased drainage is noted from that injured area.
The nurse provides education to a patient who has a hiatal hernia and experiences GERD after
eating. Which activity should the nurse instruct this patient to avoid? A. Lying flat after meals B.
Eating small, frequent meals that are not spicy C. Sleeping with the HOB elevated 30 degrees
D. Taking ranitidine on an empty stomach - ANS-A. Lying flat after meals
The nurse has requested a dietary consult for a patient with GERD. What statements provide
useful dietary information for this patient to manage the GERD symptoms? (Select all that
apply.) A. Maintain an ideal body weight. B. Avoid spicy foods. C. Avoid fatty foods. D. A glass
of wine after dinner will help you relax. E. A cup of peppermint will help improve digestion. -
ANS-A. Maintain an ideal body weight.
B. Avoid spicy foods.
C. Avoid fatty foods
The nurse is caring for a patient who encountered a minor esophageal injury after accidently
swallowing a piece of a chicken bone. The patient will receive medications and nutrition for 4 to
6 days by nasogastric tube to control mucosal damage and promote healing. Which of the
following actions should the nurse plan to take first when administering medications through the
nasogastric tube? A. Verify the patient's identification and explain the procedure to the patient.
B. Flush the nasogastric tube with 30 to 50 mL per hospital policy prior to administering the
medication. C. Check the provider's order. D. Prepare the medication for administration. -
ANS-C. Check the provider's order.
A nurse working in an endoscopy clinic is screening patients for the risk of developing Barrett's
esophagus. The nurse should consider which patient at greatest risk? A. The patient with a
20-year history of alcohol abuse B. The patient with a 30-pack-per-year smoking history C. The
patient who ingested lye as a child and is now 47 years old D. The patient who has had
untreated GERD for 30 years - ANS-D. The patient who has had untreated GERD for 30 years
,Which clinical manifestations will the nurse expect to find when taking care of a patient
diagnosed with oral cancer? (Select all that apply.) A. Pain radiating to the ear B. Otitis media C.
Leukoplakia D. Presence of HPV E. Nasal polyposis - ANS-A. Pain radiating to the ear
C. Leukoplakia
D. Presence of HPV
The nurse is screening patients for their risk of developing acute gastritis. The nurse should
consider which patient at greatest risk? A. A 25-year-old woman who has a vegan diet B. A
32-year-old man who takes ibuprofen daily C. A 77-year-old man who smokes D. An 80-year-old
woman who takes low-dose aspirin daily for atrial fibrillation - ANS-B. A 32-year-old man who
takes ibuprofen daily
The nurse recognizes that the treatment of H. pylori includes which medications? (Select all that
apply.) A. PPIs B. Antiemetics C. Antibiotics D. NSAIDs E. Antacids - ANS-A. PPIs
C. Antibiotics
The nurse recognizes which gastric disorder as a complication of inadequate mucosal perfusion
secondary to intense physiological stress? A. Erosive gastritis B. Chronic gastritis C. Duodenal
ulcers D. Esophageal reflux - ANS-A. Erosive gastritis
The nurse correlates which clinical manifestation to the pathophysiology of a gastric ulcer? A.
Pernicious anemia B. Constipation C. Acute epigastric pain after eating D. Hypertension -
ANS-C. Acute epigastric pain after eating
The nurse is caring for a 33-year-old woman who has been taking aspirin for back pain and has
experienced a sudden episode of tachycardia and feeling faint. She also vomited coffee-ground
emesis and passed a tarry stool but has no complaints of pain or heartburn. The patient wants
to know why there was no sign of pain as a warning signal prior to the sudden bleeding. What is
the nurse's best response? A. Pain is the most common sign of NSAID-induced gastric injury, so
the patient must have a high pain tolerance. B. NSAIDs cause damage to epithelial cells, which
inhibit the enteric nervous system response of the GI tract. C. NSAID-induced gastric injury
often is without symptoms, and life-threatening complications such as GI bleeding can occur
without warning. D. NSAIDs have anti-inflammatory and analgesic effects, preventing the
patient from feeling any pain as a warning sign. - ANS-C. NSAID-induced gastric injury often is
without symptoms, and life-threatening complications such as GI bleeding can occur without
warning.
A 67-year-old male is suspected of having a peptic ulcer. The nurse monitors for a decrease in
which diagnostic value with GI hemorrhage in this patient? A. Reticulocyte count B. Hematocrit
C. Prothrombin time D. IgG antibodies to H. pylori - ANS-B. Hematocrit
The nurse monitors for which clinical manifestations in the patient diagnosed with a duodenal
ulcer? (Select all that apply.) A. Intermittent abdominal pain, which is relieved after eating and
, taking antacids but becomes worse at night B. Nausea and vomiting C. Right upper quadrant
tenderness and is positive for occult blood in stool D. Complaints of heartburn or regurgitation
and vomiting E. Bloating and flatulence - ANS-A. Intermittent abdominal pain, which is relieved
after eating and taking antacids but becomes worse at night C. Right upper quadrant
tenderness and is positive for occult blood in stool
D. Complaints of heartburn or regurgitation and vomiting
The nurse incorporates which information into the teaching plan for a patient diagnosed with a
duodenal ulcer? A. "You will probably have increased pain after eating." B. "Smoking cigarettes
can make the PUD worse." C. "Antacids are not usually effective for the pain." D. "Eating bland
foods will aid in healing." - ANS-B. "Smoking cigarettes can make the PUD worse."
Which patient statement indicates effective teaching related to acute gastritis? A. "I will eat a
diet rich in milk and cream to decrease the secretion of hydrochloric acid." B. "I need to avoid
using aspirin or nonsteroidal medications for routine pain relief." C. "I will need to return for
yearly upper endoscopy examinations." D. "I will need to fully cook all meat, poultry, and egg
products." - ANS-B. "I need to avoid using aspirin or nonsteroidal medications for routine pain
relief."
The nurse identifies which nursing diagnosis as the highest priority for the patient admitted with
PUD and possible perforation? A. Acute pain B. Ineffective health maintenance C. Nausea D.
Impaired tissue integrity (GI) - ANS-D. Impaired tissue integrity (GI)
Following a partial gastrectomy for gastric cancer, a patient complains of nausea, abdominal
pain and cramping, and diarrhea after eating. Recognizing manifestations of dumping
syndrome, what should the nurse recommend? A. Fasting for a period of 6 to 12 hours before
meals B. Decreasing the protein content of meals C. Decreasing the amount of fluid taken at
meals and avoiding high-carbohydrate foods, including fluids such as fruit nectars D. A diet rich
in carbohydrates to maintain blood glucose levels - ANS-C. Decreasing the amount of fluid
taken at meals and avoiding high-carbohydrate foods, including fluids such as fruit nectars
Which nursing diagnosis is most appropriate for a patient admitted for acute GI bleed related to
acute gastritis? A. Imbalanced nutrition: less than body requirements B. Risk for deficient fluid
volume C. Acute pain D. Deficient knowledge - ANS-B. Risk for deficient fluid volume
The healthcare provider prescribes a combination of antibiotics for a patient with a peptic ulcer.
The patient asks you why these types of medications are being given. What is the nurse's best
response? A. "It will increase mucus production in your stomach." B. "The combination of
antibiotics will help to rid the stomach of the H. pylori bacteria." C. "This medication will help
buffer the gastric acid in your stomach." D. "It is used only as a prophylactic to prevent
colonization of bacteria in the stomach." - ANS-B. "The combination of antibiotics will help to rid
the stomach of the H. pylori bacteria."
NURS 342 EXAM 5 Davis Advantage, Davis
Advantage: Chapter 29 - Disorders of the
Esophagus, Stomach, and Small Intestine,
Med-Surg: GERD Davis Edge, Davis Ch.
56: Oral & Esophageal Disorders, DAVIS
ADVANTAGE - Exam Questions and
correct Answers 2025/2026
The nurse recognizes which risk factors for the development of stomatitis? (Select all that
apply.) A. High-fiber diet B. Radiation therapy C. Past history of skin cancer D. Poor dental
hygiene E. Smoking - ANS-B. Radiation therapy
D. Poor dental hygiene
E. Smoking
The nurse correlates which clinical manifestation to type I hiatal hernia? A. Heartburn B. GERD
C. Chest pain D. Anorexia - ANS-D. Anorexia
In preparing a patient for esophageal manometry, which content does the nurse include in
preprocedure teaching? A. This test measures the acid content in your stomach. B. This test
measures the pressure and action of the esophagus. C. This test allows a sample of the
esophagus to be obtained. D. This test is used - ANS-B. This test measures the pressure and
action of the esophagus.
Which statement by the patient undergoing external beam radiation indicates the need for
further teaching? A. "My grandchildren will not be able to visit because I will be radioactive." B.
"This therapy will hopefully decrease the size of the tumor." C. "I will have daily radiation
treatments for several weeks." D. "At least this procedure is not painful." - ANS-A. "My
grandchildren will not be able to visit because I will be radioactive."
,In caring for a patient who sustained a Le Fort fracture, the nurse monitors for which
complications? (Select all that apply.) A. TMJ pain B. Esophageal strictures C. Airway
obstruction D. Infection E. Dyspepsia - ANS-A. TMJ pain
C. Airway obstruction
D. Infection
The nurse implements which interventions to decrease the risk of dumping syndrome in the
patient after esophageal resection for cancer? A. Limit diet to clear liquids only. B. Increase
protein in diet. C. Increase simple sugars in the diet. D. Provide 8 to 10 small meals. - ANS-B.
Increase protein in diet.
The nurse includes which information in the discharge teaching plan for the patient who
sustained esophageal trauma? A. Take ordered antibiotics until your temperature is normal. B.
Limit pain medications to times of severe pain. C. Check your temperature every other day. D.
Notify your provider if increased drainage is noted from that injured area. - ANS-D. Notify your
provider if increased drainage is noted from that injured area.
The nurse provides education to a patient who has a hiatal hernia and experiences GERD after
eating. Which activity should the nurse instruct this patient to avoid? A. Lying flat after meals B.
Eating small, frequent meals that are not spicy C. Sleeping with the HOB elevated 30 degrees
D. Taking ranitidine on an empty stomach - ANS-A. Lying flat after meals
The nurse has requested a dietary consult for a patient with GERD. What statements provide
useful dietary information for this patient to manage the GERD symptoms? (Select all that
apply.) A. Maintain an ideal body weight. B. Avoid spicy foods. C. Avoid fatty foods. D. A glass
of wine after dinner will help you relax. E. A cup of peppermint will help improve digestion. -
ANS-A. Maintain an ideal body weight.
B. Avoid spicy foods.
C. Avoid fatty foods
The nurse is caring for a patient who encountered a minor esophageal injury after accidently
swallowing a piece of a chicken bone. The patient will receive medications and nutrition for 4 to
6 days by nasogastric tube to control mucosal damage and promote healing. Which of the
following actions should the nurse plan to take first when administering medications through the
nasogastric tube? A. Verify the patient's identification and explain the procedure to the patient.
B. Flush the nasogastric tube with 30 to 50 mL per hospital policy prior to administering the
medication. C. Check the provider's order. D. Prepare the medication for administration. -
ANS-C. Check the provider's order.
A nurse working in an endoscopy clinic is screening patients for the risk of developing Barrett's
esophagus. The nurse should consider which patient at greatest risk? A. The patient with a
20-year history of alcohol abuse B. The patient with a 30-pack-per-year smoking history C. The
patient who ingested lye as a child and is now 47 years old D. The patient who has had
untreated GERD for 30 years - ANS-D. The patient who has had untreated GERD for 30 years
,Which clinical manifestations will the nurse expect to find when taking care of a patient
diagnosed with oral cancer? (Select all that apply.) A. Pain radiating to the ear B. Otitis media C.
Leukoplakia D. Presence of HPV E. Nasal polyposis - ANS-A. Pain radiating to the ear
C. Leukoplakia
D. Presence of HPV
The nurse is screening patients for their risk of developing acute gastritis. The nurse should
consider which patient at greatest risk? A. A 25-year-old woman who has a vegan diet B. A
32-year-old man who takes ibuprofen daily C. A 77-year-old man who smokes D. An 80-year-old
woman who takes low-dose aspirin daily for atrial fibrillation - ANS-B. A 32-year-old man who
takes ibuprofen daily
The nurse recognizes that the treatment of H. pylori includes which medications? (Select all that
apply.) A. PPIs B. Antiemetics C. Antibiotics D. NSAIDs E. Antacids - ANS-A. PPIs
C. Antibiotics
The nurse recognizes which gastric disorder as a complication of inadequate mucosal perfusion
secondary to intense physiological stress? A. Erosive gastritis B. Chronic gastritis C. Duodenal
ulcers D. Esophageal reflux - ANS-A. Erosive gastritis
The nurse correlates which clinical manifestation to the pathophysiology of a gastric ulcer? A.
Pernicious anemia B. Constipation C. Acute epigastric pain after eating D. Hypertension -
ANS-C. Acute epigastric pain after eating
The nurse is caring for a 33-year-old woman who has been taking aspirin for back pain and has
experienced a sudden episode of tachycardia and feeling faint. She also vomited coffee-ground
emesis and passed a tarry stool but has no complaints of pain or heartburn. The patient wants
to know why there was no sign of pain as a warning signal prior to the sudden bleeding. What is
the nurse's best response? A. Pain is the most common sign of NSAID-induced gastric injury, so
the patient must have a high pain tolerance. B. NSAIDs cause damage to epithelial cells, which
inhibit the enteric nervous system response of the GI tract. C. NSAID-induced gastric injury
often is without symptoms, and life-threatening complications such as GI bleeding can occur
without warning. D. NSAIDs have anti-inflammatory and analgesic effects, preventing the
patient from feeling any pain as a warning sign. - ANS-C. NSAID-induced gastric injury often is
without symptoms, and life-threatening complications such as GI bleeding can occur without
warning.
A 67-year-old male is suspected of having a peptic ulcer. The nurse monitors for a decrease in
which diagnostic value with GI hemorrhage in this patient? A. Reticulocyte count B. Hematocrit
C. Prothrombin time D. IgG antibodies to H. pylori - ANS-B. Hematocrit
The nurse monitors for which clinical manifestations in the patient diagnosed with a duodenal
ulcer? (Select all that apply.) A. Intermittent abdominal pain, which is relieved after eating and
, taking antacids but becomes worse at night B. Nausea and vomiting C. Right upper quadrant
tenderness and is positive for occult blood in stool D. Complaints of heartburn or regurgitation
and vomiting E. Bloating and flatulence - ANS-A. Intermittent abdominal pain, which is relieved
after eating and taking antacids but becomes worse at night C. Right upper quadrant
tenderness and is positive for occult blood in stool
D. Complaints of heartburn or regurgitation and vomiting
The nurse incorporates which information into the teaching plan for a patient diagnosed with a
duodenal ulcer? A. "You will probably have increased pain after eating." B. "Smoking cigarettes
can make the PUD worse." C. "Antacids are not usually effective for the pain." D. "Eating bland
foods will aid in healing." - ANS-B. "Smoking cigarettes can make the PUD worse."
Which patient statement indicates effective teaching related to acute gastritis? A. "I will eat a
diet rich in milk and cream to decrease the secretion of hydrochloric acid." B. "I need to avoid
using aspirin or nonsteroidal medications for routine pain relief." C. "I will need to return for
yearly upper endoscopy examinations." D. "I will need to fully cook all meat, poultry, and egg
products." - ANS-B. "I need to avoid using aspirin or nonsteroidal medications for routine pain
relief."
The nurse identifies which nursing diagnosis as the highest priority for the patient admitted with
PUD and possible perforation? A. Acute pain B. Ineffective health maintenance C. Nausea D.
Impaired tissue integrity (GI) - ANS-D. Impaired tissue integrity (GI)
Following a partial gastrectomy for gastric cancer, a patient complains of nausea, abdominal
pain and cramping, and diarrhea after eating. Recognizing manifestations of dumping
syndrome, what should the nurse recommend? A. Fasting for a period of 6 to 12 hours before
meals B. Decreasing the protein content of meals C. Decreasing the amount of fluid taken at
meals and avoiding high-carbohydrate foods, including fluids such as fruit nectars D. A diet rich
in carbohydrates to maintain blood glucose levels - ANS-C. Decreasing the amount of fluid
taken at meals and avoiding high-carbohydrate foods, including fluids such as fruit nectars
Which nursing diagnosis is most appropriate for a patient admitted for acute GI bleed related to
acute gastritis? A. Imbalanced nutrition: less than body requirements B. Risk for deficient fluid
volume C. Acute pain D. Deficient knowledge - ANS-B. Risk for deficient fluid volume
The healthcare provider prescribes a combination of antibiotics for a patient with a peptic ulcer.
The patient asks you why these types of medications are being given. What is the nurse's best
response? A. "It will increase mucus production in your stomach." B. "The combination of
antibiotics will help to rid the stomach of the H. pylori bacteria." C. "This medication will help
buffer the gastric acid in your stomach." D. "It is used only as a prophylactic to prevent
colonization of bacteria in the stomach." - ANS-B. "The combination of antibiotics will help to rid
the stomach of the H. pylori bacteria."
