Med Surg Davis Advantage Exam
Questions with correct Answers 2025/2026
A+ Graded.
Which client is most likely to be at risk for developing gastroesophageal reflux disease? -
ANS-25-year-old pregnant woman
Which foods should be avoided in a client who has already been diagnosed with
gastroesophageal reflux disease? Select all that apply. - ANS-- Chocolate
- Beer
- Caffeinated coffee
- Peppermint gum
Which of these symptoms would the nurse expect to find in a client with gastroesophageal reflux
disease? Select all that apply. - ANS-- Atypical chest pain
- Sleep issues
- Adult-onset asthma
- Laryngitis
In working with clients who have been diagnosed with gastroesophageal reflux disease, which
statement is accurate related to the use of proton pump inhibitors as therapeutic treatment? -
ANS-Tolerance is unlikely.
Which medication option would have a longer duration of action in treating the clinical condition
of gastroesophageal reflux disease? - ANS-Proton pump inhibitors
Which medication can help to decrease the gag reflex if administered to a patient with
stomatitis? - ANS-Viscous lidocaine
A nurse is teaching a patient with stomatitis about the precautionary measures that can promote
rapid healing. Which comments by the patient indicate a need for further teaching? Select all
that apply. - ANS-- "I should use a hard-bristled toothbrush to clean the mouth."
- "I should use lemon-glycerin swabs to clean the mouth."
- "I should limit intake of protein-rich foods in the diet."
Which clinical manifestations should a nurse look for in a patient with type II hiatal hernia?
Select all that apply.
Feeling full after eating - ANS-- Feeling full after eating
- Chest pain like angina
- Feeling of suffocation
, Which action taken by the nurse may cause aspiration in a patient with oral cancer? -
ANS-Lowering the head of the bed
Which is true regarding leukoplakia? - ANS-It looks like nonremovable, slightly raised, sharply
rounded white plaques.
A nurse is reviewing the risk factors that may increase the risk for developing esophageal
cancer. Which risk factor listed indicates a need for further training? - ANS-Weight loss
Which is true regarding xerostomia? Select all that apply. - ANS-- It occurs in patients receiving
significant radiation exposure to the salivary glands during radiotherapy.
- It is a symptom of several diseases as well as a side effect of many different medications.
- It may be caused by removal of the salivary glands, dehydration, and diabetes.
Which is true regarding H2 receptor antigen antagonists in treating gastroesophageal reflux
disease? Select all that apply. - ANS-- Some patients may develop a tolerance.
- They reduce acid production longer than antacids but are slower to take effect.
- They decrease acid production of parietal cells in the stomach lining by blocking histamine 2 at
one of the first steps of acid production.
Which is true of the action of proton pump inhibitors (PPIs) in treating gastroesophageal reflux
disease? - ANS-They block gastric acid production.
The nurse performs an assessment and sees this. (White film over tongue) What could cause
this condition? - ANS-Immune suppression
*****The nurse is caring for a client experiencing dark stools with a positive Hemoccult test. The
client is being prepared for an esophageal gastroduodenoscopy to rule out peptic ulcers. The
client is anxious and asks where peptic ulcers are located. What should the nurse include in the
response? Select all that apply. - ANS-- Stomach
- Duodenum
*****Questions 16-20 review again to make sure they are correct *******
*****The nurse asks a client with gastric ulcers to describe his symptoms. Which symptoms
should the nurse anticipate? Select all that apply. - ANS-- Burning pain aggravated by eating
- Midline epigastric pain
- Pain radiation to the right shoulder
- Exacerbation and remission of symptoms
****The nurse is caring for a client who has peptic ulcer disease. Which abnormal labs may be
related to the condition? Select all that apply. - ANS-- Anemia
- H. pylori
Questions with correct Answers 2025/2026
A+ Graded.
Which client is most likely to be at risk for developing gastroesophageal reflux disease? -
ANS-25-year-old pregnant woman
Which foods should be avoided in a client who has already been diagnosed with
gastroesophageal reflux disease? Select all that apply. - ANS-- Chocolate
- Beer
- Caffeinated coffee
- Peppermint gum
Which of these symptoms would the nurse expect to find in a client with gastroesophageal reflux
disease? Select all that apply. - ANS-- Atypical chest pain
- Sleep issues
- Adult-onset asthma
- Laryngitis
In working with clients who have been diagnosed with gastroesophageal reflux disease, which
statement is accurate related to the use of proton pump inhibitors as therapeutic treatment? -
ANS-Tolerance is unlikely.
Which medication option would have a longer duration of action in treating the clinical condition
of gastroesophageal reflux disease? - ANS-Proton pump inhibitors
Which medication can help to decrease the gag reflex if administered to a patient with
stomatitis? - ANS-Viscous lidocaine
A nurse is teaching a patient with stomatitis about the precautionary measures that can promote
rapid healing. Which comments by the patient indicate a need for further teaching? Select all
that apply. - ANS-- "I should use a hard-bristled toothbrush to clean the mouth."
- "I should use lemon-glycerin swabs to clean the mouth."
- "I should limit intake of protein-rich foods in the diet."
Which clinical manifestations should a nurse look for in a patient with type II hiatal hernia?
Select all that apply.
Feeling full after eating - ANS-- Feeling full after eating
- Chest pain like angina
- Feeling of suffocation
, Which action taken by the nurse may cause aspiration in a patient with oral cancer? -
ANS-Lowering the head of the bed
Which is true regarding leukoplakia? - ANS-It looks like nonremovable, slightly raised, sharply
rounded white plaques.
A nurse is reviewing the risk factors that may increase the risk for developing esophageal
cancer. Which risk factor listed indicates a need for further training? - ANS-Weight loss
Which is true regarding xerostomia? Select all that apply. - ANS-- It occurs in patients receiving
significant radiation exposure to the salivary glands during radiotherapy.
- It is a symptom of several diseases as well as a side effect of many different medications.
- It may be caused by removal of the salivary glands, dehydration, and diabetes.
Which is true regarding H2 receptor antigen antagonists in treating gastroesophageal reflux
disease? Select all that apply. - ANS-- Some patients may develop a tolerance.
- They reduce acid production longer than antacids but are slower to take effect.
- They decrease acid production of parietal cells in the stomach lining by blocking histamine 2 at
one of the first steps of acid production.
Which is true of the action of proton pump inhibitors (PPIs) in treating gastroesophageal reflux
disease? - ANS-They block gastric acid production.
The nurse performs an assessment and sees this. (White film over tongue) What could cause
this condition? - ANS-Immune suppression
*****The nurse is caring for a client experiencing dark stools with a positive Hemoccult test. The
client is being prepared for an esophageal gastroduodenoscopy to rule out peptic ulcers. The
client is anxious and asks where peptic ulcers are located. What should the nurse include in the
response? Select all that apply. - ANS-- Stomach
- Duodenum
*****Questions 16-20 review again to make sure they are correct *******
*****The nurse asks a client with gastric ulcers to describe his symptoms. Which symptoms
should the nurse anticipate? Select all that apply. - ANS-- Burning pain aggravated by eating
- Midline epigastric pain
- Pain radiation to the right shoulder
- Exacerbation and remission of symptoms
****The nurse is caring for a client who has peptic ulcer disease. Which abnormal labs may be
related to the condition? Select all that apply. - ANS-- Anemia
- H. pylori
