6/27/25, 8:20
AM
WILKES NURS 533 TEST 1 PRACTICE QUESTIONS EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
Terms in this set (210)
1. Which one of Answer: C
the following
GERD symptom is Option C: Correct. Wheezing is an
considered atypical symptom and may be a
atypical and contributing factor in certain patients
requires further with asthma.
diagnostic
evaluation?
A. Heartburn
B. Regurgitation
C. Wheezing
D. None of the
above
symptoms is
considered
atypical
2. Which of the Answer: A
following represents Option A: Correct. Dexlansoprazole can be
taken without regard to meals.
the correct order of
Option B: Incorrect. Lansoprazole should
gastric acid
be taken 30 to 60 minutes prior to a meal.
suppression from
Option C: Incorrect. Omeprazole should be
most suppression to
taken 30 to 60 minutes prior to a meal.
least suppression?
a PPI > H2RA > Antacid Option D: Incorrect. Pantoprazole should
b PPI > Antacid > H2RA be taken 30 to 60 minutes prior to a meal.
c Antacid > H2RA > PPI
d H2RA > PPI > Antacid
3. What would be Answer: D
the best initial Option A: Incorrect. The patient has
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AM
pharmacologic symptoms only once a week, so a twice-
option in addition to daily PPI is not indicated.
lifestyle Option B: Incorrect. The patient has
modification for a symptoms only once a week, so a daily PPI
patient with typical is not indicated.
GERD symptoms 1 Option C: Incorrect. The patient has
day per week? symptoms only once a week, and this is the
Pantoprazole 20 mg initial treatment, so an on-demand PPI is
BID not indicated.
Omeprazole 20 mg
daily Option D: Correct. The patient has
Lansoprazole 15 symptoms once per week and is
mg daily as receiving initial treatment, so an on-
needed for GERD demand H2RA is indicated.
symptoms (on-
demand)
Famotidine 20 mg
daily as needed for
GERD symptoms
(on-demand)
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AM
4. Which one of the Answer: A
following Option A: Correct. Dihydropyridine
medications may calcium channel blockers lower LES
worsen GERD pressure. Option B: Incorrect.
symptoms by Bisphosphonates are direct irritants to
decreasing lower esophageal mucosa. Option C: Incorrect.
esophageal NSAIDs are direct irritants to
sphincter pressure? esophageal mucosa.
Option D: Incorrect. Doxycycline is a direct
Nifedipin irritant to esophageal mucosa.
e
Alendrona
te
Naproxe
n
Doxycycl
ine
5. Which of the Answer: C
Option A: Incorrect. Calcium containing
following would be
antacids are appropriate initial
the LEAST
treatment in mild-to-moderate GERD in
appropriate
pregnancy.
medication for
Option B: Incorrect. It is appropriate to use
treating GERD in
a PPI to treat GERD in pregnant women
pregnancy?
with frequent, severe heartburn.
Calcium carbonate
Option C: Correct. Magnesium trisilicate-
tablets
containing antacids should be avoided
Esomeprazole
in pregnancy.
capsules
Option D: Incorrect. It is appropriate to
Aluminum
use a PPI to treat GERD in pregnant
hydroxide/agnesium
women with frequent, severe heartburn.
trisilicate tablets
Lansoprazole capsules
6. PPIs decrease 6. Answer: A
Option A: Correct. This is the
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AM
stomach acid by mechanism of action of the PPIs.
which of the Option B: Incorrect. This is the
following mechanism of action of the
mechanisms? H2RAs. Option C: Incorrect. This
Inhibiting gastric is the mechanism of action of
H+/K+-adenosine sucralfate.
triphosphatase in Option D: Incorrect. This is the mechanism of
action of metoclopramide.
gastric parietal cells
Inhibiting histamine-
2 receptors in gastric
parietal cells
Forming a viscous
solution that floats
on the surface of
the gastric contents
Increasing GI
motility
7. Which of the 7. Answer: D
following would be Option A: Incorrect. Prophylactic
recommended for magnesium supplementation is not
preventing indicated. Option B: Incorrect.
complications due Prophylactic sodium bicarbonate
to PPI use? supplementation is not indicated.
Magnesium Option C: Incorrect. PPI dementia is not
supplementation for well documented. Memantine would not
potential be appropriate for this indication.
hypomagnesemia Option D: Correct. PPI-associated
Sodium bicarbonate hypocalcemia would not require
supplementation for prophylactic calcium supplementation,
potential acute but it is reasonable to initiate calcium
kidney injury supplements for documented
Memantine hypocalcaemia.
prophylaxis for PPI-
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AM
WILKES NURS 533 TEST 1 PRACTICE QUESTIONS EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED LATEST UPDATE GRADED A++
Terms in this set (210)
1. Which one of Answer: C
the following
GERD symptom is Option C: Correct. Wheezing is an
considered atypical symptom and may be a
atypical and contributing factor in certain patients
requires further with asthma.
diagnostic
evaluation?
A. Heartburn
B. Regurgitation
C. Wheezing
D. None of the
above
symptoms is
considered
atypical
2. Which of the Answer: A
following represents Option A: Correct. Dexlansoprazole can be
taken without regard to meals.
the correct order of
Option B: Incorrect. Lansoprazole should
gastric acid
be taken 30 to 60 minutes prior to a meal.
suppression from
Option C: Incorrect. Omeprazole should be
most suppression to
taken 30 to 60 minutes prior to a meal.
least suppression?
a PPI > H2RA > Antacid Option D: Incorrect. Pantoprazole should
b PPI > Antacid > H2RA be taken 30 to 60 minutes prior to a meal.
c Antacid > H2RA > PPI
d H2RA > PPI > Antacid
3. What would be Answer: D
the best initial Option A: Incorrect. The patient has
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,6/27/25, 8:20
AM
pharmacologic symptoms only once a week, so a twice-
option in addition to daily PPI is not indicated.
lifestyle Option B: Incorrect. The patient has
modification for a symptoms only once a week, so a daily PPI
patient with typical is not indicated.
GERD symptoms 1 Option C: Incorrect. The patient has
day per week? symptoms only once a week, and this is the
Pantoprazole 20 mg initial treatment, so an on-demand PPI is
BID not indicated.
Omeprazole 20 mg
daily Option D: Correct. The patient has
Lansoprazole 15 symptoms once per week and is
mg daily as receiving initial treatment, so an on-
needed for GERD demand H2RA is indicated.
symptoms (on-
demand)
Famotidine 20 mg
daily as needed for
GERD symptoms
(on-demand)
2/92
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AM
4. Which one of the Answer: A
following Option A: Correct. Dihydropyridine
medications may calcium channel blockers lower LES
worsen GERD pressure. Option B: Incorrect.
symptoms by Bisphosphonates are direct irritants to
decreasing lower esophageal mucosa. Option C: Incorrect.
esophageal NSAIDs are direct irritants to
sphincter pressure? esophageal mucosa.
Option D: Incorrect. Doxycycline is a direct
Nifedipin irritant to esophageal mucosa.
e
Alendrona
te
Naproxe
n
Doxycycl
ine
5. Which of the Answer: C
Option A: Incorrect. Calcium containing
following would be
antacids are appropriate initial
the LEAST
treatment in mild-to-moderate GERD in
appropriate
pregnancy.
medication for
Option B: Incorrect. It is appropriate to use
treating GERD in
a PPI to treat GERD in pregnant women
pregnancy?
with frequent, severe heartburn.
Calcium carbonate
Option C: Correct. Magnesium trisilicate-
tablets
containing antacids should be avoided
Esomeprazole
in pregnancy.
capsules
Option D: Incorrect. It is appropriate to
Aluminum
use a PPI to treat GERD in pregnant
hydroxide/agnesium
women with frequent, severe heartburn.
trisilicate tablets
Lansoprazole capsules
6. PPIs decrease 6. Answer: A
Option A: Correct. This is the
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AM
stomach acid by mechanism of action of the PPIs.
which of the Option B: Incorrect. This is the
following mechanism of action of the
mechanisms? H2RAs. Option C: Incorrect. This
Inhibiting gastric is the mechanism of action of
H+/K+-adenosine sucralfate.
triphosphatase in Option D: Incorrect. This is the mechanism of
action of metoclopramide.
gastric parietal cells
Inhibiting histamine-
2 receptors in gastric
parietal cells
Forming a viscous
solution that floats
on the surface of
the gastric contents
Increasing GI
motility
7. Which of the 7. Answer: D
following would be Option A: Incorrect. Prophylactic
recommended for magnesium supplementation is not
preventing indicated. Option B: Incorrect.
complications due Prophylactic sodium bicarbonate
to PPI use? supplementation is not indicated.
Magnesium Option C: Incorrect. PPI dementia is not
supplementation for well documented. Memantine would not
potential be appropriate for this indication.
hypomagnesemia Option D: Correct. PPI-associated
Sodium bicarbonate hypocalcemia would not require
supplementation for prophylactic calcium supplementation,
potential acute but it is reasonable to initiate calcium
kidney injury supplements for documented
Memantine hypocalcaemia.
prophylaxis for PPI-
4/92
