Upper GI Disorders NCLEX Review Quiz
Test your knowledge of upper gastrointestinal disorders, complications, and nursing interventions with this challenging NCLEX-style quiz.
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Quiz Questions & Answers
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Question 1: A patient with GERD is receiving discharge teaching. Which instruction should be prioritized?
Sleep with two extra pillows at night
Elevate head of bed 4-6 inches with blocks
Eat three large meals daily
Wait 1 hour after eating before lying down
Question 2: Which finding is most indicative of a perforated peptic ulcer requiring immediate intervention?
Intermittent epigastric pain
Nausea and vomiting
Board-like, rigid abdomen
Tarry stools
Question 3: A patient with esophageal varices has a Sengstaken-Blakemore tube. What item must be kept at the bedside?
Suction equipment
Scissors
Oxygen mask
Blood pressure cuff
Question 4: Which characteristic distinguishes gastric ulcers from duodenal ulcers?
Pain occurs immediately after eating
Pain occurs only at night
Pain improves with eating
Pain is unrelated to eating
Question 5: A patient with dumping syndrome should be taught to:
Drink fluids with meals
Eat meals high in simple carbohydrates
Remain upright after meals
Lay down for 30 minutes after meals
Question 6: When should a Proton Pump Inhibitor (PPI) be taken for maximum effectiveness?
At bedtime
30 minutes before first meal
With meals
2 hours after meals
Question 7: A patient vomits bright red blood. What is the first nursing priority?
Check vital signs
Maintain airway
Start IV fluids
Notify physician
Question 8: When should oral intake be resumed after an EGD procedure?
Immediately after procedure
When gag reflex returns
After 2 hours
When patient requests
Question 9: Which GERD trigger food should be specifically avoided at bedtime?
Peppermint
Citrus fruits
White bread
Plain rice
Question 10: What is the primary treatment approach for H. pylori-associated ulcers?
Antacids only
Triple therapy
Surgery
Dietary modification alone
Question 11: When should medications be taken in relation to antacids?
1-2 hours apart
Together
30 minutes apart
4 hours apart
Question 12: What is the correct timing for taking Sucralfate?
With meals
1 hour before meals and bedtime
After meals only
Only at bedtime
Question 13: A patient with dumping syndrome should avoid which type of meal?
High in protein
High in carbohydrates
High in fat
High in fiber
Question 14: What is the most serious potential complication of long-term PPI use?
Kidney stones
Osteoporosis
Liver damage
Anemia
Question 15: In esophageal varices, what size IV access should be established?
Small-bore
Large-bore
Midline catheter
PICC line