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Gastrointestinal Medications practice questions verified answers /revised/24/25, Exams of Nursing

Gastrointestinal Medications practice questions verified answers /revised/24/25

Typology: Exams

2024/2025

Available from 07/14/2025

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Gastrointestinal Medications practice questions
verified answers /revised/24/25
1. The nurse explaining the actions of a stool softener should include which of the
following?
Select all that apply.
a) It causes irritation to the mucosa of the bowel, which stimulates peristalsis
b) It absorbs water, adding size to the fecal mass to stimulate defecation
c) It eliminates the need for straining
d) It lubricates the stool and the mucosa of the colon
e) It causes more water and fat to be absorbed into the stools: c) It eliminates the need for
straining
e) It causes more water and fat to be absorbed into the stools
2. The nurse would not expect to find an order for which of the following medications
on the chart of a client with acute pancreatitis?
a) Dicyclomine (Bentyl)
b) Meperidine (Demerol)
c) Insulin
d) Cimetidine (Tagamet): c) Insulin
Feedback/Rationale:
The client with acute pancreatitis might need several medications to get the disorder under control and
assist the pancreas to return to normal functioning.
3. The client has had intractable diarrhea for 2 weeks. The nurse would expect to administer
which of the following types of drug for the treatment of this condition?
a) Cathartics
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Gastrointestinal Medications practice questions

verified answers /revised/24/

  1. The nurse explaining the actions of a stool softener should include which of the following? Select all that apply. a) It causes irritation to the mucosa of the bowel, which stimulates peristalsis b) It absorbs water, adding size to the fecal mass to stimulate defecation c) It eliminates the need for straining d) It lubricates the stool and the mucosa of the colon e) It causes more water and fat to be absorbed into the stools: c) It eliminates the need for straining e) It causes more water and fat to be absorbed into the stools
  2. The nurse would not expect to find an order for which of the following medications on the chart of a client with acute pancreatitis? a) Dicyclomine (Bentyl) b) Meperidine (Demerol) c) Insulin d) Cimetidine (Tagamet): c) Insulin Feedback/Rationale: The client with acute pancreatitis might need several medications to get the disorder under control and assist the pancreas to return to normal functioning.
  3. The client has had intractable diarrhea for 2 weeks. The nurse would expect to administer which of the following types of drug for the treatment of this condition? a) Cathartics

b) Opioids c) Laxatives d) Bulk-forming agents: b) Opioids

  1. Which of the following types of laxative would be the most appropriate for the client requiring treatment for chronic constipation? a) Bulk-forming agents b) Stimulants c) Saline laxatives d) Stool softeners: a) Bulk-forming agents
  2. The nurse recognizes that the following are true statements regarding diarrhea in clients. Select all that apply a) Prolonged diarrhea can lead to electrolyte imbalances b) Diarrhea can be caused by medications the client takes to correct a medical condition c) Occasional diarrhea does not require treatment d) Diarrhea should not be treated with probiotics e) Diarrhea is not a disease: a) Prolonged diarrhea can lead to electrolyte imbal- ances b) Diarrhea can be caused by medications the client takes to correct a medical condition c) Occasional diarrhea does not require treatment d) Diarrhea should not be treated with probiotics e) Diarrhea is not a disease (all of the above)

d) It must be taken on an empty stomach: c) It must be taken with a full glass of fluid

  1. When treating a nauseated client with antiemetics, it is essential that the nurse understand which of the following principles? a) Sports drinks replace the essential ingredients lost by dehydration b) Sports drinks are an excellent substitute for antiemetics c) There are no known side effects of antiemetics d) Client safety is a concern because drowsiness is a frequent side effect: d) Client safety is a concern because drowsiness is a frequent side effect
  2. The nurse is caring for a client preparing to undergo a colonoscopy. The nurse should be prepared to give which of the following drug classes? a) Cathartics b) Antihypertensive agents c) Laxatives d) Diuretics: a) Cathartics Feedback/Rationale: A cathartic drug is used for a client preparing to undergo a colonoscopy.
  3. The nurse recognizes that a serious problem associated with nausea and vomiting is: a) Dehydration. b) Gastrointestinal (GI) infections. c) Migraine headaches. d) Diarrhea.: a) Dehydration.
  4. Which of the following pieces of dietary information should the nurse record when treating diarrhea in children?

Select all that apply. a) Weigh the child daily b) Report episodes of abdominal pain c) Record the child's hours of sleep d) Measure fluid intake, including popsicles and ice chips e) Measure the percentage of additional high fibre in the diet: a) Weigh the child daily b) Report episodes of abdominal pain d) Measure fluid intake, including popsicles and ice chips

  1. As part of the client's preparation for a colonoscopy, the nurse would prepare to administer which of the following? a) Bisacodyl (Dulcolax) b) Docusate (Colace) c) Psyllium mucilloid (Metamucil) d) Methylcellulose (Citrucel): a) Bisacodyl (Dulcolax)
  2. Which of the following should the nurse include in a teaching plan for the client receiving an antiemetic? a) Do not take an antiemetic if the cause of vomiting is unknown b) Vomiting is never a sign of a serious disorder c) Antiemetics do not cause drowsiness d) Over-the-counter (OTC) products are just as effective as prescription drugs and can be taken for longer periods: a) Do not take an antiemetic if the cause of vomiting is unknown

Feedback/Rationale: The most appropriate agent for use as an initial treatment for symptoms of GERD would be an H2- receptor blockers, such as ranitidine (Zantac). Many clients see medical attention for GERD after having tried one or several over-the-counter preparations for symptomatic control, including a number of antacids or weaker for- mulations of the H2-receptor antagonists. Cytotec does inhibit gastric acid secreti but it is usually used as prophylaxis for clients who are on high doses of nonsteroidal anti-inflammatory drugs (NSAIDs). The antacids, such as aluminum hydrochlorid and sucralfate, provide symptomatic relief but do not promote ulcer healing.

  1. Which of the following classes of peptic ulcer medications consists of alkaline combinations of aluminum hydroxide and magnesium hydroxide? a) Phenothiazine b) Antacid c) Proton pump inhibitor d) Serotonin receptor antagonist: b) Antacid
  2. The nurse understands that when a client is medicated with a bismuth compound, the drug will have which of the following actions? a) It will inhibit gastric acid secretion and stimulate the production of protec- tive mucus b) It will neutralize stomach acid by raising the pH of the stomach contents c) It will produce a thick, gel-like substance that protects the stomach from further erosion d) It will inhibit bacterial growth and prevent H. pylori from sticking to the gastric mucosa surface: d) It will inhibit bacterial growth and prevent H. pylori from sticking to the gastric mucosa surface. Feedback/Rationale: Sometimes, bismuth compounds are added to the antibiotic regimen because they inhibit bacterial growth and prevent H. pylori from adhering to the surface of the gastric mucosa. Antacids such as magnesium neutralize stomach acids and raise the pH of stomach contents. The drug miso- prostol (Cytotec) inhibits gastric acid secretions and stimulates the production of protective mucus. The drug sulrafate (Carafate) produces a gel-like substance th protects the stomach lining.
  3. The nurse teaches the client on sucralfate (Carafate) that this drug will help treat the

symptoms of gastric ulcer disease by: a) Increasing the secretion of bicarbonate. b) Killing H. pylori. c) Reducing the secretion of acid. d) Adding a gel-like protective mucus over the ulcer.: d) Adding a gel-like protective mucus over the ulcer.

  1. The nurse administering an agent that reduces acid secretion in the stom- ach by binding irreversibly to an enzyme on the parietal cells would be using an agent from which of the following classes? a) H2-receptor antagonists b) Antacids c) Serotonin receptor antagonists d) Proton pump inhibitors: d) Proton pump inhibitors
  2. The nurse administers misoprostol (Cytotec) to a client and understands that the main use of this drug is to: a) Coat the ulcer, thus preventing further erosion and promoting healing. b) Inhibit bacterial growth in the gastrointestinal tract. c) Inhibit gastric acid secretion and stimulate production of a protective mucus. d) Relieve symptoms associated with ulcers.: c) Inhibit gastric acid secretion and stimulate production of a protective mucus.
  3. In the treatment of Helicobacter pylori, the nurse must recognize that the use of two or more antibiotics is essential for which of the following reasons? a) They decrease the chances of developing duodenal ulcers b) They increase the likelihood of eliminating the redevelopment of gastric ulcers

pylori. Treating this infection while also reducing gastric acid secretion results in a higher success rate for pharmacotherapy. An antibiotic is not used to prevent the client from developing a secondary infection, nor will its use decrease inflammation of the stomach.

  1. While advising a client about the use of antacids, the nurse should include which of the following pieces of information? a) Antacids are safe even in extremely large doses b) Antacids should be used cautiously if there is any renal dysfunction c) Antacids may be used continuously d) If pain is relieved by antacids, then a serious condition does not exist: b) Antacids should be used cautiously if there is any renal dysfunction
  2. The nurse determines that it is safe to administer which medications to a client with a peptic ulcer? Select all that apply. a) Famotidine (Pepcid) b) Acetaminophen (Tylenol) c) Aspirin d) Ibuprofen (Motrin) e) Amoxicillin (Ampicillin): a) Famotidine (Pepcid) b) Acetaminophen (Tylenol) e) Amoxicillin (Ampicillin)
  3. The nurse administering an agent that reduces acid secretion in the stom- ach by binding irreversibly to an enzyme on the parietal cells would be using an agent from which of the following classes? a) H2-receptor antagonists

b) Proton pump inhibitors c) Serotonin receptor antagonists d) Antacids: b) Proton pump inhibitors

  1. Caffeinated beverages and smoking are risk factors to assess for in the development of which of the following conditions? a) Gastroesophageal reflux disease (GERD) b) Duodenal ulcers c) Peptic ulcer disease (PUD) d) Helicobacter pylori: c) Peptic ulcer disease (PUD) Feedback/Rationale: PUD risk factors include family history, blood group O, smoking tobacco, and consuming beverages that contain caffeine.
  2. Which of the following classes of peptic ulcer medications consists of alkaline combinations of aluminum hydroxide and magnesium hydroxide? a) Proton pump inhibitor b) Antacid c) Serotonin receptor antagonist d) Phenothiazine: b) Antacid
  3. Which of the following would be an appropriate outcome for a client with gastroesophageal reflux disease (GERD)? a) Stools are negative for occult blood b) Increased appetite c) One formed stool per day d) Fewer incidences of flatulence: b) Increased appetite

c) Caused by an erosion of the mucosal layer of the stomach or duodenum. d) Caused by a weakening of the lower esophageal sphincter.: d) Caused by a weakening of the lower esophageal sphincter.

  1. The client has been using an over-the-counter proton pump inhibitor for relief of gastric upset. The nurse should teach the client that appropriate administration means that the client should: a) Crush the medication. b) Take the medication 30 minutes after eating. c) Take with antacids. d) Never crush or chew the medication.: d) Never crush or chew the medication. Feedback/Rationale: The nurse should stress the importance of taking the medication before meals and not crushing, breaking, or chewing the medication.
  2. Which of the following should be included in a teaching plan for a client with peptic ulcer disease (PUD)? a) Stop smoking b) Do not be concerned about alcohol intake c) Increase roughage in the diet d) Sleep with the head of the bed flat, and with a maximum of one pillow: a) Stop smoking