10 GERD (Gastroesophageal Reflux Disease) NCLEX Questions

Question 1 of 10

A client has a serious complication of chronic acid entering the esophagus over many years. The client’s esophageal lining has pathologically changed to resemble tissue in the intestine. What is this called?

    Question 2 of 10

    CC0, public domain
    CC0, public domain

    A nurse is educating a client about their new diagnosis of pyloric stenosis. The client indicates understanding of this diagnosis when they point to which location as the site of pyloric stenosis? (Refer to image)

      Question 3 of 10

      The nurse is caring for a client who is taking esomeprazole. The nurse knows that this medication is used to treat which of the following?

        Question 4 of 10

        A client has GERD. What changes should the nurse recommend to improve symptoms? Select all that apply.

          Question 5 of 10

          A nurse is caring for a client with Zollinger-Ellison syndrome. Which interventions should be included in the plan of care? Select all that apply.

            Question 6 of 10

            A client presents to the emergency department with chest pain. The EKG and troponin labs are all within normal limits. Upon reviewing the client’s medication list, the nurse notes a medication for acid reflux. Which of the following medications is indicated for this condition?

              Question 7 of 10

              The client is scheduled for a gastric emptying study. Which of the following best describes a gastric emptying study?

                Question 8 of 10

                A nurse is planning medication administration for a client who has all of the following oral medications due at 0900: Calcium carbonate, Codeine, Levetiracetam, Metoclopramide. What is the most appropriate action by the nurse?

                  Question 9 of 10

                  The nurse is discharging a client who is newly diagnosed with GERD. Which of the following medication prescriptions indicate the presence of this condition?

                    Question 10 of 10

                    The nurse is caring for a client who is scheduled to be evaluated for possible GERD. The nurse is aware that diagnostic tests for GERD include which of the following? Select all that apply.

                      Lastly, what email should we send your results to?

                      For nursing students, understanding gastroesophageal reflux disease (GERD) is vital as it is a common gastrointestinal disorder that can significantly impact a patient's quality of life. GERD is characterized by the backward movement of gastric contents into the esophagus, often due to various factors. The causes of GERD include a relaxed or incompetent lower esophageal sphincter, pyloric stenosis, increased gastric volume, and motility disorders. To diagnose GERD, healthcare providers may perform a pH test to measure acid regurgitation and employ esophagoscopy to rule out malignancy, ensuring an accurate assessment of the condition. Assessing and managing GERD is crucial for nursing students. Key assessment points include recognizing symptoms such as heartburn, which tends to worsen when patients bend over, strain, or lie down, and differentiating it from cardiac chest pain. Other symptoms to be aware of include regurgitation, hypersalivation, difficulty swallowing, and dyspepsia (discomfort in the upper abdomen). To provide effective care, nursing students must be attentive to patient comfort, including elevating the head of the bed while sleeping and advising patients to avoid eating within two hours of bedtime to minimize symptoms. Nutrition plays a vital role in GERD management; patients should be educated to avoid foods that reduce lower esophageal sphincter tone, such as peppermint, chocolate, carbonated beverages, and fatty foods. Instead, a low-fat, high-fiber diet is recommended. Patient education is key in GERD management, emphasizing adherence to dietary instructions and the proper use of medications, including antacids, H2 receptor antagonists like famotidine, and proton pump inhibitors such as omeprazole, to control symptoms effectively and improve the patient's overall well-being.