Gastroesophageal Reflux Disease Practice Test

Answer Key: 1. 2. 3. 4. 5. 6. 7. 8. 9. C B C C A A,B C A D 1) The nurse is explaining the alteration in normal function to a client recently diagnosed with gastrointestinal reflux disease (GERD). Which etiology contributing to GERD will the nurse include in the teaching session? A) Transient constriction of the lower esophageal sphincter B) Decreased pressure within the stomach C) Incompetent lower esophageal sphincter D) Prolonged constriction of the upper esophageal sphincter 2) The nurse is providing care to several clients in an outpatient clinic. Which client is at high risk of developing gastroesophageal reflux disorder (GERD)? A) A client who is 6 weeks pregnant B) A client who is morbidly obese C) A client who follows a strict vegetarian diet D) A client who drinks one glass of wine monthly 3) A pediatric client is diagnosed with gastroesophageal reflux disorder (GERD). The nurse is observing a return demonstration of the caregiver preparing and feeding the infant formula. Which observation demonstrates correct procedure for preventing GERD symptoms? A) Burping the infant after 4 ounces of formula are taken B) Thinning the formula with water prior to feeding C) Positioning the infant upright for a minimum of 30 minutes D) Warming the formula prior to feeding 4) A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale. Gastroesophageal reflux disorder (GERD) secondary to hiatal hernia is diagnosed. Based on this data, which is the priority nursing diagnosis? A) Dysfunctional Gastrointestinal Motility B) Anxiety C) Acute Pain D) Ineffective Health Maintenance 5) A client with a history of gastroesophageal reflux disorder (GERD) presents with metabolic alkalosis. Based on the data reviewed in the client's history, which medication does the nurse suspect contributed to the current diagnosis? A) Aluminum hydroxide B) Omeprazole C) Ranitidine D) Metoclopramide 6) An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure. After myocardial infarction is ruled out, the client is diagnosed with erosive esophagitis through upper GI endoscopy. The client now refuses all medications and states, "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan? Select all that apply. A) Assess the client's readiness for change in smoking cessation and weight loss. B) Interview the client and spouse for a 24-hour recall of usual food content, intake, and meal times. C) Enlist the client's son to elevate the foot of the client's bed at home 6 inches. D) Offer the client a surgical consult to reduce the necessity of medication. E) Omit the pharmacist notification of the Multidisciplinary Team meeting about the client. 7) The nurse has implemented a care plan for an adult client with gastroesophageal reflux disorder (GERD). On the next clinic visit, which statement by the client indicates adherence to the plan of care? A) "I can wear snug spandex camisoles if I feel comfortable." B) "I have switched from margaritas to wine." C) "I've lost 6 pounds because I eat every 3 hours and never before bed." D) "I take a Tums with the ranitidine to make it work better." 8) For a 9-month-old infant, which finding is inconsistent with GERD? A) Weight gain B) Vomiting C) Irritability D) Wheezing 9) In planning care for a 32-year-old pregnant client with worsening GERD in her second trimester, which teaching would be inappropriate? A) Eat smaller and more frequent meals. B) Avoid foods that are known to be triggers for GERD. C) Proton pump inhibitors (PPIs) are safe to use, with the exception of omeprazole. D) The use of antacids containing sodium bicarbonate is recommended.