2024) Multidimensional Care II\/ MDC 2
Exam| Questions and Verified Answers|
100% Correct| Grade A- Rasmussen
QUESTION
Your patient is diagnosed with peptic ulcer disease due to h.pylori. This bacterium has a unique
shape which allows it to penetrate the stomach mucosa. You know this bacterium is:
A. Rod shaped
B. Spherical shaped
C. Spiral shaped
D. Filamentous shaped
Answer:
C
QUESTION
Helicobacter pylori can live in the stomach’s acidic conditions because it secretes _<\/strong><\/em><\/strong>
which neutralizes the acid.
A. ammonia
B. urease
C. carbon dioxide
D. bicarbonate
Answer:
B
QUESTION
The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab
value will the test measure to determine if h. pylori is present?
A. Ammonia
B. Urea
C. Hydrochloric acid
D. Carbon dioxide<\/p>\n\n\n\n
Answer:
D
QUESTION
A patient arrives to the clinic for evaluation of epigastric pain. The patient describes the pain to
be relieved by food intake. In addition, the patient reports awaking in the middle of the night
with a gnawing pain in the stomach. Based on the patient’s description this appears to be what
type of peptic ulcer?
A. Duodenal
B. Gastric
C. Esophageal
D. Refractory
Answer:
A
QUESTION
A patient with chronic peptic ulcer disease underwent a gastric resection 1 month ago and is
reporting nausea, bloating, and diarrhea 30 minutes after eating. What condition is this patient
most likely experiencing?
A. Gastroparesis
B. Fascia dehiscence
C. Dumping Syndrome
D. Somogyi effect
Answer:
C
QUESTION
Thinking back to the patient in question 8, select ALL the correct statements on how to educate
this patient about decreasing their symptoms:
A. “It is best to eat 3 large meals a day rather than small frequent meals.”
B. “After eating a meal lie down for 30 minutes.”
C. “Eat a diet high in protein, fiber, and low in carbs.”
D. “Be sure to drink at least 16 oz. of milk with meals.”<\/p>\n\n\n\n
Answer: In the stomach lining, the parietal cells release _<\/em><\/strong> and the chief cells release _<\/em><\/strong><\/em><\/strong> which both play a role in peptic ulcer disease. A patient has developed a duodenal ulcer. As the nurse, you know that which of the following plays a role in peptic ulcer formation. Select ALL that apply: You’re educating a group of patients at an outpatient clinic about peptic ulcer formation. Which statement is correct about how peptic ulcers form? Your patient is diagnosed with peptic ulcer disease due to h. Pylori. This bacterium has a unique shape which allows it to penetrate the stomach mucosa. You know this bacterium is? Helicobacter pylori can live in the stomach’s acidic conditions because it secretes _<\/em><\/strong> which neutralizes the acid The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine If h.pylori is present? A patient arrives to the clinic for evaluation of gastric pain. The patient describes the pain to be relieved by food intake. In addition, the patient reports awaking in the middle of the night with a gnawing pain in the stomach. Based on the patient’s description this appears to be what type of peptic ulcer? A patient with chronic peptic ulcer disease underwent a gastric resection 1 month ago and is reporting nausea, bloating, and diarrhea 30 minutes after eating. What condition is this patient most likely experiencing? A patient has chronic ulcer disease and is experiencing dumping syndrome. Select all the correct statements on how to educate this patient about decreasing their symptoms: A patient is recovering from discomfort from a peptic ulcer. The doctor has ordered to advance the patient’s diet to solid foods. The patient’s lunch tray arrives. Which food should the patient avoid eating? Which statement is INCORRECT about Histamine-receptor blockers?<\/p>\n\n\n\n A. “H2 blockers block histamine which causes the chief cells to decrease the secretion of hydrochloric acid.” You are providing discharge teaching to a patient taking Sucralfate (Carafate). Which statement by the patient demonstrates they understand how to take this medication? Select all the medications a physician may order to treat a H. Pylori infection that is causing a peptic ulcer? A physician prescribes a Proton-Pump Inhibitor to a patient with a gastric ulcer. Which medication is considered a PPI? A patient with a peptic ulcer is suddenly vomiting dark coffee ground emesis. On assessment of the abdomen you find bloating and an epigastric mass in the abdomen. Which complication may this patient be experiencing? sources;<\/p>\n\n\n\n
B, C
QUESTION
A patient is recovering from discomfort from a peptic ulcer. The doctor has ordered to advance
the patient’s diet to solid foods. The patient’s lunch tray arrives. Which food should the patient
avoid eating?
A. Orange
B. Milk
C. White rice
D. Banana
Answer:
A
QUESTION
Which statement is INCORRECT about Histamine-receptor blockers?
A. “H2 blockers block histamine which causes the chief cells to decrease the secretion of
hydrochloric acid.”
B. “Ranitidine and Famotidine are two types of histamine-receptor blocker medications.”
C. “Antacids and H2 blockers should not be given together.”
D. All the statements are CORRECT.
Answer:
A
QUESTION
You are providing discharge teaching to a patient taking Sucralfate (Carafate). Which statement
by the patient demonstrates they understand how to take this medication?
A. “I will take this medication at the same time I take Ranitidine.”
B. “I will always take this medication on an empty stomach.”
C. “It is best to take this medication with antacids.”
D. “I will take this medication once a week.”
Answer:
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Hydrochloric acid, pepsinogen<\/p>\n\n\n\n
A. Spicy foods
B. Helicobacter pylori
C. NSAIDs
D. Milk
E. Zollinger-Ellison
Syndrome
B. Helicobacter pylori
C. NSAIDs
E. Zollinger-Ellison Syndrome<\/p>\n\n\n\n
A. “An increase in gastric acid is the sole cause of peptic ulcer formation”
B. “Peptic ulcers can form when acid penetrates unprotected stomach mucosa. This causes histamine to be released which signals to the parietal cells to release more hydrochloric acid which erodes the stomach lining further”
C. “Peptic ulcers form when acid penetrates unprotected stomach mucosa. This causes pepsin to be released which signals to the parietal cells to release more pepsinogen which erodes the stomach lining further”
D. “The release of prostaglandins cause the stomach lining to breakdown which allows ulcers to form”
B. “Peptic ulcers can form when acid penetrates unprotected stomach mucosa. This causes histamine to be released which signals to the parietal cells to release more hydrochloric acid which erodes the stomach lining further.”<\/p>\n\n\n\n
Spiral shaped<\/p>\n\n\n\n
Urease<\/p>\n\n\n\n
Carbon dioxide<\/p>\n\n\n\n
Duodenal<\/p>\n\n\n\n
Dumping syndrome<\/p>\n\n\n\n
A. “It is best to eat 3 large meals a day rather than small frequent meals.
B. “After eating a meal lie down for 30 minutes
C. ” Eat a diet high in protein, fiber, and low in carbs”
D. “Be sure to drink at least 16 oz. of milk with meals.”
B. “After eating a meal lie down for 30 minutes
C. “Eat a diet high in protein, fiber, and low in carbs.”<\/p>\n\n\n\n
A. Orange
B. Milk
C. White rice
D. Banana
A. Orange<\/p>\n\n\n\n
B. “Ranitidine and Famotidine are two types of histamine-receptor blocker medications.”
C. “Antacids and H2 blockers should not be given together
D. “All the statements are CORRECT”
A. “H2 blockers block histamine which causes the chief cells to decrease the secretion of hydrochloric acid.”<\/p>\n\n\n\n
I will take this medication on an empty stomach<\/p>\n\n\n\n
A. Proton-Pump Inhibitors
B. Antacids
C. Anticholinergics
D. 5-Aminosalicylates
E. Antibiotics
F. H2 Blockers
H. Bismuth Subsalicylates
A. Proton-Pump Inhibitors
E. Antibiotics
F. H2 Blockers
G. Bismuth Subsalicylates<\/p>\n\n\n\n
Pantaprazole<\/p>\n\n\n\n
Upper gastrointestinal bleeding<\/p>\n\n\n\n