Certified Gastroenterology RN Managing GI Health Conditions 4

Question 1

A patient is diagnosed with H. pylori infection. Which regimen does the nurse expect to be prescribed?

Accepted Answer

A PPI plus two antibiotics

Answer

H. pylori eradication requires combination therapy with a PPI and at least two antibiotics.

Question 2

Which symptom pattern is most consistent with a gastric ulcer rather than a duodenal ulcer?

Accepted Answer

Pain shortly after eating with weight loss

Answer

Gastric ulcer pain typically worsens soon after meals, leading to food avoidance and weight loss.

Question 3

A patient with short bowel syndrome after extensive ileal resection is at greatest risk for which deficiency?

Accepted Answer

Vitamin B12 deficiency

Answer

Vitamin B12 is absorbed in the terminal ileum, so ileal resection causes B12 deficiency.

Question 4

A patient with chronic pancreatitis reports bulky, foul-smelling stools. Which intervention addresses this problem?

Accepted Answer

Pancreatic enzyme replacement with meals

Answer

Steatorrhea from exocrine insufficiency is treated with pancreatic enzyme replacement taken with food.

Question 5

Which patient statement indicates correct understanding of hepatitis C transmission?

Accepted Answer

"I should not share razors or toothbrushes with my family."

Answer

Hepatitis C is bloodborne, so avoiding shared razors and toothbrushes prevents transmission.

Certified Gastroenterology RN Practice Test