MSNCB Gastrointestinal Nursing 5

Question 1

A patient with peptic ulcer disease is found to be H. pylori positive. The nurse anticipates which treatment regimen?

Accepted Answer

Triple therapy: PPI plus clarithromycin plus amoxicillin for 14 days

Answer

Standard H. pylori eradication uses triple therapy with a PPI, clarithromycin, and amoxicillin for 10–14 days.

Question 2

A patient is scheduled for a barium enema. Which pre-procedure instruction is most important?

Accepted Answer

Complete a bowel prep with laxatives and clear liquid diet

Answer

Thorough bowel cleansing is essential for a barium enema to ensure adequate visualization of the colon.

Question 3

A nurse assesses a patient post-liver transplant who is receiving tacrolimus. Which finding requires immediate notification of the provider?

Accepted Answer

Serum creatinine rising from 0.9 to 2.4 mg/dL over 48 hours

Answer

A rapid rise in serum creatinine indicates tacrolimus nephrotoxicity or acute rejection, both requiring urgent evaluation.

Question 4

Which intervention best prevents aspiration when administering a tube feeding via nasogastric tube?

Accepted Answer

Verify tube placement with pH testing of aspirate before each feeding

Answer

Confirming tube placement by measuring the pH of gastric aspirate (pH ≤5.5) helps ensure the tube is in the stomach before feeding.

Question 5

A patient with a new diagnosis of Crohn's disease asks about surgical cure. The nurse's best response is:

Accepted Answer

Surgery controls complications but does not cure Crohn's disease, as it can recur

Answer

Unlike ulcerative colitis, Crohn's disease is not cured by surgery and frequently recurs at or near the anastomosis.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test