Hiatal Hernia & GERD
Diverticulitis & IBD
Gastritis & PUD
Acute Abdominal Emergencies
Nutrition Support & Liver Disorders
100

This position helps reduce reflux symptoms when sleeping.

What is elevating the head of the bed?

100

This condition describes the presence of diverticula without inflammation.

What is diverticulosis?

100

The most common cause of non‑erosive acute gastritis worldwide.

What is Helicobacter pylori infection? (H. Pylori)

100

Sudden relief of abdominal pain in appendicitis suggests this complication.

What is rupture of the appendix?

100

Enteral nutrition is preferred over parenteral nutrition for this reason.

What is decreased infection risk and maintenance of GI integrity?

200

This class of medication is commonly prescribed to decrease gastric acid production in GERD.

What are proton pump inhibitors (PPIs)?

200

The most common location of pain in diverticulitis is this abdominal quadrant.

What is the left lower quadrant?

200

Black, tarry stools in a patient with gastritis indicate this complication.

What is gastrointestinal bleeding (melena)?

200

Initial pain of appendicitis often starts in this anatomical region.

What is the periumbilical area?

200

The most common metabolic complication of TPN related to dextrose.

What is hyperglycemia?

300

This diagnostic test can identify both GERD complications and hiatal hernia.

What is an upper endoscopy (EGD)?

300

This imaging study is preferred to diagnose acute diverticulitis.

What is an abdominal CT scan with contrast?

300

This lab test is important to monitor when a patient with PUD has bleeding.

What is a CBC (hemoglobin/hematocrit)?

300

High‑pitched bowel sounds are typically heard early in this condition.

What is small bowel obstruction?

300

This medication is given to reduce ammonia levels in hepatic encephalopathy.

What is lactulose?

400

Teaching for a patient with GERD includes avoiding these foods and beverages. (Must give 3 correct answers)

What are alcohol, coffee, chocolate, citrus, spicy and fried foods?

400

This life‑threatening complication of ulcerative colitis presents with fever, severe pain, and bloody diarrhea.

What is toxic megacolon?

400

Sudden severe abdominal pain with absent bowel sounds in PUD suggests this emergency.

What is perforation with peritonitis?

400

The priority intervention for a patient with SBO and vomiting.

What is keeping the patient NPO with NG tube decompression?

400

This assessment finding indicates worsening hepatic encephalopathy.

What is confusion or asterixis (flapping tremor)?

500

Which nursing interventions are appropriate for a patient with GERD? SATA!

  • Encourage small, frequent meals
  • Sit upright for 30 minutes after meals
  • Administer PPIs as prescribed
  • Encourage weight loss if obese
  • Encourage small, frequent meals
  • Sit upright for 30 minutes after meals-WRONG
  • Administer PPIs as prescribed
  • Encourage weight loss if obese

*Sit up right at LEAST 2-3 hours after meals.

500

Appropriate nursing care for acute diverticulitis includes which interventions? (Select all that apply)

  • Encourage rest
  • Administer prescribed antibiotics
  • Monitor WBC count
  • Maintain IV hydration
  • High‑fiber diet during acute inflammation
  • Encourage rest
  • Administer prescribed antibiotics
  • Monitor WBC count
  • Maintain IV hydration
  • High‑fiber diet during acute inflammation-WRONG

Clear Liquid diet during acute inflammation to rest the colon. 

500

Which nursing interventions are appropriate for a patient with PUD? (Select all that apply)✅ Answers:

  • Avoid NSAIDs
  • Administer PPIs or H2 blockers
  • Alcohol and caffeine
  • Monitor for bleeding
  • Encourage smoking cessation

❌ Avoid: Alcohol and caffeine

  • Avoid NSAIDs
  • Administer PPIs or H2 blockers
  • Alcohol and caffeine-WRONG
  • Monitor for bleeding
  • Encourage smoking cessation


500

Which findings require immediate provider notification during acute abdominal emergencies?

(Must correctly list 2)

  • Rigid, board‑like abdomen
  • Absent bowel sounds
  • Sudden severe abdominal pain
  • Signs of shock
500

Nursing priorities for a patient with cirrhosis include?

  • Daily weights and abdominal girth measurements
  • Low‑sodium diet
  • Monitor mental status frequently
  • Administer diuretics and lactulose as prescribed