A 45-year-old patient presents to the emergency department with epigastric pain, nausea, and occasional vomiting. The patient's history reveals chronic NSAID use for osteoarthritis. Laboratory tests indicate normal liver function but show the presence of Helicobacter pylori antibodies. Which of the following is the most likely diagnosis?

Peptic ulcer disease

Acute gastritis due to NSAID use

Functional dyspepsia

Chronic gastritis due to Helicobacter pylori infection

Answer and Explanation

The Correct Answer is D

A.   Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B.   Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C.   Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D.   Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Almond milk can be a good source of calcium, but it is often lower in calcium compared to dairy products unless fortified.
B. Low-fat milk is an excellent source of calcium and is also easy for most people to digest.
C. Whole milk contains calcium, but it is higher in fat, which is not ideal for individuals at risk for osteoporosis.
D. Soy milk can be a good source of calcium if fortified, but it does not always contain as much calcium as low-fat milk.

A. Dyspnea B. Dysesthesia C. Dyspepsia D. Dysarthria

Correct Answer is C

Explanation

A. Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B. Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C. Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D. Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is at risk for osteoporosis. The nurse should instruct the client that which of the following foods is the best source of calcium?

Correct Answer is B

Explanation

A nurse is caring for a client in the primary care office who states, "I think I have been experiencing symptoms of reflux." Which of the following manifestations should the nurse anticipate for a client who has GERD?

Correct Answer is C

Explanation

A patient is diagnosed with acute gastritis. Which of the following interventions and assessments should the nurse consider to effectively manage this condition? (Select All that Apply.)

A nurse is reviewing oxygen therapy with a group of new graduates. Which of the following statements indicate a correct understanding of oxygen therapy? (Select All that Apply.)

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia?

A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

A patient with a severe bacterial infection has been prescribed a continuous IV infusion of an antibiotic at a rate of 5 mg/kg/hour. The patient weighs 72 kg. The pharmacy provides the antibiotic in a concentration of 400 mg/100 mL what will be the infusion rate?

A 68-year-old male patient presents with symptoms of benign prostatic hyperplasia (BPH). Which findings are consistent with BPH? (Select All that Apply.)

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

A nurse is caring for a client who is being evaluated for multiple sclerosis. Which of the following tests should the nurse anticipate the provider will order to assist with diagnosis?