MIDTERM COMPREHENSIVE NURSING
STUDY GUIDE 2026/2027 LATEST EXAM
UPDATE
A 28-year-old patient is seen in the clinic with colicky abdominal
pain particular with meals. She has frequent constipation,
flatulence, and abdominal distension. Which of the data make a
diagnosis of diverticulitis unlikely? - ✔✔✔ANSWER-Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of
the following responses to the history questions would help the
primary care physician (PCP) establish the diagnosis of irritable bowel
syndrome? - ✔✔✔ANSWER-
Which of the following dietary instructions should be given to a patient
with GERD? - ✔✔✔ANSWER-Eliminate coffee
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,The patient with GERD should be instructed to eliminate which of these
activities? - ✔✔✔ANSWER-Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of
pain is seen at what point in appendicitis? - ✔✔✔ANSWER-Very
early
. A patient is seen in the clinic with right upper quadrant pain that is
radiating to the middle of the back. The NP suspects acute cholelithiasis.
The NP should expect which of the following laboratory findings? -
✔✔✔ANSWER-Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with
irritable bowel syndrome? - ✔✔✔ANSWER-High fiber diet
A 35 year old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the
history and physical - ✔✔✔ANSWER-nature of the pain, timing of
the pain, palliative and provocative aspects, associated symptoms
(n/v).
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, A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could be
responsible for the contipation - ✔✔✔ANSWER-Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following
should be included in the patient's differential diagnosis? -
✔✔✔ANSWER-frequency, amount and fluidity, color and
characteristics. Diet history, recent travel, medication use, source of
drinking water
A 29 year old Englishman is seen in the office with complaints of pain
in his chest and belly. He has been suffering the pain for 2 weeks and
gets temporary relief from Alka-Seltzer. The burning wakes him at night
and radiates up to his chest. Which factor favors a diagnosis of gastric
ulcer - ✔✔✔ANSWER-His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - ✔
✔✔ANSWER-History and physical
A 46-year-old patient is seen in the clinic with abdominal pain.
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