NURS 623 EXAM 4 COMPREHENSIVE ACTUAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS (VERIFIED ANSWERS) | LATEST UPDATED 2026/2027 | GRADED A+ | GUARANTEED PASS.

NURS 623 EXAM 4 COMPREHENSIVE ACTUAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS (VERIFIED ANSWERS) | LATEST UPDATED 2026/2027 | GRADED A+ | GUARANTEED PASS. ⩥ 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 exam? A. Digital Rectal Exam B. Pelvic Exam C. Sexual History D. All of the above. Answer: D. All of the above ⩥ A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? A. Her age B. Flatulence C. Frequent constipation D. Colicky abdominal pain. Answer: A. Her Age ⩥ A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? A. CBC B. Urine HCG C. Barium enema D. CT. Answer: B. Urine HCG ⩥ A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her physical exam is remarkable for left lower quadrant (LLQ) tenderness. Which of the following should be considered in the differential diagnosis at this time? A. Endometriosis B. Colon Ca C. Diverticulitis D. All of the above. Answer: D. All of the above ⩥ You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate: A. Cholecystitis B. Appendicitis C. Intra-abdominal bleeding D. Prostatitis. Answer: C. Intra-abdominal bleeding ⩥ A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives. Following this, she has diarrhea for a couple of days. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? A. Obtain a complete history B. Order a barium enema. C. Schedule a Bernstein's test. D. Prescribe a trial of antispasmodics.. Answer: A. Obtain a complete history ⩥ Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant (RUQ) pain, abdominal cramping, nausea, and vomiting. Your differential diagnosis might be: A. Diverticulitis B. Gastritis C. Cholecystitis D. Appendicitis. Answer: C. Cholecystitis ⩥ A patient is seen in the office and is complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation? A. Lisinopril B. Coreg C. Linzess D. Pepto-bismol. Answer: D. Pepto-bismol ⩥ Which of the following pharmacological agents used to treat constipation may cause flatulence and bloating and requires adequate fluid intake? A. Lamictol B. Linzess C. Bulking agents D. Senna cot. Answer: C. Bulking agents ⩥ Which laxative is safe for long-term use? A. Senna cot B. Magnesium citrate C. Methylcellulose (Citrucel) D. Milk of magnesia. Answer: C. Methylcellulose ( Citrucel) ⩥ What is the most common cause of constipation? A. Holding of bowel movements B. Medication side-effect C. Dietary choices D. Lack of dietary fiber. Answer: D. Lack of dietary fiber ⩥ Simon states that he is worried because he has a bowel movement only every third day. Which response to best? A. There is no such thing as a "normal pattern of defecation." B. The accepted normal bowel pattern for people ages less than 65 years is once daily C. You should have a bowel movement at least every other day D. Do not worry. We only get concerned if you have had not had a bowel movement after seven days.. Answer: A. There is no such thing as a " normal pattern of defecation." ⩥ Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which pharmacological agent do you recommend? A. Senna cot B. OTC stool softeners C. Bulking agents D. Milk of magnesium. Answer: C. Bulking agents ⩥ ALT usually increases higher than ALT at 3 times ULN in what conditions: A. Septicemia B. HIV/AIDS C. Non alcoholic fatty liver disease D. Chronic alcoholism. Answer: C. Non Alcoholic Fatty Liver Disease ⩥ Which hepatic enzyme is elevated with alcoholic hepatic injury and in acetaminophen overdose: A. ALT B. AST C. CRP D. GGT. Answer: B. AST (Aspartate aminotransferase) ⩥ The AST & ALT levels are markedly elevated over 20 times the ULN in which condition: