NSG 6001 Week 3 Midterm Exam 2023 Questions and
Answers with complete solution
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?
nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms
(n/v).
A patient comes to the office complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation
Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in
the patient's differential diagnosis?
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
His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis?
History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests
is essential for this patient?
Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of cramp abdominal pain after
meals. She is often constipated and takes laxatives, which are followed by a couple of days
of diarrhea. 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?
Obtain a complete history
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?
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?
, Which of the following dietary instructions should be given to a patient with GERD?
Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities?
Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what
point in appendicitis?
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?
Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment?
Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently?
Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the
symptoms. Which of the following should be included in these instructions?
Avoid lying down after meals
. A client is experiencing water brash. The nurse realizes this symptom is associated with
Barrett’s esophagus
. A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a
histamine H2-receptor antagonist
A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the
following would be indicated for this client?
Treatment similar to a client with peptic ulcer disease
A child care worker complains of flu-like symptoms. On further assessment, hepatitis is
suspected. The nurse realizes that this individual is at risk for which type of hepatitis
Hep A
When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is
giving lactulose
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to
assess for is:
bleeding
Answers with complete solution
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?
nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms
(n/v).
A patient comes to the office complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation
Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in
the patient's differential diagnosis?
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
His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis?
History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests
is essential for this patient?
Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of cramp abdominal pain after
meals. She is often constipated and takes laxatives, which are followed by a couple of days
of diarrhea. 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?
Obtain a complete history
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?
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?
, Which of the following dietary instructions should be given to a patient with GERD?
Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities?
Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what
point in appendicitis?
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?
Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment?
Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently?
Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the
symptoms. Which of the following should be included in these instructions?
Avoid lying down after meals
. A client is experiencing water brash. The nurse realizes this symptom is associated with
Barrett’s esophagus
. A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a
histamine H2-receptor antagonist
A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the
following would be indicated for this client?
Treatment similar to a client with peptic ulcer disease
A child care worker complains of flu-like symptoms. On further assessment, hepatitis is
suspected. The nurse realizes that this individual is at risk for which type of hepatitis
Hep A
When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is
giving lactulose
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to
assess for is:
bleeding
