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 contipation
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 crampy 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
Barretts 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
The nurse realizes that the organ which is a major site for metastases, harboring
and growing cancerous cells that originated in some other part of the body, is the
liver
Because health care workers are at a greater risk of hepatitis B infection, it is
recommended that all health care workers
become vaccinated
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 contipation
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 crampy 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
Barretts 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
The nurse realizes that the organ which is a major site for metastases, harboring
and growing cancerous cells that originated in some other part of the body, is the
liver
Because health care workers are at a greater risk of hepatitis B infection, it is
recommended that all health care workers
become vaccinated
