NSG 6001 WEEK 3 MIDTERM EXAM
2024-2025 ACTUAL EXAM TEST BANK 90
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
|ALREADY GRADED A+
1. 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).
2. 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 - ANSWER
Pepto-Bismol
3. 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
4. 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
5. Which of the following is most effective in diagnosing appendicitis - ANSWER history and
physical
6. A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests
is essential for this patient? - ANSWER Urine human chorionic gonadotropin
7. 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? - ANSWER
Obtain a complete history
8. 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
, 9. 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 Recurrent abdominal pain: The patient experiences
abdominal pain or discomfort at least one day per week in the last three months
10. Which of the following dietary instructions should be given to a patient with GERD? -
ANSWER Eliminate coffee
11. The patient with GERD should be instructed to eliminate which of these activities? -
ANSWER Weight lifting
12. 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
13. 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
14. Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - ANSWER High fiber diet
15. The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment? - ANSWER Presence of pyrosis
16. A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - ANSWER Heartburn
17. 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 - ANSWER
Avoid lying down after meals
18. A client is experiencing water brash. The nurse realizes this symptom is associated with –
ANSWER Barretts esophagus
19. A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes
this medication is classified as a - ANSWER histamine H2-receptor antagonist
20. A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the following
would be indicated for this client? – ANSWER Treatment similar to a client with peptic
ulcer disease
21. 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 –
ANSWER Hep A
2024-2025 ACTUAL EXAM TEST BANK 90
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
|ALREADY GRADED A+
1. 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).
2. 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 - ANSWER
Pepto-Bismol
3. 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
4. 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
5. Which of the following is most effective in diagnosing appendicitis - ANSWER history and
physical
6. A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests
is essential for this patient? - ANSWER Urine human chorionic gonadotropin
7. 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? - ANSWER
Obtain a complete history
8. 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
, 9. 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 Recurrent abdominal pain: The patient experiences
abdominal pain or discomfort at least one day per week in the last three months
10. Which of the following dietary instructions should be given to a patient with GERD? -
ANSWER Eliminate coffee
11. The patient with GERD should be instructed to eliminate which of these activities? -
ANSWER Weight lifting
12. 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
13. 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
14. Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - ANSWER High fiber diet
15. The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment? - ANSWER Presence of pyrosis
16. A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - ANSWER Heartburn
17. 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 - ANSWER
Avoid lying down after meals
18. A client is experiencing water brash. The nurse realizes this symptom is associated with –
ANSWER Barretts esophagus
19. A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes
this medication is classified as a - ANSWER histamine H2-receptor antagonist
20. A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the following
would be indicated for this client? – ANSWER Treatment similar to a client with peptic
ulcer disease
21. 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 –
ANSWER Hep A
