NSG555 / NSG 555 Exam 3 (Latest 2025/
2026 Update): Nurse Practitioners in
Primary Care I | Complete Guide with
Questions and Verified Answers | All Modules
Covered | 100% Correct | Grade A - Wilkes
Questions 1–50: NSG555 Nurse Practitioners in Primary
Care I Exam 3
Gastrointestinal Disorders
1. What is a hallmark symptom of gastroesophageal reflux disease (GERD)?
A. Hematochezia
B. Heartburn and regurgitation
C. Right lower quadrant pain
D. Jaundice
Answer: Heartburn and regurgitation
Rationale: GERD is characterized by heartburn and regurgitation due to acid reflux into
the esophagus. Hematochezia, RLQ pain, and jaundice are unrelated.
2. What is a first-line treatment for GERD?
A. Antibiotics
B. Proton pump inhibitors (PPIs)
C. Beta-blockers
D. Diuretics
Answer: Proton pump inhibitors (PPIs)
Rationale: PPIs (e.g., omeprazole) reduce acid production, alleviating GERD symptoms
and promoting esophageal healing.
3. What lifestyle modification is recommended for GERD? (Select all that apply)
A. Elevate head of bed
B. Avoid trigger foods
C. Increase alcohol intake
D. Eat small, frequent meals
E. Smoke to relax
, Answer: Elevate head of bed, Avoid trigger foods, Eat small, frequent meals
Rationale: Elevating the head of the bed, avoiding trigger foods (e.g., caffeine, spicy
foods), and eating small meals reduce reflux. Alcohol and smoking exacerbate GERD.
4. What diagnostic test confirms irritable bowel syndrome (IBS)?
A. Colonoscopy
B. Stool culture
C. Clinical diagnosis based on Rome IV criteria
D. Abdominal CT scan
Answer: Clinical diagnosis based on Rome IV criteria
Rationale: IBS is diagnosed clinically using Rome IV criteria (recurrent abdominal pain
with altered bowel habits). Colonoscopy or CT may rule out other conditions.
5. What is a potential complication of untreated GERD?
A. Barrett’s esophagus
B. Osteoporosis
C. Pneumonia
D. Renal failure
Answer: Barrett’s esophagus
Rationale: Chronic GERD can lead to Barrett’s esophagus, a precancerous condition due
to esophageal mucosal changes.
Genitourinary Conditions
6. What is a common symptom of urinary tract infection (UTI) in females?
A. Dysuria
B. Chest pain
C. Joint stiffness
D. Visual disturbances
Answer: Dysuria
Rationale: Dysuria (painful urination) is a hallmark symptom of UTI, caused by bladder
inflammation.
7. What is the first-line treatment for uncomplicated UTI?
A. Amoxicillin
B. Nitrofurantoin
C. Fluconazole
D. Acyclovir
Answer: Nitrofurantoin
Rationale: Nitrofurantoin is first-line for uncomplicated UTI due to its efficacy against
common uropathogens like E. coli.
2026 Update): Nurse Practitioners in
Primary Care I | Complete Guide with
Questions and Verified Answers | All Modules
Covered | 100% Correct | Grade A - Wilkes
Questions 1–50: NSG555 Nurse Practitioners in Primary
Care I Exam 3
Gastrointestinal Disorders
1. What is a hallmark symptom of gastroesophageal reflux disease (GERD)?
A. Hematochezia
B. Heartburn and regurgitation
C. Right lower quadrant pain
D. Jaundice
Answer: Heartburn and regurgitation
Rationale: GERD is characterized by heartburn and regurgitation due to acid reflux into
the esophagus. Hematochezia, RLQ pain, and jaundice are unrelated.
2. What is a first-line treatment for GERD?
A. Antibiotics
B. Proton pump inhibitors (PPIs)
C. Beta-blockers
D. Diuretics
Answer: Proton pump inhibitors (PPIs)
Rationale: PPIs (e.g., omeprazole) reduce acid production, alleviating GERD symptoms
and promoting esophageal healing.
3. What lifestyle modification is recommended for GERD? (Select all that apply)
A. Elevate head of bed
B. Avoid trigger foods
C. Increase alcohol intake
D. Eat small, frequent meals
E. Smoke to relax
, Answer: Elevate head of bed, Avoid trigger foods, Eat small, frequent meals
Rationale: Elevating the head of the bed, avoiding trigger foods (e.g., caffeine, spicy
foods), and eating small meals reduce reflux. Alcohol and smoking exacerbate GERD.
4. What diagnostic test confirms irritable bowel syndrome (IBS)?
A. Colonoscopy
B. Stool culture
C. Clinical diagnosis based on Rome IV criteria
D. Abdominal CT scan
Answer: Clinical diagnosis based on Rome IV criteria
Rationale: IBS is diagnosed clinically using Rome IV criteria (recurrent abdominal pain
with altered bowel habits). Colonoscopy or CT may rule out other conditions.
5. What is a potential complication of untreated GERD?
A. Barrett’s esophagus
B. Osteoporosis
C. Pneumonia
D. Renal failure
Answer: Barrett’s esophagus
Rationale: Chronic GERD can lead to Barrett’s esophagus, a precancerous condition due
to esophageal mucosal changes.
Genitourinary Conditions
6. What is a common symptom of urinary tract infection (UTI) in females?
A. Dysuria
B. Chest pain
C. Joint stiffness
D. Visual disturbances
Answer: Dysuria
Rationale: Dysuria (painful urination) is a hallmark symptom of UTI, caused by bladder
inflammation.
7. What is the first-line treatment for uncomplicated UTI?
A. Amoxicillin
B. Nitrofurantoin
C. Fluconazole
D. Acyclovir
Answer: Nitrofurantoin
Rationale: Nitrofurantoin is first-line for uncomplicated UTI due to its efficacy against
common uropathogens like E. coli.
