Exam (elaborations) NSG 6420 QUIZZES STUDY GUIDE 2

NSG 6420 QUIZZES STUDY GUIDE 2 1 Which of the following is the most common cause of heartburn-type epigastric pain? Question 1 options: a) Decreased lower esophageal sphincter tone b) Helicobacter pylori infection of stomach c) Esophageal spasm d) Peptic ulcer disease Save Question 2 (1 point) 2 An older patient reports burning pain after ingestion of many foods and large meals. What assessment would assist the nurse practitioner in making a diagnosis of GERD? Question 2 options: a) Identification of a fluid wave b) Positive Murphy’s sign c) Palpable spleen d) Midepigastric pain that is not reproducible with palpation Save Question 3 (1 point) 3 NSG 6420 QUIZZES STUDY GUIDE 2 86 PAGES (GRADED A) Your patient complains of lower abdominal pain, anorexia, extreme fatigue, unintentional weight loss of 10 pounds in last 3 weeks, and you find a positive hemoccult on digital rectal examination. Laboratory tests show iron deficiency anemia. The clinician needs to consider: Question 3 options: a) Diverticulitis b) Colon cancer c) Appendicitis d) Peptic ulcer disease Save Question 4 (1 point) 4 A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of: Question 4 options: a) Digital rectal examination b) Endoscopy c) Pelvic examination d) Urinalysis Save Question 5 (1 point) 5 A nurse practitioner reports that your patient’s abdominal X-ray demonstrates multiple air-fluid levels in the bowel. This is a diagnostic finding found in: Question 5 options: a) Appendicitis b) Cholecystitis c) Bowel Obstruction d) Diverticulitis Save Question 6 (1 point) 6 Which of the following conditions is the most common cause of nausea, vomiting, and diarrhea? Question 6 options: a) Viral gastroenteritis b) Staphylococcal food poisoning c) Acute hepatitis A d) E coli gastroenteritis Save Question 7 (1 point) 7 A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical examination is unremarkable. It is important for the clinician to recognize the importance of: Question 7 options: a) CBC with differential b) Stool culture and sensitivity c) Abdominal X-ray d) Colonoscopy Save Question 8 (1 point) 8 A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”. On physical examination, you note ascites and caput medusa. A likely cause for the hematemesis is: Question 8 options: a) Peptic ulcer disease b) Barrett’s esophagus c) Esophageal varices d) Pancreatitis Save Question 9 (1 point) 9 An 82-year-old female presents to the emergency department with epigastric pain and weakness. She admits to having dark, tarry stools for the last few days. She reports a long history of pain due to osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain. On physical examination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely etiology of the patient’s problem is: Question 9 options: a) Mallory-Weiss tear b) Esophageal varices c) Gastric ulcer d) Colon cancer Save Question 10 (1 point) 10 When counseling clients regarding the use of antidiarrheal drugs such as Imodium anti-diarrheal and Kaopectate, the nurse practitioner advises patients to: Question 10 options: a) Use all the medication b) Do not use for possible infectious diarrhea c) Use should exceed one week for effectiveness d) These drugs provide exactly the same pharmaceutical effects Save Question 11 (1 point) 11 When teaching a group of older adults regarding prevention of gastroesophageal reflux disease symptoms, the nurse practitioner will include which of the following instructions? Question 11 options: a) Raise the head of the bed with pillows at night and chew peppermints when symptoms of heartburn begins. b) Raise the head of the bed on blocks and take the proton pump inhibitor medication at bedtime. c) Sit up for an hour after taking any medication and restrict fluid intake. d) Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before a meal. Save Question 12 (1 point) 12 In a patient presenting with suspected recurrence of diverticulitis, abdominal pain usually presents where in the abdomen? Question 12 options: a) Left upper quadrant b) Right upper quadrant c) Left lower quadrant d) Right lower quadrant Save Question 13 (1 point) 13 Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? Question 13 options: a) It is highly contagious and a mask should be worn at home. b) Treatment regimen is multiple lifetime medications. c) Treatment regimen is multiple medications taken daily for a few weeks. d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic. Save Question 14 (1 point) 14 An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He also reports occasional morning hoarseness. What should the differential include? Question 14 options: a) Atypical pneumonia b) Peptic ulcer disease c) Gastroesophageal reflux d) Mononucleosis (Epstein-Barr) Save Question 15 (1 point) 15 Which of the following findings would indicate