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Final Exam Review – 100+ Questions with Verified Answers | NURS 623 | Nursing | GI, GU, MSK, Neuro, Psych, Endocrine

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This detailed and high-value study guide contains 100+ clinically relevant, exam-grade questions with verified answers for the NURS 623 Final Exam, intended for the 2025/2026 academic year. The material spans multiple body systems and conditions, making it an essential revision tool for comprehensive final exams in advanced nursing practice. Core systems covered include Gastrointestinal (GI), Genitourinary (GU), Neurological, Musculoskeletal (MSK), Endocrine, and Psychiatric. Specific topics addressed range from abdominal assessment, liver function interpretation, constipation pharmacology, IBS, appendicitis, and cholelithiasis to prostate conditions, erectile dysfunction, urinary incontinence, and testicular torsion. Neurological and MSK content includes conditions like fibromyalgia, carpal tunnel syndrome, osteoarthritis, gout, herniated discs, low back pain, and meniscal injuries, while mental health questions address grief stages, depression, GAD, PTSD, and behavioral change strategies. The endocrine and hematology sections include topics on osteoporosis (diagnosis, bisphosphonates), iron deficiency anemia, and hormonal imbalances. The format ensures students grasp not only key facts but also clinical reasoning and application of knowledge in practice, with decision-making scenarios, differential diagnosis, and evidence-based treatments. This document is ideal for students enrolled in: Bachelor of Science in Nursing (BSN) Master of Science in Nursing (MSN) Family Nurse Practitioner (FNP) or Adult-Gero NP programs Courses in Primary Care, Advanced Pathophysiology, Clinical Diagnosis, or Comprehensive Health Assessment Allied health learners preparing for multi-system exams Essential for final exam review, clinical board prep (including ANCC/AANP), and OSCE training. Keywords: GI assessment, abdominal pain, constipation drugs, cholelithiasis, diverticulitis, prostate cancer, erectile dysfunction, testicular torsion, depression, GAD, PTSD, osteoporosis, fibromyalgia, back pain, herniated disc, osteoarthritis, NURS 623, final exam questions, nursing review, comprehensive systems exam

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NURS 623 Final 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+



Q-The proper order of assessing the abdomen is - 🧠 ANSWER

✔✔inspection, auscultation, percussion, palpation.


When percussing the abdomen, hyperresonance is present: - 🧠 ANSWER

✔✔When there is gaseous distention


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

exam?

A. Digital Rectal Exam

B. Pelvic Exam

C. Sexual History

,D. All of the above - 🧠 ANSWER ✔✔D. All of the above


A 28-year-old patient is seen in the clinic with colicky abdominal pain,

particularly with meals. She has frequent constipation, flatulence, and

abdominal distension. Which of the data make a diagnosis of diverticulitis

unlikely?

A. Her age

B. Flatulence

C. Frequent constipation


D. Colicky abdominal pain - 🧠 ANSWER ✔✔A. Her Age


A 25-year-old accountant is seen in the clinic complaining of crampy

abdominal pain after meals. She is often constipated and takes laxatives.

Following this, she has diarrhea for a couple of days. 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?




A. Obtain a complete history

,B. Order a barium enema.

C. Schedule a Bernstein's test.


D. Prescribe a trial of antispasmodics. - 🧠 ANSWER ✔✔A. Obtain a

complete history

A 46-year-old female patient is seen in the clinic with abdominal pain.

Which of the following tests is essential for this patient?

A. CBC

B. Urine HCG

C. Barium enema


D. CT - 🧠 ANSWER ✔✔B. Urine HCG


A patient is seen in the clinic with right upper quadrant (RUQ) pain that is

radiating to the middle of the back. The clinician suspects acute

cholelithiasis. The clinician should expect which of the following laboratory

findings?

A. Decreased ALT and AST

B. Elevated alkaline phosphatase

C. Elevated indirect bili


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, D. Decreased WBC - 🧠 ANSWER ✔✔B. Elevated alkaline phosphatase


A 45-year-old patient presents with a chief complaint of generalized

abdominal pain. Her physical exam is remarkable for left lower quadrant

(LLQ) tenderness. Which of the following should be considered in the

differential diagnosis at this time?

A. Endometriosis

B. Colon Ca

C. Diverticulitis


D. All of the above - 🧠 ANSWER ✔✔D. All of the above


You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign

may indicate: - 🧠 ANSWER ✔✔Intra-abdominal bleeding


Marian, age 52, is obese. She complains of a rapid onset of severe right

upper quadrant

abdominal cramping pain, nausea, and vomiting. Your differential diagnosis

might be - 🧠 ANSWER ✔✔cholecystitis.


Most common cause of constipation - 🧠 ANSWER ✔✔lack of dietary fiber

(RDA=30g)

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