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NSG 6001 WEEK 3 MIDTERM EXAM 2025

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NSG 6001 WEEK 3 MIDTERM EXAM 2025 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 - Correct Ans-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 - Correct Ans-Pepto-Bismol A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? - Correct Ans-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 - Correct Ans-His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis - Correct Ans-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? - Correct Ans-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? - Correct Ans-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? - Correct Ans-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? - Correct Ans- NCG 6001 NCG 6001 Which of the following dietary instructions should be given to a patient with GERD? - Correct Ans-Eliminate coffee The patient with GERD should be instructed to eliminate which of these activities? - Correct Ans-Weight lifting . A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? - Correct Ans-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? - Correct Ans-Elevated alkaline phosphatase Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? - Correct Ans-High fiber diet The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the following should be included in this assessment? - Correct Ans-Presence of pyrosis A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most frequently? - Correct Ans-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 - Correct Ans-Avoid lying down after meals .A client is experiencing water brash. The nurse realizes this symptom is associated with - Correct Ans-Barretts esophagus .A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes this medication is classified as a - Correct Ans-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? - Correct Ans-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 - Correct Ans-Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - Correct Ans-giving lactulose NCG 6001 NCG 6001 A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - Correct Ans-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 - Correct Ans-liver Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers - Correct Ans-become vaccinated A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? - Correct Ans-Females often do not experience the effects of the disease until menopause The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? - Correct Ans-Pulmonary edema A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client? . - Correct Ans-Avoid all alcohol A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find? - Correct Ans-Cloudy urine An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client? - Correct Ans-Change in mental status A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication? . - Correct Ans-Take with an antacid A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. The nurse should include which of the following discharge instructions? - Correct Ans-. Do not take within 2 hours of antacid use A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that: . - Correct Ans-provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina A 50-year-old male client has had a prostate-specific antigen test. The nurse realizes that the normal range for this test would be: - Correct Ans-3-4 ng/ml A male client, having difficulty voiding, tells the nurse that he thinks something is wrong with his penis. The nurse reviews the structures of the penis with the client and explains that the structure that surrounds the urethra is the - Correct Ans-corpus spongiosum NCG 6001 NCG 6001 During the examination of the male testes, the nurse should instruct the client on - Correct Ans-monthly testicular self-examinations .A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes that this client will most likely be scheduled for a(n): - Correct Ans-bone scan A female clients Pap test revealed atypical results. The nurse realizes that this client will most likely be scheduled for a(n): - Correct Ans-colposcopy A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea? - Correct Ans-Ceftriaxone A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to? - Correct Ans-Chlamydia A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding? - Correct Ans-Bacterial vaginosis Which of the following medications is the treatment of choice for trichomonas - Correct Ans-Metronidazole A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be explored as the likely cause of her dyspareunia? - Correct Ans-Menopause . A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis? - Correct Ans-Benign prostatic hypertrophy A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men? - Correct Ans UTI A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? - Correct Ans-Refer to a urologist immediately An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses - Correct Ans- NCG 6001 NCG 6001 Which of the following would be an appropriate treatment for a patient with mild BPH? - Correct Ans-Reevaluate symptoms in 1 to 3 months. . A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? - Correct Ans-Testosterone level . A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis? - Correct Ans Peyronie's disease The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects? - Correct Ans-Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - Correct Ans-Gram-negative bacillus . The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? - Correct Ans-6 to 12 weeks A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is made. Which is the appropriate treatment? - Correct Ans-Terazosin 2 mg PO once a day A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism? - Correct Ans-Chlamydia trachomatis Which test is used to confirm a diagnosis of epididymitis? - Correct Ans-Ultrasound of the scrotum Treatment for epididymitis includes which of the following? - Correct Ans-Scrotal elevation Which of the following data is indicative of testicular torsion? - Correct Ans-Absent cremasteric reflex A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would th

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NCG 6001



NSG 6001 WEEK 3 MIDTERM EXAM
2025

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 - Correct Ans-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 - Correct
Ans-Pepto-Bismol

A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis? - Correct Ans-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 - Correct Ans-His use of Alka Seltzer

Which of the following is most effective in diagnosing appendicitis - Correct Ans-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? - Correct Ans-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? - Correct Ans-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? - Correct Ans-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? - Correct Ans-



NCG 6001

, NCG 6001


Which of the following dietary instructions should be given to a patient with GERD? -
Correct Ans-Eliminate coffee

The patient with GERD should be instructed to eliminate which of these activities? -
Correct Ans-Weight lifting

. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis? - Correct Ans-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? - Correct Ans-Elevated alkaline phosphatase

Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - Correct Ans-High fiber diet

The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which
of the following should be included in this assessment? - Correct Ans-Presence of
pyrosis

A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - Correct Ans-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 - Correct
Ans-Avoid lying down after meals

.A client is experiencing water brash. The nurse realizes this symptom is associated
with - Correct Ans-Barretts esophagus

.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - Correct Ans-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? - Correct Ans-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 -
Correct Ans-Hep A

When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is - Correct Ans-giving lactulose




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