WEEK 5 FINAL EXAM QUIZ – NSG6001 ADVANCED
NURSING (100% OF 40 POINTS) – QUESTIONS WITH
VERIFIED ANSWERS
Question 1
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis? --
SOLUTION>>
1) Gastroenteritis.
2) Recent use of Imodium.
3) Lack of dietary fiber.
4) Decreased physical activity.
Question 2
Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several
months and takes antacids with temporary relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain? --
SOLUTION>>
1) The pain seems better when he smokes to relieve his nerves.
2) Coffee and fried food don’t bother him.
3) He wakes at night coughing with a bad taste in his mouth.
4) He likes to wear loose clothing.
Question 3
Gail, a 35-year-old female patient, is seen in the clinic in the morning; she complains of abrupt onset of nausea, vomiting, colicky
cramps, and profuse watery diarrhea that began last night. Her vitals are BP: 110/70 HR: 110, temperature: 99 RR: 12. She
recently came back from a vacation in Switzerland ate leftovers for dinner last night and had a cold 2 weeks ago. Which of the
following is the most probable cause of her condition? --SOLUTION>>
1) Staphylococcus.
2) Shigella.
3) Rotavirus.
4) Entamoeba histolytica.
Question 4
Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and had no complications. Which of the
following patient education points is correct? --SOLUTION>>
1) “You will need to take laxatives to encourage defecation post-surgery.”
2) “You will need to stay in the hospital for 2 weeks to recover.”
3) “Your diet will be advanced when bowel sounds return”.
4) “I will put you on narcotics to manage your pain”.
Question 5
Which of the following patients should be referred to a hepatologist? --SOLUTION>>
1) Patients with persistent elevation of HBsAg.
2) Patient with anti-HAV IgG.
3) Patient with IgG anti- HBs.
4) Patient with anti-HEV.
,Question 6
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit smoking 6 months ago. He has been
suffering the pain for 2 weeks and gets temporary relief from Alka- seltzer and Pepto-bismol the burning pain wakes him at night
and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer? --SOLUTION>>
1) His use of Pepto-Bismol.
2) His age.
3) His use of Alka-Seltzer.
4) His smoking cessation.
Question 7
Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal tract? --SOLUTION>>
1) Erosive esophagitis.
2) Duodenal ulcer.
3) Meckel’s diverticulum.
4) Gastric ulcer.
Question 8
A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks
ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated.
Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical
adenopathy and an enlarged her and spleen. Which of the following labs would be most helpful in the differential diagnosis at this
point? --SOLUTION>>
1) Stool culture.
2) Liver enzymes.
3) Antihepatitis D virus.
4) Thyroid-stimulating hormone test.
Question 9
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? --SOLUTION>>
1) Decreased alanine aminotransferase and decreased aspartate aminotransferase.
2) Elevated alkaline phosphatase
3) Decreased indirect bilirubin
4) Decreased white blood cells.
Question 10
Which of the following are included in the Ranson’s criteria for assessing the severity of pancreatitis at the time of diagnosis? --
SOLUTION>>
1) Blood glucose 180mg/dl.
2) Age 45 years old.
3) Base deficit greater than 4 mEq/L.
4) Serum LDH greater than 25 IU/L.
, Question 11
Donna is a 36-year-old African Americans woman with chronic pancreatitis. Which of the following are necessary to manage her
condition? --SOLUTION>>
1) One alcoholic drink a week maximum.
2) NSAIDs, which are the only analgesic appropriate for pain relief.
3) Treating serum glucose levels of 200 to 250 mg/dl.
4) A low-fat diet of less than 50g of fat per day.
Question 12
Which of the following diagnostic tests is ordered for a cecal volvulus bowel obstruction? --SOLUTION>>
1) Barium enema.
2) Colonoscopy.
3) Endoscopy.
4) Magnetic resonance imaging (MRI).
Question 13
Which of the following is part of the treatment plan for the patient with IBS? --SOLUTION>>
1) High-fiber diet.
2) A discussion that the goal of treatment is to cure their disease.
3) Daily laxatives.
4) A conversation about their expected shorter life span.
Question 14
Leslie is a 35-year-old Caucasian woman who presents with weakness, anorexia, weight loss, and fatigue. Her history is significant
for inflammatory bowel disease, Hashimoto's thyroiditis, and cigarette smoking. Which of the following pieces of her history leads
the clinician to believe she has primary sclerosing cholangitis? --SOLUTION>>
1) Age.
2) Gender.
3) Inflammatory bowel disease.
4) Smoker.
Question 15
Carl has been diagnosed with Wason's disease. Which of the following should be included in his dietary education? --SOLUTION>>
1) Avoid calclum-containing foods.
2) Increase protein intake with peanut butter.
3) Limit shrimp Intake.
4) Increase fat intake by eating ver.
Question 16
Ron has cirrhosis and now presents with altered mental status after increasing protein intake because he was trying to increase
muscle mass. Which of the following diseases should the clinician be concerned about? --SOLUTION>>
1) Hepatopulmonary syndrome.
2) Hepatic encephalopathy.
3) Hepatorenal syndrome.
4) Spontaneous bacterial peritonitis.
NURSING (100% OF 40 POINTS) – QUESTIONS WITH
VERIFIED ANSWERS
Question 1
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis? --
SOLUTION>>
1) Gastroenteritis.
2) Recent use of Imodium.
3) Lack of dietary fiber.
4) Decreased physical activity.
Question 2
Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several
months and takes antacids with temporary relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain? --
SOLUTION>>
1) The pain seems better when he smokes to relieve his nerves.
2) Coffee and fried food don’t bother him.
3) He wakes at night coughing with a bad taste in his mouth.
4) He likes to wear loose clothing.
Question 3
Gail, a 35-year-old female patient, is seen in the clinic in the morning; she complains of abrupt onset of nausea, vomiting, colicky
cramps, and profuse watery diarrhea that began last night. Her vitals are BP: 110/70 HR: 110, temperature: 99 RR: 12. She
recently came back from a vacation in Switzerland ate leftovers for dinner last night and had a cold 2 weeks ago. Which of the
following is the most probable cause of her condition? --SOLUTION>>
1) Staphylococcus.
2) Shigella.
3) Rotavirus.
4) Entamoeba histolytica.
Question 4
Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis and had no complications. Which of the
following patient education points is correct? --SOLUTION>>
1) “You will need to take laxatives to encourage defecation post-surgery.”
2) “You will need to stay in the hospital for 2 weeks to recover.”
3) “Your diet will be advanced when bowel sounds return”.
4) “I will put you on narcotics to manage your pain”.
Question 5
Which of the following patients should be referred to a hepatologist? --SOLUTION>>
1) Patients with persistent elevation of HBsAg.
2) Patient with anti-HAV IgG.
3) Patient with IgG anti- HBs.
4) Patient with anti-HEV.
,Question 6
A 29-year-old is seen in the office with complaints of pain in his chest and belly. He quit smoking 6 months ago. He has been
suffering the pain for 2 weeks and gets temporary relief from Alka- seltzer and Pepto-bismol the burning pain wakes him at night
and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer? --SOLUTION>>
1) His use of Pepto-Bismol.
2) His age.
3) His use of Alka-Seltzer.
4) His smoking cessation.
Question 7
Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal tract? --SOLUTION>>
1) Erosive esophagitis.
2) Duodenal ulcer.
3) Meckel’s diverticulum.
4) Gastric ulcer.
Question 8
A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks
ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated.
Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical
adenopathy and an enlarged her and spleen. Which of the following labs would be most helpful in the differential diagnosis at this
point? --SOLUTION>>
1) Stool culture.
2) Liver enzymes.
3) Antihepatitis D virus.
4) Thyroid-stimulating hormone test.
Question 9
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? --SOLUTION>>
1) Decreased alanine aminotransferase and decreased aspartate aminotransferase.
2) Elevated alkaline phosphatase
3) Decreased indirect bilirubin
4) Decreased white blood cells.
Question 10
Which of the following are included in the Ranson’s criteria for assessing the severity of pancreatitis at the time of diagnosis? --
SOLUTION>>
1) Blood glucose 180mg/dl.
2) Age 45 years old.
3) Base deficit greater than 4 mEq/L.
4) Serum LDH greater than 25 IU/L.
, Question 11
Donna is a 36-year-old African Americans woman with chronic pancreatitis. Which of the following are necessary to manage her
condition? --SOLUTION>>
1) One alcoholic drink a week maximum.
2) NSAIDs, which are the only analgesic appropriate for pain relief.
3) Treating serum glucose levels of 200 to 250 mg/dl.
4) A low-fat diet of less than 50g of fat per day.
Question 12
Which of the following diagnostic tests is ordered for a cecal volvulus bowel obstruction? --SOLUTION>>
1) Barium enema.
2) Colonoscopy.
3) Endoscopy.
4) Magnetic resonance imaging (MRI).
Question 13
Which of the following is part of the treatment plan for the patient with IBS? --SOLUTION>>
1) High-fiber diet.
2) A discussion that the goal of treatment is to cure their disease.
3) Daily laxatives.
4) A conversation about their expected shorter life span.
Question 14
Leslie is a 35-year-old Caucasian woman who presents with weakness, anorexia, weight loss, and fatigue. Her history is significant
for inflammatory bowel disease, Hashimoto's thyroiditis, and cigarette smoking. Which of the following pieces of her history leads
the clinician to believe she has primary sclerosing cholangitis? --SOLUTION>>
1) Age.
2) Gender.
3) Inflammatory bowel disease.
4) Smoker.
Question 15
Carl has been diagnosed with Wason's disease. Which of the following should be included in his dietary education? --SOLUTION>>
1) Avoid calclum-containing foods.
2) Increase protein intake with peanut butter.
3) Limit shrimp Intake.
4) Increase fat intake by eating ver.
Question 16
Ron has cirrhosis and now presents with altered mental status after increasing protein intake because he was trying to increase
muscle mass. Which of the following diseases should the clinician be concerned about? --SOLUTION>>
1) Hepatopulmonary syndrome.
2) Hepatic encephalopathy.
3) Hepatorenal syndrome.
4) Spontaneous bacterial peritonitis.
