Page 1 of 49
Dunphy final clinical exam Nurs 671 Questions
Newest Updated Exam 2026 Solved Questions &
Answers Verified 100% Graded A+ (Latest Version)
A 25yr accountant is seen in the clinic c/o crampy abd 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 abd distention. She has had no wt
loss or blood in her stool. This problem has gone on for about 6mo. What
should the next step be?
a. Obtain a complete hx
b. Order a barium enema
c. Schedule a Bernstein's test
d. Prescribe a trial of antispasmodics
a. Obtain a complete hx
A 28yo pt is seen in the clinic with colicky abd pain particular with meals. She
has frequent constipation, flatulence, and abd distention. Which of the data
make a diagnosis of diverticulitis unlikely?
Her age
A 28yo is seen with c/o diarrhea. Which of the following responses to the Hx
questions would help the PCP establish the dx of IBS?
a. Feels relief after a BM
b. Sometimes is constipated
c. Does not defecate in the middle of the night
d. All of the above
d. All of the above
, Page 2 of 49
A pt is diagnosed with GERD and his endoscopic report reveals the presence
of Barrett's epithelium. Which of the following should the PCP include in the
explanation of the pathology report?
a. This is premalignant tissue
b. This tissue is resistant to gastric acid
c. This tissue supports healing of the esophagus
d. All of the above
d. All of the above
Which of the following dietary instructions should be given to a pt with GERD?
a. Eliminate coffee
b. Drink peppermint tea to relieve stomach distress
c. Recline and rest after meals
d. Limit the amount of antacids
a. Eliminate coffee
The pt with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking
b. Weight lifting
A pt is diagnosed with giardia after a backpacking trip in the mountains. Which
of the following would be an appropriate treatment?
a. Vancomycin
b. PCN
c. Metronidazole
d. Bactrim
c. Metronidazole
A 22yo is seen c/o vague belly pain. This type of pain is seen at what point in
appendicitis?
, Page 3 of 49
Very early
The NP suspects a pt has a peptic ulcer. Which of the following items on the
Hx would lead the NP to this conclusion?
a. Use of NSAIDs
b. Cigarette smoker
c. Ethanol consumption
d. All of the above
d. All of the above
A pt is seen with dark-colored urine and the urine dipstick reveals a high level
of bilirubin. Which of the following could be the cause of the problem?
a. Increased breakdown of RBCs
b. Inadequate hepatocyte function
c. Biliary obstruction
d. All of the above
c. Biliary obstruction
A 21yo student presents with c/o fatigue, HA, anorexia, and a runny nose, all of
which began about 2wks ago. She started taking vitamins and OTC cold
preparations but she feels worse. The smell of food makes her nauseated. Her
boyfriend had mono about a month ago and she wonders if she might have it
also. Exam reveals cervical adenopathy and an enlarged liver and spleen.
Which of the following labs would be most helpful in the differential diagnosis
at this point?
a. Stool culture
b. Liver enzymes
c. Antihepatitis D virus
d. TSH
c. Antihepatitis D virus
On further questioning, the 21yo pt with c/o fatigue, HA, anorexia, and a runny
nose explains that she is sexually active only with her boyfriend, does not use
injectable drugs, and works as an aide in a daycare center. Which of the
, Page 4 of 49
following tests would be most helpful in confirming your dx?
a. Hep A virus (HAV) IgM
b. HAV IgG
c. Anti-HAcAg
d. Anti-HAsAg
a. Hep A virus (HAV) IgM
A pt is seen in the clinic with RUQ pain that is radiating to the middle of the
back. The NP suspects acute cholelithiasis. The NP should expect which of the
following lab findings?
a. Decreased alanine aminotransferase and decreased aspartate
aminotransferase
b. Elevated alk phos
c. Elevated indirect bili
d. Decreased WBC
b. Elevated alk phos
A pt has acute pancreatitis with seven of the diagnostic criteria from Ranson's
criteria. In order to plan care, the NP must understand that this criteria score
has which of the following meanings?
a. A high mortality rate
b. An increased chance of recurrence
c. A 7% chance of the disease becoming chronic
d. All of the above
a. A high mortality rate
A pt is seen in the office with c/o six to seven liquid BMs per day. Which of the
following assessment findings would lead the NP to a Dx of inflammatory
bowel disease?
a. Intermittent constipation with periods of diarrhea
b. Wakens at night with diarrhea
Dunphy final clinical exam Nurs 671 Questions
Newest Updated Exam 2026 Solved Questions &
Answers Verified 100% Graded A+ (Latest Version)
A 25yr accountant is seen in the clinic c/o crampy abd 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 abd distention. She has had no wt
loss or blood in her stool. This problem has gone on for about 6mo. What
should the next step be?
a. Obtain a complete hx
b. Order a barium enema
c. Schedule a Bernstein's test
d. Prescribe a trial of antispasmodics
a. Obtain a complete hx
A 28yo pt is seen in the clinic with colicky abd pain particular with meals. She
has frequent constipation, flatulence, and abd distention. Which of the data
make a diagnosis of diverticulitis unlikely?
Her age
A 28yo is seen with c/o diarrhea. Which of the following responses to the Hx
questions would help the PCP establish the dx of IBS?
a. Feels relief after a BM
b. Sometimes is constipated
c. Does not defecate in the middle of the night
d. All of the above
d. All of the above
, Page 2 of 49
A pt is diagnosed with GERD and his endoscopic report reveals the presence
of Barrett's epithelium. Which of the following should the PCP include in the
explanation of the pathology report?
a. This is premalignant tissue
b. This tissue is resistant to gastric acid
c. This tissue supports healing of the esophagus
d. All of the above
d. All of the above
Which of the following dietary instructions should be given to a pt with GERD?
a. Eliminate coffee
b. Drink peppermint tea to relieve stomach distress
c. Recline and rest after meals
d. Limit the amount of antacids
a. Eliminate coffee
The pt with GERD should be instructed to eliminate which of these activities?
a. Swimming
b. Weight lifting
c. Golfing
d. Walking
b. Weight lifting
A pt is diagnosed with giardia after a backpacking trip in the mountains. Which
of the following would be an appropriate treatment?
a. Vancomycin
b. PCN
c. Metronidazole
d. Bactrim
c. Metronidazole
A 22yo is seen c/o vague belly pain. This type of pain is seen at what point in
appendicitis?
, Page 3 of 49
Very early
The NP suspects a pt has a peptic ulcer. Which of the following items on the
Hx would lead the NP to this conclusion?
a. Use of NSAIDs
b. Cigarette smoker
c. Ethanol consumption
d. All of the above
d. All of the above
A pt is seen with dark-colored urine and the urine dipstick reveals a high level
of bilirubin. Which of the following could be the cause of the problem?
a. Increased breakdown of RBCs
b. Inadequate hepatocyte function
c. Biliary obstruction
d. All of the above
c. Biliary obstruction
A 21yo student presents with c/o fatigue, HA, anorexia, and a runny nose, all of
which began about 2wks ago. She started taking vitamins and OTC cold
preparations but she feels worse. The smell of food makes her nauseated. Her
boyfriend had mono about a month ago and she wonders if she might have it
also. Exam reveals cervical adenopathy and an enlarged liver and spleen.
Which of the following labs would be most helpful in the differential diagnosis
at this point?
a. Stool culture
b. Liver enzymes
c. Antihepatitis D virus
d. TSH
c. Antihepatitis D virus
On further questioning, the 21yo pt with c/o fatigue, HA, anorexia, and a runny
nose explains that she is sexually active only with her boyfriend, does not use
injectable drugs, and works as an aide in a daycare center. Which of the
, Page 4 of 49
following tests would be most helpful in confirming your dx?
a. Hep A virus (HAV) IgM
b. HAV IgG
c. Anti-HAcAg
d. Anti-HAsAg
a. Hep A virus (HAV) IgM
A pt is seen in the clinic with RUQ pain that is radiating to the middle of the
back. The NP suspects acute cholelithiasis. The NP should expect which of the
following lab findings?
a. Decreased alanine aminotransferase and decreased aspartate
aminotransferase
b. Elevated alk phos
c. Elevated indirect bili
d. Decreased WBC
b. Elevated alk phos
A pt has acute pancreatitis with seven of the diagnostic criteria from Ranson's
criteria. In order to plan care, the NP must understand that this criteria score
has which of the following meanings?
a. A high mortality rate
b. An increased chance of recurrence
c. A 7% chance of the disease becoming chronic
d. All of the above
a. A high mortality rate
A pt is seen in the office with c/o six to seven liquid BMs per day. Which of the
following assessment findings would lead the NP to a Dx of inflammatory
bowel disease?
a. Intermittent constipation with periods of diarrhea
b. Wakens at night with diarrhea
