NURS 623 FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS RATED A+
✔✔You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may
indicate: - ✔✔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 -
✔✔cholecystitis.
✔✔Most common cause of constipation - ✔✔lack of dietary fiber (RDA=30g)
✔✔A patient is seen in the office and is complaining of constipation. The patient lists all
of the following medications. Which drug could be responsible for the constipation? -
✔✔Pepto-bismol
✔✔Which of the following pharmacological agents used to treat constipation may cause
flatulence and bloating and requires adequate fluid intake? - ✔✔Bulking agents
✔✔Which laxative is safe for long-term use? - ✔✔Methylcellulose ( Citrucel)
✔✔Simon states that he is worried because he has a bowel movement only every third
day.
You respond, - ✔✔There is no such thing as a " normal pattern of defecation"
✔✔Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which
pharmacological agent do you recommend? - ✔✔Bulking agents
✔✔which hepatic enzyme is increased with viral hepatitis, drug or chemical associated
hepatitis or non alcoholic fatty liver disease - ✔✔Alanine aminotransferase (ALT).
✔✔ALT usually increases higher than AST >10times ULN in what conditions - ✔✔viral,
drug or chemical associated hepatitis
✔✔ALT usually increases higher than ALT at 3 times ULN in what conditions - ✔✔Non
Alcoholic Fatty Liver Disease
✔✔Hepatic enzyme is elevated with alcoholic hepatic injury and acetaminophen
overdose - ✔✔Asparate aminotransferase (AST)
✔✔AST & ALT are markedly elevated over 20times normal in what condition -
✔✔Acetaminophen overdose
, ✔✔AST is usually higher or lower than ALT in alcoholic hepatic injury - ✔✔AST higher
than ALT
✔✔Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
A. Corticosteroid injections are discourage in the treatment of carpal tunnel syndrome
because of the risks for median nerve damage, scarring, & infection.
B. Splints are used in carpal tunnel syndrome because they allow for free movement of
the fingers & thumb while maintaining the wrist in a neutral position.
C. The goal of treatment is to prevent flexion & extension movements of the wrist
D. All the answers - ✔✔D. All the answers
✔✔2. During a digital rectal exam on a 75 y/o man, the clinician suspects the patient
has prostate cancer. What physical finding should make the clinician suspicious?
A. A hard irregular gland
B. A tender gland
C. An enlarged rubbery gland
D. A boggy gland - ✔✔A. A hard irregular gland
✔✔3. According to Kubler-Ross the stages of grief occur in which order?
A. Anger, denial, bargaining, acceptance, depression
B. Denial, anger, bargaining, depression, acceptance
C. Denial, anger, depression, bargaining, acceptance
D. Anger, denial, depression, bargaining, acceptance - ✔✔B. Denial, anger, bargaining,
depression, acceptance
✔✔Mr. Wright is an 85 y/o & newly diagnosed with colon cancer & surgery is indicated.
He is mentally alert, however he is refusing to give consent for surgery. As his primary
care provider you
A. Insist he listen to the advice of the surgeon
B. Respect his wishes
C. Order a psychiatric consult
D. Call his family to have them persuade patient to proceed with surgery - ✔✔B.
Respect his wishes
✔✔Janet is 30y/o woman who has been diagnosed with a herniated disc at the L5-S1.
She is currently in the emergency room with suspicion of cauda equina compression.
Which of the following is a sign or symptom of cauda equina compression?
A. Paresthesia of the perineum & buttock
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Gastrocnemius weakness - ✔✔A. Paresthesia of the perineum & buttock
ANSWERS RATED A+
✔✔You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may
indicate: - ✔✔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 -
✔✔cholecystitis.
✔✔Most common cause of constipation - ✔✔lack of dietary fiber (RDA=30g)
✔✔A patient is seen in the office and is complaining of constipation. The patient lists all
of the following medications. Which drug could be responsible for the constipation? -
✔✔Pepto-bismol
✔✔Which of the following pharmacological agents used to treat constipation may cause
flatulence and bloating and requires adequate fluid intake? - ✔✔Bulking agents
✔✔Which laxative is safe for long-term use? - ✔✔Methylcellulose ( Citrucel)
✔✔Simon states that he is worried because he has a bowel movement only every third
day.
You respond, - ✔✔There is no such thing as a " normal pattern of defecation"
✔✔Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which
pharmacological agent do you recommend? - ✔✔Bulking agents
✔✔which hepatic enzyme is increased with viral hepatitis, drug or chemical associated
hepatitis or non alcoholic fatty liver disease - ✔✔Alanine aminotransferase (ALT).
✔✔ALT usually increases higher than AST >10times ULN in what conditions - ✔✔viral,
drug or chemical associated hepatitis
✔✔ALT usually increases higher than ALT at 3 times ULN in what conditions - ✔✔Non
Alcoholic Fatty Liver Disease
✔✔Hepatic enzyme is elevated with alcoholic hepatic injury and acetaminophen
overdose - ✔✔Asparate aminotransferase (AST)
✔✔AST & ALT are markedly elevated over 20times normal in what condition -
✔✔Acetaminophen overdose
, ✔✔AST is usually higher or lower than ALT in alcoholic hepatic injury - ✔✔AST higher
than ALT
✔✔Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
A. Corticosteroid injections are discourage in the treatment of carpal tunnel syndrome
because of the risks for median nerve damage, scarring, & infection.
B. Splints are used in carpal tunnel syndrome because they allow for free movement of
the fingers & thumb while maintaining the wrist in a neutral position.
C. The goal of treatment is to prevent flexion & extension movements of the wrist
D. All the answers - ✔✔D. All the answers
✔✔2. During a digital rectal exam on a 75 y/o man, the clinician suspects the patient
has prostate cancer. What physical finding should make the clinician suspicious?
A. A hard irregular gland
B. A tender gland
C. An enlarged rubbery gland
D. A boggy gland - ✔✔A. A hard irregular gland
✔✔3. According to Kubler-Ross the stages of grief occur in which order?
A. Anger, denial, bargaining, acceptance, depression
B. Denial, anger, bargaining, depression, acceptance
C. Denial, anger, depression, bargaining, acceptance
D. Anger, denial, depression, bargaining, acceptance - ✔✔B. Denial, anger, bargaining,
depression, acceptance
✔✔Mr. Wright is an 85 y/o & newly diagnosed with colon cancer & surgery is indicated.
He is mentally alert, however he is refusing to give consent for surgery. As his primary
care provider you
A. Insist he listen to the advice of the surgeon
B. Respect his wishes
C. Order a psychiatric consult
D. Call his family to have them persuade patient to proceed with surgery - ✔✔B.
Respect his wishes
✔✔Janet is 30y/o woman who has been diagnosed with a herniated disc at the L5-S1.
She is currently in the emergency room with suspicion of cauda equina compression.
Which of the following is a sign or symptom of cauda equina compression?
A. Paresthesia of the perineum & buttock
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Gastrocnemius weakness - ✔✔A. Paresthesia of the perineum & buttock
