NURS 623 COMPREHENSIVE STUDY GUIDE
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ . In caring for the patient with OA of the knees you advise that A. Applying
heat to the knee following exercise will lessen swellingB. Straight leg
raising should be avoidedC. Quadriceps strengthening exercises should be
performedD. You should never exercise again.
Answer: C. Quadriceps strengthening exercises should be performed
◍ Mary is a 49 y/o avid hiker who complains of a flu-like illness including
fever, chills, & myalgia after returning from a weekend trip to New
England. She tells you she has a rash which was initially a red spot that
grew in size on her right leg. What disease are you considering?A. Lyme
diseaseB. Rocky Mountain spotted feverC. Viral syndromeD. Relapsing
fever.
Answer: A. Lyme disease
◍ risk factors for development of a peptic ulcer/PUD.
Answer: *H. Pylori infection*prolonged NSAID/ ASA use*smoking
◍ What are the risk factors for major depression?.
Answer: *Age*Gender*Personal Hx (migrains, PUD, chronic pain)*Fx Hx
(depression, suicide, alcholism, substance abuse)
◍ What do labs look like in anorexia?.
Answer: leukopenia elevated BUNanemichypomagnesmiaelevated
TSHsinus bradycardia.
◍ What is the symptom criteria for BD I ?.
Answer: identification of at least one-lifetime mania episode must have
occurred
,◍ 3. According to Kubler-Ross the stages of grief occur in which order?A.
Anger, denial, bargaining, acceptance, depressionB. Denial, anger,
bargaining, depression, acceptanceC. Denial, anger, depression, bargaining,
acceptanceD. Anger, denial, depression, bargaining, acceptance.
Answer: B. Denial, anger, bargaining, depression, acceptance
◍ Describe the clinical presentation of appendicitis? (Subjective and objective
findings).
Answer: Vague symptoms first 24 hours, worse when walking or jumping,
N/V, low grade temp,+Rovsings, Psoas, obturator, mcburneys
◍ What is the management for PTSD?.
Answer: PHARMACOLOGY: SSRI's paroxetine (paxil) or sertaline
(Zoloft), anxiolytic buspirone (BuSpar)NON-PHARMACOLOGICAL:
cognitive behavioral therapies, brief eclectic psychotherapy, narrative
exposure therapy
◍ An 82 y/o man is seen in the primary care office with complaints of
dribbling urine & difficulty starting his stream. Which should be included in
the differential diagnosis?A. BPHB. All of the answersC. Parkinson's
diseaseD. Prostate CA.
Answer: B. All of the answers
◍ The NP is asked to evaluate a 77 y/o woman who recently had a fall. The
patient is normally healthy & has no mobility limitations or other obvious
risk factors. During the history the NP learns that the patient did not attempt
to break the fall "I just suddenly found myself on the floor" This statement
suggestsA. Underlying sensory deficits (visual, hearing) are most likely the
cause of the fall & require physical assessmentB. Previously undiagnosed
cognitive impairment that requires further evaluationC. That a history of
alcohol use or abuse should be exploredD. A syncopal episode requiring a
cardiovascular & neurological evaluation.
Answer: D. A syncopal episode requiring a cardiovascular & neurological
evaluation
, ◍ A 34 y/o male presents to the office with complaints of new onset of right
elbow pain & forearm weakness. He normally plays golf 1-2 times per
month, however, he has recently returned from a vacation which included 36
holes of golf per day. Symptoms began on the last day of his vacation. He is
a vegetarian & does not drink alcohol. On exam he has full ROM, although
he has pain localized to inner aspect of the humerus. Considering the onset
of symptoms, which of the following is likely your initial diagnosis?A.
Medial epicondylitisB. Nerve impingement syndromeC. Cervical ruptured
discD. Gouty arthritis.
Answer: A. Medial epicondylitis
◍ What are the common presenting symptoms of depression in the geriatric
patient?.
Answer: Somatic (general pain)Psychology (feeling of guilt/worry, suicidal,
memory)Psychomotor (anxiety/agitation)Vegetative (poor appitite/sleep)
◍ . Which of the following test is most specific to the diagnosis of RA?A.
Abnormally high ESRB. Positive ANA titerC. Elevated levels of rheumatoid
factorD. Elevated CRP.
Answer: Elevated levels of rheumatoid factor
◍ A 45 y/o patient presents with a chief complaint of generalized abdominal
pain. Her physical exam is remarkable for left LLQ tenderness. Which of
the following should be considered in the differential diagnosis?A.
DiverticulitisB. EndometriosisC. Colon cancerD. All of the answers.
Answer: D. All of the answers
◍ A 28 y/o patient is seen with complaints of diarrhea. Which of the following
questions would help the clinician establish the diagnosis of irritable bowel
syndrome?A. Sometimes is constipatedB. All the answersC. Feels relief
after bowel movementD. Does not defecate in the middle of the night.
Answer: B. All the answers
◍ John is a 16 y/o boy presents to your office after hurting his knee in a
football game. He described twisting his knee & then being able to extend it
completely. John tells you he heard a pop when the injury occurred & has
2026 FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ . In caring for the patient with OA of the knees you advise that A. Applying
heat to the knee following exercise will lessen swellingB. Straight leg
raising should be avoidedC. Quadriceps strengthening exercises should be
performedD. You should never exercise again.
Answer: C. Quadriceps strengthening exercises should be performed
◍ Mary is a 49 y/o avid hiker who complains of a flu-like illness including
fever, chills, & myalgia after returning from a weekend trip to New
England. She tells you she has a rash which was initially a red spot that
grew in size on her right leg. What disease are you considering?A. Lyme
diseaseB. Rocky Mountain spotted feverC. Viral syndromeD. Relapsing
fever.
Answer: A. Lyme disease
◍ risk factors for development of a peptic ulcer/PUD.
Answer: *H. Pylori infection*prolonged NSAID/ ASA use*smoking
◍ What are the risk factors for major depression?.
Answer: *Age*Gender*Personal Hx (migrains, PUD, chronic pain)*Fx Hx
(depression, suicide, alcholism, substance abuse)
◍ What do labs look like in anorexia?.
Answer: leukopenia elevated BUNanemichypomagnesmiaelevated
TSHsinus bradycardia.
◍ What is the symptom criteria for BD I ?.
Answer: identification of at least one-lifetime mania episode must have
occurred
,◍ 3. According to Kubler-Ross the stages of grief occur in which order?A.
Anger, denial, bargaining, acceptance, depressionB. Denial, anger,
bargaining, depression, acceptanceC. Denial, anger, depression, bargaining,
acceptanceD. Anger, denial, depression, bargaining, acceptance.
Answer: B. Denial, anger, bargaining, depression, acceptance
◍ Describe the clinical presentation of appendicitis? (Subjective and objective
findings).
Answer: Vague symptoms first 24 hours, worse when walking or jumping,
N/V, low grade temp,+Rovsings, Psoas, obturator, mcburneys
◍ What is the management for PTSD?.
Answer: PHARMACOLOGY: SSRI's paroxetine (paxil) or sertaline
(Zoloft), anxiolytic buspirone (BuSpar)NON-PHARMACOLOGICAL:
cognitive behavioral therapies, brief eclectic psychotherapy, narrative
exposure therapy
◍ An 82 y/o man is seen in the primary care office with complaints of
dribbling urine & difficulty starting his stream. Which should be included in
the differential diagnosis?A. BPHB. All of the answersC. Parkinson's
diseaseD. Prostate CA.
Answer: B. All of the answers
◍ The NP is asked to evaluate a 77 y/o woman who recently had a fall. The
patient is normally healthy & has no mobility limitations or other obvious
risk factors. During the history the NP learns that the patient did not attempt
to break the fall "I just suddenly found myself on the floor" This statement
suggestsA. Underlying sensory deficits (visual, hearing) are most likely the
cause of the fall & require physical assessmentB. Previously undiagnosed
cognitive impairment that requires further evaluationC. That a history of
alcohol use or abuse should be exploredD. A syncopal episode requiring a
cardiovascular & neurological evaluation.
Answer: D. A syncopal episode requiring a cardiovascular & neurological
evaluation
, ◍ A 34 y/o male presents to the office with complaints of new onset of right
elbow pain & forearm weakness. He normally plays golf 1-2 times per
month, however, he has recently returned from a vacation which included 36
holes of golf per day. Symptoms began on the last day of his vacation. He is
a vegetarian & does not drink alcohol. On exam he has full ROM, although
he has pain localized to inner aspect of the humerus. Considering the onset
of symptoms, which of the following is likely your initial diagnosis?A.
Medial epicondylitisB. Nerve impingement syndromeC. Cervical ruptured
discD. Gouty arthritis.
Answer: A. Medial epicondylitis
◍ What are the common presenting symptoms of depression in the geriatric
patient?.
Answer: Somatic (general pain)Psychology (feeling of guilt/worry, suicidal,
memory)Psychomotor (anxiety/agitation)Vegetative (poor appitite/sleep)
◍ . Which of the following test is most specific to the diagnosis of RA?A.
Abnormally high ESRB. Positive ANA titerC. Elevated levels of rheumatoid
factorD. Elevated CRP.
Answer: Elevated levels of rheumatoid factor
◍ A 45 y/o patient presents with a chief complaint of generalized abdominal
pain. Her physical exam is remarkable for left LLQ tenderness. Which of
the following should be considered in the differential diagnosis?A.
DiverticulitisB. EndometriosisC. Colon cancerD. All of the answers.
Answer: D. All of the answers
◍ A 28 y/o patient is seen with complaints of diarrhea. Which of the following
questions would help the clinician establish the diagnosis of irritable bowel
syndrome?A. Sometimes is constipatedB. All the answersC. Feels relief
after bowel movementD. Does not defecate in the middle of the night.
Answer: B. All the answers
◍ John is a 16 y/o boy presents to your office after hurting his knee in a
football game. He described twisting his knee & then being able to extend it
completely. John tells you he heard a pop when the injury occurred & has
