NURS 623 Exam 3 Mental
Health & GI (Most Questions
from FNP Cert Review 3rd Ed)
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - CORRECT ANSWER-D
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
a. High fiber diet
b. Tylenol with codeine
c. Daily laxatives
,d. All of the above - CORRECT ANSWER-A
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
a. Very early
b. 3 to 4 hours after perforation
c. Late in inflammation
d. Appendicitis never presents with vague pain. - CORRECT ANSWER-A
Which of the following is most effective in diagnosing appendicitis?
a. History and physical
b. Sedimentation rate
c. Kidney, ureter, and bladder x-ray
d. Complete blood count (CBC) with differentials - CORRECT ANSWER-A
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to
manage his symptoms of pain and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in managing your pain, because long-
term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage."
b. "You should start with the lowest dose that is effective in managing your pain to avoid
developing tolerance to the medication."
c. "You should take the maximum recommended dose of NSAIDs so that you will not need to
take narcotics to control your pain."
,d. "It is important to take NSAIDs on an empty stomach in order to increase absorption." -
CORRECT ANSWER-A
Your patient is a 65-year-old man who has been taking a new prescription of rosuvastatin
(Crestor) 40 mg daily for 6 weeks. During a follow-up visit, he reports feeling extremely fatigued
and having dark-colored urine. He denies any generalized muscle soreness. Which of the
following is the most appropriate treatment plan?
A. Order a CBC with differential
B. Order a liver function profile and CK level
C. Recommend an increase in fluid intake and rest
D. Order a urine culture and sensitivity test - CORRECT ANSWER-B
An urgent care nurse practitioner is assessing a 45-year-old White woman with a body mass
index (BMI) of 32 for a complaint of intermittent right upper quadrant abdominal pain over the
past few weeks that is precipitated by eating fried foods and peanut butter. On exam, the
patient's heart and lungs are normal. There is no pain over the costovertebral angle. During
abdominal exam, bowel sounds are present in all quadrants. While the nurse is palpating deeply
on the right upper quadrant during deep inspiration, the patient complains of severe sharp pain.
Which of the following is best described?
A. Murphy's sign
B. McMurray's sign
C. Rovsing's sign
D. Obturator sign - CORRECT ANSWER-A
You are reviewing the bilirubin level of a 3-day-old full-term neonate. You note that it is 10
mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and sclera. The
infant is feeding well, is not irritable, and has eight to 10 wet diapers per day. Which of the
following is a true statement?
, A. Keep monitoring the infant's bilirubin level until it returns to normal in about 1 week
B. Recommend that the infant be treated with phototherapy 10 minutes a day until the bilirubin
level is back to a normal range
C. Refer the infant to a neonatologist as soon as possible
D. Refer the infant to the neonatal intensive care unit - CORRECT ANSWER-A
You suspect an enterobiasis infection in a 6-year-old girl. Which of the following tests would you
recommend?
A. Stool culture and sensitivity
B. Stool for ova and parasites
C. The scotch tape test
D. Hemoccult test - CORRECT ANSWER-C
The span of the normal adult liver is:
A. 15 to 18 cm in the midclavicular line
B. 6 to 15 cm in midclavicular line
C. 2 to 6 cm in the midsternal line
D. 4 to 8 cm in the midsternal line - CORRECT ANSWER-B.
If left untreated, Zollinger-Ellison syndrome can cause which of the following?
A. Severe ulceration of the stomach or duodenum
B. Toxic megacolon
C. Chronic diarrhea
Health & GI (Most Questions
from FNP Cert Review 3rd Ed)
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient's differential diagnosis?
a. Gastroenteritis
b. Inflammatory bowel disease
c. Lactase deficiency
d. All of the above - CORRECT ANSWER-D
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
a. High fiber diet
b. Tylenol with codeine
c. Daily laxatives
,d. All of the above - CORRECT ANSWER-A
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
a. Very early
b. 3 to 4 hours after perforation
c. Late in inflammation
d. Appendicitis never presents with vague pain. - CORRECT ANSWER-A
Which of the following is most effective in diagnosing appendicitis?
a. History and physical
b. Sedimentation rate
c. Kidney, ureter, and bladder x-ray
d. Complete blood count (CBC) with differentials - CORRECT ANSWER-A
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to
manage his symptoms of pain and discomfort. Which of the following statements would be
most appropriate when teaching Sam about the use of NSAIDs?
a. "You should start with the lowest dose that is effective in managing your pain, because long-
term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage."
b. "You should start with the lowest dose that is effective in managing your pain to avoid
developing tolerance to the medication."
c. "You should take the maximum recommended dose of NSAIDs so that you will not need to
take narcotics to control your pain."
,d. "It is important to take NSAIDs on an empty stomach in order to increase absorption." -
CORRECT ANSWER-A
Your patient is a 65-year-old man who has been taking a new prescription of rosuvastatin
(Crestor) 40 mg daily for 6 weeks. During a follow-up visit, he reports feeling extremely fatigued
and having dark-colored urine. He denies any generalized muscle soreness. Which of the
following is the most appropriate treatment plan?
A. Order a CBC with differential
B. Order a liver function profile and CK level
C. Recommend an increase in fluid intake and rest
D. Order a urine culture and sensitivity test - CORRECT ANSWER-B
An urgent care nurse practitioner is assessing a 45-year-old White woman with a body mass
index (BMI) of 32 for a complaint of intermittent right upper quadrant abdominal pain over the
past few weeks that is precipitated by eating fried foods and peanut butter. On exam, the
patient's heart and lungs are normal. There is no pain over the costovertebral angle. During
abdominal exam, bowel sounds are present in all quadrants. While the nurse is palpating deeply
on the right upper quadrant during deep inspiration, the patient complains of severe sharp pain.
Which of the following is best described?
A. Murphy's sign
B. McMurray's sign
C. Rovsing's sign
D. Obturator sign - CORRECT ANSWER-A
You are reviewing the bilirubin level of a 3-day-old full-term neonate. You note that it is 10
mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and sclera. The
infant is feeding well, is not irritable, and has eight to 10 wet diapers per day. Which of the
following is a true statement?
, A. Keep monitoring the infant's bilirubin level until it returns to normal in about 1 week
B. Recommend that the infant be treated with phototherapy 10 minutes a day until the bilirubin
level is back to a normal range
C. Refer the infant to a neonatologist as soon as possible
D. Refer the infant to the neonatal intensive care unit - CORRECT ANSWER-A
You suspect an enterobiasis infection in a 6-year-old girl. Which of the following tests would you
recommend?
A. Stool culture and sensitivity
B. Stool for ova and parasites
C. The scotch tape test
D. Hemoccult test - CORRECT ANSWER-C
The span of the normal adult liver is:
A. 15 to 18 cm in the midclavicular line
B. 6 to 15 cm in midclavicular line
C. 2 to 6 cm in the midsternal line
D. 4 to 8 cm in the midsternal line - CORRECT ANSWER-B.
If left untreated, Zollinger-Ellison syndrome can cause which of the following?
A. Severe ulceration of the stomach or duodenum
B. Toxic megacolon
C. Chronic diarrhea
