NSG 6001 Week 3 Midterm Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical - CORRECT ANSWER nature of the
pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the contipation - CORRECT ANSWER
Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient's differential diagnosis? - CORRECT ANSWER frequency, amount and fluidity, color
and characteristics. Diet history, recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has
been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes
him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - CORRECT
ANSWER His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - CORRECT ANSWER
History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is
essential for this patient? - CORRECT ANSWER Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal 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
abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for
about 6 months. What should the next step be? - CORRECT ANSWER Obtain a complete
history
, A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely? - CORRECT ANSWER Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the
history questions would help the primary care physician (PCP) establish the diagnosis of irritable
bowel syndrome? - CORRECT ANSWER
Which of the following dietary instructions should be given to a patient with GERD? - CORRECT
ANSWER Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities? - CORRECT
ANSWER Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis? - CORRECT ANSWER Very early
. 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? - CORRECT ANSWER Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? -
CORRECT ANSWER High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment? - CORRECT ANSWER Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most
frequently? - CORRECT ANSWER Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the symptoms.
Which of the following should be included in these instructions - CORRECT ANSWER Avoid
lying down after meals
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical - CORRECT ANSWER nature of the
pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v).
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the contipation - CORRECT ANSWER
Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient's differential diagnosis? - CORRECT ANSWER frequency, amount and fluidity, color
and characteristics. Diet history, recent travel, medication use, source of drinking water
A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has
been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes
him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - CORRECT
ANSWER His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - CORRECT ANSWER
History and physical
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is
essential for this patient? - CORRECT ANSWER Urine human chorionic gonadotropin
. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal 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
abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for
about 6 months. What should the next step be? - CORRECT ANSWER Obtain a complete
history
, A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has
frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely? - CORRECT ANSWER Her age
A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the
history questions would help the primary care physician (PCP) establish the diagnosis of irritable
bowel syndrome? - CORRECT ANSWER
Which of the following dietary instructions should be given to a patient with GERD? - CORRECT
ANSWER Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities? - CORRECT
ANSWER Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis? - CORRECT ANSWER Very early
. 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? - CORRECT ANSWER Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? -
CORRECT ANSWER High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment? - CORRECT ANSWER Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most
frequently? - CORRECT ANSWER Heartburn
The nurse is instructing a client diagnosed with a hiatal hernia on ways to reduce the symptoms.
Which of the following should be included in these instructions - CORRECT ANSWER Avoid
lying down after meals
