NURS 623 Exam 3 Test Questions and Answers 2023

with a 4-day history of a midabdominal ache that radiates through to the back, remains relatively constant, and has been accompanied by nausea and three episodes of vomiting. She has tried taking antacids without relief. Her skin is cool and moist with a blood pressure of 90/72 mm Hg, pulse rate of 120 bpm, and respiratory rate of 24/min. Findings that would support a diagnosis of acute pancreatitis include all of the following except: A. elevated serum amylase level. B. elevated lipase level. C. jaundice. D. upper abdominal tenderness without localization or rebound. - CORRECT ANSWER-C Patient presentation possibly common to anxiety and depression includes: A. a feeling of worthlessness. B. psychomotor agitation. C. dry mouth. D. appetite disturbance. - CORRECT ANSWER-B Is the following statement most consistent with IBD, with IBS, or with both conditions? The patient population is predominately female. A. IBD B. IBS C. Both IBD and IBS - CORRECT ANSWER-B Cheilosis in a patient with bulimia nervosa is best described as: A. ruptured capillaries in the cornea. B. deep cracks or splits in the corners of the mouth. C. inflammatory lesions in the pharynx. D. hair that is easily plucked. - CORRECT ANSWER-B Which of the following is most consistent with the diagnosis of bulimia nervosa? A. Patients with bulimia nervosa usually present asking for treatment. B. Periods of anorexia often occur. C. Hyperkalemia often results from laxative abuse. D. Most patients with bulimia nervosa are significantly obese. - CORRECT ANSWER-B You see a 72-year-old woman who reports vomiting and abdominal cramping occurring over the past 24 hours. In evaluating a patient with suspected appendicitis, the clinician considers that: A. the presentation can differ according to the anatomical location of the appendix. B. this is a common reason for acute abdominal pain in elderly patients. C. vomiting before onset of abdominal pain is often seen. D. the presentation is markedly different from the presentation of pelvic inflammatory disease. - CORRECT ANSWER-A According to DSM-5, a diagnosis of depression must include either depressed mood or which of the following? A. loss of interest or pleasure B. recurrent thoughts of death C. feelings of worthlessness D. weight change (either increase or decrease) - CORRECT ANSWER-A The pathophysiology of IBS can be best described as: A. sharing the same pathophysiology as inflammatory bowel disease. B. a patchy inflammatory process in the small bowel that most adolescents will outgrow with vigorous exercise and a low-residue diet. C. a condition that is the result of abnormal gut motor/sensory activity. D. an overstimulation of pancreatic beta cell production. - CORRECT ANSWER-C Celiac disease's classic presentation can include all of the following except: A. weight loss, chronic diarrhea, and muscle wasting. B. flatulence and abdominal distension. C. as growth restriction when diagnosed in children younger than 2 years old. D. reported egg intolerance. - CORRECT ANSWER-D Which of the following characteristics is predictive of severity of chronic liver disease in a patient with chronic hepatitis C? A. female gender, age younger than 30 years B. coinfection with hepatitis B, daily alcohol use C. acquisition of virus through intravenous drug use, history of hepatitis A infection D. frequent use of aspirin, nutritional status - CORRECT ANSWER-B In a patient who presents with a history consistent with anal fissure but with notation of an atypical anal lesion, alternative diagnoses to consider include all of the following except: A. condyloma acuminata. B. Crohn's disease. C. anal squamous cell carcinoma. D. C. difficile colitis. - CORRECT ANSWER-D Persistent depressive disorder (formerly known as dysthymia) is characterized by: A. suicidal thoughts. B. multiple incidents of harming oneself. C. social isolation. D. low level depression. - CORRECT ANSWER-D You see a 62-year-old man diagnosed with esophageal columnar epithelial metaplasia. You realize he is at increased risk for: A. esophageal stricture. B. esophageal adenocarcinoma. C. gastroesophageal reflux. D. H. pylori colonization. - CORRECT ANSWER-B An 8-year-old girl is diagnosed with celiac disease. When counseling her parents, you advise that the child should: A. consume whole grains, especially wheat, oats, and barley. B. carefully plan exercise to minimize symptoms. C. avoid intake of semolina, spelt, and rye. D. avoid birthday parties or other gatherings that could expose the child to offending foods. - CORRECT ANSWER-C Approximately what percentage of the population will develop diverticulosis by the time they reach 50 years of age? A. 10% B. 20% C. 33% D. 50% - CORRECT ANSWER-C In providing primary care for a patient with post-traumatic stress disorder (PTSD), you consider that all of the following are likely to be reported except: A. agoraphobia. B. feeling of detachment C. hyperarousal. D. poor recall of the precipitating event. - CORRECT ANSWER-D Interpersonal violence is uncommon in same-sex relationships. A. True B. False - CORRECT ANSWER-B Use of St. John's wort is known to impact the effectiveness of all of the following medications except: A. oral contraceptives. B. fluoroquinolones. C. cyclosporine. D. select antiretrovirals. - CORRECT ANSWER-B A 62-year-old woman who reports frequent constipation is diagnosed with an anal fissure. First-line therapy includes all of the following except: A. stool-bulking supplements. B. high-fiber diet. C. intra-anal corticosteroids. D. the periodic use of oral mineral oil. - CORRECT ANSWER-C Major risk factors for diverticulosis include all of the following except: A. low-fiber diet. B. family history of the condition. C. older age. D. select connective tissue disorders (e.g., Marfan syndrome). - CORRECT ANSWER-A When considering pharmacologic options to treat neuropathic pain in a 72-year-old man, which of the following is the least appropriate option because of its systemic anticholinergic effect? A. nortriptyline B. amitriptyline C. duloxetine D. venlafaxine - CORRECT ANSWER-B The most sensitive and specific test for H. pylori infection from the following list is: A. stool Gram stain, looking for the offending organism. B. serological testing for antigen related to the infection. C. organism-specific stool antigen testing. D. fecal DNA testing. - CORRECT ANSWER-C Which of the following imaging studies potentially exposes the patient being evaluated for abdominal pain to the lowest ionizing radiation burden? A. ultrasound B. barium enema C. CT scan D. abdominal flat plate - CORRECT ANSWER-A Women's violence against male partners is as likely to result in serious injury as men's violence toward women. A. True B. False - CORRECT ANSWER-B Indicate (yes or no) whether confusion is associated with the use of systemic anticholinergic agents in older adults A. Yes B. No - CORRECT ANSWER-A To avoid rebound gastric hyperacidity following discontinuation of long-term PPI use, all of the following methods