NSG 6001 Week 3 Midterm Exam
Questions and 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 - -
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 - -Pepto-Bismol
- A patient is seen with complaints of diarrhea. Which of the following should
be included in the patient's differential diagnosis? - -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 - -
His use of Alka Seltzer
- Which of the following is most effective in diagnosing appendicitis - -
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? - -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? - -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? - -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? - -
- Which of the following dietary instructions should be given to a patient
with GERD? - -Eliminate coffee
- The patient with GERD should be instructed to eliminate which of these
activities? - -Weight lifting
- . A 22-year-old is seen complaining of vague belly pain. This type of pain is
seen at what point in appendicitis? - -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? - -Elevated
alkaline phosphatase
- Which of the following is part of the treatment plan for the patient with
irritable bowel syndrome? - -High fiber diet
- The nurse is assessing a client diagnosed with gastroesophageal reflux
disease. Which of the following should be included in this assessment? - -
Presence of pyrosis
- A client, diagnosed with a hiatal hernia, will experience which of the
following symptoms most frequently? - -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 - -Avoid lying down after meals
- .A client is experiencing water brash. The nurse realizes this symptom is
associated with - -Barretts esophagus
- .A client has been prescribed Zantac for gastroesophageal reflux disease.
The nurse realizes this medication is classified as a - -histamine H2-receptor
antagonist
- A client is diagnosed with peptic ulcer disease caused by NSAID use. Which
of the following would be indicated for this client? - -Treatment similar to a
client with peptic ulcer disease
- A child care worker complains of flu-like symptoms. On further assessment,
hepatitis is suspected. The nurse realizes that this individual is at risk for
which type of hepatitis - -Hep A
Questions and 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 - -
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 - -Pepto-Bismol
- A patient is seen with complaints of diarrhea. Which of the following should
be included in the patient's differential diagnosis? - -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 - -
His use of Alka Seltzer
- Which of the following is most effective in diagnosing appendicitis - -
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? - -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? - -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? - -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? - -
- Which of the following dietary instructions should be given to a patient
with GERD? - -Eliminate coffee
- The patient with GERD should be instructed to eliminate which of these
activities? - -Weight lifting
- . A 22-year-old is seen complaining of vague belly pain. This type of pain is
seen at what point in appendicitis? - -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? - -Elevated
alkaline phosphatase
- Which of the following is part of the treatment plan for the patient with
irritable bowel syndrome? - -High fiber diet
- The nurse is assessing a client diagnosed with gastroesophageal reflux
disease. Which of the following should be included in this assessment? - -
Presence of pyrosis
- A client, diagnosed with a hiatal hernia, will experience which of the
following symptoms most frequently? - -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 - -Avoid lying down after meals
- .A client is experiencing water brash. The nurse realizes this symptom is
associated with - -Barretts esophagus
- .A client has been prescribed Zantac for gastroesophageal reflux disease.
The nurse realizes this medication is classified as a - -histamine H2-receptor
antagonist
- A client is diagnosed with peptic ulcer disease caused by NSAID use. Which
of the following would be indicated for this client? - -Treatment similar to a
client with peptic ulcer disease
- A child care worker complains of flu-like symptoms. On further assessment,
hepatitis is suspected. The nurse realizes that this individual is at risk for
which type of hepatitis - -Hep A
