MN568 Unit 4 Exam
Question 1 points
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had
intermittent heartburn for several months and takes Tums® with temporary relief. He has been
waking during the night with a burning sensation in his chest. Which additional information
would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
Question options:
a) The pain seems better when he smokes to relieve his nerves.
b) Coffee and fried foods don’t bother him,
c) He wakes at night coughing with a bad taste in his mouth.
d) All of the above
Question 2 points
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
Question options:
a) Very early
b) 3 to 4 hours after perforation
c) Late in inflammation
d) Appendicitis never presents with vague pain.
Question 3 points
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient’s differential diagnosis?
Question options:
,a) Gastroenteritis
b) Inflammatory bowel disease
c) Lactase deficiency
d) All of the above
Question 4 points
If chest pain can be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
Question options:
a) Peptic ulcer
b) Hiatal hernia
c) Costochondritis
d) Pericarditis
Question 5 points
A patient is seen in the office with complaints of six to seven liquid bowel movements per day.
Which of the following assessment findings would lead the NP to a diagnosis of inflammatory
bowel disease?
Question options:
a) Intermittent constipation with periods of diarrhea
b) Wakens at night with diarrhea
c) History of international travel
d) All of the above
Question 6 points
,In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a
beat is dropped?
Question options:
a) First-degree AV block
b) Second-degree Mobitz I AV block
c) Second-degree Mobitz II AV block
d) Third-degree AV block
Question 7 points
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be
administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have shown,
however, that thrombolytic therapy can be of benefit up to how many hours after the initial
presentation of MI symptoms?
Question options:
a) 6 hours
b) 8 hours
c) 10 hours
d) 12 hours
Question 8 points
Which of the following is associated with celiac disease (celiac sprue)?
Question options:
a) Malabsorption
b) Constipation
c) Rectal bleeding
, d) Esophageal ulceration
Question 9 points
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following
tests is essential for this patient?
Question options:
a) CBC with differential
b) Urine human chorionic gonadotropin
c) Barium enema
d) Computed tomography of the abdomen
Question 10 points
Which high-density lipoprotein (HDL) level is considered cardioprotective?
Question options:
a) Greater than 30
b) Greater than 40
c) Greater than 50
d) Greater than 60
Question 11 points
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?
Question options:
a) Feels relief after a bowel movement
b) Sometimes is constipated
Question 1 points
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had
intermittent heartburn for several months and takes Tums® with temporary relief. He has been
waking during the night with a burning sensation in his chest. Which additional information
would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
Question options:
a) The pain seems better when he smokes to relieve his nerves.
b) Coffee and fried foods don’t bother him,
c) He wakes at night coughing with a bad taste in his mouth.
d) All of the above
Question 2 points
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
Question options:
a) Very early
b) 3 to 4 hours after perforation
c) Late in inflammation
d) Appendicitis never presents with vague pain.
Question 3 points
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient’s differential diagnosis?
Question options:
,a) Gastroenteritis
b) Inflammatory bowel disease
c) Lactase deficiency
d) All of the above
Question 4 points
If chest pain can be alleviated with time, analgesics, and heat applications, what might the
differential diagnosis be?
Question options:
a) Peptic ulcer
b) Hiatal hernia
c) Costochondritis
d) Pericarditis
Question 5 points
A patient is seen in the office with complaints of six to seven liquid bowel movements per day.
Which of the following assessment findings would lead the NP to a diagnosis of inflammatory
bowel disease?
Question options:
a) Intermittent constipation with periods of diarrhea
b) Wakens at night with diarrhea
c) History of international travel
d) All of the above
Question 6 points
,In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a
beat is dropped?
Question options:
a) First-degree AV block
b) Second-degree Mobitz I AV block
c) Second-degree Mobitz II AV block
d) Third-degree AV block
Question 7 points
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be
administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have shown,
however, that thrombolytic therapy can be of benefit up to how many hours after the initial
presentation of MI symptoms?
Question options:
a) 6 hours
b) 8 hours
c) 10 hours
d) 12 hours
Question 8 points
Which of the following is associated with celiac disease (celiac sprue)?
Question options:
a) Malabsorption
b) Constipation
c) Rectal bleeding
, d) Esophageal ulceration
Question 9 points
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following
tests is essential for this patient?
Question options:
a) CBC with differential
b) Urine human chorionic gonadotropin
c) Barium enema
d) Computed tomography of the abdomen
Question 10 points
Which high-density lipoprotein (HDL) level is considered cardioprotective?
Question options:
a) Greater than 30
b) Greater than 40
c) Greater than 50
d) Greater than 60
Question 11 points
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?
Question options:
a) Feels relief after a bowel movement
b) Sometimes is constipated