NSG 6001 WEEK 3 MIDTERM EXAM
2025
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 Ans-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
Ans-Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis? - Correct Ans-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 Ans-His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - Correct Ans-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 Ans-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 Ans-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 Ans-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 Ans-
NCG 6001
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Which of the following dietary instructions should be given to a patient with GERD? -
Correct Ans-Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities? -
Correct Ans-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 Ans-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 Ans-Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - Correct Ans-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 Ans-Presence of
pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - Correct Ans-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
Ans-Avoid lying down after meals
.A client is experiencing water brash. The nurse realizes this symptom is associated
with - Correct Ans-Barretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - Correct Ans-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? - Correct Ans-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 -
Correct Ans-Hep A
When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is - Correct Ans-giving lactulose
NCG 6001