NSG 6001 EXAM SCRIPT VERIFIED
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● Cameron, 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 antacids 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?
Answer: He wakes at night coughing with a bad taste in his mouth.
●● Hannah is a patient that just had an appendectomy after a diagnosis
of appendicitis and had no complications. Which of the following patient
education points is correct?
Answer: Your diet will be advanced when bowel sounds return."
●● Which of the following patients should be referred to a hepatologist?
Answer: Patient with persistent elevation of HBsAg
●● A 29-year-old is seen in the office with complaints of pain in his
chest and belly. He quit smoking 6 months ago. He has been suffering
the pain for 2 weeks and gets temporary relief from Alka-Seltzer® and
,Pepto-Bismol®. The burning pain wakes him at night and radiates up to
his chest. Which factor favors a diagnosis of gastric ulcer?
Answer: His use of Alka-Seltzer
●● Which of the following causes of gastrointestinal bleeding is found
in the lower gastrointestinal tract?
Answer: Meckel's diverticulum
●● A 21-year-old student presents with complaints of fatigue, headache,
anorexia, and a runny nose, all of which began about 2 weeks ago. She
started taking vitamins and over-the-counter cold preparations but feels
worse. The smell of food makes her nauseated. Her boyfriend had
mononucleosis about 1 month ago, and she wonders if she might have it
also. Examination reveals cervical adenopathy and an enlarged liver and
spleen. Which of the following labs would be most helpful in the
differential diagnosis at this point?
Answer: Antihepatitis D virus
●● A patient presents with symptoms of infectious mononucleosis.
Which lab chemistry test should the clinician order?
Answer: Heterophile antibody test
●● 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?
, Answer: Elevated alkaline phosphatase
●● Which of the following are included in Ranson's criteria for
assessing the severity of pancreatitis at the time of diagnosis?
Answer: Base deficit greater than 4 mEq/L
●● Donna is a 36-year-old African American woman with chronic
pancreatitis. Which of the following are necessary to manage her
condition?
Answer: A low-fat diet of less than 50 g of fat per day
●● Which of the following diagnostic tests is ordered for a cecal
volvulus bowel obstruction?
Answer: Barium enema
●● Which of the following is part of the treatment plan for the patient
with IBS?
Answer: High-fiber diet
●● Leslie is a 35-year-old Caucasian woman who presents with
weakness, anorexia, weight loss, and fatigue. Her history is significant
for inflammatory bowel disease, Hashimoto's thyroiditis, and cigarette
smoking. Which of the following pieces of her history leads the clinician
to believe she has primary sclerosing cholangitis?
QUESTIONS AND SOLUTIONS COMPLETE
REVIEW MATERIAL
●● Cameron, 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 antacids 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?
Answer: He wakes at night coughing with a bad taste in his mouth.
●● Hannah is a patient that just had an appendectomy after a diagnosis
of appendicitis and had no complications. Which of the following patient
education points is correct?
Answer: Your diet will be advanced when bowel sounds return."
●● Which of the following patients should be referred to a hepatologist?
Answer: Patient with persistent elevation of HBsAg
●● A 29-year-old is seen in the office with complaints of pain in his
chest and belly. He quit smoking 6 months ago. He has been suffering
the pain for 2 weeks and gets temporary relief from Alka-Seltzer® and
,Pepto-Bismol®. The burning pain wakes him at night and radiates up to
his chest. Which factor favors a diagnosis of gastric ulcer?
Answer: His use of Alka-Seltzer
●● Which of the following causes of gastrointestinal bleeding is found
in the lower gastrointestinal tract?
Answer: Meckel's diverticulum
●● A 21-year-old student presents with complaints of fatigue, headache,
anorexia, and a runny nose, all of which began about 2 weeks ago. She
started taking vitamins and over-the-counter cold preparations but feels
worse. The smell of food makes her nauseated. Her boyfriend had
mononucleosis about 1 month ago, and she wonders if she might have it
also. Examination reveals cervical adenopathy and an enlarged liver and
spleen. Which of the following labs would be most helpful in the
differential diagnosis at this point?
Answer: Antihepatitis D virus
●● A patient presents with symptoms of infectious mononucleosis.
Which lab chemistry test should the clinician order?
Answer: Heterophile antibody test
●● 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?
, Answer: Elevated alkaline phosphatase
●● Which of the following are included in Ranson's criteria for
assessing the severity of pancreatitis at the time of diagnosis?
Answer: Base deficit greater than 4 mEq/L
●● Donna is a 36-year-old African American woman with chronic
pancreatitis. Which of the following are necessary to manage her
condition?
Answer: A low-fat diet of less than 50 g of fat per day
●● Which of the following diagnostic tests is ordered for a cecal
volvulus bowel obstruction?
Answer: Barium enema
●● Which of the following is part of the treatment plan for the patient
with IBS?
Answer: High-fiber diet
●● Leslie is a 35-year-old Caucasian woman who presents with
weakness, anorexia, weight loss, and fatigue. Her history is significant
for inflammatory bowel disease, Hashimoto's thyroiditis, and cigarette
smoking. Which of the following pieces of her history leads the clinician
to believe she has primary sclerosing cholangitis?
