P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NSG 6001 Week 3 Midterm
2026/2027 | Graduate
Nursing Questions &
Answers | Comprehensive
Assessment Review
(Rationales)
Verified Answers Exam Ready With Rationales 90 QUESTIONS
DOCUMENT OVERVIEW
This comprehensive assessment review provides 90 graduate nursing questions with
correct answers and detailed rationales, covering a broad spectrum of clinical practice. It is
suitable for in-depth study, thorough review, and certification preparation for advanced
nursing roles. This resource directly aligns with the learning objectives for the NSG 6001
midterm.
TOPICS
Gastrointestinal Disorders Q1–Q25
Hepatitis and Liver Function Q26–Q29
Urinary and Male Reproductive Systems Q30–Q58
Female Reproductive and STIs Q59–Q89
Neurological and General Assessment Q90–Q90
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, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 90
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
RESPONSE
nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms
(n/v).
RATIONALE
A comprehensive pain assessment is for diagnosing abdominal discomfort. Eliciting details about
the pain's character, onset, duration, and exacerbating/alleviating factors helps differentiate
potential etiologies. Investigating associated symptoms like nausea and vomiting provides further
diagnostic clues.
Q2 QUESTION 2 OF 90
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
RESPONSE
Pepto-Bismol
RATIONALE
Bismuth subsalicylate, the active ingredient in Pepto-Bismol, can cause constipation by slowing
intestinal motility and absorbing water. This effect is due to its astringent properties. Other listed
medications typically do not have this gastrointestinal side effect profile.
Q3 QUESTION 3 OF 90
A patient is seen with complaints of diarrhea. Which of the following should be included in
the patient's differential diagnosis?
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, RESPONSE
frequency, amount and fluidity, color and characteristics. Diet history, recent travel, medication
use, source of drinking water
RATIONALE
Assessing diarrhea requires a comprehensive history focusing on symptom characteristics like
frequency, amount, fluidity, and appearance. Additionally, exploring potential etiologies through
diet, travel, medication history, and water source is critical for differential diagnosis in nursing
practice.
Q4 QUESTION 4 OF 90
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
RESPONSE
His use of Alka Seltzer
RATIONALE
Alkaline substances, like Alka-Seltzer, can provide transient relief from gastric ulcer pain by
temporarily neutralizing gastric acid. This acid-reducing effect, even if short-lived, is a
differentiating characteristic from duodenal ulcers, which are often relieved by food. The patient's
reported relief from this agent strongly suggests a gastric ulcer etiology.
Q5 QUESTION 5 OF 90
Which of the following is most effective in diagnosing appendicitis
RESPONSE
History and physical
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, RATIONALE
A thorough patient history and comprehensive physical examination are for initial assessment. Key
findings like right lower quadrant tenderness, rebound tenderness, and guarding are highly
suggestive of appendicitis. These clinical elements guide further diagnostic workup and
management decisions.
Q6 QUESTION 6 OF 90
A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests
is essential for this patient?
RESPONSE
Urine human chorionic gonadotropin
RATIONALE
In women of reproductive age presenting with abdominal pain, ruling out ectopic pregnancy is a
critical diagnostic step. A urine human chorionic gonadotropin (hCG) test is the primary screening
tool for pregnancy. A positive result would necessitate further investigation to confirm pregnancy
status and location, guiding subsequent management.
Q7 QUESTION 7 OF 90
. 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?
RESPONSE
Obtain a complete history
RATIONALE
The patient presents with a constellation of chronic gastrointestinal symptoms suggestive of a
functional disorder. A thorough history is paramount to establish diagnostic criteria, rule out red
flags, and differentiate from organic pathology. This assessment guides further diagnostic and
management strategies.
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