Nsg 6420 quiz 2

Which of the following is the most common cause of heartburn-type epigastric pain?

Question 1 options:

a) Decreased lower esophageal sphincter tone

b) Helicobacter pylori infection of stomach

c) Esophageal spasm

d) Peptic ulcer disease

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Question 2 (1 point)




An older patient reports burning pain after ingestion of many foods and large meals. What assessment
would assist the nurse practitioner in making a diagnosis of GERD?

Question 2 options:

a) Identification of a fluid wave

b) Positive Murphy’s sign

c) Palpable spleen

d) Midepigastric pain that is not reproducible with palpation

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Question 3 (1 point)

,Your patient complains of lower abdominal pain, anorexia, extreme fatigue, unintentional weight loss of
10 pounds in last 3 weeks, and you find a positive hemoccult on digital rectal examination. Laboratory
tests show iron deficiency anemia. The clinician needs to consider:

Question 3 options:

a) Diverticulitis

b) Colon cancer

c) Appendicitis

d) Peptic ulcer disease

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Question 4 (1 point)




A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain,
which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable
mass and rebound tenderness over the right lower quadrant. The clinician should recognize the
importance of:

Question 4 options:

a) Digital rectal examination

b) Endoscopy

c) Pelvic examination

d) Urinalysis

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Question 5 (1 point)




A nurse practitioner reports that your patient’s abdominal X-ray demonstrates multiple air-fluid levels in
the bowel. This is a diagnostic finding found in:

,Question 5 options:

a) Appendicitis

b) Cholecystitis

c) Bowel Obstruction

d) Diverticulitis

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Question 6 (1 point)




Which of the following conditions is the most common cause of nausea, vomiting, and diarrhea?

Question 6 options:

a) Viral gastroenteritis

b) Staphylococcal food poisoning

c) Acute hepatitis A

d) E coli gastroenteritis

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Question 7 (1 point)




A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional
weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical
examination is unremarkable. It is important for the clinician to recognize the importance of:

Question 7 options:

a) CBC with differential

, b) Stool culture and sensitivity

c) Abdominal X-ray

d) Colonoscopy

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Question 8 (1 point)




A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”.
On physical examination, you note ascites and caput medusa. A likely cause for the hematemesis is:

Question 8 options:

a) Peptic ulcer disease

b) Barrett’s esophagus

c) Esophageal varices

d) Pancreatitis

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Question 9 (1 point)




An 82-year-old female presents to the emergency department with epigastric pain and weakness. She
admits to having dark, tarry stools for the last few days. She reports a long history of pain due to
osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain. On physical
examination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely
etiology of the patient’s problem is:

Question 9 options:

a) Mallory-Weiss tear