NSG 6001 Week 3 Midterm
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 - answernature 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 -
answerPepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis? - answer 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 - answerHis use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - answerHistory 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? - answerUrine 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? - answerObtain 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? - answerHer 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? - answer
Which of the following dietary instructions should be given to a patient with GERD? -
answerEliminate coffee
, The patient with GERD should be instructed to eliminate which of these activities? -
answerWeight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis? - answerVery 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? - answerElevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - answerHigh fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which
of the following should be included in this assessment? - answerPresence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - answerHeartburn
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 -
answerAvoid lying down after meals
.A client is experiencing water brash. The nurse realizes this symptom is associated
with - answerBarretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - answerhistamine 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? - answerTreatment 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 -
answerHep A
When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is - answergiving lactulose
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign
to assess for is: - answerbleeding
The nurse realizes that the organ which is a major site for metastases, harboring and
growing cancerous cells that originated in some other part of the body, is the -
answerliver
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 - answernature 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 -
answerPepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included
in the patient's differential diagnosis? - answer 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 - answerHis use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - answerHistory 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? - answerUrine 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? - answerObtain 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? - answerHer 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? - answer
Which of the following dietary instructions should be given to a patient with GERD? -
answerEliminate coffee
, The patient with GERD should be instructed to eliminate which of these activities? -
answerWeight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis? - answerVery 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? - answerElevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? - answerHigh fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which
of the following should be included in this assessment? - answerPresence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following symptoms
most frequently? - answerHeartburn
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 -
answerAvoid lying down after meals
.A client is experiencing water brash. The nurse realizes this symptom is associated
with - answerBarretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse
realizes this medication is classified as a - answerhistamine 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? - answerTreatment 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 -
answerHep A
When the liver is seriously damaged, ammonia levels can rise in the body. One of the
treatments for this is - answergiving lactulose
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign
to assess for is: - answerbleeding
The nurse realizes that the organ which is a major site for metastases, harboring and
growing cancerous cells that originated in some other part of the body, is the -
answerliver
