NSG6440 Final Exam Questions With Complete Solutions
A 15-year-old girl is seen in the clinic because she has not yet
had her first period. Which of the following questions would
help the clinician determine the cause? Correct Answer How
long have you been underweight
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? Correct Answer Antihepatitis D virus
A 22-year-old woman is diagnosed with premenstrual syndrome.
Which of the following lifestyle changes should the clinician
suggest to help minimize the patient's symptoms? Correct
Answer regular exercise
A 24- year old woman presents to the clinic with dysuria,
dyspareunia, and a mucopurulent vaginal discharge. Her
boyfriend was recently treated for nongonococcal urethritis.
What sexually transmitted disease has she most probable been
exposed to? Correct Answer Chlamydia
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
, be included in the differential diagnosis? Correct Answer
pheochromocytoma
A 42-year-old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed? Correct
Answer hospitalization
A 78-year-old man says he has been diagnosed with stage 0
bladder cancer and asks the provider what that means. Which is
the best response? Correct Answer You have cancer that has
spread to the surrounding tissue
A male patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He states that he
took his insulin this morning but was late for work and did not
eat breakfast. Which action should the clinician take first?
Correct Answer have him drink 4 ounce of juice
A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could
be responsible for the constipation? Correct Answer Pepto-
Bismol
A patient has CFS. Which strategy should the clinician consider
to manage this patient? Correct Answer Cognitive-behavioral
therapy
A patient is diagnosed with GERD, and his endoscopic report
reveals the presence of Barrett's epithelium. Which of the
following should the PCP include in the explanation of the
A 15-year-old girl is seen in the clinic because she has not yet
had her first period. Which of the following questions would
help the clinician determine the cause? Correct Answer How
long have you been underweight
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? Correct Answer Antihepatitis D virus
A 22-year-old woman is diagnosed with premenstrual syndrome.
Which of the following lifestyle changes should the clinician
suggest to help minimize the patient's symptoms? Correct
Answer regular exercise
A 24- year old woman presents to the clinic with dysuria,
dyspareunia, and a mucopurulent vaginal discharge. Her
boyfriend was recently treated for nongonococcal urethritis.
What sexually transmitted disease has she most probable been
exposed to? Correct Answer Chlamydia
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which condition should
, be included in the differential diagnosis? Correct Answer
pheochromocytoma
A 42-year-old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed? Correct
Answer hospitalization
A 78-year-old man says he has been diagnosed with stage 0
bladder cancer and asks the provider what that means. Which is
the best response? Correct Answer You have cancer that has
spread to the surrounding tissue
A male patient with type 1 diabetes comes to the clinic
complaining of feeling nervous and clammy. He states that he
took his insulin this morning but was late for work and did not
eat breakfast. Which action should the clinician take first?
Correct Answer have him drink 4 ounce of juice
A patient comes to the office complaining of constipation. The
patient lists all of the following medications. Which drug could
be responsible for the constipation? Correct Answer Pepto-
Bismol
A patient has CFS. Which strategy should the clinician consider
to manage this patient? Correct Answer Cognitive-behavioral
therapy
A patient is diagnosed with GERD, and his endoscopic report
reveals the presence of Barrett's epithelium. Which of the
following should the PCP include in the explanation of the
