NSG 6420 FINAL EXAM 2 – QUESTION AND ANSWERS

NSG 6420 FINAL EXAM 2 – QUESTION AND ANSWERS 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 Save 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 Save 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 Save 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 Save 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 Save 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