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NSG 6001 Week 3 Midterm Exam with complete solutions 2024_2025
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NSG 6001 Week 3 Midterm Exam with complete solutions 2024_2025
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NSG 6001 Week 3 Midterm Exam withcomplete solutions 2024/2025
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 - ANSWER-
nature 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 -
ANSWER-Pepto-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 - ANSWER-His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis - ANSWER-
History 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? - ANSWER-Urine 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? - ANSWER-Obtain 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? - ANSWER-Her 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? - ANSWER-Eliminate coffee
The patient with GERD should be instructed to eliminate which of these
activities? - ANSWER-Weight lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen
at what point in appendicitis? - ANSWER-Very 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? - ANSWER-Elevated alkaline
phosphatase
Which of the following is part of the treatment plan for the patient with irritable
bowel syndrome? - ANSWER-High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease.
Which of the following should be included in this assessment? - ANSWER-
Presence of pyrosis
A client, diagnosed with a hiatal hernia, will experience which of the following
symptoms most frequently? - ANSWER-Heartburn
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 -
ANSWER-Avoid lying down after meals
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