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NSG 6001 Week 3 Midterm Exam With Complete Solution
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NSG 6001 Week 3 Midterm Exam With Complete SolutionA 35-year-old female patient presents to the clinic with complaints of abdominal pain.
Which of the following are elements of history and physical-ANSWER: nature of the pain,
chronology of the pain, palliating and precipitating factors, associated signs and
symptoms-n/v.
A patient presents to the office with a complaint of constipation. The patient names all of
the following medications. Which drug could be responsible for the contipation -
ANSWER Pepto-Bismol
A patient presents 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 comes to the office with complaints of pain in his chest and
belly. He has had the pain for 2 weeks, and gets temporary relief from Alka-Seltzer. The
burning awakens him at night and radiates up to his chest. Which factor favors a
diagnosis of gastric ulcer - ANSWER His use of Alka Seltzer
Which one of the following is most useful in the diagnosis of appendicitis- ANSWER
History and physical
A 46-year-old patient presents to the clinic with abdominal pain. Of the following, which
test is a must 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 frequently constipated and uses laxatives, followed by several days of
diarrheas. She reports brief improvement with passage of a bowel movement. She
endorses embarrassment with the presence of flatulence and abdominal distension. The
patient denies weight loss or blood in the stool. The issue has continued for roughly 6
months. What is the next step in this case? - ANSWER Take a complete history A
, 28-year-old patient comes to the clinic with colicky abdominal pain, especially with
meals. She repeatedly suffers from constipation and flatulence and also has abdominal
distension. Which of the following data makes the 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 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. At what point would one see this
type of pain in the appendix? - 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. What of the following should
the NP expect as a laboratory finding? - ANSWER Elevated alkaline phosphatase
Which of the following is included in the treatment plan for the patient with irritable
bowel syndrome? - ANWER High fiber diet
The nurse is performing an assessment on a client that has been diagnosed with
gastroesophageal reflux disease. Which of the following should be included in this
assessment? - ANWER Presence of pyrosis
A client, who has been diagnosed with a hiatal hernia, will most frequently experience
which of the following symptoms? - ANWER Heartburn
The nurse is teaching a client with a hiatal hernia about methods to alleviate the
symptoms. Which of the following should be part of this teaching? ANSWER Avoid lying
down after meals
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