NSG 6420 QUIZZES STUDY GUIDE 2 86 PAGES (GRADED A)
1
Which of the following is the most common cause of heartburn-type epigastric pain? Question 1
... [Show More] 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)
2
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)
3Your 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)
4
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)
5A 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)
6
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
Save
Question 7 (1 point)
7
A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional
weight loss. At times he is constipated and other times he has episodes of diarrhea. His physical
examination is unremarkable. It is important for the clinician to recognize the importance of:Question 7 options:
a) CBC with differential
b) Stool culture and sensitivity
c) Abdominal X-ray
d) Colonoscopy
Save
Question 8 (1 point)
8
A 59-year-old patient with history of alcohol abuse comes to your office because of ‘throwing up blood”.
On physical examination, you note ascites and caput medusa. A likely cause for the hematemesis is:
Question 8 options:
a) Peptic ulcer disease
b) Barrett’s esophagus
c) Esophageal varices
d) Pancreatitis
Save
Question 9 (1 point)
9
An 82-year-old female presents to the emergency department with epigastric pain and weakness. She
admits to having dark, tarry stools for the last few days. She reports a long history of pain due to
osteoarthritis. She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain. On physical
examination, she has orthostatic hypotension and pallor. Fecal occult blood test is positive. A likely
etiology of the patient’s problem is:Question 9 options:
a) Mallory-Weiss tear
b) Esophageal varices
c) Gastric ulcer
d) Colon cancer
Save
Question 10 (1 point)
10
When counseling clients regarding the use of antidiarrheal drugs such as Imodium anti-diarrheal and
Kaopectate, the nurse practitioner advises patients to:
Question 10 options:
a) Use all the medication
b) Do not use for possible infectious diarrhea
c) Use should exceed one week for effectiveness
d) These drugs provide exactly the same pharmaceutical effects
Save
Question 11 (1 point)
11
When teaching a group of older adults regarding prevention of gastroesophageal reflux disease
symptoms, the nurse practitioner will include which of the following instructions?
Question 11 options:a) Raise the head of the bed with pillows at night and chew peppermints when symptoms of
heartburn begins.
b) Raise the head of the bed on blocks and take the proton pump inhibitor medication at
bedtime.
c) Sit up for an hour after taking any medication and restrict fluid intake.
d) Avoid food intolerances, raise head of bed on blocks, and take a proton pump inhibitor before
a meal.
Save
Question 12 (1 point)
12
In a patient presenting with suspected recurrence of diverticulitis, abdominal pain usually presents
where in the abdomen?
Question 12 options:
a) Left upper quadrant
b) Right upper quadrant
c) Left lower quadrant
d) Right lower quadrant
Save
Question 13 (1 point)
13
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.
What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori
test?
Question 13 options:a) It is highly contagious and a mask should be worn at home.
b) Treatment regimen is multiple lifetime medications.
c) Treatment regimen is multiple medications taken daily for a few weeks.
d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
Save
Question 14 (1 point)
14
An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He
also reports occasional morning hoarseness. What should the differential include?
Question 14 options:
a) Atypical pneumonia
b) Peptic ulcer disease
c) Gastroesophageal reflux
d) Mononucleosis (Epstein-Barr)
Save
Question 15 (1 point)
15
Which of the following findings would indicate a need for another endoscopy in clients with peptic ulcer
disease?
Question 15 options:
a) Cases of dyspepsia with constipationb) Symptoms persisting after six to eight weeks of therapy
c) All clients with dyspepsia who smoke and drink alcohol
d) When a therapeutic response to empiric treatment is obtained
Save
Question 16 (1 point)
16
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating, and
episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently relieved with
bowel movement. She is on a “celiac diet” and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a history and physical
consistent with:
Question 16 options:
a) Inflammatory bowel disease
b) Irritable bowel syndrome
c) Giardiasis
d) Norovirus gastroenteritis
Save
Question 17 (1 point)
17
What test is used to confirm the diagnosis of appendicitis?
Question 17 options:
a) CBCb) Flat plate of abdomen
c) Rectal exam
d) CT of abdomen with attention to appendix
Save
Question 18 (1 point)
18
If it has been determined a patient has esophageal reflux, you should tell them:
Question 18 options:
a) They probably have a hiatal hernia causing reflux
b) They probably need surgery
c) They should avoid all fruit juices
d) Smoking, alcohol, and caffeine can aggravate their problem
Save
Question 19 (1 point)
19
A 74-year-old obese female presents complaining of persistent right upper quadrant pain. She reports
that she has not had any prior abdominal surgeries. Which of the following laboratory studies would be
most indicative of acute cholecystitis?
Question 19 options:
C-reactive protein level of 3 mg
White blood cell count of 11,000Direct serum bilirubin level of 0.3 mg/dl
Serum amylase level of 145 U/L
Save
Question 20 (1 point)
20
Which of the following is not a contributing factor to the development of esophagitis in older adults?
Question 20 options:
a) Increased gastric emptying time
b) Regular ingestion of NSAIDs
c) Decreased salivation
d) Fungal infections such as Candida
Save
Question 21 (1 point)
21
The major impact of the physiological changes that occur with aging is:
Question 21 options:
a) Reduced physiological reserve
b) Reduced homeostatic mechanisms
c) Impaired immunological response
d) All of the above
SaveQuestion 22 (1 point)
22
Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
Question 22 options:
a) Less obesity rates than women
b) Prostate enlargement
c) More testosterone than women
d) Less estrogen than women
Save
Question 23 (1 point)
23
The cytochrome p system involves enzymes that are generally:
Question 23 options:
a) Inhibited by drugs
b) Induced by drugs
c) Inhibited or induced by drugs
d) Associated with decreased liver perfusion
Save
Question 24 (1 point)24
Functional abilities are best assessed by:
Question 24 options:
a) Self-report of function
b) Observed assessment of function
c) A comprehensive head-to-toe examination
d) Family report of function
Save
Question 25 (1 point)
25
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of
Chronic Disease (ACD):
Question 25 options:
a) Hemoglobin >8 g/dl, MCV increased, MCH increased
b) Hemoglobin >12 g/dl, MCV increased, MCH increased
c) Hemoglobin >8 g/dl, MCV decreased, MCH decreased
d) Hemoglobin >12 g/dl, MCV decreased, MCH increased
Save
Question 26 (1 point)
26
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers
to which of the following laboratory data?Question 26 options:
a) Hemoglobin and Hematocrit
b) Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)
c) Serum ferritin and Serum iron
d) Total iron binding capacity and transferrin saturation
Save
Question 27 (1 point)
27
The pathophysiological hallmark of ACD is:
Question 27 options:
a) Depleted iron stores
b) Impaired ability to use iron stores
c) Chronic uncorrectable bleeding
d) Reduced intestinal absorption of iron
Save
Question 28 (1 point)
28
The main focus of treatment of patients with ACD is:
Question 28 options:
a) Replenishing iron storesb) Providing for adequate nutrition high in iron
c) Management of the underlying disorder
d) Administration of monthly vitamin B12 injections
Save
Question 29 (1 point)
29
In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is
considered to be most useful in diagnosing ACD and IDA?
Question 29 options:
a) Serum iron
b) Total iron binding capacity
c) Transferrin saturation
d) Serum ferritin
Save
Question 30 (1 point)
30
Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except:
Question 30 options:
a) Sore throat
b) Fever
c) Weight lossd) Headache
Save
Question 31 (1 point)
31
Essential parts of a health history include all of the following except:
Question 31 options:
a) Chief complaint
b) History of the present illness
c) Current vital signs
d) All of the above are essential history components
Save
Question 32 (1 point)
32
Which of the following clinical reasoning tools is defined as evidence-based resource based on
mathematical modeling to express the likelihood of a condition in select situations, settings, and/or
patients?
Question 32 options:
a) Clinical practice guideline
b) Clinical decision rule
c) Clinical algorithm
d) Clinical recommendation
SaveQuestion 33 (1 point) 33
The first step in the genomic assessment of a patient is obtaining information regarding: Question 33 options: a) Family history b) Environmental exposures c) Lifestyle and behaviors d) Current medications
Save Question 34 (1 point)
34
In autosomal recessive (AR) disorders, individuals need: Question 34 options: a) Only one mutated gene on the sex chromosomes to acquire the disease b) Only one mutated gene to acquire the disease [Show Less]