Download NSG 6001 WEEK 3 MIDTERM 2026/2027 ACTUAL QUESTIONS WITH VERIFIED ANSWERS. and more Exams Nursing in PDF only on Docsity!
NSG 6001 WEEK 3 MIDTERM
2026/2027 ACTUAL QUESTIONS
WITH VERIFIED ANSWERS.
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
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 .A client is experiencing water brash. The nurse realizes this symptom is associated with - ANSWER-Barretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes this medication is classified as a - ANSWER-histamine H2-receptor antagonist A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the following would be indicated for this client? - ANSWER-Treatment similar to a client with peptic ulcer disease A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis - ANSWER-Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - ANSWER-giving lactulose A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - ANSWER-bleeding The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that
A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find? - ANSWER-Cloudy urine An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client? - ANSWER-Change in mental status A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication?. - ANSWER-Take with an antacid A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. The nurse should include which of the following discharge instructions? - ANSWER-. Do not take within 2 hours of antacid use A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that:. - ANSWER-provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina
A 50-year-old male client has had a prostate-specific antigen test. The nurse realizes that the normal range for this test would be: - ANSWER- 3 - 4 ng/ml A male client, having difficulty voiding, tells the nurse that he thinks something is wrong with his penis. The nurse reviews the structures of the penis with the client and explains that the structure that surrounds the urethra is the - ANSWER-corpus spongiosum During the examination of the male testes, the nurse should instruct the client on - ANSWER-monthly testicular self- examinations .A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes that this client will most likely be scheduled for a(n): - ANSWER-bone scan A female clients Pap test revealed atypical results. The nurse realizes that this client will most likely be scheduled for a(n): - ANSWER-colposcopy
should be explored as the likely cause of her dyspareunia? - ANSWER-Menopause
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis? - ANSWER-Benign prostatic hypertrophy A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men? - ANSWER-UTI A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? - ANSWER-Refer to a urologist immediately An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses - ANSWER-
Which of the following would be an appropriate treatment for a patient with mild BPH? - ANSWER-Reevaluate symptoms in 1 to 3 months.
. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? - ANSWER-Testosterone level . A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis? - ANSWER-Peyronie's disease The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects? - ANSWER-Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - ANSWER-Gram-negative bacillus
Which of the following data is indicative of testicular torsion? - ANSWER-Absent cremasteric reflex A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find? - ANSWER-The scrotum will appear light pink or yellow. During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? - ANSWER-An enlarged rubbery gland A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system? - ANSWER-The cancer involves the seminal vesicles
. A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects? - ANSWER-shrunken testicles, hot flashes, gynecomastia, erectile dysfunction, osteoporosis, loss of muscle mass
. What is the treatment of choice for a patient diagnosed with testicular cancer - ANSWER-Radical orchidectomy A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self- examination (TSE). Which of the following should be included in the list of differential diagnoses? - ANSWER- A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan - ANSWER-Every 3 to 4 months During data collection the nurse notes the presence of a chancre on a male patients penis. For which sexually transmitted infection should the nurse focus additional data collection - ANSWER-Syphilis A patient is diagnosed with a parasitic infection caused by close contact with another persons genitals. For which infection should the nurse plan care? - ANSWER-Phthirus pubis
The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician? - ANSWER-sharp pain at the base of the ribs Because Trichomonas is relatively large, unusually shaped, and diagnosed quickly, the nurse is asked to assist the physician obtain which type of specimen? - ANSWER-Wet mount A patient diagnosed with Trichomonas asks the nurse how the diagnosis will affect her risk for cervical cancer. Which response by the nurse is best? - ANSWER-Papanicolaou smears should be done more frequently because results may be altered by Trichomonas. A patient asks why the physician has recommended systemic interferon treatment for genital warts. Which explanation should the nurse provide to the patient - ANSWER-Interferon therapy can attack warts all over the body at the same time
. A patient with hepatitis B virus (HBV) delivers a 6-pound 2- ounce baby boy. Which action should the nurse anticipate will be needed for the infant? - ANSWER-HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
The nurse must bathe a patient with herpes. What is the nurses best protection against contracting sexually transmitted infections (STIs) from patients while providing perineal hygiene? - ANSWER-Practicing standard precautions
. The nurse is caring for a pregnant woman who is fearful that her unborn child will be born blind because of having a sexually transmitted infection (STI). For which STI should the nurse plan care to prevent ophthalmia neonatorum in the newborn? - ANSWER-Gonorrhea The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, I heard you can get cancer from STIs. Is that true? Which response by the nurse is correct? - ANSWER-Yes, some STIs have been linked to cancer, so adequate treatment is very important he nurse is identifying ways for a young adult to reduce the risk of contracting a sexually transmitted infection (STI). What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting an STI? - ANSWER-Alcohol may reduce inhibitions
A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What response should the nurse make to this patients question - ANSWER-Abstinence A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? - ANSWER-Human papillomavirus The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What would be an important part of the mans history to report to the physician? - ANSWER-The patient has a history of syphilis A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which condition? - ANSWER-Genital warts
. The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? - ANSWER-Antibiotic eyedrops
While reviewing a medical record the nurse notes that patient has a strawberry cervix. For which sexually transmitted infection (STI) would the nurse plan care? - ANSWER- Trichomoniasis The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? - ANSWER-Chlamydia While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of severe pain during the bimanual examination. For which health problem should the nurse suspect this patient is going to need care - ANSWER- Pelvic inflammatory disease While assisting with care, the nurse counsels the patient diagnosed with a sexually transmitted infection (STI) about notification of sexual partners. Which patient statement indicates the need for further teaching? - ANSWER-Reporting regulations are the same throughout the country
