Download NSG6001 Midterm Exam Questions and Answers: Gastrointestinal and Urological Disorders and more Exams Nursing in PDF only on Docsity!
NSG 6001 MIDTERM EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 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 - CORRECT 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 constipation - CORRECT ANSWER >>Pepto- Bismol A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis?
- CORRECT 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 - CORRECT ANSWER >>His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis
- CORRECT 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? - CORRECT 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? - CORRECT ANSWER >>Obtain a complete history
. 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? - CORRECT ANSWER >>Elevated alkaline phosphatase Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? - CORRECT 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? - CORRECT ANSWER >>Presence of pyrosis A client, diagnosed with a hiatal hernia, will experience which of the following symptoms most frequently? - CORRECT 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 - CORRECT ANSWER >>Avoid lying down after meals
.A client is experiencing water brash. The nurse realizes this symptom is associated with - CORRECT ANSWER >>Barretts esophagus .A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes this medication is classified as a - CORRECT 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? - CORRECT 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 - CORRECT ANSWER >>Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - CORRECT ANSWER
giving lactulose
A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client?. - CORRECT ANSWER >>Avoid all alcohol A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find?
- CORRECT 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? - CORRECT 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?. - CORRECT 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? - CORRECT 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:. - CORRECT 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: - CORRECT 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 - CORRECT ANSWER
corpus spongiosum During the examination of the male testes, the nurse should instruct the client on - CORRECT 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): - CORRECT ANSWER >>bone scan
A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be explored as the likely cause of her dyspareunia? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER >> Which of the following would be an appropriate treatment for a patient with mild BPH? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER >>Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - CORRECT
CORRECT ANSWER >>Scrotal elevation Which of the following data is indicative of testicular torsion? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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 - CORRECT 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? - CORRECT 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 - CORRECT 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 - CORRECT
Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to describe these lesions to the patient? - CORRECT ANSWER >>Warts The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician? - CORRECT 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? - CORRECT 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? - CORRECT 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 - CORRECT 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 2ounce baby boy. Which action should the nurse anticipate will be needed for the infant? - CORRECT 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? - CORRECT 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? - CORRECT 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? -
The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse teach that may transmit a sexually transmitted infection (STI)? - CORRECT ANSWER >>Sharing intravenous drug equipment 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 - CORRECT ANSWER >>Abstinence A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER >>Genital warts
. The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? - CORRECT 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? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER
