NURS Examination Questions with Verified Answers Latest Update 2024 Assured A+, Exams of Nursing

Download NURS Examination Questions with Verified Answers Latest Update 2024 Assured A+ and more Exams Nursing in PDF only on Docsity! NURS Examination Questions with Verified Answers Latest Update 2024 Assured A+ MULTIPLE CHOICE 1. A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the examination? A. Lumbar puncture B. Family history of cardiac problems C. Contrast venography D. Pelvic exam ANS: D PTS: 1 2. Which of the following is a condition that results in colicky abdominal pain? A. Peptic ulcers B. Glisson’s capsule around the liver C. Peritoneum irritation D. Gallstones ANS: D PTS: 1 3. 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? A. Multivitamin B. Magnesium hydroxide C. Pepto-Bismol® D. Ibuprofen ANS: C PTS: 1 4. Which of the following is an appropriate strategy to manage constipation? A. Mildly exercise after breakfast. B. Five timed minutes on the toilet in which to defecate. C. Drink at least 48 ounces of fluids daily. D. Immediately begin pharmacologic treatment. 1 ANS: A PTS: 1 5. A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis? A. Gastroenteritis B. Recent use of Imodium C. Lack of dietary fiber D. Decreased physical activity ANS: A PTS: 1 2 ANS: C PTS: 1 11. Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal tract? A. Erosive esophagitis B. Duodenal ulcer C. Meckel’s diverticulum D. Gastric ulcer ANS: C PTS: 1 12. Which of the following is most effective in diagnosing acute appendicitis? A. History and physical B. Sedimentation rate C. Kidney, ureter, and bladder x-ray D. Complete blood count (CBC) with differentials ANS: A PTS: 1 13. Which of the following is true of appendicitis? A. Appendicitis is more common in Asian countries. B. Family history of appendicitis does not increase a patient’s risk of having appendicitis. C. Appendicitis is most common between the ages of 40 and 60. D. If appendicitis occurs in infants, it is associated with higher morbidity. ANS: D PTS: 1 14. Which of the following is associated with celiac disease (celiac sprue)? A. Malabsorption B. Constipation C. Rectal bleeding D. Esophageal ulceration ANS: A PTS: 1 15. A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her physical examination is remarkable for left lower quadrant tenderness. At this time, which of the following should be considered in the differential diagnosis? A. Endometriosis B. Yersinia enterocolitica infection 5 C. Appendicitis D. GERD ANS: A PTS: 1 16. Robin is a 57-year-old female presenting with diffuse abdominal pain. Which of the following statements from the provider to Robin is correct? A. “It does not matter that you feel pain not only in your stomach but also in your shoulder.” 6 B. “Does moving around change the nature of your pain?” C. “All causes of abdominal pain do not necessitate a surgical referral.” D. “I noticed on examination that your stomach is rigid, and you stated your pain is quite severe. It is only necessary for a nurse to see you concerning this problem.” ANS: B PTS: 1 17. 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? A. Obtain a complete history. B. Order a barium enema. C. Schedule a Bernstein’s test. D. Prescribe a trial of antispasmodics. ANS: A PTS: 1 18. A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly after meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? A. Her age B. Frequent constipation C. Pain after meals D. Colicky abdominal pain ANS: A PTS: 1 19. 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 provider (PCP) establish the diagnosis of irritable bowel syndrome (IBS)? A. Feels relief after urination B. Pain wakes up patient from sleep C. Defecates in the middle of the night D. Pain is precipitated by eating ANS: D PTS: 1 7 26. A patient is diagnosed with Giardia lamblia after a backpacking trip in the mountains. Which of the following would be an appropriate treatment? A. Vancomycin B. Penicillin C. Metronidazole D. Bactrim ANS: C PTS: 1 10 27. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? A. Very early B. 3 to 4 hours after perforation C. Late in inflammation D. Appendicitis never presents with vague pain ANS: A PTS: 1 28. The nurse practitioner (NP) suspects a patient has a peptic ulcer. Which of the following items on the history would lead the NP to this conclusion? A. Use of fish oil vitamin B. Ethanol avoidance C. Cigarette smoking D. Prednisone use ANS: C PTS: 1 29. A patient is seen with dark-colored urine, and the urine dipstick reveals a high level of bilirubin. Which of the following could be a cause of this problem? A. Increased bilirubin uptake B. Increased bilirubin excretion C. Biliary obstruction D. A serum bilirubin level of 0.5 mg/dL ANS: C PTS: 1 30. Angela is a 30-year-old G0P0 biracial Asian and Caucasian woman. Her body mass index (BMI) is 22 and her history includes anemia, epilepsy, and bee-sting allergy. Which of the following parts of her patient history would increase her risk of cholelithiasis? A. Nulliparity B. Bee-sting allergy C. BMI 22 D. Female gender ANS: D PTS: 1 31. A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks ago. 11 She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point? A. Stool culture B. Liver enzymes C. Antihepatitis D virus D. Thyroid-stimulating hormone test ANS: C PTS: 1 12