NR 511 Final Exam Latest 2023 - 2024

NR 511 Final Exam (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct

• A 35-year-old female patient is seen in the clinic complaining of abdominalpain. Which of the

following should be included in the history and physical exam?: Digital rectal exam, Sexual history, Pelvic exam

• A patient is seen in the office and is complaining of constipation. The patient lists all of the following

medications.Which drug could be responsible for theconstipation?: Pepto-Bismol

• A patient with complaints of diarrhea is seen. Which of the following should be included on the

differential diagnosis list for a patient with diarrhea?: Gas- troenteritis, Lactase deficiency, Inflammatory bowel disease

• Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had

intermittent heartburn for several months for which he takesTums with temporary relief. He has been waking during the night witha burning sensation in his chest.Which additional information would lead youto believe that gastro esophageal reflux disease (GERD) is the cause of his pain?: He awakens at night coughing with a bad taste in his mouth.

• A 29-year-old Englishman is seen in the office with complaints of pain in hischest and belly for 2

weeks. He gets temporary relief from Alka Seltzer. The burning pain wakes him at night and radiates up into his chest. Which factorfavors a diagnosis of gastric ulcer?: His use of Alka Seltzer

• Which of the following is most effective in diagnosing appendicitis?: Historyand physical

7. Which of the following is associated with celiac disease (celiac sprue)?: -

Malabsorption

• A 45-year-old patient presents with a chief complaint of generalized ab- dominal pain. Her physical

exam is remarkable for left lower quadrant (LLQ)tenderness. Which of the following should be considered in the differential diagnosis at this time?: Endometriosis, Diverticulitis, Colon cancer

• A 46-year-old patient is seen in the clinic with abdominal pain. Which of thefollowing tests is

essential for this patient?: Urine hCG

• A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals.

She is often constipated and takes laxatives. Following this, she has diarrhea for a couple of days. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulenceand has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for 1 / 2

about 6 months. What should the next step be?: Obtain a complete history.

• A 28-year-old patient is seen in the clinic with colicky abdominal pain, particularly with meals. She

has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of

diverticulitis unlikely?: Herage

• A 28-year-old patient is seen with complaints of diarrhea. Which of the following questions would

help the clinician establish the diagnosis of irritablebowel syndrome?: Feels relief after a bowel movement, Sometimes is constipated,Does not defecate in the middle of the night

• A patient is diagnosed with gastroesophageal reflux disease (GERD), andhis endoscopic report

reveals the presence of Barrett's epithelium. Which ofthe following information should the clinician include in the explanation of thepathology report?: This is a premalignant tissue. This tissue is resistant to gastricacid. This tissue supports healing of the esophagus.

• Which of the following dietary information should be given to a patient withgastroesophageal reflux

disease (GERD)?: Eliminate coffee.

• The patient with gastroesophageal reflux disease (GERD) should be in-structed to eliminate

which of these activities?: Weight lifting

• A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which of the

following would be the appropriate treatment?: Metronidazole

• A 22-year-old is seen complaining of vague belly pain.This type of pain isseen at what point in

appendicitis?: Very early

• Tests for appendicitis: Rovsing deep palpation of left lower quad with quickrelease. Psoas lift

right leg against gentle pressure. Obturator rotate right leg internally. McBurney pressure halfway between umbilicus and anterior spine.

• The clinician suspects the patient has a peptic ulcer.Which of the followingitems on the history would

lead the clinician to this conclusion?: Use of NSAIDs, Alcohol (ETOH) consumption, Cigarette smoker

• A patient is seen and a urine sample is taken. The urine dipstick reveals ahigh level of bilirubin, and

the urine is dark colored. Which of the following could be a cause of this problem?: Biliary obstruction

• A 21-year-old student presents with a chief complaint of fatigue, headache,anorexia, and a runny nose,

all of which began about 2 weeks ago. She startedtaking vitamins and over-the-counter (OTC) cold

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