NSG 6001 Week 3 Midterm Latest 2023
Graded A
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 ✔✔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 ✔✔Pepto-Bismol
A patient is seen with complaints of diarrhea. Which of the following should be included in the
patient’s differential diagnosis? ✔✔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
✔✔His use of Alka Seltzer
Which of the following is most effective in diagnosing appendicitis ✔✔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? ✔✔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? ✔✔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? ✔✔Her age
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 physician (PCP) establish the diagnosis of
irritable bowel syndrome? ✔✔
Which of the following dietary instructions should be given to a patient with GERD?
✔✔Eliminate coffee
The patient with GERD should be instructed to eliminate which of these activities? ✔✔Weight
lifting
. A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point
in appendicitis? ✔✔Very early
. 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? ✔✔Elevated alkaline phosphatase
Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome? ✔✔High fiber diet
The nurse is assessing a client diagnosed with gastroesophageal reflux disease. Which of the
following should be included in this assessment? ✔✔Presence of pyrosis
NSG 6001 U2 Section 4. Ear, Nose, and
Throat Problems Questions and
Answers Graded A
- Which of the following is an example of sensorineural hearing loss?
A. Perforation of the tympanic membrane
B. Otosclerosis
C. Cholesteatoma
D. Presbycusis ✔✔D. Presbycusis - The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning
fork over the patient’s mastoid process, and when the sound fades away, the fork is placed
without restriking it over the external auditory meatus. The patient is asked to let the clinician
know when the sound fades away. This is an example of which type of test?
A. Weber test
B. Schwabach test
C. Rinne test
D. Auditory brainstem response (ABR) test ✔✔C. Rinne test - A patient presents to the clinician complaining of ear pain. On examination, the clinician finds
that the patient has tenderness on traction of the pinna as well as when applying pressure over the
tragus. These findings are classic signs of which condition?
A. Otitis media
B. Ménière’s disease
C. Tinnitus
D. Otitis externa ✔✔D. Otitis externa - In which of the following scenarios would otitis media (OM) be considered chronic?
A. Patient has had repeated episodes of acute OM followed by continuous or intermittent
otorrhea lasting for more than 3 months.
B. Patient has had severe pain and intermittent otorrhea lasting for 2 months.
C. Patient has had repeated episodes of acute OM followed by continuous or intermittent
otorrhea lasting for more than 1 month.
D. Patient has had severe pain and continuous otorrhea lasting for 3 months. ✔✔A. Patient has
had repeated episodes of acute OM followed by continuous or intermittent otorrhea lasting for
more than 3 months - Which of the following is helpful in evaluating patients with otitis media with effusion?
Advanced Nursing NSG 6001 Questions
and Answers Already Graded A
Chalazion ✔✔A chronic sterile, lipogranulomatous inflammation lesion of the mibomian gland.
What causes a Chalazion ✔✔meibomian glands secrete the oil layer of the tear film in the eye.
NOT AN INFECTION. More common in adults.
What are the risk factors of a Chalazion ✔✔Chronic Blepharitis, Seborrhea, Viral infection,
rosacea
Clinical presentation of Chalazion ✔✔Chronic swelling at the inner eye lid. (NOT ON THE
LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye, swelling of the
eyelid.
Treatment of Chalazion ✔✔Small lesions may not need any treatment.
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
Patient education for Chalazion ✔✔- Patient can wear contact lenses. They should be cleaned
with disinfectant. Disposable lenses do not need to be discarded any sooner than schedule.
- Discard eye makeup.
- Good hand hygiene
Hordeolum ✔✔”STYE”
An acute INFECTION of a glands in the eyelid, may be associated with blepharitis. - On the lash line
Causes of Hordeolum ✔✔staph aureus is the most common associated organism, can progress to
cellulitis or abcess
- more common in children
Clinical presentation of Hordeolum ✔✔Gradual enlarging localized nodule - in 2-4 days will start draining
-painful, tender
-lid erythema, warmth, tearing
Treatment of hordeolum ✔✔- warm compresses for 5-10 min TID - bactricacin or erythromcyin eye ointment
- Eyelid scrub (same as blepharitis)
- Good hand hygiene
- Monitor for Cellulitis- systemic antibiotics, optho referral
Otitis Externa ✔✔A cellulitis of the EXTERNAL AUDITORY CANAL that may extend into
the auricle
NSG6001 Final Study Guide (2022/2023)
Rated A+
You are in the clinic with your mentor observing exercise test of a 45 year old who has been
experiencing slight chest pressure almost daily during exercise. While observing your patient
your mentor points out that the left ventricle wall is thinning and there is some hyperkinesia of
the ventricular wall. From your time in the clinic you know that this test will be what type of
result
positive
What are the most common mechanisms to produce cardiac arrhythmias?
enhanced automaticity, triggered activity or reentry
A 65 year old white male arrives in your clinic with general complaints of slight abdominal
discomfort. He has a known history of smoking two packs per day for 40 years and hypertension.
He also has COPD and has been treated numerous times with oral steroids. You consider optimal
diagnoses. Of the ones listed below which should be included as a potential top suspect in our
choice diagnosis
abdominal aortic aneurysm
More than half of all cardiac arrhythmias involve in the atria
true
What are the most common symptoms caused by tachyarrhythmias
palpitations
For women with known cad and diabetes, which is the most appropriate to assess CAD risk
ETT with imaging
Of the following, which is the best answer when asked about the advantage of echocardiogram
exercise testing over thallium stress testing
Results are available more quickly
Your patient has uncomplicated pyelonephritis. In deciding your recommended treatment, you
consider the most common pathogenic reason for this diagnosis. What pathogen accounts for the
majority of pyelonephritis?
E. coli
What purpose does the principle of fidelity serve
Ensures that providers honor their commitment to the patient
In CAD after both systolic and diastolic dysfunction have occurred. The typical pattern of chest
pain and related EKG changes occur. During an ekg you should expect to see ST segment and T
wave changes that are central to demonstration of ischemia occurring relatively late in the
ischemic cascade is this true or false
true
The leads on the ECG showing ischemic changes during or immediately after an ETT can
correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false
true
NURS 6001 EXAM 1 QUESTIONS AND
ANSWERS 100% PASS
Types of Assessment ✔✔comprehensive, episodic or problem-focused, emergency
comprehensive assessment ✔✔(initial) results in baseline data for problem identification and
care planning, time consuming, complete, all aspects of preventive health/physical disease
episodic/problem-focused assessment ✔✔based on the patient’s health issues, involves one or
two body systems. smaller scope, but more in depth
What is the nursing process? ✔✔systematic problem-solving approach to identifying and
treating human responses to actual or potential health difficulties. patient centered and focuses on
problem solving and inhaling strengths. uses ADPIE
emergency assessment ✔✔involves life threatening or unstable situation, traumatic injury, uses
ABCDE
ABCDE ✔✔airway, breathing, circulation, disability, and exposure
ADPIE ✔✔assessment of patient, nursing diagnosis, planning care, implementing and then
evaluating patients status
implementation ✔✔collaboration with other team members, involvement of patient and family,
actually doing the phase
evaluation ✔✔how effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis ✔✔medical focuses on diagnosis and treatment of
disease whereas nursing focuses on the human response to actual or potential health problems
assessment ✔✔establish baseline, review history, physical assessment
diagnosis ✔✔clustering of data to make a judgement or statement about the patient’s difficulties
or condition
Nanda diagnosis for nursing ✔✔a clinical judgement about individual, family, or community
responses to actual or potential health difficulties/life processes. Provides the basis for selection
of nursing interventions to achieve outcomes for which the nurse is accountable
Normal range of blood pressure ✔✔120/80
normal range of pulse ✔✔60-100 bpm
scale of pulse strength ✔✔0-4+
scale of 0 pulse ✔✔non palpable or absent
1+ of pulse ✔✔weak, diminished, and barely palpable
2+ of pulse ✔✔normal, expected
3+ of pulse ✔✔Full, increased
NSG6001 week 2 quiz latest update
already passed
Which assessments of care providers are performed as part of the Value Based Purchasing
initiative? ✔✔Appraising costs per case of care for Medicare patients
Assissing patients’ satisfaction with hospital care
Monitoring mortality rates of all patients with pneumonia
The provider learns that a patient is taking herbal supplements for a variety of reasons. What is
an important point to discuss with this patient about taking such supplements? ✔✔Many
supplements lack clear clinical evidence of efficacy
Which dietary supplements have shown some effectiveness in reducing blood pressure in
patients with hypertension? ✔✔CoQ10
Garlic extract
L-arginine
A patient reports abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsatile abdominal mass. What is the initial action? ✔✔Ultrasound of the mass
to determine size
A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient has poorlycontrolled hypertension, and decompensated heart failure. What is the recommendation for
treatment for this patient? ✔✔Serial ultrasongraphic surveillance of the aneurysm
According to current research, whic are associated with a decreased incidens of stroke? ✔✔> 7
servings of fruits and vegetables per day
Intensive insulin therapy in type 1 diabetes
Medicterranean diet
During a rountine health maintenance examination, the provider auscultates a cervical bruit. The
patient denies syncope, weakness, or headache. What will the provider do, based on this finding?
✔✔order a carotid duplex ultrasound
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are thos with a history of ✔✔a 10 year risk score of 8% with an LDL of 80mg/dL
a low-density lipoprotein (LDL) level > 190mg/dL
previous myocardial infarction
NSG6001 Advanced Nursing Practice I –
dermatology latest 2023 graded A+
Papule ✔✔Elevated, firm, circumscribed area
< 1 cm
example: warts
Patch ✔✔Flat, nonpalpable
Irregular shaped macula
1 cm
vitiligo
Macule ✔✔skin color change w/out elevation. example: freckle
note: Macule < 1 cm flat Patches are macules > 1 cm
Plaque ✔✔Elevated, Firm
Rough lesion
1 cm
Ex: Psoriasis
Wheal ✔✔Elevated
Irregular shaped
Insect bite
Allergic reaction
Nodule ✔✔Firm
Circumscribed
Deeper in the dermis than a papule
1-2 cm
Tumor ✔✔Evaluated
Solid
2 cm
Vesicle ✔✔Elevated
Circumscribed
NSG6001 week 3 quiz latest 2023
graded A
More than half of all cardiac arrhythmias involve the atria. ✔✔true
What are the most common symptoms caused by tachyarrhythmias? ✔✔palpitations
For women with known CAD and diabetes, which is most appropriate to assess CAD risk?
✔✔ETT with imaging
Of the following, which is the best answer when asked for an advantage of echocardiogram
exercise testing over thallium stress testing? ✔✔Results are available more quickly
What purpose does the principle of fidelity serve in the provider/patient relationship?
✔✔Ensures that providers honor their commitments to the patient
In CAD, after both systolic and diastolic dysfunction have occurred, the typical pattern of chest
pain and related EKG changes occur. During an EKG, you should expect to see ST-segment and
T-wave changes that are central to demonstration of ischemia occurring relatively late in the
ischemic cascade. Is this true or false? ✔✔True
The leads on the ECG showing ischemic changes during or immediately after an ETT can
correlate roughly to the culprit artery or arteries with significant CAD. Is this true or false?
✔✔True
What ECG changes can reduce the specificity of the ETT? ✔✔Paced rhythm and resting bundle
branch block
You have confirmed that your patient does indeed have an abdominal aortic aneurysm. In
teaching your patient about symptoms to report immediately to the vascular surgeon, you instruct
the patient to report which of the following? ✔✔Back pain or flank pain
What is one of the common causes of a Saccular Abdominal Aneurysm? ✔✔trauma
The diagnostic accuracy of stress testing is decreased among women compared to men for what
reasons? ✔✔Women usually have single vessel or non-obstructive disease
Population disease management is a term used to describe ✔✔high prevalence specific diseases
You receive a report back on the suspected abdominal aortic aneurysm for your patient. It
confirms your suspicion of AAA. The report describes the aneurysm as a symmetric weakness of
the entire circumference of the aorta. You know that this form of aneurysm is referred to as what
kind of aneurysm? ✔✔fusiform aneurysm
Your practice partner just ordered an exercise echocardiography 2DE for a patient with
suspected cardiovascular risk. This patient has known resting wall motion abnormalities. Why
would this not be the best test to assess this patient’s cardiac risk? ✔✔sensitivity is decreased
We all know that collaboration is integral to becoming a successful nurse practitioner. Among
collaborations, however, only one can be considered as the most important. While each example
below is important, which is the most important collaboration? The one that occurs: ✔✔between
the patient and the nurse practitioner
The sensitivity of a routine ETT is effort dependent. What physiological changes occur during
effort in the routine ETT? ✔✔increased coronary flow and increased systolic blood pressure
A 47-year old female with general complaints of fatigue and shortness of breath shows up in
your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have
been completed without any diagnosis or outstanding abnormalities. You decide to order an ETT
despite the fact that the recent ECG does not show any abnormalities. From the answers below,