NSG 6001 WEEK 3 MIDTERM EXAM NEWEST

• | P a g e

pg. 1

NSG 6001 WEEK 3 MIDTERM EXAM NEWEST

2025 ACTUAL EXAM| COMPLETE 150

QUESTIONS AND CORRECT VERIFIED

ANSWERS/ ALREADY GRADED A+

Which of the following is the most common serious complication of cholecystitis?

• adenocarcinoma of the gallbladder
• gallbladder empyema
• hepatic failure
• pancreatitis - ANSWER - D. pancreatitis

Which of the following is most likely to be found in a person with acute cholecystitis?

• fever
• vomiting
• jaundice
• palpable gallbladder - ANSWER - vomiting

Which of the following is usually not seen in the diagnosis of acute cholecystitis?

• elevated serum creatinine
• increased alkaline phosphatase level
• leukocytosis
• elevated aspartate aminotransferase (AST) level - ANSWER - A. elevated

serum creatinine

• / 3

• | P a g e

pg. 2 Risk factors for the development of cholelithiasis include all of the following

except:

• rapid weight loss.
• male gender.
• obesity.
• Native American ancestry - ANSWER - B. male gender

A 24-year-old man presents with a 3-month history of upper abdominal pain. He describes it as an intermittent, centrally located "burning" feeling in his upper abdomen, most often occurring 2 to 3 hours after meals. His presentation is most

consistent with the clinical presentation of:

• acute gastritis.
• gastric ulcer.
• duodenal ulcer.
• cholecystitis. - ANSWER - duodenal ulcer

A 43-year-old woman has a 12-hour history of sudden onset of right upper quadrant abdominal pain with radiation to the shoulder, fever, and chills. She has had similar, milder episodes in the past. Examination reveals marked tenderness to

right upper quadrant abdominal palpation. Her most likely diagnosis is:

• hepatoma.
• acute cholecystitis.
• acute hepatitis.
• cholelithiasis. - ANSWER - acute cholecystitis

Rebound tenderness is best described as abdominal pain that worsens with:

• light palpation at the site of the discomfort.
• release of deep palpation at the site of the discomfort. 2 / 3

• | P a g e

pg. 3

• palpation on the contralateral side of the abdomen.
• deep palpation at the site of the discomfort. - ANSWER - release of deep

palpation at the site of the discomfort

he psoas sign can be best described as abdominal pain elicited by:

• passive extension of the hip.
• passive flexion and internal rotation of the hip.
• deep palpation.
• asking the patient to cough. - ANSWER - A. passive extension of the hip.

A 64-year-old woman presents with a 3-month history of upper abdominal pain.She describes the discomfort as an intermittent, centrally located "burning" feeling in the upper abdomen, most often with meals and often accompanied by mild nausea. Use of an over-the-counter H2RA affords partial symptom relief. She also uses diclofenac on a regular basis for the control of osteoarthritis pain. Her clinical

presentation is most consistent with:

• acute gastroenteritis.
• gastric ulcer.
• duodenal ulcer.
• chronic cholecystitis. - ANSWER - gastric ulcer

Which of the following is most consistent with the presentation of a patient with acute colonic diverticulitis?

• cramping, diarrhea, and leukocytosis
• constipation and fever
• right-sided abdominal pain
• frank blood in the stool with reduced stool caliber - ANSWER - A. cramping,

diarrhea, and leukocytosis

• / 3