NR 509 WEEK 5 QUIZ FINAL STUDY GUIDE
2026 SOLVED QUESTIONS FULLY CORRECT
⫸ A healthy 30-year-old female presents to the Emergency Department
with a 1-day history of severe abdominal pain. The NP suspects
appendicitis and consults general surgery. Based on exam findings the
NP believes this patient has signs of peritonitis on exam. Which of the
following physical exam findings supports peritonitis?
A. Localized pain over McBurney point which lies 2 inches from the
anterior superior spinous process of ilium on a line drawn from that
process to the umbilicus
B. voluntary reflex contraction of the abdominal wall from peritoneal
inflammation that persists over several examinations
C. pressing down onto the abdomen firmly and quickly withdraws the
hand produces pain
D. involuntary contraction of the abdominal wall Answer: C. pressing
down onto the abdomen firmly and quickly withdraws the hand
produces pain (rebound tenderness)
⫸ A 44-year-old female presents with nausea and pain to right upper
quadrant. The NP notices the patient winces in pain and there is
cessation of inspiration with palpation of the right upper quadrant. The
nurse practitioner would document which of the following as a positive
exam finding for this patient?
A. Murphy's sign
B. Roving sign
2026 SOLVED QUESTIONS FULLY CORRECT
⫸ A healthy 30-year-old female presents to the Emergency Department
with a 1-day history of severe abdominal pain. The NP suspects
appendicitis and consults general surgery. Based on exam findings the
NP believes this patient has signs of peritonitis on exam. Which of the
following physical exam findings supports peritonitis?
A. Localized pain over McBurney point which lies 2 inches from the
anterior superior spinous process of ilium on a line drawn from that
process to the umbilicus
B. voluntary reflex contraction of the abdominal wall from peritoneal
inflammation that persists over several examinations
C. pressing down onto the abdomen firmly and quickly withdraws the
hand produces pain
D. involuntary contraction of the abdominal wall Answer: C. pressing
down onto the abdomen firmly and quickly withdraws the hand
produces pain (rebound tenderness)
⫸ A 44-year-old female presents with nausea and pain to right upper
quadrant. The NP notices the patient winces in pain and there is
cessation of inspiration with palpation of the right upper quadrant. The
nurse practitioner would document which of the following as a positive
exam finding for this patient?
A. Murphy's sign
B. Roving sign
