What is the proper order of assessing the abdomen?
A. inspection, auscultation, percussion, palpation
B. auscultation, percussion, palpation, inspection A. inspection, auscultation, percussion, palpation
C. palpation, inspection, auscultation, percussion
D. percussion, palpation, inspection, auscultation
When percussing the abdomen, hyperresonance is pre-
sent:
A. After eating a large meal
B. When there is gaseous distention
B. When there is gaseous distention
C. During the second trimester of pregnancy
D. Post appendectomy
A 35-year-old female patient is seen in the clinic com-
plaining of abdominal pain. Which of the following should
be included in the history and physical exam?
A. Digital Rectal Exam D. All of the above
B. Pelvic Exam
C. Sexual History
D. All of the above
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?
A. Her Age
A. Her age
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain
A 25-year-old accountant is seen in the clinic complain-
ing 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
,NURS 623 Exam 3 Practice/Review Questions with Verified Answers Rated A
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
A. Obtain a complete history
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics.
A 46-year-old female patient is seen in the clinic with
abdominal pain. Which of the following tests is essential
for this patient?
A. CBC B. Urine HCG
B. Urine HCG
C. Barium enema
D. CT
A 45-year-old patient presents with a chief complaint of
generalized abdominal pain. Her physical exam is re-
markable for left lower quadrant (LLQ) tenderness. Which
of the following should be considered in the ditterential
diagnosis at this time? D. All of the above
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above
You assess for Cullen's sign in Dan, age 62, after surgery.
Cullen's sign may indicate:
A. Cholecystitis
C. Intra-abdominal bleeding
B. Appendicitis
C. Intra-abdominal bleeding
D. Prostatitis
, NURS 623 Exam 3 Practice/Review Questions with Verified Answers Rated A
Marian, age 52, is obese. She complains of a rapid onset
of severe right upper quadrant (RUQ) pain, abdominal
cramping, nausea, and vomiting. Your ditterential diag-
nosis might be:
C. Cholecystitis
A. Diverticulitis
B. Gastritis
C. Cholecystitis
D. Appendicitis
What is the most common cause of constipation?
A. Holding of bowel movements
B. Medication side-ettect D. Lack of dietary fiber
C. Dietary choices
D. Lack of dietary fiber
A patient is seen in the oflce and is complaining of con-
stipation. The patient lists all of the following medications.
Which drug could be responsible for the constipation?
A. Lisinopril D. Pepto-bismol
B. Coreg
C. Linzess
D. Pepto-bismol
Which of the following pharmacological agents used to
treat constipation may cause flatulence and bloating and
requires adequate fluid intake?
A. Lamictol C. Bulking agents
B. Linzess
C. Bulking agents
D. Senna cot
Which laxative is safe for long-term use?
A. Senna cot C. Methylcellulose ( Citrucel)
B. Magnesium citrate