HONDROS COLLEGE NUR 176 EXAM 3
ULTIMATE TEST BANK COMPREHENSIVE
MED-SURG MASTERY PACK
This high-yield, comprehensive exam bank delivers 100% verified
questions paired with detailed rationales designed specifically to
help you ace the Hondros College NUR 176 Medical-Surgical
Nursing Exam 3. It provides an exhaustive review of demanding
core clinical concepts, including advanced cardiovascular
disorders, appendicitis complications, and critical pharmacology
management rules. Master complex diagnostic parameters, fluid
volume tracking, and emergency nursing interventions to
confidently secure your A+ grade.
Group 1: Appendicitis & Peritonitis Clinical Concepts
(Questions 1–15)
Question 1
A nurse is assessing a young adult client admitted with
acute right lower quadrant abdominal pain. Which
localized point of tenderness on the abdomen is classic for
acute appendicitis?
Option A: Erb's point
Option B: McBurney's point
Option C: Palmer's point
Option D: Kehr's point
Answer: Option B
, Rationale: McBurney's point, located midway
between the right anterior superior iliac spine and
the umbilicus, is the classic site of maximal
tenderness in acute appendicitis. Erb's point is a
cardiac landmark, Kehr's point relates to splenic
rupture/shoulder referred pain, and Palmer's point
is a laparoscopic portal entry site.
Question 2
A nurse is evaluating a client suspected of having acute
appendicitis. Which clinical sign involves deep palpation of
the left lower quadrant resulting in pain experienced in the
right lower quadrant?
Option A: Rovsing's sign
Option B: Psoas sign
Option C: Obturator sign
Option D: Cullen's sign
Answer: Option A
Rationale: Rovsing's sign is positive when deep
pressure applied to the left lower quadrant elicits
referred pain in the right lower quadrant,
indicating peritoneal irritation in the appendiceal
area. Psoas sign involves thigh extension,
obturator sign involves hip rotation, and Cullen's
sign indicates retroperitoneal bleeding.
Question 3
,A client hospitalized for acute appendicitis suddenly
reports that their severe right lower quadrant pain has
completely disappeared prior to surgical intervention. How
should the nurse interpret this finding?
Option A: The inflammation is spontaneously
resolving without intervention.
Option B: The appendix has likely repositioned itself
into a retrocecal location.
Option C: It indicates a bowel rupture or perforation,
requiring immediate surgical notification.
Option D: The oral analgesics administered earlier
have fully cured the acute obstruction.
Answer: Option C
Rationale: Sudden relief of pain in appendicitis is
an ominous finding indicating that the appendix
has ruptured or perforated. This releases the
intraluminal pressure within the organ, but will
quickly transition into generalized peritonitis.
Question 4
A nurse is planning pre-operative care for an adult client
scheduled for an emergency appendectomy. Which
nursing intervention is strictly contraindicated while
awaiting surgery?
Option A: Maintaining the client on nothing-by-mouth
(NPO) status
, Option B: Administering prescribed intravenous
isotonic maintenance fluids
Option C: Applying a heating pad to the right lower
abdominal quadrant
Option D: Positioning the client in a semi-Fowler's
position of comfort
Answer: Option C
Rationale: Applying heat to the abdomen is
contraindicated in acute appendicitis because it
increases blood flow, localization of inflammation,
and tissue congestion, significantly elevating the
risk of appendix perforation.
Question 5
A client presents to the emergency department with right
lower quadrant pain, low-grade fever, and nausea. Which
laboratory finding is most characteristic of acute
appendicitis?
Option A: Decreased hemoglobin and hematocrit
levels
Option B: Elevated serum creatinine and blood urea
nitrogen
Option C: Decreased white blood cell count with
neutropenia
Option D: Elevated white blood cell count with a shift
to the left
ULTIMATE TEST BANK COMPREHENSIVE
MED-SURG MASTERY PACK
This high-yield, comprehensive exam bank delivers 100% verified
questions paired with detailed rationales designed specifically to
help you ace the Hondros College NUR 176 Medical-Surgical
Nursing Exam 3. It provides an exhaustive review of demanding
core clinical concepts, including advanced cardiovascular
disorders, appendicitis complications, and critical pharmacology
management rules. Master complex diagnostic parameters, fluid
volume tracking, and emergency nursing interventions to
confidently secure your A+ grade.
Group 1: Appendicitis & Peritonitis Clinical Concepts
(Questions 1–15)
Question 1
A nurse is assessing a young adult client admitted with
acute right lower quadrant abdominal pain. Which
localized point of tenderness on the abdomen is classic for
acute appendicitis?
Option A: Erb's point
Option B: McBurney's point
Option C: Palmer's point
Option D: Kehr's point
Answer: Option B
, Rationale: McBurney's point, located midway
between the right anterior superior iliac spine and
the umbilicus, is the classic site of maximal
tenderness in acute appendicitis. Erb's point is a
cardiac landmark, Kehr's point relates to splenic
rupture/shoulder referred pain, and Palmer's point
is a laparoscopic portal entry site.
Question 2
A nurse is evaluating a client suspected of having acute
appendicitis. Which clinical sign involves deep palpation of
the left lower quadrant resulting in pain experienced in the
right lower quadrant?
Option A: Rovsing's sign
Option B: Psoas sign
Option C: Obturator sign
Option D: Cullen's sign
Answer: Option A
Rationale: Rovsing's sign is positive when deep
pressure applied to the left lower quadrant elicits
referred pain in the right lower quadrant,
indicating peritoneal irritation in the appendiceal
area. Psoas sign involves thigh extension,
obturator sign involves hip rotation, and Cullen's
sign indicates retroperitoneal bleeding.
Question 3
,A client hospitalized for acute appendicitis suddenly
reports that their severe right lower quadrant pain has
completely disappeared prior to surgical intervention. How
should the nurse interpret this finding?
Option A: The inflammation is spontaneously
resolving without intervention.
Option B: The appendix has likely repositioned itself
into a retrocecal location.
Option C: It indicates a bowel rupture or perforation,
requiring immediate surgical notification.
Option D: The oral analgesics administered earlier
have fully cured the acute obstruction.
Answer: Option C
Rationale: Sudden relief of pain in appendicitis is
an ominous finding indicating that the appendix
has ruptured or perforated. This releases the
intraluminal pressure within the organ, but will
quickly transition into generalized peritonitis.
Question 4
A nurse is planning pre-operative care for an adult client
scheduled for an emergency appendectomy. Which
nursing intervention is strictly contraindicated while
awaiting surgery?
Option A: Maintaining the client on nothing-by-mouth
(NPO) status
, Option B: Administering prescribed intravenous
isotonic maintenance fluids
Option C: Applying a heating pad to the right lower
abdominal quadrant
Option D: Positioning the client in a semi-Fowler's
position of comfort
Answer: Option C
Rationale: Applying heat to the abdomen is
contraindicated in acute appendicitis because it
increases blood flow, localization of inflammation,
and tissue congestion, significantly elevating the
risk of appendix perforation.
Question 5
A client presents to the emergency department with right
lower quadrant pain, low-grade fever, and nausea. Which
laboratory finding is most characteristic of acute
appendicitis?
Option A: Decreased hemoglobin and hematocrit
levels
Option B: Elevated serum creatinine and blood urea
nitrogen
Option C: Decreased white blood cell count with
neutropenia
Option D: Elevated white blood cell count with a shift
to the left
