NURS 172: Exam 3 Practice Questions With
Complete Solutions
According to the US Preventive Services Task Force
recommendation statement regarding screening for colorectal
cancer, what are the most current recommendations? Select all
that apply.
1. Colonoscopy every 10 years for adults with average risk of
colon cancer starting at
age 50
2. Computed tomography (CT) colonography every 5 years for
adults with average
risk of colon cancer starting at age 50
3. African Americans begin colonoscopies at age 45 and
continue every 10 years
4. Colon screening stop Correct Answers 1,2,3,4,5:
1. This is correct. Colonoscopy is recommended every 10 years
for adults with average risk of colon cancer starting at age 50.
2. This is correct. CT colonography every 5 years for adults with
average risk of colon cancer starting at age 50 is an alternative
for colonoscopy every 10 years.
3. This is correct. African Americans should begin
colonoscopies at age 45 and continue every 10 years.
4. This is correct. Colon screening can stop at age 75 if all
previous tests have been negative.
5. This is correct. Colonoscopy every 5 years starting at age 45
in patients with a family history of colorectal cancer.
An older adult patient is admitted to the hospital with blunt
trauma to the abdomen after an auto accident. The nurse
,monitors for which clinical manifestation of intra-abdominal
bleeding?
1. Borborygmi
2. Everted umbilicus
3. Visible peristaltic waves
4. Bluish tint around the umbilicus Correct Answers 4:
1. Borborygmi is the term used to describe hyperactive bowel
sounds.
2. An everted umbilicus is often a normal finding for pregnant
patients.
3. Visible peristaltic waves can be a normal finding for pediatric
patients.
4. Bluish discoloration around the umbilicus (Cullen's sign)
indicates hemorrhagic pancreatitis or intraperitoneal bleeding.
Based on age-related changes in the gastrointestinal system, the
nurse correlates decreased bile synthesis to which structure?
1. Gallbladder
2. Liver
3. Pancreas
4. Stomach Correct Answers 2:
1. The gallbladder is located in the right upper quadrant is
responsible for bile storage and concentration. Bile is needed for
the emulsification of fat.
2. The liver aids in the digestion of fat by producing bile acids
and lecithin.
3. The pancreas has both endocrine and exocrine functions. As
an endocrine gland, it produces insulin and glucagon. As an
exocrine gland, the pancreas secretes 1,200 to 1,500 mL daily of
a liquid known as pancreatic juices.
, 4. The stomach has a major role in digestion through the acid
produced in the stomach. Specialized cells in the stomach also
secrete chemicals essential to the digestive functions of the
stomach.
In assessing a patient who is prescribed an anticholinergic agent,
which assessment finding indicates the patient is experiencing
an adverse reaction to this medication?
1. Gastrointestinal bleeding
2. Hepatic necrosis
3. Diarrhea
4. Hypoactive bowel sounds Correct Answers 4:
1. Gastrointestinal bleeding is an adverse reaction associated
with aspirin, not an anticholinergic drug.
2. Hepatic necrosis is an adverse reaction associated with toxic
levels of acetaminophen, not an anticholinergic drug.
3. Constipation, not diarrhea, is an adverse effect of
anticholinergic medications.
4. Hypoactive bowel sounds may indicate an adverse drug
reaction.
In performing a gastrointestinal assessment, the nurse correlates
which measurement as the normal liver span?
1. 4 to 8 cm
2. 6 to 12 cm
3. 10 to 14 cm
4. 12 to 16 cm Correct Answers 2:
1. The normal liver span is 6 to 12 cm.
2. A normal liver span is 6 to 12 cm. Hepatomegaly is the term
used to describe an enlarged liver.
3. The normal liver span is 6 to 12 cm.
Complete Solutions
According to the US Preventive Services Task Force
recommendation statement regarding screening for colorectal
cancer, what are the most current recommendations? Select all
that apply.
1. Colonoscopy every 10 years for adults with average risk of
colon cancer starting at
age 50
2. Computed tomography (CT) colonography every 5 years for
adults with average
risk of colon cancer starting at age 50
3. African Americans begin colonoscopies at age 45 and
continue every 10 years
4. Colon screening stop Correct Answers 1,2,3,4,5:
1. This is correct. Colonoscopy is recommended every 10 years
for adults with average risk of colon cancer starting at age 50.
2. This is correct. CT colonography every 5 years for adults with
average risk of colon cancer starting at age 50 is an alternative
for colonoscopy every 10 years.
3. This is correct. African Americans should begin
colonoscopies at age 45 and continue every 10 years.
4. This is correct. Colon screening can stop at age 75 if all
previous tests have been negative.
5. This is correct. Colonoscopy every 5 years starting at age 45
in patients with a family history of colorectal cancer.
An older adult patient is admitted to the hospital with blunt
trauma to the abdomen after an auto accident. The nurse
,monitors for which clinical manifestation of intra-abdominal
bleeding?
1. Borborygmi
2. Everted umbilicus
3. Visible peristaltic waves
4. Bluish tint around the umbilicus Correct Answers 4:
1. Borborygmi is the term used to describe hyperactive bowel
sounds.
2. An everted umbilicus is often a normal finding for pregnant
patients.
3. Visible peristaltic waves can be a normal finding for pediatric
patients.
4. Bluish discoloration around the umbilicus (Cullen's sign)
indicates hemorrhagic pancreatitis or intraperitoneal bleeding.
Based on age-related changes in the gastrointestinal system, the
nurse correlates decreased bile synthesis to which structure?
1. Gallbladder
2. Liver
3. Pancreas
4. Stomach Correct Answers 2:
1. The gallbladder is located in the right upper quadrant is
responsible for bile storage and concentration. Bile is needed for
the emulsification of fat.
2. The liver aids in the digestion of fat by producing bile acids
and lecithin.
3. The pancreas has both endocrine and exocrine functions. As
an endocrine gland, it produces insulin and glucagon. As an
exocrine gland, the pancreas secretes 1,200 to 1,500 mL daily of
a liquid known as pancreatic juices.
, 4. The stomach has a major role in digestion through the acid
produced in the stomach. Specialized cells in the stomach also
secrete chemicals essential to the digestive functions of the
stomach.
In assessing a patient who is prescribed an anticholinergic agent,
which assessment finding indicates the patient is experiencing
an adverse reaction to this medication?
1. Gastrointestinal bleeding
2. Hepatic necrosis
3. Diarrhea
4. Hypoactive bowel sounds Correct Answers 4:
1. Gastrointestinal bleeding is an adverse reaction associated
with aspirin, not an anticholinergic drug.
2. Hepatic necrosis is an adverse reaction associated with toxic
levels of acetaminophen, not an anticholinergic drug.
3. Constipation, not diarrhea, is an adverse effect of
anticholinergic medications.
4. Hypoactive bowel sounds may indicate an adverse drug
reaction.
In performing a gastrointestinal assessment, the nurse correlates
which measurement as the normal liver span?
1. 4 to 8 cm
2. 6 to 12 cm
3. 10 to 14 cm
4. 12 to 16 cm Correct Answers 2:
1. The normal liver span is 6 to 12 cm.
2. A normal liver span is 6 to 12 cm. Hepatomegaly is the term
used to describe an enlarged liver.
3. The normal liver span is 6 to 12 cm.
