COMPLETE QUESTIONS CORRECTLY ANSWERED/DOWNLOAD SCORE
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Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder - ANSWER-Huntington Chorea
A 61-year-old man has a presenting complaint of frequent constipation. he tells the examiner that
there has been a change in his bowel movement habits; he gets constipated easily, the stool is very
skinny looking, and it is a different color than usual. He denies pain. What do these symptoms
suggest? - ANSWER-Colon or rectal cancer
Which rule states that the farther away from the navel abdominal pain occurs, the more likely it is to
be of physical importance? - ANSWER-Apley rule
Abdominal pain radiating to the left shoulder may be indicative of which of the following? -
ANSWER-Splenic rupture
What is the purpose of the liver scratch test? - ANSWER-The liver scratch test is used to define
liver borders in a patient with abdominal distention. Changes in sound while scratching the abdomen
are heard with the stethoscope over the liver. The scratch test is not used to identify bruit or ascites
or differentiate types of liver disease.
How does a nurse assess for pain related to peritonitis? - ANSWER-Rebound tenderness is a sign of
peritonitis, acute inflammation of the peritoneum. The nurse pushes slowly and deeply on a site
away from the area of pain. Upon quick release, the patient has pain over the area of tenderness.
Light palpation or indirect percussion of the costovertebral angle is not specific to peritonitis. Ascites
is not associated with peritonitis.
, Which type of incontinence is caused by dementia in patients? - ANSWER-Functional incontinence
occurs in persons with dementia because decreased mental capacity limits the ability to attend to
the urge to void. The urge type is the uncontrollable constant need to urinate. Stress type is small
volume incontinence that occurs with coughing or sneezing. Overflow type is dribbling in small
amounts while the bladder remains full and overdistended.
Which condition is associated with episodes of bloating, abdominal pain, and constipation
alternating with diarrhea? - ANSWER-Which condition is associated with episodes of bloating,
abdominal pain, and constipation alternating with diarrhea?
The nurse observes a bluish discoloration around the umbilicus in a patient (Cullen sign). What is this
sign associated with? - ANSWER-A bluish discoloration around the umbilicus is a sign of bleeding
within the abdomen. An umbilical hernia causes a bulge at the umbilicus. Liver enlargement is
detected by percussing the borders of the liver. Rebound tenderness in the right lower quadrant is
associated with appendicitis.
Which method should the nurse use to determine if a patient has ascites? - ANSWER-The nurse
notes a fluid wave by striking the side of the abdomen with the patient supine and feeling the fluid
wave impulse on the opposite side. Shifting dullness is detected by percussing dullness with the
patient supine and noting a shift in the dullness when the patient turns on his side. The iliopsoas
muscle test is used to assess pain related to appendicitis. A bulge at the umbilicus may be present
with ascites but is actually caused by a hernia. Tenderness in the right upper quadrant may be
associated with cholelithiasis.
The nurse assesses hypoactive and absent bowel sounds in the four quadrants of the abdomen in a
female patient. Which finding from the patient history is likely the cause? - ANSWER-Taking a
diuretic predisposes the patient to hypokalemia, a cause of decreased peristalsis. Taking narcotics
also decreases peristaltic activity.
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients
ankle and asks her to indicate what is felt. What is being assessed? - ANSWER-Primary sensory
function
Multiple sclerosis - ANSWER-Fatigue, bowel and bladder dysfunction, sexual dysfunction, sensory
changes, muscle weakness
Myasthenia gravis - ANSWER-An autoimmune disorder of neuromuscular junction involved with
muscle activation.