Page 1 of 33
ADULT ABDOMINAL 623 AG AND FNP CERTIFICATION 4TH
EDITION TESTBANK WINLAND-BROWN AND DUNPH/
FREQUENTLY TESTED QUESTIONS AND CORRECT
ANSWERS/ LATEST AND COMPLETE UPDATE WITH
EXPERT VERIFIED SOLUTIONS/ ASSURED PASS!!
to differentiate among the different dx of inflammatory bowel diseases, you look at
the clt's histological, culture, and radiological features. mary has transmural
inflammation, granulomas, focal involvement of the colon with some skipped
areas, and sparing of the rectal mucosa. what do you suspect?
a. Crohn's disease
b. ulcerative colitis
c. infectious colitis
d. ischemic colitis = ANSWER- a. Crohn's disease
Simon states that he is worried because he has a bowel movement only every third
day. you respond:
a. you should have 2-3 stool per day
b. you should defecate once a day
c. you should have at least 3 stools per week
d. there is no such thing as a normal pattern of defecation = ANSWER- d. there is
no such thing as a normal pattern of defecation
Dottie brings in her infant who has gastrointestinal reflux. what do you tell her
about positioning her infant?
a. always position infants on their back to prevent sudden infant death syndrome
b. rotate your infant between lying on the back and on the stomach
c. the infant should be placed on the left side
,Page 2 of 33
d. place the infant in whatever position the infant remains quiet = ANSWER- c.
the infant should be placed on the left side
which of the following signs or symptoms indicates biliary obstruction with liver
disease?
a. pruritus
b. increased abdominal girth
c. right upper quadrant pain
d. easy bruising = ANSWER- a. pruritus
a 2nd generation cephalosporin, cefmetazole is to be given to your patient
undergoing colorectal surgery. you know that the dosing recommendation to
prevent an incisional surgical site infection (SSI) is:
a. 3 doses prior to surgery
b. one dose prior to surgery
c. a weekly course of tx
d. therapy beginning after surgery = ANSWER- a. 3 doses prior to surgery
Marcie just returned from Central America with traveler's diarrhea. which is the
best tx?
a. metronidazole (Flagyl)
b. supportive care
c. quinolone antibiotics
d. gastric lavage = ANSWER- b. supportive care
which type of hepatitis is transmitted by the fecal-oral route, sewage, contaminated
water, shellfish, and possibly blood?
,Page 3 of 33
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D = ANSWER- a. hepatitis A
txment for achalasia may include:
a. balloon dilation of the lower esophageal spincter
b. beta blockers
c. fundoplication
d. an esophagogastrectomy = ANSWER- a. balloon dilation of the lower
esophageal spincter
Sally, age 21 is to undergo a tonsillectomy. she has heard that when this surgery is
performed in adults, it is extremely difficult. she's heard about taste changes after a
tonsillectomy. what do you tell her?
a. as the tongue is responsible for sweet, sour, salty, and bitter taste abilities, they
will all be affected somewhat
b. you will have some alterations, but we'll have to wait and see how you are
affected personally
c. you may notice a slt difference initially, but there are no lasting changes in taste
d. about half of the pts have some permanent alterations in the sense of taste =
ANSWER- c. you may notice a slt difference initially, but there are no lasting
changes in taste
clts with sprue usually have:
a. a large-in-stature appearance
b. accelerated maturity
c. polycythemia
, Page 4 of 33
d. steatorrhea = ANSWER- d. steatorrhea
Sara is taking polyethylene glycol (GoLYTELY) in preparation for a barium
enema. what do you teach her about the medication?
a. drink the solution at room temperature
b. take the medication with food so that it will be absorbed better
c. take the medication in the early evening so as not to interfere with sleep
d. drink all of the solution in one setting = ANSWER- c. take the medication in the
early evening so as not to interfere with sleep
rebound tenderness at McBurney's point would alert you to:
a. appendicitis
b. peritonitis
c. a spleen injury
d. irritable bowel syndrome = ANSWER- a. appendicitis
a concern with older pts having abdominal surgery is:
a. older pts have an increased peristalsis and bowel sounds must be checked very
frequently
b. older adults have a diminished response to painful stimuli that may mask
abdominal health problems
c. because older adults are prone to diarrhea after surgery, you must be vigilant
about skin breakdown
d. because of liver enlargement, postoperative medications are processed faster =
ANSWER- b. older adults have a diminished response to painful stimuli that may
mask abdominal health problems
ADULT ABDOMINAL 623 AG AND FNP CERTIFICATION 4TH
EDITION TESTBANK WINLAND-BROWN AND DUNPH/
FREQUENTLY TESTED QUESTIONS AND CORRECT
ANSWERS/ LATEST AND COMPLETE UPDATE WITH
EXPERT VERIFIED SOLUTIONS/ ASSURED PASS!!
to differentiate among the different dx of inflammatory bowel diseases, you look at
the clt's histological, culture, and radiological features. mary has transmural
inflammation, granulomas, focal involvement of the colon with some skipped
areas, and sparing of the rectal mucosa. what do you suspect?
a. Crohn's disease
b. ulcerative colitis
c. infectious colitis
d. ischemic colitis = ANSWER- a. Crohn's disease
Simon states that he is worried because he has a bowel movement only every third
day. you respond:
a. you should have 2-3 stool per day
b. you should defecate once a day
c. you should have at least 3 stools per week
d. there is no such thing as a normal pattern of defecation = ANSWER- d. there is
no such thing as a normal pattern of defecation
Dottie brings in her infant who has gastrointestinal reflux. what do you tell her
about positioning her infant?
a. always position infants on their back to prevent sudden infant death syndrome
b. rotate your infant between lying on the back and on the stomach
c. the infant should be placed on the left side
,Page 2 of 33
d. place the infant in whatever position the infant remains quiet = ANSWER- c.
the infant should be placed on the left side
which of the following signs or symptoms indicates biliary obstruction with liver
disease?
a. pruritus
b. increased abdominal girth
c. right upper quadrant pain
d. easy bruising = ANSWER- a. pruritus
a 2nd generation cephalosporin, cefmetazole is to be given to your patient
undergoing colorectal surgery. you know that the dosing recommendation to
prevent an incisional surgical site infection (SSI) is:
a. 3 doses prior to surgery
b. one dose prior to surgery
c. a weekly course of tx
d. therapy beginning after surgery = ANSWER- a. 3 doses prior to surgery
Marcie just returned from Central America with traveler's diarrhea. which is the
best tx?
a. metronidazole (Flagyl)
b. supportive care
c. quinolone antibiotics
d. gastric lavage = ANSWER- b. supportive care
which type of hepatitis is transmitted by the fecal-oral route, sewage, contaminated
water, shellfish, and possibly blood?
,Page 3 of 33
a. hepatitis A
b. hepatitis B
c. hepatitis C
d. hepatitis D = ANSWER- a. hepatitis A
txment for achalasia may include:
a. balloon dilation of the lower esophageal spincter
b. beta blockers
c. fundoplication
d. an esophagogastrectomy = ANSWER- a. balloon dilation of the lower
esophageal spincter
Sally, age 21 is to undergo a tonsillectomy. she has heard that when this surgery is
performed in adults, it is extremely difficult. she's heard about taste changes after a
tonsillectomy. what do you tell her?
a. as the tongue is responsible for sweet, sour, salty, and bitter taste abilities, they
will all be affected somewhat
b. you will have some alterations, but we'll have to wait and see how you are
affected personally
c. you may notice a slt difference initially, but there are no lasting changes in taste
d. about half of the pts have some permanent alterations in the sense of taste =
ANSWER- c. you may notice a slt difference initially, but there are no lasting
changes in taste
clts with sprue usually have:
a. a large-in-stature appearance
b. accelerated maturity
c. polycythemia
, Page 4 of 33
d. steatorrhea = ANSWER- d. steatorrhea
Sara is taking polyethylene glycol (GoLYTELY) in preparation for a barium
enema. what do you teach her about the medication?
a. drink the solution at room temperature
b. take the medication with food so that it will be absorbed better
c. take the medication in the early evening so as not to interfere with sleep
d. drink all of the solution in one setting = ANSWER- c. take the medication in the
early evening so as not to interfere with sleep
rebound tenderness at McBurney's point would alert you to:
a. appendicitis
b. peritonitis
c. a spleen injury
d. irritable bowel syndrome = ANSWER- a. appendicitis
a concern with older pts having abdominal surgery is:
a. older pts have an increased peristalsis and bowel sounds must be checked very
frequently
b. older adults have a diminished response to painful stimuli that may mask
abdominal health problems
c. because older adults are prone to diarrhea after surgery, you must be vigilant
about skin breakdown
d. because of liver enlargement, postoperative medications are processed faster =
ANSWER- b. older adults have a diminished response to painful stimuli that may
mask abdominal health problems
