MARYVILLE NURS 623 FINAL EXAM | LATEST UPDATED| 85 REAL
EXAM AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
Q-The proper order of assessing the abdomen is - (ANSWER)inspection, auscultation,
percussion, palpation.
When percussing the abdomen, hyperresonance is present: - (ANSWER)When there is gaseous
distention
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
D. All of the above - (ANSWER)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
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain - (ANSWER)A. Her Age
A 25-year-old accountant is seen in the clinic complaining 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 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
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - (ANSWER)A. Obtain a complete history
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
C. Barium enema
D. CT - (ANSWER)B. Urine HCG
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating to the middle
of the back. The clinician suspects acute cholelithiasis. The clinician should expect which of the
following laboratory findings?
A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
D. Decreased WBC - (ANSWER)B. Elevated alkaline phosphatase
A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her
physical exam is remarkable for left lower quadrant (LLQ) tenderness. Which of the following
should be considered in the differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above - (ANSWER)D. All of the above
, You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate: -
(ANSWER)Intra-abdominal bleeding
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be -
(ANSWER)cholecystitis.
Most common cause of constipation - (ANSWER)lack of dietary fiber (RDA=30g)
A patient is seen in the office and is complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation? -
(ANSWER)Pepto-bismol
Which of the following pharmacological agents used to treat constipation may cause flatulence
and bloating and requires adequate fluid intake? - (ANSWER)Bulking agents
Which laxative is safe for long-term use? - (ANSWER)Methylcellulose ( Citrucel)
Simon states that he is worried because he has a bowel movement only every third day.
You respond, - (ANSWER)There is no such thing as a " normal pattern of defecation"
Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which
pharmacological agent do you recommend? - (ANSWER)Bulking agents
which hepatic enzyme is increased with viral hepatitis, drug or chemical associated hepatitis or
non alcoholic fatty liver disease - (ANSWER)Alanine aminotransferase (ALT).
ALT usually increases higher than AST >10times ULN in what conditions - (ANSWER)viral,
drug or chemical associated hepatitis
EXAM AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
Q-The proper order of assessing the abdomen is - (ANSWER)inspection, auscultation,
percussion, palpation.
When percussing the abdomen, hyperresonance is present: - (ANSWER)When there is gaseous
distention
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the history and physical exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
D. All of the above - (ANSWER)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
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain - (ANSWER)A. Her Age
A 25-year-old accountant is seen in the clinic complaining 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 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
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics. - (ANSWER)A. Obtain a complete history
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
C. Barium enema
D. CT - (ANSWER)B. Urine HCG
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating to the middle
of the back. The clinician suspects acute cholelithiasis. The clinician should expect which of the
following laboratory findings?
A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
D. Decreased WBC - (ANSWER)B. Elevated alkaline phosphatase
A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her
physical exam is remarkable for left lower quadrant (LLQ) tenderness. Which of the following
should be considered in the differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above - (ANSWER)D. All of the above
, You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate: -
(ANSWER)Intra-abdominal bleeding
Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential diagnosis might be -
(ANSWER)cholecystitis.
Most common cause of constipation - (ANSWER)lack of dietary fiber (RDA=30g)
A patient is seen in the office and is complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation? -
(ANSWER)Pepto-bismol
Which of the following pharmacological agents used to treat constipation may cause flatulence
and bloating and requires adequate fluid intake? - (ANSWER)Bulking agents
Which laxative is safe for long-term use? - (ANSWER)Methylcellulose ( Citrucel)
Simon states that he is worried because he has a bowel movement only every third day.
You respond, - (ANSWER)There is no such thing as a " normal pattern of defecation"
Sigrid, age 82, has irritable bowel, chronic constipation, and diverticulitis. Which
pharmacological agent do you recommend? - (ANSWER)Bulking agents
which hepatic enzyme is increased with viral hepatitis, drug or chemical associated hepatitis or
non alcoholic fatty liver disease - (ANSWER)Alanine aminotransferase (ALT).
ALT usually increases higher than AST >10times ULN in what conditions - (ANSWER)viral,
drug or chemical associated hepatitis
