NSG 500 / NSG 500 Exam 1 - 3
Actual Qs & Ans to Pass the
Exam Advanced Health
Assessment – Wilkes
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NSG 500 Exam
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NSG 500 Exam
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NSG 500 Exam 1 Actual Qs &
Ans to Pass the Exam Advanced
Health Assessment - Wilkes
1. When palpating the right upper quadrant (RUQ) of the abdomen,
what is the nurse assessing?
1. Liver
2. Stomach
3. Appendix
4. Sigmoid colon
Correct Answer: 1 Liver
,Rationale: The liver is located in the RUQ of the abdomen. The
stomach is in the left upper quadrant (LUQ), the appendix is in the right
lower quadrant (RLQ), and the sigmoid colon is in the left lower
quadrant (LLQ).
2.In what order does the nurse prepare and perform an abdominal
examination of a patient?
1. Ask the patient to empty the bladder.
2. Place the patient in a supine position with the knees bent.
3. Place the patient's arms at the sides.
4. Assess the right upper quadrant region
Correct Order (and Answer): 1, 2, 3, 4
Rationale: In preparation for abdominal examination, the patient is first
asked to empty the bladder to prevent any discomfort during abdominal
assessment. Then the patient is asked to lie down in a supine position
with the knees bent and arms at the sides to avoid tensing of abdominal
muscles. Finally, the nurse proceeds with abdominal assessment from
the right side starting with the right upper quadrant region.
3. The health care provider has ordered a fecal occult blood test
(FOBT) for a patient. What does the nurse instruct the patient to
, avoid for a few days before and during the sample collection? Select
all that apply.
1. Warfarin
2. Milk
3. Nonsteroidal anti-inflammatory drugs (NSAIDs)
4. Vitamin B$\text{}_{12}$
5. Vitamin C
6. Red meat
Correct Answers: 1, 3, 5, 6
Rationale: The FOBT is a guaiac-based test to detect blood in the feces
that cannot be seen. Drugs such as warfarin and NSAIDs should be
discontinued for 7 days before the test. Vitamin C-rich foods, juices, and
supplements along with red meat, raw fruits, and vegetables are also
avoided for few days before the test. These drugs and food products may
interact with the guaiac in the FOBT causing false-positive or false-
negative results. Milk and vitamin B$\text{}_{12}$ do not affect the
FOBT.