GCU NUR 634 MIDTERM Practice Exam
GCU NUR 634 Advanced Health Assesment
Latest VERSION MIDTERM Practice Exam 1
With 350 Complete Questions And Correct
Detailed Answers |Already Graded A+|Brand
New Version!!
1. The nurse admits a client with intermittent colicky pain at the left lower quadrant of the
abdomen. Which type of pain is the client referring to?
a. Muscular pain
b. Visceral pain
c. Referred pain
d. Parietal pain –
Correct Answer :Ans: (B)
A+ TEST BANK 1
, GCU NUR 634 MIDTERM Practice Exam
Visceral pain occurs when hollow abdominal organs such as the intestine or biliary tree
contract unusually forcefully or are distended or stretched. Solid organs such as the liver can
also become painful when their capsules are stretched. Visceral pain may be difficult to
localize. It is typically palpable near the midline at levels that vary according to the structure
involved. Visceral pain varies in quality and may be gnawing, burning, cramping, or aching.
When it becomes severe, it may be associated with sweating, pallor, nausea, vomiting, and
restlessness.
1. A client with chest pain tells the nurse that he also feels the pain on the jaw and the
shoulder. The nurse understands that this type of pain is called
a. Referred pain
b. Parietal pain
c. Muscular pain
d. Visceral pain –
Correct Answer :Ans: (A)
Referred pain is felt in more distant sites that share the same innervations as the source of
pain. Referred pain often develops as the initial pain becomes more intense and thus seems
to radiate or travel from the initial site. It may be felt superficially or deeply but is usually
well localized.
1. The nurse is doing the history of a patient with pain that ifs felt in the epigastric area.
Which of the following cluster of client manifestations are considered "alarm symptoms" for
gastric cancer?
a. Dysphagia, odynophagia, coffee ground emesis
b. Weight loss, diarrhea, dehydration
c. Recurrent vomiting, 2cm x 2cm lump on the upper right quadrant, fever
d. Hematochezia, hematemesis, epistaxis –
Correct Answer :Ans: (A)
A+ TEST BANK 2
, GCU NUR 634 MIDTERM Practice Exam
Red flags or alarm symptoms for gastric cancer include: difficulty swallowing (dysphagia),
pain with swallowing (odynophagia), recurrent vomiting, and evidence of gastrointestinal
bleeding (coffee ground emesis), weight loss and anemia.
1. A 21-year old woman is being seen at the emergency department due to right lower
abdominal pain. She has missed her period for two consecutive months. She feels weak and
dizzy. The nurse knows to prioritize which of the following nursing actions?
a. Continue assessing by palpating the abdomen
b. Perform a pregnancy test
c. Apply hot compress to the affected area.
d. Inspect the abdomen for ascites –
Correct Answer :Ans: (B)
With the given findings of lower abdominal pain and missed periods, the nurse suspects
ectopic pregnancy especially if accompanied by other symptoms like rigidity of abdominal
muscles, weakness and dizziness. Palpating the abdomen is contraindicated as the risk of
rupturing the fallopian tube is high.
1. A nurse is reviewing the client's records from an earlier shift and notes that the result of
the barium enema revealed "apple core" lesions on the sigmoid colon. The client is passing
pencil-like stools. Which disorder is the nurse most likely considering?
a. Gastric cancer
b. Colon cancer
c. Diverticulitis
d. Chron disease –
Correct Answer :Ans: (B)
Thin, pencil-like stool occurs in an obstructing "apple core" lesion of the sigmoid colon. The
nurse considers colon cancer if the above are accompanied by the following: melena,
A+ TEST BANK 3
, GCU NUR 634 MIDTERM Practice Exam
hematochezia, diarrhea, constipation, feeling of incomplete bowel emptying, bloating,
cramps weight loss and fatigue.
1. During the assessment of a 2-day old newborn, the nurse notes bruising and
cephalhematoma. The baby also appears jaundiced. The nurse observes the mother
breastfeeding her newborn. What is the most probable interpretation of the jaundice?
a. Pathologic jaundice that necessitates blood transfusion
b. Hyperbilirubenemia due to the bruising and cephalhematoma
c. Breast milk jaundice
d. Hyperbilirubinemia caused by Rh incompatibility –
Correct Answer :Ans: (B)
The increased bilirubin levels are caused by the bruising and cephalhematoma secondary to
free circulating bilirubin from the reabsorbed blood that had been displaced. Pathologic
jaundice is evident in the first 24 hours of life while breast milk jaundice is seen after a week.
1. Which of the following assessment findings in a newborn baby is considered normal?
a. Passage of green sticky stools within the first 24 hours
b. Respirations of 75 per minute while at rest
c. Yellowish skin and sclera after 6 hours of birth
d. Frank bleeding at the umbilicus –
Correct Answer :Ans: (A)
Meconium is the greenish and sticky stool of the newly born baby. It is normally passed
within 24 hours of birth.
1. A new mother asks the nurse how much weight loss is expected of the baby after birth.
The most accurate reply is
a. 10-15%
b. 5-8%
A+ TEST BANK 4
GCU NUR 634 Advanced Health Assesment
Latest VERSION MIDTERM Practice Exam 1
With 350 Complete Questions And Correct
Detailed Answers |Already Graded A+|Brand
New Version!!
1. The nurse admits a client with intermittent colicky pain at the left lower quadrant of the
abdomen. Which type of pain is the client referring to?
a. Muscular pain
b. Visceral pain
c. Referred pain
d. Parietal pain –
Correct Answer :Ans: (B)
A+ TEST BANK 1
, GCU NUR 634 MIDTERM Practice Exam
Visceral pain occurs when hollow abdominal organs such as the intestine or biliary tree
contract unusually forcefully or are distended or stretched. Solid organs such as the liver can
also become painful when their capsules are stretched. Visceral pain may be difficult to
localize. It is typically palpable near the midline at levels that vary according to the structure
involved. Visceral pain varies in quality and may be gnawing, burning, cramping, or aching.
When it becomes severe, it may be associated with sweating, pallor, nausea, vomiting, and
restlessness.
1. A client with chest pain tells the nurse that he also feels the pain on the jaw and the
shoulder. The nurse understands that this type of pain is called
a. Referred pain
b. Parietal pain
c. Muscular pain
d. Visceral pain –
Correct Answer :Ans: (A)
Referred pain is felt in more distant sites that share the same innervations as the source of
pain. Referred pain often develops as the initial pain becomes more intense and thus seems
to radiate or travel from the initial site. It may be felt superficially or deeply but is usually
well localized.
1. The nurse is doing the history of a patient with pain that ifs felt in the epigastric area.
Which of the following cluster of client manifestations are considered "alarm symptoms" for
gastric cancer?
a. Dysphagia, odynophagia, coffee ground emesis
b. Weight loss, diarrhea, dehydration
c. Recurrent vomiting, 2cm x 2cm lump on the upper right quadrant, fever
d. Hematochezia, hematemesis, epistaxis –
Correct Answer :Ans: (A)
A+ TEST BANK 2
, GCU NUR 634 MIDTERM Practice Exam
Red flags or alarm symptoms for gastric cancer include: difficulty swallowing (dysphagia),
pain with swallowing (odynophagia), recurrent vomiting, and evidence of gastrointestinal
bleeding (coffee ground emesis), weight loss and anemia.
1. A 21-year old woman is being seen at the emergency department due to right lower
abdominal pain. She has missed her period for two consecutive months. She feels weak and
dizzy. The nurse knows to prioritize which of the following nursing actions?
a. Continue assessing by palpating the abdomen
b. Perform a pregnancy test
c. Apply hot compress to the affected area.
d. Inspect the abdomen for ascites –
Correct Answer :Ans: (B)
With the given findings of lower abdominal pain and missed periods, the nurse suspects
ectopic pregnancy especially if accompanied by other symptoms like rigidity of abdominal
muscles, weakness and dizziness. Palpating the abdomen is contraindicated as the risk of
rupturing the fallopian tube is high.
1. A nurse is reviewing the client's records from an earlier shift and notes that the result of
the barium enema revealed "apple core" lesions on the sigmoid colon. The client is passing
pencil-like stools. Which disorder is the nurse most likely considering?
a. Gastric cancer
b. Colon cancer
c. Diverticulitis
d. Chron disease –
Correct Answer :Ans: (B)
Thin, pencil-like stool occurs in an obstructing "apple core" lesion of the sigmoid colon. The
nurse considers colon cancer if the above are accompanied by the following: melena,
A+ TEST BANK 3
, GCU NUR 634 MIDTERM Practice Exam
hematochezia, diarrhea, constipation, feeling of incomplete bowel emptying, bloating,
cramps weight loss and fatigue.
1. During the assessment of a 2-day old newborn, the nurse notes bruising and
cephalhematoma. The baby also appears jaundiced. The nurse observes the mother
breastfeeding her newborn. What is the most probable interpretation of the jaundice?
a. Pathologic jaundice that necessitates blood transfusion
b. Hyperbilirubenemia due to the bruising and cephalhematoma
c. Breast milk jaundice
d. Hyperbilirubinemia caused by Rh incompatibility –
Correct Answer :Ans: (B)
The increased bilirubin levels are caused by the bruising and cephalhematoma secondary to
free circulating bilirubin from the reabsorbed blood that had been displaced. Pathologic
jaundice is evident in the first 24 hours of life while breast milk jaundice is seen after a week.
1. Which of the following assessment findings in a newborn baby is considered normal?
a. Passage of green sticky stools within the first 24 hours
b. Respirations of 75 per minute while at rest
c. Yellowish skin and sclera after 6 hours of birth
d. Frank bleeding at the umbilicus –
Correct Answer :Ans: (A)
Meconium is the greenish and sticky stool of the newly born baby. It is normally passed
within 24 hours of birth.
1. A new mother asks the nurse how much weight loss is expected of the baby after birth.
The most accurate reply is
a. 10-15%
b. 5-8%
A+ TEST BANK 4
