GCU NUR 634 Midterm EXAM LATEST
GCU NUR 634 Midterm EXAM LATEST
2025/2026 ACTUAL SUMMER-FALL
SEMESTER EXAM GRADED A +
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
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 EXAM LATEST
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 EXAM LATEST
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. 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)
A+ TEST BANK 3
, GCU NUR 634 Midterm EXAM LATEST
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%
c. 4%
d. None –
Correct Answer :Ans: (B)
A weight loss of 5-8% of a newborn's weight within 3-4 days of life is normal. This is due to
passage of urine and feces, and also of metabolic and physiologic adjustments to extrauterine
feeding.
1. A nurse is preparing a 3-day old newborn for discharge. As she evaluates the baby, she
observes a yellowish tinge on the client's forehead after briefly pressing the skin. The nurse
understands that this indicates
A+ TEST BANK 4
GCU NUR 634 Midterm EXAM LATEST
2025/2026 ACTUAL SUMMER-FALL
SEMESTER EXAM GRADED A +
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
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 EXAM LATEST
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 EXAM LATEST
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. 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)
A+ TEST BANK 3
, GCU NUR 634 Midterm EXAM LATEST
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%
c. 4%
d. None –
Correct Answer :Ans: (B)
A weight loss of 5-8% of a newborn's weight within 3-4 days of life is normal. This is due to
passage of urine and feces, and also of metabolic and physiologic adjustments to extrauterine
feeding.
1. A nurse is preparing a 3-day old newborn for discharge. As she evaluates the baby, she
observes a yellowish tinge on the client's forehead after briefly pressing the skin. The nurse
understands that this indicates
A+ TEST BANK 4
