NSG 6420 Week 5 Knowledge check
Week 5 Abdomen:
Question 1
Which of the following serum lab results would you expect to see in a patient with diarrhea?
Potassium level of 5.7 mEq/L
Chloride level of 155
1st & 2nd Sodium level of 138
Glucose level of 80 mg/dl
Question 2
In teaching the medication regimen to an older adult female client w/ end-stage renal disease, the nurse practitioner must
include which of the following pieces of information in the treatment plan?
Report any changes in the color of her stool
Take iron supplement and elemental calcium with each meal
Take iron supplement before meals and the calcium after meals
Take phosphorous and calcium supplements after meals
Question 3
The nurse practitioner is examining a 62 YO female who has been complaining of lower abdominal pain. Upon
auscultation, the nurse finds the patient has borborygmi? What bowel sounds did the nurse auscultate?
Pitch Low to moderate, initially (frequent) loud low pitched gurgling/rumbling sounds (Borborygmi)
Occasionally you may hear borborygmi—long prolonged gurgles of hyperperistalsis—the familiar “stomach growling.”
Bates p.334
2nd try: low-pitched and gurgling
1st high pitched and tinkling
absence of bowel sounds
high pitched and rumbling
Question 4
Based on the findings of irregularly formed bluish discoloration around the umbilicus, the NP should order diagnostic test
to for which disorder? Cullen’s sign may be indicative of
appendicitis.
liver disease.
peritonitis.
intra-abdominal bleeding.
Question 5
When performing abdominal assessment, the clinician should perform examination techniques in the following order:
Week 5 Abdomen:
Question 1
Which of the following serum lab results would you expect to see in a patient with diarrhea?
Potassium level of 5.7 mEq/L
Chloride level of 155
1st & 2nd Sodium level of 138
Glucose level of 80 mg/dl
Question 2
In teaching the medication regimen to an older adult female client w/ end-stage renal disease, the nurse practitioner must
include which of the following pieces of information in the treatment plan?
Report any changes in the color of her stool
Take iron supplement and elemental calcium with each meal
Take iron supplement before meals and the calcium after meals
Take phosphorous and calcium supplements after meals
Question 3
The nurse practitioner is examining a 62 YO female who has been complaining of lower abdominal pain. Upon
auscultation, the nurse finds the patient has borborygmi? What bowel sounds did the nurse auscultate?
Pitch Low to moderate, initially (frequent) loud low pitched gurgling/rumbling sounds (Borborygmi)
Occasionally you may hear borborygmi—long prolonged gurgles of hyperperistalsis—the familiar “stomach growling.”
Bates p.334
2nd try: low-pitched and gurgling
1st high pitched and tinkling
absence of bowel sounds
high pitched and rumbling
Question 4
Based on the findings of irregularly formed bluish discoloration around the umbilicus, the NP should order diagnostic test
to for which disorder? Cullen’s sign may be indicative of
appendicitis.
liver disease.
peritonitis.
intra-abdominal bleeding.
Question 5
When performing abdominal assessment, the clinician should perform examination techniques in the following order:
