NU 518
EXAM 3
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of tested and verified
questions with accurate answers from Exam 3 of NU 518 at the
University of South Alabama. It covers core topics assessed in
,the course and reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
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
Ans: (B)
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
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
Ans: (A)
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
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
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, hematochezia, diarrhea, constipation, feeling of incomplete
bowel emptying, bloating, cramps weight loss and fatigue.
1. The nurse is doing a health teaching on a client with colon cancer. She is
explaining the different types of bleeding manifestations. Of particular
interest to her is the type of bleeding associated with colon cancer and that
is passing of fresh blood or maroon-colored stool. The client understands
the teaching if he replies with which answer?
a. Hematemesis
b. Steatorrhea
c. Hematochezia
d. Melena
Ans: (C)
Hematochezia is passing of blood-streaked stools, stools that are bright or dark
red in color. This is caused by lower gastrointestinal bleeding. Hematemesis is
vomiting of fresh blood or of occult blood of 'coffee-grounds' consistency.
Steatorrhea is passing of fatty malodorous stools. Melena is presence of occult
blood in the stool.
1. A client with hepatitis is asking the nurse why his skin turned yellow.
Which response is the most accurate to explain why jaundice happens?
a. Decreased production of bilirubin
b. Increased uptake of bilirubin by the hepatocytes
c. Increased ability of the liver to conjugate bilirubin
EXAM 3
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
TTTT DTTTTTTT TTTTTTTTTTT:
This document contains a collection of tested and verified
questions with accurate answers from Exam 3 of NU 518 at the
University of South Alabama. It covers core topics assessed in
,the course and reflects the actual exam format and question style. Ideal for exam
preparation and concept reinforcement.
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
Ans: (B)
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
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
Ans: (A)
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
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
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, hematochezia, diarrhea, constipation, feeling of incomplete
bowel emptying, bloating, cramps weight loss and fatigue.
1. The nurse is doing a health teaching on a client with colon cancer. She is
explaining the different types of bleeding manifestations. Of particular
interest to her is the type of bleeding associated with colon cancer and that
is passing of fresh blood or maroon-colored stool. The client understands
the teaching if he replies with which answer?
a. Hematemesis
b. Steatorrhea
c. Hematochezia
d. Melena
Ans: (C)
Hematochezia is passing of blood-streaked stools, stools that are bright or dark
red in color. This is caused by lower gastrointestinal bleeding. Hematemesis is
vomiting of fresh blood or of occult blood of 'coffee-grounds' consistency.
Steatorrhea is passing of fatty malodorous stools. Melena is presence of occult
blood in the stool.
1. A client with hepatitis is asking the nurse why his skin turned yellow.
Which response is the most accurate to explain why jaundice happens?
a. Decreased production of bilirubin
b. Increased uptake of bilirubin by the hepatocytes
c. Increased ability of the liver to conjugate bilirubin
