PN4003 | PN 4003 FINAL |
VARIATIONS IN HEALTH EXAM |
QUESTIONS & ANSWERS | 100%
CORRECT | GRADE A – SCC |
2026/2027 Guide
A nurse is preparing a presentation for a local community group
of older adults about colon cancer. What would the nurse
include as the primary characteristic associated with this
disorder?
A. Abdominal distention
B. Frank blood in the stool
C. A change in bowel habits
D. Abdominal pain
- Correct Answer - C
Although abdominal distention and blood in the stool (frank or
occult) may be present, the chief characteristic of cancer of the
colon is a change in bowel habits, such as alternating
constipation and diarrhea. Abdominal pain is a late sign.
,The nurse is interviewing a client with internal hemorrhoids.
What would the nurse expect the client to report?
A. Rectal bleeding
B. Pain
C. Itching
D. Soreness
- Correct Answer - A
The nurse is reviewing the laboratory test results of a client with
Crohn disease. Which of the following would the nurse most
likely find?
A. Decreased white blood cell count
B. Increased albumin levels
C. Stool cultures negative for microorganisms or parasite
D. Decreased erythrocyte sedimentation rate
- Correct Answer - C
client is recently diagnosed with Crohn disease and is
beginning treatment. What first-line treatment does the nurse
expect that the client will be placed on to decrease the
inflammatory response?
A. Ciprofloxacin
B. Methotrexate
,C. Azathioprine
D. Sulfasalazine
- Correct Answer - D
Considered first-line treatment for inflammatory bowel disease,
5-ASA drugs contain salicylate, which is bonded to a carrying
agent that allows the drug to be absorbed in the intestine.
These drugs work by decreasing the inflammatory response
The nurse observes the physician palpating the abdomen of a
client that is suspected of having acute appendicitis. When the
abdomen is pressed in the left lower quadrant the client
complains of pain on the right side. What does the nurse
understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
- Correct Answer - C
When an examiner deeply palpates the left lower abdominal
quadrant and the client feels pain in the right lower quadrant,
this is referred to as a positive Rovsing sign and suggests
acute appendicitis
, A client with a diagnosis of acute appendicitis is awaiting
surgical intervention. The nurse listens to bowel sounds and
hears none and observes that the abdomen is rigid and board-
like. What complication does the nurse determine may be
occurring at this time?
A. Constipation
B. Paralytic ileus
C. Peritonitis
D. Accumulation of gas
- Correct Answer - C
Lack of bowel motility typically accompanies peritonitis. The
abdomen feels rigid and board-like as it distends with gas and
intestinal contents. Bowel sounds typically are absent. The
diagnosis of acute appendicitis correlates with the symptoms of
rupture of the appendix and peritonitis. A paralytic ileus,
constipation, and gas alone do not produce these symptoms
A client has developed an anorectal abscess. Which client is
likely at risk for the development of this type of abscess?
A. A client with Crohn disease
B. A client with hemorrhoids
VARIATIONS IN HEALTH EXAM |
QUESTIONS & ANSWERS | 100%
CORRECT | GRADE A – SCC |
2026/2027 Guide
A nurse is preparing a presentation for a local community group
of older adults about colon cancer. What would the nurse
include as the primary characteristic associated with this
disorder?
A. Abdominal distention
B. Frank blood in the stool
C. A change in bowel habits
D. Abdominal pain
- Correct Answer - C
Although abdominal distention and blood in the stool (frank or
occult) may be present, the chief characteristic of cancer of the
colon is a change in bowel habits, such as alternating
constipation and diarrhea. Abdominal pain is a late sign.
,The nurse is interviewing a client with internal hemorrhoids.
What would the nurse expect the client to report?
A. Rectal bleeding
B. Pain
C. Itching
D. Soreness
- Correct Answer - A
The nurse is reviewing the laboratory test results of a client with
Crohn disease. Which of the following would the nurse most
likely find?
A. Decreased white blood cell count
B. Increased albumin levels
C. Stool cultures negative for microorganisms or parasite
D. Decreased erythrocyte sedimentation rate
- Correct Answer - C
client is recently diagnosed with Crohn disease and is
beginning treatment. What first-line treatment does the nurse
expect that the client will be placed on to decrease the
inflammatory response?
A. Ciprofloxacin
B. Methotrexate
,C. Azathioprine
D. Sulfasalazine
- Correct Answer - D
Considered first-line treatment for inflammatory bowel disease,
5-ASA drugs contain salicylate, which is bonded to a carrying
agent that allows the drug to be absorbed in the intestine.
These drugs work by decreasing the inflammatory response
The nurse observes the physician palpating the abdomen of a
client that is suspected of having acute appendicitis. When the
abdomen is pressed in the left lower quadrant the client
complains of pain on the right side. What does the nurse
understand this assessment technique is referred to?
A. Referred pain
B. Rebound pain
C. Rovsing sign
D. Cremasteric reflex
- Correct Answer - C
When an examiner deeply palpates the left lower abdominal
quadrant and the client feels pain in the right lower quadrant,
this is referred to as a positive Rovsing sign and suggests
acute appendicitis
, A client with a diagnosis of acute appendicitis is awaiting
surgical intervention. The nurse listens to bowel sounds and
hears none and observes that the abdomen is rigid and board-
like. What complication does the nurse determine may be
occurring at this time?
A. Constipation
B. Paralytic ileus
C. Peritonitis
D. Accumulation of gas
- Correct Answer - C
Lack of bowel motility typically accompanies peritonitis. The
abdomen feels rigid and board-like as it distends with gas and
intestinal contents. Bowel sounds typically are absent. The
diagnosis of acute appendicitis correlates with the symptoms of
rupture of the appendix and peritonitis. A paralytic ileus,
constipation, and gas alone do not produce these symptoms
A client has developed an anorectal abscess. Which client is
likely at risk for the development of this type of abscess?
A. A client with Crohn disease
B. A client with hemorrhoids
