MARYVILLE NURS 623 EXAM 4
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
⩥ A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the
history and physical exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
D. All of the above. Answer: D. All of the above
⩥ A 28-year-old patient is seen in the clinic with colicky abdominal
pain, particularly with meals. She has frequent constipation, flatulence,
and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely?
A. Her age
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain. Answer: A. Her Age
,⩥ A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives.
Following this, she has diarrhea for a couple of days. She temporarily
feels better after a bowel movement. She states she is embarrassed by
flatulence and has abdominal distension. She has had no weight loss or
blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
A. Obtain a complete history
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics.. Answer: A. Obtain a complete
history
⩥ A 46-year-old female patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
A. CBC
B. Urine HCG
C. Barium enema
D. CT. Answer: B. Urine HCG
⩥ A patient is seen in the clinic with right upper quadrant (RUQ) pain
that is radiating to the middle of the back. The clinician suspects acute
cholelithiasis. The clinician should expect which of the following
laboratory findings?
, A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
D. Decreased WBC. Answer: B. Elevated alkaline phosphatase
⩥ A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical exam is remarkable for left lower quadrant
(LLQ) tenderness. Which of the following should be considered in the
differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above. Answer: D. All of the above
⩥ You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's
sign may indicate:. Answer: Intra-abdominal bleeding
⩥ Marian, age 52, is obese. She complains of a rapid onset of severe
right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential
diagnosis might be. Answer: cholecystitis.
⩥ Most common cause of constipation. Answer: lack of dietary fiber
(RDA=30g)
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
⩥ A 35-year-old female patient is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the
history and physical exam?
A. Digital Rectal Exam
B. Pelvic Exam
C. Sexual History
D. All of the above. Answer: D. All of the above
⩥ A 28-year-old patient is seen in the clinic with colicky abdominal
pain, particularly with meals. She has frequent constipation, flatulence,
and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely?
A. Her age
B. Flatulence
C. Frequent constipation
D. Colicky abdominal pain. Answer: A. Her Age
,⩥ A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives.
Following this, she has diarrhea for a couple of days. She temporarily
feels better after a bowel movement. She states she is embarrassed by
flatulence and has abdominal distension. She has had no weight loss or
blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
A. Obtain a complete history
B. Order a barium enema.
C. Schedule a Bernstein's test.
D. Prescribe a trial of antispasmodics.. Answer: A. Obtain a complete
history
⩥ A 46-year-old female patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
A. CBC
B. Urine HCG
C. Barium enema
D. CT. Answer: B. Urine HCG
⩥ A patient is seen in the clinic with right upper quadrant (RUQ) pain
that is radiating to the middle of the back. The clinician suspects acute
cholelithiasis. The clinician should expect which of the following
laboratory findings?
, A. Decreased ALT and AST
B. Elevated alkaline phosphatase
C. Elevated indirect bili
D. Decreased WBC. Answer: B. Elevated alkaline phosphatase
⩥ A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical exam is remarkable for left lower quadrant
(LLQ) tenderness. Which of the following should be considered in the
differential diagnosis at this time?
A. Endometriosis
B. Colon Ca
C. Diverticulitis
D. All of the above. Answer: D. All of the above
⩥ You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's
sign may indicate:. Answer: Intra-abdominal bleeding
⩥ Marian, age 52, is obese. She complains of a rapid onset of severe
right upper quadrant
abdominal cramping pain, nausea, and vomiting. Your differential
diagnosis might be. Answer: cholecystitis.
⩥ Most common cause of constipation. Answer: lack of dietary fiber
(RDA=30g)
