Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which assessment finding does the nurse anticipate when caring for a patient with a
ruptured spleen?
A. Spinal ache
B. Flank ecchymosis
C. Central abdominal discomfort
D. Referred pain to the left shoulder
Answer: D. Referred pain to the left shoulder
Q2: When reviewing the medical record of a patient who underwent surgical decompression,
which finding does the nurse anticipate when noting that the patient has an "open
abdomen"?
A. Ruptured spleen
B. An unexpected protrusion of organs outside the abdominal wall
C. Opening for colostomy or urostomy
D. Skin and abdominal fascia exposed after surgery
Answer: D. Skin and abdominal fascia exposed after surgery
Q3: What is the abdominal perfusion pressure (APP) for a patient with a mean arterial pressure
(MAP) of 70 mm Hg and an intraabdominal pressure (IAP) of 18 mm Hg?
Answer: 52 APP is calculated by subtracting the IAP from the MAP. An APP of 52 would not
compromise blood supply to the gut.
Q4: How does the nurse interpret the degree of injury for a patient who is diagnosed with a
grade I bladder injury?
A. No injury
B. Small hematoma
C. Extraperitoneal rupture
D. Lethal laceration into bladder neck
Answer: B. Small hematoma
Q5: Which intervention would the nurse expect to find on a plan of care for a patient with
genitourinary trauma and bloody urine?
A. Maintain urine output at 0.1 mL/kg/h.
B. Measure urine output every 2 hours.
C. Gently irrigate the urinary catheter.
D. Closely monitor calcium and magnesium levels.
Answer: C. Gently irrigate the urinary catheter.
Q1: Which assessment finding does the nurse anticipate when caring for a patient with a
ruptured spleen?
A. Spinal ache
B. Flank ecchymosis
C. Central abdominal discomfort
D. Referred pain to the left shoulder
Answer: D. Referred pain to the left shoulder
Q2: When reviewing the medical record of a patient who underwent surgical decompression,
which finding does the nurse anticipate when noting that the patient has an "open
abdomen"?
A. Ruptured spleen
B. An unexpected protrusion of organs outside the abdominal wall
C. Opening for colostomy or urostomy
D. Skin and abdominal fascia exposed after surgery
Answer: D. Skin and abdominal fascia exposed after surgery
Q3: What is the abdominal perfusion pressure (APP) for a patient with a mean arterial pressure
(MAP) of 70 mm Hg and an intraabdominal pressure (IAP) of 18 mm Hg?
Answer: 52 APP is calculated by subtracting the IAP from the MAP. An APP of 52 would not
compromise blood supply to the gut.
Q4: How does the nurse interpret the degree of injury for a patient who is diagnosed with a
grade I bladder injury?
A. No injury
B. Small hematoma
C. Extraperitoneal rupture
D. Lethal laceration into bladder neck
Answer: B. Small hematoma
Q5: Which intervention would the nurse expect to find on a plan of care for a patient with
genitourinary trauma and bloody urine?
A. Maintain urine output at 0.1 mL/kg/h.
B. Measure urine output every 2 hours.
C. Gently irrigate the urinary catheter.
D. Closely monitor calcium and magnesium levels.
Answer: C. Gently irrigate the urinary catheter.
