NURS 623 Exam 3 Practice/Review Questions and answers A+ GRADE

NURS 623 Exam 3 Practice/Review Questions and answers A+ GRADE Terms in this set (99) What is the proper order of assessing the abdomen? A. inspection, auscultation, percussion, palpation B. auscultation, percussion, palpation, inspection C. palpation, inspection, auscultation, percussion D. percussion, palpation, inspection, auscultation CORRECT ANSWER: A. When percussing the abdomen, hyperresonance is present: A. After eating a large meal B. When there is gaseous distention C. During the second trimester of pregnancy D. Post appendectomy CORRECT ANSWER B. Brainpower Read More 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 CORRECT ANSWER D. 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 CORRECT ANSWER A. 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. CORRECT ANSWER A. 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 CORRECT ANSWER B. 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 CORRECT ANSWER D. You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign may indicate: A. Cholecystitis B. Appendicitis C. Intra-abdominal bleeding D. Prostatitis CORRECT ANSWER C. Marian, age 52, is obese. She complains of a rapid onset of severe right upper quadrant (RUQ) pain, abdominal cramping, nausea, and vomiting. Your differential diagnosis might be: A. Diverticulitis B. Gastritis C. Cholecystitis D. Appendicitis CORRECT ANSWER C. What is the most common cause of constipation? A. Holding of bowel movements B. Medication side-effect C. Dietary choices D. Lack of dietary fiber CORRECT ANSWER D. A patient is seen in the office and is complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation?