NURS 623 EXAM 3 PRACTICE |REVIEW
QUESTIONS | WITH COMPLETE SOLUTIONS |
RATED A+
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 - A. inspection, auscultation,
percussion, palpation
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 - B. When there is gaseous distention
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 - 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 - 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. - 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 - B. Urine HCG
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 - D. All of the above
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 - C. Intra-abdominal bleeding
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 - C. Cholecystitis
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 - D. Lack of dietary fiber
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?
A. Lisinopril
B. Coreg
C. Linzess
, D. Pepto-bismol - D. Pepto-bismol
Which of the following pharmacological agents used to treat constipation may cause
flatulence and bloating and requires adequate fluid intake?
A. Lamictol
B. Linzess
C. Bulking agents
D. Senna cot - C. Bulking agents
Which laxative is safe for long-term use?
A. Senna cot
B. Magnesium citrate
C. bMethylcellulose b(Citrucel)
D. bMilk bof bmagnesia b- b bC. bMethylcellulose b( bCitrucel)
Simon bstates bthat bhe bis bworried bbecause bhe bhas ba bbowel bmovement bonly bevery bthird
bday. bWhich bresponse bto bbest?
A. bThere bis bno bsuch bthing bas ba b"normal bpattern bof bdefecation."
B. bThe baccepted bnormal bbowel bpattern bfor bpeople bages bless bthan b65 byears bis bonce
bdaily
C. bYou bshould bhave ba bbowel bmovement bat bleast bevery bother bday
D. bDo bnot bworry. bWe bonly bget bconcerned bif byou bhave bhad bnot bhad ba bbowel bmovement
bafter bseven bdays. b- b bA. bThere bis bno bsuch bthing bas ba b" bnormal bpattern bof bdefecation."
Sigrid, bage b82, bhas birritable bbowel, bchronic bconstipation, band bdiverticulitis. bWhich
bpharmacological bagent bdo byou brecommend?
A. bSenna bcot
B. bOTC bstool bsofteners
C. bBulking bagents
D. bMilk bof bmagnesium b- b bC. bBulking bagents
Which bhepatic benzyme bis bincreased bwith bviral bhepatitis, bdrug bor bchemical bassociated
bhepatitis bor bnon balcoholic bfatty bliver bdisease?
A. bAST
B. bBUN
C. bALT
D. bCRP b- b bC. bALT b(Alanine baminotransferase)
ALT busually bincreases bhigher bthan bAST bby bgreater bthan bten btimes bthe bULN bin bwhat
bconditions:
A. bAlcoholism
B. bViral, bdrug bor bchemical bassociated bhepatitis
C. bSepticemia
D. bHIV/AIDS b- b bB. bViral, bdrug bor bchemical bassociated bhepatitis
ALT busually bincreases bhigher bthan bALT bat b3 btimes bULN bin bwhat bconditions:
QUESTIONS | WITH COMPLETE SOLUTIONS |
RATED A+
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 - A. inspection, auscultation,
percussion, palpation
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 - B. When there is gaseous distention
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 - 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 - 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. - 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 - B. Urine HCG
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 - D. All of the above
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 - C. Intra-abdominal bleeding
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 - C. Cholecystitis
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 - D. Lack of dietary fiber
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?
A. Lisinopril
B. Coreg
C. Linzess
, D. Pepto-bismol - D. Pepto-bismol
Which of the following pharmacological agents used to treat constipation may cause
flatulence and bloating and requires adequate fluid intake?
A. Lamictol
B. Linzess
C. Bulking agents
D. Senna cot - C. Bulking agents
Which laxative is safe for long-term use?
A. Senna cot
B. Magnesium citrate
C. bMethylcellulose b(Citrucel)
D. bMilk bof bmagnesia b- b bC. bMethylcellulose b( bCitrucel)
Simon bstates bthat bhe bis bworried bbecause bhe bhas ba bbowel bmovement bonly bevery bthird
bday. bWhich bresponse bto bbest?
A. bThere bis bno bsuch bthing bas ba b"normal bpattern bof bdefecation."
B. bThe baccepted bnormal bbowel bpattern bfor bpeople bages bless bthan b65 byears bis bonce
bdaily
C. bYou bshould bhave ba bbowel bmovement bat bleast bevery bother bday
D. bDo bnot bworry. bWe bonly bget bconcerned bif byou bhave bhad bnot bhad ba bbowel bmovement
bafter bseven bdays. b- b bA. bThere bis bno bsuch bthing bas ba b" bnormal bpattern bof bdefecation."
Sigrid, bage b82, bhas birritable bbowel, bchronic bconstipation, band bdiverticulitis. bWhich
bpharmacological bagent bdo byou brecommend?
A. bSenna bcot
B. bOTC bstool bsofteners
C. bBulking bagents
D. bMilk bof bmagnesium b- b bC. bBulking bagents
Which bhepatic benzyme bis bincreased bwith bviral bhepatitis, bdrug bor bchemical bassociated
bhepatitis bor bnon balcoholic bfatty bliver bdisease?
A. bAST
B. bBUN
C. bALT
D. bCRP b- b bC. bALT b(Alanine baminotransferase)
ALT busually bincreases bhigher bthan bAST bby bgreater bthan bten btimes bthe bULN bin bwhat
bconditions:
A. bAlcoholism
B. bViral, bdrug bor bchemical bassociated bhepatitis
C. bSepticemia
D. bHIV/AIDS b- b bB. bViral, bdrug bor bchemical bassociated bhepatitis
ALT busually bincreases bhigher bthan bALT bat b3 btimes bULN bin bwhat bconditions:
