NR509 Week 5 Quiz | Nursing Study
Guide
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NR509 Week 5 Quiz _ Nursing Study Guide.pdf NR509 Week 5 Quiz _ Nursing Study Guide.pdf NR509 Week 5 Quiz _ Nursing Study Guide.pdf
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A 19-year-old Black female presents to the appendicitis
clinic with moderate to severe right lower
quadrant abdominal pain for the last 2 days.
She has been experiencing nausea and
vomiting but unsure if she has had fever.
Which of the following Is a possible
differential diagnosis?
A. peritonitis
B. diverticulitis
C. appendicitis
D. small bowel obstruction
NR509 Week 5 Quiz.pdf NR509 Week 5 Quiz.pdf NR509 Week 5 Quiz.pdf
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A healthy 30-year-old female presents to C. pressing down onto the abdomen firmly and quickly
the Emergency Department with a 1-day withdraws the hand produces pain (rebound tenderness)
history of severe abdominal pain. The NP
suspects appendicitis and consults general
surgery. Based on exam findings the NP
believes this patient has signs of peritonitis
on exam. Which of the following physical
exam findings supports peritonitis?
A. Localized pain over McBurney point
which lies 2 inches from the anterior
superior spinous process of ilium on a line
drawn from that process to the umbilicus
B. voluntary reflex contraction of the
abdominal wall from peritoneal
inflammation that persists over several
examinations
C. pressing down onto the abdomen firmly
and quickly withdraws the hand produces
pain
NR509 Week 5 Quiz.pdf NR509 Week 5 Quiz.pdf NR509 Week 5 Quiz.pdf
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D. involuntary contraction of the abdominal
wall
A 44-year-old female presents with nausea Murphy's sign
and pain to right upper quadrant. The NP
notices the patient winces in pain and there
is cessation of inspiration with palpation of
the right upper quadrant. The nurse
practitioner would document which of the
following as a positive exam finding for this
patient?
A. Murphy's sign
B. Roving sign
C. Obturator sign
D. McBurney sign
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