NURS 623 Exam 3 series of multiple || || || || || || ||
choice Questions with verified solutions || || || ||
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.
|| || || || || || || || ||
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 - Correct answer ✔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 - Correct 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 - Correct 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. - Correct 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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔C. Bulking agents
|| || || || || || || ||
choice Questions with verified solutions || || || ||
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.
|| || || || || || || || ||
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 - Correct answer ✔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 - Correct 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 - Correct 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. - Correct 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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔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 - Correct answer ✔C. Bulking agents
|| || || || || || || ||
