NR 511 final exam With complete solution Newest
RATED A+ 2025/2026
mesenteric infarction - Correct Answers Patient presents with mid epigastric pain, LUQ radiating
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to back, mild to very severe pain. Also has associated nausea and vomiting diaphoresis, pain is
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worse with lying supine. Physical assessment shows diminished bowel sounds and abdominal
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arteriogram.
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Il` Urinary stones/kidney stones - Correct Answers Patient presents with a colicky flank pain
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Il` progressing to constant and severe radiating to the groin in both lower quadrant, patient has
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Il` associated nausea vomiting fever chills and abdominal distention. Costovertebral angle
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Il` tenderness hematuria; do urinalysis IVP and US Il` Il` Il` Il` Il` Il`
Il` intestinal perforation - Correct Answers Patient presents with severe, parietal, diffuse pain; has
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Il` associated guarding, rebound tenderness, pain is relieved while lying still. Physical exam shows
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Il` decreased bowel sounds, guarding, rebound tenderness; get abdominal x-ray
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intestinal obstruction - Correct Answers Patient presents with colicky right lower quadrant and
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left lower quadrant pain; has associated nausea vomiting, Anorexia, obstipation; physical exam
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shows hyperactive high-pitched bowel sounds are hypo active bowel sounds, get an abdominal x-
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ray
Il` Pancreatitis - Correct Answers Patient presents with severe, visceral, diffuse pain. Has
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Il` associated hypotension tachycardia; pain is relieved by leaning forward. Physical exam shows
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` abdominal distention, diminished bowel sounds, diffuse rebound tenderness; will have elevated
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Il` amylase levels Il`
Il` ectopic pregnancy - Correct Answers Patient will present with persistent right lower quadrant
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` pain or left lower quadrant pain. May have vaginal bleeding. Physical exam will show tender
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Il` adnexal mass and will have a positive hCG test.
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, Il` Dissection or Rupture of Aortic Aneurysm - Correct Answers Patient will present with ripping,
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Il` tearing, intense pain in chest, abdomen, lower back. Will have associated hypotension, feelings of
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Il` doom, shock. Physical exam will show shock, diminished femoral pulses; get x-ray and CT scan
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Il` Peptic Ulcer Disease (PUD) - Correct Answers Patient presents with annoying pain in epigastric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` region radiating to the back, right shoulder, or side. Associated nausea, hunger; worse with empty
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have epigastric tenderness
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Il` to palpation. Studies done is endoscopy and barium swallow
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Il` gastroesophageal reflux disease (GERD) - Correct Answers Patient will present with epigastric, Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` retrosternal pain. This pain will be intermittent. Patient may have sour taste, low-grade bleeding,
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Il` hoarseness, pharyngitis; worse with bending at the waist, NSAIDs, ASA, alcohol, caffeine,
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Il` recumbency; relieved with antacids. Test are barium swallow, upper G.I., esophageal endoscopy Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` with biopsy
Il`
Il` gastritis - Correct Answers Patient will present with epigastric pain that is constant. May have
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Il` associated nausea, vomiting, diarrhea, fever, hemorrhage; worse with alcohol, NSAIDs, aspirin; is
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Il` rarely worse with food
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Il` salpingitis - Correct Answers Patient will present with right lower quadrant and or left lower
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` quadrant pain. Pain will be worse around menstruation and when ascending stairs. There will be
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Il` cervical motion and adnexal tenderness
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Il` irritable bowel syndrome (IBS) - Correct Answers Patient will present with left lower quadrant
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` pain right lower quadrant pain the pain will be intermittent and recurrent. Will have associated
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` diarrhea, mucus in store; worse with stress and eating; often relieved by defecation. There will be:
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` tender to palpation; small bowel follow through to rule out other causes
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Il` Inflammatory bowel disease (Crohn's disease, ulcerative colitis) - Correct Answers Patient will Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` present with pain in the right lower quadrant and left lower quadrant; may have diarrhea, weight
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Il` loss, rectal bleeding, tenesmus, fever; worse with stress. Physical exam will show tenderness in
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RATED A+ 2025/2026
mesenteric infarction - Correct Answers Patient presents with mid epigastric pain, LUQ radiating
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
to back, mild to very severe pain. Also has associated nausea and vomiting diaphoresis, pain is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
worse with lying supine. Physical assessment shows diminished bowel sounds and abdominal
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
arteriogram.
Il`
Il` Urinary stones/kidney stones - Correct Answers Patient presents with a colicky flank pain
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` progressing to constant and severe radiating to the groin in both lower quadrant, patient has
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` associated nausea vomiting fever chills and abdominal distention. Costovertebral angle
Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` tenderness hematuria; do urinalysis IVP and US Il` Il` Il` Il` Il` Il`
Il` intestinal perforation - Correct Answers Patient presents with severe, parietal, diffuse pain; has
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` associated guarding, rebound tenderness, pain is relieved while lying still. Physical exam shows
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` decreased bowel sounds, guarding, rebound tenderness; get abdominal x-ray
Il` Il` Il` Il` Il` Il` Il` Il`
intestinal obstruction - Correct Answers Patient presents with colicky right lower quadrant and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
left lower quadrant pain; has associated nausea vomiting, Anorexia, obstipation; physical exam
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
shows hyperactive high-pitched bowel sounds are hypo active bowel sounds, get an abdominal x-
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
ray
Il` Pancreatitis - Correct Answers Patient presents with severe, visceral, diffuse pain. Has
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` associated hypotension tachycardia; pain is relieved by leaning forward. Physical exam shows
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` abdominal distention, diminished bowel sounds, diffuse rebound tenderness; will have elevated
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` amylase levels Il`
Il` ectopic pregnancy - Correct Answers Patient will present with persistent right lower quadrant
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` pain or left lower quadrant pain. May have vaginal bleeding. Physical exam will show tender
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` adnexal mass and will have a positive hCG test.
Il` Il` Il` Il` Il` Il` Il` Il`
, Il` Dissection or Rupture of Aortic Aneurysm - Correct Answers Patient will present with ripping,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` tearing, intense pain in chest, abdomen, lower back. Will have associated hypotension, feelings of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` doom, shock. Physical exam will show shock, diminished femoral pulses; get x-ray and CT scan
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Peptic Ulcer Disease (PUD) - Correct Answers Patient presents with annoying pain in epigastric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` region radiating to the back, right shoulder, or side. Associated nausea, hunger; worse with empty
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have epigastric tenderness
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` to palpation. Studies done is endoscopy and barium swallow
Il` Il` Il` Il` Il` Il` Il` Il`
Il` gastroesophageal reflux disease (GERD) - Correct Answers Patient will present with epigastric, Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` retrosternal pain. This pain will be intermittent. Patient may have sour taste, low-grade bleeding,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` hoarseness, pharyngitis; worse with bending at the waist, NSAIDs, ASA, alcohol, caffeine,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` recumbency; relieved with antacids. Test are barium swallow, upper G.I., esophageal endoscopy Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` with biopsy
Il`
Il` gastritis - Correct Answers Patient will present with epigastric pain that is constant. May have
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` associated nausea, vomiting, diarrhea, fever, hemorrhage; worse with alcohol, NSAIDs, aspirin; is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` rarely worse with food
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Il` salpingitis - Correct Answers Patient will present with right lower quadrant and or left lower
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` quadrant pain. Pain will be worse around menstruation and when ascending stairs. There will be
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` cervical motion and adnexal tenderness
Il` Il` Il` Il`
Il` irritable bowel syndrome (IBS) - Correct Answers Patient will present with left lower quadrant
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` pain right lower quadrant pain the pain will be intermittent and recurrent. Will have associated
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` diarrhea, mucus in store; worse with stress and eating; often relieved by defecation. There will be:
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` tender to palpation; small bowel follow through to rule out other causes
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` Inflammatory bowel disease (Crohn's disease, ulcerative colitis) - Correct Answers Patient will Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` present with pain in the right lower quadrant and left lower quadrant; may have diarrhea, weight
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` loss, rectal bleeding, tenesmus, fever; worse with stress. Physical exam will show tenderness in
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