NURS 623 Final Exam Questions With
Correct Answers
Q-The |proper |order |of |assessing |the |abdomen |is |- |CORRECT |ANSWER✔✔-inspection, |
auscultation, |percussion, |palpation.
When |percussing |the |abdomen, |hyperresonance |is |present: |- |CORRECT |ANSWER✔✔-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 |patient |is |seen |in |the |clinic |with |right |upper |quadrant |(RUQ) |pain |that |is |radiating |to |the |
middle |of |the |back. |The |clinician |suspects |acute |cholelithiasis. |The |clinician |should |expect |
which |of |the |following |laboratory |findings?
A. |Decreased |ALT |and |AST
B. |Elevated |alkaline |phosphatase
C. |Elevated |indirect |bili
D. |Decreased |WBC |- |CORRECT |ANSWER✔✔-B. |Elevated |alkaline |phosphatase
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: |- |
CORRECT |ANSWER✔✔-Intra-abdominal |bleeding
Marian, |age |52, |is |obese. |She |complains |of |a |rapid |onset |of |severe |right |upper |quadrant |
abdominal |cramping |pain, |nausea, |and |vomiting. |Your |differential |diagnosis |might |be |- |
CORRECT |ANSWER✔✔-cholecystitis.
Most |common |cause |of |constipation |- |CORRECT |ANSWER✔✔-lack |of |dietary |fiber |(RDA=30g)
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? |- |CORRECT |
ANSWER✔✔-Pepto-bismol
Which |of |the |following |pharmacological |agents |used |to |treat |constipation |may |cause |
flatulence |and |bloating |and |requires |adequate |fluid |intake? |- |CORRECT |ANSWER✔✔-Bulking |
agents
Which |laxative |is |safe |for |long-term |use? |- |CORRECT |ANSWER✔✔-Methylcellulose |( |Citrucel)
Simon |states |that |he |is |worried |because |he |has |a |bowel |movement |only |every |third |day. |
You |respond, |- |CORRECT |ANSWER✔✔-There |is |no |such |thing |as |a |" |normal |pattern |of |
defecation"
Sigrid, |age |82, |has |irritable |bowel, |chronic |constipation, |and |diverticulitis. |Which
pharmacological |agent |do |you |recommend? |- |CORRECT |ANSWER✔✔-Bulking |agents
which |hepatic |enzyme |is |increased |with |viral |hepatitis, |drug |or |chemical |associated |hepatitis |
or |non |alcoholic |fatty |liver |disease |- |CORRECT |ANSWER✔✔-Alanine |aminotransferase |(ALT).
Correct Answers
Q-The |proper |order |of |assessing |the |abdomen |is |- |CORRECT |ANSWER✔✔-inspection, |
auscultation, |percussion, |palpation.
When |percussing |the |abdomen, |hyperresonance |is |present: |- |CORRECT |ANSWER✔✔-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 |patient |is |seen |in |the |clinic |with |right |upper |quadrant |(RUQ) |pain |that |is |radiating |to |the |
middle |of |the |back. |The |clinician |suspects |acute |cholelithiasis. |The |clinician |should |expect |
which |of |the |following |laboratory |findings?
A. |Decreased |ALT |and |AST
B. |Elevated |alkaline |phosphatase
C. |Elevated |indirect |bili
D. |Decreased |WBC |- |CORRECT |ANSWER✔✔-B. |Elevated |alkaline |phosphatase
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: |- |
CORRECT |ANSWER✔✔-Intra-abdominal |bleeding
Marian, |age |52, |is |obese. |She |complains |of |a |rapid |onset |of |severe |right |upper |quadrant |
abdominal |cramping |pain, |nausea, |and |vomiting. |Your |differential |diagnosis |might |be |- |
CORRECT |ANSWER✔✔-cholecystitis.
Most |common |cause |of |constipation |- |CORRECT |ANSWER✔✔-lack |of |dietary |fiber |(RDA=30g)
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? |- |CORRECT |
ANSWER✔✔-Pepto-bismol
Which |of |the |following |pharmacological |agents |used |to |treat |constipation |may |cause |
flatulence |and |bloating |and |requires |adequate |fluid |intake? |- |CORRECT |ANSWER✔✔-Bulking |
agents
Which |laxative |is |safe |for |long-term |use? |- |CORRECT |ANSWER✔✔-Methylcellulose |( |Citrucel)
Simon |states |that |he |is |worried |because |he |has |a |bowel |movement |only |every |third |day. |
You |respond, |- |CORRECT |ANSWER✔✔-There |is |no |such |thing |as |a |" |normal |pattern |of |
defecation"
Sigrid, |age |82, |has |irritable |bowel, |chronic |constipation, |and |diverticulitis. |Which
pharmacological |agent |do |you |recommend? |- |CORRECT |ANSWER✔✔-Bulking |agents
which |hepatic |enzyme |is |increased |with |viral |hepatitis, |drug |or |chemical |associated |hepatitis |
or |non |alcoholic |fatty |liver |disease |- |CORRECT |ANSWER✔✔-Alanine |aminotransferase |(ALT).
