NUR 643E Advanced Health Assessment Final Exam –
Questions With Analytical Solutions
What are the parts of the large intestine? Correct Answer - Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
In what part of the digestive system are fats and proteins broken down?
Correct Answer - The stomach - uses HCL and enzymes
What lines the surface of the small intestine to help absorb nutrients?
Correct Answer - Villi
What are the parts of the small intestine? Correct Answer - duodenum,
jejunum, ileum
What are the parts of the stomach? Correct Answer - The fundus, antrum
and the body
,What is peristalsis? Correct Answer - The sequential autonomic
muscular contractions that move nutrients along the digestive tract
What part of the digestive system is responsible absorbing water, lubricating
contents, and putrefaction? Correct Answer - Large intestine
What is putrefaction? Correct Answer - Changes produced by action of
bacteria and microorganisms to decompose undigested food, unabsorbed
animo acids, cell debris, and dead bacteria
What is the function of the gallbladder? Correct Answer - Concentrates
and stores bile
What abdominal organ has both exocrine and endocrine functions? What are
the functions? Correct Answer - Exocrine - produces digestive enzymes
,Endocrine - produces insulin
What is the function of the spleen? Correct Answer - Filter blood and
help fight infections
What abdominal organ(s) is located in the retroperitoneum? Correct
Answer - Kidneys
What part of the social history do you always want to make sure you ask
about when assessing and abdominal complaint? Correct Answer -
Alcohol use/abuse
When you are palpating your patient's abdomen where do you want to look
for clues to the severity of their pain? Correct Answer - Their face
What is pyrosis? Correct Answer - Heartburn
What type of disease is IBS, generally? Correct Answer - Functional
45 y/o female presents to your office complaining of achey, burning epigastric
pain, especially after she eats. Your cardiac workup is negative. What is high
on your differential? What lifestyle modifications do you suggest? Correct
Answer - GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
Your patient comes in with loss of appetite for the last few weeks. What
chronic medical disease do you want to keep on your differential? Correct
Answer - Malignancy
Proton pump inhibitors can increase the risk of what infectious disease?
Correct Answer - C. dif
When you are working up a patient with a chief complaint of nausea what do
you want to ask them? Correct Answer - Pregnant?
When nauseous?
Have you taken anything?
, Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
Your patient presents to your office Correct Answer -
What does projectile vomiting in an adult make you think? Correct Answer -
Increased intracranial pressure
You are seeing a patient in your office and he tells you he has been having
long, skinny stools. What are you worried about? Correct Answer -
Intestinal obstruction
Malignancy?
What does fatty stool indicate? Correct Answer - Malabsorption
What do clay colored stools indicate? Correct Answer - Hepatobiliary
obstruction
What common medications can cause constipation? Correct Answer - 5-
HT3 receptor antagonists (Ondansetron); Antacids; Anticholinergics;
Antidepressants; Antihistamines; Anticonvulsants; CCB; Clonidine; Calcium
supplements; Diuretics; Iron supplements; Levodopa; Narcotics; NSAIDs;
Psychotropics; Sympathomimetics
What are you worried about in older, younger, and immunocompromised
patients with diarrhea? Correct Answer - Dehydration --> electrolyte
imbalances
What is dysuria? Correct Answer - Painful or difficult urination
What do you want to warn your patient of before starting him on a laxative?
Correct Answer - Can develop a dependency due to decreased intestinal
tone
Questions With Analytical Solutions
What are the parts of the large intestine? Correct Answer - Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
In what part of the digestive system are fats and proteins broken down?
Correct Answer - The stomach - uses HCL and enzymes
What lines the surface of the small intestine to help absorb nutrients?
Correct Answer - Villi
What are the parts of the small intestine? Correct Answer - duodenum,
jejunum, ileum
What are the parts of the stomach? Correct Answer - The fundus, antrum
and the body
,What is peristalsis? Correct Answer - The sequential autonomic
muscular contractions that move nutrients along the digestive tract
What part of the digestive system is responsible absorbing water, lubricating
contents, and putrefaction? Correct Answer - Large intestine
What is putrefaction? Correct Answer - Changes produced by action of
bacteria and microorganisms to decompose undigested food, unabsorbed
animo acids, cell debris, and dead bacteria
What is the function of the gallbladder? Correct Answer - Concentrates
and stores bile
What abdominal organ has both exocrine and endocrine functions? What are
the functions? Correct Answer - Exocrine - produces digestive enzymes
,Endocrine - produces insulin
What is the function of the spleen? Correct Answer - Filter blood and
help fight infections
What abdominal organ(s) is located in the retroperitoneum? Correct
Answer - Kidneys
What part of the social history do you always want to make sure you ask
about when assessing and abdominal complaint? Correct Answer -
Alcohol use/abuse
When you are palpating your patient's abdomen where do you want to look
for clues to the severity of their pain? Correct Answer - Their face
What is pyrosis? Correct Answer - Heartburn
What type of disease is IBS, generally? Correct Answer - Functional
45 y/o female presents to your office complaining of achey, burning epigastric
pain, especially after she eats. Your cardiac workup is negative. What is high
on your differential? What lifestyle modifications do you suggest? Correct
Answer - GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
Your patient comes in with loss of appetite for the last few weeks. What
chronic medical disease do you want to keep on your differential? Correct
Answer - Malignancy
Proton pump inhibitors can increase the risk of what infectious disease?
Correct Answer - C. dif
When you are working up a patient with a chief complaint of nausea what do
you want to ask them? Correct Answer - Pregnant?
When nauseous?
Have you taken anything?
, Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
Your patient presents to your office Correct Answer -
What does projectile vomiting in an adult make you think? Correct Answer -
Increased intracranial pressure
You are seeing a patient in your office and he tells you he has been having
long, skinny stools. What are you worried about? Correct Answer -
Intestinal obstruction
Malignancy?
What does fatty stool indicate? Correct Answer - Malabsorption
What do clay colored stools indicate? Correct Answer - Hepatobiliary
obstruction
What common medications can cause constipation? Correct Answer - 5-
HT3 receptor antagonists (Ondansetron); Antacids; Anticholinergics;
Antidepressants; Antihistamines; Anticonvulsants; CCB; Clonidine; Calcium
supplements; Diuretics; Iron supplements; Levodopa; Narcotics; NSAIDs;
Psychotropics; Sympathomimetics
What are you worried about in older, younger, and immunocompromised
patients with diarrhea? Correct Answer - Dehydration --> electrolyte
imbalances
What is dysuria? Correct Answer - Painful or difficult urination
What do you want to warn your patient of before starting him on a laxative?
Correct Answer - Can develop a dependency due to decreased intestinal
tone
