CLINICAL JUDGMENT GI EXAM
QUESTIONS AND ANSWERS
Review the following nurse's note that was written at 0830 and the lab results that were
reported at 0900. Select to highlight findings that indicate the client is not progressing as
anticipated after his laparoscopic appendectomy. Select all that apply. - Answer-Client
reporting pain at 6 out of 10 on the FACES scale.
Abdomen tender to palpation.
Hypoactive bowel sounds.
NG tube with 30mL of bilious output since 0200.
Client vomited x2 after drinking water.
No bowel movements since surgery.
Client ambulating to bedside chair only.
Temp 100.6 F
WBC 18
Review the client's history and physical exam. Which findings below are related to a
diagnosis of acute appendicitis? Drag each finding that relates to this diagnosis to the
box on the right. Be sure to drag all that apply - Answer-Right lower quadrant pain
Temperature of 100.4 F
Lying still with knees bent
Decreased oral intake
The client has been diagnosed with a possible acute appendicitis. For each provider
order in the list below, please indicate whether the order is anticipated, nonessential, or
contraindicated for the client in the ER. Select one option in each row. - Answer-
Complete blood count (CBC) with diff=Anticipated
Regular diet for age=Contraindicated
Abdominal ultrasound=Anticipated
Chest x-ray=Nonessential
QUESTIONS AND ANSWERS
Review the following nurse's note that was written at 0830 and the lab results that were
reported at 0900. Select to highlight findings that indicate the client is not progressing as
anticipated after his laparoscopic appendectomy. Select all that apply. - Answer-Client
reporting pain at 6 out of 10 on the FACES scale.
Abdomen tender to palpation.
Hypoactive bowel sounds.
NG tube with 30mL of bilious output since 0200.
Client vomited x2 after drinking water.
No bowel movements since surgery.
Client ambulating to bedside chair only.
Temp 100.6 F
WBC 18
Review the client's history and physical exam. Which findings below are related to a
diagnosis of acute appendicitis? Drag each finding that relates to this diagnosis to the
box on the right. Be sure to drag all that apply - Answer-Right lower quadrant pain
Temperature of 100.4 F
Lying still with knees bent
Decreased oral intake
The client has been diagnosed with a possible acute appendicitis. For each provider
order in the list below, please indicate whether the order is anticipated, nonessential, or
contraindicated for the client in the ER. Select one option in each row. - Answer-
Complete blood count (CBC) with diff=Anticipated
Regular diet for age=Contraindicated
Abdominal ultrasound=Anticipated
Chest x-ray=Nonessential
