NUR 643E ADVANCED HEALTH
ASSESSMENT FINAL EXAM with complete
solutions 2025
What .are .the .parts .of .the .large .intestine? .- .ANS✓✓-Cecum
Asending .colon
Transverse .colon
Descending .colon .(sigmoid, .rectum, .anal)
In .what .part .of .the .digestive .system .are .fats .and .proteins .broken .down? .- .ANS
✓✓-The .stomach .- .uses .HCL .and .enzymes
What .lines .the .surface .of .the .small .intestine .to .help .absorb .nutrients? .- .ANS✓
✓-Villi
What .are .the .parts .of .the .small .intestine? .- .ANS✓✓-duodenum, .jejunum, .ileum
What .are .the .parts .of .the .stomach? .- .ANS✓✓-The .fundus, .antrum .and .the
.body
What .is .peristalsis? .- .ANS✓✓-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? .- .ANS✓✓-Large .intestine
What .is .putrefaction? .- .ANS✓✓-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? .- .ANS✓✓-Concentrates .and .stores .bile
What .abdominal .organ .has .both .exocrine .and .endocrine .functions? .What .are
.the .functions? .- .ANS✓✓-Exocrine .- .produces .digestive .enzymes .
Endocrine .- .produces .insulin
,What .is .the .function .of .the .spleen? .- .ANS✓✓-Filter .blood .and .help .fight
.infections
What .abdominal .organ(s) .is .located .in .the .retroperitoneum? .- .ANS✓✓-Kidneys
What .part .of .the .social .history .do .you .always .want .to .make .sure .you .ask .about
.when .assessing .and .abdominal .complaint? .- .ANS✓✓-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? .- .ANS✓✓-Their .face
What .is .pyrosis? .- .ANS✓✓-Heartburn
What .type .of .disease .is .IBS, .generally? .- .ANS✓✓-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? .- .ANS✓✓-
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? .- .ANS✓✓-
Malignancy
Proton .pump .inhibitors .can .increase .the .risk .of .what .infectious .disease? .- .ANS
✓✓-C. .dif
When .you .are .working .up .a .patient .with .a .chief .complaint .of .nausea .what .do
.you .want .to .ask .them? .- .ANS✓✓-Pregnant?
When .nauseous?
Have .you .taken .anything?
Vomiting?
Relationship .to .food? .
Bowel .changes?
Taking .medications? .
PMS?
Your .patient .presents .to .your .office .- .ANS✓✓-
What .does .projectile .vomiting .in .an .adult .make .you .think? .- .ANS✓✓-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? .- .ANS✓✓-Intestinal
.obstruction .
Malignancy?
What .does .fatty .stool .indicate? .- .ANS✓✓-Malabsorption
What .do .clay .colored .stools .indicate? .- .ANS✓✓-Hepatobiliary .obstruction
What .common .medications .can .cause .constipation? .- .ANS✓✓-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? .- .ANS✓✓-Dehydration .--> .electrolyte .imbalances
What .is .dysuria? .- .ANS✓✓-Painful .or .difficult .urination
What .do .you .want .to .warn .your .patient .of .before .starting .him .on .a .laxative? .-
.ANS✓✓-Can .develop .a .dependency .due .to .decreased .intestinal .tone
Your .patient .tells .you .he .has .been .having .dark .tarry .stools. .What .medication
.do .you .want .to .ask .about? .- .ANS✓✓-Iron .supplement
What .is .familial .mediterranean .fever? .- .ANS✓✓-Inherited .condition
.characterized .by .recurrent .episodes .of .painful .inflammation .in .the .abdomen,
.chest, .or .joints
When .you .are .prepping .your .patient .for .an .abdominal .exam .what .do .you .want
.to .tell .them .to .do? .- .ANS✓✓-Empty .their .bladder
When .you .are .performing .an .abdominal .exam .where .do .you .want .to .stand .in
.relation .to .your .patient? .- .ANS✓✓-On .the .patient's .right .side
What .are .the .nine .regions .of .the .abdomen? .- .ANS✓✓-Right .hypochondriac,
.epigastric, .left .hypochondriac, .right .lumbar, .umbilical, .left .lumbar, .right
.inguinal, .hypogastric, .left .inguinal
What .hypothetical .lines .divide .up .the .nine .regions .of .the .abdomen? .- .ANS✓✓-
Two .horizontal .lines .- .across .edge .of .costal .margin .and .edge .of .iliac .crest .
Two .vertical .lines .- .run .bilaterally .form .midclavicular .lines .to .middle .of .Poupart
.ligament .(inguinal .ligament)
ASSESSMENT FINAL EXAM with complete
solutions 2025
What .are .the .parts .of .the .large .intestine? .- .ANS✓✓-Cecum
Asending .colon
Transverse .colon
Descending .colon .(sigmoid, .rectum, .anal)
In .what .part .of .the .digestive .system .are .fats .and .proteins .broken .down? .- .ANS
✓✓-The .stomach .- .uses .HCL .and .enzymes
What .lines .the .surface .of .the .small .intestine .to .help .absorb .nutrients? .- .ANS✓
✓-Villi
What .are .the .parts .of .the .small .intestine? .- .ANS✓✓-duodenum, .jejunum, .ileum
What .are .the .parts .of .the .stomach? .- .ANS✓✓-The .fundus, .antrum .and .the
.body
What .is .peristalsis? .- .ANS✓✓-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? .- .ANS✓✓-Large .intestine
What .is .putrefaction? .- .ANS✓✓-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? .- .ANS✓✓-Concentrates .and .stores .bile
What .abdominal .organ .has .both .exocrine .and .endocrine .functions? .What .are
.the .functions? .- .ANS✓✓-Exocrine .- .produces .digestive .enzymes .
Endocrine .- .produces .insulin
,What .is .the .function .of .the .spleen? .- .ANS✓✓-Filter .blood .and .help .fight
.infections
What .abdominal .organ(s) .is .located .in .the .retroperitoneum? .- .ANS✓✓-Kidneys
What .part .of .the .social .history .do .you .always .want .to .make .sure .you .ask .about
.when .assessing .and .abdominal .complaint? .- .ANS✓✓-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? .- .ANS✓✓-Their .face
What .is .pyrosis? .- .ANS✓✓-Heartburn
What .type .of .disease .is .IBS, .generally? .- .ANS✓✓-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? .- .ANS✓✓-
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? .- .ANS✓✓-
Malignancy
Proton .pump .inhibitors .can .increase .the .risk .of .what .infectious .disease? .- .ANS
✓✓-C. .dif
When .you .are .working .up .a .patient .with .a .chief .complaint .of .nausea .what .do
.you .want .to .ask .them? .- .ANS✓✓-Pregnant?
When .nauseous?
Have .you .taken .anything?
Vomiting?
Relationship .to .food? .
Bowel .changes?
Taking .medications? .
PMS?
Your .patient .presents .to .your .office .- .ANS✓✓-
What .does .projectile .vomiting .in .an .adult .make .you .think? .- .ANS✓✓-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? .- .ANS✓✓-Intestinal
.obstruction .
Malignancy?
What .does .fatty .stool .indicate? .- .ANS✓✓-Malabsorption
What .do .clay .colored .stools .indicate? .- .ANS✓✓-Hepatobiliary .obstruction
What .common .medications .can .cause .constipation? .- .ANS✓✓-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? .- .ANS✓✓-Dehydration .--> .electrolyte .imbalances
What .is .dysuria? .- .ANS✓✓-Painful .or .difficult .urination
What .do .you .want .to .warn .your .patient .of .before .starting .him .on .a .laxative? .-
.ANS✓✓-Can .develop .a .dependency .due .to .decreased .intestinal .tone
Your .patient .tells .you .he .has .been .having .dark .tarry .stools. .What .medication
.do .you .want .to .ask .about? .- .ANS✓✓-Iron .supplement
What .is .familial .mediterranean .fever? .- .ANS✓✓-Inherited .condition
.characterized .by .recurrent .episodes .of .painful .inflammation .in .the .abdomen,
.chest, .or .joints
When .you .are .prepping .your .patient .for .an .abdominal .exam .what .do .you .want
.to .tell .them .to .do? .- .ANS✓✓-Empty .their .bladder
When .you .are .performing .an .abdominal .exam .where .do .you .want .to .stand .in
.relation .to .your .patient? .- .ANS✓✓-On .the .patient's .right .side
What .are .the .nine .regions .of .the .abdomen? .- .ANS✓✓-Right .hypochondriac,
.epigastric, .left .hypochondriac, .right .lumbar, .umbilical, .left .lumbar, .right
.inguinal, .hypogastric, .left .inguinal
What .hypothetical .lines .divide .up .the .nine .regions .of .the .abdomen? .- .ANS✓✓-
Two .horizontal .lines .- .across .edge .of .costal .margin .and .edge .of .iliac .crest .
Two .vertical .lines .- .run .bilaterally .form .midclavicular .lines .to .middle .of .Poupart
.ligament .(inguinal .ligament)
