NUR 643E ADVANCED HEALTH
ASSESSMENT FINAL EXAM QUESTIONS
WITH COMPLETE 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
Your |patient |tells |you |he |has |been |having |dark |tarry |stools. |What |medication |do |you |want |to |
ask |about? |- |CORRECT |ANSWER✔✔-Iron |supplement
What |is |familial |mediterranean |fever? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Empty |their |bladder
ASSESSMENT FINAL EXAM QUESTIONS
WITH COMPLETE 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
Your |patient |tells |you |he |has |been |having |dark |tarry |stools. |What |medication |do |you |want |to |
ask |about? |- |CORRECT |ANSWER✔✔-Iron |supplement
What |is |familial |mediterranean |fever? |- |CORRECT |ANSWER✔✔-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? |- |CORRECT |ANSWER✔✔-Empty |their |bladder
