Question 1

Risk factors for esophageal cancer include which of the following? Select all that apply.

Accepted Answer

A)  Obesity 
B)  Alcohol use 
C)  Female gender 
D)  Tobacco use 
E)  Cancer of the lung, mouth, or throat
F) Diet high in vegetables and fruits 
A)  Obesity 
B)  Alcohol use 
C)  Female gender 
D)  Tobacco use 
E)  Cancer of the lung, mouth, or throat
F) Diet high in vegetables and fruits

Question 2

Dilated and engorged veins around the umbilicus are known as

Accepted Answer

A)  Cullen's sign. 
B)  caput medusae. 
C)  Von Recklinghausen's disease. 
D)  Sister Mary Joseph's nodule. 
A)  Cullen's sign. 
B)  caput medusae. 
C)  Von Recklinghausen's disease. 
D)  Sister Mary Joseph's nodule.

Question 3

Liver descent is determined by percussing the lower border of the liver at the right midclavicular line first as the patient

Accepted Answer

A)  holds a deep breath and then again after the patient exhales. 
B)  exhales completely after taking a deep breath and then exhales after a normal breath. 
C)  breathes normally and then again as the patient breathes deeply. 
D)  holds a deep breath and then after the patient coughs, inhales deeply, and holds his breath again. 
A)  holds a deep breath and then again after the patient exhales. 
B)  exhales completely after taking a deep breath and then exhales after a normal breath. 
C)  breathes normally and then again as the patient breathes deeply. 
D)  holds a deep breath and then after the patient coughs, inhales deeply, and holds his breath again.

Question 4

Your patient,a 62-year-old white male whose chief complaint is abdominal discomfort,is jaundiced and has an enlarged abdomen.The patient denies any tenderness after you perform fist percussion over his liver.This finding most likely indicates

Accepted Answer

A)  a normal finding. 
B)  hepatitis. 
C)  insensitivity to pain associated with a grossly enlarged liver. 
D)  obstructed bile ducts. 
A)  a normal finding. 
B)  hepatitis. 
C)  insensitivity to pain associated with a grossly enlarged liver. 
D)  obstructed bile ducts.

Question 5

Which of the following is not an appropriate action to take when palpating a patient's abdomen?

Accepted Answer

A)  Palpate painful or tender areas last. 
B)  Instruct the patient to hold her breath throughout the examination. 
C)  Palpate using gentle pressure initially and gradually increasing it. 
D)  Allow the ticklish patient to perform self-palpation with your hand over the patient's hand. 
A)  Palpate painful or tender areas last. 
B)  Instruct the patient to hold her breath throughout the examination. 
C)  Palpate using gentle pressure initially and gradually increasing it. 
D)  Allow the ticklish patient to perform self-palpation with your hand over the patient's hand.

Question 6

When auscultating for bowel sounds,you should place your stethoscope on the patient's abdomen holding the

Accepted Answer

A)  bell firmly. 
B)  diaphragm lightly. 
C)  bell lightly. 
D)  diaphragm firmly. 
A)  bell firmly. 
B)  diaphragm lightly. 
C)  bell lightly. 
D)  diaphragm firmly.

Question 7

A positive Murphy's sign suggests which of the following disorders?

Accepted Answer

A)  hepatitis 
B)  appendicitis 
C)  peritonitis 
D)  cholecystitis 
A)  hepatitis 
B)  appendicitis 
C)  peritonitis 
D)  cholecystitis

Question 8

A 62-year-old white male whose chief complaint is abdominal discomfort is admitted to your unit.The patient is jaundiced and has an enlarged abdomen.Upon percussing the patient's abdomen,you determine that ascites is present on the basis of which finding?

Accepted Answer

A)  hyperresonance to percussion in the left lower quadrant 
B)  change from tympany to resonance as you percuss each quadrant of the abdomen 
C)  dullness detected in the right upper quadrant 
D)  shift in location of the areas of dullness as he turns from side to side 
A)  hyperresonance to percussion in the left lower quadrant 
B)  change from tympany to resonance as you percuss each quadrant of the abdomen 
C)  dullness detected in the right upper quadrant 
D)  shift in location of the areas of dullness as he turns from side to side

Question 9

Enlarged,palpable kidneys can be caused by which of the following? Select all that apply.

Accepted Answer

A)  Pyelonephritis 
B)  Hydronephrosis 
C)  Neoplasms 
D)  Cirrhosis 
E)  Polycystic kidney disease
F) Congestive heart failure 
A)  Pyelonephritis 
B)  Hydronephrosis 
C)  Neoplasms 
D)  Cirrhosis 
E)  Polycystic kidney disease
F) Congestive heart failure

Question 10

You are assigned to a 45-year-old Caucasian female client who was admitted for possible bladder cancer.The patient's history revealed that she is married with three children,aged 2,5,and 9.She has worked as a hair dresser in order to supplement the family income for the past 8 years.The patient denies tobacco or alcohol use,but states that there is a family history of alcoholism,drug dependence,bladder cancer,heart disease,and diabetes.Which of the following pieces of data regarding the patient,places her at risk for bladder cancer? Select all that apply.

Accepted Answer

A)  Age 
B)  Gender 
C)  Ethnicity 
D)  Marital status 
E)  Type of occupation
F) Family history of bladder cancer 
A)  Age 
B)  Gender 
C)  Ethnicity 
D)  Marital status 
E)  Type of occupation
F) Family history of bladder cancer

Question 11

As you perform the iliopsoas muscle test on a patient with acute abdominal pain,the patient complains of pain in the right lower quadrant as you place your left hand over his right thigh and

Accepted Answer

A)  press upward with your right hand under his thigh as he raises his leg. 
B)  gently jab his abdomen with a pin. 
C)  press downward on his right thigh as he raises his leg, flexing at the hip. 
D)  flex his leg at the hip and knee with your right hand under his lower leg. 
A)  press upward with your right hand under his thigh as he raises his leg. 
B)  gently jab his abdomen with a pin. 
C)  press downward on his right thigh as he raises his leg, flexing at the hip. 
D)  flex his leg at the hip and knee with your right hand under his lower leg.

Question 12

The nurse teaches the female patient who has frequent UTIs that she should

Accepted Answer

A)  take tub baths with bubble bath. 
B)  take prophylactic sulfonamides for the rest of her life. 
C)  urinate after sexual intercourse. 
D)  restrict fluid intake to prevent the need for frequent voiding. 
A)  take tub baths with bubble bath. 
B)  take prophylactic sulfonamides for the rest of her life. 
C)  urinate after sexual intercourse. 
D)  restrict fluid intake to prevent the need for frequent voiding.

Question 13

Which substance impairs gastric absorption and increases the risk of gastrointestinal bleeding?

Accepted Answer

A)  coffee 
B)  tobacco 
C)  caffeinated beverages 
D)  alcohol 
A)  coffee 
B)  tobacco 
C)  caffeinated beverages 
D)  alcohol

Question 14

The examination of a patient reveals a positive Rovsing's sign,which is abdominal pain felt in the right lower quadrant as you pressed deeply and evenly for 5 seconds

Accepted Answer

A)  in her left lower quadrant (LLQ). 
B)  in her right lower quadrant (RLQ). 
C)  directly over her ileocecal valve. 
D)  in her umbilical area. 
A)  in her left lower quadrant (LLQ). 
B)  in her right lower quadrant (RLQ). 
C)  directly over her ileocecal valve. 
D)  in her umbilical area.

Question 15

While auscultating a patient's epigastric region,you hear a blowing sound,which you determine to be

Accepted Answer

A)  normal gastric sounds. 
B)  a bruit, indicating turbulent blood flow. 
C)  a thrill, indicating that an aneurysm may be present. 
D)  normal aortic pulsations. 
A)  normal gastric sounds. 
B)  a bruit, indicating turbulent blood flow. 
C)  a thrill, indicating that an aneurysm may be present. 
D)  normal aortic pulsations.

Exam 18: Abdomen

Risk factors for esophageal cancer include which of the following? Select all that apply.

Dilated and engorged veins around the umbilicus are known as

Liver descent is determined by percussing the lower border of the liver at the right midclavicular line first as the patient

Your patient,a 62-year-old white male whose chief complaint is abdominal discomfort,is jaundiced and has an enlarged abdomen.The patient denies any tenderness after you perform fist percussion over his liver.This finding most likely indicates

Which of the following is not an appropriate action to take when palpating a patient's abdomen?

When auscultating for bowel sounds,you should place your stethoscope on the patient's abdomen holding the

A positive Murphy's sign suggests which of the following disorders?

A 62-year-old white male whose chief complaint is abdominal discomfort is admitted to your unit.The patient is jaundiced and has an enlarged abdomen.Upon percussing the patient's abdomen,you determine that ascites is present on the basis of which finding?

Enlarged,palpable kidneys can be caused by which of the following? Select all that apply.

As you perform the iliopsoas muscle test on a patient with acute abdominal pain,the patient complains of pain in the right lower quadrant as you place your left hand over his right thigh and

The nurse teaches the female patient who has frequent UTIs that she should

Which substance impairs gastric absorption and increases the risk of gastrointestinal bleeding?

The examination of a patient reveals a positive Rovsing's sign,which is abdominal pain felt in the right lower quadrant as you pressed deeply and evenly for 5 seconds

While auscultating a patient's epigastric region,you hear a blowing sound,which you determine to be

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

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Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

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The Older Adult Patient

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