NURS 6512N Week 7 Quiz 2 Sets – Question and Answers
Walden University A (Graded A).
What is considered the gold standard diagnostic radiology
... [Show More] test for appendicitis?
Thin cut CT
CBC with diff
Abdominal ultrasound
Barium enema
Pulsus paradoxus greater than 20 mm Hg, tachycardia greater than 130 beats per minute, and increasing dyspnea are signs of:
intracranial pressure.
pulmonary hypertension.
status asthmaticus.
tetanic contractions.
drug overdose.
A 5-year-old is complaining of nondescriptive "belly pain." Your next action should be to ask him to:
A. point a finger to the spot that hurts.
B. draw a circle around the area that hurts.
C. use a metaphor to describe the pain.
D. identify how pain medication affects the pain.
You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as:
A. throbbing and dull.
B. burning or shocklike.
C. tender and deep.
D. cramping and spasmodic.
Ms. Green is an 85-year-old female patient with dementia who presents to the emergency department with her daughter because of a change in function. Which pain assessment scale would be the best choice?
A. Oucher Scale
B. Checklist for Nonverbal Pain Indicators
C. Wong/Baker Rating Scale
D. CRIES Scale
Body language that leads you to suspect the person is in pain is:
A. talkative, verbose speech.
B. fretful hand movements.
C. focused, fixed eye stares.
D. marked salivation.
You ask the patient to raise the head and shoulders while lying in a supine position. A midline abdominal ridge rises. You chart this observation as a(n):
small inguinal hernia.
large epigastric hernia.
abdominal lipoma.
diastasis recti.
incisional hernia.
When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?
Arterial bruit
Gastric rumbling
Renal hyperresonance
Borborygmi
Venous hum
Which structure is located in the hypogastric region of the abdomen?
Bladder
Cecum
Gallbladder
Stomach
Liver
The major function of the large intestine is:
water absorption.
food digestion.
carbohydrate absorption.
mucous absorption.
glycogen breakdown.
Before performing an abdominal examination, the examiner should:
ascertain the patient s HIV status.
have the patient empty his or her bladder.
don double gloves.
completely disrobe the patient.
uncover only the painful areas of the abdomen.
Which abdominal organs also produce hormones and function as endocrine glands?
Kidney and liver
Liver and gallbladder
Stomach and spleen
Gallbladder and pancreas
Pancreas and kidney
After thorough inspection of the abdomen, the next assessment step is to:
percuss.
palpate nonpainful areas.
auscultate.
perform a rectal examination.
palpate painful areas.
A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child s diaper. Nephroblastoma is likely for this child when your physical examination of the abdomen reveals a(n):
fixed mass palpated in the hypogastric area.
tender, midline abdominal mass.
olive-sized mass of the right upper quadrant.
nontender, slightly moveable, flank mass.
sausage-shaped mass in the left upper quadrant.
What condition is associated with purplish striae?
Cushing disease
Diastasis recti
Liver cirrhosis
Recent pregnancy
Intra-abdominal bleeding
When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
hold his or her breath.
sit upright.
flex his or her knees.
raise his or her head off the pillow.
fully extend the legs.
A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured?
Gallbladder
Liver
Spleen
Stomach
Colon
Visible intestinal peristalsis may indicate:
normal digestion.
intestinal obstruction.
increased pulse pressure of aorta.
aortic aneurysm.
paralytic ileus.
The majority of nutrient absorption takes place in the:
stomach.
small intestine.
cecum.
transverse colon.
descending colon.
An umbilical assessment in the newborn that is of concern is:
a thick cord.
an umbilical hernia.
one umbilical artery and two veins.
pulsations superior to the umbilicus.
visible nondistended superficial veins.
QUIZ 2
• Question 1
2 out of 2 points
What is considered the gold standard diagnostic radiology test for appendicitis?
• Question 2
2 out of 2 points
Pulsus paradoxus greater than 20 mm Hg, tachycardia greater than 130 beats per minute, and increasing dyspnea are signs of:
Response Feedback: Status asthmaticus is a severe and prolonged asthma attack that resists usual therapeutic approaches. The patient experiences dyspnea, can only get out a few words between breaths, and has tachycardia often more than 130 beats per minute and pulsus paradoxus greater than 20 mm Hg. Pulsus paradoxus is more likely in pericardial effusion, constrictive pericarditis, and severe asthma.
• Question 3
2 out of 2 points
A 5-year-old is complaining of nondescriptive "belly pain." Your next action should be to ask him to:
Response Feedback: Asking the child to point to the area of pain can help communicate a more precise location.
• Question 4
2 out of 2 points
You are caring for a patient with trigeminal neuralgia. During the assessment, the patient would describe the pain as:
Response Feedback: Pain resulting from nerve tissue damage is described as having a burning, shock-like (electrical) quality. Throbbing and dull pain is usually due to a tumor pressing on a cavity. Tender and deep pain results from bone or soft tissue. Cramping and spasmodic pain is usually visceral or colic pain.
• Question 5
2 out of 2 points
Ms. Green is an 85-year-old female patient with dementia who presents to the emergency department with her daughter because of a change in function. Which pain assessment scale would be the best choice?
Response Feedback: The Checklist for Nonverbal Pain Indicators is for nonverbal adults. The Oucher and Wong/Baker Rating Scales are pediatric scales. The CRIES Scale is for infants.
• Question 6
2 out of 2 points
Body language that leads you to suspect the person is in pain is:
Response Feedback: The person in pain may suddenly become quiet, have an inability to keep the hands still, and have lackluster eyes, pallor, diaphoresis, pupil dilation, and dry mouth.
• Question 7
2 out of 2 points
You ask the patient to raise the head and shoulders while lying in a supine position. A midline abdominal ridge rises. You chart this observation as a(n):
Response Feedback: A diastasis recti occurs when abdominal contents bulge between two abdominal muscles to form a midline ridge as the head is lifted. It has little clinical significance and most often occurs in repeated pregnancies and obesity.
• Question 8
2 out of 2 points
When auscultating the abdomen, which finding would indicate collateral circulation between the portal and systemic venous systems?
Response Feedback: Venous hum is associated with blood flow in venous collaterals found in portal hypertension. Aortic bruit occurs during systole, while a venous hum is a continuous sound and softer than a bruit. The other choices are not vascular sounds.
• Question 9
2 out of 2 points
Which structure is located in the hypogastric region of the abdomen?
Response Feedback: The hypogastric (pubic) area contains the ileum, the bladder, and the pregnant uterus.
• Question 10
2 out of 2 points
The major function of the large intestine is:
Response Feedback: The major function of the large intestine is the absorption of water and excretion of solid waste material in the form of stool. Mucous glands secrete large quantities of alkaline mucus.
• Question 11
2 out of 2 points
Before performing an abdominal examination, the examiner should:
Response Feedback: The patient should empty the bladder to ensure an accurate examination of organs as well as to provide comfort for the patient.
• Question 12
2 out of 2 points
Which abdominal organs also produce hormones and function as endocrine glands?
Response Feedback: The pancreas produces pancreatic juices as well as insulin and glucagon; the kidneys produce urine as well as the hormones rennin and erythropoietin.
• Question 13
2 out of 2 points
After thorough inspection of the abdomen, the next assessment step is to:
Response Feedback: Assessment of the abdomen begins with inspection followed by auscultation. This break from the usual system examination sequence is because palpation and percussion can alter the frequency as well as the intensity of bowel sounds. Therefore, auscultation is done first.
• Question 14
2 out of 2 points
A mother brings her 2-year-old child for you to assess. The mother feels a lump whenever she fastens the child s diaper. Nephroblastoma is likely for this child when your physical examination of the abdomen reveals a(n):
Response Feedback: A Wilms tumor (nephroblastoma) is the most common intra-abdominal tumor of childhood. It presents with hypertension, fever, malaise, and a firm nontender mass deep within the flank that is only slightly movable and is usually unilateral.
• Question 15
2 out of 2 points
What condition is associated with purplish striae?
Response Feedback: Striae from pregnancy or obesity begin as a pink or purple color then turn silvery white; striae associated with Cushing disease stay purplish.
• Question 16
2 out of 2 points
When examining a patient with tense abdominal musculature, a helpful technique is to have the patient:
Response Feedback: To help relax the abdominal musculature, it is helpful to place a small pillow under the patient s head and under slightly flexed knees. The other choices increase muscle flexion.
• Question 17
2 out of 2 points
A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that radiates to the left shoulder. What organ is most likely injured?
Response Feedback: Spleen laceration/rupture is always suspected with abdominal injury, because of its anatomic location. The patient s presenting symptoms confirm this suspicion.
• Question 18
2 out of 2 points
Visible intestinal peristalsis may indicate:
Response Feedback: Peristalsis is not usually visible and when detected may indicate an intestinal obstruction.
• Question 19
2 out of 2 points
The majority of nutrient absorption takes place in the:
Response Feedback: Very little absorption takes place in the stomach; most absorption takes place in the small intestine. The cecum and transverse colon are part of the large intestine, and its major function is water reabsorption.
• Question 20
2 out of 2 points
An umbilical assessment in the newborn that is of concern is:
Response Feedback: What is expected is two arteries and one vein. A single umbilical artery indicates the possibility of congenital anomalies. A thick cord suggests a well-nourished fetus, an umbilical hernia will generally spontaneously close by 2 years, and pulsations to the abdomen in the epigastric area are common. Nondistended superficial veins are usually visible in the thin infant.
The Joint Commission (TJC; formerly, the Joint Commission on Accreditation of Healthcare Organizations [JCAHO]) requires that: repeated intensity documentation is done on the course of pain relief for all patients.
The perception of pain: is impacted by emotions and quality of sleep
The value of the use of scales for patients to rate their pain intensity is that: the patient's response to therapy can be documented. [Show Less]