Abdomen And Gastrointestinal System

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Question 1

Free

Multiple Choice

A patient tells the nurse, "I've been having pain in my belly for several days that gets worse after eating." Which datum from the symptom analysis is consistent with the nurse's suspicion of peptic ulcer disease?

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Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.

Sharp midepigastric pain radiates to the jaw.

Intermittent cramping pain in the left lower quadrant is relieved by defecation.

Colicky pain is felt near the umbilicus with vomiting and constipation.

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Question 2

Free

Multiple Choice

During an assessment for abdominal pain, a patient reports a colicky abdominal pain and pain in the right shoulder that gets worse after eating fried foods. What question does the nurse ask to confirm the suspicion of cholelithiasis?

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"Have you noticed any swelling in your ankles or feet at the end of the day?"

"Have you noticed a change in the color of your urine or stools?"

"Have you vomited up any blood in the last 24 hours?"

"Have you experienced fever, chills, or sweating?"

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Question 3

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Multiple Choice

A patient reports having frequent heartburn. Which question does the nurse ask in response to this information?

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"Has your abdomen been distended when you feel the heartburn?"

"What have you eaten in the last 24 hours?"

"Is there a history of heart disease in your family?"

"How long after eating do you have heartburn?"

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Question 4

Free

Multiple Choice

A patient reports having abdominal distention. The nurse notices that the patient's sclerae are yellow. What question is appropriate for the nurse to ask in response to this information?

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"Has there been a change in your usual pattern of urination?"

"Have you had any nausea or vomiting?"

"Has there been a change in your bowel habits?"

"Have you had indigestion or heartburn?"

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Question 5

Free

Multiple Choice

A patient reports having abdominal distention and having vomited several times yesterday and today. What question is appropriate for the nurse to ask in response to this information?

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"Has there been a change in your usual pattern of urination?"

"Did you have heartburn before the vomiting?"

"What did the vomitus look like?"

"Have you noticed a change in the color of your urine or stools?"

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Question 6

Multiple Choice

A patient reports a change in the usual pattern of urination. What question does the nurse ask to determine if incontinence is the reason for these symptoms?

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"Do you have the feeling that you cannot wait to urinate?"

"Are you urinating a large amount each time you go to the bathroom?"

"Has the color of your urine changed lately?"

"Have you noticed any swelling in your ankles at the end of the day?"

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Question 7

Multiple Choice

In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet. Based on this finding, what question does the nurse ask the patient?

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"Have you had any pain in your abdomen?"

"Have you had an unexpected weight gain?"

"Have you noticed a change in the color of your skin?"

"Have you had any nausea or vomiting?"

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Question 8

Multiple Choice

A patient reports having abdominal distention. The nurse observes that the patient's sclerae are yellow. Which abnormal finding does the nurse anticipate on examination of this patient's abdomen?

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Decreased bowel sounds in all quadrants

Glistening or taut skin of the abdomen

Bulge in the abdomen when coughing

Bruit around the umbilicus

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Question 9

Multiple Choice

When inspecting a patient's abdomen, which finding does the nurse note as normal?

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Engorgement of veins around the umbilicus

Sudden bulge at the umbilicus when coughing

Visible peristalsis in all quadrants

Silver-white striae extending from the umbilicus

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Question 10

Multiple Choice

When inspecting a patient's abdomen, the nurse notes which finding as abnormal?

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Protruding abdomen with skin that is lighter in color than the arms and legs

Marked, widely lateral pulsating mass to the left of the midline

Faint, fine vascular network

Small shadows created by changes in contour

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Question 11

Multiple Choice

On inspection of a female patient's abdomen, the nurse asks the patient to raise her head without using her arms and notes a midline bulge. What is the appropriate response of the nurse at this time?

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Ask the patient to hold her breath to see if the bulge reappears.

Auscultate the patient's abdomen for hypoactive bowel sounds.

Document this as a normal finding and continue the examination.

Perform light palpation of the abdomen.

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Question 12

Multiple Choice

A nurse notices abdominal distention when inspecting a patient's abdomen. What action does the nurse take next to gain further objective data?

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Place a measuring tape around the superior iliac crests.

Assist the patient to turn on to the left side and then the right side.

Ask the patient to cough while lying supine.

Use the fingertips to sharply strike one side of the abdomen.

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Question 13

Multiple Choice

A nurse inspects the abdomen for skin color, surface characteristics, and surface movement. What part of the abdominal assessment does the nurse perform next?

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Light palpation for tenderness and muscle tone

Ausculation of the bowel sounds in all four quadrants

Deep palpation for masses or aortic pulsation

Percussion for tones in all four quadrants

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Question 14

Multiple Choice

How does the nurse accurately assess bowel sounds?

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Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant.

Hold the diaphragm of the stethoscope lightly against the abdomen in each quadrant.

Press the bell of the stethoscope firmly against the abdomen in each quadrant.

Hold the bell of the stethoscope lightly against the abdomen in each quadrant.

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Question 15

Multiple Choice

When auscultating a patient's abdomen using the bell of the stethoscope, the nurse hears soft, low-pitched murmurs over the right and left upper midline. What do these sounds indicate?

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Expected peristalsis

Femoral artery stenosis

Renal artery stenosis

Hyperactive bowel sounds

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Question 16

Multiple Choice

What sound does a nurse expect to hear when using the bell of the stethoscope over the epigastric area of the abdomen of a healthy patient?

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Bowel sounds

Venous hum

Soft, low-pitched murmur

No sounds

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Question 17

Multiple Choice

What instructions does the nurse give a patient before palpating the abdomen?

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Bend the knees.

Take a deep breath and hold it.

Take a deep breath and cough.

Place the hands over the head.

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Question 18

Multiple Choice

A patient reports intermittent cramping abdominal pain that is relieved by having a bowel movement. The patient complains of having the pain at this time, which is why she is seeking care. Which abnormal finding does the nurse anticipate finding on examination of this patient's abdomen?

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Decreased bowel sounds

Bulge in the abdomen when coughing

Palpable mass in the left lower quadrant

Bruit around the umbilicus

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Question 19

Multiple Choice

Using deep palpation of a patient's epigastrium, a nurse feels a rhythmic pulsation of the aorta. Based on this finding, what is the nurse's most appropriate response?

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Auscultate this area using the bell of the stethoscope.

Percuss the area for tones.

Ask the patient if there is pain in this area.

Document this as a normal finding.

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Question 20

Multiple Choice

What technique does a nurse use when performing deep palpation of a patient's abdomen?

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Places the left hand under the ribs to lift them up

Asks the patient to breathe slowly through the mouth

Positions the patient on the right side with knees flexed

Uses the heel of the hand to depress the abdomen

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