NURS 6512 Quiz: NURS 6512 wk7 quiz)
24 Oct 2021
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NURS 6512 week 7 quiz
Question 1
2 out of 2 points
Costovertebral angle tenderness should be assessed whenever you suspect the patient
may have:
Response Feed-
back:
Pyelonephritis is characterized by flank pain and costovertebral an-
gle tenderness.
Question 2
2 out of 2 points
In older adults, overflow fecal incontinence is commonly due to:
Response
Feedback:
Constipation with overflow occurs when the rectum contains hard
stool and soft feces above leak around the mass of stool.
Question 3
2 out of 2 points
A 1-month-old boy has been vomiting for 2 weeks. How is this symptom of gas-
troesophageal reflux disease (GERD) and pyloric stenosis further differentiated in this
child s assessment?
Response
Feedback:
With pyloric stenosis, vomiting becomes projectile and a small olive-sized
mass is palpable in the RUQ; the infant is usually hungry again soon after
vomiting, and because little or no food is reaching the intestines, the in-
fant has fewer, smaller stools. The child fails to thrive and has signs of
dehydration. These signs are not associated with GERD. Regurgitation
can be present with either disease.
Question 4
2 out of 2 points
Auscultation of borborygmi is associated with:
Response
Feedback:
Borborygmi are prolonged loud gurgles that occur with gastroenteritis,
early intestinal obstruction, or hunger. Peritonitis and paralytic ileus re-
sult in hypoactive bowel sounds. Food satiety does not stimulate growl-
ing sounds as hunger does. Vascular bruits are not associated with bor-
borygmi.
Question 5
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 6
2 out of 2 points
Conversion of fat-soluble wastes to water-soluble material for renal excretion is a
function of the:
Response
Feedback:
The liver is responsible for converting fat-soluble waste to wa-
ter-soluble materials so that the kidneys can excrete them as well as
convert ammonia to urea.
Question 7
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 se-
crete large quantities of alkaline mucus.
Question 8
2 out of 2 points
Which structure is located in the hypogastric region of the abdomen?
Response Feed-
back:
The hypogastric (pubic) area contains the ileum, the bladder, and the
pregnant uterus.
Question 9
2 out of 2 points
A 45-year-old man relates a several-week history of severe intermittent abdominal
burning sensations. He relates that the pain is relieved with small amounts of food.
Before starting the physical examination, you review his laboratory work, anticipating
a(n):
Response
Feedback:
The patient s presenting symptoms suggest peptic ulcer disease. The
supporting laboratory finding is the presence of H. pylori.
Question 10
2 out of 2 points
Percussion at the right midclavicular line, below the umbilicus, and continuing up-
ward is the correct technique for locating the:
Response
Feedback:
Percussing along the right midclavicular line upward from the umbilicus
determines the lower border of the liver. A liver border more than 2 to 3
cm signifies hepatomegaly.
Question 11
2 out of 2 points
Baby Joe is 6 months old. He has abdominal distention and vomiting and is inconsola-
ble. A sausage-shaped mass is palpable in his right upper quadrant. Joe s lower quad-
rant feels empty, and a positive Dance sign is noted in his record. Which one of the
following conditions is consistent with Baby Joe s symptoms?
Response
Feedback:
Intussusception refers to the prolapse of one segment of the intestine in-
to another causing intestinal obstruction. A sausage-shaped mass may be
palpated in the right or left upper quadrant, whereas the lower quadrant
feels empty (positive Dance sign); it commonly occurs between 3 and 12
months of age.
Question 12
2 out of 2 points
Mrs. G. is 7 months pregnant and states that she has developed a problem with con-
stipation. She eats a well-balanced diet and is usually regular. You should explain that
constipation is common during pregnancy due to changes in the colorectal areas, such
as:
Response
Feedback:
Constipation and flatus are more common during pregnancy because the
colon is displaced, peristalsis is decreased, and water absorption is in-
creased. The colon does not absorb nutrients, and a tighter sphincter
tone is not related to pregnancy.
Question 13
2 out of 2 points
A 51-year-old woman calls with complaints of weight loss and constipation. She re-
ports enlarged hemorrhoids and rectal bleeding. You advise her to:
Response
Feedback:
Blood in the stools is an abnormal finding that should never be ignored,
even if it can be explained by conditions other than colon cancer. She
should have her stool checked for blood now as well as annually because
she is older than 50 years.
Question 14
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 15
2 out of 2 points
The Joint Commission (TJC, formerly The Joint Commission on Accreditation of
Healthcare Organizations [JCAHO]) requires that:
Response
Feedback:
TJC requires pain assessment on all admissions, repeated assessments
for pain regardless of an initial complaint or surgical experience, and
repeated intensity documentation of the course of pain relief for all pa-
tients.
Question 16
2 out of 2 points
A 5-year-old is complaining of nondescriptive "belly pain." Your next action should be
Document Summary
Costovertebral angle tenderness should be assessed whenever you suspect the patient may have: Pyelonephritis is characterized by flank pain and costovertebral an- gle tenderness. In older adults, overflow fecal incontinence is commonly due to: Peritonitis and paralytic ileus re- sult in hypoactive bowel sounds. Food satiety does not stimulate growl- ing sounds as hunger does. Vascular bruits are not associated with bor- borygmi. Aortic bruit occurs during systole, while a venous hum is a continuous sound and softer than a bruit. Conversion of fat-soluble wastes to water-soluble material for renal excretion is a function of the: The liver is responsible for converting fat-soluble waste to wa- ter-soluble materials so that the kidneys can excrete them as well as convert ammonia to urea. The major function of the large intestine is: Mucous glands se- crete large quantities of alkaline mucus. Before starting the physical examination, you review his laboratory work, anticipating a(n): The patient s presenting symptoms suggest peptic ulcer disease.
