NSG 6020 APEA Exam Gastro Abdomen | Chamberlain College of Nursing - PHARM NR 507 | Answers Clearly Marked A*

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1. Stool that appears bloody, mucoid, or with pus, may indicate: 2. When performing a rectal exam, the examiner should: 3. Ecchymosis of the abdominal wall is usually seen in persons with: 4.... A patient complains of an unpleasant abdominal fullness after a light meal. This complaint may be consistent with: 5. Pain of duodenal or pancreatic origin may be referred to the: 6. Which one of the following symptoms is seen in infants with pyloric stenosis? 7. Stools that appear black, tarry, and sticky are referred to as: 8. Which of the following assessment findings is a result of the presence of a stone in the common bile duct? 9. Examination of the abdomen reveals a protrusion through an operative scar. This finding may be suggestive of an: 10. When percussing the right upper quadrant of the abdomen, a dull medium-pitched sound is heard. The area being percussed is probably the: 11. When performing an examination of the rectal area, a linear tear at the anal opening was observed. This could be indicative of: 12. When performing a rectal exam, a tender, swollen, bluish, ovoid mass is noted at the anal opening. This finding is most likely a(n): 13. When assessing the liver, have the patient inhale while palpating: 14. A patient complains of severe epigastric pain that radiates to the posterior trunk and entire abdomen. This type of pain can be suggestive of: 15. An enlarged liver with a smooth tender edge may suggest: 16. A patient was recently diagnosed with gluten intolerance and needs instructions on what foods to eat. The patient should be told that a gluten restricted diet includes: 17. A 30 year old patient complains of frequent belching, pain in the area below the sternum mostly after eating, and increased salivation. These symptoms are often seen in patients who have: 18. Which of the following symptoms are indicators of dehydration in a four-year-old child? 19. When performing a digital rectal exam, a soft, pedunculated lesion is palpated. This finding is most likely: 20. Pain of biliary tree origin may be referred to the: 21. Signs and symptoms associated with diabetic gastroparesis may include all of the following except: 22. Lower abdominal pain accompanied by fever or shock in older adults could be consistent with: 23. When performing a rectal exam, a reddish, moist, protruding mass is noted at the anal opening. This finding is most likely a(n): 24. Bowel sounds may be decreased in the presence of: 25. During palpation of the abdomen, right lower quadrant pain is elicited by applying pressure to the left side of the abdomen. This technique elicited a positive: 26. A 55-year-old patient visits the nurse practitioner for an annual exam. Stool sample revealed hematochezia. The patient is otherwise asymptomatic. This finding could be associated with: 27. Indicators of oropharyngeal dysphagia include all of the following symptoms except: 28. A positive obturator sign would elicit pain in the: 29. A patient presents with complaints of burning sensation in the sternal area. He states it is aggravated by alcohol, chocolate, and coffee. This finding is: 30. A patient visits the nurse practitioner for complaints of passing bloody stools over the past few weeks. He denies abdominal pain or fever. Further questioning reveals that when he passes stool, he notices blood dripping in the toilet. These symptoms could be consistent with: 31. An enlarged liver with a firm, nontender edge may be suggestive of: 32. When performing a rectal exam, a tender, purulent, reddened mass was noted at the anal opening. This finding is most consistent with a: 33. Examination of the abdomen reveals a small midline protrusion in the linea alba. This finding is consistent with an: 34. A 30-year-old male presents with generalized abdominal pain. With flexion of the legs at the hip an increase in his abdominal pain is noted. This finding elicited a positive: 35. When performing a rectal exam, if the anal sphincter presents with laxity, consider: 36. In the abdominal assessment of a 2-year-old, which one of the following would be considered abnormal? 37. When there is a sudden obstruction caused by a gallstone in the common bile duct or the cystic duct, the pain is usually felt in the: 38. When examining the abdomen, which of the following symptoms would be suggestive of appendicitis? 39. Helminths can be transmitted by: 40. A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: 41. A 40-year-old female presents with generalized abdominal pain and nausea. During the abdominal exam she exhibits inspiratory arrest with deep palpation of the upper right quadrant of the abdomen. This maneuver exhibits a positive: 42. If a patient describes his stool as thin and "pencil-like", this could be associated with: 43. Percussion of the abdomen should be avoided when: 44. A 35-year-old male visits the nurse practitioner for complaints of a fullness in his lower abdomen. He states that he noticed it a few days ago when he was working out at the gym. At times it feels like a round lump in his groin. Examination reveals a protrusion under the skin near the right groin area. This finding could be suggestive of an: 45. Spider angiomas, palmar erythema, and Terry's nails can be associated with: 46. If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: 47. On examination of the abdomen, loud rumbling noises are audible without a stethoscope. These sounds are termed: 48. To perform deep palpation of the abdomen: 49. A term used to describe the raising esophageal or gastric contents to the esophagus or mouth without nausea or retching is: 50. When inspecting the abdomen of a 60-year-old male, dilated veins were noted especially in the mid and upper abdomen. This condition is associated with: 51. A feeling of constantly needing to pass stool is termed: 52. A patient presents with chest pain and moves his hand from the neck to the epigastrium. This gesture could be suggestive of: 53. Which one of the following symptoms associated with gastroesophageal reflux (GERD) is considered an alarm symptom? 54. When performing a rectal exam, a purulent bloody discharge mixed with fecal matter is oozing from the rectum. This finding is most consistent with a: 55. Palpation of the liver reveals an enlargement that is firm with an irregular edge. This finding may be suggestive of: 56. A patient was instructed to point to the location of his pain. He pointed to just below the sternoclavicular notch which likely indicates: 57. The most appropriate position for the patient when performing a rectal exam and one that allows for optimal examination, is the: 58. Abdominal percussion is performed to assess: 59. Which one of the following procedures would confirm a the definitive medical diagnosis of Hirschsprung's disease? 60. Acholic stools are associated with: 61. A general term for distress associated with eating is: 62. A patient presents with complaints of black tarry stools for the last week. This symptom is seen in conditions related to the: 63. When performing a rectal exam, a firm mass with an irregular border is palpated approximately two inches inside the rectum. This finding could be indicative of: 64. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: 65. A patient presents with symptoms of bloody stools, new onset constipation, and weight loss. These symptoms could be associated with: 66. Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation? 67. Symptoms of a child suspected of having a diagnosis of mixed failure to thrive (FTT) are usually seen in children: 68. A 9-month-old who has been a healthy, thriving infant presents with a poor appetite, two episodes of vomiting, three bloody stools with mucus and knees drawn to the abdomen with screaming. These are clinical manifestations of: 69. Stools that are pencil-like in shape are most likely: 70. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: 71. Bowel sounds may be increased in the presence of: 72. Risk factors associated with Hepatitis A include all of the following except: 73. When percussing a protuberant abdomen, tympany is audible. This is consistent with all of the following conditions except: 74. A term used to describe induced vomiting without nausea is: 75. Which one of the following symptoms is associated with biliary atresia in an infant? 76. Risk factors associated with Hepatitis B include all of the following except: 77. When examining the buttocks and rectum, a small tuft of hair surrounded by a halo of erythema was observed at the sacral area. This finding is most likely: 78. A patient presents with right upper quadrant and upper abdominal pain. Acute cholecystitis is suspected because the pain radiates to the: 79. Which of the following food choices is the most appropriate to offer a teenager with celiac disease? [Show More]

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