Download NSG6020 - GASTROINTESTINAL | QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+ and more Exams Nursing in PDF only on Docsity!
NSG6020 - GASTROINTESTINAL | QUESTIONS AND
ANSWERS | 2025-2026 | GRADED A+
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: Intussusception Abdominal percussion is performed to assess: Density of tissues and organs When performing a digital rectal exam, a soft, pedunculate lesion is palpated. This finding is most likely: A rectal polyp Which type of hepatitis is most commonly transmitted from infected mothers to infants at the time of birth? Hepatitis B
A patient presents with complaints of bright red stool over the past week. This symptom could be consistent with: Cancer of the sigmoid colon An infant weighed 8 pounds at birth. According to the principles of normal growth and development, how much should he weigh at 12 month of age? 24 pounds 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: A pilonidal cyst An enlarged liver with a firm, non-tender edge may be suggestive of Cirrhosis A 30 year old male presents with generalized abdominal pain. With flex ion of the legs at the hip an increase in his abdominal pain is noted. This finding elicited a positive Psoas sign
Risk factors associated with Hepatitis A include all the following except: Exposure to needle sticks When performing an examination of the rectal area, a linear tear at the anal opening as observed. This could be indicative of: An anal fissure Ecchymosis of the abdominal wall is usually seen in persons with: Intraperitoneal Hemorrhage Which of the following symptoms are indicators of dehydration in a four-year- old child? Thirst and urine specific gravity of 1. A patient presents with right upper quadrant and upper abdominal pain. Acute cholecystitis is suspected because o=the pain radiates to the: Right scapula area
A patient complains of severe epigastric pain that radiates to the posterior trunk and entire abdomen. This type of pain can be suggestive of: Acute pancreatitis Peritoneal inflammation produces abdominal pain and tenderness. What technique can be used to assess a tender abdomen suspected to be secondary to peritoneal inflammation? Ask the patient to cough prior to palpation 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: Rovsing's sign A patient presents with complaints of burning sensation in the eternal area. He states it is aggravated by alcohol, chocolate, and coffee. This finding is: Heartburn
Melena When percussing a protuberant abdomen, tympany is audible. This is consistent with all of the following conditions except: A large solid tumor A 40 year old female presents with generalized abdominal pain and nausea. during the abdominal exam she exhibits inspiration arrest with deep palpation of the upper right quadrant of the abdomen. This maneuver exhibits a positive: Murphy's sign Lower abdominal pain accompanied by fever or shock in older adults could be consistent with: Ischemic colitis Palpation of the liver reveals an enlargement that is firm with an irregular edge. This finding may be suggestive of: Hepatocellular
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: Rectal carcinoma 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: Hemorrhoids A patient is experiencing a dull achy pain in the epigastric area with eating. This type pain is consistent with: A gastric ulcer Stool that appears bloody, mucosa, or with pus, may indicate: Crohn's disease Which on of the following symptoms is seen in infants with pyloric stenosis: Visible peristalsis
Which of the following assessment findings is a result of the presence of a stone in the common bile duct? Jaundice Pain of duodenal or pancreatic origin may be referred to the Back Atypical respiratory symptoms associated with GERD may include all the following except: Rhinitis On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: Intestinal obstruction An enlarged liver with a smooth tender edge may suggest:
Right-sided heart failure Examination of the abdomen reveals a small midline protrusion in the lines alba. This finding is consistent with an: Epigastric hernia Sarcopenia is: Loss of lean body mass and strength with aging Pain of biliary tree origin may be referred to the Right shoulder A positive obturator sign would elicit pain in the: Right hypogastric area When performing a rectal exam, a reddish, moist, protruding mass is noted at the anal opening. This finding is most likely: A prolapsed internal hemorrhoid
Travelers to endemic areas Bowel sounds may be increased in the presence of: Early intestinal obstruction 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 hew 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: Inguinal hernia If a patient describes his stool as thin and "pencil-like", this could be associated with: A lesion in the sigmoid colon A patient presents with complaints of bloating tarry stools for the last week. This symptom is seen in conditions related to the Ascending colon
Percussion of the abdomen should be avoided when: An abdominal aneurysm is suspected When assessing a preschooler's mouth, the number of deciduous teeth seen should be: 16 - 20 When performing a rectal exam, a tender, purple to, reddened mass was noted at the anal opening. This finding is most consistent with a: Anal abscess
