NR 511 Final Exam Questions with 100% Correct Answers

Mesenteric infarction Correct Answer Patient presents with mid epigastric pain, LUQ radiating to back, mild to very severe pain. Also has associated nausea and vomiting diaphoresis, pain is worse with lying supine. Physical assessment shows diminished bowel sounds and abdominal arteriogram. Urinary stones/kidney stones Correct Answer Patient presents with a colicky flank pain progressing to constant and severe radiating to the groin in both lower quadrant, patient has associated nausea vomiting fever chills and abdominal distention. Costovertebral angle tenderness hematuria; do urinalysis IVP and US Intestinal perforation Correct Answer Patient presents with severe, parietal, diffuse pain; has associated guarding, rebound tenderness, pain is relieved while lying still. Physical exam shows decreased bowel sounds, guarding, rebound tenderness; get abdominal x-ray Intestinal obstruction Correct Answer Patient presents with colicky right lower quadrant and left lower quadrant pain; has associated nausea vomiting, Anorexia, obstipation; physical exam shows hyperactive high-pitched bowel sounds are hypo active bowel sounds, get an abdominal x-ray Pancreatitis Correct Answer Patient presents with severe, visceral, diffuse pain. Has associated hypotension tachycardia; pain is relieved by leaning forward. Physical exam shows abdominal distention, diminished bowel sounds, diffuse rebound tenderness; will have elevated amylase levels Ectopic pregnancy Correct Answer Patient will present with persistent right lower quadrant pain or left lower quadrant pain. May have vaginal bleeding. Physical exam will show tender adnexal mass and will have a positive hcg test. Dissection or Rupture of Aortic Aneurysm Correct Answer Patient will present with ripping, tearing, intense pain in chest, abdomen, lower back. Will have associated hypotension, feelings of doom, shock. Physical exam will show shock, diminished femoral pulses; get x-ray and CT scan Peptic Ulcer Disease (PUD) Correct Answer Patient presents with annoying pain in epigastric region radiating to the back, right shoulder, or side. Associated nausea, hunger; worse with empty stomach, alcohol, nsaids, ASA; relieved with food and antacids. Will have epigastric tenderness to palpation. Studies done is endoscopy and barium swallow