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NUR 210 FINAL EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 FINAL EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 FINAL EXAM QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
infection - ANSWER While assessing a client's abdomen, the nurse observes involuntary reflex guarding
on expiration. The nurse would interpret this as most likely indicating what complication?
An increase in the pitch - ANSWER Which change in auscultation of bowel sounds should the nurse
recognize as most diagnostic of an intestinal obstruction?
Ask the client to breathe slowly and deeply - ANSWER The nurse is performing light palpation of the
client's abdomen. How can the nurse best prevent voluntary guarding during this phase of assessment?
ureteral stone - ANSWER Linda is a 29-year-old who had excruciating pain that started under her lower
ribs on the right side. The pain eventually moved to her lateral abdomen and then into her right lower
quadrant. Which is most likely given this presentation?
"I should avoid lifting heavy objects." - ANSWER The nurse provides teaching to a client with
gastroesophageal reflux disease (GERD). Which client statement indicates that teaching has been
effective?
Renal calculi
Kidney infection
Hydronephrosis - ANSWER A client expresses pain when the left costovertebral angle is palpated. What
should the nurse suspect is occurring with this client? Select all that apply.
Cullen's sign - ANSWER A nurse suspects intra-abdominal bleeding in a client who was recently involved
in a motor vehicle accident. Which finding would most likely lead the nurse to this suspicion?
absent - ANSWER A young adult male who comes to the emergency department complaining of
abdominal pain for the past 3 days is suspected of having a ruptured appendix. What bowel sound would
the nurse expect to assess in this client?
Question the order as a barium enema is contraindicated in acute appendicitis - ANSWER The client with
a acute appendicitis has been ordered a barium enema. What should the nurse do first?
,Ovarian tumor
Impacted colon
Uterine enlargement
Full bladder - ANSWER A nurse observes the abdomen of a client and notices it to be distended below
the umbilicus. The nurse recognizes that this can be caused by which of these conditions? Select all that
apply.
Esophageal varices - ANSWER A 46-year-old former salesman presents to the ER complaining of black
stools for the past few weeks. His past medical history is significant for cirrhosis. He has gained weight
recently, especially around his abdomen. He has smoked two packs of cigarettes a day for 30 years and
has drunk approximately 10 alcoholic beverages a day for 25 years. He has used IV heroin and smoked
crack in the past. He denies any recent use. He is currently unemployed and has never been married.
Examination shows a man appearing older than his stated age. His skin has a yellowish tint and he is thin
with a prominent abdomen. Multiple "spider angiomas" are at the base of his neck. Otherwise his heart
and lung examinations are normal. On inspection he has dilated veins around his umbilicus. Increased
bowel sounds are heard during auscultation. Palpation reveals diffuse tenderness that is more severe in
the epigastric area. His liver is small and hard to palpation and he has a positive fluid wave. He is positive
for occult blood on his rectal examination. What cause of black stools most likely describes his symptoms
and signs?
Gastroesophageal reflux - ANSWER A client complains of abdominal pain that is worsened when he lies
on his back. The nurse should suspect which of the following as the underlying cause?
Ascites - ANSWER The nurse has the client participate in the assessment technique shown. For which
health problem is the nurse assessing in this client?
Right side-lying - ANSWER A nurse is preparing to palpate a client's spleen. Which position should the
nurse use to best facilitate palpation?
Acute pancreatitis - ANSWER The client has epigastric pain that is poorly localized and radiates to the
back. What would be an important diagnosis to assess for?
Stop the palpation and notify the health care provider - ANSWER A nurse performs light palpation of the
abdomen and feels a prominent, non-tender, pulsating mass above the umbilicus that measures
approximately six (6) centimeters. What is an appropriate action by the nurse?
,Murphy's sign - ANSWER During the abdominal examination, a nurse presses her fingers at the client's
right costal margin and tells the client to inhale. At this point, the client holds his breath as a result of
experiencing a sharp pain where the nurse is pressing. This test is positive for which sign?
Bowel sounds normal - ANSWER When conducting the physical examination of a client's abdomen, the
nurse auscultates 20 clicks and gurgles over 1 minute. Which of the following statements would
accurately describe this finding?
Gastric ulcer - ANSWER A client complains of epigastric pain and tarry stools. The nurse should suspect
which of the following as the underlying cause?
Irritable bowel syndrome - ANSWER Monique is a 33-year-old administrative assistant who has had
intermittent lower abdominal pain approximately one week a month for the past year. It is not related to
her menses. She notes relief with defecation, and a change in form and frequency of her bowel
movements with these episodes. Which of the following is most likely?
Sickle cell anemia - ANSWER A shift report indicates that an African American client has symptoms of
both jaundice and splenomegaly. Considering the client's ethnicity and diagnoses, what is the likely
medical diagnosis?
"Do you take painkillers like aspirin on a regular basis?" - ANSWER A client exhibits many of the most
common signs and symptoms of peptic ulcer disease. What interview question addresses the most
plausible cause of the client's health problem?
Constipation related to decrease in fluid intake - ANSWER A college student presents to the health care
clinic with reports of no bowel movement for 4 days, bloating, and generalized abdominal discomfort.
She states that she has not been eating and drinking correctly and is stressed because she has a final
exam in 2 days. A nurse assesses the abdomen and finds positive bowel sounds in all four quadrants and
tenderness in the left lower quadrant with a few small, round, firm masses. The Rovsing's sign and Psoas
sign are negative. What nursing diagnosis can the nurse confirm for this client?
body mass index greater than 30
taking multiple medications
, hiatal hernia - ANSWER A nurse suspects that a client has gastroesophageal reflux disease (GERD). Which
risk factors must be present for the nurse to confirm this? Select all that apply.
Right upper quadrant
Costovertebral angles
Epigastrium - ANSWER The nurse is admitting a client who is in hypertensive crisis. The doctor's notes
indicate that bruits that are both systolic and diastolic have been noted and renal artery stenosis is
suspected as the cause of the hypertension. Where would the nurse auscultate the client's abdomen to
hear these bruits? (Select all that apply.)
3 - ANSWER A client is able to actively move the right arm against gravity. How should the nurse
document this finding using the muscle strength grading scale?
Flexion
Supination
Extension
Pronation - ANSWER A client is experiencing left elbow pain. When assessing this joint, in which direction
should the nurse move the extremity? Select all that apply.
Ask the client to move the part against gravity. - ANSWER When testing muscle strength, a client has
difficulty moving each extremity against resistance. Which of the following would the nurse do next?
Hyperextension of 20 degrees - ANSWER A nurse is testing the range of motion of the thoracic and
lumbar spine. Which of the following would the nurse document as an abnormal finding?
Current smoker
Alcohol intake four drinks per day
Age 65
Sedentary lifestyle - ANSWER After completing the musculoskeletal health history, the nurse determines
that a client is at risk for osteoporosis. Which of the following risk factors were most likely identified in
this client?(Select all that apply.)
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