The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this problem?
a. Hypertension
b. Streptococcal infections
c. Recurrent constipation with frequent laxative use
d. Frequent use of nonsteroidal antiinflammatory drugs
Question 2The nurse is reviewing statistics for lactose intolerance. In the United States, the incidence of lactose intolerance is higher in adults of which ethnic group?
a. Blacks
b. Hispanics
c. Whites
d. Asians
Question 3When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left upper quadrant with deep palpation. Which of these structures is most likely to be involved?
a. Spleen
b. Sigmoid colon
c. Appendix
d. Gallbladder
Question 4A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly.
b. Ask additional health history questions regarding his alcohol intake.
c. Describe this dullness as indicative of an enlarged liver, and refer him to a physician.
d. Consider this finding as normal, and proceed with the examination.
Question 5A 40-year-old man states that his physician told him that he has a hernia. He asks the nurse to explain what a hernia is. Which response by the nurse is appropriate?
a. No need to worry. Most men your age develop hernias.
b. A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
c. A hernia is the result of prenatal growth abnormalities that are just now causing problems.
d. I'll have to have your physician explain this to you.
Question 6Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites?
a. Dullness across the abdomen
b. Flatness in the right upper quadrant
c. Hyperresonance in the left upper quadrant
d. Tympany in the right and left lower quadrants
Question 7Just before going home, a new mother asks the nurse about the infant's umbilical cord. Which of these statements is correct?
a. It should fall off in 10 to 14 days.
b. It will soften before it falls off.
c. It contains two veins and one artery.
d. Skin will cover the area within 1 week.
Question 8A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?
a. Obturator test
b. Test for Murphy sign
c. Assess for rebound tenderness
d. Iliopsoas muscle test
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