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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
During an initial assessment, the patient admits to the nurse that she drinks alcohol daily and is now experiencing abdominal swelling in the RUQ. The nurse suspects enlargement of which organ?
  1. small intestine
  2. ovary
  3. liver
  4. rectum
2 .
A patient is asking why the nurse is concerned about appendicitis. The nurse explains that it is due to the pain the patient feels in which quadrant?
  1. LLQ
  2. RLQ
  3. RUQ
  4. LUQ
3 .
When examining your patient, she states she has been feeling full and has a constant acidic taste in her mouth when she lies down. What do you suspect that she might have?
  1. appendicitis
  2. anorexia
  3. diarrhea
  4. GERD
4 .
Your patient is older and has had frequent episodes of diarrhea from a possible virus. The caretaker states the patient is not taking in fluids well but is still having frequent bowel movements. What is your biggest concern?
  1. dehydration
  2. constipation
  3. bloating
  4. contractions
5 .
Your patient is complaining of hard stools when he has a bowel movement. After completing the patient interview, it is revealed he has a diet full of fast food and few whole grains, vegetables, or water. What do you suspect the constipation is due to?
  1. medication overuse
  2. lack of dietary fiber and water
  3. too much water and overeating of dietary fiber
  4. a GI virus
6 .
A nurse suspects a patient is having an acute pancreatic attack and possible hemorrhage, and needs to quickly assess the patient. What would be the best assessment technique?
  1. Inspect for Grey Turner sign.
  2. Auscultate for hyperactive bowel sounds in the LUQ.
  3. Palpate and percuss over the LRQ.
  4. Percuss in the RUQ to the midclavicular line to hear dullness.
7 .
A patient presents with a history of chronic alcohol abuse and has recently stated that he has noticed his “stomach swelling.” How would you best begin the assessment?
  1. Percuss for liver size in the RUQ and find the liver edge extends to the LUQ.
  2. Palpate for rebound tenderness of the bladder.
  3. Observe for borborygmi due to increased peristalsis from alcohol use.
  4. Observe for distended veins extending from the umbilicus.
8 .
A patient’s physical assessment reveals hypoactive bowel sounds. What does the nurse recognize that this may be a clue to?
  1. diarrhea
  2. gastroenteritis
  3. peritonitis
  4. constipation
9 .
The nurse discovers the following findings during the assessment. What should be reported to the provider?
  1. The patient’s abdomen appears flat and symmetric.
  2. There are hypoactive bowel sounds in all quadrants.
  3. Firmness is palpated in left lower quadrant.
  4. There is a scar from a previous appendectomy.
10 .
A 79-year-old female is seen in the emergency department for a “bump” she found on her lower abdomen. After various tests, the doctor tells her she has a hernia. The patient asks you what could have caused this. What answer do you provide?
  1. eating too much fiber in the diet
  2. hormone changes causing the muscles of the abdominal wall being too strong
  3. hormone changes causing the muscles of the abdominal wall being too weak
  4. undiagnosed H. pylori infection
11 .
An adult patient comes to the emergency department with abdominal distention. What finding supports the documentation of jaundice noted in the physical assessment?
  1. He is newly immigrated and has not had routine vaccines.
  2. He has yellowing of the skin and sclera.
  3. He is a nonsmoker.
  4. He is physically active and exercised regularly.
12 .
Your 65-year-old male patient comes in for a routine physical and part of the patient’s history reveals a parent who died from gastric cancer. Your patient asks what he should do help lower his risk of gastric cancer. What is your response?
  1. Eat more pickled food; the acid will help cut fat from the diet.
  2. Increase fresh fruits and vegetables in your diet.
  3. You are not at risk because you are past the age of diagnosis.
  4. You are not at risk because it only affects women.
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