NU 518
EXAM 3
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Exam 3 of NU 518 at the University of South
Alabama. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,1. The nurse admits a client with intermittent colicky pain
at the left lower quadrant of the abdomen. Which type of
pain is the client referring to?
a. Muscular pain
b. Visceral pain
c. Referred pain
d. Parietal pain
Ans: (B)
Visceral pain occurs when hollow abdominal organs such as the
intestine or biliary tree contract unusually forcefully or are
distended or stretched. Solid organs such as the liver can also
become painful when their capsules are stretched. Visceral pain
may be difficult to localize. It is typically palpable near the midline
at levels that vary according to the structure involved. Visceral
pain varies in quality and may be gnawing, burning, cramping, or
aching. When it becomes severe, it may be associated with
sweating, pallor, nausea, vomiting, and restlessness.
1. A client with chest pain tells the nurse that he also feels
the pain on the jaw and the shoulder. The nurse
understands that this type of pain is called
a. Referred pain
b. Parietal pain
c. Muscular pain
d. Visceral pain
Ans: (A)
Referred pain is felt in more distant sites that share the same
innervations as the source of pain. Referred pain often develops
as the initial pain becomes more intense and thus seems to
radiate or travel from the initial site. It may be felt superficially or
deeply but is usually well localized.
,1. The nurse is doing the history of a patient with pain
that ifs felt in the epigastric area. Which of the following
cluster of client manifestations are considered "alarm
symptoms" for gastric cancer?
a. Dysphagia, odynophagia, coffee ground emesis
b. Weight loss, diarrhea, dehydration
c. Recurrent vomiting, 2cm x 2cm lump on the upper right
quadrant, fever
d. Hematochezia, hematemesis, epistaxis
Ans: (A)
Red flags or alarm symptoms for gastric cancer include: difficulty
swallowing (dysphagia), pain with swallowing (odynophagia),
recurrent vomiting, and evidence of gastrointestinal bleeding
(coffee ground emesis), weight loss and anemia.
1. A 21-year old woman is being seen at the emergency
department due to right lower abdominal pain. She has
missed her period for two consecutive months. She feels
weak and dizzy. The nurse knows to prioritize which of the
following nursing actions?
a. Continue assessing by palpating the abdomen
b. Perform a pregnancy test
c. Apply hot compress to the affected area.
d. Inspect the abdomen for ascites
Ans: (B)
With the given findings of lower abdominal pain and missed
periods, the nurse suspects ectopic pregnancy especially if
accompanied by other symptoms like rigidity of abdominal
muscles, weakness and dizziness. Palpating the abdomen is
contraindicated as the risk of rupturing the fallopian tube is high.
, 1. A nurse is reviewing the client's records from an earlier
shift and notes that the result of the barium enema
revealed "apple core" lesions on the sigmoid colon. The
client is passing pencil-like stools. Which disorder is the
nurse most likely considering?
a. Gastric cancer
b. Colon cancer
c. Diverticulitis
d. Chron disease
Ans: (B)
Thin, pencil-like stool occurs in an obstructing "apple core" lesion
of the sigmoid colon. The nurse considers colon cancer if the
above are accompanied by the following: melena, hematochezia,
diarrhea, constipation, feeling of incomplete bowel emptying,
bloating, cramps weight loss and fatigue.
1. The nurse is doing a health teaching on a client with
colon cancer. She is explaining the different types of
bleeding manifestations. Of particular interest to her is
the type of bleeding associated with colon cancer and that
is passing of fresh blood or maroon-colored stool. The
client understands the teaching if he replies with which
answer?
a. Hematemesis
b. Steatorrhea
c. Hematochezia
d. Melena
Ans: (C)
Hematochezia is passing of blood-streaked stools, stools that are
bright or dark red in color. This is caused by lower gastrointestinal
bleeding. Hematemesis is vomiting of fresh blood or of occult
blood of 'coffee-grounds' consistency. Steatorrhea is passing of
EXAM 3
Tested Questions with Verified
Answers and Rationales
University of South Alabama.
This Document Description:
This document contains a collection of tested and
verified questions with accurate answers from
Exam 3 of NU 518 at the University of South
Alabama. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,1. The nurse admits a client with intermittent colicky pain
at the left lower quadrant of the abdomen. Which type of
pain is the client referring to?
a. Muscular pain
b. Visceral pain
c. Referred pain
d. Parietal pain
Ans: (B)
Visceral pain occurs when hollow abdominal organs such as the
intestine or biliary tree contract unusually forcefully or are
distended or stretched. Solid organs such as the liver can also
become painful when their capsules are stretched. Visceral pain
may be difficult to localize. It is typically palpable near the midline
at levels that vary according to the structure involved. Visceral
pain varies in quality and may be gnawing, burning, cramping, or
aching. When it becomes severe, it may be associated with
sweating, pallor, nausea, vomiting, and restlessness.
1. A client with chest pain tells the nurse that he also feels
the pain on the jaw and the shoulder. The nurse
understands that this type of pain is called
a. Referred pain
b. Parietal pain
c. Muscular pain
d. Visceral pain
Ans: (A)
Referred pain is felt in more distant sites that share the same
innervations as the source of pain. Referred pain often develops
as the initial pain becomes more intense and thus seems to
radiate or travel from the initial site. It may be felt superficially or
deeply but is usually well localized.
,1. The nurse is doing the history of a patient with pain
that ifs felt in the epigastric area. Which of the following
cluster of client manifestations are considered "alarm
symptoms" for gastric cancer?
a. Dysphagia, odynophagia, coffee ground emesis
b. Weight loss, diarrhea, dehydration
c. Recurrent vomiting, 2cm x 2cm lump on the upper right
quadrant, fever
d. Hematochezia, hematemesis, epistaxis
Ans: (A)
Red flags or alarm symptoms for gastric cancer include: difficulty
swallowing (dysphagia), pain with swallowing (odynophagia),
recurrent vomiting, and evidence of gastrointestinal bleeding
(coffee ground emesis), weight loss and anemia.
1. A 21-year old woman is being seen at the emergency
department due to right lower abdominal pain. She has
missed her period for two consecutive months. She feels
weak and dizzy. The nurse knows to prioritize which of the
following nursing actions?
a. Continue assessing by palpating the abdomen
b. Perform a pregnancy test
c. Apply hot compress to the affected area.
d. Inspect the abdomen for ascites
Ans: (B)
With the given findings of lower abdominal pain and missed
periods, the nurse suspects ectopic pregnancy especially if
accompanied by other symptoms like rigidity of abdominal
muscles, weakness and dizziness. Palpating the abdomen is
contraindicated as the risk of rupturing the fallopian tube is high.
, 1. A nurse is reviewing the client's records from an earlier
shift and notes that the result of the barium enema
revealed "apple core" lesions on the sigmoid colon. The
client is passing pencil-like stools. Which disorder is the
nurse most likely considering?
a. Gastric cancer
b. Colon cancer
c. Diverticulitis
d. Chron disease
Ans: (B)
Thin, pencil-like stool occurs in an obstructing "apple core" lesion
of the sigmoid colon. The nurse considers colon cancer if the
above are accompanied by the following: melena, hematochezia,
diarrhea, constipation, feeling of incomplete bowel emptying,
bloating, cramps weight loss and fatigue.
1. The nurse is doing a health teaching on a client with
colon cancer. She is explaining the different types of
bleeding manifestations. Of particular interest to her is
the type of bleeding associated with colon cancer and that
is passing of fresh blood or maroon-colored stool. The
client understands the teaching if he replies with which
answer?
a. Hematemesis
b. Steatorrhea
c. Hematochezia
d. Melena
Ans: (C)
Hematochezia is passing of blood-streaked stools, stools that are
bright or dark red in color. This is caused by lower gastrointestinal
bleeding. Hematemesis is vomiting of fresh blood or of occult
blood of 'coffee-grounds' consistency. Steatorrhea is passing of
