NURS EXAM vc
Exam Solution
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Maryville Advanced Health Assessment Key Points Exa vc vc vc vc vc vc
m #4 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
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AND VERIFIED ANSWERS (3FBF5)vc vc vc
QUESTION 1 vc
HPI questions for a patient with a chief complaint of an abdominal pain
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ANSWER
-onset and duration: sudden or gradual, persistent -character: dull, sharp, stab, cramp -
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location: at time of onset, change over time, radiates to another area, superficial or deep -
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associated symptoms: n/v, diarrhea, constipation, flatus, belching, jaundice, change in girth, weight chan
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ges. -vc
relationship to: menstrual cycle, change in menses, intercourse, urination, defecation, inspiration, chang
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e in body position, change in food or alcohol intake, stress, time of day, trauma. -
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recent stool characteristics: color, consistency, odor, and frequency. -
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urinary characteristics: frequency, color, volume consistent with intake, force of stream, ease of starting
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stream, ability to empty bladder. -Medications: high doses of aspirin, steroids, NSAIDS
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QUESTION 2 vc
HPI questions for patient with a chief complaint of nausea
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ANSWER
-associated with: vomiting, particular stimuli such as time of day, activities, odors, food intake, menses. -
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medications: antiemetics vc
QUESTION 3 vc
HPI questions for a patient with the chief complaint of diarrhea
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ANSWER
-
character: watery, copious, explosive, color, presence of blood, mucus, undigested food, oil, or fat, odor,
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number of times per day, duration, change in pattern. -
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,associated symptoms: fever, chills, thirst, weight loss, abdominal pain or cramping, fecal incontinence. -
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relationship to: amount, type and timing of food intake, stressful life events or daily stressors. -
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travel history and or ill contacts -Medications: laxatives or stool softeners, antidiarrheals
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QUESTION 4 vc
HPI questions for the patient with the chief complaint of constipation
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ANSWER
-
character: presence of bright red blood, black or tarry, diarrhea alternating with constipation, accompan
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ied by pain or discomfort -
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pattern: last BM, pain with defecation, change in consistency or the size of the stool. -
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diet: recent change in diet, intake of fiber, change in fluid intake -
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medications: laxatives, stool softeners, diuretics, iron
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QUESTION 5 vc
HPI questions for the patient with jaundice
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ANSWER
-onset and duration -color of stools or urine -associated with abdominal pain, chills, fever -
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exposure to hepatitis, use of recreational drugs, high----risk sexual activity -
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medications: high doses of acetaminophen, antipsychotics, antiepileptics, antibiotics
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QUESTION 6 vc
HPI questions for the patient with fecal incontinence
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ANSWER
-
character: stool characteristics, timing in relation to meals, number of episodes per day, occurring with
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or without warning sensations -associated with: use of laxatives, presence of underlying disease
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
HPI questions for the patient with dysuria
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ANSWER
-character: location (suprapubic, distal urethra), pain or burning, frequency or volume changes -
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associated fever or other systemic signs of illness: bacterial infection, tuberculosis, fungal or viral infecti
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on, parasitic infection -increased frequency of sexual intercourse or high risk sexual activity. -
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changes in the amount of fluid intake
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,QUESTION 8 vc
HPI questions for patients with urinary frequency
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ANSWER
-change in pattern or volume -
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associated with other characteristics: urgency hematuria, incontinence, nocturia, increased thirst, weight
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loss -change in urinary stream: dribbling
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QUESTION 9 vc
HPI questions for patient with urinary incontinence
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ANSWER
-character: amount and frequency, constant or intermittent, dribbling vs frank incontinence -
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associated with urgency, previous surgery, coughing, sneezing , walking up the stairs, nocturia, menopau
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se -medications: diuretics
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QUESTION 10 vc
HPI questions for patient with hematuria
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ANSWER
-character: color (bright red, rusty brown, cola-
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colored) present at the beginning, end, or throughout voiding. -
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associated symptoms: flank or costovertebral pain, passage of wormlike clots, pain on voiding -
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alternate possibilities: ingestion of foods containing red vegetable dyes, ingestion of laxatives containing
vc vc vc vc vc vc vc vc vc vc vc vc v
phenolphthalein -medications: aspirin, NSAIDS, anticoagulants, diuretics, antibiotics
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QUESTION 11 vc
Changes in the abdomen with pregnant patients
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ANSWER
-striae from stretched skin -abdominal muscles have less tone -
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2nd trimester lower esophageal sphincter pressure decreases=GERD -
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gastric emptying does not change but gastro transit time is prolonged leading to constipation. -
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gallbladder can distend, decreased emptying time and change in tone. This can lead to the development
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of gallstones. -bladder sensitivity increased=frequency and urgency -
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colon is displaced leading to increased constipation and flatus.
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QUESTION 12 vc
Changes in the abdomen with older patients
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ANSWER
, -motility of the intestine is slower -reduced circulation to the intestine -
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digestive enzymes and protective mucus decreases in the intestinal tract -
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liver size decreases after fifty years of age. -the liver looses the ability to metabolize certain drugs
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QUESTION 13 vc
What is the proper order of the abdominal exam?
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ANSWER
Inspection, auscultation, percuss, and palpate Order is different from other systems so examiner does no
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t alter the frequency of bowel sounds.
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QUESTION 14 vc
How would you inspect the abdomen?
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ANSWER
-patient should be seated. -assess symmetry while patient is breathing and holding breath. -
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patients bladder should be emptied.
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QUESTION 15 vc
Four Quadrants of the abdomen
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ANSWER
see picture
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QUESTION 16 vc
Nine quadrants of abdomen
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ANSWER
see picture
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QUESTION 17 vc
How should NP be situated during abdominal exam?
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ANSWER
first seated at patients side, then standing behind patient.
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QUESTION 18 vc
Exam Solution
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Maryville Advanced Health Assessment Key Points Exa vc vc vc vc vc vc
m #4 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
vc vc vc vc vc vc vc vc
AND VERIFIED ANSWERS (3FBF5)vc vc vc
QUESTION 1 vc
HPI questions for a patient with a chief complaint of an abdominal pain
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
-onset and duration: sudden or gradual, persistent -character: dull, sharp, stab, cramp -
vc vc vc vc vc vc vc vc vc vc vc vc
location: at time of onset, change over time, radiates to another area, superficial or deep -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
associated symptoms: n/v, diarrhea, constipation, flatus, belching, jaundice, change in girth, weight chan
vc vc vc vc vc vc vc vc vc vc vc vc
ges. -vc
relationship to: menstrual cycle, change in menses, intercourse, urination, defecation, inspiration, chang
vc vc vc vc vc vc vc vc vc vc vc
e in body position, change in food or alcohol intake, stress, time of day, trauma. -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
recent stool characteristics: color, consistency, odor, and frequency. -
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urinary characteristics: frequency, color, volume consistent with intake, force of stream, ease of starting
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
stream, ability to empty bladder. -Medications: high doses of aspirin, steroids, NSAIDS
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
HPI questions for patient with a chief complaint of nausea
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ANSWER
-associated with: vomiting, particular stimuli such as time of day, activities, odors, food intake, menses. -
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medications: antiemetics vc
QUESTION 3 vc
HPI questions for a patient with the chief complaint of diarrhea
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ANSWER
-
character: watery, copious, explosive, color, presence of blood, mucus, undigested food, oil, or fat, odor,
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number of times per day, duration, change in pattern. -
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,associated symptoms: fever, chills, thirst, weight loss, abdominal pain or cramping, fecal incontinence. -
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relationship to: amount, type and timing of food intake, stressful life events or daily stressors. -
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travel history and or ill contacts -Medications: laxatives or stool softeners, antidiarrheals
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
HPI questions for the patient with the chief complaint of constipation
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ANSWER
-
character: presence of bright red blood, black or tarry, diarrhea alternating with constipation, accompan
vc vc vc vc vc vc vc vc vc vc vc vc vc
ied by pain or discomfort -
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pattern: last BM, pain with defecation, change in consistency or the size of the stool. -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
diet: recent change in diet, intake of fiber, change in fluid intake -
vc vc vc vc vc vc vc vc vc vc vc vc
medications: laxatives, stool softeners, diuretics, iron
vc vc vc vc vc
QUESTION 5 vc
HPI questions for the patient with jaundice
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ANSWER
-onset and duration -color of stools or urine -associated with abdominal pain, chills, fever -
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exposure to hepatitis, use of recreational drugs, high----risk sexual activity -
vc vc vc vc vc vc vc vc vc vc
medications: high doses of acetaminophen, antipsychotics, antiepileptics, antibiotics
vc vc vc vc vc vc vc
QUESTION 6 vc
HPI questions for the patient with fecal incontinence
vc vc vc vc vc vc vc
ANSWER
-
character: stool characteristics, timing in relation to meals, number of episodes per day, occurring with
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
or without warning sensations -associated with: use of laxatives, presence of underlying disease
vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
HPI questions for the patient with dysuria
vc vc vc vc vc vc
ANSWER
-character: location (suprapubic, distal urethra), pain or burning, frequency or volume changes -
vc vc vc vc vc vc vc vc vc vc vc vc
associated fever or other systemic signs of illness: bacterial infection, tuberculosis, fungal or viral infecti
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on, parasitic infection -increased frequency of sexual intercourse or high risk sexual activity. -
vc vc vc vc vc vc vc vc vc vc vc vc vc
changes in the amount of fluid intake
vc vc vc vc vc vc
,QUESTION 8 vc
HPI questions for patients with urinary frequency
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ANSWER
-change in pattern or volume -
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associated with other characteristics: urgency hematuria, incontinence, nocturia, increased thirst, weight
vc vc vc vc vc vc vc vc vc vc
loss -change in urinary stream: dribbling
vc vc vc vc vc vc
QUESTION 9 vc
HPI questions for patient with urinary incontinence
vc vc vc vc vc vc
ANSWER
-character: amount and frequency, constant or intermittent, dribbling vs frank incontinence -
vc vc vc vc vc vc vc vc vc vc vc
associated with urgency, previous surgery, coughing, sneezing , walking up the stairs, nocturia, menopau
vc vc vc vc vc vc vc vc vc vc vc vc vc
se -medications: diuretics
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QUESTION 10 vc
HPI questions for patient with hematuria
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ANSWER
-character: color (bright red, rusty brown, cola-
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colored) present at the beginning, end, or throughout voiding. -
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associated symptoms: flank or costovertebral pain, passage of wormlike clots, pain on voiding -
vc vc vc vc vc vc vc vc vc vc vc vc vc
alternate possibilities: ingestion of foods containing red vegetable dyes, ingestion of laxatives containing
vc vc vc vc vc vc vc vc vc vc vc vc v
phenolphthalein -medications: aspirin, NSAIDS, anticoagulants, diuretics, antibiotics
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QUESTION 11 vc
Changes in the abdomen with pregnant patients
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ANSWER
-striae from stretched skin -abdominal muscles have less tone -
vc vc vc vc vc vc vc vc vc
2nd trimester lower esophageal sphincter pressure decreases=GERD -
vc vc vc vc vc vc vc
gastric emptying does not change but gastro transit time is prolonged leading to constipation. -
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
gallbladder can distend, decreased emptying time and change in tone. This can lead to the development
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of gallstones. -bladder sensitivity increased=frequency and urgency -
vc vc vc vc vc vc vc
colon is displaced leading to increased constipation and flatus.
vc vc vc vc vc vc vc vc
QUESTION 12 vc
Changes in the abdomen with older patients
vc vc vc vc vc vc
ANSWER
, -motility of the intestine is slower -reduced circulation to the intestine -
vc vc vc vc vc vc vc vc vc vc vc
digestive enzymes and protective mucus decreases in the intestinal tract -
vc vc vc vc vc vc vc vc vc vc
liver size decreases after fifty years of age. -the liver looses the ability to metabolize certain drugs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 13 vc
What is the proper order of the abdominal exam?
vc vc vc vc vc vc vc vc
ANSWER
Inspection, auscultation, percuss, and palpate Order is different from other systems so examiner does no
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
t alter the frequency of bowel sounds.
vc vc vc vc vc vc
QUESTION 14 vc
How would you inspect the abdomen?
vc vc vc vc vc
ANSWER
-patient should be seated. -assess symmetry while patient is breathing and holding breath. -
vc vc vc vc vc vc vc vc vc vc vc vc vc
patients bladder should be emptied.
vc vc vc vc
QUESTION 15 vc
Four Quadrants of the abdomen
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ANSWER
see picture
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QUESTION 16 vc
Nine quadrants of abdomen
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ANSWER
see picture
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QUESTION 17 vc
How should NP be situated during abdominal exam?
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ANSWER
first seated at patients side, then standing behind patient.
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QUESTION 18 vc
