NUR 504: FINAL EXAM QUESTIONS WITH CORRECT
ANSWERS
1) Which of the following is true?
A) Pancreatic secretions promote fat digestion, while liver bile aids
in absorption of glucose.
B) Solid organs in the abdominal cavity include the liver, pancreas,
gallbladder, and kidneys.
C) Peristalsis pushes food from the duodenum into the central part
of the stomach.
D) Most digestion occurs before food reaches the jejunum. --
Correct Answer ✔✔ d. Most digestion occurs before food
reaches the jejunum
2) The stomach, spleen, and body of the pancreas all reside in which abdominal
quadrant?
A) RUQ
B) LUQ
C) RLQ
D) LLQ -- Correct Answer ✔✔ b. LUQ
3) Periumbilical or epigastric pain that starts as colicky and then localizes to RLQ
may be a sign of which of the following gastrointestinal diseases?
A) Diverticulitis
B) Biliary stones
, C) Cholecystitis
D) Appendicitis -- Correct Answer ✔✔ d. Appendicitis
4) A patient suffers from severe pain that seems to radiate from the abdomen up
into her shoulder. Which of the following are possible?
A) Cholecystitis or biliary stones
B) Appendicitis or intestinal obstruction
C) Pancreatitis or perforated duodenal ulcer
D) Abdominal aneurysm or diverticulitis -- Correct Answer ✔✔ c.
Pancreatitis or perforated duodenal ulcer
5) Esophageal, stomach, and small bowel resections are all associated with what?
A) Insufficient secretion of insulin
B) Malabsorption
C) Steatorrhea
D) Dumping syndrome -- Correct Answer ✔✔ b. Malabsorption
6) Which disorder may manifest itself in the largest number of body systems outside
the gastrointestinal system?
A) Electrolyte imbalance
B) Cancer
C) Cirrhosis
D) Hepatitis -- Correct Answer ✔✔ a. Electrolyte imbalance
7) What do melanin deposits around the oral cavity indicate?
A) Cancer
B) Peutz-Jeghers syndrome
C) Jaundice
D) Malnutrition -- Correct Answer ✔✔ b. Peutz-Jeghers syndrome
8) Which test requires the patient to place his or her own hand in the middle of the
abdomen while the physician performs the test?
A) Test for ascites
B) Test for appendicitis
, C) Test for cholecystitis
D) Test for aortic aneurysm -- Correct Answer ✔✔ a. Test for
ascites
9) When should a physician touch a patient's area of known pain and why?
A) Last, because otherwise the pain will reflect and mask other areas
B) Last, because inflicting pain causes a patient's muscles to tense
and tighten in anticipation of more pain
C) First, to get "the worst" out of the way so the patient can relax
D) First, to set the pain in motion and see where it radiates to --
Correct Answer ✔✔ b. Last, because inflicting pain causes a
patient's muscles to tense and tighten in anticipation of more pain
10) Which of the following is a concern when prescribing gastrointestinal treatments
for a geriatric patient?
A) Lipid-soluble drugs can last longer in the patient's body.
B) An aging body's tendency toward diarrhea may cause quality-of-
life issues.
C) As the number of stomach glands continues to grow, drug
absorption becomes increasingly swift.
D) Wear in esophageal valves promotes reflux and heartburn. --
Correct Answer ✔✔ a. Lipid-soluble drugs can last longer in the
patient's body.
11) A patient has mild epigastric tenderness, normal bowel sounds, and signs of
peritonitis. What do these symptoms suggest?
A) Cholecystitis
B) Peptic ulcer disease
C) Pancreatitis
D) Cirrhosis -- Correct Answer ✔✔ b. Peptic ulcer disease
12) Which of the following is true regarding geriatric patients?
A) Constipation becomes less of a problem.
B) Esophageal reflux can be caused by weakening of the cardiac
sphincter.
, C) Pancreatic atrophy is rare.
D) The number of stomach glands decreases -- Correct Answer
✔✔ b. Esophageal reflux can be caused by weakening of the
cardiac sphincter.
13) What are three measures used to assess body composition and what do they
assess? -- Correct Answer ✔✔ Mid-arm muscle circumference measures the
distance around the biceps and other muscles of the arm
triceps skinfold measures with width of a fold of skin taken over the triceps
muscle
bioelectrical impedance analysis/bioimpedance spectroscopy estimates body
composition and body fat,
BMI is a measure of weight and height.
14) Which of the following is involved in emotions?
A) Limbic system
B) Cranial nerves
C) Cerebellum
D) Hippocampus -- Correct Answer ✔✔ a. Limbic system
15) Which of the following structures is responsible for sensory and motor functions
of the head and upper body?
A) Hippocampus
B) Amygdala
C) Frontal lobe
D) Cranial nerves -- Correct Answer ✔✔ d. Cranial nerves
16) A patient reports having trouble falling asleep many nights, waking up very early
many nights, and difficulty concentrating. Which of the following is most closely
associated with this pattern?
A) Depression
B) General anxiety
C) Bipolar disorder
D) PTSD -- Correct Answer ✔✔ b. General anxiety
ANSWERS
1) Which of the following is true?
A) Pancreatic secretions promote fat digestion, while liver bile aids
in absorption of glucose.
B) Solid organs in the abdominal cavity include the liver, pancreas,
gallbladder, and kidneys.
C) Peristalsis pushes food from the duodenum into the central part
of the stomach.
D) Most digestion occurs before food reaches the jejunum. --
Correct Answer ✔✔ d. Most digestion occurs before food
reaches the jejunum
2) The stomach, spleen, and body of the pancreas all reside in which abdominal
quadrant?
A) RUQ
B) LUQ
C) RLQ
D) LLQ -- Correct Answer ✔✔ b. LUQ
3) Periumbilical or epigastric pain that starts as colicky and then localizes to RLQ
may be a sign of which of the following gastrointestinal diseases?
A) Diverticulitis
B) Biliary stones
, C) Cholecystitis
D) Appendicitis -- Correct Answer ✔✔ d. Appendicitis
4) A patient suffers from severe pain that seems to radiate from the abdomen up
into her shoulder. Which of the following are possible?
A) Cholecystitis or biliary stones
B) Appendicitis or intestinal obstruction
C) Pancreatitis or perforated duodenal ulcer
D) Abdominal aneurysm or diverticulitis -- Correct Answer ✔✔ c.
Pancreatitis or perforated duodenal ulcer
5) Esophageal, stomach, and small bowel resections are all associated with what?
A) Insufficient secretion of insulin
B) Malabsorption
C) Steatorrhea
D) Dumping syndrome -- Correct Answer ✔✔ b. Malabsorption
6) Which disorder may manifest itself in the largest number of body systems outside
the gastrointestinal system?
A) Electrolyte imbalance
B) Cancer
C) Cirrhosis
D) Hepatitis -- Correct Answer ✔✔ a. Electrolyte imbalance
7) What do melanin deposits around the oral cavity indicate?
A) Cancer
B) Peutz-Jeghers syndrome
C) Jaundice
D) Malnutrition -- Correct Answer ✔✔ b. Peutz-Jeghers syndrome
8) Which test requires the patient to place his or her own hand in the middle of the
abdomen while the physician performs the test?
A) Test for ascites
B) Test for appendicitis
, C) Test for cholecystitis
D) Test for aortic aneurysm -- Correct Answer ✔✔ a. Test for
ascites
9) When should a physician touch a patient's area of known pain and why?
A) Last, because otherwise the pain will reflect and mask other areas
B) Last, because inflicting pain causes a patient's muscles to tense
and tighten in anticipation of more pain
C) First, to get "the worst" out of the way so the patient can relax
D) First, to set the pain in motion and see where it radiates to --
Correct Answer ✔✔ b. Last, because inflicting pain causes a
patient's muscles to tense and tighten in anticipation of more pain
10) Which of the following is a concern when prescribing gastrointestinal treatments
for a geriatric patient?
A) Lipid-soluble drugs can last longer in the patient's body.
B) An aging body's tendency toward diarrhea may cause quality-of-
life issues.
C) As the number of stomach glands continues to grow, drug
absorption becomes increasingly swift.
D) Wear in esophageal valves promotes reflux and heartburn. --
Correct Answer ✔✔ a. Lipid-soluble drugs can last longer in the
patient's body.
11) A patient has mild epigastric tenderness, normal bowel sounds, and signs of
peritonitis. What do these symptoms suggest?
A) Cholecystitis
B) Peptic ulcer disease
C) Pancreatitis
D) Cirrhosis -- Correct Answer ✔✔ b. Peptic ulcer disease
12) Which of the following is true regarding geriatric patients?
A) Constipation becomes less of a problem.
B) Esophageal reflux can be caused by weakening of the cardiac
sphincter.
, C) Pancreatic atrophy is rare.
D) The number of stomach glands decreases -- Correct Answer
✔✔ b. Esophageal reflux can be caused by weakening of the
cardiac sphincter.
13) What are three measures used to assess body composition and what do they
assess? -- Correct Answer ✔✔ Mid-arm muscle circumference measures the
distance around the biceps and other muscles of the arm
triceps skinfold measures with width of a fold of skin taken over the triceps
muscle
bioelectrical impedance analysis/bioimpedance spectroscopy estimates body
composition and body fat,
BMI is a measure of weight and height.
14) Which of the following is involved in emotions?
A) Limbic system
B) Cranial nerves
C) Cerebellum
D) Hippocampus -- Correct Answer ✔✔ a. Limbic system
15) Which of the following structures is responsible for sensory and motor functions
of the head and upper body?
A) Hippocampus
B) Amygdala
C) Frontal lobe
D) Cranial nerves -- Correct Answer ✔✔ d. Cranial nerves
16) A patient reports having trouble falling asleep many nights, waking up very early
many nights, and difficulty concentrating. Which of the following is most closely
associated with this pattern?
A) Depression
B) General anxiety
C) Bipolar disorder
D) PTSD -- Correct Answer ✔✔ b. General anxiety
