©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NUR 210 final exam Questions and
Answers – Updated 2024
While assessing a client's abdomen, the nurse observes involuntary reflex guarding on expiration. The
nurse would interpret this as most likely indicating what complication? - Ans:✔✔-infection
Which change in auscultation of bowel sounds should the nurse recognize as most diagnostic of an
intestinal obstruction? - Ans:✔✔-An increase in the pitch
The nurse is performing light palpation of the client's abdomen. How can the nurse best prevent
voluntary guarding during this phase of assessment? - Ans:✔✔-Ask the client to breathe slowly and
deeply
Linda is a 29-year-old who had excruciating pain that started under her lower ribs on the right side. The
pain eventually moved to her lateral abdomen and then into her right lower quadrant. Which is most
likely given this presentation? - Ans:✔✔-ureteral stone
The nurse provides teaching to a client with gastroesophageal reflux disease (GERD). Which client
statement indicates that teaching has been effective? - Ans:✔✔-"I should avoid lifting heavy objects."
Page 1/88
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A client expresses pain when the left costovertebral angle is palpated. What should the nurse suspect is
occurring with this client? Select all that apply. - Ans:✔✔-Renal calculi
Kidney infection
Hydronephrosis
A nurse suspects intra-abdominal bleeding in a client who was recently involved in a motor vehicle
accident. Which finding would most likely lead the nurse to this suspicion? - Ans:✔✔-Cullen's sign
A young adult male who comes to the emergency department complaining of abdominal pain for the
past 3 days is suspected of having a ruptured appendix. What bowel sound would the nurse expect to
assess in this client? - Ans:✔✔-absent
The client with a acute appendicitis has been ordered a barium enema. What should the nurse do first? -
Ans:✔✔-Question the order as a barium enema is contraindicated in acute appendicitis
A nurse observes the abdomen of a client and notices it to be distended below the umbilicus. The nurse
recognizes that this can be caused by which of these conditions? Select all that apply. - Ans:✔✔-Ovarian
tumor
Impacted colon
Uterine enlargement
Full bladder
Page 2/88
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FIRST PUBLISH OCTOBER 2024
A 46-year-old former salesman presents to the ER complaining of black stools for the past few weeks. His
past medical history is significant for cirrhosis. He has gained weight recently, especially around his
abdomen. He has smoked two packs of cigarettes a day for 30 years and has drunk approximately 10
alcoholic beverages a day for 25 years. He has used IV heroin and smoked crack in the past. He denies
any recent use. He is currently unemployed and has never been married. Examination shows a man
appearing older than his stated age. His skin has a yellowish tint and he is thin with a prominent
abdomen. Multiple "spider angiomas" are at the base of his neck. Otherwise his heart and lung
examinations are normal. On inspection he has dilated veins around his umbilicus. Increased bowel
sounds are heard during auscultation. Palpation reveals diffuse tenderness that is more severe in the
epigastric area. His liver is smal - Ans:✔✔-Esophageal varices
A client complains of abdominal pain that is worsened when he lies on his back. The nurse should
suspect which of the following as the underlying cause? - Ans:✔✔-Gastroesophageal reflux
The nurse has the client participate in the assessment technique shown. For which health problem is the
nurse assessing in this client? - Ans:✔✔-Ascites
A nurse is preparing to palpate a client's spleen. Which position should the nurse use to best facilitate
palpation? - Ans:✔✔-Right side-lying
The client has epigastric pain that is poorly localized and radiates to the back. What would be an
important diagnosis to assess for? - Ans:✔✔-Acute pancreatitis
Page 3/88
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A nurse performs light palpation of the abdomen and feels a prominent, non-tender, pulsating mass
above the umbilicus that measures approximately six (6) centimeters. What is an appropriate action by
the nurse? - Ans:✔✔-Stop the palpation and notify the health care provider
During the abdominal examination, a nurse presses her fingers at the client's right costal margin and tells
the client to inhale. At this point, the client holds his breath as a result of experiencing a sharp pain
where the nurse is pressing. This test is positive for which sign? - Ans:✔✔-Murphy's sign
When conducting the physical examination of a client's abdomen, the nurse auscultates 20 clicks and
gurgles over 1 minute. Which of the following statements would accurately describe this finding? -
Ans:✔✔-Bowel sounds normal
A client complains of epigastric pain and tarry stools. The nurse should suspect which of the following as
the underlying cause? - Ans:✔✔-Gastric ulcer
Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain
approximately one week a month for the past year. It is not related to her menses. She notes relief with
defecation, and a change in form and frequency of her bowel movements with these episodes. Which of
the following is most likely? - Ans:✔✔-Irritable bowel syndrome
A shift report indicates that an African American client has symptoms of both jaundice and
splenomegaly. Considering the client's ethnicity and diagnoses, what is the likely medical diagnosis? -
Ans:✔✔-Sickle cell anemia
Page 4/88
FIRST PUBLISH OCTOBER 2024
NUR 210 final exam Questions and
Answers – Updated 2024
While assessing a client's abdomen, the nurse observes involuntary reflex guarding on expiration. The
nurse would interpret this as most likely indicating what complication? - Ans:✔✔-infection
Which change in auscultation of bowel sounds should the nurse recognize as most diagnostic of an
intestinal obstruction? - Ans:✔✔-An increase in the pitch
The nurse is performing light palpation of the client's abdomen. How can the nurse best prevent
voluntary guarding during this phase of assessment? - Ans:✔✔-Ask the client to breathe slowly and
deeply
Linda is a 29-year-old who had excruciating pain that started under her lower ribs on the right side. The
pain eventually moved to her lateral abdomen and then into her right lower quadrant. Which is most
likely given this presentation? - Ans:✔✔-ureteral stone
The nurse provides teaching to a client with gastroesophageal reflux disease (GERD). Which client
statement indicates that teaching has been effective? - Ans:✔✔-"I should avoid lifting heavy objects."
Page 1/88
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A client expresses pain when the left costovertebral angle is palpated. What should the nurse suspect is
occurring with this client? Select all that apply. - Ans:✔✔-Renal calculi
Kidney infection
Hydronephrosis
A nurse suspects intra-abdominal bleeding in a client who was recently involved in a motor vehicle
accident. Which finding would most likely lead the nurse to this suspicion? - Ans:✔✔-Cullen's sign
A young adult male who comes to the emergency department complaining of abdominal pain for the
past 3 days is suspected of having a ruptured appendix. What bowel sound would the nurse expect to
assess in this client? - Ans:✔✔-absent
The client with a acute appendicitis has been ordered a barium enema. What should the nurse do first? -
Ans:✔✔-Question the order as a barium enema is contraindicated in acute appendicitis
A nurse observes the abdomen of a client and notices it to be distended below the umbilicus. The nurse
recognizes that this can be caused by which of these conditions? Select all that apply. - Ans:✔✔-Ovarian
tumor
Impacted colon
Uterine enlargement
Full bladder
Page 2/88
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A 46-year-old former salesman presents to the ER complaining of black stools for the past few weeks. His
past medical history is significant for cirrhosis. He has gained weight recently, especially around his
abdomen. He has smoked two packs of cigarettes a day for 30 years and has drunk approximately 10
alcoholic beverages a day for 25 years. He has used IV heroin and smoked crack in the past. He denies
any recent use. He is currently unemployed and has never been married. Examination shows a man
appearing older than his stated age. His skin has a yellowish tint and he is thin with a prominent
abdomen. Multiple "spider angiomas" are at the base of his neck. Otherwise his heart and lung
examinations are normal. On inspection he has dilated veins around his umbilicus. Increased bowel
sounds are heard during auscultation. Palpation reveals diffuse tenderness that is more severe in the
epigastric area. His liver is smal - Ans:✔✔-Esophageal varices
A client complains of abdominal pain that is worsened when he lies on his back. The nurse should
suspect which of the following as the underlying cause? - Ans:✔✔-Gastroesophageal reflux
The nurse has the client participate in the assessment technique shown. For which health problem is the
nurse assessing in this client? - Ans:✔✔-Ascites
A nurse is preparing to palpate a client's spleen. Which position should the nurse use to best facilitate
palpation? - Ans:✔✔-Right side-lying
The client has epigastric pain that is poorly localized and radiates to the back. What would be an
important diagnosis to assess for? - Ans:✔✔-Acute pancreatitis
Page 3/88
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A nurse performs light palpation of the abdomen and feels a prominent, non-tender, pulsating mass
above the umbilicus that measures approximately six (6) centimeters. What is an appropriate action by
the nurse? - Ans:✔✔-Stop the palpation and notify the health care provider
During the abdominal examination, a nurse presses her fingers at the client's right costal margin and tells
the client to inhale. At this point, the client holds his breath as a result of experiencing a sharp pain
where the nurse is pressing. This test is positive for which sign? - Ans:✔✔-Murphy's sign
When conducting the physical examination of a client's abdomen, the nurse auscultates 20 clicks and
gurgles over 1 minute. Which of the following statements would accurately describe this finding? -
Ans:✔✔-Bowel sounds normal
A client complains of epigastric pain and tarry stools. The nurse should suspect which of the following as
the underlying cause? - Ans:✔✔-Gastric ulcer
Monique is a 33-year-old administrative assistant who has had intermittent lower abdominal pain
approximately one week a month for the past year. It is not related to her menses. She notes relief with
defecation, and a change in form and frequency of her bowel movements with these episodes. Which of
the following is most likely? - Ans:✔✔-Irritable bowel syndrome
A shift report indicates that an African American client has symptoms of both jaundice and
splenomegaly. Considering the client's ethnicity and diagnoses, what is the likely medical diagnosis? -
Ans:✔✔-Sickle cell anemia
Page 4/88
