NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM 2024
NEWEST ACTUAL EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 220 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||
BRAND NEW!!
What are the parts of the large intestine? - ANSWER: Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
In what part of the digestive system are fats and proteins broken down? - ANSWER:
The stomach - uses HCL and enzymes
What lines the surface of the small intestine to help absorb nutrients? - ANSWER:
Villi
What are the parts of the small intestine? - ANSWER: duodenum, jejunum, ileum
What are the parts of the stomach? - ANSWER: The fundus, antrum and the body
What is peristalsis? - ANSWER: The sequential autonomic muscular contractions that
move nutrients along the digestive tract
What part of the digestive system is responsible absorbing water, lubricating
contents, and putrefaction? - ANSWER: Large intestine
What is putrefaction? - ANSWER: Changes produced by action of bacteria and
microorganisms to decompose undigested food, unabsorbed animo acids, cell
debris, and dead bacteria
What is the function of the gallbladder? - ANSWER: Concentrates and stores bile
What abdominal organ has both exocrine and endocrine functions? What are the
functions? - ANSWER: Exocrine - produces digestive enzymes
Endocrine - produces insulin
What is the function of the spleen? - ANSWER: Filter blood and help fight infections
What abdominal organ(s) is located in the retroperitoneum? - ANSWER: Kidneys
What part of the social history do you always want to make sure you ask about when
assessing and abdominal complaint? - ANSWER: Alcohol use/abuse
,When you are palpating your patient's abdomen where do you want to look for clues
to the severity of their pain? - ANSWER: Their face
What is pyrosis? - ANSWER: Heartburn
What type of disease is IBS, generally? - ANSWER: Functional
45 y/o female presents to your office complaining of achey, burning epigastric pain,
especially after she eats. Your cardiac workup is negative. What is high on your
differential? What lifestyle modifications do you suggest? - ANSWER: GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
Your patient comes in with loss of appetite for the last few weeks. What chronic
medical disease do you want to keep on your differential? - ANSWER: Malignancy
Proton pump inhibitors can increase the risk of what infectious disease? - ANSWER:
C. dif
When you are working up a patient with a chief complaint of nausea what do you
want to ask them? - ANSWER: Pregnant?
When nauseous?
Have you taken anything?
Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
What does projectile vomiting in an adult make you think? - ANSWER: Increased
intracranial pressure
You are seeing a patient in your office and he tells you he has been having long,
skinny stools. What are you worried about? - ANSWER: Intestinal obstruction
Malignancy?
What does fatty stool indicate? - ANSWER: Malabsorption
What do clay colored stools indicate? - ANSWER: Hepatobiliary obstruction
What common medications can cause constipation? - ANSWER: 5-HT3 receptor
antagonists (Ondansetron); Antacids; Anticholinergics; Antidepressants;
, Antihistamines; Anticonvulsants; CCB; Clonidine; Calcium supplements; Diuretics;
Iron supplements; Levodopa; Narcotics; NSAIDs; Psychotropics; Sympathomimetics
What are you worried about in older, younger, and immunocompromised patients
with diarrhea? - ANSWER: Dehydration --> electrolyte imbalances
What is dysuria? - ANSWER: Painful or difficult urination
What do you want to warn your patient of before starting him on a laxative? -
ANSWER: Can develop a dependency due to decreased intestinal tone
Your patient tells you he has been having dark tarry stools. What medication do you
want to ask about? - ANSWER: Iron supplement
What is familial mediterranean fever? - ANSWER: Inherited condition characterized
by recurrent episodes of painful inflammation in the abdomen, chest, or joints
When you are prepping your patient for an abdominal exam what do you want to
tell them to do? - ANSWER: Empty their bladder
When you are performing an abdominal exam where do you want to stand in
relation to your patient? - ANSWER: On the patient's right side
What are the nine regions of the abdomen? - ANSWER: Right hypochondriac,
epigastric, left hypochondriac, right lumbar, umbilical, left lumbar, right inguinal,
hypogastric, left inguinal
What hypothetical lines divide up the nine regions of the abdomen? - ANSWER: Two
horizontal lines - across edge of costal margin and edge of iliac crest
Two vertical lines - run bilaterally form midclavicular lines to middle of Poupart
ligament (inguinal ligament)
Which kidney is lower and why? - ANSWER: The right kidney is lower in the
abdominal cavity because of the amount of space the liver occupies.
You are performing an abdominal exam as part of a well visit. What are you
inspecting for? - ANSWER: Contour of abdomen + peristalsis
Skin - scars, color, rashes, lesions, striae, dilated veins
Umbilicus
Asymmetries, masses, hernias
Aortic pulsations
NEWEST ACTUAL EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 220 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||
BRAND NEW!!
What are the parts of the large intestine? - ANSWER: Cecum
Asending colon
Transverse colon
Descending colon (sigmoid, rectum, anal)
In what part of the digestive system are fats and proteins broken down? - ANSWER:
The stomach - uses HCL and enzymes
What lines the surface of the small intestine to help absorb nutrients? - ANSWER:
Villi
What are the parts of the small intestine? - ANSWER: duodenum, jejunum, ileum
What are the parts of the stomach? - ANSWER: The fundus, antrum and the body
What is peristalsis? - ANSWER: The sequential autonomic muscular contractions that
move nutrients along the digestive tract
What part of the digestive system is responsible absorbing water, lubricating
contents, and putrefaction? - ANSWER: Large intestine
What is putrefaction? - ANSWER: Changes produced by action of bacteria and
microorganisms to decompose undigested food, unabsorbed animo acids, cell
debris, and dead bacteria
What is the function of the gallbladder? - ANSWER: Concentrates and stores bile
What abdominal organ has both exocrine and endocrine functions? What are the
functions? - ANSWER: Exocrine - produces digestive enzymes
Endocrine - produces insulin
What is the function of the spleen? - ANSWER: Filter blood and help fight infections
What abdominal organ(s) is located in the retroperitoneum? - ANSWER: Kidneys
What part of the social history do you always want to make sure you ask about when
assessing and abdominal complaint? - ANSWER: Alcohol use/abuse
,When you are palpating your patient's abdomen where do you want to look for clues
to the severity of their pain? - ANSWER: Their face
What is pyrosis? - ANSWER: Heartburn
What type of disease is IBS, generally? - ANSWER: Functional
45 y/o female presents to your office complaining of achey, burning epigastric pain,
especially after she eats. Your cardiac workup is negative. What is high on your
differential? What lifestyle modifications do you suggest? - ANSWER: GERD
Stay sitting up after eating
Wait a few hours after eating to go to sleep
Avoid spicy foods, chocolate, caffeine, acidic foods, etc
Your patient comes in with loss of appetite for the last few weeks. What chronic
medical disease do you want to keep on your differential? - ANSWER: Malignancy
Proton pump inhibitors can increase the risk of what infectious disease? - ANSWER:
C. dif
When you are working up a patient with a chief complaint of nausea what do you
want to ask them? - ANSWER: Pregnant?
When nauseous?
Have you taken anything?
Vomiting?
Relationship to food?
Bowel changes?
Taking medications?
PMS?
What does projectile vomiting in an adult make you think? - ANSWER: Increased
intracranial pressure
You are seeing a patient in your office and he tells you he has been having long,
skinny stools. What are you worried about? - ANSWER: Intestinal obstruction
Malignancy?
What does fatty stool indicate? - ANSWER: Malabsorption
What do clay colored stools indicate? - ANSWER: Hepatobiliary obstruction
What common medications can cause constipation? - ANSWER: 5-HT3 receptor
antagonists (Ondansetron); Antacids; Anticholinergics; Antidepressants;
, Antihistamines; Anticonvulsants; CCB; Clonidine; Calcium supplements; Diuretics;
Iron supplements; Levodopa; Narcotics; NSAIDs; Psychotropics; Sympathomimetics
What are you worried about in older, younger, and immunocompromised patients
with diarrhea? - ANSWER: Dehydration --> electrolyte imbalances
What is dysuria? - ANSWER: Painful or difficult urination
What do you want to warn your patient of before starting him on a laxative? -
ANSWER: Can develop a dependency due to decreased intestinal tone
Your patient tells you he has been having dark tarry stools. What medication do you
want to ask about? - ANSWER: Iron supplement
What is familial mediterranean fever? - ANSWER: Inherited condition characterized
by recurrent episodes of painful inflammation in the abdomen, chest, or joints
When you are prepping your patient for an abdominal exam what do you want to
tell them to do? - ANSWER: Empty their bladder
When you are performing an abdominal exam where do you want to stand in
relation to your patient? - ANSWER: On the patient's right side
What are the nine regions of the abdomen? - ANSWER: Right hypochondriac,
epigastric, left hypochondriac, right lumbar, umbilical, left lumbar, right inguinal,
hypogastric, left inguinal
What hypothetical lines divide up the nine regions of the abdomen? - ANSWER: Two
horizontal lines - across edge of costal margin and edge of iliac crest
Two vertical lines - run bilaterally form midclavicular lines to middle of Poupart
ligament (inguinal ligament)
Which kidney is lower and why? - ANSWER: The right kidney is lower in the
abdominal cavity because of the amount of space the liver occupies.
You are performing an abdominal exam as part of a well visit. What are you
inspecting for? - ANSWER: Contour of abdomen + peristalsis
Skin - scars, color, rashes, lesions, striae, dilated veins
Umbilicus
Asymmetries, masses, hernias
Aortic pulsations
