NUR 2102 Exam 4 EXAM COMPREHENSIVE QUESTIONS AND VERIFIED
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A patient tells the nurse, "I've been having pain in my belly for several days that gets worse
after eating." Which datum from the symptom analysis is consistent with the nurse's suspicion
of peptic ulcer disease?
a. Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
b. Sharp midepigastric pain radiates to the jaw.
c. Intermittent cramping pain in the left lower quadrant is relieved by defecation.
d. Colicky pain is felt near the umbilicus with vomiting and constipation. - correct answer a.
Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
Gnawing epigastric pain that radiates to the back or shoulder and worsens after eating is a
symptom that is consistent with peptic ulcer disease. Sharp midepigastric pain that radiates to
the jaw is not a symptom of peptic ulcer disease. Intermittent cramping pain in the left lower
quadrant relieved by defecation is a symptom of diverticular disease rather than peptic ulcer
disease. Colicky pain felt near the umbilicus with vomiting and constipation is a symptom of an
intestinal obstruction rather than peptic ulcer disease.
During an assessment for abdominal pain, a patient reports a colicky abdominal pain and pain
in the right shoulder that gets worse after eating fried foods. What question does the nurse ask
to confirm the suspicion of cholelithiasis?
a. "Have you noticed any swelling in your ankles or feet at the end of the day?"
b. "Have you noticed a change in the color of your urine or stools?"
c. "Have you vomited up any blood in the last 24 hours?"
d. "Have you experienced fever, chills, or sweating?" - correct answer b. "Have you noticed a
change in the color of your urine or stools?"
Gallstones can obstruct the flow of bile to the gastrointestinal tract making urine darker and
stools lighter in color. The question "Have you noticed any swelling in your ankles or feet at the
,end of the day?" is related to fluid retention, which may be asked if the patient has renal or
heart failure. The question "Have you vomited up any blood in the last 24 hours?" applies if the
patient has peptic ulcer disease or esophageal varices. The question "Have you experienced
fever, chills, or sweating?" applies if the patient has gastroenteritis or a urinary tract infection.
A patient reports having frequent heartburn. Which question does the nurse ask in response to
this information?
a. "Has your abdomen been distended when you feel the heartburn?"
b. "What have you eaten in the last 24 hours?"
c. "Is there a history of heart disease in your family?"
d. "How long after eating do you have heartburn?" - correct answer d. "How long after eating
do you have heartburn?"
Asking "How long after eating do you have heartburn?" can aid in determining if the patient has
gastroesophageal reflux disease or a hiatal hernia. Both are common disorders that cause
indigestion a few hours after meals. The question "Has your abdomen been distended when
you feel the heartburn?" is not related to the heartburn. Distention usually is related to
intestinal obstruction or liver disease. The question "What have you eaten in the last 24 hours?"
relates more to gastroenteritis. Indigestion is usually caused by food eaten in the last meal
rather than in the last 24 hours. The question "Is there a history of heart disease in your
family?" points to myocardial ischemia. Although heartburn may be a symptom of myocardial
ischemia, asking the patient about the family history is not relevant in this case.
A patient reports having abdominal distention. The nurse notices that the patient's sclerae are
yellow. What question is appropriate for the nurse to ask in response to this information?
a. "Has there been a change in your usual pattern of urination?"
b. "Have you had any nausea or vomiting?"
c. "Has there been a change in your bowel habits?"
d. "Have you had indigestion or heartburn?" - correct answer b. "Have you had any nausea or
vomiting?"
"Have you had any nausea or vomiting?" is an appropriate question because the nurse suspects
the patient may have a liver disease based on the abdominal distention and jaundice. The nurse
interprets the relationship with data gathered from the history and the observation. "Has there
been a change in your usual pattern of urination?" is not a question related to the abdominal
,distention and jaundice. "Has there been a change in your bowel habits?" is a question that
may be related to the abdominal distention, but not the jaundice. "Have you had indigestion or
heartburn?" is not a question related to the abdominal distention and jaundice. It applies more
to gastric disorders, such as gastroesophageal reflux disease or hiatal hernia.
A patient reports having abdominal distention and having vomited several times yesterday and
today. What question is appropriate for the nurse to ask in response to this information?
a. "Has there been a change in your usual pattern of urination?"
b. "Did you have heartburn before the vomiting?"
c. "What did the vomitus look like?"
d. "Have you noticed a change in the color of your urine or stools?" - correct answer c. "What
did the vomitus look like?"
"What did the vomitus look like?" is an appropriate question because the characteristics of the
vomitus may help determine its cause. Acute gastritis leads to vomiting of stomach contents,
obstruction of the bile duct results in greenish-yellow vomitus, and an intestinal obstruction
may cause a fecal odor to the vomitus. "Has there been a change in your usual pattern of
urination?" is not a question related to abdominal distention and vomiting. Have you noticed a
change in the color of your urine or stools?" is not a question related to abdominal distention
and vomiting. It is related to elevated bilirubin from liver or gallbladder disease and is
accompanied by jaundice. Option D is not a question related to the abdominal distention and
vomiting. Heartburn applies more to gastric disorders, such as gastroesophageal reflux disease
or hiatal hernia.
A patient reports a change in the usual pattern of urination. What question does the nurse ask
to determine if incontinence is the reason for these symptoms?
a. "Do you have the feeling that you cannot wait to urinate?"
b. "Are you urinating a large amount each time you go to the bathroom?"
c. "Has the color of your urine changed lately?"
d. "Have you noticed any swelling in your ankles at the end of the day?" - correct answer a. "Do
you have the feeling that you cannot wait to urinate?"
"Do you have the feeling that you cannot wait to urinate?" is a question that asks about
urgency, a symptom of incontinence. Are you urinating a large amount each time you go to the
bathroom?" is not a question related to incontinence. Usually patients with incontinence void
, frequently in small amounts. "Has the color of your urine changed lately?" is a question that is
asked when the nurse suspects the patient has gallbladder or liver disease. "Have you noticed
any swelling in your ankles at the end of the day?" is a question that relates to patients who
have renal or heart disease.
In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet.
Based on this finding, what question does the nurse ask the patient?
a. "Have you had any pain in your abdomen?"
b. "Have you had an unexpected weight gain?"
c. "Have you noticed a change in the color of your skin?"
d. "Have you had any nausea or vomiting?" - correct answer b. "Have you had an unexpected
weight gain?"
The question "Have you had an unexpected weight gain?" relating to weight gain and edema
suggests fluid retention that occurs with renal or heart disease, particularly renal failure. The
question "Have you had any pain in your abdomen?" does not relate to renal disease. The pain
experienced with renal disease is usually flank pain over the costovertebral angle. The question
"Have you noticed a change in the color of your skin?" does not relate to renal disease. It might
relate to liver or gallbladder disease if the change in skin color was yellow, indicating jaundice.
The question "Have you had any nausea or vomiting?" usually relates to disorders within the
gastrointestinal tract itself and not renal disease.
A patient reports having abdominal distention. The nurse observes that the patient's sclerae are
yellow. Which abnormal finding does the nurse anticipate on examination of this patient's
abdomen?
a. Decreased bowel sounds in all quadrants
b. Glistening or taut skin of the abdomen
c. Bulge in the abdomen when coughing
d. Bruit around the umbilicus - correct answer b. Glistening or taut skin of the abdomen
Glistening or taut skin of the abdomen is consistent with ascites that appear as abdominal
distention. Jaundice and ascites suggest liver disease. There would also be an increase in
abdominal girth. Decreased bowel sounds in all quadrants may be present if the abdominal
distention was from an intestinal obstruction, but the observation of jaundice suggests liver
disease, which does not decrease bowel sounds. A bulge in the abdomen when coughing is a
ACCURATE SOLUTION (DETAILED & ELABORATED) |GET IT 100%
ACCURATE!! TEST!! |
A patient tells the nurse, "I've been having pain in my belly for several days that gets worse
after eating." Which datum from the symptom analysis is consistent with the nurse's suspicion
of peptic ulcer disease?
a. Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
b. Sharp midepigastric pain radiates to the jaw.
c. Intermittent cramping pain in the left lower quadrant is relieved by defecation.
d. Colicky pain is felt near the umbilicus with vomiting and constipation. - correct answer a.
Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
Gnawing epigastric pain that radiates to the back or shoulder and worsens after eating is a
symptom that is consistent with peptic ulcer disease. Sharp midepigastric pain that radiates to
the jaw is not a symptom of peptic ulcer disease. Intermittent cramping pain in the left lower
quadrant relieved by defecation is a symptom of diverticular disease rather than peptic ulcer
disease. Colicky pain felt near the umbilicus with vomiting and constipation is a symptom of an
intestinal obstruction rather than peptic ulcer disease.
During an assessment for abdominal pain, a patient reports a colicky abdominal pain and pain
in the right shoulder that gets worse after eating fried foods. What question does the nurse ask
to confirm the suspicion of cholelithiasis?
a. "Have you noticed any swelling in your ankles or feet at the end of the day?"
b. "Have you noticed a change in the color of your urine or stools?"
c. "Have you vomited up any blood in the last 24 hours?"
d. "Have you experienced fever, chills, or sweating?" - correct answer b. "Have you noticed a
change in the color of your urine or stools?"
Gallstones can obstruct the flow of bile to the gastrointestinal tract making urine darker and
stools lighter in color. The question "Have you noticed any swelling in your ankles or feet at the
,end of the day?" is related to fluid retention, which may be asked if the patient has renal or
heart failure. The question "Have you vomited up any blood in the last 24 hours?" applies if the
patient has peptic ulcer disease or esophageal varices. The question "Have you experienced
fever, chills, or sweating?" applies if the patient has gastroenteritis or a urinary tract infection.
A patient reports having frequent heartburn. Which question does the nurse ask in response to
this information?
a. "Has your abdomen been distended when you feel the heartburn?"
b. "What have you eaten in the last 24 hours?"
c. "Is there a history of heart disease in your family?"
d. "How long after eating do you have heartburn?" - correct answer d. "How long after eating
do you have heartburn?"
Asking "How long after eating do you have heartburn?" can aid in determining if the patient has
gastroesophageal reflux disease or a hiatal hernia. Both are common disorders that cause
indigestion a few hours after meals. The question "Has your abdomen been distended when
you feel the heartburn?" is not related to the heartburn. Distention usually is related to
intestinal obstruction or liver disease. The question "What have you eaten in the last 24 hours?"
relates more to gastroenteritis. Indigestion is usually caused by food eaten in the last meal
rather than in the last 24 hours. The question "Is there a history of heart disease in your
family?" points to myocardial ischemia. Although heartburn may be a symptom of myocardial
ischemia, asking the patient about the family history is not relevant in this case.
A patient reports having abdominal distention. The nurse notices that the patient's sclerae are
yellow. What question is appropriate for the nurse to ask in response to this information?
a. "Has there been a change in your usual pattern of urination?"
b. "Have you had any nausea or vomiting?"
c. "Has there been a change in your bowel habits?"
d. "Have you had indigestion or heartburn?" - correct answer b. "Have you had any nausea or
vomiting?"
"Have you had any nausea or vomiting?" is an appropriate question because the nurse suspects
the patient may have a liver disease based on the abdominal distention and jaundice. The nurse
interprets the relationship with data gathered from the history and the observation. "Has there
been a change in your usual pattern of urination?" is not a question related to the abdominal
,distention and jaundice. "Has there been a change in your bowel habits?" is a question that
may be related to the abdominal distention, but not the jaundice. "Have you had indigestion or
heartburn?" is not a question related to the abdominal distention and jaundice. It applies more
to gastric disorders, such as gastroesophageal reflux disease or hiatal hernia.
A patient reports having abdominal distention and having vomited several times yesterday and
today. What question is appropriate for the nurse to ask in response to this information?
a. "Has there been a change in your usual pattern of urination?"
b. "Did you have heartburn before the vomiting?"
c. "What did the vomitus look like?"
d. "Have you noticed a change in the color of your urine or stools?" - correct answer c. "What
did the vomitus look like?"
"What did the vomitus look like?" is an appropriate question because the characteristics of the
vomitus may help determine its cause. Acute gastritis leads to vomiting of stomach contents,
obstruction of the bile duct results in greenish-yellow vomitus, and an intestinal obstruction
may cause a fecal odor to the vomitus. "Has there been a change in your usual pattern of
urination?" is not a question related to abdominal distention and vomiting. Have you noticed a
change in the color of your urine or stools?" is not a question related to abdominal distention
and vomiting. It is related to elevated bilirubin from liver or gallbladder disease and is
accompanied by jaundice. Option D is not a question related to the abdominal distention and
vomiting. Heartburn applies more to gastric disorders, such as gastroesophageal reflux disease
or hiatal hernia.
A patient reports a change in the usual pattern of urination. What question does the nurse ask
to determine if incontinence is the reason for these symptoms?
a. "Do you have the feeling that you cannot wait to urinate?"
b. "Are you urinating a large amount each time you go to the bathroom?"
c. "Has the color of your urine changed lately?"
d. "Have you noticed any swelling in your ankles at the end of the day?" - correct answer a. "Do
you have the feeling that you cannot wait to urinate?"
"Do you have the feeling that you cannot wait to urinate?" is a question that asks about
urgency, a symptom of incontinence. Are you urinating a large amount each time you go to the
bathroom?" is not a question related to incontinence. Usually patients with incontinence void
, frequently in small amounts. "Has the color of your urine changed lately?" is a question that is
asked when the nurse suspects the patient has gallbladder or liver disease. "Have you noticed
any swelling in your ankles at the end of the day?" is a question that relates to patients who
have renal or heart disease.
In assessing a patient with renal disease, the nurse palpates edema in both ankles and feet.
Based on this finding, what question does the nurse ask the patient?
a. "Have you had any pain in your abdomen?"
b. "Have you had an unexpected weight gain?"
c. "Have you noticed a change in the color of your skin?"
d. "Have you had any nausea or vomiting?" - correct answer b. "Have you had an unexpected
weight gain?"
The question "Have you had an unexpected weight gain?" relating to weight gain and edema
suggests fluid retention that occurs with renal or heart disease, particularly renal failure. The
question "Have you had any pain in your abdomen?" does not relate to renal disease. The pain
experienced with renal disease is usually flank pain over the costovertebral angle. The question
"Have you noticed a change in the color of your skin?" does not relate to renal disease. It might
relate to liver or gallbladder disease if the change in skin color was yellow, indicating jaundice.
The question "Have you had any nausea or vomiting?" usually relates to disorders within the
gastrointestinal tract itself and not renal disease.
A patient reports having abdominal distention. The nurse observes that the patient's sclerae are
yellow. Which abnormal finding does the nurse anticipate on examination of this patient's
abdomen?
a. Decreased bowel sounds in all quadrants
b. Glistening or taut skin of the abdomen
c. Bulge in the abdomen when coughing
d. Bruit around the umbilicus - correct answer b. Glistening or taut skin of the abdomen
Glistening or taut skin of the abdomen is consistent with ascites that appear as abdominal
distention. Jaundice and ascites suggest liver disease. There would also be an increase in
abdominal girth. Decreased bowel sounds in all quadrants may be present if the abdominal
distention was from an intestinal obstruction, but the observation of jaundice suggests liver
disease, which does not decrease bowel sounds. A bulge in the abdomen when coughing is a
