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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS 2025

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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS 2025

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NUR 643E ADVANCED HEALTH
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NUR 643E ADVANCED HEALTH

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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS
2025




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

,NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS
2025




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

,NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS
2025




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?



Your patient presents to your office - (ANSWER)



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

, NUR 643E ADVANCED HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS
2025




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)

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