NUR312 FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
GI |assessment |order |- |CORRECT |ANSWER✔✔-1) |Inspect
2) |auscultate
3) |percuss
4) |palpate
Odynophagia |- |CORRECT |ANSWER✔✔-painful |swallowing |(mouth |or |esophagus)
Dysphagia |- |CORRECT |ANSWER✔✔--Difficulty |swallowing
-Globus |sensation: |feeling |of |a |"lump" |in |throat, |something |that |will |not |move |down
Hematemesis |- |CORRECT |ANSWER✔✔-vomiting |of |frank |red |blood
Coffee |Ground |Ememis |- |CORRECT |ANSWER✔✔-vomiting |of |dark, |granular |material |
(coagulated |blood)
anorexia |- |CORRECT |ANSWER✔✔-lack |of |eating |(general |term, |not |a |specific |diagnosis |e.g. |
Anorexia |Nervosa)
early |satiety |- |CORRECT |ANSWER✔✔-Feeling |of |full |stomach |early |in |eating
melena |- |CORRECT |ANSWER✔✔-"Dark, |tarry" |, |sticky |stools
,BRBPR |- |CORRECT |ANSWER✔✔-(Bright |Red |Blood |Per |Rectum)
Hematochezia |- |CORRECT |ANSWER✔✔-passage |of |bright |red, |frank |blood |in |stools
Rectorrhagia |- |CORRECT |ANSWER✔✔-passage |of |bright |red, |frank |blood |independent |of |stools
GI: |inspect |for |- |CORRECT |ANSWER✔✔--Overall |Skin |Color
-Vascularity: |striae |(stretch |marks), |lesions, |rashes, |scars, |distended |veins
-Symmetry |and |contour |of |the |abdomen
-Ecchymosis |(bruising)
-Erythema |(redness)
-Aortic |pulsations |(not |abnormal, |unless |the |are |very |large, |very |obvious |waves)
-Location, |contour |and |color |of |the |umbilicus
-Note |the |presence |of |any |collection |devices |or |tubes |across |the |abdomen
types |of |abdominal |contour |- |CORRECT |ANSWER✔✔--flat |(normal |finding)
-scaphoid |(inverted |abdomen)
, -distended |(rounded |abdomen, |protuberant)
GI: |Auscultate |- |CORRECT |ANSWER✔✔--Normal |intestinal |propulsion |of |food |(peristalsis) |
generates |sounds. |
-Using |the |diaphragm |of |your |stethoscope, |start |auscultating |for |bowel |sounds |in |the |RLQ |
progressing |to |the |RUQ, |LUQ, |and |LLQ
-Listen |for |Bowel |Sounds |(gurgling |noises)
-Auscultate |with |the |BELL |of |the |stethoscope |for |bruits |over |the |descending |abdominal |aorta |
(mid |epigastric |area)
-Auscultate |with |the |BELL |of |the |stethoscope |for |bruits |over |the |iliac |arteries |bilaterally |(few |
centimeters |lateral |to |the |umbilicus |on |either |side |and |just |inferior)
normoactive |bowel |sounds |- |CORRECT |ANSWER✔✔-sound |about |every |5-20 |seconds |(at |least |
5 |-30 |sounds |over |a |minute)
hypoactive |bowel |sounds |- |CORRECT |ANSWER✔✔-very |soft |and |infrequent, |indicate |
decreased |intestinal |motility
hyperactive |bowel |sounds |- |CORRECT |ANSWER✔✔-fast, |frequent |bowel |sounds
absence |of |bowel |sounds |- |CORRECT |ANSWER✔✔-you |need |to |have |listened |to |the |abdomen |
for |3-5 |minutes |to |say |bowel |sounds |are |truly |absent.
WITH COMPLETE SOLUTIONS
GI |assessment |order |- |CORRECT |ANSWER✔✔-1) |Inspect
2) |auscultate
3) |percuss
4) |palpate
Odynophagia |- |CORRECT |ANSWER✔✔-painful |swallowing |(mouth |or |esophagus)
Dysphagia |- |CORRECT |ANSWER✔✔--Difficulty |swallowing
-Globus |sensation: |feeling |of |a |"lump" |in |throat, |something |that |will |not |move |down
Hematemesis |- |CORRECT |ANSWER✔✔-vomiting |of |frank |red |blood
Coffee |Ground |Ememis |- |CORRECT |ANSWER✔✔-vomiting |of |dark, |granular |material |
(coagulated |blood)
anorexia |- |CORRECT |ANSWER✔✔-lack |of |eating |(general |term, |not |a |specific |diagnosis |e.g. |
Anorexia |Nervosa)
early |satiety |- |CORRECT |ANSWER✔✔-Feeling |of |full |stomach |early |in |eating
melena |- |CORRECT |ANSWER✔✔-"Dark, |tarry" |, |sticky |stools
,BRBPR |- |CORRECT |ANSWER✔✔-(Bright |Red |Blood |Per |Rectum)
Hematochezia |- |CORRECT |ANSWER✔✔-passage |of |bright |red, |frank |blood |in |stools
Rectorrhagia |- |CORRECT |ANSWER✔✔-passage |of |bright |red, |frank |blood |independent |of |stools
GI: |inspect |for |- |CORRECT |ANSWER✔✔--Overall |Skin |Color
-Vascularity: |striae |(stretch |marks), |lesions, |rashes, |scars, |distended |veins
-Symmetry |and |contour |of |the |abdomen
-Ecchymosis |(bruising)
-Erythema |(redness)
-Aortic |pulsations |(not |abnormal, |unless |the |are |very |large, |very |obvious |waves)
-Location, |contour |and |color |of |the |umbilicus
-Note |the |presence |of |any |collection |devices |or |tubes |across |the |abdomen
types |of |abdominal |contour |- |CORRECT |ANSWER✔✔--flat |(normal |finding)
-scaphoid |(inverted |abdomen)
, -distended |(rounded |abdomen, |protuberant)
GI: |Auscultate |- |CORRECT |ANSWER✔✔--Normal |intestinal |propulsion |of |food |(peristalsis) |
generates |sounds. |
-Using |the |diaphragm |of |your |stethoscope, |start |auscultating |for |bowel |sounds |in |the |RLQ |
progressing |to |the |RUQ, |LUQ, |and |LLQ
-Listen |for |Bowel |Sounds |(gurgling |noises)
-Auscultate |with |the |BELL |of |the |stethoscope |for |bruits |over |the |descending |abdominal |aorta |
(mid |epigastric |area)
-Auscultate |with |the |BELL |of |the |stethoscope |for |bruits |over |the |iliac |arteries |bilaterally |(few |
centimeters |lateral |to |the |umbilicus |on |either |side |and |just |inferior)
normoactive |bowel |sounds |- |CORRECT |ANSWER✔✔-sound |about |every |5-20 |seconds |(at |least |
5 |-30 |sounds |over |a |minute)
hypoactive |bowel |sounds |- |CORRECT |ANSWER✔✔-very |soft |and |infrequent, |indicate |
decreased |intestinal |motility
hyperactive |bowel |sounds |- |CORRECT |ANSWER✔✔-fast, |frequent |bowel |sounds
absence |of |bowel |sounds |- |CORRECT |ANSWER✔✔-you |need |to |have |listened |to |the |abdomen |
for |3-5 |minutes |to |say |bowel |sounds |are |truly |absent.
