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NUR 643E ADVANCED HEALTH ASSESSMENT FINAL
EXAM NEWEST 2025 ACTUAL EXAM| COMPLETE
EXAM WITH 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
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 1 / 4
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pg. 2 45 y/o female presents to your office complaining of ache, 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
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
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pg. 3 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.
A new mother comes to you complaining that her infant has been projectile vomiting after every feeding. You inspect the abdomen and see visible peristaltic waves. What is this? - ANSWER - Pyloric stenosis
What is ascites? What causes it? - ANSWER - abnormal fluid Cancer, Liver Disease, Kidney Failure, Infections 3 / 4
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pg. 4 What part of the stethoscope do you want to use to listen to the abdomen? - ANSWER - Diaphragm
What do bowel sound sound like? How often? - ANSWER - Irregular gurgles and clicks 5-25 per minute
What is borborygmic? - ANSWER - A rumbling or gurgling noise made by the movement of fluid and gas in the intestines "stomach growling"
Where should you listen for friction rubs? - ANSWER - Over the liver and spleen
How does hypokalemia lead to abdominal distention? - ANSWER - Hypokalemia can lead to gastric dysmotility and ileus
What is spider angiomas? - ANSWER - Telangiectasias (swollen blood vessels) found slightly beneath the skin surface, often containing a central red spot and reddish extensions which radiate outwards like a spider's web
You are admitting a patient in the ER. She complains of "horrible" abdominal pain. You perform an abdominal exam - the patient is cringing, abdomen rigid, and you do not hear any bowel sounds. What do you do next? - ANSWER - Send to surgery, this acute abdomen is an emergency
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