Question 1

One of the manifestations in gastrointestinal emergencies is the occurrence of pain. What do you call the type of pain that occurs not directly on the source but distant from it?&#10;A) Somatic pain&#10;B) Referred pain&#10;C) Visceral pain&#10;D) Nerve pain

Accepted Answer

Referred pain is the type of pain perceived at a location other than the site of the painful stimulus. It occurs because of a network of interconnecting sensory nerves, which allows pain from one area of the body to be felt in another area.

Question 2

Thinking about different assessment techniques, in what sequence would you assess the abdominal area?&#10;A) Palpation, inspection, percussion and auscultation&#10;B) Inspection, percussion, inspection and auscultation&#10;C) Inspection, auscultation, percussion and palpation&#10;D) Inspection, auscultation, palpation and percussion

Accepted Answer

The correct sequence for abdominal assessment is inspection, auscultation, percussion, and palpation. This order is recommended to avoid altering bowel sounds before they are auscultated.

Question 3

Why do you have to perform auscultation prior to percussion and palpation?&#10;A) Because it is less painful&#10;B) To accurately listen to bowel sounds&#10;C) To observe asepsis in doing assessments&#10;D) All are correct

Accepted Answer

Auscultation is performed prior to percussion and palpation to accurately listen to bowel sounds, as these procedures can alter the frequency and character of the sounds, making it difficult to obtain an accurate assessment.

Question 4

A right upper quadrant pain may indicate the following, EXCEPT:&#10;A) Appendicitis&#10;B) Cholecystitis&#10;C) Hepatitis&#10;D) Hepatomegaly

Accepted Answer

Appendicitis typically presents with pain in the lower right quadrant of the abdomen, not the upper right quadrant. Cholecystitis, hepatitis, and hepatomegaly can all cause pain in the upper right quadrant.

Question 5

What character of pain is associated with possible gastroenteritis?&#10;A) On and off pain&#10;B) Dull pain&#10;C) Sharp pain&#10;D) All are correct

Accepted Answer

The answer of What character of pain is associated with...

Question 6

How do you describe Cullen's sign in a possible abdominal bleeding?&#10;A) Flank ecchymosis&#10;B) Periumbilical ecchymosis&#10;C) Post-tussive abdominal pain&#10;D) All are correct

Accepted Answer

Cullen's sign is characterized by periumbilical ecchymosis, which is a sign of possible abdominal bleeding, particularly in the context of pancreatitis or other intra-abdominal hemorrhages.

Question 7

All of the following signs are associated with appendicitis, EXCEPT:&#10;A) McBurney's sign&#10;B) Murphy's sign&#10;C) Obdurate sign&#10;D) Positive psoas sign

Accepted Answer

Murphy's sign is associated with acute cholecystitis, not appendicitis. McBurney's sign, Obdurate sign, and a positive psoas sign are all indicative of appendicitis.

Question 8

The simplest screening test that needs to be done to any patient presenting with abdominal pain.&#10;A) ECG&#10;B) CT scan&#10;C) Urinalysis&#10;D) MRI

Accepted Answer

Urinalysis is a simple, non-invasive test that can help identify a range of conditions that might cause abdominal pain, such as urinary tract infections, kidney stones, or other renal issues. It's often one of the first tests done due to its simplicity and the valuable information it can provide.

Question 9

What is your initial nursing intervention in a patient diagnosed with gastrointestinal bleeding?&#10;A) Encourage fluid intake&#10;B) Assign the patient as nil by mouth&#10;C) Fluid restriction to 1000 mL&#10;D) All are correct

Accepted Answer

In cases of gastrointestinal bleeding, the initial nursing intervention often includes assigning the patient as nil by mouth (NPO) to prevent further irritation or stress to the gastrointestinal tract, allowing it to rest and potentially heal. This measure also prepares the patient in case endoscopic examination or surgery becomes necessary.

Question 10

What test results indicate a positive pancreatitis diagnosis?&#10;A) Troponin elevation&#10;B) Serum lipase elevation&#10;C) CK-MB rise&#10;D) None are correct

Accepted Answer

Serum lipase elevation is a key indicator of pancreatitis, as it suggests inflammation or damage to the pancreas.

Deck 24: Gastrointestinal Emergencies