Nursing Elites

1. You’re performing an abdominal assessment on Brent who is 52 y.o. In which order do you proceed?

• A. Observation, percussion, palpation, auscultation
• B. Observation, auscultation, percussion, palpation
• C. Percussion, palpation, auscultation, observation
• D. Palpation, percussion, observation, auscultation

Correct answer: B

Rationale: The correct order for performing an abdominal assessment is observation, auscultation, percussion, and palpation.

2. A 53 y.o. patient has undergone a partial gastrectomy for adenocarcinoma of the stomach. An NG tube is in place and is connected to low continuous suction. During the immediate postoperative period, you expect the gastric secretions to be which color?

• A. Brown.
• B. Clear.
• C. Red.
• D. Yellow.

Correct answer: C

Rationale: During the immediate postoperative period after a partial gastrectomy, gastric secretions are expected to be red.

3. The nurse is performing an assessment on a client with acute pancreatitis who was admitted to the hospital. Which of the following assessment questions most specifically would elicit information regarding the pain that is associated with acute pancreatitis?

• A. Does the pain in your abdomen radiate to your groin.
• B. Does the pain in your stomach radiate to the back?
• C. Does the pain in your stomach radiate to your lower middle abdomen?
• D. Does the pain in your lower abdomen radiate to the hip?

Correct answer: B

Rationale: The pain that is associated with acute pancreatitis is often severe and is located in the epigastric region and radiates to the back. Options 1, 3, and 4 are incorrect because they are not specific for the pain experienced by the client with pancreatitis.

4. Fistulas are most common with which of the following bowel disorders?

• A. Crohn’s disease
• B. Diverticulitis
• C. Diverticulosis
• D. Ulcerative colitis

Correct answer: A

Rationale: Fistulas are most common in Crohn's disease due to the transmural inflammation that characterizes this condition.

5. Which of the following interventions should be included in the medical management of Crohn’s disease?

• A. Increasing oral intake of fiber
• B. Administering laxatives
• C. Using long-term steroid therapy
• D. Increasing physical activity

Correct answer: C

Rationale: Long-term steroid therapy is often used in the management of Crohn's disease to reduce inflammation and suppress the immune response.

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