Deck 24: Gastrointestinal Emergencies

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?

A) Somatic pain
B) Referred pain
C) Visceral pain
D) Nerve pain

Answer 1

Referred pain

Question 2

Thinking about different assessment techniques, in what sequence would you assess the abdominal area?

A) Palpation, inspection, percussion and auscultation
B) Inspection, percussion, inspection and auscultation
C) Inspection, auscultation, percussion and palpation
D) Inspection, auscultation, palpation and percussion

Answer 2

Inspection, auscultation, percussion and palpation

Question 3

Why do you have to perform auscultation prior to percussion and palpation?

A) Because it is less painful
B) To accurately listen to bowel sounds
C) To observe asepsis in doing assessments
D) All are correct

Answer 3

To accurately listen to bowel sounds

Question 4

A right upper quadrant pain may indicate the following, EXCEPT:

A) Appendicitis
B) Cholecystitis
C) Hepatitis
D) Hepatomegaly

Question 5

What character of pain is associated with possible gastroenteritis?

A) On and off pain
B) Dull pain
C) Sharp pain
D) All are correct

Question 6

How do you describe Cullen's sign in a possible abdominal bleeding?

A) Flank ecchymosis
B) Periumbilical ecchymosis
C) Post-tussive abdominal pain
D) All are correct

Question 7

All of the following signs are associated with appendicitis, EXCEPT:

A) McBurney's sign
B) Murphy's sign
C) Obdurate sign
D) Positive psoas sign

Question 8

The simplest screening test that needs to be done to any patient presenting with abdominal pain.

A) ECG
B) CT scan
C) Urinalysis
D) MRI

Question 9

What is your initial nursing intervention in a patient diagnosed with gastrointestinal bleeding?

A) Encourage fluid intake
B) Assign the patient as nil by mouth
C) Fluid restriction to 1000 mL
D) All are correct

Question 10

What test results indicate a positive pancreatitis diagnosis?

A) Troponin elevation
B) Serum lipase elevation
C) CK-MB rise
D) None are correct