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NURS 111 Fundamentals of Nursing Practice Pierce College

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Pierce College

NURS 111 Fundamentals of Nursing Practice Pierce College

1. A patient tells the nurse, “I’ve been having pain in my belly for several days that gets worse
after eating.” Which datum from the symptom analysis is consistent with the nurse’s suspicion
of peptic ulcer disease?
a. Gnawing epigastric pain radiates to the back or shoulder that worsens after eating.
b. Sharp midepigastric pain radiates to the jaw.
c. Intermittent cramping pain in the left lower quadrant is relieved by defecation.
d. Colicky pain is felt near the umbilicus with vomiting and constipation.

2. During an assessment for abdominal pain, a patient reports a colicky abdominal pain and pain
in the right shoulder that gets worse after eating fried foods. What question does the nurse ask
to confirm the suspicion of cholelithiasis?
a. “Have you noticed any swelling in your ankles or feet at the end of the day?”
b. “Have you noticed a change in the color of your urine or stools?”
c. “Have you vomited up any blood in the last 24 hours?”
d. “Have you experienced fever, chills, or sweating?”

3. A patient reports having frequent heartburn. Which question does the nurse ask in response to
this information?
Health Assessment for Nursing Practice 6th Edition Wilson Test Bank
a. “Has your abdomen been distended when you feel the heartburn?”
b. “What have you eaten in the last 24 hours?”
c. “Is there a history of heart disease in your family?”
d. “How long after eating do you have heartburn?”

4. A patient reports having abdominal distention. The nurse notices that the patient’s sclerae are
yellow. What question is appropriate for the nurse to ask in response to this information?
a. “Has there been a change in your usual pattern of urination?”
b. “Have you had any nausea or vomiting?”
c. “Has there been a change in your bowel habits?”
d. “Have you had indigestion or heartburn?”

5. A patient reports having abdominal distention and having vomited several times yesterday and
today. What question is appropriate for the nurse to ask in response to this information?
a. “Has there been a change in your usual pattern of urination?”
b. “Did you have heartburn before the vomiting?”
c. “What did the vomitus look like?”
d. “Have you noticed a change in the color of your urine or stools?”

6. A patient reports a change in the usual pattern of urination. What question does the nurse ask
to determine if incontinence is the reason for these symptoms?
a. “Do you have the feeling that you cannot wait to urinate?”
b. “Are you urinating a large amount each time you go to the bathroom?”
c. “Has the color of your urine changed lately?”
d. “Have you noticed any swelling in your ankles at the end of the day?”

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NURS 111 Fundamentals of Nursing Practice Pierce College

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