A client is brought to the hospital because of severe abdominal pain, nausea, and vomiting. The client reports increased pain in the abdomen and in the epigastric region radiating to the back when lying supine. Upon physical assessment, the nurse finds that the client has fever and hypotension.

What should the nurse infer from these findings?

The client has chronic pancreatitis.

The client has cholecystitis.

The client has cholelithiasis.

The client has acute pancreatitis.

Answer and Explanation

The Correct Answer is D

Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.

Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.

Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.

Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.

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Correct Answer is C

Explanation

Choice A rationale: This is a general description of an imaging test, such as an X-ray, ultrasound, or MRI, which can show the structure of the organs but not the mucosal lining.

Choice B rationale: This is a general description of a blood test, which can show signs of infection, inflammation, or anemia, but not the cause of these problems.

Choice C rationale: This exam is called a colonoscopy, which involves inserting a flexible tube with a camera and light into the anus and advancing it through the colon. A colonoscopy can reveal signs of inflammation, ulcers, bleeding, or narrowing of the intestinal wall that are characteristic of Crohn's disease. A biopsy can also be taken during the procedure to confirm the diagnosis.

Choice D rationale: This is a general description of a urine test, which can show signs of kidney problems, urinary tract infections, or dehydration, but not Crohn's disease.

A. Peyronie's disease B. Hypospadias C. Phimosis D. Orchitis

Correct Answer is A

Explanation

Choice A rationale: This is a condition that causes scar tissue to form in the penis, resulting in abnormal curvature, pain, and erectile dysfunction.

Choice B rationale: Hypospadias is a congenital defect in which the opening of the urethra is on the underside of the penis, not at the tip.

Choice C rationale: Phimosis is a condition in which the foreskin of the penis cannot be retracted fully, leading to inflammation and infection.

Choice D rationale: Orchitis is an inflammation of one or both testicles, usually caused by an infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Upon physical examination, the nurse detects abdominal tenderness, increased bowel sounds accompanied by signs of borborygmi, abdominal distension, and tympany on percussion. Which diagnostic test will confirm Crohn's disease in the client?

Correct Answer is C

Explanation

While performing the genital assessment of a male client, a nurse observes that the client has curvature of the penis. Which condition does the nurse suspect in the client?

Correct Answer is A

Explanation

A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

A client with diffuse axonal injury is experiencing difficulty with respiration, heart rate, blood pressure. Which region of the brain does the nurse suspect to be affected?

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