Practice Question
The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?
Answer Choices:
Correct Answer:
3
Rationale:
🔹McBurney's point, the classic site of tenderness in acute appendicitis, is located in the right lower quadrant, about one-third the distance from the anterior superior iliac spine to the umbilicus.
🔹Point 3 on the illustration corresponds anatomically with this region.
🔹Tenderness at McBurney’s point is due to irritation of the peritoneum overlying the inflamed appendix and is used clinically as a diagnostic indicator.
🔹Localization of this pain helps differentiate appendicitis from other causes of abdominal discomfort and supports further imaging or surgical consultation.
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This question is from RN Medsurg~200 Exam which contains 58 questions.
More Questions from This Exam
While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:
Answer Choices:
A. the onset of the disease at age 19.
B. intermittent abdominal pain and cramping.
C. weight loss.
D. bloody diarrhea 15-20 times per day.
The nurse is teaching the client about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)
Answer Choices:
A. Check weight daily
B. Join a support group
C. Use large, yellow plates
D. Keep a food diary
E. Eat quickly and leave the table
The nurse assesses a client admitted four hours ago with a diagnosis of diverticulitis. Which clinical manifestation must be reported immediately to the physician?
Answer Choices:
A. Temperature- 101.2
B. Bowel sounds change from normoactive to absent
C. Left lower quadrant discomfort
D. WBC count is slightly elevated
Trimethoprim and sulfamethoxazole BID for 7 days is prescribed for a client who has a UTI caused by E.coli. The nurse instructs the client to:
Answer Choices:
A. take two pills each day for 5 days, and reserve the rest of the pills to take if the symptoms reappear.
B. take the antibiotic for the full 7 days, even if symptoms improve in a few days
C. increase the effectiveness of the drug by taking it with cranberry juice to acidify the urine
D. return to the clinic in 3 days so that a urine culture can be done to evaluate the effectiveness of the drug.
The client has lived with ulcerative colitis for close to 15 years and has learned to manage it very well. At this point in time, the nurse's discussion with the client about this disease should have a primary focus on which question?
Answer Choices:
A. "How are you managing stressful situations?"
B. "Have you made an appointment for your annual colonoscopy?"
C. "Are you taking your medications regularly?
D. "Are you getting enough rest?"
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4