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Instructions for Taking the CE Test Online:


* Read the article. The test for this CE activity can be taken online at Tests can no longer be mailed or faxed.


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* There is only one correct answer for each question. A passing score for this test is 12 correct answers. If you pass, you can print your certificate of earned contact hours and the answer key. If you fail, you have the option of taking the test again at no additional cost.


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Registration Deadline: June 3, 2022


Disclosure Statement:


The authors and planners have disclosed that they have no financial relationships related to this article.


Provider Accreditation:


Lippincott Professional Development will award 1.5 contact hours for this continuing nursing education activity.


Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.




* The registration fee for this test is $10.50 for members; $15.00 for nonmembers.




GENERAL PURPOSE: To provide information about the assessment of a patient with acute or chronic abdominal pain.


LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:


1. Identify the causes, characteristics, and types of abdominal pain.


2. Recall features of the assessment and diagnosis of a patient with abdominal pain.



1. A common cause of upper abdominal pain is


a. diverticulitis.


b. endometriosis.


c. hepatitis.


2. As noted in the article, a common cause of chronic abdominal pain is


a. abdominal abscess.


b. testicular torsion.


c. domestic violence.


3. Which statement is accurate regarding appendicitis?


a. The onset is sudden.


b. In the early stage, the location is periumbilical.


c. The pain radiates to the right upper quadrant.


4. Common findings with pain from diverticulitis include


a. left lower quadrant location.


b. constricting quality.


c. diffuse distribution.


5. Patients with a small bowel obstruction will typically describe their pain as


a. sharp.


b. cramping.


c. tearing.


6. The Rome IV Criteria for the diagnosis of centrally mediated abdominal pain syndrome includes


a. the possibility of malingering.


b. the pain is continuous or almost continuous.


c. no loss of daily functioning.


7. Subacute abdominal pain lasts


a. less than a few days.


b. a few days to less than 6 months.


c. more than 6 months.


8. Which of the following is a feature of somatoparietal pain?


a. It is generally more intense than visceral pain.


b. It is dull, poorly localized, mid-abdominal pain.


c. It is sensed in an area remote from the affected organ.


9. Chronic pain with no identifiable structural disease may be deemed


a. functional.


b. myofascial.


c. organic.


10. The COLDSPA mnemonic for obtaining the history of a patient with abdominal pain includes


a. Defect.


b. Pattern.


c. Age.


11. As noted in the article, clinical features that point to an organic etiology for abdominal pain include


a. significant life stresses.


b. nocturnal awakening with pain.


c. social activity limitations.


12. The second step in the physical assessment of the abdomen is


a. palpation.


b. percussion.


c. auscultation.


13. Palpation is contraindicated in a patient with a pulsating midline mass because this sign may indicate a


a. pancreatic carcinoma.


b. dissecting aneurysm.


c. perforated peptic ulcer.


14. Which of the following diagnostic serum tests is recommended initially for most patients with a suspected organic cause for their chronic abdominal pain?


a. lipase and amylase levels


b. prothrombin and international normalized ratio


c. lactate level


15. What imaging study do the authors note is recommended for a patient with right- or left-sided lower abdominal pain?


a. computed tomography


b. magnetic resonance imaging


c. ultrasonography


16. As noted in the article, what condition may mimic diseases of the abdomen and should be included in the differential diagnoses?


a. asthma exacerbation


b. thyroid storm


c. myocardial infarction





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