Correct Answer: D

Rationale: The correct answer is D: His symptoms occur in 5 to 10% of people after ulcer surgery. This is the correct answer because the patient's symptoms of decreased capacity for intake and nausea after eating are common post-operative complications following ulcer surgery. By stating this fact to the patient, the AGACNP is providing reassurance that these symptoms are not unusual.

Explanation for why the other choices are incorrect:
A: Endoscopy is not necessary at this point since the symptoms described by the patient are known post-operative complications and do not indicate an urgent need for endoscopy.
B: While gastroparesis can be a complication of ulcer surgery, there is no information in the case to suggest that the patient has chronic gastroparesis.
C: Jumping to the conclusion that medication is unlikely to help and another surgery may be needed is premature and not supported by the information provided in the case.

Correct Answer: D

Rationale: The correct answer is D: Hypergastrinemia and acid hypersecretion. Gastrinoma is a tumor that secretes excessive gastrin, leading to elevated gastrin levels. High gastrin levels stimulate acid secretion in the stomach, resulting in acid hypersecretion.
Therefore, the combination of hypergastrinemia and acid hypersecretion is almost diagnostic of gastrinoma.

A: Hypogastrinemia and acid hyposecretion is incorrect because gastrinoma leads to increased gastrin levels and subsequent acid hypersecretion.
B: Hypergastrinemia and acid hyposecretion is incorrect because gastrinoma is associated with acid hypersecretion, not hyposecretion.
C: Hypogastrinemia and acid hypersecretion is incorrect because gastrinoma causes elevated gastrin levels and acid hypersecretion, not hypogastrinemia.

In summary, the correct answer D aligns with the pathophysiology of gastrinoma, while the

Correct Answer: B

Rationale: The correct answer is B: Retroperitoneal bleeding. The physical survey described focuses on assessing for internal bleeding within the retroperitoneal space following a serious motor vehicle accident. The rectovaginal examination, inspection of the urethral meatus, and palpation of pelvic landmarks help evaluate for signs of pelvic fracture and internal bleeding. These assessments help identify potential sources of retroperitoneal bleeding, which can be a life-threatening complication of trauma. Peritoneal bleeding (choice
A) involves bleeding within the abdominal cavity, which is less likely in this scenario. Paresthesia (choice
C) refers to abnormal sensations like tingling or numbness, which are not typically assessed through physical examination in this context. Pelvic fracture (choice
D) is a possible outcome of trauma but does not directly assess for retroperitoneal bleeding.

Correct Answer: A

Rationale: The correct answer is A because congenital abnormalities and chorioangioma can lead to increased amniotic fluid accumulation, causing polyhydramnios. Congenital abnormalities can affect fetal swallowing and urine production, leading to fluid buildup. Chorioangioma is a vascular tumor in the placenta that can disrupt normal fluid dynamics.


Choice B is incorrect as severe fetal hypoxia and multiple pregnancy are more likely to cause oligohydramnios, not polyhydramnios.
Choice C is incorrect as uncontrolled diabetes mellitus and anemia are associated with macrosomia and not polyhydramnios.
Choice D is incorrect because Rhesus D isoimmunisation and postdatism are not typically linked to polyhydramnios.

Correct Answer: B

Rationale: The correct answer is B: Irritability, hypoxia, and paralysis. Intracranial injury can lead to neurological symptoms such as irritability due to brain inflammation, hypoxia from impaired oxygen delivery, and paralysis from damage to the brain or spinal cord. Limpness, bruises, and hypothermia (Option
A) are not specific to intracranial injury. Hypothermia, limpness, and irritability (Option
C) do not encompass the key neurological symptoms associated with intracranial injury. Hypocalcemia, paralysis, and hypoxia (Option
D) include incorrect factors not typically seen in intracranial injury.