Adult Nurse Practitioner Exam Prep

Answer - D - Vomiting bile is usually not a sign of internal bleeding; instead, vomiting of blood is more common, especially in cases where the abdomen is affected. Internal bleeding is difficult to identify and can only be evident when signs of shock appear. Internal bleeding usually results from trauma or injury, but it can also occur due to an existing condition (i.e. hemophilia) or medications (i.e anticoagulants). Board-like abdomen occurs when the blood is spilled into the peritoneal cavity.