The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear?
A) Dullness
B) Tympany
C) Resonance
D) Hyperresonance
ANS: A) Dullness
The liver is located in the right upper quadrant and would elicit a dull percussion note.
Which structure is located in the left lower quadrant of the abdomen?
A) Liver
B) Duodenum
C) Gallbladder
D) Sigmoid colon
ANS: D) Sigmoid colon
The sigmoid colon is located in the left lower quadrant of the abdomen.
A patient is having difficulty in swallowing medications and food. The nurse would document that this patient has:
A) aphasia.
B) dysphasia.
C) dysphagia.
D) anorexia.
ANS: C) dysphagia
Dysphagia is a condition that occurs with disorders of the throat or esophagus and results in difficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite
The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition?
A) Percuss and palpate in the lumbar region.
B) Inspect and palpate in the epigastric region.
C) Auscultate and percuss in the inguinal region.
D) P
ANS: D) Percuss and palpate the midline area above the suprapubic bone.
Dull percussion sounds would be elicited over a distended bladder, and the hypogastric area would seem firm to palpation.
The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:
A) increased salivation.
B) increased liver size.
C) increased esophageal emptying.
D) decreased gastric acid secretion.
ANS: D) decreased gastric acid secretion.
Gastric acid secretion decreases with aging. As one ages, salivation decreases, esophageal emptying is delayed, and liver size decreases
A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handlebars. The nurse suspects that he may have injured his spleen. Which of these statements is true regarding assessment of the
ANS: D) An enlarged spleen should not be palpated because it can rupture easily.
If an enlarged spleen is felt, then the nurse should refer the person but should not continue to palpate it. An enlarged spleen is friable and can rupture easily with overpal
A patient's abdomen is bulging and stretched in appearance. The nurse should describe this finding as:
A) obese.
B) herniated.
C) scaphoid.
D) protuberant.
ANS: D) protuberant
A protuberant abdomen is rounded, bulging, and stretched. See Figure 21-7. A scaphoid abdomen caves inward.
The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid contour of the abdomen depicts a _____ profile.
A) flat
B) convex
C) bulging
D) concave
ANS: D) concave
Contour describes the profile of the abdomen from the rib margin to the pubic bone; a scaphoid contour is one that is concave from a horizontal plane. See Figure 21-7.
While examining a patient, the nurse observes abdominal pulsations between the xiphoid and umbilicus. The nurse would suspect that these are:
A) pulsations of the renal arteries.
B) pulsations of the inferior vena cava.
C) normal abdominal aortic pulsatio
ANS: C) normal abdominal aortic pulsations.
Normally, one may see the pulsations from the aorta beneath the skin in the epigastric area, particularly in thin persons with good muscle wall relaxation.
A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is:
A) diarrhea.
B) peritonitis.
C) laxative use.
D) gastroenteritis.
ANS: B) peritonitis
Diminished or absent bowel sounds signal decreased motility from inflammation as seen with peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction.
The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?
A) "We need to determine
ANS: B) "It prevents distortion of bowel sounds that might occur after percussion and palpation."
Auscultation is performed first (after inspection) because percussion and palpation can increase peristalsis, which would give a false interpretation of bowe
The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds?
A) They are usually loud, high-pitched, rushing, tinkling sounds.
B) They are usually high-pitched, gurgling, irregular sounds.
C) They sound like two pieces of lea
ANS: B) They are usually high-pitched, gurgling, irregular sounds.
Bowel sounds are high-pitched, gurgling, cascading sounds that occur irregularly from 5 to 30 times per minute. They originate from the movement of air and fluid through the small intestin
The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to:
A) a loud continuous hum.
B) a peritoneal friction rub.
C) hypoactive bowel sounds.
D) hyperactive bowel sounds.
ANS: D) hyperactive bowel sounds.
Borborygmi is the term used for hyperperistalsis when the person actually feels his or her stomach growling
During an abdominal assessment, the nurse would consider which of these findings as normal?
A) The presence of a bruit in the femoral area
B) A tympanic percussion note in the umbilical region
C) A palpable spleen between the ninth and eleventh ribs in th
ANS: B) A tympanic percussion note in the umbilical region
Tympany should predominate in all four quadrants of the abdomen because air in the intestines rises to the surface when the person is supine. Vascular bruits are not usually present. Normally the
The nurse is assessing the abdomen of a pregnant woman who is complaining of having "acid indigestion" all the time. The nurse knows that esophageal reflux during pregnancy can cause:
A) diarrhea.
B) pyrosis.
C) dysphagia.
D) constipation.
ANS: B) pyrosis
Pyrosis, or heartburn (not constipation), is caused by esophageal reflux during pregnancy. The other options are not correct.
The nurse is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include:
A) flatness, resonance, and dullness.
B) resonance, dullness, and tympany.
C) tympany, hyperresonance, and dullness.
D)
ANS: C) tympany, hyperresonance, and dullness
Percussion notes normally heard during the abdominal assessment may include tympany, which should predominate because air in the intestines rises to the surface when the person is supine; hyperresonance, which
An older patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to:
A) increased gastric acid secretion.
B) decreased gastric acid secretion.
C) delayed gastrointestinal emptying time.
D) increased gastroin
ANS: B) decreased gastric acid secretion
Gastric acid secretion decreases with aging, and this may cause pernicious anemia (because it interferes with vitamin B12 absorption), iron deficiency anemia, and malabsorption of calcium
A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that this symptom is most often indicative of:
A) ovary infection.
B) liver enlargement.
C) kidney inflammation.
D) spleen enlargement.
ANS: C) kidney inflammation
Sharp pain along the costovertebral angles occurs with inflammation of the kidney or paranephric area. The other options are not correct.
A nurse notices that a patient has ascites, which indicates the presence of:
A) fluid.
B) feces.
C) flatus.
D) fibroid tumors.
ANS: A) fluid
Ascites is free fluid in the peritoneal cavity, and occurs with heart failure, portal hypertension, cirrhosis, hepatitis, pancreatitis, and cancer. associated with liver failure.
The nurse knows that during an abdominal assessment, deep palpation is used to determine:
A) bowel motility.
B) enlarged organs.
C) superficial tenderness.
D) overall impression of skin surface and superficial musculature.
ANS: B) enlarged organs
With deep palpation, the nurse should notice the location, size, consistency, and mobility of any palpable organs and the presence of any abnormal enlargement, tenderness, or masses.
The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be:
A) gallbladder disease.
B) overuse of laxatives.
C) gastrointestinal bleeding.
D) localized bleeding around the anus.
ANS: C) gastrointestional bleeding
Black stools may be tarry as a result of occult blood (melena) from gastrointestinal bleeding.
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which of these structures?
A) Spleen
B) Sigmoid
C) Appendix
D) Gallbladder
ANS: C) appendix
The appendix is located in the right lower quadrant, and when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix), pain is felt in the right lower quadrant.
The nurse is assessing the abdomen of an aging adult. Which of these statements regarding the aging adult and abdominal assessment is true?
A) The abdominal tone is increased.
B) The abdominal musculature is thinner.
C) Abdominal rigidity with acute abdom
ANS: B) The abdominal musculature is thinner.
In the aging person, the abdominal musculature is thinner and has less tone than that of the younger adult, and abdominal rigidity with acute abdominal conditions is less common in aging. The aging person ofte
During an assessment of a newborn infant, the nurse recalls that pyloric stenosis would be manifested by:
A) projectile vomiting.
B) hypoactive bowel activity.
C) palpable olive-sized mass in right lower quadrant.
D) pronounced peristaltic waves crossing
ANS: A) projectile vomiting
Marked peristalsis together with projectile vomiting in the newborn suggests pyloric stenosis. After feeding, pronounced peristaltic waves cross from left to right, leading to projectile vomiting. One can also palpate an olive-
To detect diastasis recti, the nurse should have the patient perform which of these maneuvers?
A) Relax in the supine position.
B) Raise the arms in the left lateral position.
C) Raise the arms over the head while supine.
D) Raise the head while remaining
ANS: D) Raise the head while remaining supine.
Diastasis recti is a separation of the abdominal rectus muscles, which can occur congenitally, as a result of pregnancy, or from marked obesity. This is assessed by having the patient raise the head while rem
The nurse is reviewing the assessment of an aortic aneurysm. Which of these statements is true regarding an aortic aneurysm?
A) A bruit is absent.
B) Femoral pulses are increased.
C) A pulsating mass is usually present.
D) Most are located below the umbil
ANS: C) A pulsating mass is usually present.
Most aortic aneurysms are palpable during routine examination and feel like a pulsating mass. A bruit will be audible, and femoral pulses are present but decreased. Such aneurysms are located in the upper abdom
During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen. Before reporting this finding as "silent bowel sounds" the nurse should listen for at least:
A) 1 minute.
B) 5 minutes.
C) 10 minutes.
D) 2 minutes in each qu
ANS: B) 5 minutes
Absent bowel sounds are rare. The nurse must listen for 5 minutes before deciding bowel sounds are completely absent.
A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition?
A) Obturator test
B) Test for Murphy's sign
C) Assess for rebound tenderness
D) Iliopsoas
ANS: B) Test for Murphy's sign
Normally, palpating the liver causes no pain. In a person with inflammation of the gallbladder, or cholecystitis, pain occurs as the descending liver pushes the inflamed gallbladder onto the examining hand during inspiration
Just before going home, a new mother asks the nurse about the infant's umbilical cord. Which of these statements is correct?
A) "It should fall off by 10 to 14 days."
B) "It will soften before it falls off."
C) "It contains two veins and one artery."
D)
ANS: A) "It should fall off by 10 to 14 days."
At birth, the umbilical cord is white and contains two umbilical arteries and one vein inside the Wharton jelly. The umbilical stump dries within a week, hardens, and falls off by 10 to 14 days. Skin will cov
Which of these percussion findings would the nurse expect to find in a patient with a large amount of ascites?
A) Dullness across the abdomen
B) Flatness in the right upper quadrant
C) Hyperresonance in the left upper quadrant
D) Tympany in the right and
ANS: A) Dullness across the abdomen
The presence of fluid causes a dull sound to percussion. A large amount of ascitic fluid would produce a dull sound to percussion.
A 40-year-old man states that his physician told him that he has a hernia. He asks the nurse to explain what a hernia is. Which response by the nurse is appropriate?
A) "No need to worry. Most men your age develop hernias."
B) "A hernia is a loop of bowel
ANS: B) "A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles."
The nurse should explain that a hernia is a protrusion of the abdominal viscera through an abnormal opening in the muscle wall.
A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of about 10 cm. The nurse should:
A) document the presence of hep
ANS: D) consider this a normal finding and proceed with the examination.
The average liver span in the midclavicular line is 6 to 12 cm. Men and taller individuals are at the upper end of this range. Women and shorter individuals are at the lower end of t
When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left upper quadrant with deep palpation. Which of these structures is most likely to be involved?
A) Spleen
B) Sigmoid colon
C) Appendix
D) Gallbladde
ANS: A) spleen
The spleen is located in the left upper quadrant of the abdomen. The gallbladder is in the right upper quadrant, the sigmoid colon is in the left lower quadrant, and the appendix is in the right lower quadrant.
The nurse is reviewing statistics for lactose intolerance. In the United States, the incidence of lactose intolerance is higher in adults of which ethnic group?
A) African-Americans
B) Hispanics
C) Whites
D) Asians
ANS: A) African-Americans
A recent study found lactose-intolerance prevalence estimates as follows: 19.5% for African-Americans, 10% for Hispanics, and 7.72% for whites.
The nurse is assessing a patient for possible peptic ulcer disease and knows that which condition often causes this problem?
A) Hypertension
B) Streptococcus infections
C) History of constipation and frequent laxative use
D) Frequent use of nonsteroidal a
ANS: D) Frequent use of nonsteroidal antiinflammatory drugs
Peptic ulcer disease occurs with frequent use of nonsteroidal antiinflammatory drugs, alcohol use, smoking, and Helicobacter pylori infection.
During report, the student nurse hears that a patient has "hepatomegaly" and recognizes that this term refers to:
A) an enlarged liver.
B) an enlarged spleen.
C) distended bowel.
D) excessive diarrhea.
ANS: A) an enlarged liver
The term hepatomegaly refers to an enlarged liver. The term splenomegaly refers to an enlarged spleen. The other responses are not correct.
During an assessment the nurse notices that a patient's umbilicus is enlarged and everted. It is midline, and there is no change in skin color. The nurse recognizes that the patient may have which condition?
A) Intra-abdominal bleeding
B) Constipation
C)
ANS: C) umbilical hernia
The umbilicus is normally midline and inverted, with no signs of discoloration. With an umbilical hernia, the mass is enlarged and everted. The other responses are incorrect.
During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with:
A) splenomegaly.
B) distended bladder.
C) constipation.
D) ascites.
ANS: D) ascites
If ascites (fluid in the abdomen) is present, then the examiner will feel a fluid wave when assessing the abdomen. A fluid wave is not present with splenomegaly, a distended bladder, or constipation.
The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should:
A) examine the tender area first.
B) examine the tender area last.
C) avoid palpating th
ANS: B) examine the tender area last.
The nurse should save the examination of any identified tender areas until last. This method avoids pain and the resulting muscle rigidity that would obscure deep palpation later in the examination. Auscultation is do
During a health history, the patient tells the nurse, "I have pain all the time in my stomach. It's worse two hours after I eat, but it gets better if I eat again!" The nurse suspects that the patient has which condition, based on these symptoms?
A) Appen
ANS: C) Duodenal ulcer
Pain associated with duodenal ulcers occurs 2 to 3 hours after a meal, yet it is relieved by more food. Chronic pain associated with gastric ulcers occurs usually on an empty stomach. Severe, acute pain would occur with appendicitis
The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? Select all that apply.
A) Test for Murphy's sign.
B) Test for Blumberg's sign.
C) Test for shif
ANS: B (Test for Blumberg's sign.), D (Perform iliopsoas muscle test)
Testing for Blumberg's sign (rebound tenderness) and performing the iliopsoas muscle test should be used to assess for appendicitis. Murphy's sign is used to assess for an inflamed gall