30 Jan Question 4The nurse suspects tha

NURS3020 Health Assessment

Week 4 Quiz

Question 1The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear?

Answers:

a. Dullness

b. Tympany

c. Resonance

d. Hyperresonance

Question 2Which structure is located in the left lower quadrant of the abdomen?

Answers:

a. Liver

b. Duodenum

c. Gallbladder

d. Sigmoid colon

Question 3A patient is having difficulty swallowing medications and food. The nurse would document that this patient has:

Answers:

a. Aphasia.

b. Dysphasia.

c. Dysphagia.

d. Anorexia.

Question 4The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition?

Answers:

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. Percuss and palpate the midline area above the suprapubic bone.

Question 5The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:

Answers:

a. Increased salivation.

b. Increased liver size.

c. Increased esophageal emptying.

d. Decreased gastric acid secretion.

Question 6A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of these statements is true regarding assessment of the spleen in this situation?

Answers:

a. The spleen can be enlarged as a result of trauma.

b. The spleen is normally felt on routine palpation.

c. If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size.

d. An enlarged spleen should not be palpated because it can easily rupture.

Question 7A patient’s abdomen is bulging and stretched in appearance. The nurse should describe this finding as:

Answers:

a. Obese.

b. Herniated.

c. Scaphoid.

d. Protuberant.

Question 8The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid contour of the abdomen depicts a ______ profile.

Answers:

a. Flat

b. Convex

c. Bulging

d. Concave

Question 9While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and umbilicus. The nurse would suspect that these are:

Answers:

a. Pulsations of the renal arteries.

b. Pulsations of the inferior vena cava.

c. Normal abdominal aortic pulsations.

d. Increased peristalsis from a bowel obstruction.

Question 10A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is:

Answers: