Question 1

You should be particularly careful when performing deep palpation of the abdomen in patients with suspected

Accepted Answer

A)  cancer of the bowel to prevent metastasis. 
B)  ascites to prevent fluid shifting and electrolyte loss. 
C)  enlarged spleen to prevent rupture. 
D)  fecal impaction or severe diarrhea to prevent pain. 
A)  cancer of the bowel to prevent metastasis. 
B)  ascites to prevent fluid shifting and electrolyte loss. 
C)  enlarged spleen to prevent rupture. 
D)  fecal impaction or severe diarrhea to prevent pain.

Question 2

A nursing instructor quizzes the students on the anatomical structures located in the abdomen.One question was to identify the structures in the right lower quadrants of the abdomen.Which responses by the students would indicate that further study is needed? Select all that apply.

Accepted Answer

A)  Cecum 
B)  Spleen 
C)  Appendix 
D)  Duodenum 
E)  Stomach
F) Sigmoid colon 
A)  Cecum 
B)  Spleen 
C)  Appendix 
D)  Duodenum 
E)  Stomach
F) Sigmoid colon

Question 3

In which abdominal quadrant is most of the liver located?

Accepted Answer

A)  right upper quadrant 
B)  right lower quadrant 
C)  left upper quadrant 
D)  left lower quadrant 
A)  right upper quadrant 
B)  right lower quadrant 
C)  left upper quadrant 
D)  left lower quadrant

Question 4

A female patient reports an increase of involuntary loss of urine with sneezing and coughing.Her past medical history reveals uterine cancer,an abdominal hysterectomy,and radiation therapy.What type of incontinence is she most likely experiencing?

Accepted Answer

A)  stress incontinence 
B)  urge incontinence 
C)  overflow incontinence 
D)  functional incontinence 
A)  stress incontinence 
B)  urge incontinence 
C)  overflow incontinence 
D)  functional incontinence

Question 5

You note marked,strong abdominal pulsations in the epigastric area when inspecting a patient's abdomen.These most likely indicate

Accepted Answer

A)  normal peristaltic waves. 
B)  abnormal peristaltic waves. 
C)  distended abdomen. 
D)  aortic aneurysm. 
A)  normal peristaltic waves. 
B)  abnormal peristaltic waves. 
C)  distended abdomen. 
D)  aortic aneurysm.

Question 6

A scaphoid abdomen is characterized as a(n)

Accepted Answer

A)  convex symmetrical profile, with maximum height of the abdomen at the umbilicus. 
B)  convex contour with taut stretching of skin over the abdominal wall. 
C)  concave symmetrical profile possibly due to flaccid muscles. 
D)  asymmetrical profile, possibly indicating the presence of a tumor or a bowel obstruction. 
A)  convex symmetrical profile, with maximum height of the abdomen at the umbilicus. 
B)  convex contour with taut stretching of skin over the abdominal wall. 
C)  concave symmetrical profile possibly due to flaccid muscles. 
D)  asymmetrical profile, possibly indicating the presence of a tumor or a bowel obstruction.

Question 7

Parietal pain,which originates in the parietal peritoneum,is described as

Accepted Answer

A)  severe from the onset and precisely localized. 
B)  dull initially and poorly localized. 
C)  having a gradual onset and poorly localized. 
D)  cramping throughout the abdominal area. 
A)  severe from the onset and precisely localized. 
B)  dull initially and poorly localized. 
C)  having a gradual onset and poorly localized. 
D)  cramping throughout the abdominal area.

Question 8

When performing an abdominal examination, you should

Accepted Answer

A)  visualize the underlying abdominal structures. 
B)  avoid looking at the patient's face to minimize apprehension. 
C)  first examine areas of tenderness identified by the patient. 
D)  proceed quickly without superfluous conversation. 
A)  visualize the underlying abdominal structures. 
B)  avoid looking at the patient's face to minimize apprehension. 
C)  first examine areas of tenderness identified by the patient. 
D)  proceed quickly without superfluous conversation.

Question 9

Splenic enlargement is indicated when the area of dullness on percussion is over

Accepted Answer

A)  3 cm. 
B)  5 cm. 
C)  6 cm. 
D)  8 cm. 
A)  3 cm. 
B)  5 cm. 
C)  6 cm. 
D)  8 cm.

Question 10

Muscle guarding,or tensing of the rectus muscles,during expiration indicates

Accepted Answer

A)  the patient may be anxious. 
B)  bulging of the aorta. 
C)  possible pyelonephritis. 
D)  possible peritonitis. 
A)  the patient may be anxious. 
B)  bulging of the aorta. 
C)  possible pyelonephritis. 
D)  possible peritonitis.

Question 11

A client is diagnosed with hepatitis A and asks the nurse how to avoid infecting other family members.The nurse's response would be based on the understanding that the spread of hepatitis A is primarily

Accepted Answer

A)  from person to person through fecal contamination or contaminated food and water. 
B)  sexual contact with an infected person who does not show symptoms of the disease. 
C)  by contaminated needles from a person who has some form of hepatitis. 
D)  through blood transfusions of improperly prepared blood. 
A)  from person to person through fecal contamination or contaminated food and water. 
B)  sexual contact with an infected person who does not show symptoms of the disease. 
C)  by contaminated needles from a person who has some form of hepatitis. 
D)  through blood transfusions of improperly prepared blood.

Question 12

A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours.To examine the patient's abdominal pain,you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended.After you release the pressure,the patient complains of pain at the pressure site,indicating

Accepted Answer

A)  referred rebound tenderness. 
B)  localized pain. 
C)  direct rebound tenderness. 
D)  positive Cullen's sign. 
A)  referred rebound tenderness. 
B)  localized pain. 
C)  direct rebound tenderness. 
D)  positive Cullen's sign.

Question 13

Palpation of the abdominal aorta reveals an aorta width of 5 cm and lateral pulsation.This finding suggests a(n)

Accepted Answer

A)  normal finding. 
B)  ruptured aorta. 
C)  abdominal aortic aneurysm. 
D)  coarctation of the aorta. 
A)  normal finding. 
B)  ruptured aorta. 
C)  abdominal aortic aneurysm. 
D)  coarctation of the aorta.

Question 14

A patient reports having vomitus that looks like coffee grounds.You realize this is a description of what?

Accepted Answer

A)  fresh gastrointestinal blood 
B)  blood that has had time to mix with digestive juices 
C)  bile 
D)  fecal matter 
A)  fresh gastrointestinal blood 
B)  blood that has had time to mix with digestive juices 
C)  bile 
D)  fecal matter

Question 15

Which of the following is cause for concern when palpating the inguinal lymph nodes?

Accepted Answer

A)  small, movable nodes 
B)  a 0.75 cm palpable node 
C)  nonmovable nodes 
D)  nontender nodes 
A)  small, movable nodes 
B)  a 0.75 cm palpable node 
C)  nonmovable nodes 
D)  nontender nodes

Question 16

Liver span is measured to examine the liver's

Accepted Answer

A)  shrinkage. 
B)  relocation. 
C)  enlargement. 
D)  capacity. 
A)  shrinkage. 
B)  relocation. 
C)  enlargement. 
D)  capacity.

Question 17

The spleen,gallbladder,stomach,liver,bile duct,small intestine,and large intestine are considered the ____________________ organs.

Accepted Answer

intraperitoneal
Explanation:The organs c

Question 18

A 44-year-old patient is concerned about colorectal cancer because of a change in bowel habits.Which of the following is a risk factor for colorectal cancer?

Accepted Answer

A)  vegetarian diet 
B)  alcohol intake of one beer every night 
C)  body mass index of 32 
D)  marathon runner 
A)  vegetarian diet 
B)  alcohol intake of one beer every night 
C)  body mass index of 32 
D)  marathon runner

Question 19

Normal bowel sounds are heard as

Accepted Answer

A)  continuous, low-pitched rumbling sounds. 
B)  intermittent, high-pitched tinkling sounds occurring every 10-25 seconds. 
C)  intermittent, high-pitched gurgling sounds occurring 5-30 times per minute. 
D)  intermittent, loud gurgling sounds. 
A)  continuous, low-pitched rumbling sounds. 
B)  intermittent, high-pitched tinkling sounds occurring every 10-25 seconds. 
C)  intermittent, high-pitched gurgling sounds occurring 5-30 times per minute. 
D)  intermittent, loud gurgling sounds.

Question 20

In which abdominal quadrant is the spleen located?

Accepted Answer

A)  right upper quadrant 
B)  right lower quadrant 
C)  left upper quadrant 
D)  left lower quadrant 
A)  right upper quadrant 
B)  right lower quadrant 
C)  left upper quadrant 
D)  left lower quadrant

Exam 18: Abdomen

You should be particularly careful when performing deep palpation of the abdomen in patients with suspected

A nursing instructor quizzes the students on the anatomical structures located in the abdomen.One question was to identify the structures in the right lower quadrants of the abdomen.Which responses by the students would indicate that further study is needed? Select all that apply.

In which abdominal quadrant is most of the liver located?

A female patient reports an increase of involuntary loss of urine with sneezing and coughing.Her past medical history reveals uterine cancer,an abdominal hysterectomy,and radiation therapy.What type of incontinence is she most likely experiencing?

You note marked,strong abdominal pulsations in the epigastric area when inspecting a patient's abdomen.These most likely indicate

A scaphoid abdomen is characterized as a(n)

Parietal pain,which originates in the parietal peritoneum,is described as

When performing an abdominal examination, you should

Splenic enlargement is indicated when the area of dullness on percussion is over

Muscle guarding,or tensing of the rectus muscles,during expiration indicates

A client is diagnosed with hepatitis A and asks the nurse how to avoid infecting other family members.The nurse's response would be based on the understanding that the spread of hepatitis A is primarily

Palpation of the abdominal aorta reveals an aorta width of 5 cm and lateral pulsation.This finding suggests a(n)

A patient reports having vomitus that looks like coffee grounds.You realize this is a description of what?

Which of the following is cause for concern when palpating the inguinal lymph nodes?

Liver span is measured to examine the liver's

The spleen,gallbladder,stomach,liver,bile duct,small intestine,and large intestine are considered the ____________________ organs.

A 44-year-old patient is concerned about colorectal cancer because of a change in bowel habits.Which of the following is a risk factor for colorectal cancer?

Normal bowel sounds are heard as

In which abdominal quadrant is the spleen located?

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pregnant Patient

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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