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1. 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 ✔Correct Answer-A
2. Which structure is located in the left lower quadrant of the abdomen?
A) Liver
B) Duodenum
C) Gallbladder
D) Sigmoid colon ✔Correct Answer-D
3. 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. ✔Correct Answer-C
4. 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) Percuss and palpate the midline area above the suprapubic bone. ✔Correct Answer-D
5. 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. ✔Correct Answer-D
6. 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 spleen in this situation?
A) The spleen can be enlarged as a result of trauma.
B) The spleen is normally felt upon routine palpation.
C) If an enlarged spleen is noticed, then the nurse should palpate thoroughly to determine size.
D) An enlarged spleen should not be palpated because it can rupture easily. ✔Correct Answer-D
7. 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. ✔Correct Answer-D
8. 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 ✔Correct Answer-D
9. 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 pulsations.
D) increased peristalsis from a bowel obstruction. ✔Correct Answer-C
10. 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. ✔Correct Answer-B
11. 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 areas of tenderness before using percussion and palpation."
B) "It prevents distortion of bowel sounds that might occur after percussion and palpation."
C) "It allows the patient more time to relax and therefore be more comfortable with the physical
examination."
D) "This prevents distortion of vascular sounds such as bruits and hums that might occur after
percussion and palpation." ✔Correct Answer-B
12. 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 leather being rubbed together.
D) They originate from the movement of air and fluid through the large intestine. ✔Correct
Answer-B
13. 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. ✔Correct Answer-D
14. 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 the left midaxillary line
D) A dull percussion note in the left upper quadrant at the midclavicular line ✔Correct Answer-B
15. 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. ✔Correct Answer-B
16. 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) resonance, hyperresonance, and flatness. ✔Correct Answer-C
17. 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 gastrointestinal emptying time. ✔Correct Answer-B
18. 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. ✔Correct Answer-C
19. A nurse notices that a patient has ascites, which indicates the presence of:
A) fluid.
B) feces.
C) flatus.
D) fibroid tumors. ✔Correct Answer-A
20. 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. ✔Correct Answer-B
21. 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. ✔Correct Answer-C