NUR 216 EXAM 4 clicker and kahoots UPDATED ACTUAL
Questions and CORRECT Answers
What age do we begin screening for colon cancer in the B.50
average person?
A.40
B.50
C.55
D.60
You palpate a firm mass in region 8 of the abdomen. D.Distended bladder
Which of the following are you most likely identifying?
A.Enlarged liver
B.Spleen
C.Colon cancer
D.Distended bladder
How many bowel sounds should be heard per minute? B.5-34
A.2-5
B.5-34
C.30-40
D.25-50
You note a visible pulsation on your patient's abdomen. A.Avoid palpating the area
What is the most important action to take next?
A. Avoid palpating the area
B. Percuss over the pulsating area
C. Use the diaphragm to auscultate
D. Document the finding
Bowel sounds are produced by which of the following C.Persitalsis
processes?
A.Borborygmus
B.Abdominal aortic aneurysm
C.Persitalsis
D.Hunger
Your patient reports RUQ pain. Which of the following B.Liver
organs is the most likely source of pain?
A.Spleen
B.Liver
C.Kidney
D.Stomach
The patient states that he has pain in his RUQ after eating C.Gallbladder
a fatty meal for the past month. He denies nausea and The gallbladder is located in the right upper quadrant (RUQ). This organ contracts
vomiting. What organ do you suspect is the source of this and releases bile into the common bile duct and the bile helps to digest fats.
, pain?
A.Liver
B.Stomach
C.Gallbladder
D.Pancreas
The patient describes his abdominal pain as "dull and C.Visceral pain
crampy." He points to both the RUQ and LUQ. How Visceral pain is dull, gnawing, cramping or burning; poorly localized; originates in
would you classify this type of abdominal pain? the abdominal organs
A.Referred pain
B.Parietal pain
C.Visceral pain
D.Peritoneal pain
The nurse is collecting dinner trays to put back in the D.Patient is anorexic.
dietary cart. She sees that the patient ate less than 25% of Anorexia is loss of appetite.
her dinner. The nurse states, "I see that you did not eat Melena is black tarry stool.
much for dinner. Would you like me to order you a Pyrosis is heartburn.
different meal?" The patient responds, "No, I just do not Emesis is vomitus.
have an appetite." The nurse will document:
A.Patient has melena.
B.Patient is experiencing pyrosis.
C.Patient has emesis.
D.Patient is anorexic.
Using the nine-region abdominal mapping, in what A.Suprapubic
quadrant is the bladder located? The bladder is located in the suprapubic or hypogastric region.
A.Suprapubic
B.Epigastric
C.Umbilical
D.Left inguinal
The patient is complaining that he has been constipated B.Listen for at least 5 minutes.
for the past 6 days but has very small bouts of diarrhea. Listen for 5 minutes before documenting that there are no bowel sounds.
You auscultate for bowel sounds and do not hear any
sounds. What should you do?
A.Call the doctor immediately.
B.Listen for at least 5 minutes.
C.Palpate the abdomen to stimulate peristalsis.
D.Document hypoactive bowel sounds.
You start to lightly palpate a patient's abdomen and she D.Have her rest her hand on top of your hand while you palpate.
starts giggling and says she is very ticklish. What should If your patient is ticklish, have her rest her hand on top of your hand while you
you do? palpate.
A.Stop light palpation and start deep palpation.
B.Skip this assessment technique and move to percussion.
C.Warm both hands and use the bimanual technique.
D.Have her rest her hand on top of your hand while you
palpate.
Questions and CORRECT Answers
What age do we begin screening for colon cancer in the B.50
average person?
A.40
B.50
C.55
D.60
You palpate a firm mass in region 8 of the abdomen. D.Distended bladder
Which of the following are you most likely identifying?
A.Enlarged liver
B.Spleen
C.Colon cancer
D.Distended bladder
How many bowel sounds should be heard per minute? B.5-34
A.2-5
B.5-34
C.30-40
D.25-50
You note a visible pulsation on your patient's abdomen. A.Avoid palpating the area
What is the most important action to take next?
A. Avoid palpating the area
B. Percuss over the pulsating area
C. Use the diaphragm to auscultate
D. Document the finding
Bowel sounds are produced by which of the following C.Persitalsis
processes?
A.Borborygmus
B.Abdominal aortic aneurysm
C.Persitalsis
D.Hunger
Your patient reports RUQ pain. Which of the following B.Liver
organs is the most likely source of pain?
A.Spleen
B.Liver
C.Kidney
D.Stomach
The patient states that he has pain in his RUQ after eating C.Gallbladder
a fatty meal for the past month. He denies nausea and The gallbladder is located in the right upper quadrant (RUQ). This organ contracts
vomiting. What organ do you suspect is the source of this and releases bile into the common bile duct and the bile helps to digest fats.
, pain?
A.Liver
B.Stomach
C.Gallbladder
D.Pancreas
The patient describes his abdominal pain as "dull and C.Visceral pain
crampy." He points to both the RUQ and LUQ. How Visceral pain is dull, gnawing, cramping or burning; poorly localized; originates in
would you classify this type of abdominal pain? the abdominal organs
A.Referred pain
B.Parietal pain
C.Visceral pain
D.Peritoneal pain
The nurse is collecting dinner trays to put back in the D.Patient is anorexic.
dietary cart. She sees that the patient ate less than 25% of Anorexia is loss of appetite.
her dinner. The nurse states, "I see that you did not eat Melena is black tarry stool.
much for dinner. Would you like me to order you a Pyrosis is heartburn.
different meal?" The patient responds, "No, I just do not Emesis is vomitus.
have an appetite." The nurse will document:
A.Patient has melena.
B.Patient is experiencing pyrosis.
C.Patient has emesis.
D.Patient is anorexic.
Using the nine-region abdominal mapping, in what A.Suprapubic
quadrant is the bladder located? The bladder is located in the suprapubic or hypogastric region.
A.Suprapubic
B.Epigastric
C.Umbilical
D.Left inguinal
The patient is complaining that he has been constipated B.Listen for at least 5 minutes.
for the past 6 days but has very small bouts of diarrhea. Listen for 5 minutes before documenting that there are no bowel sounds.
You auscultate for bowel sounds and do not hear any
sounds. What should you do?
A.Call the doctor immediately.
B.Listen for at least 5 minutes.
C.Palpate the abdomen to stimulate peristalsis.
D.Document hypoactive bowel sounds.
You start to lightly palpate a patient's abdomen and she D.Have her rest her hand on top of your hand while you palpate.
starts giggling and says she is very ticklish. What should If your patient is ticklish, have her rest her hand on top of your hand while you
you do? palpate.
A.Stop light palpation and start deep palpation.
B.Skip this assessment technique and move to percussion.
C.Warm both hands and use the bimanual technique.
D.Have her rest her hand on top of your hand while you
palpate.
