NR 304-Exam 1 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Where do you find tympani? - CORRECT ANSWER All 4 quadrants, normal
Where do you find dullness? - CORRECT ANSWER RUQ-high under costal margin-liver
Where do you find resonance? - CORRECT ANSWER lungs
How do you percuss liver span? - CORRECT ANSWER Hold breath or let out all breath -
(liver moves) and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
How do you percuss spleen? - CORRECT ANSWER Percuss at Left Mid-axillary line. Percuss
down to dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? - CORRECT
ANSWER Fluid wave - push on one side of patient's abdomen - with patient supine - put
patient hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not fluid but fat,
the patient hand will stop the "wave" - Shifting dullness - percuss as patient is supine from tympani to
dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness shifts - both indicate
ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which pulls more fluid
from the veins = edema
What is purpose of light palpation? - CORRECT ANSWER Light for superficial masses,
muscle tone, symmetry, pain
What is the purpose of deep palpation? - CORRECT ANSWER Deep palpation for
organomegaly
What is rebound tenderness? IF + = - CORRECT ANSWER Done by pushing into abdomen
and quickly bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if inflamed =
+Blumbergs test
, What examination findings would you expect with each condition? Obesity - CORRECT ANSWER
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - CORRECT ANSWER
+ fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention - CORRECT
ANSWER tons of tympani with a distended abdomen - common with ileus where intestinal
motility stops/slows and gas-producing bacteria is hanging in one place of intestine.
What examination findings would you expect with each condition? tumor - CORRECT ANSWER
area of organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? - CORRECT ANSWER Psoas -
right leg lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? - CORRECT ANSWER Murphy
- palpation of gallbladder with the inhalation of breath - liver moves up - fingers touch gallbladder - +
liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? - CORRECT ANSWER Bloody,
mucousy, diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal
ulcers
Melena - CORRECT ANSWER black tarry stools are sign of blood that HAS been digested by
HCL acid (stomach) or upper GI
Bright red stool - CORRECT ANSWER blood in stool has not been digested-lower GI-
hemorroids
QUESTIONS AND CORRECT ANSWERS
Where do you find tympani? - CORRECT ANSWER All 4 quadrants, normal
Where do you find dullness? - CORRECT ANSWER RUQ-high under costal margin-liver
Where do you find resonance? - CORRECT ANSWER lungs
How do you percuss liver span? - CORRECT ANSWER Hold breath or let out all breath -
(liver moves) and percuss downward at L Mid clavicular line - area of dullness Is measured - 5-10 cm
(women smaller than men)
How do you percuss spleen? - CORRECT ANSWER Percuss at Left Mid-axillary line. Percuss
down to dullness, and then up to dullness measuring span.
How are the fluid wave and shifting dullness tests performed? What do they indicate? - CORRECT
ANSWER Fluid wave - push on one side of patient's abdomen - with patient supine - put
patient hand in middle and feel wave (if there is fluid) on other side of abdomen.. if not fluid but fat,
the patient hand will stop the "wave" - Shifting dullness - percuss as patient is supine from tympani to
dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness shifts - both indicate
ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which pulls more fluid
from the veins = edema
What is purpose of light palpation? - CORRECT ANSWER Light for superficial masses,
muscle tone, symmetry, pain
What is the purpose of deep palpation? - CORRECT ANSWER Deep palpation for
organomegaly
What is rebound tenderness? IF + = - CORRECT ANSWER Done by pushing into abdomen
and quickly bringing hands up - the reflexive bounce causes peritoneal spasm - PAIN if inflamed =
+Blumbergs test
, What examination findings would you expect with each condition? Obesity - CORRECT ANSWER
-Obesity - protruberant abdomen with negative fluid wave- probable striae
What examination findings would you expect with each condition? Ascites - CORRECT ANSWER
+ fluid wave and shifting dullness and history of liver or cancer issue -
See LOW albumin in their blood levels - other edema?
What examination findings would you expect with each condition? Gaseous distention - CORRECT
ANSWER tons of tympani with a distended abdomen - common with ileus where intestinal
motility stops/slows and gas-producing bacteria is hanging in one place of intestine.
What examination findings would you expect with each condition? tumor - CORRECT ANSWER
area of organomegaly or mass palpable with deep palpation - dullness on percussion
What tests are done for a person with suspected appendicitis? - CORRECT ANSWER Psoas -
right leg lift -
Obturator - bent R leg - ab and adducted
Rebound Tenderness- If ruptured
What tests are done for a person with suspected cholecystitis? - CORRECT ANSWER Murphy
- palpation of gallbladder with the inhalation of breath - liver moves up - fingers touch gallbladder - +
liver function tests and ultrasound for stones
What are the symptoms of Crohns and Ulcerative colitis? - CORRECT ANSWER Bloody,
mucousy, diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal
ulcers
Melena - CORRECT ANSWER black tarry stools are sign of blood that HAS been digested by
HCL acid (stomach) or upper GI
Bright red stool - CORRECT ANSWER blood in stool has not been digested-lower GI-
hemorroids
