NURS 5220 Advanced Health Assessment Test 8: Abdomen - The University of Texas at Arlington

NURS 5220 Advanced Health Assessment Test 8: Abdomen - The University of
Texas at Arlington
(60 questions with answers and brief rationales)

1. The abdomen is divided into how many quadrants for physical exam?
A. 2
B. 4
C. 6
D. 9
Answer: B
Rationale: The abdomen is commonly divided into four quadrants (RUQ, LUQ, RLQ, LLQ)
using the midline and umbilicus.




2. The right upper quadrant (RUQ) contains all EXCEPT:
A. Liver
B. Gallbladder
C. Spleen
D. Duodenum
Answer: C
Rationale: The spleen is in the left upper quadrant.




3. The left upper quadrant (LUQ) contains:
A. Liver
B. Gallbladder
C. Spleen, stomach, pancreas tail
D. Appendix
Answer: C
Rationale: LUQ contains spleen, stomach, body/tail of pancreas, and splenic flexure of
colon.




4. The right lower quadrant (RLQ) contains:
A. Appendix
B. Spleen
C. Gallbladder
D. Stomach

, Answer: A
Rationale: The appendix is located in the RLQ (McBurney point).




5. The left lower quadrant (LLQ) contains:
A. Appendix
B. Sigmoid colon
C. Gallbladder
D. Liver
Answer: B
Rationale: The LLQ contains the sigmoid colon and descending colon.




6. The correct sequence for abdominal examination is:
A. Inspection, auscultation, percussion, palpation
B. Auscultation, inspection, percussion, palpation
C. Palpation, percussion, auscultation, inspection
D. Percussion, palpation, inspection, auscultation
Answer: A
Rationale: Auscultate before percussion/palpation to avoid altering bowel sounds.




7. Normal bowel sounds occur at a rate of:
A. 0–5 per minute
B. 5–30 per minute
C. 30–40 per minute
D. >40 per minute
Answer: B
Rationale: Normal bowel sounds are 5–30 per minute (borborygmi).




8. Hypoactive bowel sounds are defined as less than:
A. 5 per minute
B. 10 per minute
C. 15 per minute
D. 20 per minute
Answer: A
Rationale: Hypoactive bowel sounds are <5 per minute; may indicate ileus or peritonitis.