NSG 3160 Health Assessment Exam 4
Questions and Answers
QUESTION 1: ABDOMINAL AORTIC ANEURYSM LOCATION
Where does an abdominal aortic aneurysm typically occur?
a. Above the umbilicus
b. Between xiphoid process and umbilicus, splitting 2cm below umbilicus
c. Below the umbilicus only
d. At the iliac bifurcation
CORRECT ANSWER: B
QUESTION 2: ABDOMINAL AORTIC ANEURYSM ASSESSMENT
What physical finding is characteristic of an abdominal aortic aneurysm?
a. No findings on exam
b. Bruit heard on auscultation
c. Decreased bowel sounds
d. Hyperactive reflexes
CORRECT ANSWER: B
QUESTION 3: ABSENT BOWEL SOUNDS
What conditions cause absent bowel sounds?
a. Diarrhea and vomiting
b. Obstruction, acute infection, ruptured appendix, immediately after surgery
c. Hunger
d. High fiber diet
CORRECT ANSWER: B
QUESTION 4: HYPERACTIVE BOWEL SOUNDS
,What do hyperactive bowel sounds indicate?
a. Normal digestion
b. Decreased motility
c. Loud, high-pitched, rushing sounds signaling increased motility
d. Constipation
CORRECT ANSWER: C
QUESTION 5: HYPOACTIVE BOWEL SOUNDS
How long should you listen before determining bowel sounds are absent?
a. 1 minute
b. 2 minutes
c. 5 minutes
d. 10 minutes
CORRECT ANSWER: C
QUESTION 6: BORBORYGMI
What are borborygmi?
a. Absence of bowel sounds
b. Loud, gurgling bowel sounds signaling increased motility or hyperperistalsis
c. Wheezing sounds
d. Heart murmurs
CORRECT ANSWER: B
QUESTION 7: PERCUSSION OVER ORGANS
What sound is heard on percussion over organs?
a. Tympany
b. Resonance
c. Dullness
d. Hyperresonance
, CORRECT ANSWER: C
QUESTION 8: PERCUSSION OVER ABDOMINAL SPACES
What sound is heard on percussion over abdominal spaces?
a. Dullness
b. Hyperresonance
c. Tympany (hollow drum sound)
d. Crackles
CORRECT ANSWER: C
QUESTION 9: HYPERRESONANCE ON PERCUSSION
When is hyperresonance heard on percussion?
a. Over organs
b. Over bones
c. With gaseous distention
d. Normal findings
CORRECT ANSWER: C
QUESTION 10: DULLNESS ON PERCUSSION
When is dullness heard on percussion?
a. Over air-filled organs
b. Over organs; dullness over tympany area indicates distended bladder or
fluid
c. Normal abdominal finding
d. With gas in intestines
CORRECT ANSWER: B
QUESTION 11: BLUMBERG SIGN
What is Blumberg sign?
Questions and Answers
QUESTION 1: ABDOMINAL AORTIC ANEURYSM LOCATION
Where does an abdominal aortic aneurysm typically occur?
a. Above the umbilicus
b. Between xiphoid process and umbilicus, splitting 2cm below umbilicus
c. Below the umbilicus only
d. At the iliac bifurcation
CORRECT ANSWER: B
QUESTION 2: ABDOMINAL AORTIC ANEURYSM ASSESSMENT
What physical finding is characteristic of an abdominal aortic aneurysm?
a. No findings on exam
b. Bruit heard on auscultation
c. Decreased bowel sounds
d. Hyperactive reflexes
CORRECT ANSWER: B
QUESTION 3: ABSENT BOWEL SOUNDS
What conditions cause absent bowel sounds?
a. Diarrhea and vomiting
b. Obstruction, acute infection, ruptured appendix, immediately after surgery
c. Hunger
d. High fiber diet
CORRECT ANSWER: B
QUESTION 4: HYPERACTIVE BOWEL SOUNDS
,What do hyperactive bowel sounds indicate?
a. Normal digestion
b. Decreased motility
c. Loud, high-pitched, rushing sounds signaling increased motility
d. Constipation
CORRECT ANSWER: C
QUESTION 5: HYPOACTIVE BOWEL SOUNDS
How long should you listen before determining bowel sounds are absent?
a. 1 minute
b. 2 minutes
c. 5 minutes
d. 10 minutes
CORRECT ANSWER: C
QUESTION 6: BORBORYGMI
What are borborygmi?
a. Absence of bowel sounds
b. Loud, gurgling bowel sounds signaling increased motility or hyperperistalsis
c. Wheezing sounds
d. Heart murmurs
CORRECT ANSWER: B
QUESTION 7: PERCUSSION OVER ORGANS
What sound is heard on percussion over organs?
a. Tympany
b. Resonance
c. Dullness
d. Hyperresonance
, CORRECT ANSWER: C
QUESTION 8: PERCUSSION OVER ABDOMINAL SPACES
What sound is heard on percussion over abdominal spaces?
a. Dullness
b. Hyperresonance
c. Tympany (hollow drum sound)
d. Crackles
CORRECT ANSWER: C
QUESTION 9: HYPERRESONANCE ON PERCUSSION
When is hyperresonance heard on percussion?
a. Over organs
b. Over bones
c. With gaseous distention
d. Normal findings
CORRECT ANSWER: C
QUESTION 10: DULLNESS ON PERCUSSION
When is dullness heard on percussion?
a. Over air-filled organs
b. Over organs; dullness over tympany area indicates distended bladder or
fluid
c. Normal abdominal finding
d. With gas in intestines
CORRECT ANSWER: B
QUESTION 11: BLUMBERG SIGN
What is Blumberg sign?