NR 509 FINAL EXAM | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS 2026
-2027 LATEST UPDATED | GET A+
What mnemonic should be used for any GI complaint? - (Answer)OLD CARTS: Onset,
Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments, Severity
What GI history questions should be asked? - (Answer)Appetite, nausea/vomiting, dysphagia,
odynophagia, bowel habit changes, diarrhea, constipation, jaundice, surgical history, family
history
What is the correct abdominal exam sequence? - (Answer)Inspection → Auscultation →
Percussion → Palpation (IAPP)
Why is palpation performed last during an abdominal exam? - (Answer)It may alter bowel sound
activity
What abdominal contours may be observed on inspection? - (Answer)Flat, rounded, scaphoid,
protuberant
,What should be assessed during abdominal inspection? - (Answer)Contour, symmetry, skin,
visible pulsations, peristalsis
How are bowel sounds assessed? - (Answer)Auscultate all four quadrants
Where should the bell of the stethoscope be used in the abdomen? - (Answer)Over the aorta,
renal arteries, and iliac arteries to assess for bruits
What percussion findings are expected over air-filled structures? - (Answer)Tympany
What percussion findings are expected over solid or fluid-filled organs? - (Answer)Dullness
What should be assessed during abdominal percussion? - (Answer)All four quadrants, liver span,
and splenic dullness
How is abdominal palpation performed? - (Answer)Light palpation followed by deep palpation
in all four quadrants
,What additional structures should be palpated during the abdominal exam? - (Answer)Liver
edge, spleen edge, and CVA tenderness
What organs are found in the RUQ? - (Answer)Liver, gallbladder, pylorus, duodenum, hepatic
flexure, head of pancreas
What organs are found in the LUQ? - (Answer)Spleen, splenic flexure, stomach, body and tail of
pancreas
What organs are found in the RLQ? - (Answer)Cecum, appendix, ascending colon, terminal
ileum, right ovary
What organs are found in the LLQ? - (Answer)Sigmoid colon, descending colon, left ovary
What is Murphy's sign? - (Answer)Inspiratory arrest during RUQ palpation
Murphy's sign suggests what condition? - (Answer)Cholecystitis
, What is McBurney's point tenderness? - (Answer)Tenderness one-third the distance from ASIS to
umbilicus
McBurney's point tenderness suggests what condition? - (Answer)Appendicitis
What is rebound tenderness (Blumberg sign)? - (Answer)Pain upon release of pressure
Rebound tenderness indicates what? - (Answer)Peritoneal irritation
What is Rovsing sign? - (Answer)LLQ palpation causes RLQ pain
Rovsing sign suggests what condition? - (Answer)Appendicitis
What is the psoas sign? - (Answer)Pain with resisted hip flexion
What is the obturator sign? - (Answer)Pain with internal hip rotation
Psoas and obturator signs suggest what? - (Answer)Appendicitis or retrocecal inflammation
-2027 LATEST UPDATED | GET A+
What mnemonic should be used for any GI complaint? - (Answer)OLD CARTS: Onset,
Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatments, Severity
What GI history questions should be asked? - (Answer)Appetite, nausea/vomiting, dysphagia,
odynophagia, bowel habit changes, diarrhea, constipation, jaundice, surgical history, family
history
What is the correct abdominal exam sequence? - (Answer)Inspection → Auscultation →
Percussion → Palpation (IAPP)
Why is palpation performed last during an abdominal exam? - (Answer)It may alter bowel sound
activity
What abdominal contours may be observed on inspection? - (Answer)Flat, rounded, scaphoid,
protuberant
,What should be assessed during abdominal inspection? - (Answer)Contour, symmetry, skin,
visible pulsations, peristalsis
How are bowel sounds assessed? - (Answer)Auscultate all four quadrants
Where should the bell of the stethoscope be used in the abdomen? - (Answer)Over the aorta,
renal arteries, and iliac arteries to assess for bruits
What percussion findings are expected over air-filled structures? - (Answer)Tympany
What percussion findings are expected over solid or fluid-filled organs? - (Answer)Dullness
What should be assessed during abdominal percussion? - (Answer)All four quadrants, liver span,
and splenic dullness
How is abdominal palpation performed? - (Answer)Light palpation followed by deep palpation
in all four quadrants
,What additional structures should be palpated during the abdominal exam? - (Answer)Liver
edge, spleen edge, and CVA tenderness
What organs are found in the RUQ? - (Answer)Liver, gallbladder, pylorus, duodenum, hepatic
flexure, head of pancreas
What organs are found in the LUQ? - (Answer)Spleen, splenic flexure, stomach, body and tail of
pancreas
What organs are found in the RLQ? - (Answer)Cecum, appendix, ascending colon, terminal
ileum, right ovary
What organs are found in the LLQ? - (Answer)Sigmoid colon, descending colon, left ovary
What is Murphy's sign? - (Answer)Inspiratory arrest during RUQ palpation
Murphy's sign suggests what condition? - (Answer)Cholecystitis
, What is McBurney's point tenderness? - (Answer)Tenderness one-third the distance from ASIS to
umbilicus
McBurney's point tenderness suggests what condition? - (Answer)Appendicitis
What is rebound tenderness (Blumberg sign)? - (Answer)Pain upon release of pressure
Rebound tenderness indicates what? - (Answer)Peritoneal irritation
What is Rovsing sign? - (Answer)LLQ palpation causes RLQ pain
Rovsing sign suggests what condition? - (Answer)Appendicitis
What is the psoas sign? - (Answer)Pain with resisted hip flexion
What is the obturator sign? - (Answer)Pain with internal hip rotation
Psoas and obturator signs suggest what? - (Answer)Appendicitis or retrocecal inflammation
