REGIS NU650 ACTUAL TEST QUESTIONS
WITH COMPLETE ANSWER KEY
●● The NP will demonstrate the correct order of examination for the
abdomen by using examination techniques that follows:
1. Auscultation
2. Inspection
3. Palpation
4. Percussion
A. 1-2-3-4
B. 2-3-4-1
C. 3-4-1-2
D. 2-1-3-4
Answer: D
●● A 36-year-old female patient is seen in the clinic for a reported fever
and back pain. She complained of pain when the NP percussed over the
left CVA angle. This finding supports which of the following differential
diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
,D. Cholecystitis
Answer: A
●● The liver border can be palpated normally below the costal margin at
the:
A. Left mid-clavicular line
B. Right mid-axillary line
C. Right mid-calvicular line
D. Left mid-axillary line
Answer: C
●● The NP will recognize which of the following subjective or objective
findings as worrisome for an abdominal aortic aneurysm?
A. aortic width of 2.8 cm
B. 25 pack-year smoking history
C. age of 60
D. Female gender
Answer: B
●● The NP will use which of the following examination techniques to
determine muscular resistance, superficial organs and masses in the
abdomen
A. inspection
,B. light palpation
C. deep palpation
D. percussion
Answer: B
●● The NP will use which of the following methods to help the patient
relax during the abdominal exam?
A. ask the patient to hold their breath
B. Palpate the abdomen after inspiration
C. palpate the abdomen after expiration
D. Palpate the abdomen using quick short movements
Answer: C
●● The parents of a 4-month-old infant share concern about their child's
umbilical hernia at a well-child visit. The NP will correctly inform them
that:
A. Most umbilical hernias disappear by 12 months of age
B. The hernia can be surgically repaired before the child reaches
adolescence
C. This finding indicates that their child is at high risk for other hernias
D. There is a strong familial history for umbilical hernias
Answer: A
, ●● When percussing the abdomen in a patient with constipation, which
of the following sounds would you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer: B
●● When percussing the abdomen, you would document the normal
finding of percussion over the intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer: A
●● Which of the following abdominal exam findings would prompt the
NP to consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign
Answer: D
WITH COMPLETE ANSWER KEY
●● The NP will demonstrate the correct order of examination for the
abdomen by using examination techniques that follows:
1. Auscultation
2. Inspection
3. Palpation
4. Percussion
A. 1-2-3-4
B. 2-3-4-1
C. 3-4-1-2
D. 2-1-3-4
Answer: D
●● A 36-year-old female patient is seen in the clinic for a reported fever
and back pain. She complained of pain when the NP percussed over the
left CVA angle. This finding supports which of the following differential
diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
,D. Cholecystitis
Answer: A
●● The liver border can be palpated normally below the costal margin at
the:
A. Left mid-clavicular line
B. Right mid-axillary line
C. Right mid-calvicular line
D. Left mid-axillary line
Answer: C
●● The NP will recognize which of the following subjective or objective
findings as worrisome for an abdominal aortic aneurysm?
A. aortic width of 2.8 cm
B. 25 pack-year smoking history
C. age of 60
D. Female gender
Answer: B
●● The NP will use which of the following examination techniques to
determine muscular resistance, superficial organs and masses in the
abdomen
A. inspection
,B. light palpation
C. deep palpation
D. percussion
Answer: B
●● The NP will use which of the following methods to help the patient
relax during the abdominal exam?
A. ask the patient to hold their breath
B. Palpate the abdomen after inspiration
C. palpate the abdomen after expiration
D. Palpate the abdomen using quick short movements
Answer: C
●● The parents of a 4-month-old infant share concern about their child's
umbilical hernia at a well-child visit. The NP will correctly inform them
that:
A. Most umbilical hernias disappear by 12 months of age
B. The hernia can be surgically repaired before the child reaches
adolescence
C. This finding indicates that their child is at high risk for other hernias
D. There is a strong familial history for umbilical hernias
Answer: A
, ●● When percussing the abdomen in a patient with constipation, which
of the following sounds would you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer: B
●● When percussing the abdomen, you would document the normal
finding of percussion over the intestines as:
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
Answer: A
●● Which of the following abdominal exam findings would prompt the
NP to consider cholecystitis as a differential diagnosis?
A. Positive psoas sign
B. Positive Rovsing's sign
C. Positive Obturator sign
D. Positive murphy's sign
Answer: D
