Advanced Health Assessment Final Exam Graded A Questions And Answers 2024

Select the correct sequence of techniques used during an examination of a child's abdomen: a. Percussion, inspection, palpation, auscultation b. Inspection, palpation, percussion, auscultation c. Inspection, auscultation, percussion, palpation d. Auscultation, inspection, palpation, percussion - c. Inspection, auscultation, percussion, palpation When percussing a child's abdomen, you note tympany. This is indicative of the presence of: a. Fluid b. Air c. Feces d. Hepatomegaly - b. Air When inspecting the child's abdomen, the examiner notes a midline muscular separation with bulging at the child cries. This finding is a(n): a. Umbilical hernia b. Inguinal hernia c. Omphalocele d. Diastasis recti - d. Diastasis recti A 10-month-old infant is brought to the clinic with complaints of cough and rhinorrhea. When auscultating the child's lungs, you note a large, bulging umbilical mass. The mass is easily reducible but increases when the child cries. This assessment finding is a(n): a. Inguinal hernia b. Umbilical hernia c. Gastroschisis d. Omphalocele - b. Umbilical hernia The iliopsoas (psoas sign) test is used to identify: a. Splenic enlargement b. Costovertebral tenderness c. Intra-abdominal inflammation d. Decreased peristalsis or intestinal activity - c. Intra-abdominal inflammation When auscultating bowel sounds in an infant or a young child, it is essential to use a pediatric stethoscope because: a. A stethoscope diaphragm that is too large may also encompass lung sounds, confusing the clinical picture b. A stethoscope diaphragm that is too large may also encompass vascular sounds, confusing the clinical picture c. A stethoscope diaphragm that is too large may cause pain in a small infant if pressure is applied during auscultation d. A stethoscope diaphragm that is too large may decrease the child's cooperation - a. A stethoscope diaphragm that is too large may also encompass lung sounds, confusing the clinical picture Decreased hepatic enzyme function in children from birth until age 3 to 4 years causes: a. Short drug half-lives b. Long drug half-lives c. Physiologic jaundice d. Hypoglycemia - b. Long drug half-lives The stomach capacity in a neonate is approximately: a. 30 mL b. 60 mL c. 90 mL d. 120 mL - b. 60 mL A dull percussion note at or beyond the anterior axillary line on the left indicates: a. Hepatomegaly b. Splenomegaly c. A normal finding d. A fibrotic spleen - b. Splenomegaly Assessment for renal tenderness should be performed with the child: a. Lying supine b. Lying prone c. In a side-lying position d. Sitting upright - d. Sitting upright Indirect percussion can be used to detect: a. Costovertebral tenderness b. Abdominal masses c. Rebound tenderness d. Hepatomegaly - a. Costovertebral tenderness The lower left quadrant (LLQ) contains the: a. Left ureter b. Pancreas (body) c. Stomach d. Liver (left lobe) - a. Left ureter