Chapter 21: Abdomen Testbank Bates Questions Already Graded A+

Chapter 21: Abdomen Testbank Bates Questions Already Graded A+ 1. A nurse is percussing the seventh right intercostal space at the midclavicular line, over the liver. What sound should she expect to hear? Answer: Hyperresonance 2. Which abdominal structure is located in the left lower quadrant? Answer: Sigmoid colon 3. A nurse suspects that a patient has a distended bladder. How should she assess for this condition? Answer: Percuss and palpate the midline area above the suprapubic bone. 4. A 22-year-old man has fallen off his motorcycle and landed on his left side on the handlebars, possibly injuring his spleen. What is true regarding assessment of the spleen in this situation? Answer: The spleen can be enlarged as a result of trauma, and an enlarged spleen should not be palpated because it can rupture easily. 5. A patient's abdomen appears bulging and stretched. How would you describe this finding? Answer: Protuberant 6. While examining a patient, you observe abdominal pulsations between the xiphoid and umbilicus. What would you suspect these are? Answer: Normal abdominal aortic pulsations 7. A new graduate nurse is learning about auscultation of the abdomen. Which statement shows a correct understanding of why auscultation precedes percussion and palpation? Answer: "It prevents distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation." Here are the rewritten questions in a different order and structure: What sound should the nurse expect to hear when percussing the seventh right intercostal space at the midclavicular line? + Answer: Hyperresonance Which abdominal structure is located in the left lower quadrant? + Answer: Sigmoid colon How should a nurse assess for a distended bladder? + Answer: Percuss and palpate the midline area above the suprapubic bone What is true regarding assessment of the spleen if a patient has fallen off their motorcycle? + Answer: The spleen can be enlarged as a result of trauma, and an enlarged spleen should not be palpated because it can rupture easily How would you describe a patient's abdomen if it appears bulging and stretched? + Answer: Protuberant What do you suspect abdominal pulsations between the xiphoid and umbilicus are? + Answer: Normal abdominal aortic pulsations Why does auscultation precede percussion and palpation of the abdomen? + Answer: It prevents distortion of vascular sounds such as bruits and hums that might occur after percussion and palpation D ️The physician comments that a patient has abdominal borborygmi. The nurse knows that this term refers to: A) a loud continuous hum. B) a peritoneal friction rub. C) hypoactive bowel sounds. D) normal bowel sounds. B ️During an abdominal assessment, the nurse would consider which of these findings as normal? A) The presence of a bruit in the femoral area B) A tympanic percussion note in the umbilical region C) A palpable spleen between the ninth and eleventh ribs in the left midaxillary line D) A dull percussion note in the left upper quadrant at the midclavicular line C ️The nurse is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include: A) flatness, resonance, and dullness. B) resonance, dullness, and tympany. C) tympany, hyperresonance, and dullness. D) resonance, hyperresonance, and flatness. C ️18. A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that this symptom is most often indicative of: A) ovary infection. B) liver enlargement. C) kidney inflammation. D) spleen enlargement. A ️A nurse notices that a patient has ascites, which indicates the presence of: A) fluid. B) feces. C) flatus. D) fibroid tumors. B ️20. The nurse knows that during an abdominal assessment, deep palpation is used to determine: A) bowel motility. B) enlarged organs. C) superficial tenderness. D) overall impression of skin surface and superficial musculature.