NUR 210 final exam Questions and
Answers 100% Pass
While assessing a client's abdomen, the nurse observes involuntary reflex guarding on
expiration. The nurse would interpret this as most likely indicating what complication?
- ✔✔infection
Which change in auscultation of bowel sounds should the nurse recognize as most
diagnostic of an intestinal obstruction? - ✔✔An increase in the pitch
The nurse is performing light palpation of the client's abdomen. How can the nurse best
prevent voluntary guarding during this phase of assessment? - ✔✔Ask the client to
breathe slowly and deeply
Linda is a 29-year-old who had excruciating pain that started under her lower ribs on
the right side. The pain eventually moved to her lateral abdomen and then into her
right lower quadrant. Which is most likely given this presentation? - ✔✔ureteral stone
The nurse provides teaching to a client with gastroesophageal reflux disease (GERD).
Which client statement indicates that teaching has been effective? - ✔✔"I should avoid
lifting heavy objects."
Katelyn Whitman, All Rights Reserved © 2025 1
,A client expresses pain when the left costovertebral angle is palpated. What should the
nurse suspect is occurring with this client? Select all that apply. - ✔✔Renal calculi
Kidney infection
Hydronephrosis
A nurse suspects intra-abdominal bleeding in a client who was recently involved in a
motor vehicle accident. Which finding would most likely lead the nurse to this
suspicion? - ✔✔Cullen's sign
A young adult male who comes to the emergency department complaining of
abdominal pain for the past 3 days is suspected of having a ruptured appendix. What
bowel sound would the nurse expect to assess in this client? - ✔✔absent
The client with a acute appendicitis has been ordered a barium enema. What should the
nurse do first? - ✔✔Question the order as a barium enema is contraindicated in acute
appendicitis
A nurse observes the abdomen of a client and notices it to be distended below the
umbilicus. The nurse recognizes that this can be caused by which of these conditions?
Select all that apply. - ✔✔Ovarian tumor
Impacted colon
Uterine enlargement
Katelyn Whitman, All Rights Reserved © 2025 2
,Full bladder
A 46-year-old former salesman presents to the ER complaining of black stools for the
past few weeks. His past medical history is significant for cirrhosis. He has gained
weight recently, especially around his abdomen. He has smoked two packs of cigarettes
a day for 30 years and has drunk approximately 10 alcoholic beverages a day for 25
years. He has used IV heroin and smoked crack in the past. He denies any recent use.
He is currently unemployed and has never been married. Examination shows a man
appearing older than his stated age. His skin has a yellowish tint and he is thin with a
prominent abdomen. Multiple "spider angiomas" are at the base of his neck. Otherwise
his heart and lung examinations are normal. On inspection he has dilated veins around
his umbilicus. Increased bowel sounds are heard during auscultation. Palpation reveals
diffuse tenderness that is more severe in the epigastric area. His liver is smal -
✔✔Esophageal varices
A client complains of abdominal pain that is worsened when he lies on his back. The
nurse should suspect which of the following as the underlying cause? -
✔✔Gastroesophageal reflux
The nurse has the client participate in the assessment technique shown. For which
health problem is the nurse assessing in this client? - ✔✔Ascites
A nurse is preparing to palpate a client's spleen. Which position should the nurse use to
best facilitate palpation? - ✔✔Right side-lying
Katelyn Whitman, All Rights Reserved © 2025 3
, The client has epigastric pain that is poorly localized and radiates to the back. What
would be an important diagnosis to assess for? - ✔✔Acute pancreatitis
A nurse performs light palpation of the abdomen and feels a prominent, non-tender,
pulsating mass above the umbilicus that measures approximately six (6) centimeters.
What is an appropriate action by the nurse? - ✔✔Stop the palpation and notify the
health care provider
During the abdominal examination, a nurse presses her fingers at the client's right
costal margin and tells the client to inhale. At this point, the client holds his breath as a
result of experiencing a sharp pain where the nurse is pressing. This test is positive for
which sign? - ✔✔Murphy's sign
When conducting the physical examination of a client's abdomen, the nurse auscultates
20 clicks and gurgles over 1 minute. Which of the following statements would
accurately describe this finding? - ✔✔Bowel sounds normal
A client complains of epigastric pain and tarry stools. The nurse should suspect which
of the following as the underlying cause? - ✔✔Gastric ulcer
Monique is a 33-year-old administrative assistant who has had intermittent lower
abdominal pain approximately one week a month for the past year. It is not related to
her menses. She notes relief with defecation, and a change in form and frequency of her
Katelyn Whitman, All Rights Reserved © 2025 4
Answers 100% Pass
While assessing a client's abdomen, the nurse observes involuntary reflex guarding on
expiration. The nurse would interpret this as most likely indicating what complication?
- ✔✔infection
Which change in auscultation of bowel sounds should the nurse recognize as most
diagnostic of an intestinal obstruction? - ✔✔An increase in the pitch
The nurse is performing light palpation of the client's abdomen. How can the nurse best
prevent voluntary guarding during this phase of assessment? - ✔✔Ask the client to
breathe slowly and deeply
Linda is a 29-year-old who had excruciating pain that started under her lower ribs on
the right side. The pain eventually moved to her lateral abdomen and then into her
right lower quadrant. Which is most likely given this presentation? - ✔✔ureteral stone
The nurse provides teaching to a client with gastroesophageal reflux disease (GERD).
Which client statement indicates that teaching has been effective? - ✔✔"I should avoid
lifting heavy objects."
Katelyn Whitman, All Rights Reserved © 2025 1
,A client expresses pain when the left costovertebral angle is palpated. What should the
nurse suspect is occurring with this client? Select all that apply. - ✔✔Renal calculi
Kidney infection
Hydronephrosis
A nurse suspects intra-abdominal bleeding in a client who was recently involved in a
motor vehicle accident. Which finding would most likely lead the nurse to this
suspicion? - ✔✔Cullen's sign
A young adult male who comes to the emergency department complaining of
abdominal pain for the past 3 days is suspected of having a ruptured appendix. What
bowel sound would the nurse expect to assess in this client? - ✔✔absent
The client with a acute appendicitis has been ordered a barium enema. What should the
nurse do first? - ✔✔Question the order as a barium enema is contraindicated in acute
appendicitis
A nurse observes the abdomen of a client and notices it to be distended below the
umbilicus. The nurse recognizes that this can be caused by which of these conditions?
Select all that apply. - ✔✔Ovarian tumor
Impacted colon
Uterine enlargement
Katelyn Whitman, All Rights Reserved © 2025 2
,Full bladder
A 46-year-old former salesman presents to the ER complaining of black stools for the
past few weeks. His past medical history is significant for cirrhosis. He has gained
weight recently, especially around his abdomen. He has smoked two packs of cigarettes
a day for 30 years and has drunk approximately 10 alcoholic beverages a day for 25
years. He has used IV heroin and smoked crack in the past. He denies any recent use.
He is currently unemployed and has never been married. Examination shows a man
appearing older than his stated age. His skin has a yellowish tint and he is thin with a
prominent abdomen. Multiple "spider angiomas" are at the base of his neck. Otherwise
his heart and lung examinations are normal. On inspection he has dilated veins around
his umbilicus. Increased bowel sounds are heard during auscultation. Palpation reveals
diffuse tenderness that is more severe in the epigastric area. His liver is smal -
✔✔Esophageal varices
A client complains of abdominal pain that is worsened when he lies on his back. The
nurse should suspect which of the following as the underlying cause? -
✔✔Gastroesophageal reflux
The nurse has the client participate in the assessment technique shown. For which
health problem is the nurse assessing in this client? - ✔✔Ascites
A nurse is preparing to palpate a client's spleen. Which position should the nurse use to
best facilitate palpation? - ✔✔Right side-lying
Katelyn Whitman, All Rights Reserved © 2025 3
, The client has epigastric pain that is poorly localized and radiates to the back. What
would be an important diagnosis to assess for? - ✔✔Acute pancreatitis
A nurse performs light palpation of the abdomen and feels a prominent, non-tender,
pulsating mass above the umbilicus that measures approximately six (6) centimeters.
What is an appropriate action by the nurse? - ✔✔Stop the palpation and notify the
health care provider
During the abdominal examination, a nurse presses her fingers at the client's right
costal margin and tells the client to inhale. At this point, the client holds his breath as a
result of experiencing a sharp pain where the nurse is pressing. This test is positive for
which sign? - ✔✔Murphy's sign
When conducting the physical examination of a client's abdomen, the nurse auscultates
20 clicks and gurgles over 1 minute. Which of the following statements would
accurately describe this finding? - ✔✔Bowel sounds normal
A client complains of epigastric pain and tarry stools. The nurse should suspect which
of the following as the underlying cause? - ✔✔Gastric ulcer
Monique is a 33-year-old administrative assistant who has had intermittent lower
abdominal pain approximately one week a month for the past year. It is not related to
her menses. She notes relief with defecation, and a change in form and frequency of her
Katelyn Whitman, All Rights Reserved © 2025 4
