Nursing 6700 Exam 2 Questions and answers
Newest 100% Pass
Viscera - Correct Answers all of the internal organs inside the abdominal cavity
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Small intestine - Correct Answers which structure is located in all 4 quadrants
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Spleen - Correct Answers soft mass of lymphatic tissue on the posterolateral wall of the abdominal cavity,
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! immediately under the diaphragm; normally not palpable- must be enlarged 3 times its normal size
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Aorta - Correct Answers just to the left of the midline in the upper part of the abdomen. It descends
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! behind the peritoneum and at 2cm below the umbilicus it bifurcates into the right and left common iliac
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! arteries. You can palpate the aortic pulsations in the upper anterior abdominal wall.
II! II! II! II! II! II! II! II! II! II! II! II!
II! Pancreas - Correct Answers a soft, lobulated gland located behind the stomach. It stretches obliquely
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! across the posterior abdominal wall to the LUQ.
II! II! II! II! II! II! II!
II! Kidneys - Correct Answers • bean shaped; retroperitoneal or posterior to the abdominal contents;
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! protected by the posterior ribs and musculature. II! II! II! II! II! II!
II! Normal - Correct Answers It is _________ not to be able to palpate the liver, kidneys, or spleen
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Hyperactive Bowel Sounds - Correct Answers loud, high-pitched, gurgling sounds, "borborygmi;" signal
II! II! II! II! II! II! II! II! II! II! II! II!
II! increased motility; they occur with early mechanical bowel obstruction, gastroenteritis, brisk diarrhea,
II! II! II! II! II! II! II! II! II! II! II!
II! laxative use, and subsiding paralytic ileus.
II! II! II! II! II!
II! Hypoactive Bowel Sounds - Correct Answers diminished or absent bowel sounds which signal decreased
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! motility as a result of inflammation as seen with peritonitis; from paralytic ileus as following abdominal
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! surgery or form late bowel obstruction. Can also occur with pneumonia. (inflammation or abdominal
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! surgery)
,II! Tympany - Correct Answers When percussing the abdomen which sound is dominant?
II! II! II! II! II! II! II! II! II! II! II! II!
II! Hyper-resonance - Correct Answers What sound will you hear close to the lung field? II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! dullness - Correct Answers What sound do you hear over solid organs?
II! II! II! II! II! II! II! II! II! II! II! II!
II! 2 arteries and 1 vein - Correct Answers Umbilical cord contains _____ and ______
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Tympany; scattered dullness over adipose tissue - Correct Answers Sound heard when percussing obese
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! patients
II! Tympany over large area - Correct Answers Sound heard when percussing over an abdomen distended
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! with air or gas?
II! II! II!
II! Tympany at top where intestines float; dull over fluid; produces fluid wave and shifting dullness - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Sound heard when percussing over an abdomen with ascites?
II! II! II! II! II! II! II! II! II!
II! Umbilical Hernia - Correct Answers most commonly seen in children- it appears a 2-3 weeks and is
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! especially prominent when the infant cries. The hernia reaches maximum size at 1 month (up to 2.5 cm or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1 inch) and usually disappears by 1 year.
II! II! II! II! II! II! II!
II! Rebound Tenderness - Correct Answers pain on release of pressure; seen with appendicitis, gallstones, or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! cholecystitis; normal negative response is no pain on release of pressure; perform at the end of exam
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! because it can cause intense pain and muscle rigidity
II! II! II! II! II! II! II! II!
II! Aortic Aneurysm - Correct Answers aorta has distended and has enlarged to the point of rupturing;
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! contributing factor is hypertension; bulging pulsating mass >5 cm II! II! II! II! II! II! II! II!
II! Liver Span - Correct Answers Measure height of liver in the right MCL and begin percussing in the area of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! lung resonance and move down the interspaces until the sound changes to a dull quality -- mark the spot
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! (usually in 5th intercostal space). Then, find abdominal tympany and percuss up in the MCL. Mark where
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
, II! the sound changes from tympany to a dull sound, normally at the right costal margin; Measure distance
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! between two marks; Normal size is 6-12 cm II! II! II! II! II! II! II!
II! Costovertebral angle - Correct Answers Area in lower back where kidneys are located; where rib 12 II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! makes angle with spinal column; assess for tenderness and inflammation
II! II! II! II! II! II! II! II! II!
II! Flank Area - Correct Answers sides of the human body a little towards the back where kidneys are located
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Ascites - Correct Answers excess fluid built up within the peritoneal space within the abdomen; can occur
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! in patients who are in fluid volume overload due to heart failure or patients who have liver problems.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Fluid Wave Test - Correct Answers Test for ascites; Stand on the person's right side; place the ulnar edge
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! of another examiner's hand or the patient's own hand firmly on the abdomen in the midline; Place your
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! left hand on the person's right flank. With your right hand reach across the abdomen and give the left
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! flank a firm strike
II! II! II!
II! Shifting Dullness - Correct Answers Test for ascites; In a supine person ascetic fluid settles by gravity into
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! the flanks, displacing the air-filled bowel to the periumbilical space. You will hear a tympanic note as you
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! percuss over the top of the abdomen because gas-filled intestines float over the fluid. Then percuss down
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! the side of the abdomen. If fluid is present, the note will change from tympany to dull as you reach its
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! level. Mark this spot. Positive fluid wave test occurs with large amounts of ascitic fluid
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Light, Alcohol Wipes, Tape measure/Ruler, Thermometer, BP cuff, Stethoscope - Correct Answers
II! II! II! II! II! II! II! II! II! II! II! II!
II! Equipment needed for an abdominal Exam II! II! II! II! II!
II! Liver - Correct Answers Heaviest organ of the body
II! II! II! II! II! II! II! II! II!
II! 1-2 hours - Correct Answers How soon should bowel sounds be heard after birth?
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! within the first 24 hours - Correct Answers When should a newborn pass their first meconium stool?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1-2 weeks - Correct Answers How long does it take the umbilical cord to fall off?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Newest 100% Pass
Viscera - Correct Answers all of the internal organs inside the abdominal cavity
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Small intestine - Correct Answers which structure is located in all 4 quadrants
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Spleen - Correct Answers soft mass of lymphatic tissue on the posterolateral wall of the abdominal cavity,
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! immediately under the diaphragm; normally not palpable- must be enlarged 3 times its normal size
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Aorta - Correct Answers just to the left of the midline in the upper part of the abdomen. It descends
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! behind the peritoneum and at 2cm below the umbilicus it bifurcates into the right and left common iliac
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! arteries. You can palpate the aortic pulsations in the upper anterior abdominal wall.
II! II! II! II! II! II! II! II! II! II! II! II!
II! Pancreas - Correct Answers a soft, lobulated gland located behind the stomach. It stretches obliquely
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! across the posterior abdominal wall to the LUQ.
II! II! II! II! II! II! II!
II! Kidneys - Correct Answers • bean shaped; retroperitoneal or posterior to the abdominal contents;
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! protected by the posterior ribs and musculature. II! II! II! II! II! II!
II! Normal - Correct Answers It is _________ not to be able to palpate the liver, kidneys, or spleen
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Hyperactive Bowel Sounds - Correct Answers loud, high-pitched, gurgling sounds, "borborygmi;" signal
II! II! II! II! II! II! II! II! II! II! II! II!
II! increased motility; they occur with early mechanical bowel obstruction, gastroenteritis, brisk diarrhea,
II! II! II! II! II! II! II! II! II! II! II!
II! laxative use, and subsiding paralytic ileus.
II! II! II! II! II!
II! Hypoactive Bowel Sounds - Correct Answers diminished or absent bowel sounds which signal decreased
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! motility as a result of inflammation as seen with peritonitis; from paralytic ileus as following abdominal
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! surgery or form late bowel obstruction. Can also occur with pneumonia. (inflammation or abdominal
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! surgery)
,II! Tympany - Correct Answers When percussing the abdomen which sound is dominant?
II! II! II! II! II! II! II! II! II! II! II! II!
II! Hyper-resonance - Correct Answers What sound will you hear close to the lung field? II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! dullness - Correct Answers What sound do you hear over solid organs?
II! II! II! II! II! II! II! II! II! II! II! II!
II! 2 arteries and 1 vein - Correct Answers Umbilical cord contains _____ and ______
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Tympany; scattered dullness over adipose tissue - Correct Answers Sound heard when percussing obese
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! patients
II! Tympany over large area - Correct Answers Sound heard when percussing over an abdomen distended
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! with air or gas?
II! II! II!
II! Tympany at top where intestines float; dull over fluid; produces fluid wave and shifting dullness - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Sound heard when percussing over an abdomen with ascites?
II! II! II! II! II! II! II! II! II!
II! Umbilical Hernia - Correct Answers most commonly seen in children- it appears a 2-3 weeks and is
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! especially prominent when the infant cries. The hernia reaches maximum size at 1 month (up to 2.5 cm or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1 inch) and usually disappears by 1 year.
II! II! II! II! II! II! II!
II! Rebound Tenderness - Correct Answers pain on release of pressure; seen with appendicitis, gallstones, or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! cholecystitis; normal negative response is no pain on release of pressure; perform at the end of exam
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! because it can cause intense pain and muscle rigidity
II! II! II! II! II! II! II! II!
II! Aortic Aneurysm - Correct Answers aorta has distended and has enlarged to the point of rupturing;
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! contributing factor is hypertension; bulging pulsating mass >5 cm II! II! II! II! II! II! II! II!
II! Liver Span - Correct Answers Measure height of liver in the right MCL and begin percussing in the area of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! lung resonance and move down the interspaces until the sound changes to a dull quality -- mark the spot
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! (usually in 5th intercostal space). Then, find abdominal tympany and percuss up in the MCL. Mark where
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
, II! the sound changes from tympany to a dull sound, normally at the right costal margin; Measure distance
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! between two marks; Normal size is 6-12 cm II! II! II! II! II! II! II!
II! Costovertebral angle - Correct Answers Area in lower back where kidneys are located; where rib 12 II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! makes angle with spinal column; assess for tenderness and inflammation
II! II! II! II! II! II! II! II! II!
II! Flank Area - Correct Answers sides of the human body a little towards the back where kidneys are located
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Ascites - Correct Answers excess fluid built up within the peritoneal space within the abdomen; can occur
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! in patients who are in fluid volume overload due to heart failure or patients who have liver problems.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Fluid Wave Test - Correct Answers Test for ascites; Stand on the person's right side; place the ulnar edge
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! of another examiner's hand or the patient's own hand firmly on the abdomen in the midline; Place your
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! left hand on the person's right flank. With your right hand reach across the abdomen and give the left
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! flank a firm strike
II! II! II!
II! Shifting Dullness - Correct Answers Test for ascites; In a supine person ascetic fluid settles by gravity into
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! the flanks, displacing the air-filled bowel to the periumbilical space. You will hear a tympanic note as you
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! percuss over the top of the abdomen because gas-filled intestines float over the fluid. Then percuss down
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! the side of the abdomen. If fluid is present, the note will change from tympany to dull as you reach its
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! level. Mark this spot. Positive fluid wave test occurs with large amounts of ascitic fluid
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Light, Alcohol Wipes, Tape measure/Ruler, Thermometer, BP cuff, Stethoscope - Correct Answers
II! II! II! II! II! II! II! II! II! II! II! II!
II! Equipment needed for an abdominal Exam II! II! II! II! II!
II! Liver - Correct Answers Heaviest organ of the body
II! II! II! II! II! II! II! II! II!
II! 1-2 hours - Correct Answers How soon should bowel sounds be heard after birth?
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! within the first 24 hours - Correct Answers When should a newborn pass their first meconium stool?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1-2 weeks - Correct Answers How long does it take the umbilical cord to fall off?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
