NUR 605 – GI: Questions With Reliable Solutions
Describe the proper positioning and preparation of the patient for
the examination. Correct Answer - Use a strong overhead light
& secondary stand light
Drape: Genitalia and female breasts
Position for abdominal wall relaxation:
Emptied Bladder
Warm room
Supine with head on pillow, knees bent,State arms at side or across
chest
Examine painful areas last
Discuss inspection of the abdomen, including findings that should be
noted. Correct Answer - Contour: Flat, Scaphoid, Rounded,
Protuberant [nutritional state]
Symmetry: No budges, masses (hernia)
Umbilicus: Midline, inverted, no discoloration, inflammation
Skin: smooth, even, possible striae (recent=pink or blue)
Pulsation: may see aorta pulsate
Hair Distribution: pubic hair male (diamond shape) female (inverted
triangle)
Demeanor: benign facial expression, relaxed
State the rationale for performing auscultation of the abdomen
before palpation or percussion. Correct Answer - Palpation
and percussion can increase peristalsis, which would give a false
interpretation of bowel sounds.
Describe the procedure for auscultation of bowel sounds. Correct
Answer - Use diaphragm and press lightly to skin
Begin in the RLQ at the ileocecal valve area.. listen to all 4 quads
Absent BS- listen for >5 minutes in each quad
Describe the proper positioning and preparation of the patient for
the examination. Correct Answer - Use a strong overhead light
& secondary stand light
Drape: Genitalia and female breasts
Position for abdominal wall relaxation:
Emptied Bladder
Warm room
Supine with head on pillow, knees bent,State arms at side or across
chest
Examine painful areas last
Discuss inspection of the abdomen, including findings that should be
noted. Correct Answer - Contour: Flat, Scaphoid, Rounded,
Protuberant [nutritional state]
Symmetry: No budges, masses (hernia)
Umbilicus: Midline, inverted, no discoloration, inflammation
Skin: smooth, even, possible striae (recent=pink or blue)
Pulsation: may see aorta pulsate
Hair Distribution: pubic hair male (diamond shape) female (inverted
triangle)
Demeanor: benign facial expression, relaxed
State the rationale for performing auscultation of the abdomen
before palpation or percussion. Correct Answer - Palpation
and percussion can increase peristalsis, which would give a false
interpretation of bowel sounds.
Describe the procedure for auscultation of bowel sounds. Correct
Answer - Use diaphragm and press lightly to skin
Begin in the RLQ at the ileocecal valve area.. listen to all 4 quads
Absent BS- listen for >5 minutes in each quad
