NSG 3160 Comprehensive Exam 4 | Questions
& Answers | 100% Correct | Latest 2025 Update
1. How to assess men genitalia - ANSWER While patient is standing
2. How to assess male rectum - ANSWER Bend over table or left lateral
3. How to assess female genitalia - ANSWER Lithotomy position, prevents
abduction of hips
4. Costovertebral angle tenderness - ANSWER Fist ulnar side at posterior
12th rib any tenderness = inflamed kidneys, normal = no tenderness
5. Increased bone density means - ANSWER Less likely to have fractures
6. Who is most at risk for osteoporosis? - ANSWER Caucasian women/
middle age
7. Patient teaching for osteoporosis - ANSWER Sunlight exposure (need
sunlight to build bone), weight bearing exercise and walking (helps build
bone, osteoblasts)
8. Fractures will usually occur where? - ANSWER Vertebra and hip area
9. Who is at a higher risk for fractures? - ANSWER Smokers
10.ankylosis - ANSWER stiffness of a joint
11.rheumatoid arthritis - ANSWER Inflammatory and on one side
12.Osteoarthiritis - ANSWER Noninflammatory, both sides
13.myalgia - ANSWER muscle pain
14.atrophy - ANSWER Muscles decrease in size from not using them
15.What is located in the RIGHT UPPER QUADRANT (RUQ) - ANSWER
Liver
1
, Gallbladder
Duodenum
Head of pancreas
Right adrenal gland
Right kidney
Hepatic flexure of colon
Part of ascending colon
Part of transverse colon
16.What is located in the RIGHT LOWER QUADRANT (RLQ) -
ANSWER cecum
appendix
right ovary and tube
right ureter
right spermatic cord
17.What is located in the LEFT UPPER QUADRANT (LUQ) - ANSWER
stomach
spleen
left lobe of liver
body of pancreas
left kidney and adrenal
splenic flexure of colon
part of transverse and descending colon
18.What is located in the LEFT LOWER QUADRANT (LLQ) - ANSWER
Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
19.What is located in the MIDLINE - ANSWER aorta
20.A patient is having difficulty swallowing medications and food. How
should the nurse document this? - ANSWER Dysphagia
21.The nurse is aware that what change may occur in the gastrointestinal
system with aging? - ANSWER Decreased Salivation
2
,22.decreases gastric acid secretions may cause - ANSWER pernicious
anemia bc high gastric pH decreases B12 absorption
23.What is true regarding palpating the spleen - ANSWER normally, the
spleen is not palpable
24.A patient's abdomen is bulging and stretched in appearance. How would
the nurse document this finding? - ANSWER Protuberant
25.The nurse is describing a scaphoid abdomen. When assessing the contour
of the abdomen from the rib margin to the pubic bone, what would the
contour look like? - ANSWER Concave
26.Normal abdominal aortic pulsations - ANSWER abdominal pulsations
between the xiphoid process and umbilicus
27.A patient has hypoactive bowel sounds. What is a possible cause of this
finding? - ANSWER Peritonitis
28.What is the reason auscultation precedes percussion and palpation of the
abdomen? - ANSWER Auscultation prevents distortion of bowel sounds
that might occur after percussion and palpation
29.What does normal bowel sounds sound like - ANSWER Are usually
high-pitched, gurgling, and irregular sounds.
30.abdominal borborygmi - ANSWER Loud gurgling bowel sounds
31.What percussion is normal over the umbilical region - ANSWER
Tympanic
32.The nurse is performing an abdominal assessment. What types of
percussion notes can be heard during abdominal assessment? - ANSWER
Tympany, hyperresonance, and dullness
33.A patient is reporting sharp pain along the costovertebral angles. What
does this symptom most often indicate? - ANSWER Kidney
inflammation
3
, 34.A nurse notices that a patient has abdominal ascites. What does this
finding indicate? - ANSWER Presence of fluid
35.Which statement is true regarding an aortic aneurysm? - ANSWER A
pulsating mass is usually present.
36.A patient is suspected of having inflammation of the gallbladder, or
cholecystitis. The nurse would conduct which technique to assess for this
condition? - ANSWER Test for Murphy sign
37.Which of these percussion findings would the nurse expect to find in a
patient with a large amount of ascites? - ANSWER Dullness across the
abdomen
38.What is a hernia - ANSWER a loop of bowel protruding through a weak
spot in the abdominal muscles
39.Which ethnic group has the highest potential for lactose-intolerance
symptoms in adulthood? - ANSWER American Indians
40.The nurse is assessing a patient for possible peptic ulcer disease. Which
condition or history often causes this disorder? - ANSWER Frequent use
of nonsteroidal antiinflammatory drugs
41.hepatomegaly - ANSWER enlarged liver
42.During an assessment, the nurse notices that a patient's umbilicus is
enlarged and everted. It is positioned midline with no change in skin
color. The nurse recognizes that the patient may have which condition? -
ANSWER Umbilical hernia
43.During an abdominal assessment, the nurse tests for a fluid wave. What
condition would produce a positive fluid wave test? - ANSWER Ascites
44.The nurse is preparing to examine a patient who has been reporting right
lower quadrant pain. Which technique is correct during the assessment? -
ANSWER Examine the tender area last.
During a health history, the patient tells the nurse, "I have pain all the time in my
stomach. It's worse 2 hours after I eat, but it gets better if I eat again!" Based on
4
& Answers | 100% Correct | Latest 2025 Update
1. How to assess men genitalia - ANSWER While patient is standing
2. How to assess male rectum - ANSWER Bend over table or left lateral
3. How to assess female genitalia - ANSWER Lithotomy position, prevents
abduction of hips
4. Costovertebral angle tenderness - ANSWER Fist ulnar side at posterior
12th rib any tenderness = inflamed kidneys, normal = no tenderness
5. Increased bone density means - ANSWER Less likely to have fractures
6. Who is most at risk for osteoporosis? - ANSWER Caucasian women/
middle age
7. Patient teaching for osteoporosis - ANSWER Sunlight exposure (need
sunlight to build bone), weight bearing exercise and walking (helps build
bone, osteoblasts)
8. Fractures will usually occur where? - ANSWER Vertebra and hip area
9. Who is at a higher risk for fractures? - ANSWER Smokers
10.ankylosis - ANSWER stiffness of a joint
11.rheumatoid arthritis - ANSWER Inflammatory and on one side
12.Osteoarthiritis - ANSWER Noninflammatory, both sides
13.myalgia - ANSWER muscle pain
14.atrophy - ANSWER Muscles decrease in size from not using them
15.What is located in the RIGHT UPPER QUADRANT (RUQ) - ANSWER
Liver
1
, Gallbladder
Duodenum
Head of pancreas
Right adrenal gland
Right kidney
Hepatic flexure of colon
Part of ascending colon
Part of transverse colon
16.What is located in the RIGHT LOWER QUADRANT (RLQ) -
ANSWER cecum
appendix
right ovary and tube
right ureter
right spermatic cord
17.What is located in the LEFT UPPER QUADRANT (LUQ) - ANSWER
stomach
spleen
left lobe of liver
body of pancreas
left kidney and adrenal
splenic flexure of colon
part of transverse and descending colon
18.What is located in the LEFT LOWER QUADRANT (LLQ) - ANSWER
Part of descending colon
Sigmoid colon
Left ovary and tube
Left ureter
Left spermatic cord
19.What is located in the MIDLINE - ANSWER aorta
20.A patient is having difficulty swallowing medications and food. How
should the nurse document this? - ANSWER Dysphagia
21.The nurse is aware that what change may occur in the gastrointestinal
system with aging? - ANSWER Decreased Salivation
2
,22.decreases gastric acid secretions may cause - ANSWER pernicious
anemia bc high gastric pH decreases B12 absorption
23.What is true regarding palpating the spleen - ANSWER normally, the
spleen is not palpable
24.A patient's abdomen is bulging and stretched in appearance. How would
the nurse document this finding? - ANSWER Protuberant
25.The nurse is describing a scaphoid abdomen. When assessing the contour
of the abdomen from the rib margin to the pubic bone, what would the
contour look like? - ANSWER Concave
26.Normal abdominal aortic pulsations - ANSWER abdominal pulsations
between the xiphoid process and umbilicus
27.A patient has hypoactive bowel sounds. What is a possible cause of this
finding? - ANSWER Peritonitis
28.What is the reason auscultation precedes percussion and palpation of the
abdomen? - ANSWER Auscultation prevents distortion of bowel sounds
that might occur after percussion and palpation
29.What does normal bowel sounds sound like - ANSWER Are usually
high-pitched, gurgling, and irregular sounds.
30.abdominal borborygmi - ANSWER Loud gurgling bowel sounds
31.What percussion is normal over the umbilical region - ANSWER
Tympanic
32.The nurse is performing an abdominal assessment. What types of
percussion notes can be heard during abdominal assessment? - ANSWER
Tympany, hyperresonance, and dullness
33.A patient is reporting sharp pain along the costovertebral angles. What
does this symptom most often indicate? - ANSWER Kidney
inflammation
3
, 34.A nurse notices that a patient has abdominal ascites. What does this
finding indicate? - ANSWER Presence of fluid
35.Which statement is true regarding an aortic aneurysm? - ANSWER A
pulsating mass is usually present.
36.A patient is suspected of having inflammation of the gallbladder, or
cholecystitis. The nurse would conduct which technique to assess for this
condition? - ANSWER Test for Murphy sign
37.Which of these percussion findings would the nurse expect to find in a
patient with a large amount of ascites? - ANSWER Dullness across the
abdomen
38.What is a hernia - ANSWER a loop of bowel protruding through a weak
spot in the abdominal muscles
39.Which ethnic group has the highest potential for lactose-intolerance
symptoms in adulthood? - ANSWER American Indians
40.The nurse is assessing a patient for possible peptic ulcer disease. Which
condition or history often causes this disorder? - ANSWER Frequent use
of nonsteroidal antiinflammatory drugs
41.hepatomegaly - ANSWER enlarged liver
42.During an assessment, the nurse notices that a patient's umbilicus is
enlarged and everted. It is positioned midline with no change in skin
color. The nurse recognizes that the patient may have which condition? -
ANSWER Umbilical hernia
43.During an abdominal assessment, the nurse tests for a fluid wave. What
condition would produce a positive fluid wave test? - ANSWER Ascites
44.The nurse is preparing to examine a patient who has been reporting right
lower quadrant pain. Which technique is correct during the assessment? -
ANSWER Examine the tender area last.
During a health history, the patient tells the nurse, "I have pain all the time in my
stomach. It's worse 2 hours after I eat, but it gets better if I eat again!" Based on
4
