Maryville AHA NURS 612 Exam 3
v7 v7 v7 v7 v7
HPIv7questionsv7forv7chiefv7complaintv7ofv7abdominalv7issuev7-
v7correctv7answer✔ ✔ ○Abdominalv7pain-OLDCARTS
○Whenv7didv7thev7painv7start?
○Wherev7isv7thev7painv7inv7yourv7stomach?
○Doesv7thev7painv7radiatev7tov7otherv7locations?
○Havev7experiencev7nausea/vomiting,v7indigestionv7orv7increasev7inv7belchin
g.
○Whatv7medicationsv7havev7youv7usedv7tov7treatv7yourv7symptoms?
○Havev7youv7hadv7anyv7diarrheav7orv7constipation?
○Dov7youv7havev7tov7usev7laxativev7frequently?
○Whatv7isv7yourv7regularv7dietaryv7habits?
inspectionv7ofv7abdomenv7-v7correctv7answer✔ ✔ -Abdominalv7contour
-Symmetry
-Umbilicusv7
-Skinv7Color
-Vascularity
-Scars
-Striae
,-Lesionsv7orv7rashes
-Abdominalv7movementv7whenv7breathingv7
-Aorticv7pulsation
-
Havev7patientv7raisev7headv7whilev7layingv7downv7andv7lookv7forv7massesv7her
niav7orv7musclev7separation
Abdominalv7assessmentv7orderv7-v7correctv7answer✔ ✔
inspection,v7auscultation,v7percussion,v7palpation
Alwaysv7auscultatev7priorv7tov7percussionv7andv7palpationv7asv7itv7canv7change
v7sound.
Abdomenv7Auscultationv7-v7correctv7answer✔ ✔
Bowelv7soundsv7inv7allv7fourv7quadrants-v7notev7frequencyv7andv7character
listenv7forv7frictionv7rubsv7overv7liverv7andv7spleen
listenv7forv7bruitsv7overv7thev7aortic,v7renal,v7illiacv7andv7femoralv7arteries
listenv7forv7venousv7humv7aroundv7epigastricv7areav7abovev7thev7bellyv7button
,Abdominalv7findingsv7abdomenv7-v7correctv7answer✔ ✔ ○Bruits-
v7Av7swishingv7soundv7heardv7overv7thev7aortic,v7renalv7iliac,v7andv7femoralv7art
eries,v7indicatingv7narrowingv7orv7aneurysm.
○Pop/Tinkles-
v7Highv7pitchv7soundv7suggestingv7intestinalv7fluidv7andv7airv7underv7pressure,v
7asv7inv7earlyv7obstruction.
○Rushes-v7Rushesv7ofv7high-
pitchedv7soundsv7thatv7coincidev7withv7crampingv7suggestsv7intestinalv7obstru
ction.
○Borborygmi-
v7Increasedv7prolongedv7gurglesv7occurv7with v7gastroenteritis,v7earlyv7intestin
alv7obstruction,v7andv7hunger.
○Rubs-
v7Gratingv7soundsv7thatv7varyv7withv7respiration.v7Indicatev7inflammation v7ofv7
thev7peritonealv7surfacev7ofv7anv7organv7fromv7tumor,v7infection,v7orv7splenicv7
infarct.
○Venousv7Hum-
v7Av7softv7humming v7noisev7oftenv7heardv7inv7hepaticv7cirrhosisv7thatv7isv7cause
dv7byv7increasedv7collateralv7circulationv7betweenv7portalv7andv7systemicv7ve
nousv7system.
, ○Succussionv7splash-
v7Av7splashingv7noisev7producedv7byv7shakingv7thev7bodyv7whenv7therev7isv7bot
hv7gasv7andv7fluidv7inv7av7cavityv7orv7freev7airv7inv7thev7peritoneumv7orv7thorax.
○Decreased/absentv7bowelv7sounds-
v7Occursv7withv7peritonitisv7orv7paralyticv7ileus.
Howv7tov7percussv7tov7estimatev7thev7liverv7spanv7-v7correctv7answer✔ ✔
ov7First,v7determinev7thev7lowerv7borderv7ofv7thev7liverv7byv7percussingv7upv7f
romv7anv7areav7ofv7tympanyv7alongv7thev7rightv7midclavicularv7line.v7Markv7th
ev7pointv7wherev7tympanyv7changesv7tov7dullness,v7whichv7usuallyv7occursv7atv
7orv7slightlyv7belowv7thev7costalv7margin.v7
ov7Second,v7determinev7thev7upperv7borderv7ofv7thev7liverv7byv7percussingv7do
wnv7fromv7anv7areav7ofv7resonancev7alongv7thev7rightv7midclavicularv7line.v7M
arkv7thev7pointv7wherev7resonancev7changesv7tov7dullness,v7whichv7usuallyv7isv
7inv7thev7fifthv7intercostalv7space.v7
ov7Third,v7measurev7thev7distancev7betweenv7thev7marks.v7Thev7verticalv7liverv7
spanv7usuallyv7rangesv7fromv76v7tov712v7cm.
Blumbergv7Signv7-v7correctv7answer✔ ✔
Reboundv7tenderness,v7RLQ,v7appendicitis,v7peritonealv7irritation
v7 v7 v7 v7 v7
HPIv7questionsv7forv7chiefv7complaintv7ofv7abdominalv7issuev7-
v7correctv7answer✔ ✔ ○Abdominalv7pain-OLDCARTS
○Whenv7didv7thev7painv7start?
○Wherev7isv7thev7painv7inv7yourv7stomach?
○Doesv7thev7painv7radiatev7tov7otherv7locations?
○Havev7experiencev7nausea/vomiting,v7indigestionv7orv7increasev7inv7belchin
g.
○Whatv7medicationsv7havev7youv7usedv7tov7treatv7yourv7symptoms?
○Havev7youv7hadv7anyv7diarrheav7orv7constipation?
○Dov7youv7havev7tov7usev7laxativev7frequently?
○Whatv7isv7yourv7regularv7dietaryv7habits?
inspectionv7ofv7abdomenv7-v7correctv7answer✔ ✔ -Abdominalv7contour
-Symmetry
-Umbilicusv7
-Skinv7Color
-Vascularity
-Scars
-Striae
,-Lesionsv7orv7rashes
-Abdominalv7movementv7whenv7breathingv7
-Aorticv7pulsation
-
Havev7patientv7raisev7headv7whilev7layingv7downv7andv7lookv7forv7massesv7her
niav7orv7musclev7separation
Abdominalv7assessmentv7orderv7-v7correctv7answer✔ ✔
inspection,v7auscultation,v7percussion,v7palpation
Alwaysv7auscultatev7priorv7tov7percussionv7andv7palpationv7asv7itv7canv7change
v7sound.
Abdomenv7Auscultationv7-v7correctv7answer✔ ✔
Bowelv7soundsv7inv7allv7fourv7quadrants-v7notev7frequencyv7andv7character
listenv7forv7frictionv7rubsv7overv7liverv7andv7spleen
listenv7forv7bruitsv7overv7thev7aortic,v7renal,v7illiacv7andv7femoralv7arteries
listenv7forv7venousv7humv7aroundv7epigastricv7areav7abovev7thev7bellyv7button
,Abdominalv7findingsv7abdomenv7-v7correctv7answer✔ ✔ ○Bruits-
v7Av7swishingv7soundv7heardv7overv7thev7aortic,v7renalv7iliac,v7andv7femoralv7art
eries,v7indicatingv7narrowingv7orv7aneurysm.
○Pop/Tinkles-
v7Highv7pitchv7soundv7suggestingv7intestinalv7fluidv7andv7airv7underv7pressure,v
7asv7inv7earlyv7obstruction.
○Rushes-v7Rushesv7ofv7high-
pitchedv7soundsv7thatv7coincidev7withv7crampingv7suggestsv7intestinalv7obstru
ction.
○Borborygmi-
v7Increasedv7prolongedv7gurglesv7occurv7with v7gastroenteritis,v7earlyv7intestin
alv7obstruction,v7andv7hunger.
○Rubs-
v7Gratingv7soundsv7thatv7varyv7withv7respiration.v7Indicatev7inflammation v7ofv7
thev7peritonealv7surfacev7ofv7anv7organv7fromv7tumor,v7infection,v7orv7splenicv7
infarct.
○Venousv7Hum-
v7Av7softv7humming v7noisev7oftenv7heardv7inv7hepaticv7cirrhosisv7thatv7isv7cause
dv7byv7increasedv7collateralv7circulationv7betweenv7portalv7andv7systemicv7ve
nousv7system.
, ○Succussionv7splash-
v7Av7splashingv7noisev7producedv7byv7shakingv7thev7bodyv7whenv7therev7isv7bot
hv7gasv7andv7fluidv7inv7av7cavityv7orv7freev7airv7inv7thev7peritoneumv7orv7thorax.
○Decreased/absentv7bowelv7sounds-
v7Occursv7withv7peritonitisv7orv7paralyticv7ileus.
Howv7tov7percussv7tov7estimatev7thev7liverv7spanv7-v7correctv7answer✔ ✔
ov7First,v7determinev7thev7lowerv7borderv7ofv7thev7liverv7byv7percussingv7upv7f
romv7anv7areav7ofv7tympanyv7alongv7thev7rightv7midclavicularv7line.v7Markv7th
ev7pointv7wherev7tympanyv7changesv7tov7dullness,v7whichv7usuallyv7occursv7atv
7orv7slightlyv7belowv7thev7costalv7margin.v7
ov7Second,v7determinev7thev7upperv7borderv7ofv7thev7liverv7byv7percussingv7do
wnv7fromv7anv7areav7ofv7resonancev7alongv7thev7rightv7midclavicularv7line.v7M
arkv7thev7pointv7wherev7resonancev7changesv7tov7dullness,v7whichv7usuallyv7isv
7inv7thev7fifthv7intercostalv7space.v7
ov7Third,v7measurev7thev7distancev7betweenv7thev7marks.v7Thev7verticalv7liverv7
spanv7usuallyv7rangesv7fromv76v7tov712v7cm.
Blumbergv7Signv7-v7correctv7answer✔ ✔
Reboundv7tenderness,v7RLQ,v7appendicitis,v7peritonealv7irritation
