NUR 216 Exam 4- Module 12,13,14 UPDATED ACTUAL
Questions and CORRECT Answers
What is the purpose of assessing the abdomen? To gather subjective and objective data about the client's abdominal health.
What is typhany and where is it heard? A high-pitched, musical sound heard over the abdomen due to air in the stomach
and intestines.
What is dullness and where is it heard? A flat, dull sound heard over the liver and spleen.
What is accentuated typhany or hyperresonance and A loud, booming sound heard over a gaseous distended abdomen.
where is it heard?
What are normal findings of the abdomen? A soft and non-tender abdomen.
What are some abnormal findings of the abdomen? Absent bowel sounds, ascites, hyperresonance, tympany, hepatomegaly,
splenomegaly, Cullen sign.
What is the significance of absent bowel sounds? It is associated with peritonitis, which can occur with a ruptured appendix.
What is the positive fluid wave test and shifting dullness Ascites.
indicative of?
What is hyperresonance and when is it heard? A lower pitched booming sound heard when there is too much air, such as
gaseous distention of intestines in the abdomen.
What is tympany and where is it heard? A drum-like sound heard over air-filled organs like the stomach or intestines.
What is hepatomegaly and splenomegaly? Enlarged liver and enlarged spleen
What does Cullen sign indicate? Intra-abdominal bleeding.
What is the order of assessment for the abdomen? Inspect, auscultate, palpate.
Where is the liver located? In the right upper quadrant of the abdomen.
What sound is expected when percussing the liver? A dull percussion note and a dull sound.
, What is the location of kidney inflammation? Sharp pain along the costovertebral angles.
Where is the appendix located? In the right lower quadrant of the abdomen.
What is the significance of dullness across the abdomen? It is found when percussing a patient with a large amount of ascites.
Where is the spleen located? In the left upper quadrant of the abdomen.
Where is the gallbladder located? In the right upper quadrant of the abdomen.
Where is the sigmoid colon located? In the left lower quadrant of the abdomen.
What should be done if the client's bladder is distended? Begin palpating at the symphysis pubis.
What is the recommended order of assessment for the Inspect, auscultate, percuss, and palpate.
abdomen?
Why is auscultation done before percussion and To prevent distortion of bowel sounds that might occur after percussion and
palpation? palpation.
What is a typamnic percussion note? A percussion note in the umbilical region.
What is the purpose of the Murphy sign test? To assess for inflammation of the gallbladder or cholecystitis.
What is the finding in the Murphy sign test that indicates The pain stops midway during inspiration.
inflammation of the gallbladder?
What is the purpose of the fluid wave and shifting To assess for ascites.
dullness test?
What is the purpose of the Blumberg sign test? To assess for rebound tenderness.
What is the purpose of the iliopsoas muscle test? To assess for appendicitis.
What does the observation of abdominal pulsations Normal abdominal aortic pulsations.
between the xiphoid process and umbilicus indicate?
What is a possible finding of peritonitis? Hypoactive bowel sounds.
What can cause hyperactive bowel sounds? Diarrhea, laxative use, and gastroenteritis.
What does tarry black melena stools indicate? Gastrointestinal bleeding.
What are some abdominal conditions? Liver impairment/issues, ascites, heartburn, Clostridium difficile colitis,
constipation.
What is the effect of overuse of laxatives? Decreased intestinal tone and promotes dependency contributing to chronic
constipation.
Questions and CORRECT Answers
What is the purpose of assessing the abdomen? To gather subjective and objective data about the client's abdominal health.
What is typhany and where is it heard? A high-pitched, musical sound heard over the abdomen due to air in the stomach
and intestines.
What is dullness and where is it heard? A flat, dull sound heard over the liver and spleen.
What is accentuated typhany or hyperresonance and A loud, booming sound heard over a gaseous distended abdomen.
where is it heard?
What are normal findings of the abdomen? A soft and non-tender abdomen.
What are some abnormal findings of the abdomen? Absent bowel sounds, ascites, hyperresonance, tympany, hepatomegaly,
splenomegaly, Cullen sign.
What is the significance of absent bowel sounds? It is associated with peritonitis, which can occur with a ruptured appendix.
What is the positive fluid wave test and shifting dullness Ascites.
indicative of?
What is hyperresonance and when is it heard? A lower pitched booming sound heard when there is too much air, such as
gaseous distention of intestines in the abdomen.
What is tympany and where is it heard? A drum-like sound heard over air-filled organs like the stomach or intestines.
What is hepatomegaly and splenomegaly? Enlarged liver and enlarged spleen
What does Cullen sign indicate? Intra-abdominal bleeding.
What is the order of assessment for the abdomen? Inspect, auscultate, palpate.
Where is the liver located? In the right upper quadrant of the abdomen.
What sound is expected when percussing the liver? A dull percussion note and a dull sound.
, What is the location of kidney inflammation? Sharp pain along the costovertebral angles.
Where is the appendix located? In the right lower quadrant of the abdomen.
What is the significance of dullness across the abdomen? It is found when percussing a patient with a large amount of ascites.
Where is the spleen located? In the left upper quadrant of the abdomen.
Where is the gallbladder located? In the right upper quadrant of the abdomen.
Where is the sigmoid colon located? In the left lower quadrant of the abdomen.
What should be done if the client's bladder is distended? Begin palpating at the symphysis pubis.
What is the recommended order of assessment for the Inspect, auscultate, percuss, and palpate.
abdomen?
Why is auscultation done before percussion and To prevent distortion of bowel sounds that might occur after percussion and
palpation? palpation.
What is a typamnic percussion note? A percussion note in the umbilical region.
What is the purpose of the Murphy sign test? To assess for inflammation of the gallbladder or cholecystitis.
What is the finding in the Murphy sign test that indicates The pain stops midway during inspiration.
inflammation of the gallbladder?
What is the purpose of the fluid wave and shifting To assess for ascites.
dullness test?
What is the purpose of the Blumberg sign test? To assess for rebound tenderness.
What is the purpose of the iliopsoas muscle test? To assess for appendicitis.
What does the observation of abdominal pulsations Normal abdominal aortic pulsations.
between the xiphoid process and umbilicus indicate?
What is a possible finding of peritonitis? Hypoactive bowel sounds.
What can cause hyperactive bowel sounds? Diarrhea, laxative use, and gastroenteritis.
What does tarry black melena stools indicate? Gastrointestinal bleeding.
What are some abdominal conditions? Liver impairment/issues, ascites, heartburn, Clostridium difficile colitis,
constipation.
What is the effect of overuse of laxatives? Decreased intestinal tone and promotes dependency contributing to chronic
constipation.
