1530 Physical exam 3 QUESTIONS AND
VERIFIED CORRECT ANSWERS
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A "This question does not relate to renal disease. The pain experienced with renal disease is
usually flank pain over the costovertebral angle.
B This question relating to weight gain and edema suggests fluid retention that occurs with
renal or heart disease, particularly renal failure.
C This question does not relate to renal disease. It might relate to liver or gallbladder disease if
the change in skin color was yellow, indicating jaundice.
D This question usually relates to disorders within the gastrointestinal tract itself and not renal
disease
A patient reports having abdominal distention. The nurse observes that the patient's sclerae are
yellow. Which abnormal finding does the nurse anticipate on examination of this patient's
abdomen?
a. Decreased bowel sounds in all quadrants
b. Glistening or taut skin of the abdomen
c. Bulge in the abdomen when coughing
d. Bruit around the umbilicus - CORRECT ANSWER-ANS: B
Feedback
A Decreased bowel sounds in all quadrants may be present if the abdominal distention was
from an intestinal obstruction, but the observation of jaundice suggests liver disease, which
does not decrease bowel sounds.
,B Glistening or taut skin of the abdomen is consistent with ascites that appear as abdominal
distention. Jaundice and ascites suggest liver disease. There would also be an increase in
abdominal girth.
C A bulge in the abdomen when coughing is a finding associated with abdominal or incisional
hernias.
D Bruit around the umbilicus is a finding associated with an abdominal aortic aneurysm
9. When inspecting a patient's abdomen, which finding does the nurse note as normal?
a. Engorgement of veins around the umbilicus
b. Sudden bulge at the umbilicus when coughing
c. Visible peristalsis in all quadrants
d. Silver-white striae extending from the umbilicus - CORRECT ANSWER-ANS: D
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A Engorgement of veins around the umbilicus is an abnormal finding.
B Sudden bulge at the umbilicus when coughing is an abnormal finding and may indicate a
hernia.
C Visible peristalsis in all quadrants is an abnormal finding.
D Silver-white striae extending from the umbilicus is a normal finding, particularly in women
who have been pregnant or in any adult who has lost weight after having an obese abdomen.
. When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a. Protruding abdomen with skin that is lighter in color than the arms and legs
b. Marked rhythmic pulsation to the left of the midline
c. Faint, fine vascular network
d. Small shadows created by changes in contour - CORRECT ANSWER-ANS: B
Feedback
,A Obesity may cause a protruding abdomen and although obesity is not an indicator of health, it
does not necessarily indicate a disease is present.
B Marked rhythmic pulsation to the left of the midline is an abnormal finding that may indicate
an abdominal aortic aneurysm.
C A faint, fine vascular network is a normal finding. If the vessels were engorged, it would be an
abnormal finding.
D Small shadows created by changes in contour are a normal finding and they are seen by using
a light source to inspect the contour.
. On inspection of a female patient's abdomen, the nurse asks the patient to raise her head
without using her arms and notes a midline bulge. What is the appropriate response of the
nurse at this time?
a. Ask the patient to cough to see if the bulge reappears.
b. Auscultate the patient's abdomen for hypoactive bowel sounds.
c. Document this as a normal finding and continue the examination.
d. Perform light and deep palpation of the abdomen. - CORRECT ANSWER-ANS: C
Feedback
A Ask the patient to cough to see if the bulge reappears. A bulge that appears with coughing is
an abnormal finding revealed by the increase in intrathoracic pressure during the cough.
B Auscultating the patient's abdomen for hypoactive bowel sounds is not indicated because the
bulge is a normal finding.
C Document this as a normal finding and continue the examination. This is a normal finding on a
patient
D Performing light and deep palpation of the abdomen are not indicated because the bulge is a
normal finding.
. A nurse notices abdominal distention when inspecting a patient's abdomen. What action does
the nurse take next to gain further objective data?
a. Place a measuring tape around the superior iliac crests.
, b. Assist the patient to turn on to the left side and then the right side.
c. Ask the patient to cough while lying supine.
d. Use the fingertips to sharply strike one side of the abdomen. - CORRECT ANSWER-ANS: A
Feedback
A This is the procedure for measuring abdominal girth.
B This procedure is unnecessary. The distention will remain in a side-lying position.
C Having the patient cough is used to assess for bulges rather than distention.
D This is part of the procedure to test for a fluid wave, which is not indicated in this patient
A nurse inspects the abdomen for skin color, surface characteristics, and surface movement.
What part of the abdominal assessment does the nurse perform next?
a. Palpate lightly for tenderness and muscle tone.
B Auscultation for bowel sounds
c. Palpate deeply for masses or aortic pulsation.
d. Percuss for tones.
. - CORRECT ANSWER-ANS: B
Feedback
A Palpating lightly for tenderness and muscle tone is performed after auscultation.
B Auscultation for bowel sounds occurs before palpating and percussing the abdomen.
C Palpating deeply for masses or aortic pulsation is performed after light palpation.
D Percussion for tones is performed after palpation
. How does the nurse accurately assess bowel sounds?
a. Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant.
VERIFIED CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
Feedback
A "This question does not relate to renal disease. The pain experienced with renal disease is
usually flank pain over the costovertebral angle.
B This question relating to weight gain and edema suggests fluid retention that occurs with
renal or heart disease, particularly renal failure.
C This question does not relate to renal disease. It might relate to liver or gallbladder disease if
the change in skin color was yellow, indicating jaundice.
D This question usually relates to disorders within the gastrointestinal tract itself and not renal
disease
A patient reports having abdominal distention. The nurse observes that the patient's sclerae are
yellow. Which abnormal finding does the nurse anticipate on examination of this patient's
abdomen?
a. Decreased bowel sounds in all quadrants
b. Glistening or taut skin of the abdomen
c. Bulge in the abdomen when coughing
d. Bruit around the umbilicus - CORRECT ANSWER-ANS: B
Feedback
A Decreased bowel sounds in all quadrants may be present if the abdominal distention was
from an intestinal obstruction, but the observation of jaundice suggests liver disease, which
does not decrease bowel sounds.
,B Glistening or taut skin of the abdomen is consistent with ascites that appear as abdominal
distention. Jaundice and ascites suggest liver disease. There would also be an increase in
abdominal girth.
C A bulge in the abdomen when coughing is a finding associated with abdominal or incisional
hernias.
D Bruit around the umbilicus is a finding associated with an abdominal aortic aneurysm
9. When inspecting a patient's abdomen, which finding does the nurse note as normal?
a. Engorgement of veins around the umbilicus
b. Sudden bulge at the umbilicus when coughing
c. Visible peristalsis in all quadrants
d. Silver-white striae extending from the umbilicus - CORRECT ANSWER-ANS: D
Feedback
A Engorgement of veins around the umbilicus is an abnormal finding.
B Sudden bulge at the umbilicus when coughing is an abnormal finding and may indicate a
hernia.
C Visible peristalsis in all quadrants is an abnormal finding.
D Silver-white striae extending from the umbilicus is a normal finding, particularly in women
who have been pregnant or in any adult who has lost weight after having an obese abdomen.
. When inspecting a patient's abdomen, the nurse notes which finding as abnormal?
a. Protruding abdomen with skin that is lighter in color than the arms and legs
b. Marked rhythmic pulsation to the left of the midline
c. Faint, fine vascular network
d. Small shadows created by changes in contour - CORRECT ANSWER-ANS: B
Feedback
,A Obesity may cause a protruding abdomen and although obesity is not an indicator of health, it
does not necessarily indicate a disease is present.
B Marked rhythmic pulsation to the left of the midline is an abnormal finding that may indicate
an abdominal aortic aneurysm.
C A faint, fine vascular network is a normal finding. If the vessels were engorged, it would be an
abnormal finding.
D Small shadows created by changes in contour are a normal finding and they are seen by using
a light source to inspect the contour.
. On inspection of a female patient's abdomen, the nurse asks the patient to raise her head
without using her arms and notes a midline bulge. What is the appropriate response of the
nurse at this time?
a. Ask the patient to cough to see if the bulge reappears.
b. Auscultate the patient's abdomen for hypoactive bowel sounds.
c. Document this as a normal finding and continue the examination.
d. Perform light and deep palpation of the abdomen. - CORRECT ANSWER-ANS: C
Feedback
A Ask the patient to cough to see if the bulge reappears. A bulge that appears with coughing is
an abnormal finding revealed by the increase in intrathoracic pressure during the cough.
B Auscultating the patient's abdomen for hypoactive bowel sounds is not indicated because the
bulge is a normal finding.
C Document this as a normal finding and continue the examination. This is a normal finding on a
patient
D Performing light and deep palpation of the abdomen are not indicated because the bulge is a
normal finding.
. A nurse notices abdominal distention when inspecting a patient's abdomen. What action does
the nurse take next to gain further objective data?
a. Place a measuring tape around the superior iliac crests.
, b. Assist the patient to turn on to the left side and then the right side.
c. Ask the patient to cough while lying supine.
d. Use the fingertips to sharply strike one side of the abdomen. - CORRECT ANSWER-ANS: A
Feedback
A This is the procedure for measuring abdominal girth.
B This procedure is unnecessary. The distention will remain in a side-lying position.
C Having the patient cough is used to assess for bulges rather than distention.
D This is part of the procedure to test for a fluid wave, which is not indicated in this patient
A nurse inspects the abdomen for skin color, surface characteristics, and surface movement.
What part of the abdominal assessment does the nurse perform next?
a. Palpate lightly for tenderness and muscle tone.
B Auscultation for bowel sounds
c. Palpate deeply for masses or aortic pulsation.
d. Percuss for tones.
. - CORRECT ANSWER-ANS: B
Feedback
A Palpating lightly for tenderness and muscle tone is performed after auscultation.
B Auscultation for bowel sounds occurs before palpating and percussing the abdomen.
C Palpating deeply for masses or aortic pulsation is performed after light palpation.
D Percussion for tones is performed after palpation
. How does the nurse accurately assess bowel sounds?
a. Press the diaphragm of the stethoscope firmly against the abdomen in each quadrant.
