NU 650 MIDTERM ACTUAL TEST PAPER
COMPLETE ANSWER GUIDE GUARANTEED
TO PASS REVIEW MATERIAL
⩥ The nurse is percussing the seventh right intercostal space at the
midclavicular line over the liver. Which sound should the nurse expect
to hear?
A. Dullness
B. Tympany
C. Resonance
D. Hyperresonance.
Answer: A
The liver is located in the RUQ and would elicit a dull percussion note.
⩥ Which structure is located in the LLQ of the abdomen?
A. Liver
B. Duodenum
C. Gallbladder
D. Sigmoid Colon.
Answer: D
,⩥ A patient is having difficulty swallowing medications and food. The
nurse would document that this patient has:
A. Aphasia
B. Dysphasia
C. Dysphagia
D. Anorexia.
Answer: C
Aphasia and dysphasia are speech disorders. Anorexia is a loss of
appetite.
⩥ The nurse suspects that a patient has a distended bladder. How should
the nurse assess for this condition?
A. Percuss and palpate in the lumbar region.
B. Inspect and palpate in the epigastric region.
C. Auscultate and percuss in the inguinal region.
D. Percuss and palpate the midline area above the suprapubic bone..
Answer: D
Dull percussion sounds would be elicited over a distended bladder, and
the
hypogastric area would seem firm to palpation.
⩥ The nurse is aware that one change that may occur in the
gastrointestinal system
,of an aging adult is:
A. Increased salivation.
B. Increased liver size.
C. Increased esophageal emptying.
D. Decreased gastric acid secretion..
Answer: D
Gastric acid secretion decreases with aging. As one ages, salivation
decreases,
esophageal emptying is delayed, and liver size decreases.
⩥ A 22-year-old man comes to the clinic for an examination after falling
off his
motorcycle and landing on his left side on the handle bars. The nurse
suspects that he may have injured his spleen. Which of these statements
is true regarding assessment of the spleen in this situation?
A. The spleen can be enlarged as a result of trauma.
B. The spleen is normally felt on routine
palpation.
C. If an enlarged spleen is noted, then the nurse should thoroughly
palpate to determine its size.
D. An enlarged spleen should not be palpated because it can easily
rupture..
Answer: D
, If an enlarged spleen is felt, then the nurse should refer the person and
should not
continue to palpate it. An enlarged spleen is friable and can easily
rupture with overpalpation.
⩥ A patients abdomen is bulging and stretched in appearance. The nurse
should describe this finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant..
Answer: D
A protuberant abdomen is rounded, bulging, and stretched. A scaphoid
abdomen caves inward.
⩥ The nurse is describing a scaphoid abdomen. To the horizontal plane,
a scaphoid contour of the abdomen depicts a ______ profile.
A. Flat
B. Convex
C. Bulging
D. Concave.
Answer: D
COMPLETE ANSWER GUIDE GUARANTEED
TO PASS REVIEW MATERIAL
⩥ The nurse is percussing the seventh right intercostal space at the
midclavicular line over the liver. Which sound should the nurse expect
to hear?
A. Dullness
B. Tympany
C. Resonance
D. Hyperresonance.
Answer: A
The liver is located in the RUQ and would elicit a dull percussion note.
⩥ Which structure is located in the LLQ of the abdomen?
A. Liver
B. Duodenum
C. Gallbladder
D. Sigmoid Colon.
Answer: D
,⩥ A patient is having difficulty swallowing medications and food. The
nurse would document that this patient has:
A. Aphasia
B. Dysphasia
C. Dysphagia
D. Anorexia.
Answer: C
Aphasia and dysphasia are speech disorders. Anorexia is a loss of
appetite.
⩥ The nurse suspects that a patient has a distended bladder. How should
the nurse assess for this condition?
A. Percuss and palpate in the lumbar region.
B. Inspect and palpate in the epigastric region.
C. Auscultate and percuss in the inguinal region.
D. Percuss and palpate the midline area above the suprapubic bone..
Answer: D
Dull percussion sounds would be elicited over a distended bladder, and
the
hypogastric area would seem firm to palpation.
⩥ The nurse is aware that one change that may occur in the
gastrointestinal system
,of an aging adult is:
A. Increased salivation.
B. Increased liver size.
C. Increased esophageal emptying.
D. Decreased gastric acid secretion..
Answer: D
Gastric acid secretion decreases with aging. As one ages, salivation
decreases,
esophageal emptying is delayed, and liver size decreases.
⩥ A 22-year-old man comes to the clinic for an examination after falling
off his
motorcycle and landing on his left side on the handle bars. The nurse
suspects that he may have injured his spleen. Which of these statements
is true regarding assessment of the spleen in this situation?
A. The spleen can be enlarged as a result of trauma.
B. The spleen is normally felt on routine
palpation.
C. If an enlarged spleen is noted, then the nurse should thoroughly
palpate to determine its size.
D. An enlarged spleen should not be palpated because it can easily
rupture..
Answer: D
, If an enlarged spleen is felt, then the nurse should refer the person and
should not
continue to palpate it. An enlarged spleen is friable and can easily
rupture with overpalpation.
⩥ A patients abdomen is bulging and stretched in appearance. The nurse
should describe this finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant..
Answer: D
A protuberant abdomen is rounded, bulging, and stretched. A scaphoid
abdomen caves inward.
⩥ The nurse is describing a scaphoid abdomen. To the horizontal plane,
a scaphoid contour of the abdomen depicts a ______ profile.
A. Flat
B. Convex
C. Bulging
D. Concave.
Answer: D
