NURS 5220 ADVANCED HEALTH ASSESSMENT EXAM 2 -
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE JUST RELEASED
Question 1: What is the best positioning for an abdominal exam?
Answer:
The patient should lie, supine with knees, slightly flexed to relax the
abdominal muscles
Question 2: Why is it important to osculate the abdomen prior to
percussion or palpation?
Answer:
It is important to osculate before percussion or palpation in order to avoid
artificially created bowel sounds
Types of Bowel Sounds and their Meaning:
Question 3: Irregular clicks and gurgles, occurring 5-30 times per
minute
Answer:
Normal bowel sounds
Types of Bowel Sounds and their Meaning:
Question 4: Prolonged gurgles or "stomach growing" sounds
associated with hunger
Answer:
, Borborygmi or Hyperactive bowel sounds
Question 5: How long should you listen to each quadrant to detect
Hypoactive Bowel sounds?
Answer:
5 minutes per quadrant
Question 6: Which of the following sounds would be heard while
percussion over the stomach?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
A. Tympany
Drum-like could be heard over a gastric air bubble
Question 7: Which is the following sounds would be heard while
percussing the intestines?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
C. Resonance
,Question 8: Which of the following sounds would be heard over
solid organs like the Liver or Spleen?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
Dullness
Question 9: While conducting an abdominal exam the NP
percusses against the Costal Vertebral Angle (CVA). The patient
experiences pain and tenderness during this action. What could
this indicate?
Answer:
Pylonephritis (Kidney Inflammation)
Question 10: How many cm for Light Palpation?
Answer:
1 cm (one hand)
Question 11: How many cm for Moderate Palpation?
Answer:
2-3cm
Question 12: How many cm for Deep Palpation?
, Answer:
4-5cm
Question 13: Which level of Palpation requires two hands?
Answer:
Deep Palpation
Question 14: What is McBurney's point Technique?
Answer:
Press on McBurney's point (RLQ), hold for a few seconds and then
release.
Question 15: What is a Positive sign for the McBurney's Technique
and what does it indicate?
Answer:
Positive Sign: Pain upon rebound
Indicates: appendicitis
Question 16: What is Psoa's Sign?
Answer:
Ask the patient to lie supine. The patient should raise their RIGHT leg
while the NP applies resistance
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE JUST RELEASED
Question 1: What is the best positioning for an abdominal exam?
Answer:
The patient should lie, supine with knees, slightly flexed to relax the
abdominal muscles
Question 2: Why is it important to osculate the abdomen prior to
percussion or palpation?
Answer:
It is important to osculate before percussion or palpation in order to avoid
artificially created bowel sounds
Types of Bowel Sounds and their Meaning:
Question 3: Irregular clicks and gurgles, occurring 5-30 times per
minute
Answer:
Normal bowel sounds
Types of Bowel Sounds and their Meaning:
Question 4: Prolonged gurgles or "stomach growing" sounds
associated with hunger
Answer:
, Borborygmi or Hyperactive bowel sounds
Question 5: How long should you listen to each quadrant to detect
Hypoactive Bowel sounds?
Answer:
5 minutes per quadrant
Question 6: Which of the following sounds would be heard while
percussion over the stomach?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
A. Tympany
Drum-like could be heard over a gastric air bubble
Question 7: Which is the following sounds would be heard while
percussing the intestines?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
C. Resonance
,Question 8: Which of the following sounds would be heard over
solid organs like the Liver or Spleen?
A. Tympany
B. Dullness
C. Resonance
D. Flatness
Answer:
Dullness
Question 9: While conducting an abdominal exam the NP
percusses against the Costal Vertebral Angle (CVA). The patient
experiences pain and tenderness during this action. What could
this indicate?
Answer:
Pylonephritis (Kidney Inflammation)
Question 10: How many cm for Light Palpation?
Answer:
1 cm (one hand)
Question 11: How many cm for Moderate Palpation?
Answer:
2-3cm
Question 12: How many cm for Deep Palpation?
, Answer:
4-5cm
Question 13: Which level of Palpation requires two hands?
Answer:
Deep Palpation
Question 14: What is McBurney's point Technique?
Answer:
Press on McBurney's point (RLQ), hold for a few seconds and then
release.
Question 15: What is a Positive sign for the McBurney's Technique
and what does it indicate?
Answer:
Positive Sign: Pain upon rebound
Indicates: appendicitis
Question 16: What is Psoa's Sign?
Answer:
Ask the patient to lie supine. The patient should raise their RIGHT leg
while the NP applies resistance
