NU 650 Exam 3 with complete solutions

When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the LLQ? A. Tympanic B. Dull C. Resonant D. Hyperresonant - Answer- B Which of the following represents the proper position for the NP to assess the patient's abdomen? A. Stand at the patient's left side and proceed in a systematic fashion. B. Stand at the patient's left side and assess any problem areas first C. Stand at the patient's right side and process in a systemic fashion D. Stand at the patient's right side and assess any problem areas first - Answer- C The NP will demonstrate the correct order of examination for the abdomen by using examination techniques that follows: 1. Auscultation 2. Inspection 3. Palpation 4. Percussion A. 1-2-3-4 B. 2-3-4-1 C. 3-4-1-2 D. 2-1-3-4 - Answer- D The NP will use which of the following examination techniques to determine muscular resistance, superficial organs and masses in the abdomen A. inspection B. light palpation C. deep palpation D. percussion - Answer- B The NP will use which of the following methods to help the patient relax during the abdominal exam? A. ask the patient to hold their breath B. Palpate the abdomen after inspiration C. palpate the abdomen after expiration D. Palpate the abdomen using quick short movements - Answer- C When percussing the abdomen, you would document the normal finding of percussion over the intestines as: A. Tympanic B. Dull C. Resonant D. Hyperresonant - Answer- A The NP will use her third finger to strike or deliver a rapid tap or blow against another finger placed against the surface of the chest or abdomen to evoke a sound wave. The striking or tapping finger is called the: - Answer- Plexor finger Identify the correct examination sequence for each body system: 1. Auscultation, 2. Inspection, 3. Palpation, 4. percussion a: posterior thorax & lungs b: anterior thorax & CV system c: abdomen - Answer- a. Posterior thorax & lungs: 2-3-4-1 b. Anterior thorax & CV system: 2-3-4-1 c. Abdomen: 2-1-4-3 A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the encounter?A. HPIB. CCC. Subjective DataD. Objective Data - Answer- D The NP can determine higher cognitive function by asking the patient to perform which of the following tasks?A. Explain the meaning of a proverbB. Identify the day of the week, month, season, date and yearC. Recall details of historical eventsD. Spell a five-letter word such as WORLD backward - Answer- A A 36-year-old female patient is seen in the clinic for a reported fever and back pain. She complained of pain when the NP percussed over the left CVA angle. This finding supports which of the following differential diagnosis?A. PyelonephritisB. Left lower lobe pneumoniaC. SplenomegalyD. Cholecystitis - Answer- A The liver border can be palpated normally below the costal margin at the:A. Left mid-clavicular lineB. Right mid-axillary lineC. Right mid-calvicular lineD. Left mid-axillary line - Answer- C The NP will recognize which of the following subjective or objective findings as worrisome for an abdominal aortic aneurysm?A. aortic width of 2.8 cmB. 25 pack-year smoking historyC. age of 60D. Female gender - Answer- B The NP will use which of the following examination techniques to determine muscular resistance, superficial organs and masses in the abdomenA. inspectionB. light palpationC. deep palpationD. percussion - Answer- B The parents of a 4-month-old infant share concern about their child's umbilical hernia at a well-child visit. The NP will correctly i