Maryville NURS 612 Exam 3| 120 Questions|
With Complete Solutions
Which statement suggests that a patient may be at risk for
contracting viral hepatitis A. a. I am a healthcare worker b. I had
a blood transfusion recently c. I have renal failure and have
hemodyalisis three times per week. d. I have recently been
overseas. correct answer: D. I have recently been overseas
The examiner observes venous return on the abdomen of the
patient that moves upward from the pubis to the chest. This
finding should make the examiner consider.... a. portal
hypertension b. renal artery stenosis c. inferior vena cava
obstruction d. mesentery arterial hypertension correct answer:
C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she
feels like her stomach muscle is splitting. A light protrusion of
the abdomen midline is observed. This is recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
C. diastasis recti.
D. umbilical herniation. correct answer: C. diastasic recti
In which of the following patients would a slight pulsation in the
epigastric area be considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
,d. older patient correct answer: A. very thin patient
The examiner palpates an organ in the left costal margin. Which
technique should the examiner use to differentiate between an
enlarged left kidney and enlarged spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness correct answer: D.
percussion, listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening
in the abdominal wall.
b. a protrusion of the stomach through the esophageal opening in
the diaphragm
c. an ulcer in the mucous of the stomach that herniates into the
peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct. correct
answer: B. a protrusion of the stomach through the esophageal
opening in the diaphragm.
An examiner may wish to use a bimanual technique for
abdominal palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid.
correct answer: C. meeting muscle resistance while performing
deep palpation
, A 2 1/2 year old presents with abdominal pain and stools that are
red currant jelly in appearance. Which problem would the
examiner suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis correct answer: C. intussusception
You note that the midclavicular liver span of an adult patient is
18cm. With palpation you note that the liver is enlarged and
nontender. What do these findings suggest?
a. diverticulitis
b. ulcerative colitis
c.hepatitis
d. cirrhosis correct answer: d. cirrhosis
the examiner is unable to palpate the liver or kidney the patient
Which of the following techniques will help assess tenderness to
these organs?
a. application of continuous, firm pressure for 3 to 5 minutes
b. percussion of tympany
c. percussion for size
d. indirect fist percussion correct answer: B. percussion of
tympany
Where is pain felt when an obturator muscle test is positive?
A. Right hip and thigh
B. Right hypogastric area
C. Right lower quadrant and groin
D. Beneath the right shoulder blade correct answer: B. Right
hypogastric area
With Complete Solutions
Which statement suggests that a patient may be at risk for
contracting viral hepatitis A. a. I am a healthcare worker b. I had
a blood transfusion recently c. I have renal failure and have
hemodyalisis three times per week. d. I have recently been
overseas. correct answer: D. I have recently been overseas
The examiner observes venous return on the abdomen of the
patient that moves upward from the pubis to the chest. This
finding should make the examiner consider.... a. portal
hypertension b. renal artery stenosis c. inferior vena cava
obstruction d. mesentery arterial hypertension correct answer:
C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she
feels like her stomach muscle is splitting. A light protrusion of
the abdomen midline is observed. This is recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
C. diastasis recti.
D. umbilical herniation. correct answer: C. diastasic recti
In which of the following patients would a slight pulsation in the
epigastric area be considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
,d. older patient correct answer: A. very thin patient
The examiner palpates an organ in the left costal margin. Which
technique should the examiner use to differentiate between an
enlarged left kidney and enlarged spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness correct answer: D.
percussion, listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening
in the abdominal wall.
b. a protrusion of the stomach through the esophageal opening in
the diaphragm
c. an ulcer in the mucous of the stomach that herniates into the
peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct. correct
answer: B. a protrusion of the stomach through the esophageal
opening in the diaphragm.
An examiner may wish to use a bimanual technique for
abdominal palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid.
correct answer: C. meeting muscle resistance while performing
deep palpation
, A 2 1/2 year old presents with abdominal pain and stools that are
red currant jelly in appearance. Which problem would the
examiner suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis correct answer: C. intussusception
You note that the midclavicular liver span of an adult patient is
18cm. With palpation you note that the liver is enlarged and
nontender. What do these findings suggest?
a. diverticulitis
b. ulcerative colitis
c.hepatitis
d. cirrhosis correct answer: d. cirrhosis
the examiner is unable to palpate the liver or kidney the patient
Which of the following techniques will help assess tenderness to
these organs?
a. application of continuous, firm pressure for 3 to 5 minutes
b. percussion of tympany
c. percussion for size
d. indirect fist percussion correct answer: B. percussion of
tympany
Where is pain felt when an obturator muscle test is positive?
A. Right hip and thigh
B. Right hypogastric area
C. Right lower quadrant and groin
D. Beneath the right shoulder blade correct answer: B. Right
hypogastric area
