Maryville NURS 612 Exam 3 Questions With 100% Correct Answers

Maryville NURS 612 Exam 3 Questions With 100% Correct Answers 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. - answerD. 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 - answerC. 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. - answerC. 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 - answerA. 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 - answerD. 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. - answerB. 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. - answerC. 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 - answerC. 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 itis d. cirrhosis - answerd. 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 - answerB. 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 - answerB. Right hypogastric area Which of the following techniques is used to confirm the presence of abdominal ascites? A. Auscultation of fluid movement within the abdominal cavity B. Palpation of rebound tenderness C. Palpation of pitting edema D. Percussion of dullness over dependent areas of the abdomen - answerD. percussion of dullness over dependent areas of the abdomen Which of the following examination findings is indicative of peritoneal irritation or appendicitis? A. Rebound tenderness on palpation B. Shifting dullness over the abdomen on percussion C. Bruit heard over the abdominal aorta on auscultation D. Dullness over the suprapubic area on percussion - answerA. Rebound tenderness on palpation Which finding on a newborn infant suggests congenital anomaly? A. umbilical cord has one artery and one vein B. The umbilical cord is thick C. The umbilical cord is thin D. There is a small mass around the umbilicus - answerA. The umbilical cord has one artery and one vein A 61 year old man has a presenting complaint of frequent constipation. He tells the examiner that there has been a change in his bowel movement habits. He gets constipated easily and the stool is very skinny looking and has a different color than usual. He denies pain. What do these symptoms suggest? - answerC. Colon or rectal cancer The functional ability of the GI tract most severely affected by aging is ? - answermotility