NUR 325 EXAM 5 QUESTIONS AND ANSWERS
Liver
Gallbladder
Duodenum
R kidney and adrenal hepatic flexure of colon
Part of ascending and transverse colon - Answers :What organs are located in the right
upper quadrant?
Cecum
Appendix
R ovary and tube, ureter and spermatic cord. - Answers :What organs are located in the
right lower quadrant?
Stomach
spleen
left lobe of liver
body of pancreas
L kidney and adrenal, splenic flexure of colon
Part of transverse descending colon - Answers :What organs are located in the left
upper quadrant?
Part of descending colon
slow, low-pitched sounds that happens less than 5 to 30 times per minute - Answers
:Describe hypoactive bowel sounds.
rare, but you need to listen for 5 minutes in the RLQ to verify - Answers :Describe active
bowel sounds.
Aortic, renal, iliac, and femoral arteries. You are listening for bruits. - Answers :What
arteries do you listen to and what are you listening for?
(abdomen)
You should percuss lightly in ALL 4 quadrants and move in a clockwise direction. -
Answers :What direction do you move to percuss?
percussion - Answers :used to assess the relative density of contents, to locate organs
and to screen for abnormal fluid or masses
tympany - Answers :What are you listening for when percussing?
- place a hand over the twelfth rib at the costovertebral angle on the back.
- thump the hand with the ulnar edge of your other fist
- the person normally feels a thud but no pain; someone with kidney stones would feel
pain
, - sharp pain occurs with inflammation of the kidney or the paranephric area. - Answers
:How would you assess for CVA tenderness and what does it mean?
ascites - Answers :What do the fluid wave test and shifting dullness test for?
Rebound tenderness - Answers :pain that increases when pressure (as from a hand) is
removed.
Perform this test at the end of the exam b/c it can cause severe pain and muscle
rigidity.
Accompanies appendicitis in the LLQ (Blumberg sign)
Murphy's sign - Answers :Pain with palpation of gall bladder (seen with cholecystitis).
Ask the person to take a deep breath. A normal response is to complete the deep
breath without pain
Iliopsoas muscle test - Answers :RLQ pain that occurs when placing pressure against a
raised leg, suggesting appendicitis
Light Palpation - Answers :With 4 fingers push skin approximately 1 cm
muscle tone and surface character - Answers :What does light palpation asses for?
Deep palpation - Answers :with 4 fingers push 5-8 cm.
tenderness and masses - Answers :What does deep palpation assess for?
Pica - Answers :compulsive eating of nonnutritive substances such as clay or ice
- Contour is protuberant due to immature musculature
- 2 common bulges are an umbilical hernia (resolves by 1 yr) and diastasis recti
(resolves by early childhood)
- Respiratory effort is visualized in the abdomen. - Answers :Infant inspection
considerations:
Infant Auscultation - Answers :Only hear bowel sounds NO vascular sounds should be
heard
Infant percussion - Answers :Tympany over stomach and dullness over liver
Flex infants' knees and palpate- pacifier for crying - Answers :What do you perform
infant palpation?
Child inspection - Answers :Younger than 4yrs abdomen is protuberant but after age 4
the potbelly is present w/ lumbar lordosis, but abdomen looks flat while supine.
Respiratory effort visualized in abdomen until age 7
Liver
Gallbladder
Duodenum
R kidney and adrenal hepatic flexure of colon
Part of ascending and transverse colon - Answers :What organs are located in the right
upper quadrant?
Cecum
Appendix
R ovary and tube, ureter and spermatic cord. - Answers :What organs are located in the
right lower quadrant?
Stomach
spleen
left lobe of liver
body of pancreas
L kidney and adrenal, splenic flexure of colon
Part of transverse descending colon - Answers :What organs are located in the left
upper quadrant?
Part of descending colon
slow, low-pitched sounds that happens less than 5 to 30 times per minute - Answers
:Describe hypoactive bowel sounds.
rare, but you need to listen for 5 minutes in the RLQ to verify - Answers :Describe active
bowel sounds.
Aortic, renal, iliac, and femoral arteries. You are listening for bruits. - Answers :What
arteries do you listen to and what are you listening for?
(abdomen)
You should percuss lightly in ALL 4 quadrants and move in a clockwise direction. -
Answers :What direction do you move to percuss?
percussion - Answers :used to assess the relative density of contents, to locate organs
and to screen for abnormal fluid or masses
tympany - Answers :What are you listening for when percussing?
- place a hand over the twelfth rib at the costovertebral angle on the back.
- thump the hand with the ulnar edge of your other fist
- the person normally feels a thud but no pain; someone with kidney stones would feel
pain
, - sharp pain occurs with inflammation of the kidney or the paranephric area. - Answers
:How would you assess for CVA tenderness and what does it mean?
ascites - Answers :What do the fluid wave test and shifting dullness test for?
Rebound tenderness - Answers :pain that increases when pressure (as from a hand) is
removed.
Perform this test at the end of the exam b/c it can cause severe pain and muscle
rigidity.
Accompanies appendicitis in the LLQ (Blumberg sign)
Murphy's sign - Answers :Pain with palpation of gall bladder (seen with cholecystitis).
Ask the person to take a deep breath. A normal response is to complete the deep
breath without pain
Iliopsoas muscle test - Answers :RLQ pain that occurs when placing pressure against a
raised leg, suggesting appendicitis
Light Palpation - Answers :With 4 fingers push skin approximately 1 cm
muscle tone and surface character - Answers :What does light palpation asses for?
Deep palpation - Answers :with 4 fingers push 5-8 cm.
tenderness and masses - Answers :What does deep palpation assess for?
Pica - Answers :compulsive eating of nonnutritive substances such as clay or ice
- Contour is protuberant due to immature musculature
- 2 common bulges are an umbilical hernia (resolves by 1 yr) and diastasis recti
(resolves by early childhood)
- Respiratory effort is visualized in the abdomen. - Answers :Infant inspection
considerations:
Infant Auscultation - Answers :Only hear bowel sounds NO vascular sounds should be
heard
Infant percussion - Answers :Tympany over stomach and dullness over liver
Flex infants' knees and palpate- pacifier for crying - Answers :What do you perform
infant palpation?
Child inspection - Answers :Younger than 4yrs abdomen is protuberant but after age 4
the potbelly is present w/ lumbar lordosis, but abdomen looks flat while supine.
Respiratory effort visualized in abdomen until age 7
