Health Assessment Final Exam
(Study Guide Questions) solved
In assessing a client for kidney tenderness, where would you begin? - Ans
Costovertebral
A nurse working in a hospital includes abdominal assessment as part of
patient assessment. In which patients would a nurse expect to find
decreased or absent bowel sounds after listening for 5 minutes? - Ans A
patient diagnosed with peritonitis. A patient who is on prolonged bedrest. A
patient who has paralytic ileus caused by surgery.
The nurse is assessing the abdomen of a patient who is experiencing
frequent bouts of diarrhea. The nurse first observes the contour of the
abdomen, noting any masses, scars, or areas of distention. What action
would the nurse perform next? - Ans Inspect and Auscultate the abdomen
using an orderly clockwise approach in all abdominal quadrants.
If the client’s umbilicus is enlarged and to the left, what is this indicative of? -
Ans Umbilical hernia
What quadrant is the pancreas located? - Ans LLQ, Deep in upper abdomen
and cannot be palpated.
What quadrant is the sigmoid colon located? - Ans Left lower quadrant
What quadrant does the colon originate? - Ans Right lower quadrant
Where would you palpate the adults appendix? - Ans Right Lower Quadrant
(RLQ)
, What do you observe when assessing a clients gait? - Ans the person rises
from a chair, walks 10 feet, turns, walks back to the chair, and sits down.
Factors to note are sitting balance, transferring from sitting to standing (e.g.,
does the person need to push off the armrest to rise), pace and stability of
walking, ability to turn without staggering, and sitting back down in the chair.
The sequence of techniques used during an examination of the abdomen
are? - Ans Inspect, auscultate, percussion, palpate.
Describe hyperactive bowel sounds... - Ans High pitched
Auscultation the abdomen is begun in the right lower quadrant (RLQ)
because? - Ans Bowel sounds are always normaly present here.
Bruit - Ans Blowing and swishing; Abnormal sound heard through a
stethoscope.
Mastitis - Ans Inflammation of the breast.
Ligaments - Ans -a short band of tough, flexible, fibrous connective tissue
that connects two bones or cartilages or holds together a joint.
-a membranous fold that supports an organ and keeps it in position.
Atrophic vaginitis - Ans S: Postmenopausal vaginal itching, dryness, burning
sensation, dyspareunia, mucoid discharge (may be flecked with blood),
postcoital bleeding. Symptoms occur gradually due to thinning of epithelial
layers.
O: Pale, dry mucosa with abraded areas that bleed easily, decreased rugae;
may have bloody discharge. Decrease in usual shiny vaginal secretions.
Vagina may be shortened and narrowed; cervix may be less protuberant.25
(Study Guide Questions) solved
In assessing a client for kidney tenderness, where would you begin? - Ans
Costovertebral
A nurse working in a hospital includes abdominal assessment as part of
patient assessment. In which patients would a nurse expect to find
decreased or absent bowel sounds after listening for 5 minutes? - Ans A
patient diagnosed with peritonitis. A patient who is on prolonged bedrest. A
patient who has paralytic ileus caused by surgery.
The nurse is assessing the abdomen of a patient who is experiencing
frequent bouts of diarrhea. The nurse first observes the contour of the
abdomen, noting any masses, scars, or areas of distention. What action
would the nurse perform next? - Ans Inspect and Auscultate the abdomen
using an orderly clockwise approach in all abdominal quadrants.
If the client’s umbilicus is enlarged and to the left, what is this indicative of? -
Ans Umbilical hernia
What quadrant is the pancreas located? - Ans LLQ, Deep in upper abdomen
and cannot be palpated.
What quadrant is the sigmoid colon located? - Ans Left lower quadrant
What quadrant does the colon originate? - Ans Right lower quadrant
Where would you palpate the adults appendix? - Ans Right Lower Quadrant
(RLQ)
, What do you observe when assessing a clients gait? - Ans the person rises
from a chair, walks 10 feet, turns, walks back to the chair, and sits down.
Factors to note are sitting balance, transferring from sitting to standing (e.g.,
does the person need to push off the armrest to rise), pace and stability of
walking, ability to turn without staggering, and sitting back down in the chair.
The sequence of techniques used during an examination of the abdomen
are? - Ans Inspect, auscultate, percussion, palpate.
Describe hyperactive bowel sounds... - Ans High pitched
Auscultation the abdomen is begun in the right lower quadrant (RLQ)
because? - Ans Bowel sounds are always normaly present here.
Bruit - Ans Blowing and swishing; Abnormal sound heard through a
stethoscope.
Mastitis - Ans Inflammation of the breast.
Ligaments - Ans -a short band of tough, flexible, fibrous connective tissue
that connects two bones or cartilages or holds together a joint.
-a membranous fold that supports an organ and keeps it in position.
Atrophic vaginitis - Ans S: Postmenopausal vaginal itching, dryness, burning
sensation, dyspareunia, mucoid discharge (may be flecked with blood),
postcoital bleeding. Symptoms occur gradually due to thinning of epithelial
layers.
O: Pale, dry mucosa with abraded areas that bleed easily, decreased rugae;
may have bloody discharge. Decrease in usual shiny vaginal secretions.
Vagina may be shortened and narrowed; cervix may be less protuberant.25
