NSG 3160; EXAM 4
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1. Select the sequence of techniques used during an ex- C. inspection, auscultation,
amination of the abdomen. percussion, palpation
A. percussion, inspection, palpation, auscultation
B. inspection, palpation, percussion, auscultation
C. inspection, auscultation, percussion, palpation
D. auscultation, inspection, palpation, percussion
2. Which of the following can be noted through inspec- C. Venous pattern, peri-
tion of a patient's abdomen? staltic waves, and abdom-
A. Fluid waves and abdominal rigidity. inal contour.
B. Umbilical eversion and Murphy sign.
C. Venous pattern, peristaltic waves, and abdominal
contour.
D. Peritoneal irritation, general tympany, and peri-
staltic waves.
3. Right upper quadrant tenderness may indicate pathol- A. Liver, pancreas, or as-
ogy in the: cending colon.
A. Liver, pancreas, or ascending colon.
B. Liver and stomach.
C. Sigmoid colon, spleen, or rectum.
D. Appendix or ileocecal valves.
4. Hyperactive bowel sounds are: D. All of the above.
A. High-pitched.
B. Rushing.
C. Tinkling.
D. All of the above.
5. The absence of bowel sounds is established after lis- C. 5 full minutes.
tening for:
A. 1 full minute.
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B. 3 full minutes.
C. 5 full minutes.
D. None of the above.
6. Auscultation of the abdomen may reveal bruits of the A. Aortic, renal, iliac, and
___________ arteries. femoral.
A. Aortic, renal, iliac, and femoral.
B. Jugular, aortic, carotid, and femoral.
C. Pulmonic, aortic, and portal.
D. Renal, iliac, internal jugular, and basilic.
7. The left upper quadrant (LUQ) contains the: D. Spleen.
A. Liver.
B. Appendix.
C. Left ovary.
D. Spleen.
8. Auscultating the abdomen is begun in the right lower A. Bowel sounds are al-
quadrant (RLQ) because: ways normally present
A. Bowel sounds are always normally present here. here.
B. Peristalsis through the descending colon is usually
active.
C. This is the location of the pyloric sphincter.
D. Vascular sounds are best heard in this area.
9. Shifting dullness is a test for: A. Ascites.
A. Ascites.
B. Splenic enlargement.
C. Inflammation of the kidney.
D. Hepatomegaly.
10. Tenderness during abdominal palpation is expected C. Sigmoid colon.
when palpating the:
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A. Lived edge.
B. Spleen.
C. Sigmoid colon.
D. Kidneys.
11. A woman has striae on the abdomen. Which color D. Silvery white.
indicates long-standing striae?
A. Pink.
B. Blue.
C. Purple-blue.
D. Silvery white.
12. A positive Murphy sign is best described as: B. Pain felt when taking
A. The pain felt when the examiner's hand is rapidly a deep breath when the
removed from an inflamed appendix. examiner's fingers are on
B. Pain felt when taking a deep breath when the exam- the approximate location
iner's fingers are on the approximate location of the of the inflamed gallblad-
inflamed gallbladder. der.
C. A sharp pain felt by the patient when one hand
of the examiner is used to thump the other at the
costovertebral angle.
D. This is not a valid examination technique.
13. A positive Blumberg sign indicates: D. Peritoneal inflamma-
A. Possible aortic aneurysm. tion.
B. Presence of renal artery stenosis.
C. Enlarged nodular liver.
D. Peritoneal inflammation.
14. The examiner is going to inspect and palpate for a C. Bear down when the ex-
hernia. During this examination, the man is instructed aminer's finger is at the in-
to: guinal canal.
A. Hold his breath during palpation.
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1. Select the sequence of techniques used during an ex- C. inspection, auscultation,
amination of the abdomen. percussion, palpation
A. percussion, inspection, palpation, auscultation
B. inspection, palpation, percussion, auscultation
C. inspection, auscultation, percussion, palpation
D. auscultation, inspection, palpation, percussion
2. Which of the following can be noted through inspec- C. Venous pattern, peri-
tion of a patient's abdomen? staltic waves, and abdom-
A. Fluid waves and abdominal rigidity. inal contour.
B. Umbilical eversion and Murphy sign.
C. Venous pattern, peristaltic waves, and abdominal
contour.
D. Peritoneal irritation, general tympany, and peri-
staltic waves.
3. Right upper quadrant tenderness may indicate pathol- A. Liver, pancreas, or as-
ogy in the: cending colon.
A. Liver, pancreas, or ascending colon.
B. Liver and stomach.
C. Sigmoid colon, spleen, or rectum.
D. Appendix or ileocecal valves.
4. Hyperactive bowel sounds are: D. All of the above.
A. High-pitched.
B. Rushing.
C. Tinkling.
D. All of the above.
5. The absence of bowel sounds is established after lis- C. 5 full minutes.
tening for:
A. 1 full minute.
, NSG 3160; EXAM 4
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B. 3 full minutes.
C. 5 full minutes.
D. None of the above.
6. Auscultation of the abdomen may reveal bruits of the A. Aortic, renal, iliac, and
___________ arteries. femoral.
A. Aortic, renal, iliac, and femoral.
B. Jugular, aortic, carotid, and femoral.
C. Pulmonic, aortic, and portal.
D. Renal, iliac, internal jugular, and basilic.
7. The left upper quadrant (LUQ) contains the: D. Spleen.
A. Liver.
B. Appendix.
C. Left ovary.
D. Spleen.
8. Auscultating the abdomen is begun in the right lower A. Bowel sounds are al-
quadrant (RLQ) because: ways normally present
A. Bowel sounds are always normally present here. here.
B. Peristalsis through the descending colon is usually
active.
C. This is the location of the pyloric sphincter.
D. Vascular sounds are best heard in this area.
9. Shifting dullness is a test for: A. Ascites.
A. Ascites.
B. Splenic enlargement.
C. Inflammation of the kidney.
D. Hepatomegaly.
10. Tenderness during abdominal palpation is expected C. Sigmoid colon.
when palpating the:
, NSG 3160; EXAM 4
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A. Lived edge.
B. Spleen.
C. Sigmoid colon.
D. Kidneys.
11. A woman has striae on the abdomen. Which color D. Silvery white.
indicates long-standing striae?
A. Pink.
B. Blue.
C. Purple-blue.
D. Silvery white.
12. A positive Murphy sign is best described as: B. Pain felt when taking
A. The pain felt when the examiner's hand is rapidly a deep breath when the
removed from an inflamed appendix. examiner's fingers are on
B. Pain felt when taking a deep breath when the exam- the approximate location
iner's fingers are on the approximate location of the of the inflamed gallblad-
inflamed gallbladder. der.
C. A sharp pain felt by the patient when one hand
of the examiner is used to thump the other at the
costovertebral angle.
D. This is not a valid examination technique.
13. A positive Blumberg sign indicates: D. Peritoneal inflamma-
A. Possible aortic aneurysm. tion.
B. Presence of renal artery stenosis.
C. Enlarged nodular liver.
D. Peritoneal inflammation.
14. The examiner is going to inspect and palpate for a C. Bear down when the ex-
hernia. During this examination, the man is instructed aminer's finger is at the in-
to: guinal canal.
A. Hold his breath during palpation.