11) 2025/2026 Exam Questions and
Correct Answers | New Update
Meet the Client - 🧠 ANSWER ✔✔A client on the medical surgical unit had
an abdominal hysterectomy three days ago and is now reporting abdominal
bloating, pain, and nausea. She is reluctant to eat or drink anything stating,
"The smell of food makes me nauseated." She informs the nurse that she
feels constipated and has not passed a bowel movement since prior to
surgery.
Health Promotion and Maintenance - 🧠 ANSWER ✔✔The nurse observes
the client's abdomen is firm and distended. The nurse performs an
abdominal assessment.
, In which sequence should the nurse perform the abdominal assessment? -
🧠 ANSWER ✔✔Inspection, auscultation, percussion, palpation.
-
Percussion and palpation can alter abdominal findings, so inspection and
auscultation are indicated prior to percussion and palpation.
Which assessment is most important for the nurse to perform? - 🧠
ANSWER ✔✔Auscultate bowel sounds.
-
The subjective data reported by the client (bloated and nauseated) and
objective data gathered by the nurse (abdomen firm and distended)
suggest that she may have decreased peristalsis. This can be assessed by
auscultation of the bowel sounds.
Which is the most important action for the nurse to perform when assessing
bowel sounds? (Select all that apply.) - 🧠 ANSWER ✔✔Listen for up to 5
minutes when auscultating for bowel sounds. (The nurse must listen for up
to 5 minutes before determining what type of bowel sounds are present.)
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