NR 304 Chapter 22 Abdomen Exam Review Questions With
Complete Solutions
. A 45-year-old man is in the clinic for a physical examination.
During the abdominal assessment, the nurse
percusses the abdomen and notices an area of dullness above the
right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly.
b. Ask additional health history questions regarding his alcohol
intake.
c. Describe this dullness as indicative of an enlarged liver, and
refer him to a physician.
d. Consider this finding as normal, and proceed with the
examination. Correct Answers Consider this finding as normal,
and proceed with the examination.
. During an assessment of a newborn infant, the nurse recalls
that pyloric stenosis would be exhibited by:
a. Projectile vomiting.
b. Hypoactive bowel activity.
c. Palpable olive-sized mass in the right lower quadrant.
d. Pronounced peristaltic waves crossing from right to left.
Correct Answers Projectile vomiting.
13. The physician comments that a patient has abdominal
borborygmi. The nurse knows that this term refers
to:
a. Loud continual hum.
b. Peritoneal friction rub.
c. Hypoactive bowel sounds.
, d. Hyperactive bowel sounds. Correct Answers Hyperactive
bowel sounds.
14. During an abdominal assessment, the nurse would consider
which of these findings as normal?
a. Presence of a bruit in the femoral area
b. Tympanic percussion note in the umbilical region
c. Palpable spleen between the ninth and eleventh ribs in the left
midaxillary line
d. Dull percussion note in the left upper quadrant at the
midclavicular line Correct Answers Tympanic percussion note
in the umbilical region
34. The nurse is assessing a patient for possible peptic ulcer
disease. Which condition or history often causes
this problem?
a. Hypertension
b. Streptococcal infections
c. Recurrent constipation with frequent laxative use
d. Frequent use of nonsteroidal antiinflammatory drugs Correct
Answers Frequent use of nonsteroidal antiinflammatory drugs
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment
of the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should
thoroughly palpate to determine its size.
Complete Solutions
. A 45-year-old man is in the clinic for a physical examination.
During the abdominal assessment, the nurse
percusses the abdomen and notices an area of dullness above the
right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly.
b. Ask additional health history questions regarding his alcohol
intake.
c. Describe this dullness as indicative of an enlarged liver, and
refer him to a physician.
d. Consider this finding as normal, and proceed with the
examination. Correct Answers Consider this finding as normal,
and proceed with the examination.
. During an assessment of a newborn infant, the nurse recalls
that pyloric stenosis would be exhibited by:
a. Projectile vomiting.
b. Hypoactive bowel activity.
c. Palpable olive-sized mass in the right lower quadrant.
d. Pronounced peristaltic waves crossing from right to left.
Correct Answers Projectile vomiting.
13. The physician comments that a patient has abdominal
borborygmi. The nurse knows that this term refers
to:
a. Loud continual hum.
b. Peritoneal friction rub.
c. Hypoactive bowel sounds.
, d. Hyperactive bowel sounds. Correct Answers Hyperactive
bowel sounds.
14. During an abdominal assessment, the nurse would consider
which of these findings as normal?
a. Presence of a bruit in the femoral area
b. Tympanic percussion note in the umbilical region
c. Palpable spleen between the ninth and eleventh ribs in the left
midaxillary line
d. Dull percussion note in the left upper quadrant at the
midclavicular line Correct Answers Tympanic percussion note
in the umbilical region
34. The nurse is assessing a patient for possible peptic ulcer
disease. Which condition or history often causes
this problem?
a. Hypertension
b. Streptococcal infections
c. Recurrent constipation with frequent laxative use
d. Frequent use of nonsteroidal antiinflammatory drugs Correct
Answers Frequent use of nonsteroidal antiinflammatory drugs
A 22-year-old man comes to the clinic for an examination after
falling off his motorcycle and landing on his left side on the
handle bars. The nurse suspects that he may have injured his
spleen. Which of these statements is true regarding assessment
of the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should
thoroughly palpate to determine its size.
