ATI EXAM zm
Exam Solution zm
Jarvis testing bank: Chapters 5 6 7 10 11 12 17 21 22 2
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3 24 25 26 & 30 2026 A+ GRADE ASSURED COMPLETE
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SOLUTIONS AND VERIFIED ANSWERS (57DED) zm zm zm zm
QUESTION 1 zm
The nurse is percussing the seventh right intercostal space at the midclavicular line o
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ver the liver. *Which sound should the nurse expect to hear?*
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a. Dullness
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b. Tympany
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c. Resonance
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d. Hyperresonance
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ANSWER
A *The liver* is located in the right upper quadrant and would elicit a *dull percussion* note.
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QUESTION 2 zm
Which structure is located in the *left lower quadrant* of the abdomen?
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a. Liver
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b. Duodenum
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c. Gallbladder
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d. Sigmoid colon
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ANSWER
D The *sigmoid colon* is located in the left lower quadrant of the abdomen
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QUESTION 3 zm
A patient is having *difficulty swallowing medications and food*. The nurse would doc
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ument that this patient has:
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a. Aphasia.
zm
b. Dysphasia.
zm
,c. Dysphagia.
zm
d. Anorexia.
zm
ANSWER
*C-
* *Dysphagia* is a condition that occurs with disorders of the throat or esophagus and results in dif
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite.
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
The nurse suspects that a patient has a distended bladder. *How should the nurse ass
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ess for this condition?*
zm zm zm
a. Percuss and palpate in the lumbar region.
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b. Inspect and palpate in the epigastric region.
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c. Auscultate and percuss in the inguinal region.
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d. Percuss and palpate the midline area above the suprapubic bone.
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ANSWER
*D* Dull *percussion* sounds would be elicited over a distended bladder, and the hypogastric area
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would seem firm to *palpation.*
zm zm zm zm
QUESTION 5 zm
The nurse is aware that *one change that may occur in the gastrointestinal system of
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an aging adult* is:
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a. Increased salivation.
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b. Increased liver size.
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c. Increased esophageal emptying.
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d. Decreased gastric acid secretion.
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ANSWER
*D* *Gastric acid secretion decreases with aging.* As one ages, salivation decreases, esophageal empt
zm zm zm zm zm zm zm zm zm zm zm zm zm
ying is delayed, and liver size decreases.
zm zm zm zm zm zm
QUESTION 6 zm
A patient's *abdomen is bulging and stretched in appearance.* The nurse should descr
zm zm zm zm zm zm zm zm zm zm zm zm
ibe this finding as:
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a. Obese.
zm
b. Herniated.
zm
c. Scaphoid.
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d. Protuberant.
zm
ANSWER
,*D* A *protuberant abdomen is rounded, bulging, and stretched* (see Figure 21-
zm zm zm zm zm zm zm zm zm zm zm
7). A scaphoid abdomen caves inward.
zm zm zm zm zm
QUESTION 7 zm
The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid cont
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our of the abdomen depicts a ______ profile.
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a. Flat
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b. Convex
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c. Bulging
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d. Concave
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ANSWER
*D* Contour describes the profile of the abdomen from the rib margin to the pubic bone; *a scaphoi
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d contour is one that is concave from a horizontal plane* (see Figure 21-7).
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
While examining a patient, the nurse observes *abdominal pulsations between the xip
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hoid process and umbilicus*. The nurse would suspect that these are:
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a. Pulsations of the renal arteries.
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b. Pulsations of the inferior vena cava.
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c. Normal abdominal aortic pulsations.
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d. Increased peristalsis from a bowel obstruction.
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ANSWER
*C* Normally, the pulsations from the aorta are observed beneath the skin in the epigastric area, pa
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rticularly in thin persons who have good muscle wall relaxation
zm zm zm zm zm zm zm zm zm
QUESTION 9 zm
A patient has hypoactive bowel sounds. The nurse knows that *a potential cause of hy
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
poactive bowel sounds is:* zm zm zm
a. Diarrhea.
zm
b. Peritonitis.
zm
c. Laxative use.
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d. Gastroenteritis.
zm
ANSWER
*B* Diminished or absent bowel sounds signal decreased motility from inflammation as exhibited wi
zm zm zm zm zm zm zm zm zm zm zm zm zm
th peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
, The nurse is listening to bowel sounds. Which of these statements is *true of bowel so
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
unds?* Bowel sounds: zm zm
a. Are usually loud, high-pitched, rushing, and tinkling sounds.
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b. Are usually high-pitched, gurgling, and irregular sounds.
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c. Sound like two pieces of leather being rubbed together.
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d. Originate from the movement of air and fluid through the large intestine.
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
*B* Bowel sounds are *high-
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pitched, gurgling, and cascading sounds* that irregularly occur from 5 to 30 times per minute. They
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
originate from the movement of air and fluid through the small intestine.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
The physician comments that a patient has abdominal *borborygmi.* The nurse know
zm zm zm zm zm zm zm zm zm zm zm
s that this term refers to:
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a. Loud continual hum.
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b. Peritoneal friction rub.
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c. Hypoactive bowel sounds.
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d. Hyperactive bowel sounds.
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ANSWER
*D* *Borborygmi* is the term used for hyperperistalsis when the person actually feels his or her sto
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mach growling. zm
QUESTION 12 zm
During an abdominal assessment, the nurse would consider *which of these findings a
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s normal?*
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a. Presence of a bruit in the femoral area
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b. Tympanic percussion note in the umbilical region
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c. Palpable spleen between the ninth and eleventh ribs in the left midaxillary line
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d. Dull percussion note in the left upper quadrant at the midclavicular line
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ANSWER
*B* *Tympany* should predominate in all four quadrants of the abdomen because air in the intestin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
es rises to the surface when the person is supine. Vascular bruits are not usually present. Normally,
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mthe spleen is not palpable. Dullness would not be found in the area of lung resonance (left upper q
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uadrant at the midclavicular line).
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QUESTION 13 zm
The nurse is assessing the abdomen of a pregnant woman who is complaining of havi
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ng "acid indigestion" all the time. The nurse knows that *esophageal reflux during pre
zm zm zm zm zm zm zm zm zm zm zm zm zm
gnancy can cause:* zm zm
Exam Solution zm
Jarvis testing bank: Chapters 5 6 7 10 11 12 17 21 22 2
zm zm zm zm zm zm zm zm zm zm zm zm zm
3 24 25 26 & 30 2026 A+ GRADE ASSURED COMPLETE
zm zm zm zm zm zm zm zm zm zm zm
SOLUTIONS AND VERIFIED ANSWERS (57DED) zm zm zm zm
QUESTION 1 zm
The nurse is percussing the seventh right intercostal space at the midclavicular line o
zm zm zm zm zm zm zm zm zm zm zm zm zm
ver the liver. *Which sound should the nurse expect to hear?*
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a. Dullness
zm
b. Tympany
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c. Resonance
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d. Hyperresonance
zm
ANSWER
A *The liver* is located in the right upper quadrant and would elicit a *dull percussion* note.
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QUESTION 2 zm
Which structure is located in the *left lower quadrant* of the abdomen?
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a. Liver
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b. Duodenum
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c. Gallbladder
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d. Sigmoid colon
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ANSWER
D The *sigmoid colon* is located in the left lower quadrant of the abdomen
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QUESTION 3 zm
A patient is having *difficulty swallowing medications and food*. The nurse would doc
zm zm zm zm zm zm zm zm zm zm zm zm
ument that this patient has:
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a. Aphasia.
zm
b. Dysphasia.
zm
,c. Dysphagia.
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d. Anorexia.
zm
ANSWER
*C-
* *Dysphagia* is a condition that occurs with disorders of the throat or esophagus and results in dif
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite.
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
The nurse suspects that a patient has a distended bladder. *How should the nurse ass
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ess for this condition?*
zm zm zm
a. Percuss and palpate in the lumbar region.
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b. Inspect and palpate in the epigastric region.
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c. Auscultate and percuss in the inguinal region.
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d. Percuss and palpate the midline area above the suprapubic bone.
zm zm zm zm zm zm zm zm zm zm
ANSWER
*D* Dull *percussion* sounds would be elicited over a distended bladder, and the hypogastric area
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
would seem firm to *palpation.*
zm zm zm zm
QUESTION 5 zm
The nurse is aware that *one change that may occur in the gastrointestinal system of
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
an aging adult* is:
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a. Increased salivation.
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b. Increased liver size.
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c. Increased esophageal emptying.
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d. Decreased gastric acid secretion.
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ANSWER
*D* *Gastric acid secretion decreases with aging.* As one ages, salivation decreases, esophageal empt
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ying is delayed, and liver size decreases.
zm zm zm zm zm zm
QUESTION 6 zm
A patient's *abdomen is bulging and stretched in appearance.* The nurse should descr
zm zm zm zm zm zm zm zm zm zm zm zm
ibe this finding as:
zm zm zm
a. Obese.
zm
b. Herniated.
zm
c. Scaphoid.
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d. Protuberant.
zm
ANSWER
,*D* A *protuberant abdomen is rounded, bulging, and stretched* (see Figure 21-
zm zm zm zm zm zm zm zm zm zm zm
7). A scaphoid abdomen caves inward.
zm zm zm zm zm
QUESTION 7 zm
The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid cont
zm zm zm zm zm zm zm zm zm zm zm zm zm
our of the abdomen depicts a ______ profile.
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a. Flat
zm
b. Convex
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c. Bulging
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d. Concave
zm
ANSWER
*D* Contour describes the profile of the abdomen from the rib margin to the pubic bone; *a scaphoi
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d contour is one that is concave from a horizontal plane* (see Figure 21-7).
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
While examining a patient, the nurse observes *abdominal pulsations between the xip
zm zm zm zm zm zm zm zm zm zm zm
hoid process and umbilicus*. The nurse would suspect that these are:
zm zm zm zm zm zm zm zm zm zm
a. Pulsations of the renal arteries.
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b. Pulsations of the inferior vena cava.
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c. Normal abdominal aortic pulsations.
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d. Increased peristalsis from a bowel obstruction.
zm zm zm zm zm zm
ANSWER
*C* Normally, the pulsations from the aorta are observed beneath the skin in the epigastric area, pa
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rticularly in thin persons who have good muscle wall relaxation
zm zm zm zm zm zm zm zm zm
QUESTION 9 zm
A patient has hypoactive bowel sounds. The nurse knows that *a potential cause of hy
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
poactive bowel sounds is:* zm zm zm
a. Diarrhea.
zm
b. Peritonitis.
zm
c. Laxative use.
zm zm
d. Gastroenteritis.
zm
ANSWER
*B* Diminished or absent bowel sounds signal decreased motility from inflammation as exhibited wi
zm zm zm zm zm zm zm zm zm zm zm zm zm
th peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction.
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
, The nurse is listening to bowel sounds. Which of these statements is *true of bowel so
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
unds?* Bowel sounds: zm zm
a. Are usually loud, high-pitched, rushing, and tinkling sounds.
zm zm zm zm zm zm zm zm
b. Are usually high-pitched, gurgling, and irregular sounds.
zm zm zm zm zm zm zm
c. Sound like two pieces of leather being rubbed together.
zm zm zm zm zm zm zm zm zm
d. Originate from the movement of air and fluid through the large intestine.
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
*B* Bowel sounds are *high-
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pitched, gurgling, and cascading sounds* that irregularly occur from 5 to 30 times per minute. They
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
originate from the movement of air and fluid through the small intestine.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
The physician comments that a patient has abdominal *borborygmi.* The nurse know
zm zm zm zm zm zm zm zm zm zm zm
s that this term refers to:
zm zm zm zm zm
a. Loud continual hum.
zm zm zm
b. Peritoneal friction rub.
zm zm zm
c. Hypoactive bowel sounds.
zm zm zm
d. Hyperactive bowel sounds.
zm zm zm
ANSWER
*D* *Borborygmi* is the term used for hyperperistalsis when the person actually feels his or her sto
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
mach growling. zm
QUESTION 12 zm
During an abdominal assessment, the nurse would consider *which of these findings a
zm zm zm zm zm zm zm zm zm zm zm zm
s normal?*
zm
a. Presence of a bruit in the femoral area
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b. Tympanic percussion note in the umbilical region
zm zm zm zm zm zm zm
c. Palpable spleen between the ninth and eleventh ribs in the left midaxillary line
zm zm zm zm zm zm zm zm zm zm zm zm zm
d. Dull percussion note in the left upper quadrant at the midclavicular line
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
*B* *Tympany* should predominate in all four quadrants of the abdomen because air in the intestin
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
es rises to the surface when the person is supine. Vascular bruits are not usually present. Normally,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe spleen is not palpable. Dullness would not be found in the area of lung resonance (left upper q
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
uadrant at the midclavicular line).
zm zm zm zm
QUESTION 13 zm
The nurse is assessing the abdomen of a pregnant woman who is complaining of havi
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ng "acid indigestion" all the time. The nurse knows that *esophageal reflux during pre
zm zm zm zm zm zm zm zm zm zm zm zm zm
gnancy can cause:* zm zm
