NUR 203 Exam 3 UPDATED QUESTIONS
AND CORRECT ANSWERS
What position should the client be in to palpate the spleen? - correct answer ride-side lying
(this moves the spleen down and forward)
What position should the client be in while to inspect the abdomen? - correct answer supine
with arms at sides or folded across chest
What suggests an abdominal aneurysm? - correct answer abdominal bruit
What does a prominent pulsating mass above the umbilicus signify? - correct answer
abdominal aortic aneurysm
Where do you feel pain associated with gallbladder? - correct answer ruq with referred pain in
right shoulder
Where do you feel pain associated with pancreas? - correct answer epigastric pain, with
referred lower back pain
Concerning symptoms of dehydration - correct answer thirst, diaphoresis, vomiting/diarrhea
Concerning signs of dehydration - correct answer short term weight loss, dry mucous
membranes/eyes, sunken eyes, decreased skin turgor, fever, decreased mental status ****decreased
bp, increased pulse rate****
Contributing factors to dehydration - correct answer inability to drink, decreased mobility,
exposure to excessive heat, exercise in heat, older age, medications, burns, hemorrhage
Concerning signs of overhydration - correct answer edema, fine crackles in lungs, confusion
****high bp, low pulse rate or bounding pulse****
, Contributing factors to overhydration - correct answer heart failure, kidney failure, liver
disease, increased sodium, too much iv fluid
How to assess hydration - correct answer history findings, integumentary assessment, bp and
pulse, vein filling, urine output, urine specific gravity, lung sounds, mental status
Dehydrated urine specific gravity - correct answer higher, more concentrated liquid
Overhydrated urine specific gravity - correct answer lower, less concentrated
What causes imbalanced nutrition? - correct answer less than body requirements or more than
body requirements
Causes of imbalanced nutrition - correct answer physical disease related, mental health issue,
socioeconomic problem, mobility problem
Components of nutrient assessment - correct answer history, physical exam, anthropomorphic
data
External anatomy of breast - correct answer 4 quadrants (upper inner, upper outer, lower inner,
lower outer)
Internal anatomy of breast - correct answer glandular tissue, fibrous tissue, fatty tissue
Lymph nodes - correct answer supraclavicular, infraclavicular, lateral, central, subscapular
(posterior), pectoral(anterior), internal mammary
Stage 1 breast development - correct answer child; elevated nipple
Stage 2 breast development - correct answer beginning of puberty; breast budding; small
mound
AND CORRECT ANSWERS
What position should the client be in to palpate the spleen? - correct answer ride-side lying
(this moves the spleen down and forward)
What position should the client be in while to inspect the abdomen? - correct answer supine
with arms at sides or folded across chest
What suggests an abdominal aneurysm? - correct answer abdominal bruit
What does a prominent pulsating mass above the umbilicus signify? - correct answer
abdominal aortic aneurysm
Where do you feel pain associated with gallbladder? - correct answer ruq with referred pain in
right shoulder
Where do you feel pain associated with pancreas? - correct answer epigastric pain, with
referred lower back pain
Concerning symptoms of dehydration - correct answer thirst, diaphoresis, vomiting/diarrhea
Concerning signs of dehydration - correct answer short term weight loss, dry mucous
membranes/eyes, sunken eyes, decreased skin turgor, fever, decreased mental status ****decreased
bp, increased pulse rate****
Contributing factors to dehydration - correct answer inability to drink, decreased mobility,
exposure to excessive heat, exercise in heat, older age, medications, burns, hemorrhage
Concerning signs of overhydration - correct answer edema, fine crackles in lungs, confusion
****high bp, low pulse rate or bounding pulse****
, Contributing factors to overhydration - correct answer heart failure, kidney failure, liver
disease, increased sodium, too much iv fluid
How to assess hydration - correct answer history findings, integumentary assessment, bp and
pulse, vein filling, urine output, urine specific gravity, lung sounds, mental status
Dehydrated urine specific gravity - correct answer higher, more concentrated liquid
Overhydrated urine specific gravity - correct answer lower, less concentrated
What causes imbalanced nutrition? - correct answer less than body requirements or more than
body requirements
Causes of imbalanced nutrition - correct answer physical disease related, mental health issue,
socioeconomic problem, mobility problem
Components of nutrient assessment - correct answer history, physical exam, anthropomorphic
data
External anatomy of breast - correct answer 4 quadrants (upper inner, upper outer, lower inner,
lower outer)
Internal anatomy of breast - correct answer glandular tissue, fibrous tissue, fatty tissue
Lymph nodes - correct answer supraclavicular, infraclavicular, lateral, central, subscapular
(posterior), pectoral(anterior), internal mammary
Stage 1 breast development - correct answer child; elevated nipple
Stage 2 breast development - correct answer beginning of puberty; breast budding; small
mound
