NU 650 Exam 3 Questions with 100% Correct
Answers
When percussing the abdomen in a patient with constipation, which of the following
sounds would you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
B
The nurse is percussing the seventh right intercostal space at the midclavicular line over
the liver. Which sound should the nurse expect to hear?
A. Dullness
B. Tympany
C. Resonance
D. Hyperresonance
A
The liver is located in the RUQ and would elicit a dull percussion note.
Which structure is located in the LLQ of the abdomen?
A. Liver
B. Duodenum
C. Gallbladder
D. Sigmoid Colon
D
,A patient is having difficulty swallowing medications and food. The nurse would
document that this patient has:
A. Aphasia
B. Dysphasia
C. Dysphagia
D. Anorexia
C
Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite.
The nurse suspects that a patient has a distended bladder. How should the nurse assess
for this condition?
A. Percuss and palpate in the lumbar region.
B. Inspect and palpate in the epigastric region.
C. Auscultate and percuss in the inguinal region.
D. Percuss and palpate the midline area above the suprapubic bone.
D
Dull percussion sounds would be elicited over a distended bladder, and the
hypogastric area would seem firm to palpation.
The nurse is aware that one change that may occur in the gastrointestinal system
of an aging adult is:
A. Increased salivation.
B. Increased liver size.
C. Increased esophageal emptying.
D. Decreased gastric acid secretion.
, D
Gastric acid secretion decreases with aging. As one ages, salivation decreases,
esophageal emptying is delayed, and liver size decreases.
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.
D. An enlarged spleen should not be palpated because it can easily rupture.
D
If an enlarged spleen is felt, then the nurse should refer the person and should not
continue to palpate it. An enlarged spleen is friable and can easily rupture with overpalpation.
A patients abdomen is bulging and stretched in appearance. The nurse should describe
this finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant.
Answers
When percussing the abdomen in a patient with constipation, which of the following
sounds would you expect to find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
B
The nurse is percussing the seventh right intercostal space at the midclavicular line over
the liver. Which sound should the nurse expect to hear?
A. Dullness
B. Tympany
C. Resonance
D. Hyperresonance
A
The liver is located in the RUQ and would elicit a dull percussion note.
Which structure is located in the LLQ of the abdomen?
A. Liver
B. Duodenum
C. Gallbladder
D. Sigmoid Colon
D
,A patient is having difficulty swallowing medications and food. The nurse would
document that this patient has:
A. Aphasia
B. Dysphasia
C. Dysphagia
D. Anorexia
C
Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite.
The nurse suspects that a patient has a distended bladder. How should the nurse assess
for this condition?
A. Percuss and palpate in the lumbar region.
B. Inspect and palpate in the epigastric region.
C. Auscultate and percuss in the inguinal region.
D. Percuss and palpate the midline area above the suprapubic bone.
D
Dull percussion sounds would be elicited over a distended bladder, and the
hypogastric area would seem firm to palpation.
The nurse is aware that one change that may occur in the gastrointestinal system
of an aging adult is:
A. Increased salivation.
B. Increased liver size.
C. Increased esophageal emptying.
D. Decreased gastric acid secretion.
, D
Gastric acid secretion decreases with aging. As one ages, salivation decreases,
esophageal emptying is delayed, and liver size decreases.
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.
D. An enlarged spleen should not be palpated because it can easily rupture.
D
If an enlarged spleen is felt, then the nurse should refer the person and should not
continue to palpate it. An enlarged spleen is friable and can easily rupture with overpalpation.
A patients abdomen is bulging and stretched in appearance. The nurse should describe
this finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant.
