NURS 251 EXAM 3 2026/2027 | NURS 251 EXAM 3
QUESTIONS, STUDY GUIDE & REVIEW
What is the first step when performing an abdominal assessment? - ANS✔✔ Inspection
The term used for pain elicited when the nurse pushes down slowly and deeply on abdomen
and quickly lifts up - ANS✔✔ Rebound tenderness
Before the nurse begins the abdominal assessment, she should: - ANS✔✔ - ask client to empty
bladder
- make room and stethoscope warm to avoid tensing
- lay on back
Normal bowel sounds - ANS✔✔ High pitch gurgling 5-30 times a minute
Order of objectives in abdominal assessment: - ANS✔✔ 1. Inspection
2. Auscultation
3. Percussion
4. Palpation
McBurneys sign - ANS✔✔ Rebound tenderness when the RLQ is palpated,
appendicitis
Murpheys sign - ANS✔✔ abrupt stopping of breathing when palpating RUQ,
GALLBLADDER
,Cullens sign - ANS✔✔ Bluish color around umbilicus, internal bleeding
What are two normal findings when ascultating and assesing the patient's abdomen? - ANS✔✔
- tympany
- high pitch gurgles
NOT friction rubs or borbyrigmus
Signs of malnutrition include: - ANS✔✔ - dry dull sparse hair
- red cracks in mouth
-bleeding of the gums
What are the 5 biomarkers of metabolic syndrome? - ANS✔✔ - HTN
- Triglycerides (>150 mg)
- High density lipoprotein (<30 or 40)
- waist circumference
- glucose level (>100mg)
Pellagra - ANS✔✔ pigmented kerotic scaling lesions
- niacin deficiency
Scorbutic gums - ANS✔✔ Vitamin C deficiency
, Bitot's spots - ANS✔✔ Vitamin A deficiency
Rickets - ANS✔✔ Vitamin D and calcium deficiency
Magenta tongue - ANS✔✔ riboflavin deficiency
Malnutrition signs in older adults - ANS✔✔ - polypharmacy
- poverty
- limited functional ability
- alcoholism
- social isolation
- poor physical or mental health
Obesity - ANS✔✔ Defined as a BMI of 30-39.9
Nutritional Status - ANS✔✔ balance between nutrient intake and nutrient requirements
abnormal abdominal findings - ANS✔✔ - abdominal distention
- hernia
- hyper or hypoactive bowel sounds
- friction rub
- vascular sounds
- enlarged liver spleen or kidney
hemoccult test - ANS✔✔ check the stools for blood, blue is positive and green is negative result
QUESTIONS, STUDY GUIDE & REVIEW
What is the first step when performing an abdominal assessment? - ANS✔✔ Inspection
The term used for pain elicited when the nurse pushes down slowly and deeply on abdomen
and quickly lifts up - ANS✔✔ Rebound tenderness
Before the nurse begins the abdominal assessment, she should: - ANS✔✔ - ask client to empty
bladder
- make room and stethoscope warm to avoid tensing
- lay on back
Normal bowel sounds - ANS✔✔ High pitch gurgling 5-30 times a minute
Order of objectives in abdominal assessment: - ANS✔✔ 1. Inspection
2. Auscultation
3. Percussion
4. Palpation
McBurneys sign - ANS✔✔ Rebound tenderness when the RLQ is palpated,
appendicitis
Murpheys sign - ANS✔✔ abrupt stopping of breathing when palpating RUQ,
GALLBLADDER
,Cullens sign - ANS✔✔ Bluish color around umbilicus, internal bleeding
What are two normal findings when ascultating and assesing the patient's abdomen? - ANS✔✔
- tympany
- high pitch gurgles
NOT friction rubs or borbyrigmus
Signs of malnutrition include: - ANS✔✔ - dry dull sparse hair
- red cracks in mouth
-bleeding of the gums
What are the 5 biomarkers of metabolic syndrome? - ANS✔✔ - HTN
- Triglycerides (>150 mg)
- High density lipoprotein (<30 or 40)
- waist circumference
- glucose level (>100mg)
Pellagra - ANS✔✔ pigmented kerotic scaling lesions
- niacin deficiency
Scorbutic gums - ANS✔✔ Vitamin C deficiency
, Bitot's spots - ANS✔✔ Vitamin A deficiency
Rickets - ANS✔✔ Vitamin D and calcium deficiency
Magenta tongue - ANS✔✔ riboflavin deficiency
Malnutrition signs in older adults - ANS✔✔ - polypharmacy
- poverty
- limited functional ability
- alcoholism
- social isolation
- poor physical or mental health
Obesity - ANS✔✔ Defined as a BMI of 30-39.9
Nutritional Status - ANS✔✔ balance between nutrient intake and nutrient requirements
abnormal abdominal findings - ANS✔✔ - abdominal distention
- hernia
- hyper or hypoactive bowel sounds
- friction rub
- vascular sounds
- enlarged liver spleen or kidney
hemoccult test - ANS✔✔ check the stools for blood, blue is positive and green is negative result
