NUR 2180 / NUR2180 Modules 4,5 & 6 (Latest 2024/
2025 Update) Physical Assessment-Questions and
Verified Answers-Grade A-100% Correct-Rasmussen
How do we perform light palpation on the abdomen? - ANSWERuse first 4 fingers to
depress the skin about 1 cm inside and move it in a rotation motion, clockwise.
GI assessment order - ANSWERinspect, auscultate, percuss, palpate
Why do we listen before we palpate the abdomen? - ANSWERso we do not disrupt
or dislodge anything within the bowels.
What is voluntary guarding? - ANSWERPatient volitionally tenses the abdominal
muscles when the examiner palpates.
What things do we feel for when palpating the abdomen? - ANSWERorgans, size,
consistency, masses, temperature, tenderness, pain, mobility
Where do we percuss for kidney tenderness? - ANSWERon the posterior surface at
the 12th rib at the CVA angle.
How do we percuss for kidney tenderness? - ANSWERindirectly with a hand and fist.
look for signs of pain.
What are the signs of breast cancer? - ANSWERlumps or masses felt in the breasts or
axilla, movable lumps, dimpled or reddened skin, tenderness to touch, nipple crust,
skin sores, sunken nipple, growing vein,
What is the role of the RN during a male or female GU exam? - ANSWERAssist the
provider with the exam by holding the patient, giving them tools, collecting
specimens and advocating for the patient.
hypoactive bowel sounds are - ANSWERsound every 5-6 seconds
normal bowel sounds are - ANSWERsounding 3-4 sec in each quadrant
hyperactive bowel sounds are - ANSWERheard 1-2 seconds in each quadrant and are
normally very loud
absent bowel sounds - ANSWERno sounds in 3-5 minutes
How long do we listen to bowel sounds with absent bowel sounds? - ANSWER5
minutes per quadrant
Causes of absent bowel sounds - ANSWERobstruction, anesthesia
2025 Update) Physical Assessment-Questions and
Verified Answers-Grade A-100% Correct-Rasmussen
How do we perform light palpation on the abdomen? - ANSWERuse first 4 fingers to
depress the skin about 1 cm inside and move it in a rotation motion, clockwise.
GI assessment order - ANSWERinspect, auscultate, percuss, palpate
Why do we listen before we palpate the abdomen? - ANSWERso we do not disrupt
or dislodge anything within the bowels.
What is voluntary guarding? - ANSWERPatient volitionally tenses the abdominal
muscles when the examiner palpates.
What things do we feel for when palpating the abdomen? - ANSWERorgans, size,
consistency, masses, temperature, tenderness, pain, mobility
Where do we percuss for kidney tenderness? - ANSWERon the posterior surface at
the 12th rib at the CVA angle.
How do we percuss for kidney tenderness? - ANSWERindirectly with a hand and fist.
look for signs of pain.
What are the signs of breast cancer? - ANSWERlumps or masses felt in the breasts or
axilla, movable lumps, dimpled or reddened skin, tenderness to touch, nipple crust,
skin sores, sunken nipple, growing vein,
What is the role of the RN during a male or female GU exam? - ANSWERAssist the
provider with the exam by holding the patient, giving them tools, collecting
specimens and advocating for the patient.
hypoactive bowel sounds are - ANSWERsound every 5-6 seconds
normal bowel sounds are - ANSWERsounding 3-4 sec in each quadrant
hyperactive bowel sounds are - ANSWERheard 1-2 seconds in each quadrant and are
normally very loud
absent bowel sounds - ANSWERno sounds in 3-5 minutes
How long do we listen to bowel sounds with absent bowel sounds? - ANSWER5
minutes per quadrant
Causes of absent bowel sounds - ANSWERobstruction, anesthesia