Maryville AHA NURS 612 Exam 3
Questions and Answers 100% Pass
HPI questions for chief complaint of abdominal issue - ✔✔○Abdominal pain-
OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen - ✔✔-Abdominal contour
-Symmetry
-Umbilicus
Katelyn Whitman, All Rights Reserved © 2025 1
,-Skin Color
-Vascularity
-Scars
-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or muscle
separation
Abdominal assessment order - ✔✔inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation - ✔✔Bowel sounds in all four quadrants- note frequency and
character
listen for friction rubs over liver and spleen
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, listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal findings abdomen - ✔✔○Bruits- A swishing sound heard over the aortic,
renal iliac, and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as
in early obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests
intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal
obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the
peritoneal surface of an organ from tumor, infection, or splenic infarct.
Katelyn Whitman, All Rights Reserved © 2025 3
Questions and Answers 100% Pass
HPI questions for chief complaint of abdominal issue - ✔✔○Abdominal pain-
OLDCARTS
○When did the pain start?
○Where is the pain in your stomach?
○Does the pain radiate to other locations?
○Have experience nausea/vomiting, indigestion or increase in belching.
○What medications have you used to treat your symptoms?
○Have you had any diarrhea or constipation?
○Do you have to use laxative frequently?
○What is your regular dietary habits?
inspection of abdomen - ✔✔-Abdominal contour
-Symmetry
-Umbilicus
Katelyn Whitman, All Rights Reserved © 2025 1
,-Skin Color
-Vascularity
-Scars
-Striae
-Lesions or rashes
-Abdominal movement when breathing
-Aortic pulsation
-Have patient raise head while laying down and look for masses hernia or muscle
separation
Abdominal assessment order - ✔✔inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdomen Auscultation - ✔✔Bowel sounds in all four quadrants- note frequency and
character
listen for friction rubs over liver and spleen
Katelyn Whitman, All Rights Reserved © 2025 2
, listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal findings abdomen - ✔✔○Bruits- A swishing sound heard over the aortic,
renal iliac, and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as
in early obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests
intestinal obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal
obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the
peritoneal surface of an organ from tumor, infection, or splenic infarct.
Katelyn Whitman, All Rights Reserved © 2025 3
