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Maryville NURS 612 Exam 3
Musculoskeletal System Complete Questions
and Correct Answers
Which statement suggests that a patient may be at risk for contracting viral
hepatitis A.
a. I am a healthcare worker
b. I had a blood transfusion recently
c. c. I have renal failure and have hemodyalisis three times per week.
d. d. I have recently been overseas.
ANSWER: D. I have recently been overseas
The examiner observes venous return on the abdomen of the patient that moves
upward from the pubis to the chest. This finding should make the examiner
consider....
a. portal hypertension
b. renal artery stenosis
c. inferior vena cava obstruction
d. mesentery arterial hypertension
ANSWER: C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she feels like her stomach
muscle is splitting. A light protrusion of the abdomen midline is observed. This is
recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
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C. diastasis recti.
D. umbilical herniation.
ANSWER: C. diastasic recti
In which of the following patients would a slight pulsation in the epigastric area be
considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
d. older patient
ANSWER: A. very thin patient
The examiner palpates an organ in the left costal margin. Which technique should
the examiner use to differentiate between an enlarged left kidney and enlarged
spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness
ANSWER: D. percussion, listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening in the abdominal
wall.
b. a protrusion of the stomach through the esophageal opening in the diaphragm
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c. an ulcer in the mucous of the stomach that herniates into the peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct.
ANSWER: B. a protrusion of the stomach through the esophageal opening in the
diaphragm.
An examiner may wish to use a bimanual technique for abdominal palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid.
ANSWER: C. meeting muscle resistance while performing deep palpation
A 2 1/2 year old presents with abdominal pain and stools that are red currant jelly
in appearance. Which problem would the examiner suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis
ANSWER: C. intussusception
You note that the midclavicular liver span of an adult patient is 18cm. With
palpation you note that the liver is enlarged and nontender. What do these findings
suggest?
a. diverticulitis
Maryville NURS 612 Exam 3
Musculoskeletal System Complete Questions
and Correct Answers
Which statement suggests that a patient may be at risk for contracting viral
hepatitis A.
a. I am a healthcare worker
b. I had a blood transfusion recently
c. c. I have renal failure and have hemodyalisis three times per week.
d. d. I have recently been overseas.
ANSWER: D. I have recently been overseas
The examiner observes venous return on the abdomen of the patient that moves
upward from the pubis to the chest. This finding should make the examiner
consider....
a. portal hypertension
b. renal artery stenosis
c. inferior vena cava obstruction
d. mesentery arterial hypertension
ANSWER: C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she feels like her stomach
muscle is splitting. A light protrusion of the abdomen midline is observed. This is
recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
,2|Page
C. diastasis recti.
D. umbilical herniation.
ANSWER: C. diastasic recti
In which of the following patients would a slight pulsation in the epigastric area be
considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
d. older patient
ANSWER: A. very thin patient
The examiner palpates an organ in the left costal margin. Which technique should
the examiner use to differentiate between an enlarged left kidney and enlarged
spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness
ANSWER: D. percussion, listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening in the abdominal
wall.
b. a protrusion of the stomach through the esophageal opening in the diaphragm
, 3|Page
c. an ulcer in the mucous of the stomach that herniates into the peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct.
ANSWER: B. a protrusion of the stomach through the esophageal opening in the
diaphragm.
An examiner may wish to use a bimanual technique for abdominal palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid.
ANSWER: C. meeting muscle resistance while performing deep palpation
A 2 1/2 year old presents with abdominal pain and stools that are red currant jelly
in appearance. Which problem would the examiner suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis
ANSWER: C. intussusception
You note that the midclavicular liver span of an adult patient is 18cm. With
palpation you note that the liver is enlarged and nontender. What do these findings
suggest?
a. diverticulitis
