Exam 2 NUR 6001 2025-2026 Question
and Correct answer GRADED A+
Solid Organs - ANSWERSmaintain their shape: liver, spleen, kidney, pancreas, ovaries
Hollow Organs - ANSWERSthe shape depends on contents: stomach, gallbladder, intestines, bladder,
uterus
Neoplasm of esophagus/stomach odor - ANSWERSsevere bad breath
Peptic ulcers odor - ANSWERSacid breath
Hepatic failure odor - ANSWERSsickly sweet odor
Esophageal diverticulum odor - ANSWERSodor of decay
Severe bowel obstruction odor - ANSWERSodor of feces
Cirrhosis with portal shunting odor - ANSWERSodor of rotten eggs and garlic
increased lunula size - ANSWERSindicates hyperthyroid, leprosy, and scleroderma
Normal bowel sounds for small intestine - ANSWERShigh-pitched, gurgling
Normal bowel sounds for colon - ANSWERSlow-pitched, rumbling
, Liver percussion - ANSWERSbegins at abdomen just below the umbilicus at the right midclavicular line,
percuss upward until dullness is heard
Spleen percussion - ANSWERSlie supine, breathe normally, percuss in the lowest intercostal space in the
left anterior axillary line, beginning at an area of lung resonance
may be heard from 6-10th ribs, normal percussion sounds can be either resonance or tympanic
Bladder percussion - ANSWERSpercussion of the suprapubic area can detect dullness, 400-600ml in
bladder before dullness heard
Fluid Wave Test - ANSWERSwith the patient's hand placed vertically in the middle of abdomen, place
your hands on each side of the patient's abdomen and tap one side while palpating the other side
If ascites is present, the examiner will feel fluid shifting from side to side
Rebound tenderness - ANSWERSelicit by deeply palpating then suddenly releasing pressure. If present in
the RLQ (McBurney's point), suggests patient has appendicitis
McBurney's sign - ANSWERStenderness and rigidity from the umbilicus to the right anterior superior iliac
spine. Frequently seen with appendicitis
Inspiration arrest (Murphy's sign) - ANSWERSpalpate below right costal margin. Ask patient to take a
deep breath. If patient stops breathing mid-inspiration due to pain, the sign is positive
Obturator test - ANSWERSplace patient in supine position with right leg flexed at hip and knee. Place a
hand just above knee with your other hand at the ankle. Rotate the patient's leg internally and
externally, positive in appendicitis
AAA palpation - ANSWERSplace each hand on either side of aorta and estimate the diameter of aorta,
diameter of 3cm or greater is positive
and Correct answer GRADED A+
Solid Organs - ANSWERSmaintain their shape: liver, spleen, kidney, pancreas, ovaries
Hollow Organs - ANSWERSthe shape depends on contents: stomach, gallbladder, intestines, bladder,
uterus
Neoplasm of esophagus/stomach odor - ANSWERSsevere bad breath
Peptic ulcers odor - ANSWERSacid breath
Hepatic failure odor - ANSWERSsickly sweet odor
Esophageal diverticulum odor - ANSWERSodor of decay
Severe bowel obstruction odor - ANSWERSodor of feces
Cirrhosis with portal shunting odor - ANSWERSodor of rotten eggs and garlic
increased lunula size - ANSWERSindicates hyperthyroid, leprosy, and scleroderma
Normal bowel sounds for small intestine - ANSWERShigh-pitched, gurgling
Normal bowel sounds for colon - ANSWERSlow-pitched, rumbling
, Liver percussion - ANSWERSbegins at abdomen just below the umbilicus at the right midclavicular line,
percuss upward until dullness is heard
Spleen percussion - ANSWERSlie supine, breathe normally, percuss in the lowest intercostal space in the
left anterior axillary line, beginning at an area of lung resonance
may be heard from 6-10th ribs, normal percussion sounds can be either resonance or tympanic
Bladder percussion - ANSWERSpercussion of the suprapubic area can detect dullness, 400-600ml in
bladder before dullness heard
Fluid Wave Test - ANSWERSwith the patient's hand placed vertically in the middle of abdomen, place
your hands on each side of the patient's abdomen and tap one side while palpating the other side
If ascites is present, the examiner will feel fluid shifting from side to side
Rebound tenderness - ANSWERSelicit by deeply palpating then suddenly releasing pressure. If present in
the RLQ (McBurney's point), suggests patient has appendicitis
McBurney's sign - ANSWERStenderness and rigidity from the umbilicus to the right anterior superior iliac
spine. Frequently seen with appendicitis
Inspiration arrest (Murphy's sign) - ANSWERSpalpate below right costal margin. Ask patient to take a
deep breath. If patient stops breathing mid-inspiration due to pain, the sign is positive
Obturator test - ANSWERSplace patient in supine position with right leg flexed at hip and knee. Place a
hand just above knee with your other hand at the ankle. Rotate the patient's leg internally and
externally, positive in appendicitis
AAA palpation - ANSWERSplace each hand on either side of aorta and estimate the diameter of aorta,
diameter of 3cm or greater is positive
