NUR 2092 / NUR2092 Health Assessment Final Exam
Review
1. You are going to inspect a female patient's breasts for retraction. The best position for
this part of the examination is:
A. Lying supine with arms at the sides.
B. Leaning forward with hands outstretched.
C. Sitting with hand pushing onto hips.
D. One arm at the side, the other arm elevated.
2. A bimanual technique may be the preferred approach for a woman: bimanual technique
means pelvic examination
A. Who is pregnant.
B. Who is having the first breast examination by a health care provider.
C. With pendulous breasts.
D. Who has felt a change in the breast during self-examination.
3. During the examination of a 70-year-old man, you note gynecomastia. You would:
A. Refer for a biopsy.
B. Refer for a mammogram.
C. Review the medications for drugs that have gynecomastia as a side effect.
D. Proceed with the examination. This is a normal part of the aging process.
4. Select the sequence of techniques used during an examination of the abdomen.
A. Percussion, inspection, palpation, auscultation A
B. Inspection, palpation, percussion, auscultation
C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, palpation, percussion
5. Which of the following can be noted through inspection of a patient's abdomen?
, A. Fluid waves and abdominal rigidity
B. Umbilical eversion and Murphy sign
C. Venous pattern, peristaltic waves, and abdominal contour. A
D. Peritoneal irritation, general tympany, and peristaltic waves
6. Right upper quadrant tenderness may indicate pathology in the:
A. Liver, pancreas, or ascending colon. A
B. Liver and stomach.
C. Sigmoid colon, spleen, or rectum.
D. Appendix or ileocecal valve.
7. Hyperactive bowel sounds are:
A. High-pitched.
B. Rushing.
C. Tinkling.
D. All of the above.
8. The absence of bowel sounds is established after listening for:
A. 1 full minute.
B. 3 full minutes.
C. 5 full minutes.
D. None of the above.
9. Auscultation of the abdomen may reveal bruits of the ______________ arteries.
A. Aortic, renal, iliac, and femoral
B. Jugular, aortic, carotid, and femoral
C. Pulmonic, aortic, and portal
D. Renal, iliac, internal jugular, and basilic
10. The left upper quadrant (LUQ) contains the:
, A. Liver.
B. Appendix.
C. Left ovary.
D. Spleen.
11. A woman has striae on the abdomen. Which color indicates long-standing striae? Striae
means (stretch mark)
a. Pink
b. Blue
c. Purple blue.
d. Silvery white
12. Auscultating the abdomen is begun in the right lower quadrant (RLQ) because:
A. Bowel sounds are always normally present here.
B. Peristalsis through the descending colon is usually active.
C. This is the location of the pyloric sphincter.
D. Vascular sounds are best heard in this area.
13. Shifting dullness is a test for:
- Shifting dullness means when patient turns from supine position to side-lying
when you hear the fluid sound
14. Tenderness during abdominal palpation is expected when palpating the:
A. Liver edge.
B. Spleen.
C. Sigmoid colon.
D. Kidneys.
15. A positive Murphy sign is best described as:
, A. The pain felt when the examiner's hand is rapidly removed from an inflamed
appendix.
B. Pain felt when taking a deep breath when the examiner's fingers are on the
approximate location of the inflamed gallbladder.
C. A sharp pain felt by the patient when one hand of the examiner is used to thump
the other at the costovertebral angle.
D. This is not a valid examination technique.
16. A positive Blumberg sign indicates:
A. Possible aortic aneurysm.
B. Presence of renal artery stenosis.
C. Enlarged, nodular liver.
D. Peritoneal inflammation
17. The examiner is going to inspect and palpate for a hernia. During this examination, the
man is instructed to:
a. Hold his breath during palpation.
b. Cough after the examiner has gently inserted the examination finger into the rectum.
c. Bear down when the examiner's finger is at the inguinal canal.
d. Relax in a supine position while the examination finger is inserted into the canal.
18. During examination of the scrotum, a normal finding would be that: ( scrotum means
adult testicular)
b. The left testicle is larger than the right.
c. The left testicle hangs lower than the right.
d. The left testicle is more tender to palpation than the right.
19. H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new
medication that may cause erectile dysfunction as a side effect; therefore, medication
classes explored by the nurse are:
A. Antipyretics.
B. Bronchodilators.
Review
1. You are going to inspect a female patient's breasts for retraction. The best position for
this part of the examination is:
A. Lying supine with arms at the sides.
B. Leaning forward with hands outstretched.
C. Sitting with hand pushing onto hips.
D. One arm at the side, the other arm elevated.
2. A bimanual technique may be the preferred approach for a woman: bimanual technique
means pelvic examination
A. Who is pregnant.
B. Who is having the first breast examination by a health care provider.
C. With pendulous breasts.
D. Who has felt a change in the breast during self-examination.
3. During the examination of a 70-year-old man, you note gynecomastia. You would:
A. Refer for a biopsy.
B. Refer for a mammogram.
C. Review the medications for drugs that have gynecomastia as a side effect.
D. Proceed with the examination. This is a normal part of the aging process.
4. Select the sequence of techniques used during an examination of the abdomen.
A. Percussion, inspection, palpation, auscultation A
B. Inspection, palpation, percussion, auscultation
C. Inspection, auscultation, percussion, palpation
D. Auscultation, inspection, palpation, percussion
5. Which of the following can be noted through inspection of a patient's abdomen?
, A. Fluid waves and abdominal rigidity
B. Umbilical eversion and Murphy sign
C. Venous pattern, peristaltic waves, and abdominal contour. A
D. Peritoneal irritation, general tympany, and peristaltic waves
6. Right upper quadrant tenderness may indicate pathology in the:
A. Liver, pancreas, or ascending colon. A
B. Liver and stomach.
C. Sigmoid colon, spleen, or rectum.
D. Appendix or ileocecal valve.
7. Hyperactive bowel sounds are:
A. High-pitched.
B. Rushing.
C. Tinkling.
D. All of the above.
8. The absence of bowel sounds is established after listening for:
A. 1 full minute.
B. 3 full minutes.
C. 5 full minutes.
D. None of the above.
9. Auscultation of the abdomen may reveal bruits of the ______________ arteries.
A. Aortic, renal, iliac, and femoral
B. Jugular, aortic, carotid, and femoral
C. Pulmonic, aortic, and portal
D. Renal, iliac, internal jugular, and basilic
10. The left upper quadrant (LUQ) contains the:
, A. Liver.
B. Appendix.
C. Left ovary.
D. Spleen.
11. A woman has striae on the abdomen. Which color indicates long-standing striae? Striae
means (stretch mark)
a. Pink
b. Blue
c. Purple blue.
d. Silvery white
12. Auscultating the abdomen is begun in the right lower quadrant (RLQ) because:
A. Bowel sounds are always normally present here.
B. Peristalsis through the descending colon is usually active.
C. This is the location of the pyloric sphincter.
D. Vascular sounds are best heard in this area.
13. Shifting dullness is a test for:
- Shifting dullness means when patient turns from supine position to side-lying
when you hear the fluid sound
14. Tenderness during abdominal palpation is expected when palpating the:
A. Liver edge.
B. Spleen.
C. Sigmoid colon.
D. Kidneys.
15. A positive Murphy sign is best described as:
, A. The pain felt when the examiner's hand is rapidly removed from an inflamed
appendix.
B. Pain felt when taking a deep breath when the examiner's fingers are on the
approximate location of the inflamed gallbladder.
C. A sharp pain felt by the patient when one hand of the examiner is used to thump
the other at the costovertebral angle.
D. This is not a valid examination technique.
16. A positive Blumberg sign indicates:
A. Possible aortic aneurysm.
B. Presence of renal artery stenosis.
C. Enlarged, nodular liver.
D. Peritoneal inflammation
17. The examiner is going to inspect and palpate for a hernia. During this examination, the
man is instructed to:
a. Hold his breath during palpation.
b. Cough after the examiner has gently inserted the examination finger into the rectum.
c. Bear down when the examiner's finger is at the inguinal canal.
d. Relax in a supine position while the examination finger is inserted into the canal.
18. During examination of the scrotum, a normal finding would be that: ( scrotum means
adult testicular)
b. The left testicle is larger than the right.
c. The left testicle hangs lower than the right.
d. The left testicle is more tender to palpation than the right.
19. H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new
medication that may cause erectile dysfunction as a side effect; therefore, medication
classes explored by the nurse are:
A. Antipyretics.
B. Bronchodilators.
