NR 304 PRACTICE QUESTIONS & ANSWERS,CHAPTER 21-ABDOMEN:NEWEST-2022 |CHAMBERLAIN
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Course
NR 304 (NR304)
Institution
Chamberlain College Of Nursing
NR 304 PRACTICE QUESTIONS & ANSWERS,CHAPTER 21-ABDOMEN:NEWEST-2022 |CHAMBERLAINNR 304 PRACTICE QUESTIONS & ANSWERS,CHAPTER 21-ABDOMEN:NEWEST-2022 |CHAMBERLAIN
NR 304 PRACTICE QUESTIONS & ANSWERS,CHAPTER
21-ABDOMEN
1. The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver.
Which sound should the nurse expect to hear?
a. Dullness
b. Tympany
c. Resonance
d. Hyperresonance
2. Which structure is located in the left lower quadrant of the abdomen?
a. Liver
b. Duodenum
c. Gallbladder
d. Sigmoid colon
3. A patient is having difficulty swallowing medications and food. The nurse would document that this
patient has:
a. Aphasia.
b. Dysphasia.
c. Dysphagia.
d. Anorexia.
4. The nurse suspects that a patient has a distended bladder. How should the nurse assess for this
condition?
a. Percuss and palpate in the lumbar region.
b. Inspect and palpate in the epigastric region.
c. Auscultate and percuss in the inguinal region.
d. Percuss and palpate the midline area above the suprapubic bone.
5. The nurse is aware that one change that may occur in the gastrointestinal system of an aging adult is:
a. Increased salivation.
b. Increased liver size.
c. Increased esophageal emptying.
d. Decreased gastric acid secretion.
6. A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing
on his left side on the handle bars. The nurse suspects that he may have injured his spleen. Which of
these statements is true regarding assessment of the spleen in this situation?
a. The spleen can be enlarged as a result of trauma.
b. The spleen is normally felt on routine palpation.
c. If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size.
d. An enlarged spleen should not be palpated because it can easily rupture.
7. A patient’s abdomen is bulging and stretched in appearance. The nurse should describe this finding
as:
a. Obese.
b. Herniated.
c. Scaphoid.
d. Protuberant.
8. The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid contour of the
abdomen depicts a ______ profile.
a. Flat
b. Convex
c. Bulging
d. Concave
, 9. While examining a patient, the nurse observes abdominal pulsations between the xiphoid process and
umbilicus. The nurse would suspect that these are:
a. Pulsations of the renal arteries.
b. Pulsations of the inferior vena cava.
c. Normal abdominal aortic pulsations.
d. Increased peristalsis from a bowel obstruction.
10. A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel
sounds is:
a. Diarrhea.
b. Peritonitis.
c. Laxative use.
d. Gastroenteritis.
11. The nurse is watching a new graduate nurse perform auscultation of a patient’s abdomen. Which
statement by the new graduate shows a correct understanding of the reason auscultation precedes
percussion and palpation of the abdomen?
a. “We need to determine the areas of tenderness before using percussion and palpation.”
b. “Auscultation prevents distortion of bowel sounds that might occur after percussion and
palpation.”
c. “Auscultation allows the patient more time to relax and therefore be more comfortable with
the physical examination.”
d. “Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might
occur after percussion and palpation.”
12. The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds? Bowel
sounds:
a. Are usually loud, high-pitched, rushing, and tinkling sounds.
b. Are usually high-pitched, gurgling, and irregular sounds.
c. Sound like two pieces of leather being rubbed together.
d. Originate from the movement of air and fluid through the large intestine.
13. The physician comments that a patient has abdominal borborygmi. The nurse knows that this term
refers to:
a. Loud continual hum.
b. Peritoneal friction rub.
c. Hypoactive bowel sounds.
d. Hyperactive bowel sounds.
14. During an abdominal assessment, the nurse would consider which of these findings as normal?
a. Presence of a bruit in the femoral area
b. Tympanic percussion notes in the umbilical region
c. Palpable spleen between the ninth and eleventh ribs in the left midaxillary line
d. Dull percussion note in the left upper quadrant at the midclavicular line
15. The nurse is assessing the abdomen of a pregnant woman who is complaining of having “acid
indigestion” all the time. The nurse knows that esophageal reflux during pregnancy can cause:
a. Diarrhea.
b. Pyrosis.
c. Dysphagia.
d. Constipation.
16. The nurse is performing percussion during an abdominal assessment. Percussion notes heard during
the abdominal assessment may include:
a. Flatness, resonance, and dullness.
b. Resonance, dullness, and tympany.
c. Tympany, hyperresonance, and dullness.
d. Resonance, hyperresonance, and flatness.
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