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NR 304 Exam 1 Complete Questions And Answers Rated A+
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NR 304 Exam 1 Complete Questions And Answers Rated A+ Where do you find tympani? ANS All 4 quadrants, normal Where do you find dullness? ANS RUQ-high under costal margin-liver Where do you find resonance? ANS lungs How do you percuss liver span? ANS Hold breath or let out all breath -...

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  • August 30, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NR 304 Exam 1 Complete Questions And Answers
Rated A+
Where do you find tympani? ANS All 4 quadrants, normal



Where do you find dullness? ANS RUQ-high under costal margin-liver



Where do you find resonance? ANS lungs



How do you percuss liver span? ANS Hold breath or let out all breath - (liver moves) and percuss downward at L
Mid clavicular line - area of dullness Is measured - 5-10 cm (women smaller than men)



How do you percuss spleen? ANS Percuss at Left Mid-axillary line. Percuss down to dullness, and then up to
dullness measuring span.



How are the fluid wave and shifting dullness tests performed? What do they indicate? ANS Fluid wave - push on
one side of patient's abdomen - with patient supine - put patient hand in middle and feel wave (if there is fluid) on
other side of abdomen.. if not fluid but fat, the patient hand will stop the "wave" - Shifting dullness - percuss as
patient is supine from tympani to dullness then have lay on side and do same. IF fluid, the fluid shifts and dullness
shifts - both indicate ascites = 3rd space or extracell. Spacing of fluid from VEINS and PROTEIN which pulls more
fluid from the veins = edema



What is purpose of light palpation? ANS Light for superficial masses, muscle tone, symmetry, pain



What is the purpose of deep palpation? ANS Deep palpation for organomegaly



What is rebound tenderness? IF + = ANS Done by pushing into abdomen and quickly bringing hands up - the
reflexive bounce causes peritoneal spasm - PAIN if inflamed = +Blumbergs test



What examination findings would you expect with each condition? Obesity ANS -Obesity - protruberant
abdomen with negative fluid wave- probable striae



What examination findings would you expect with each condition? Ascites ANS + fluid wave and shifting
dullness and history of liver or cancer issue -

, See LOW albumin in their blood levels - other edema?



What examination findings would you expect with each condition? Gaseous distention ANS tons of tympani
with a distended abdomen - common with ileus where intestinal motility stops/slows and gas-producing bacteria is
hanging in one place of intestine.



What examination findings would you expect with each condition? tumor ANS area of organomegaly or mass
palpable with deep palpation - dullness on percussion



What tests are done for a person with suspected appendicitis? ANS Psoas - right leg lift -

Obturator - bent R leg - ab and adducted

Rebound Tenderness- If ruptured



What tests are done for a person with suspected cholecystitis? ANS Murphy - palpation of gallbladder with the
inhalation of breath - liver moves up - fingers touch gallbladder - + liver function tests and ultrasound for stones



What are the symptoms of Crohns and Ulcerative colitis? ANS Bloody, mucousy, diarrhea, bloating, gas, urgency
to have stool - abdominal pain - may have anal and rectal ulcers



Melena ANS black tarry stools are sign of blood that HAS been digested by HCL acid (stomach) or upper GI



Bright red stool ANS blood in stool has not been digested-lower GI-hemorroids



What are some signs of internal abdominal bleeding? ANS Cullen, Grey Turner Flank, HYPOTENSION,
TACHYCARDIA, low blood count, shock (poor perfusion) and rebound tenderness



apex of heart ANS 5th intercostal space (this is referred to as the PMI - Point of Maximum Impulse of heart)



base of the heart ANS Can be auscultated over the second or third left intercostal space.



systole ANS Contraction of the heart

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