NUR 265 Chapter 22: Abdomen questions fully solved & updated
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Course
NUR 265
Institution
NUR 265
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
a. Dullness
Rationale: The liver is located in the right upper quadrant and would eli...
NUR 265 Chapter 22: Abdomen
questions fully solved &
updated 2024-2025
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 - answer a. Dullness
Rationale: The liver is located in the right upper quadrant and would
elicit a dull percussion note.
2. Which structure is located in the left lower quadrant of the
abdomen?
a. Liver
b. Duodenum
c. Gallbladder
d. Sigmoid colon - answer d. Sigmoid colon
Rationale: The sigmoid colon is located in the left lower quadrant of
the abdomen.
,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. - answer c. Dysphagia.
Rationale: Dysphagia is a condition that occurs with disorders of the
throat or esophagus and results in difficulty swallowing. Aphasia
and dysphasia are speech disorders. Anorexia is a loss of appetite.
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
- answer d. Percuss and palpate the midline area above the
suprapubic bone
Rationale: Dull percussion sounds would be elicited over a
distended bladder, and the hypogastric area would seem firm
to palpation.
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. - answer d. Decreased gastric
acid secretion.
Rationale: Gastric acid secretion decreases with aging. As one ages,
salivation decreases, esophageal emptying is delayed, and liver size
decreases.
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. - answer d. An enlarged spleen should not be palpated
because it can easily rupture.
Rationale: If an enlarged spleen is felt, then the nurse should refer
the person and should not continue to palpate it. An enlarged
spleen is friable and can easily rupture with overpalpation.
7. A patients abdomen is bulging and stretched in appearance. The
nurse should describe this finding as:
a. Obese.
b. Herniated.
c. Scaphoid.
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