NURS 612 EXAM 3 MARYVILLE UNIVERSITY ADVANCED HEALTH
ASSESSMENT EXAM NEWEST 2024-2025 ACTUAL QUESTIONS WITH
DETAILED VERIFIED SOLUTIONS
1. Which of the following statements suggests that a patient is at risk of contracting viral
hepatitis A?
a. "I work in the medical field."
b. "I received a blood transfusion recently."
c. "I have renal failure and receive hemodialysis three times a week."
d. "I recently traveled overseas." -Answer d
2. The examiner notices abdominal wall venous return that ascends toward the chest
from the region of the pubis. This finding should lead the examiner to suspect
a. portal hypertension.
b. renal artery stenosis.
c. obstruction of the inferior vena cava.
d. mesentery arterial hypertension. - Answer c
3. Mrs. Cody is 36 weeks pregnant. She tells the exam-iner that her stomach muscle
feels as if it is splitting. A protrusion at the midline of the abdomen is noted. This is
identified as
a. abdominal dehiscence.
b. swelling of the abdominal aorta.
c. diastasis recti.
d. umbilical herniation. - Answer c
,4. In which of the following patients would a slight pulsation in the epigastric region be a
normal finding on inspection?
a. Very thin patient
b. Obese patient
c. Patient with ascites
d. Older patient - Answer a
5. The examiner feels an organ in the left costal margin. Which of the following
techniques should the examiner carry out in order to differentiate between an enlarged
left kidney and an enlarged spleen?
a. Auscultation, listening for renal bruit
b. Auscultation, listening for abdominal friction rub
c. Palpation, using indirect fist palpation to assess for tenderness
d. Percussion, listening for dullness - Answer d
6. A hiatal hernia is best described as
a. a protrusion of abdominal contents through a weakening in the abdominal wall.
b. a protrusion of the stomach through the esophageal opening in the diaphragm.
c. a herniation of an ulcer in the mucosa of the stomach into the peritoneal cavity.
d. a herniation of the gallbladder into the cystic duct. - Answer b
7. An examiner may want to utilize a bimanual technique for abdominal palpation when
a. palpating superficial organs.
b. confirming abdominal tenderness in the infant.
c. encountering muscle resistance while palpating deeply.
d. detecting the presence of excessive peritoneal fluid. - Answer c
,8. A 21⁄2-year-old child has abdominal pain and stools that appear like red currant jelly.
Which condition would the examiner suspect the child might have?
a. Meckel diverticulum
b. Pyloric stenosis
c. Intussusception
d. Necrotizing enterocolitis - Answer c
9. You obtain an adult male patient's midclavicular liver span of 18 cm. Palpation reveals
the liver is enlarged and nontender. What do these findings suggest?
a. Diverticulitis
b. Ulcerative colitis
c. Hepatitis
d. Cirrhosis - Answer d
10. The examiner is unable to palpate the liver or kidney on the patient. Which of the
following techniques will help assess tenderness to these organs?
a. Continuous, firm pressure for 3 to 5 minutes
b. Percussion for tympany
c. Percussion for size
d. Indirect fist percussion - Answer d
11. A positive obturator muscle test would cause pain in the
a. Right hip and thigh
b. Right hypogastric area
c. Right lower quadrant and groin
d. Beneath the right shoulder blade - Answer b
12. Which of the following techniques is used to verify the presence of abdominal
ascites?
, a. Auscultation of shifting of fluid in the abdominal cavity
b. Palpation of rebound tenderness
c. Palpation of pitting edema on the abdomen
d. Percussion of dullness over dependent areas of the abdomen - Answer d
13. Which of the following physical exam findings suggests the presence of peritoneal
irritation or appendicitis?
a. Rebound tenderness to palpation
a. Dullness that shifts with position and is palpable over the abdomen during percussion
c. Bruit that is present over the abdominal aorta during auscultation
d. Dullness over the suprapubic area during percussion -Answer a
14. Which of the following findings on a newborn infant indicates that the infant has a
con- genital anomaly of the?
a. One artery and one vein are present in the umbilical cord.
b. The umbilical cord is thick.
c. The umbilical cord is thin.
d. There is a small mass around the umbilicus. - Answer a
15. A 61-year-old man has a presenting complaint of frequent constipation. He tells the
examiner that there has been a change in his bowel movement habits—he gets
constipated easily, the stool is very "skinny looking," and it is a different color than
usual. He denies pain. What do these symptoms suggest?
a. Diverticulitis
b. Hepatitis B
c. Colon or rectal cancer
d. Pancreatitis - Answer c
16. The functional capability of the gastrointestinal tract most impaired by aging is
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