HEALTH ASSESSMENT EXAM 3| LATEST
UPDATE 2024-2025 |VERIFIED
PRACTICE EXAM QUESTIONS AND
CORRECT ANSWERS ALL GRADED
A+|GUARANTEED SUCCESS
Select the sequence of techniques used during an examination of the abdomen:
a) percussion, inspection, palpation, auscultation
b) inspection, palpation, percussion, auscultation
c) inspection, auscultation, percussion, palpation
d) auscultation, inspection, palpation, percussion - ANSWER-✅c
Which of the following may be noted through inspection of the abdomen?
a) fluid waves and abdominal contour
b) umbilical eversion and Murphy sign
c) venous pattern, peristaltic waves, and abdominal contour
d) peritoneal irritation, general tympany, and peristaltic waves - ANSWER-✅c
Right upper quadrant tenderness may indicate pathology in the:
a) liver, pancreas, or ascending colon
b) liver and stomach
c) sigmoid colon, spleen, or rectum
d) appendix or ileocecal valve - ANSWER-✅a
Hyperactive bowel sounds are:
a) high pitched
b) rushing
c) tinkling
d) all of the above - ANSWER-✅d
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 - ANSWER-✅c
, 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 - ANSWER-✅a
The range of normal liver span in the right midclavicular line in the adult is:
a) 2-6cm
b) 4-8cm
c) 8-14cm
d) 6-12cm - ANSWER-✅d
The upper left quadrant (LUQ) contains the:
a) liver
b) appendix
c) left ovary
d) spleen - ANSWER-✅d
Striae, which occur when the elastic fibers in the reticular layer of the skin are
broken after rapid or prolonged stretching, have a distinct color when of long
duration. This color is:
a) pink
b) blue
c) purple-blue
d) silvery white - ANSWER-✅d
Auscultation of 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 - ANSWER-✅a
A dull percusison note forward of the left midaxillary line is:
a) normal, an expected finding during splenic percussion
b) expected between the 8th and 12th ribs.
c) found if the examination follows a large meal
d) indicative of splenic enlargement - ANSWER-✅d
Shifting dullness is a test for:
a) ascities
b) splenic enlargement
c) inflammation of the kidney
d) hepatomegaly - ANSWER-✅a
Tenderness during abdominal palpation is expected when palpating:
a) the liver edge
b) the spleen
,c) the sigmoid colon
d) the kidneys - ANSWER-✅c
Murphy sign is best described as:
a) the pain felt when the hand of the examiner 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 gall bladder.
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) not a valid examination technique - ANSWER-✅b
A positive Blumberg sign indicates:
a) a possible aortic aneurysm.
b) the presence of renal artery stenosis.
c) an enlarged, nodular liver.
d) peritoneal inflammation. - ANSWER-✅d
What is the significance of black stools? Contrast this with the significance of red
blood in stools. - ANSWER-✅Black, tarry stools indicate the present of occult blood
(melena) from bleeding higher in the gastrointestinal tract. The blood has been
partially broken down during the digestive process. Black, nontarry stools may be
caused by ingesting iron supplements. Red blood in stools occurs with localized
bleeding in the lower gastrointestinal tract and around the anus, such as occurs with
hemorrhoids.
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-✅ANS: A
The liver is located in the right upper quadrant and would elicit a dull percussion
note.
Which structure is located in the left lower quadrant of the abdomen?
A)
Liver
B)
Duodenum
C)
Gallbladder
D)
, Sigmoid colon - ANSWER-✅ANS: D
The sigmoid colon is located in the left lower quadrant of the abdomen.
A patient is having difficulty in swallowing medications and food. The nurse would
document that this patient has:
A)
aphasia.
B)
dysphasia.
C)
dysphagia.
D)
anorexia. - ANSWER-✅ANS: C
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
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-✅ANS:
D
Dull percussion sounds would be elicited over a distended bladder, and the
hypogastric area would seem firm to palpation.
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-✅ANS: D
Gastric acid secretion decreases with aging. As one ages, salivation decreases,
esophageal emptying is delayed, and liver size decreases
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 handlebars. The nurse suspects that
