NR 304-Exam 1 Questions and Correct Answers the Latest Update and Recommended Version

Where do you find tympani? → All 4 quadrants, normal Where do you find dullness? → RUQ-high under costal margin-liver Where do you find resonance? → lungs How do you percuss liver span? → 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? → 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? → 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? 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel! 1 | P a g e | G r a d e A + | 2 0 24 / 2 0 2 5 → Light for superficial masses, muscle tone, symmetry, pain What is the purpose of deep palpation? → Deep palpation for organomegaly What is rebound tenderness? IF + = → 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 → -Obesity - protruberant abdomen with negative fluid wave- probable striae What examination findings would you expect with each condition? Ascites → + 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 → 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 → area of organomegaly or mass palpable with deep palpation - dullness on percussion What tests are done for a person with suspected appendicitis? 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel! 1 | P a g e | G r a d e A + | 2 0 24 / 2 0 2 5 → 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? → 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? → Bloody, mucousy, diarrhea, bloating, gas, urgency to have stool - abdominal pain - may have anal and rectal ulcers Melena → black tarry stools are sign of blood that HAS been digested by HCL acid (stomach) or upper GI Bright red stool → blood in stool has not been digested-lower GI-hemorroids What are some signs of internal abdominal bleeding? → Cullen, Grey Turner Flank, HYPOTENSION, TACHYCARDIA, low blood count, shock (poor perfusion) and reb