Nrp 531 Advanced Health Assessment Final
Exam 2024-2025 Actual Exam Questions And
Answers Latest Update
Select the correct sequence of techniques used during an examination of a
child's abdomen:
a. Percussion, inspection, palpation, auscultation
b. Inspection, palpation, percussion, auscultation
c. Inspection, auscultation, percussion, palpation
d. Auscultation, inspection, palpation, percussion ANS✔✔ c. Inspection,
auscultation, percussion, palpation
When percussing a child's abdomen, you note tympany. This is indicative of
the presence of:
a. Fluid
b. Air
c. Feces
d. Hepatomegaly ANS✔✔ b. Air
When inspecting the child's abdomen, the examiner notes a midline
muscular separation with bulging at the child cries. This finding is a(n):
a. Umbilical hernia
b. Inguinal hernia
c. Omphalocele
d. Diastasis recti ANS✔✔ d. Diastasis recti
, Solution 2024/2025
Pepper
A 10-month-old infant is brought to the clinic with complaints of cough and
rhinorrhea. When auscultating the child's lungs, you note a large, bulging
umbilical mass. The mass is easily reducible but increases when the child
cries. This assessment finding is a(n):
a. Inguinal hernia
b. Umbilical hernia
c. Gastroschisis
d. Omphalocele ANS✔✔ b. Umbilical hernia
The iliopsoas (psoas sign) test is used to identify:
a. Splenic enlargement
b. Costovertebral tenderness
c. Intra-abdominal inflammation
d. Decreased peristalsis or intestinal activity ANS✔✔ c. Intra-abdominal
inflammation
When auscultating bowel sounds in an infant or a young child, it is essential
to use a pediatric stethoscope because:
a. A stethoscope diaphragm that is too large may also encompass lung
sounds, confusing the clinical picture
b. A stethoscope diaphragm that is too large may also encompass vascular
sounds, confusing the clinical picture
c. A stethoscope diaphragm that is too large may cause pain in a small
infant if pressure is applied during auscultation
d. A stethoscope diaphragm that is too large may decrease the child's
cooperation ANS✔✔ a. A stethoscope diaphragm that is too large may also
encompass lung sounds, confusing the clinical picture
, Solution 2024/2025
Pepper
Decreased hepatic enzyme function in children from birth until age 3 to 4
years causes:
a. Short drug half-lives
b. Long drug half-lives
c. Physiologic jaundice
d. Hypoglycemia ANS✔✔ b. Long drug half-lives
The stomach capacity in a neonate is approximately:
a. 30 mL
b. 60 mL
c. 90 mL
d. 120 mL ANS✔✔ b. 60 mL
A dull percussion note at or beyond the anterior axillary line on the left
indicates:
a. Hepatomegaly
b. Splenomegaly
c. A normal finding
d. A fibrotic spleen ANS✔✔ b. Splenomegaly
Assessment for renal tenderness should be performed with the child:
a. Lying supine
b. Lying prone
c. In a side-lying position
, Solution 2024/2025
Pepper
d. Sitting upright ANS✔✔ d. Sitting upright
Indirect percussion can be used to detect:
a. Costovertebral tenderness
b. Abdominal masses
c. Rebound tenderness
d. Hepatomegaly ANS✔✔ a. Costovertebral tenderness
The lower left quadrant (LLQ) contains the:
a. Left ureter
b. Pancreas (body)
c. Stomach
d. Liver (left lobe) ANS✔✔ a. Left ureter
The percussion note that is normally heard over a child's stomach is:
a. Dull
b. Tympany
c. Resonance
d. Hyperactive ANS✔✔ b. Tympany
A firm, olive-like mass palpable in the RUQ of a 3-week-old infant is likely
a(n):
a. Fecal mass
b. Pyloric stenosis
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