NURSING 251 EXAM 4 QUESTIONS AND ANSWERS
WITH VERIFIED SOLUTIONS 100% CORRECT | NEW
UPDATE 2025
To percuss the upper border of the liver of an adult client, where should the nurse
begin the assessment? At the client's . . .
A. Right MCL, 5th ICS
B. Right MCL, below umbilicus
C. Left MCL, 5th ICS
D. Left MCL, below umbilicus - ANSWER A.
To palpate for tenderness of an adult client's appendix, the nurse should begin the
abdominal assessment at the client's . . .
A. left upper quadrant
B. left lower quadrant
C. right upper quadrant
D. right lower quadrant - ANSWER D.
The nurse is planning to assess the abdomen of an adult male client. Before the
nurse begins the assessment, the nurse should . . .
A. ask the client to empty his bladder
B. place the client in a side-lying position
, C. ask the client to hold his breath for a few seconds
D. tell the client to raise his arms above his head - ANSWER A.
The nurse is assessing the abdomen of an adult client and observes a purple
discoloration at the flanks. The nurse should refer the client to a physician for
which possible condition?
A. liver disease
B. abdominal distention
C. Cushing's syndrome
D. internal bleeding - ANSWER D.
The nurse is assessing the bowel sounds of an adult client. After listening to each
quadrant, the nurse determines that bowel sounds are not present. The nurse
should refer the client to a physician for possible . . .
A. aortic aneurysm
B. paralytic ileus
C. gastroentertitis
D. fluid and electrolyte imbalances - ANSWER B.
During a physical examination of an adult client, when should the nurse auscultate
the client's abdomen?
A. After palpating the abdomen but before percussion
B. After percussing the abdomen
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