1.) The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. What is the importance of this finding?
A. The stool indicates anal patency
B. The dark green color indicates occult blood in the stool
C. Meconium stool can be reflective of distress in the newborn
D. The newborn should have passed the first stool within 12 hours of birth
2.) A nurse is assessing a client’s abdomen. The nurse palpates the left upper quadrant which elicits pain. The nurse should suspect which organ may be affected?
A. Sigmoid colon
B. Appendix
C. Spleen
D. Gallbladder
3.) A client is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to asses for this condition?
A. Obturator test
B. Test for Murphy sign
C. Liopsces muscle test -?
D. Assess for rebound tenderness
4.) Which structure is located in the left quadrat of the abdomen?
A. Liver
B. Duodenum
C. Gallbladder
D. Sigmoid Colon
5.) When percussing over the liver, the nurse should expect to hear.
A. Resonance
B. Tympany
C. Dullness
D. Hyperresonance
6.) A nurse is caring for a client who states that their healthcare provider told them that they have a hernia. The client asks the nurse to explain what that means. Which is the best response by the nurse?
A. “No need to worry. Most people your age develop hernias”
B. “I’ll have to have your healthcare provider explain this to you”
C. “A hernia is a loop of bowel protruding through a weak spot in the muscle”
D. “A hernia is the result of prenatal growth abnormalities that are just now causing problems”
7.) When performing a physical assessment on a 78-year-old client seen in the health care provider’s office for constipation, what assessment finding reveals normal changes of aging that may contribute to a client’s constipation?
A. Recent colon surgery
B. Fissures in the rectum
C. Intestinal obstruction
D. Slowed peristalsis
8.) Use the drop down
9.) A nurse cares for a client who had surgery 16 hours ago. What assessment finding prompts the nurse to call the surgeon.
A. Surgical incisional site appears slightly swollen
B. Got out of bed and ambulated only once a day
C. Hypoactive bowel sounds in all quadrants
D. Constant pain and abdomen distention
10.) The nurse preceptor notes a novice nurse assessing bowel sounds of a client with ulcerative colitis as seen in the image. The nurse preceptor feels the novice nurse is assessing the client correctly. What abdominal region is the nurse assessing.
** Shows pictute***** (know quadrat areas)
11.) The nurse is caring for a client and suspects the client has urinary retention. How should the nurse asses for urinary retention?
A. Inspect and palpate the epigastric region
B. Auscultate and percuss in the inguinal region
C. Palpate the midline area above the pubic bone
D. Percuss the lumbar region on both sides
12.)
13.) A nurse is completing an abdominal assessment. Which of the following can the nurse asses using inspection. Select all that apply.
A. Contour of the abdomen
B. Bowel sounds
C. Rebound tenderness
D. Pulsations
E. Symmetry of abdomen
14.) After Inspection the nurse begins to auscultate the clients bowel sounds, in which quadrant will the nurse end auscultation?
A. Right lower quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Left upper quadrant 15.)
16.) The nurse provides care the client admitted with the liver cirrhosis. Upon inspection the nurse notes client’s abdomen is protuberant, which rational explains the physical finding?
A. It is due to an abdominal accumulation of serous fluid within the peritoneal cavity
B. It is due to bowl obstruction
C. It is due to proximal loop of the large intestine
D. It is due to abdominal enlargement of the spleen
17.) Which of the following Is the correct sequence of techniques used during an examination of the abdomen?
A. Percussion, inspection, palpation, auscultation
B. Inspection, palpitation, percussion, auscultation
C. Inspection, auscultation, percussion, palpitation
D. Auscultation, inspection, palpation, percussion
18.) Which of the following phycological changes associated with aging contributes to altered gastrointestinal (GI) function in the older adults? Select all that apply.
A. Decreased digested enzymes
B. Increased liver size
C. Decreased salvation
D. Decreased weight
E. Increases mobility
19.) A 45-year-old women arrives at your clinic with the following symptoms for the past 1 months heartburn for 30 minutes after eating, mouth tastes sour, some difficulty swallowing. You suspect the patient GERD. Where would the nurse anticipate the client’s pain to occur in the image below
20.) Indicate if each assessment finding is normal or abnormal by placing a check in the corresponding column.
Body of pancreasGallbladderAppendix-
Sigmoid colonDeocecal valve