Ch19 Abdomen

38 Questions

Settings
Please wait...
Abdomen Quizzes & Trivia

Questions and Answers
  • 1. 
    When performing an abdominal assessment, the nurse knows that:
    • A. 

      The gallbladder is normally palpable in adults.

    • B. 

      The pancreas is palpable in the midepigastric area.

    • C. 

      Tender areas should be assessed last.

    • D. 

      It is normal to have pain with deep palpation of the liver.

  • 2. 
    • A. 

      Potential for alterations in pancreatic enzyme production

    • B. 

      Potential for gallbladder alterations

    • C. 

      Potential for variation in insulin metabolism

    • D. 

      Potential for liver function alterations

  • 3. 
    The nurse learns a client has been taking more than three times the recommended amount of an over-the-counter pain (OTC) reliever on a daily basis for several months. Potential for liver function alterations.
    • A. 

      True

    • B. 

      False

  • 4. 
    The nurse learns a client has been taking more than three times the recommended amount of an over-the-counter pain (OTC) reliever on a daily basis for several months. Potential for alterations in pancreatic enzyme production
    • A. 

      True

    • B. 

      False

  • 5. 
    The nurse learns a client has been taking more than three times the recommended amount of an over-the-counter pain (OTC) reliever on a daily basis for several months. Potential for gallbladder alterations
    • A. 

      True

    • B. 

      False

  • 6. 
    The nurse learns a client has been taking more than three times the recommended amount of an over-the-counter pain (OTC) reliever on a daily basis for several months. Potential for variation in insulin metabolism
    • A. 

      True

    • B. 

      False

  • 7. 
    • A. 

      Rounded

    • B. 

      Herniated

    • C. 

      Scaphoid

    • D. 

      Protuberant

  • 8. 
    The nurse utilizes deep palpation during the abdominal assessment to determine which of the following? Select all that apply.
    • A. 

      Hepatomegaly

    • B. 

      Splenomegaly

    • C. 

      Superficial tenderness

    • D. 

      Masses

    • E. 

      Bowel motility

  • 9. 
    The nurse utilizes deep palpation during the abdominal assessment to determine which of the following? Select all that apply.
    • A. 

      Hepatomegaly

    • B. 

      Splenomegaly

    • C. 

      Superficial tenderness

    • D. 

      Masses

    • E. 

      Bowel motility

  • 10. 
    The nurse utilizes deep palpation during the abdominal assessment to determine which of the following? Select all that apply.
    • A. 

      Hepatomegaly

    • B. 

      Splenomegaly

    • C. 

      Superficial tenderness

    • D. 

      Masses

    • E. 

      Bowel motility

  • 11. 
    The nurse is planning to palpate a client's bladder. Over which area of the abdomen should the nurse palpate?
    • A. 

      Hypogastric region

    • B. 

      Left lower quadrant

    • C. 

      Epigastric region

    • D. 

      Right lower quadrant

  • 12. 
    Sits in the upper right quadrant of the abdomen inferior to the liver and lateral to the right midclavucular line (RMCL)
    • A. 

      Gallbladder

    • B. 

      Kidney

    • C. 

      Liver

    • D. 

      Spleen

  • 13. 
    Posterior to the abdominal contents and suiated in the retroperitoneal space, protected by the 11th and 12th pairs of ribs.
    • A. 

      Gallbladder

    • B. 

      Kidney

    • C. 

      Liver

    • D. 

      Spleen

  • 14. 
    Displaces the right kidney, thus making the lower pole palpable
    • A. 

      Gallbladder

    • B. 

      Kidney

    • C. 

      Liver

    • D. 

      Spleen

  • 15. 
    At the level of the 10th rib lateral to the left midaxillary line(LMAL).
    • A. 

      Gallbladder

    • B. 

      Kidney

    • C. 

      Liver

    • D. 

      Spleen

  • 16. 
    • A. 

      Visible peristaltic waves

    • B. 

      Abdominal respirations

    • C. 

      Increased tympany with percussion

    • D. 

      A palpable liver edge 5 centimeters below the costal margin

    • E. 

      "Potbelly" appearance

  • 17. 
    An elderly client tells the nurse, "I try not to drink much water because it makes me have to go to the bathroom more often." The most appropriate response made by the nurse is:
    • A. 

      "Do you experience heartburn?"

    • B. 

      "Decreased fluid intake can contribute to the development of constipation."

    • C. 

      "This may be the reason for your diarrhea."

    • D. 

      "Decreased water intake may make your hemorrhoids worse."

  • 18. 
    The presence of dullness on percussion of the abdomen may be the result of which of the following? Select all that apply.
    • A. 

      An enlarged uterus

    • B. 

      Bladder distention

    • C. 

      Stool in the colon

    • D. 

      Ascites

    • E. 

      The gastric bubble

  • 19. 
    • A. 

      Percussion

    • B. 

      Palpation

    • C. 

      Auscultation

    • D. 

      Inspection of the abdomen in the sitting position

  • 20. 
    Which of the following is a normal finding in the abdominal assessment of an adult?
    • A. 

      Rebound tenderness in the right lower quadrant

    • B. 

      A palpable spleen between the ninth and eleventh ribs in the left mid-axillary line

    • C. 

      Shifting dullness

    • D. 

      A tympanic percussion note in the umbilical region

  • 21. 
    When palpating the abdomen of a client the nurse notes the presence of tenderness in the left upper quadrant (LUQ). Which of the following structures is most likely to be involved?
    • A. 

      Appendix

    • B. 

      Liver

    • C. 

      Spleen

    • D. 

      Gallbladder

  • 22. 
    A client reports that his health care provider told him that he has an abdominal hernia and asks the nurse to briefly describe what a hernia is. The nurse would:
    • A. 

      Refer the client back to his health care provider for an explanation

    • B. 

      Explain that a hernia is a protrusion of an organ or structure through a weak spot in the abdominal wall

    • C. 

      Explain that hernias are common in adulthood and caused by poor muscle tone

    • D. 

      Tell the client that most men develop abdominal hernias

  • 23. 
    The nurse is percussing the abdomen of an adult and notes a liver span of 8 centimeters above the right costal margin. The nurse would:
    • A. 

      Document the presence of hepatomegaly

    • B. 

      Ask additional history questions regarding the client's alcohol intake

    • C. 

      Consider this a normal finding and proceed with the examination

    • D. 

      Auscultate over the area

  • 24. 
    • A. 

      Hyperactive bowel sounds

    • B. 

      A bruit

    • C. 

      A possible bowel obstruction

    • D. 

      Hypoactive bowel sounds

  • 25. 
    A 70-year-old male client comes into the clinic with weight loss and difficulty swallowing. Which of the following should the nurse document for this client?
    • A. 

      Esophagitis

    • B. 

      Odynophagia

    • C. 

      Dysphagia

    • D. 

      Aphasia

  • 26. 
    During the interview, which of the following statements made by the client alerts the nurse that the client could be having signs and symptoms of peptic ulcer disease?
    • A. 

      Abdomen soft and nontender

    • B. 

      Skin warm and dry to touch

    • C. 

      “I have this aching pain in the mid-abdominal region that is getting worse.”

    • D. 

      “I am a little scared about what might be causing this.”

  • 27. 
    The nurse knows that H. pylori is more prevalent in which population of clients?
    • A. 

      Older adults

    • B. 

      Younger adults

    • C. 

      Pregnant women

    • D. 

      Married adults

  • 28. 
    When obtaining the history from Mr. Hernandez, the nurse should include questions regarding the use of medications that could affect the function and integrity of the gastrointestinal system.
    • A. 

      True

    • B. 

      False

  • 29. 
    When the physician suspects that the client has constipation, the client is usually tested for H. pylori.
    • A. 

      True

    • B. 

      False

  • 30. 
    When the nurse is educating Mr. Hernandez regarding peptic ulcer disease, she should include information regarding stress because it could cause problems with the gastrointestinal system.
    • A. 

      True

    • B. 

      False