28 Sep Which of the following represents the proper position for the NP to assess the patient’s abdomen?

Question 1Which of the following represents the proper position for the NP to assess the patient’s abdomen?

 

Select one:

 

 a.Stand at the patient’s left side and proceed in a systematic fashion.

 

 b.Stand at the patient’s left side and assess any problem areas first

 

 c.Stand at the patient’s right side and proceed in a systematic fashion

 

 d.Stand at the patient’s right side and assess any problem areas first

 

Question 2The NP will demonstrate the correct order of examination for the abdomen by using examination techniques as follows:

 

1.            Auscultation

 

2.            Inspection

 

3.            Palpation

 

4.            Percussion

 

Select one:

 

 a.1-2-3-4

 

 b.2-3-4-1

 

 c.3-4-1-2

 

 d.2-1-4-3

 

Question 3A 36-year-old female patient is seen in the clinic for a reported fever and back pain. She complained of pain when the NP percussed over the left costovertebral angle. This finding supports which of the following differential diagnoses?

 

Select one:

 

 a.Pyelonephritis

 

 b.Left lower lobe pneumonia

 

 c.Splenomegaly

 

 d.Cholecystitis

 

Question 4The liver border can be palpated normally below the costal margin at the:

 

Select one:

 

 a.Left mid-clavicular line

 

 b.Right mid-axillary line

 

 c.Right mid-clavicular line

 

 d.Left mid-axillary line

 

Question 5The NP will recognize which of the following subjective or objective findings as worrisome for an abdominal aortic aneurysm?

 

Select one:

 

 a.Aortic width of 2.8 cm

 

 b.25-pack year smoking history

 

c.Age of 60

 

 d.Female gender

 

Question 6The NP will use which of the following examination techniques to determine muscular resistance, superficial organs, and masses in the abdomen?

 

Select one:

 

 a.Inspection

 

 b.Light palpation

 

 c.Deep palpation

 

 d.Percussion

 

Question 7The NP will use which of the following methods to help the patient relax during the abdominal exam?

 

Select one:

 

 a.Ask the patient to hold their breath

 

 b.Palpate the abdomen after inspiration

 

 c.Palpate the abdomen after expiration

 

d.Palpate the abdomen using quick, short movements

 

Question 8 The parents of a 4-month-old infant share concern about their child’s umbilical hernia at a well- child visit. The NP will correctly inform them that:

 

Select one:

 

 a.Most umbilical hernias disappear by 12 months of age

 

b.The hernia can be surgically repaired before the child reaches adolescence

 

 c.This finding indicates that their child is at high risk for other hernias

 

 d.There is a strong familial history for umbilical hernias

 

Question 9When percussing the abdomen in a patient with constipation, which of the following sounds would you expect to find in the left lower quadrant?

 

Select one:

 

 a.Tympanic

 

 b.Dull

 

c.Resonant

 

 d.Hyperresonant

 

Question 10When percussing the abdomen, you would document the normal finding of percussion over the intestines as:

 

Select one:

 

 a.Tympanic

 

b.Dull

 

 c.Resonant

 

 d.Hyperresonant

 

Question 11Which of the following abdominal exam findings would prompt the NP to consider cholecystitis as a different diagnosis?

 

Select one:

 

 a.Positive psoas sign

 

b.Positive Rovsing’s sign

 

 c.Positive Obturator sign

 

 d.Positive Murphy’s sign

 

Question 12Which of the following symptoms would you expect from a young adolescent in the early phase of appendicitis?

 

Select one:

 

 a.Abdominal pain two hours after eating

 

 b.CVA tenderness

 

 c.Severe RLQ pain with pallor and sweating

 

d.Constipation