solutions ( MULTIPLE CHOICES) |100% CORRECT!!
The nurse is listening to bowel sounds. B
Which of these statements is true of Bowel sounds are high-pitched, gurgling, and cascading
bowel sounds? Bowel sounds: sounds that irregularly occur from 5 to 30 times per
A. Are usually loud, high- minute. They originate from the movement of air and
pitched, rushing, and tinkling fluid through the small intestine.
sounds.
B. Are usually high-pitched,
gurgling, and irregular
sounds.
C. Sound like two pieces of
leather being rubbed
together.
D. Originate from the movement
of air and fluid through the
large intestine.
The physician comments that a patient D
has abdominal borborygmi. The Borborygmi is the term used for hyperperistalsis when
nurse the person actually feels his or her stomach
knows that this term refers to: growling.
A. Loud continual hum.
B. Peritoneal friction rub.
C. Hypoactive bowel sounds.
D. Hyperactive bowel sounds.
During an abdominal B
assessment, the nurse would Tympany should predominate in all four quadrants of
consider which of these the abdomen because air in the intestines rises to the
findings as normal? surface when the person is supine. Vascular bruits are
A. Presence of a bruit in the femoral not usually present. Normally, the spleen is not
area
palpable. Dullness would not be found in
B. Tympanic percussion note
the area of lung resonance (left upper quadrant at the
in the umbilical region midclavicular line).
C. Palpable spleen between
the ninth and eleventh ribs in
the left midaxillary line
D. Dull percussion note in the
left upper quadrant at the
,The nurse is assessing the B
abdomen of a pregnant woman who Pyrosis, or heartburn, is caused by esophageal reflux
is complaining of having acid during pregnancy. The other options are not correct.
indigestion all the time. The nurse
knows that esophageal reflux
during pregnancy can cause:
A. Diarrhea.
B. Pyrosis.
C. Dysphagia.
D. Constipation.
The nurse is performing percussion C
during an abdominal assessment. Percussion notes normally heard during the
Percussion notes heard during the abdominal assessment may include tympany, which
abdominal assessment may include: should predominate because air in the intestines rises
A Flatness, resonance, and dullness. to the surface when the person is supine;
B. Resonance, dullness, and tympany. hyperresonance, which may be present with gaseous
C. Tympany, hyperresonance, and
distention; and dullness, which may be found over a
dullness.
distended bladder, adipose tissue, fluid, or a mass.
D. Resonance, hyperresonance, and
flatness.
An older patient has been diagnosed B
with pernicious anemia. The nurse Gastric acid secretion decreases with aging and
knows that this condition could be may cause pernicious anemia (because it interferes
related to:
A. Increased gastric acid secretion. with vitamin B12 absorption), iron-deficiency anemia,
B. Decreased gastric acid secretion. and malabsorption of calcium.
C. Delayed gastrointestinal emptying
time.
D. Increased gastrointestinal emptying
time.
A patient is complaining of a C
sharp pain along the Sharp pain along the costovertebral angles occurs
costovertebral angles. The nurse with inflammation of the kidney or paranephric
is aware that this symptom is area. The other options are not correct.
most often indicative of:
A. Ovary infection.
B. Liver enlargement.
C. Kidney inflammation.
D. Spleen enlargement.
A nurse notices that a patient has A
ascites, which indicates the presence Ascites is free fluid in the peritoneal cavity and occurs
of: with heart failure, portal hypertension, cirrhosis,
A. Fluid. hepatitis, pancreatitis, and cancer.
B. Feces.
, 12/28/25, 2:50 PM NU 650 Exam 3 (2026 comprehensive questions and verified detailed solutions ( MULTIPLE CHOICES) |100% CORRECT!! Flas…
The nurse knows that during an B
abdominal assessment, deep With deep palpation, the nurse should notice the
palpation is used to determine: location, size, consistency, and mobility of any
A. Bowel motility. palpable organs and the presence of any abnormal
B. Enlarged organs.
enlargement, tenderness, or masses.
C. Superficial tenderness.
D. Overall impression of skin
surface and superficial
musculature.
The nurse notices that a patient has C
had a black, tarry stool and recalls Black stools may be tarry as a result of occult blood
that a (melena) from gastrointestinal bleeding. Red blood in
possible cause would be: stools occurs with localized bleeding around the
A. Gallbladder disease.
anus.
B. Overuse of laxatives.
C. Gastrointestinal bleeding.
D. Localized bleeding around the anus.
During an abdominal assessment, the C
nurse elicits tenderness on light The appendix is located in the right lower quadrant.
palpation in the right lower quadrant. When the iliopsoas muscle is inflamed, which occurs
The nurse interprets that this with an inflamed or perforated appendix, pain is felt in
finding could indicate a disorder of the right lower quadrant.
which of these structures?
A. Spleen
B. Sigmoid
C. Appendix
D. Gallbladder
When percussing the abdomen in a B
patient with constipation, which of the
following sounds would you expect to
find in the LLQ?
A. Tympanic
B. Dull
C. Resonant
D. Hyperresonant
The nurse is percussing the seventh A
right intercostal space at the The liver is located in the RUQ and would elicit a dull
percussion note.
midclavicular line over the liver. Which
sound should the nurse expect to
hear?
A. Dullness