NR509- Week 5 Assessment of the Abdomen
Exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
An abdominal assessment encompasses - CORRECT ANSWER inspection,
auscultation,
palpation, and
percussion,
*performed in sequential order.
If pt has HTN or atherosclerotic disease listen (w the diaphragm) in the - CORRECT
ANSWER epigastrium above aorta
Tympany - CORRECT ANSWER high-pitched, musical, drumlike percussion note
heard when percussing over the stomach and intestine
indicates hollow space filled by air or gas in stomach or intestine
Dullness - CORRECT ANSWER flat percussion tone that is soft and of short duration
suggest fluid or the organs- liver or spleen
Signs of acute abdomen from inflammation of parietal peritoneum (peritonitis): - CORRECT
ANSWER abdominal pain w coughing
rigidity
guarding
,rebound tenderness
percussion tenderness
Percuss the span of liver by - CORRECT ANSWER locate midclavicular line
starting at level below umbilicus in right lower quadrant in an area of tympany
percuss upward toward the liver
identity upper and lower border of liver dullness in midclavicular line w perccussion
starting at the nipple line percuss from lung resonance to border of dullness and measure the
span of dullness from upper to lower border with percussion (6-12cm in R, 4-8cm L (greater
in men)
Tip of the. spleen is palpable in - CORRECT ANSWER 5% of adults
To identify splenomegaly, percuss - CORRECT ANSWER Traube's space
Dullness is positive side (may be falsely pos)
If tymapny presents laterally, it is NOT likely that spleen is enlarged
Right Upper Quadrant (RUQ) - CORRECT ANSWER liver
gallbladder
pylorus
duodenum
hepatic flexure of colon
, head of pancreas
Left Upper Quadrant (LUQ) - CORRECT ANSWER spleen
splenic flexure of colon
stomach
body and tail of pancreas
Right Lower Quadrant (RLQ) - CORRECT ANSWER cecum
appendix
ascending colon
terminal ileum
right ovary
Left Lower Quadrant (LLQ) - CORRECT ANSWER sigmoid colon
descending colon
left ovary
Abdominal quadrants and organs - CORRECT ANSWER
Mateo, a 29-year-old male, presents to the nurse practitioner (NP) with a complaint of blood
in his urine (hematuria).
Which are priority assessment questions the NP should ask? Select all that apply. -
CORRECT ANSWER "Do you have to frequently urinate?"
"Have you been exposed to any toxic substances at work or home?"
"Have you recently had any injuries that impacted your kidneys?"
Exam ACTUAL QUESTIONS AND
CORRECT ANSWERS
An abdominal assessment encompasses - CORRECT ANSWER inspection,
auscultation,
palpation, and
percussion,
*performed in sequential order.
If pt has HTN or atherosclerotic disease listen (w the diaphragm) in the - CORRECT
ANSWER epigastrium above aorta
Tympany - CORRECT ANSWER high-pitched, musical, drumlike percussion note
heard when percussing over the stomach and intestine
indicates hollow space filled by air or gas in stomach or intestine
Dullness - CORRECT ANSWER flat percussion tone that is soft and of short duration
suggest fluid or the organs- liver or spleen
Signs of acute abdomen from inflammation of parietal peritoneum (peritonitis): - CORRECT
ANSWER abdominal pain w coughing
rigidity
guarding
,rebound tenderness
percussion tenderness
Percuss the span of liver by - CORRECT ANSWER locate midclavicular line
starting at level below umbilicus in right lower quadrant in an area of tympany
percuss upward toward the liver
identity upper and lower border of liver dullness in midclavicular line w perccussion
starting at the nipple line percuss from lung resonance to border of dullness and measure the
span of dullness from upper to lower border with percussion (6-12cm in R, 4-8cm L (greater
in men)
Tip of the. spleen is palpable in - CORRECT ANSWER 5% of adults
To identify splenomegaly, percuss - CORRECT ANSWER Traube's space
Dullness is positive side (may be falsely pos)
If tymapny presents laterally, it is NOT likely that spleen is enlarged
Right Upper Quadrant (RUQ) - CORRECT ANSWER liver
gallbladder
pylorus
duodenum
hepatic flexure of colon
, head of pancreas
Left Upper Quadrant (LUQ) - CORRECT ANSWER spleen
splenic flexure of colon
stomach
body and tail of pancreas
Right Lower Quadrant (RLQ) - CORRECT ANSWER cecum
appendix
ascending colon
terminal ileum
right ovary
Left Lower Quadrant (LLQ) - CORRECT ANSWER sigmoid colon
descending colon
left ovary
Abdominal quadrants and organs - CORRECT ANSWER
Mateo, a 29-year-old male, presents to the nurse practitioner (NP) with a complaint of blood
in his urine (hematuria).
Which are priority assessment questions the NP should ask? Select all that apply. -
CORRECT ANSWER "Do you have to frequently urinate?"
"Have you been exposed to any toxic substances at work or home?"
"Have you recently had any injuries that impacted your kidneys?"
