POSITIONING QUESTIONS AND VERIFIED CORRECT
ANSWERS
1- When assessing the abdomen, the nurse performs the following examination
techniques. In which sequence should the nurse complete the assessment?
Place the answers in the correct order.
A) Auscultation
B) Palpation
C) Inspection
D) Percussio
n Ans:
Inspection
Auscultatio
n Palpation
Percussion
2- When assessing the client's abdomen, the nurse should position the client in
which of the following positions?
A) supine with pillow under head
B) supine with pillow under knees and head
C) sitting with head upright at 90 degree angle
D) standing with feet slightly apart
3- During assessment of abdomen, the nurse would perform which maneuver
to palpate the spleen?
A) lift client with right hand under rib cage and palpate the right upper quadrant with the
left hand
B) lift client with left hand under rib cage and palpate the left upper quadrant with right
hand
C) palpate for pulsations by placing a hand below xiphoid process
D) palpate for rebound tenderness by pressing into abdomen with steady pressure while
asking if client is experiencing pain.
4- During when percussing the liver, the nurse would expect to document
which of the following findings?
A) Resonance
B) Tympany
C) Dullness
D) Hyperresonance
5- During inspection of the abdomen, the nurse notes silvery, shiny stretch
marks. The nurse would document this finding as which of the following?
A) shadows
B) scars
C) ascites
D) striae
6- The nurse finds ascites during assessment of the abdomen. The nurse would
conclude that this is most likely associated with which of the following health
problems?
A) overhydration
B) cirrhosis
C) a mass
D) trauma
7- While performing a head-to-toe assessment of a client the nurse hears
, dullness over the left upper quadrant during percussion. what would be the
next assessment the nurse should perform?
A) inspection of area