NUR 216 EXAM 4 REVIEW QUESTIONS WITH
VERIFIED ANSWERS 2026
The nurse is assessing a newly admitted client with complaints of abdominal pain. What
order of assessment should the nurse conduct? - Answers - Inspect, auscultate,
percuss and then palpate
The nurse was assessing a clients abdomen and she proceeds to inspect the abdomen
from two angles and then begins to palpate. What should the nurse have done first and
why? - Answers - Auscultate to avoid the distortion of bowel sounds.
The nurse was auscultating a patients bowel sounds and was hearing 3 clicks every
second. Is this normal or abnormal? - Answers - Abnormal, this would equal 180 clicks
per minute which is hyperactive needs to be 5-34.
A patient with complaints of constipation and no bowel movements in 5 days presents to
the ER. What degree of bowel sounds will the nurse most likely hear?
A. Hyperactive
B. Absent
C. Present
D. Hypoactive - Answers - D
A nurse has a patient with an late obstruction on the abdomen, what bowel sounds will
be present with this patient? - Answers - Constipated so hypoactive
A nurse has a patient with an early obstruction, which bowel sounds will be present with
this patient? - Answers - diarrhea so hyperactive
A student nurse is coming up with a care plan for a constipated patient. Which
interventions should the nurse include? Select all that apply.
A. increase fiber in diet
B. decrease amount of fluids
C. increase exercise and mobility
D. run water in the bathroom
E. increase rice intake - Answers - A and C. Want to increase fiber, fluids and exercise
A patient presents to the ER with a hernia. What priority question is important for the
nurse to ask in this situation?
A. If it was grown recently
B. If it is painful
C. If it has moved places - Answers - B
What kind of stools can both patients have with both upper and lower GI bleeds? -
Answers - Melena
, A patient presents coughing up blood and with blackened tarry stools. What is most
likely occurring with the patient?
A. GERD
B. Upper GI bleed
C. constipation
D. Fecal impaction - Answers - B
A patient presents to the ER with red bloody stools. What kind of GI bleed does this
patient have? - Answers - Lower GI bleed
What is the best way to assess pain with a patient? - Answers - Patient self report. If not
able to then with their non verbal cues.
A nurse is caring for a patient with abdominal issues. She is assessing their abdomen
and is percussing the Rt Hypochondriac region and hears dullness. What organs are
present? - Answers - Liver, pancreas, and gall bladder.
A nurse is caring for a patient who presents to the ER with an onset of jaundice. Where
region should the nurse focus her assessment in the abdomen? - Answers - Rt Upper
Quadrant or Rt Hypochondriac
A new patient presents to the ER with pain in the Lt hypochondriac region. What is most
likely the organ causing the pain? - Answers - Spleen
Where are the uterus and ovaries located for a pregnant women? - Answers - Ovaries
on rt and Lt lumbar and the uterus is towards the center as they displace during
pregnancy.
What regions are the kidneys located? - Answers - Rt and Lt lumbar regions.
A patient presents to the ER with a Severe UTI infection that has traveled up the
ureters. What assessment should the nurse conduct for pain? - Answers - Palpate the
costovertebral angle or CVA for tenderness
What regions are the appendix or cecum located? - Answers - Rt Lower quadrant or
iliac region
What are normal abdominal findings? - Answers - flat belly, even hair distribution,
centered umbilicus, symmetry
A patient presents with a sigmoid colostomy. What location should the nurse document
in the patients chart? - Answers - Lt lower quadrant
A nurse is percussing a clients abdomen and notes for _______ on the organs and
tympany with ________. fill in the blanks. - Answers - dullness; flatulence
VERIFIED ANSWERS 2026
The nurse is assessing a newly admitted client with complaints of abdominal pain. What
order of assessment should the nurse conduct? - Answers - Inspect, auscultate,
percuss and then palpate
The nurse was assessing a clients abdomen and she proceeds to inspect the abdomen
from two angles and then begins to palpate. What should the nurse have done first and
why? - Answers - Auscultate to avoid the distortion of bowel sounds.
The nurse was auscultating a patients bowel sounds and was hearing 3 clicks every
second. Is this normal or abnormal? - Answers - Abnormal, this would equal 180 clicks
per minute which is hyperactive needs to be 5-34.
A patient with complaints of constipation and no bowel movements in 5 days presents to
the ER. What degree of bowel sounds will the nurse most likely hear?
A. Hyperactive
B. Absent
C. Present
D. Hypoactive - Answers - D
A nurse has a patient with an late obstruction on the abdomen, what bowel sounds will
be present with this patient? - Answers - Constipated so hypoactive
A nurse has a patient with an early obstruction, which bowel sounds will be present with
this patient? - Answers - diarrhea so hyperactive
A student nurse is coming up with a care plan for a constipated patient. Which
interventions should the nurse include? Select all that apply.
A. increase fiber in diet
B. decrease amount of fluids
C. increase exercise and mobility
D. run water in the bathroom
E. increase rice intake - Answers - A and C. Want to increase fiber, fluids and exercise
A patient presents to the ER with a hernia. What priority question is important for the
nurse to ask in this situation?
A. If it was grown recently
B. If it is painful
C. If it has moved places - Answers - B
What kind of stools can both patients have with both upper and lower GI bleeds? -
Answers - Melena
, A patient presents coughing up blood and with blackened tarry stools. What is most
likely occurring with the patient?
A. GERD
B. Upper GI bleed
C. constipation
D. Fecal impaction - Answers - B
A patient presents to the ER with red bloody stools. What kind of GI bleed does this
patient have? - Answers - Lower GI bleed
What is the best way to assess pain with a patient? - Answers - Patient self report. If not
able to then with their non verbal cues.
A nurse is caring for a patient with abdominal issues. She is assessing their abdomen
and is percussing the Rt Hypochondriac region and hears dullness. What organs are
present? - Answers - Liver, pancreas, and gall bladder.
A nurse is caring for a patient who presents to the ER with an onset of jaundice. Where
region should the nurse focus her assessment in the abdomen? - Answers - Rt Upper
Quadrant or Rt Hypochondriac
A new patient presents to the ER with pain in the Lt hypochondriac region. What is most
likely the organ causing the pain? - Answers - Spleen
Where are the uterus and ovaries located for a pregnant women? - Answers - Ovaries
on rt and Lt lumbar and the uterus is towards the center as they displace during
pregnancy.
What regions are the kidneys located? - Answers - Rt and Lt lumbar regions.
A patient presents to the ER with a Severe UTI infection that has traveled up the
ureters. What assessment should the nurse conduct for pain? - Answers - Palpate the
costovertebral angle or CVA for tenderness
What regions are the appendix or cecum located? - Answers - Rt Lower quadrant or
iliac region
What are normal abdominal findings? - Answers - flat belly, even hair distribution,
centered umbilicus, symmetry
A patient presents with a sigmoid colostomy. What location should the nurse document
in the patients chart? - Answers - Lt lower quadrant
A nurse is percussing a clients abdomen and notes for _______ on the organs and
tympany with ________. fill in the blanks. - Answers - dullness; flatulence
