Maryville AHA Nurs 612 Exam 3 with Questions and Answers – 100% Solved
A 5-week-old male infant is brought to the clinic for 2-day history of projectile vomiting. For
what specific finding should the examiner assess?
A. abdominal pain with palpation
b. palpation of small round mass
c. auscultation of tinkering bowel sounds
D. Auscultation of a bruit over renal artery - ✔✔✔-B.
A 32-year-old female patient tells the examiner that when she goes running, she dribbles urine.
Which type of problem should be considered?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence - ✔✔✔-C.
A 61-year-old man has a presenting complaint of frequent constipation. He tells you there has
been a change in his bowel movement habits - he gets constipated easily, the stool is very
"skinny looking", and it is a different color than normal. What do these symptoms suggest?
A. Diverticulitis
B. Hepatitis B
C. Colon or rectal cancer
D. Pancreatitis - ✔✔✔-C.
A hiatal hernia is best described as - ✔✔✔-Meeting resistance while performing deep palpation
A history of chest pain is collected as part of an abdominal history because it may be... - ✔✔✔-
Perceived as esophagus and stomach pain
,Maryville AHA Nurs 612 Exam 3 with Questions and Answers – 100% Solved
Abdomen Auscultation - ✔✔✔-Bowel sounds in all four quadrants- note frequency and
character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal assessment order - ✔✔✔-inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdominal findings abdomen - ✔✔✔-○Bruits- A swishing sound heard over the aortic, renal
iliac, and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as in early
obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal
obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal
obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the peritoneal
surface of an organ from tumor, infection, or splenic infarct.
, Maryville AHA Nurs 612 Exam 3 with Questions and Answers – 100% Solved
○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is caused by
increased collateral circulation between portal and systemic venous system.
○Succussion splash- A splashing noise produced by shaking the body when there is both gas and
fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
Abdominal pain radiating to the left shoulder is indicative of which of the following?
A. Appendicitis
B. Intussusception
C. Pancreatitis
D. Splenic rupture - ✔✔✔-C.
An absence of bowel sounds in the right lower quadrant is referred to as the
________________ sign.
a. Cullen
b. Striae
c. Ballance
d. Dance - ✔✔✔-D.
An older patient tells the examiner "I have a hard time finding the right words when I am
talking." The symptom may be - ✔✔✔-an indication of dysfunction of the temporal lobe
aphasia - ✔✔✔-impairment of language, usually caused by left hemisphere damage either to
Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).
A 5-week-old male infant is brought to the clinic for 2-day history of projectile vomiting. For
what specific finding should the examiner assess?
A. abdominal pain with palpation
b. palpation of small round mass
c. auscultation of tinkering bowel sounds
D. Auscultation of a bruit over renal artery - ✔✔✔-B.
A 32-year-old female patient tells the examiner that when she goes running, she dribbles urine.
Which type of problem should be considered?
A. Hydronephrosis
B. Renal abscess
C. Stress incontinence
D. Overflow incontinence - ✔✔✔-C.
A 61-year-old man has a presenting complaint of frequent constipation. He tells you there has
been a change in his bowel movement habits - he gets constipated easily, the stool is very
"skinny looking", and it is a different color than normal. What do these symptoms suggest?
A. Diverticulitis
B. Hepatitis B
C. Colon or rectal cancer
D. Pancreatitis - ✔✔✔-C.
A hiatal hernia is best described as - ✔✔✔-Meeting resistance while performing deep palpation
A history of chest pain is collected as part of an abdominal history because it may be... - ✔✔✔-
Perceived as esophagus and stomach pain
,Maryville AHA Nurs 612 Exam 3 with Questions and Answers – 100% Solved
Abdomen Auscultation - ✔✔✔-Bowel sounds in all four quadrants- note frequency and
character
listen for friction rubs over liver and spleen
listen for bruits over the aortic, renal, illiac and femoral arteries
listen for venous hum around epigastric area above the belly button
Abdominal assessment order - ✔✔✔-inspection, auscultation, percussion, palpation
Always auscultate prior to percussion and palpation as it can change sound.
Abdominal findings abdomen - ✔✔✔-○Bruits- A swishing sound heard over the aortic, renal
iliac, and femoral arteries, indicating narrowing or aneurysm.
○Pop/Tinkles- High pitch sound suggesting intestinal fluid and air under pressure, as in early
obstruction.
○Rushes- Rushes of high-pitched sounds that coincide with cramping suggests intestinal
obstruction.
○Borborygmi- Increased prolonged gurgles occur with gastroenteritis, early intestinal
obstruction, and hunger.
○Rubs- Grating sounds that vary with respiration. Indicate inflammation of the peritoneal
surface of an organ from tumor, infection, or splenic infarct.
, Maryville AHA Nurs 612 Exam 3 with Questions and Answers – 100% Solved
○Venous Hum- A soft humming noise often heard in hepatic cirrhosis that is caused by
increased collateral circulation between portal and systemic venous system.
○Succussion splash- A splashing noise produced by shaking the body when there is both gas and
fluid in a cavity or free air in the peritoneum or thorax.
○Decreased/absent bowel sounds- Occurs with peritonitis or paralytic ileus.
Abdominal pain radiating to the left shoulder is indicative of which of the following?
A. Appendicitis
B. Intussusception
C. Pancreatitis
D. Splenic rupture - ✔✔✔-C.
An absence of bowel sounds in the right lower quadrant is referred to as the
________________ sign.
a. Cullen
b. Striae
c. Ballance
d. Dance - ✔✔✔-D.
An older patient tells the examiner "I have a hard time finding the right words when I am
talking." The symptom may be - ✔✔✔-an indication of dysfunction of the temporal lobe
aphasia - ✔✔✔-impairment of language, usually caused by left hemisphere damage either to
Broca's area (impairing speaking) or to Wernicke's area (impairing understanding).
