Jarvis physical EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam Solution zm




Jarvis testing bank: Chapters 5 6 7 10 11 12 17 21 22 2
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3 24 25 26 & 30 2026 A+ GRADE ASSURED COMPLETE
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SOLUTIONS AND VERIFIED ANSWERS (57DED) zm zm zm zm




QUESTION 1 zm




The nurse is percussing the seventh right intercostal space at the midclavicular line o
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ver the liver. *Which sound should the nurse expect to hear?*
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a. Dullness
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b. Tympany
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c. Resonance
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d. Hyperresonance
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ANSWER

A *The liver* is located in the right upper quadrant and would elicit a *dull percussion* note.
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QUESTION 2 zm




Which structure is located in the *left lower quadrant* of the abdomen?
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a. Liver
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b. Duodenum
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c. Gallbladder
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d. Sigmoid colon
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ANSWER

D The *sigmoid colon* is located in the left lower quadrant of the abdomen
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QUESTION 3 zm




A patient is having *difficulty swallowing medications and food*. The nurse would doc
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ument that this patient has:
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a. Aphasia.
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b. Dysphasia.
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,c. Dysphagia.
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d. Anorexia.
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ANSWER

*C-
* *Dysphagia* is a condition that occurs with disorders of the throat or esophagus and results in dif
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ficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is a loss of appetite.
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QUESTION 4 zm




The nurse suspects that a patient has a distended bladder. *How should the nurse ass
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ess for this condition?*
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a. Percuss and palpate in the lumbar region.
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b. Inspect and palpate in the epigastric region.
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c. Auscultate and percuss in the inguinal region.
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d. Percuss and palpate the midline area above the suprapubic bone.
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ANSWER

*D* Dull *percussion* sounds would be elicited over a distended bladder, and the hypogastric area
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would seem firm to *palpation.*
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QUESTION 5 zm




The nurse is aware that *one change that may occur in the gastrointestinal system of
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an aging adult* is:
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a. Increased salivation.
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b. Increased liver size.
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c. Increased esophageal emptying.
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d. Decreased gastric acid secretion.
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ANSWER

*D* *Gastric acid secretion decreases with aging.* As one ages, salivation decreases, esophageal empt
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ying is delayed, and liver size decreases.
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QUESTION 6 zm




A patient's *abdomen is bulging and stretched in appearance.* The nurse should descr
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ibe this finding as:
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a. Obese.
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b. Herniated.
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c. Scaphoid.
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d. Protuberant.
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ANSWER

,*D* A *protuberant abdomen is rounded, bulging, and stretched* (see Figure 21-
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7). A scaphoid abdomen caves inward.
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QUESTION 7 zm




The nurse is describing a scaphoid abdomen. To the horizontal plane, a scaphoid cont
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our of the abdomen depicts a ______ profile.
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a. Flat
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b. Convex
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c. Bulging
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d. Concave
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ANSWER

*D* Contour describes the profile of the abdomen from the rib margin to the pubic bone; *a scaphoi
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d contour is one that is concave from a horizontal plane* (see Figure 21-7).
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QUESTION 8 zm




While examining a patient, the nurse observes *abdominal pulsations between the xip
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hoid process and umbilicus*. The nurse would suspect that these are:
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a. Pulsations of the renal arteries.
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b. Pulsations of the inferior vena cava.
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c. Normal abdominal aortic pulsations.
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d. Increased peristalsis from a bowel obstruction.
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ANSWER

*C* Normally, the pulsations from the aorta are observed beneath the skin in the epigastric area, pa
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rticularly in thin persons who have good muscle wall relaxation
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QUESTION 9 zm




A patient has hypoactive bowel sounds. The nurse knows that *a potential cause of hy
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poactive bowel sounds is:* zm zm zm



a. Diarrhea.
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b. Peritonitis.
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c. Laxative use.
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d. Gastroenteritis.
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ANSWER

*B* Diminished or absent bowel sounds signal decreased motility from inflammation as exhibited wi
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th peritonitis, with paralytic ileus after abdominal surgery, or with late bowel obstruction.
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QUESTION 10 zm

, The nurse is listening to bowel sounds. Which of these statements is *true of bowel so
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unds?* Bowel sounds: zm zm



a. Are usually loud, high-pitched, rushing, and tinkling sounds.
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b. Are usually high-pitched, gurgling, and irregular sounds.
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c. Sound like two pieces of leather being rubbed together.
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d. Originate from the movement of air and fluid through the large intestine.
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ANSWER

*B* Bowel sounds are *high-
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pitched, gurgling, and cascading sounds* that irregularly occur from 5 to 30 times per minute. They
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originate from the movement of air and fluid through the small intestine.
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QUESTION 11 zm




The physician comments that a patient has abdominal *borborygmi.* The nurse know
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s that this term refers to:
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a. Loud continual hum.
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b. Peritoneal friction rub.
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c. Hypoactive bowel sounds.
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d. Hyperactive bowel sounds.
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ANSWER

*D* *Borborygmi* is the term used for hyperperistalsis when the person actually feels his or her sto
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mach growling. zm




QUESTION 12 zm




During an abdominal assessment, the nurse would consider *which of these findings a
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s normal?*
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a. Presence of a bruit in the femoral area
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b. Tympanic percussion note in the umbilical region
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c. Palpable spleen between the ninth and eleventh ribs in the left midaxillary line
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d. Dull percussion note in the left upper quadrant at the midclavicular line
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ANSWER

*B* *Tympany* should predominate in all four quadrants of the abdomen because air in the intestin
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es rises to the surface when the person is supine. Vascular bruits are not usually present. Normally,
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mthe spleen is not palpable. Dullness would not be found in the area of lung resonance (left upper q
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uadrant at the midclavicular line).
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QUESTION 13 zm




The nurse is assessing the abdomen of a pregnant woman who is complaining of havi
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ng "acid indigestion" all the time. The nurse knows that *esophageal reflux during pre
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gnancy can cause:* zm zm