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NURS261 Study Guide_ Health Assessment for Nursing Practice Final Exam questions With Answers Tested And Verified with Guaranteed Success

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NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

1. What are the major organs contained in the abdominal cavity?




2. Be able to select health history questions related to the abdomen and GI system.

○ •Any chronic diseases that affect your GI or urinary systems?
○ •Do you take any medications?
○ •What, and how often?
○ •Taking as prescribed?
○ •How often do you have a bowel movement?
○ •What are color and consistency of stool?
○ Indigestion/heartburn for how long?
○ Stomach/chest pain? (OLDCARTS)
○ Do you take antacids/acid blockers?
○ Any sweating, lightheadedness?
3. List the commonly reported problems of the abdomen and GI
system. Crohn's Disease Heartburn/GERD
Inflammatory Bowel Disease
Irritable Bowel Syndrome
Ulcerative Colitis
Coloneritical Cancer
Cirrhosis
4. Explain the order of assessment techniques of the abdomen, including the rationale for
the order.


1

NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

, NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

○ Inspect→ Auscultate→ Percuss→ Light
Palpation→ Deep Palpation
○ It is done in this order so that you do not move things around in the colon. If
you were to palpate first, it could cause movement of matter inside of the small
and large intestine.
5. Describe the anatomical landmarks used in the assessment of the abdomen.




NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

, NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success
6. Identify at least two uses of auscultation in the abdominal exam.
2

○ Ability to listen to heart and lung sounds
○ Ability to hear bowel sounds and make sure that material is being moved in
the intestine
7. Identify structures that may be palpated during assessment of the abdomen, and where each
may be found.
○ Upper Right Quadrant:
■ Liver, gallbladder, part of the stomach, the duodenum (of the small
intestine), some of the ascending colon, some of the transverse colon,
some of the pancreas
○ Upper Left Quadrant
■ Some of the transverse colon, stomach, spleen, some of the pancreas,
some of the descending colon, jejunum
○ Lower Left Quadrant
■ Descending colon, jejunum, rectum
○ Lower Right Quadrant
■ Ileum, cecum, appendix
8. Use OLDCARTS to assess abdomen pain, including descriptors of pain quality
and associated symptoms.
○ Onset: When did you first notice the pain?
○ Location: What area of the abdomen do you feel the pain?
○ Duration: How long does the pain usually last?
○ Characteristics: Does the pain come and go or is it constant? Is there anything
special about the pain you are having?
○ Alleviating/ Aggravating Symptoms: Is there anything you do to make it better?
Is there anything you do to make the pain worse?
○ Radiating/ Relieving Symptoms: Does the pain radiate from that spot or does it
stay contained? Is there anything that helps relieve some of the pain?
○ Treatment: Have you been taking anything for the pain? If so, does the
medication help?
○ Severity: On a scale from 0 (no pain) to 10 (worst pain) what would you rate this
pain as?
9. Identify the expected motions for each joint.
○ Neck and Spine (Pivot): Flexion, Extension, hyperextension, lateral flexion,
rotation
○ Shoulder (ball and Socket): Flexion, extension, hyperextension,
Abduction, adduction, Circumduction, internal rotation and external
rotation
○ Elbow (Hinge): Flexion, extension, hyperextension
○ Forearm (pivotal): Supination and Pronation
○ Wrist (Condyloid): Flexion, extension, hyperextension, radial flexion and
ulnar flexion
○ Fingers (Condyloid Hinge): Flexion, extension, hyperextension,
Abduction, ADDuction

NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

, NURS261 Study Guide_ Health Assessment for Nursing
Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success
○ Thumb (Saddle): Flexion, extension, ABDuction, ADDuction, opposition
○ Hip (Ball and socket): Flexion, extension, hyperextension,
ABDuction, ADDuction, internal rotation, external rotation,

3

circumduction
○ Knee (Hinge): flexion, extension, hyperextension




4




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Practice Final Exam questions With Answers Tested And
Verified with Guaranteed Success

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