NURS 612 EXAM 3 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which statement suggests that a patient may be at risk for contracting
viral hepatitis A. a. I am a healthcare worker b. I had a blood
transfusion recently c. I have renal failure and have hemodyalisis
three times per week. d. I have recently been overseas. - ANSWER
>>>D. I have recently been overseas
The examiner observes venous return on the abdomen of the patient
that moves upward from the pubis to the chest. This finding should
make the examiner consider.... a. portal hypertension b. renal artery
stenosis c. inferior vena cava obstruction d. mesentery arterial
hypertension - ANSWER >>>C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she feels like
her stomach muscle is splitting. A light protrusion of the abdomen
midline is observed. This is recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
C. diastasis recti.
D. umbilical herniation. - ANSWER >>>C. diastasic recti
In which of the following patients would a slight pulsation in the
epigastric area be considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
d. older patient - ANSWER >>>A. very thin patient
,The examiner palpates an organ in the left costal margin. Which
technique should the examiner use to differentiate between an
enlarged left kidney and enlarged spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness - ANSWER >>>D. percussion,
listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening in the
abdominal wall.
b. a protrusion of the stomach through the esophageal opening in the
diaphragm
c. an ulcer in the mucous of the stomach that herniates into the
peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct. - ANSWER
>>>B. a protrusion of the stomach through the esophageal opening in
the diaphragm.
An examiner may wish to use a bimanual technique for abdominal
palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid. - ANSWER
>>>C. meeting muscle resistance while performing deep palpation
A 2 1/2 year old presents with abdominal pain and stools that are red
currant jelly in appearance. Which problem would the examiner
suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis - ANSWER >>>C. intussusception
, You note that the midclavicular liver span of an adult patient is 18cm.
With palpation you note that the liver is enlarged and nontender. What
do these findings suggest?
a. diverticulitis
b. ulcerative colitis
c.hepatitis
d. cirrhosis - ANSWER >>>d. cirrhosis
the examiner is unable to palpate the liver or kidney the patient Which
of the following techniques will help assess tenderness to these
organs?
a. application of continuous, firm pressure for 3 to 5 minutes
b. percussion of tympany
c. percussion for size
d. indirect fist percussion - ANSWER >>>B. percussion of tympany
Where is pain felt when an obturator muscle test is positive?
A. Right hip and thigh
B. Right hypogastric area
C. Right lower quadrant and groin
D. Beneath the right shoulder blade - ANSWER >>>B. Right
hypogastric area
Which of the following techniques is used to confirm the presence of
abdominal ascites?
A. Auscultation of fluid movement within the abdominal cavity
B. Palpation of rebound tenderness
C. Palpation of pitting edema
D. Percussion of dullness over dependent areas of the abdomen -
ANSWER >>>D. percussion of dullness over dependent areas of the
abdomen
Which of the following examination findings is indicative of peritoneal
irritation or appendicitis?
A. Rebound tenderness on palpation
B. Shifting dullness over the abdomen on percussion
C. Bruit heard over the abdominal aorta on auscultation
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Which statement suggests that a patient may be at risk for contracting
viral hepatitis A. a. I am a healthcare worker b. I had a blood
transfusion recently c. I have renal failure and have hemodyalisis
three times per week. d. I have recently been overseas. - ANSWER
>>>D. I have recently been overseas
The examiner observes venous return on the abdomen of the patient
that moves upward from the pubis to the chest. This finding should
make the examiner consider.... a. portal hypertension b. renal artery
stenosis c. inferior vena cava obstruction d. mesentery arterial
hypertension - ANSWER >>>C. inferior vena cava
Mrs. Cody is 36 weeks pregnant. She tells the examiner she feels like
her stomach muscle is splitting. A light protrusion of the abdomen
midline is observed. This is recognized as:
A. abdominal dehiscence.
B. swelling of the abdominal aorta.
C. diastasis recti.
D. umbilical herniation. - ANSWER >>>C. diastasic recti
In which of the following patients would a slight pulsation in the
epigastric area be considered a normal inspection finding?
a. very thin patient
b. an obese patient
c. a patient with ascites
d. older patient - ANSWER >>>A. very thin patient
,The examiner palpates an organ in the left costal margin. Which
technique should the examiner use to differentiate between an
enlarged left kidney and enlarged spleen?
a. auscultation, listening for a renal bruit
b. auscultation, listening for an abdominal friction rub
c. palpation, using indirect fist palpation to assess for tenderness
d. percussion, listening for dullness - ANSWER >>>D. percussion,
listening for dullness
A hiatal hernia is best described as:
a. a protrusion of the abdominal contents through a weakening in the
abdominal wall.
b. a protrusion of the stomach through the esophageal opening in the
diaphragm
c. an ulcer in the mucous of the stomach that herniates into the
peritoneal cavity.
d. a herniation of the gallbladder in to the cystic duct. - ANSWER
>>>B. a protrusion of the stomach through the esophageal opening in
the diaphragm.
An examiner may wish to use a bimanual technique for abdominal
palpation when:
A. palpating superficial organs.
B. validating abdominal tenderness in the infant.
C. meeting muscle resistance while performing deep palpation.
D. determining the presence of excessive peritoneal fluid. - ANSWER
>>>C. meeting muscle resistance while performing deep palpation
A 2 1/2 year old presents with abdominal pain and stools that are red
currant jelly in appearance. Which problem would the examiner
suspect?
a. meckel diverticulum
b. pyloric stenosis
c. intussusception
d. Nectrotizing enterocolitis - ANSWER >>>C. intussusception
, You note that the midclavicular liver span of an adult patient is 18cm.
With palpation you note that the liver is enlarged and nontender. What
do these findings suggest?
a. diverticulitis
b. ulcerative colitis
c.hepatitis
d. cirrhosis - ANSWER >>>d. cirrhosis
the examiner is unable to palpate the liver or kidney the patient Which
of the following techniques will help assess tenderness to these
organs?
a. application of continuous, firm pressure for 3 to 5 minutes
b. percussion of tympany
c. percussion for size
d. indirect fist percussion - ANSWER >>>B. percussion of tympany
Where is pain felt when an obturator muscle test is positive?
A. Right hip and thigh
B. Right hypogastric area
C. Right lower quadrant and groin
D. Beneath the right shoulder blade - ANSWER >>>B. Right
hypogastric area
Which of the following techniques is used to confirm the presence of
abdominal ascites?
A. Auscultation of fluid movement within the abdominal cavity
B. Palpation of rebound tenderness
C. Palpation of pitting edema
D. Percussion of dullness over dependent areas of the abdomen -
ANSWER >>>D. percussion of dullness over dependent areas of the
abdomen
Which of the following examination findings is indicative of peritoneal
irritation or appendicitis?
A. Rebound tenderness on palpation
B. Shifting dullness over the abdomen on percussion
C. Bruit heard over the abdominal aorta on auscultation
