NURS 612 Exam 3 Practice Questions and Correct Answers

1. 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 hemodialysis three times a week." d. "I have recently been overseas." d 2. 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. c 3. Mrs. Cody is 36 weeks pregnant. She tells the exam- iner that her stomach muscle feels like it is splitting. A protrusion at the midline of the abdomen is observed. This is recognized as a. abdominal dehiscence. b. swelling of the abdominal aorta. c. diastasis recti. d. umbilical herniation. c 4. In which of the following patients would a slight pulsation in the epigastric area be considered a normal inspection finding? a. A very thin patient b. An obese patient c. A patient with ascites d. An older patient a 5. The examiner palpates an organ in the left costal margin. Which technique should the examiner use to differentiate between an enlarged left kidney and an enlarged spleen? a. Auscultation, listening for renal bruit b. Auscultation, listening for abdominal friction rub c. Palpation, using indirect fist palpation to assess for tenderness d. Percussion, listening for dullness d 6. A hiatal hernia is best described as a. a protrusion of 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 mucosa of the stomach that herniates into the peritoneal cavity. d. a herniation of the gallbladder into the cystic duct. b 7. 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. c 8. A 21⁄2-year-old child 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. Necrotizing enterocolitis c 9. You note that the midclavicular liver span of an adult male patient is 18 cm. 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 d