NUR 309 Final Exam – Questions With Right
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Terms in this set (89)
A 22-year-old man comes b. An enlarged spleen should not be palpated
to the clinic for an because it can rupture easily
examination after falling
off his motorcycle and If an enlarged spleen is felt, then the nurse should
landing on his left side on refer the person but should not continue to palpate it.
the handlebars. The nurse An enlarged spleen is friable and can rupture easily
suspects that he may have with overpalpation. Page: 549
injured his spleen. Which
of these statements is true
regarding assessment of
the spleen in this
situation?
a. The spleen is normally
felt upon routine
palpation
b. An enlarged spleen
should not be palpated
because it can rupture
easily
,A patient has hypoactive a. peritonitis
bowel sounds. The nurse
knows that a potential Diminished or absent bowel sounds signal decreased
cause of hypoactive motility from inflammation as seen with peritonitis,
bowel sounds is with paralytic ileus after abdominal surgery, or with
late bowel obstruction. Page: 561
a. peritonitis
b. diarrhea
c. laxative use
d. gastroenteritis
,The nurse is watching a b. "It prevents distortion of bowel sounds that might
new graduate nurse occur after percussion and palpation
perform auscultation of a
patient's abdomen. Which Auscultation is performed first (after inspection)
statement by the new because percussion and palpation can increase
graduate shows a correct peristalsis, which would give a false interpretation of
understanding of the bowel sounds. Pages: 538-539
reason auscultation
precedes percussion and
palpation of the
abdomen?
a. "We need to determine
areas of tenderness
before using percussion
and palpation."
b. "It prevents distortion of
bowel sounds that might
occur after percussion and
palpation."
c. "It allows the patient
more time to relax and
therefore be more
comfortable with the
physical examination."
d. "This prevents distortion
of vascular sounds such as
bruits and hums that might
occur after percussion and
palpation."
, The nurse notices that a c. gastrointestinal bleeding
patient has had a black,
tarry stool and recalls that Black stools may be tarry as a result of occult blood
a possible cause would be (melena) from gastrointestinal bleeding. Red blood in
stools occurs with localized bleeding around the
a. gallbladder disease anus. Pages: 532-533
b. overuse of laxatives
c. gastrointestinal
bleeding
d. localized bleeding
around the anus
To detect diastasis recti, d. Raise the head while remaining supine
the nurse should have the
patient perform which of Diastasis recti is a separation of the abdominal rectus
these maneuvers? muscles, which can occur congenitally, as a result of
pregnancy, or from marked obesity. This is assessed
a. Relax in the supine by having the patient raise the head while remaining
position supine. Page: 560
b. Raise the arms in the
left lateral position
c. Raise the arms over the
head while supine
d. Raise the head while
remaining supine
Answers
Save
Terms in this set (89)
A 22-year-old man comes b. An enlarged spleen should not be palpated
to the clinic for an because it can rupture easily
examination after falling
off his motorcycle and If an enlarged spleen is felt, then the nurse should
landing on his left side on refer the person but should not continue to palpate it.
the handlebars. The nurse An enlarged spleen is friable and can rupture easily
suspects that he may have with overpalpation. Page: 549
injured his spleen. Which
of these statements is true
regarding assessment of
the spleen in this
situation?
a. The spleen is normally
felt upon routine
palpation
b. An enlarged spleen
should not be palpated
because it can rupture
easily
,A patient has hypoactive a. peritonitis
bowel sounds. The nurse
knows that a potential Diminished or absent bowel sounds signal decreased
cause of hypoactive motility from inflammation as seen with peritonitis,
bowel sounds is with paralytic ileus after abdominal surgery, or with
late bowel obstruction. Page: 561
a. peritonitis
b. diarrhea
c. laxative use
d. gastroenteritis
,The nurse is watching a b. "It prevents distortion of bowel sounds that might
new graduate nurse occur after percussion and palpation
perform auscultation of a
patient's abdomen. Which Auscultation is performed first (after inspection)
statement by the new because percussion and palpation can increase
graduate shows a correct peristalsis, which would give a false interpretation of
understanding of the bowel sounds. Pages: 538-539
reason auscultation
precedes percussion and
palpation of the
abdomen?
a. "We need to determine
areas of tenderness
before using percussion
and palpation."
b. "It prevents distortion of
bowel sounds that might
occur after percussion and
palpation."
c. "It allows the patient
more time to relax and
therefore be more
comfortable with the
physical examination."
d. "This prevents distortion
of vascular sounds such as
bruits and hums that might
occur after percussion and
palpation."
, The nurse notices that a c. gastrointestinal bleeding
patient has had a black,
tarry stool and recalls that Black stools may be tarry as a result of occult blood
a possible cause would be (melena) from gastrointestinal bleeding. Red blood in
stools occurs with localized bleeding around the
a. gallbladder disease anus. Pages: 532-533
b. overuse of laxatives
c. gastrointestinal
bleeding
d. localized bleeding
around the anus
To detect diastasis recti, d. Raise the head while remaining supine
the nurse should have the
patient perform which of Diastasis recti is a separation of the abdominal rectus
these maneuvers? muscles, which can occur congenitally, as a result of
pregnancy, or from marked obesity. This is assessed
a. Relax in the supine by having the patient raise the head while remaining
position supine. Page: 560
b. Raise the arms in the
left lateral position
c. Raise the arms over the
head while supine
d. Raise the head while
remaining supine
