NUR 309 Exam 3 – Questions With Correct
Solutions
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Terms in this set (88)
The nurse is assessing the b
ankle-brachial index (ABI)
of a patient with
peripheral arterial disease
(PAD). The nurse would be
suspect of an ABI of:
a) 1.1
b) 1.0
c) -1.1
d) 0.5
,A 22-year-old man comes b
to the clinic for an
examination after falling
off his motorcycle and
landing on his left side on
the handlebars. The nurse
suspects that he may have
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
bowel sounds. The nurse
knows that a potential
cause of hypoactive
bowel sounds is:
a) peritonitis
b) diarrhea
c) laxative use
d) gastroenteritis
,The nurse is watching a b
new graduate nurse
perform auscultation of a
patient's abdomen. Which
statement by the new
graduate shows a correct
understanding of the
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
patient has had a black,
tarry stool and recalls that
a possible cause would
be:
a) gallbladder disease
b) overuse of laxatives
c) gastrointestinal
bleeding
d) localized bleeding
around the anus
To detect diastasis recti, d
the nurse should have the
patient perform which of
these maneuvers?
a) Relax in the supine
position
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
Solutions
Save
Terms in this set (88)
The nurse is assessing the b
ankle-brachial index (ABI)
of a patient with
peripheral arterial disease
(PAD). The nurse would be
suspect of an ABI of:
a) 1.1
b) 1.0
c) -1.1
d) 0.5
,A 22-year-old man comes b
to the clinic for an
examination after falling
off his motorcycle and
landing on his left side on
the handlebars. The nurse
suspects that he may have
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
bowel sounds. The nurse
knows that a potential
cause of hypoactive
bowel sounds is:
a) peritonitis
b) diarrhea
c) laxative use
d) gastroenteritis
,The nurse is watching a b
new graduate nurse
perform auscultation of a
patient's abdomen. Which
statement by the new
graduate shows a correct
understanding of the
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
patient has had a black,
tarry stool and recalls that
a possible cause would
be:
a) gallbladder disease
b) overuse of laxatives
c) gastrointestinal
bleeding
d) localized bleeding
around the anus
To detect diastasis recti, d
the nurse should have the
patient perform which of
these maneuvers?
a) Relax in the supine
position
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
