1
NUR 216 EXAM 4 Questions and
Answers (100% Correct Answers)
Already Graded A+
ABDOMEN
A&P Ans: Abdomen is complex andchallenging
region of the body thatcommunicates with many
© 2025 Assignment
differentsystems that can tell you about
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theoverall health status of the patient.• There
are many vital organscontained in the abdominal
Expert
cavitythat require thorough assessment.• All
four assessment techniquesmust be performed
in a specificorder: inspection,
auscultation,percussion, and palpation (IAPP
HEALTH HX Ans: ROS: patients may note a wide
variety ofsymptoms related to abdomen.•
Weight: Have you gained or lost weight
recently?Intentional or unintentional?• Appetite:
Any changes in your appetite? Whathave you
eaten in the last 24 hours?• Dysphagia: Any
difficulty swallowing foods orliquids? Do you
ever feel like food gets stuck inyour throat?•
Nausea/Vomiting: When did it start? What
colorwas the vomit?• Indigestion/Heartburn: Do
you experienceheartburn? Do you take any meds
forindigestion? Any chest pain after eating?
, 2
Askabout Chronic Pyrosis or
GastroesophagealReflux Disease (GERD)
HEALTH HX CONT Ans: Abdominal/Pelvic Pain:
Use OLDCARTS• Constipation/Diarrhea: What are
your normalbowel habits? Do you feel
constipated? Anyblood in your stool? Do you use
laxatives?• Flatulence: Any issues with gas? Do
you feelbloated? Do you burp?• Urination: Do
© 2025 Assignment
you have frequency or urgency?Do you have
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back pain? Painful or difficulturination? Any
incontinence or leaking? Whatcolor is your
Expert
urine?• Skin: Any change in skin color or whites
of eyes?• Out of Country Travel: Have you
traveled out ofthe country?
EQUIPMENTFORASSESSMENT Ans: Gloves
StethoscopeMeasuringTapePen/SkinMarker
SEQUENCE OFASSESSMENT Ans:
InspectionAuscultationPercussionPalpation (light
anddeep)
ABDOMINALMAPPING Ans: Right Upper
Quadrant (RUQ): liver
• Right Lower
, 3
Quadrant (RLQ)
• Left Upper Quadrant
(LUQ): spleen
• Left Lower Quadrant
(LLQ)
© 2025 Assignment
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INSPECTION Ans: Assess abnormalities in shape,
skin ormovement of the abdomen• Normal:
Expert
round contour, symmetrical,umbilicus midline,
skin smooth and intactwithout pulsations or
visible peristalsis, striae• Abnormal: scaphoid,
distended orprotuberant abdomen seen with
cancer,weight loss, hernia or accumulation of
fluid• Ascites: abnormal accumulation of fluid
inperitoneal cavity• Diastasis Recti: a bulging
which occurswith separation of the two halves of
rectusabdominis muscles in midline at linea
alba.
INSPECTION CONT. Ans: Hernia: abdominal wall
weakensand causes a loop of intestineor
abdominal tissue to protrudethrough an opening
in theperitoneum.• Cullen's Sign:
superficialbleeding under the skin aroundthe
, 4
umbilicus and may indicateintra-abdominal
bleeding.
AUSCULTATING BOWELSOUNDS Ans: Assess
pattern of bowel sounds causedby peristalsis•
Normal: 5-34 clicks or gurgles/min• Abnormal:•
Hyperactive: loud, high pitched, incperistalsis or
early bowel obstruction• Hypoactive: soft, dec
peristalsis related toconstipation• No sounds:
© 2025 Assignment
constipation, bowelobstruction or paralytic
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ileus. Listen for afull 3-5 minutes.
Expert
NO SOUND Ans: LISTEN FOR 3 TO 5 MINUTES
AUSCULTATINGVASCULAR SOUNDS Ans: Normal:
no bruits heardover arteries• Abnormal: bruits
areturbulent blowing soundheard over an
obstructedartery; usually buildup ofplaque. Do
not want topalpate over this area.Why?
WHY DO WE NOT PALPATE OVER A BRUITS IN
ABDOMEN Ans: Risk of Dislodging Clots or
Causing Rupture: Palpating over an area with a
bruit, especially if it's related to an aneurysm or
a weakened blood vessel, can potentially
dislodge a clot or cause the vessel to rupture.
This is particularly a concern in cases of
abdominal aortic aneurysms (AAA), where the
artery is already weakened.
NUR 216 EXAM 4 Questions and
Answers (100% Correct Answers)
Already Graded A+
ABDOMEN
A&P Ans: Abdomen is complex andchallenging
region of the body thatcommunicates with many
© 2025 Assignment
differentsystems that can tell you about
Guru01 - Stuvia
theoverall health status of the patient.• There
are many vital organscontained in the abdominal
Expert
cavitythat require thorough assessment.• All
four assessment techniquesmust be performed
in a specificorder: inspection,
auscultation,percussion, and palpation (IAPP
HEALTH HX Ans: ROS: patients may note a wide
variety ofsymptoms related to abdomen.•
Weight: Have you gained or lost weight
recently?Intentional or unintentional?• Appetite:
Any changes in your appetite? Whathave you
eaten in the last 24 hours?• Dysphagia: Any
difficulty swallowing foods orliquids? Do you
ever feel like food gets stuck inyour throat?•
Nausea/Vomiting: When did it start? What
colorwas the vomit?• Indigestion/Heartburn: Do
you experienceheartburn? Do you take any meds
forindigestion? Any chest pain after eating?
, 2
Askabout Chronic Pyrosis or
GastroesophagealReflux Disease (GERD)
HEALTH HX CONT Ans: Abdominal/Pelvic Pain:
Use OLDCARTS• Constipation/Diarrhea: What are
your normalbowel habits? Do you feel
constipated? Anyblood in your stool? Do you use
laxatives?• Flatulence: Any issues with gas? Do
you feelbloated? Do you burp?• Urination: Do
© 2025 Assignment
you have frequency or urgency?Do you have
Guru01 - Stuvia
back pain? Painful or difficulturination? Any
incontinence or leaking? Whatcolor is your
Expert
urine?• Skin: Any change in skin color or whites
of eyes?• Out of Country Travel: Have you
traveled out ofthe country?
EQUIPMENTFORASSESSMENT Ans: Gloves
StethoscopeMeasuringTapePen/SkinMarker
SEQUENCE OFASSESSMENT Ans:
InspectionAuscultationPercussionPalpation (light
anddeep)
ABDOMINALMAPPING Ans: Right Upper
Quadrant (RUQ): liver
• Right Lower
, 3
Quadrant (RLQ)
• Left Upper Quadrant
(LUQ): spleen
• Left Lower Quadrant
(LLQ)
© 2025 Assignment
Guru01 - Stuvia
INSPECTION Ans: Assess abnormalities in shape,
skin ormovement of the abdomen• Normal:
Expert
round contour, symmetrical,umbilicus midline,
skin smooth and intactwithout pulsations or
visible peristalsis, striae• Abnormal: scaphoid,
distended orprotuberant abdomen seen with
cancer,weight loss, hernia or accumulation of
fluid• Ascites: abnormal accumulation of fluid
inperitoneal cavity• Diastasis Recti: a bulging
which occurswith separation of the two halves of
rectusabdominis muscles in midline at linea
alba.
INSPECTION CONT. Ans: Hernia: abdominal wall
weakensand causes a loop of intestineor
abdominal tissue to protrudethrough an opening
in theperitoneum.• Cullen's Sign:
superficialbleeding under the skin aroundthe
, 4
umbilicus and may indicateintra-abdominal
bleeding.
AUSCULTATING BOWELSOUNDS Ans: Assess
pattern of bowel sounds causedby peristalsis•
Normal: 5-34 clicks or gurgles/min• Abnormal:•
Hyperactive: loud, high pitched, incperistalsis or
early bowel obstruction• Hypoactive: soft, dec
peristalsis related toconstipation• No sounds:
© 2025 Assignment
constipation, bowelobstruction or paralytic
Guru01 - Stuvia
ileus. Listen for afull 3-5 minutes.
Expert
NO SOUND Ans: LISTEN FOR 3 TO 5 MINUTES
AUSCULTATINGVASCULAR SOUNDS Ans: Normal:
no bruits heardover arteries• Abnormal: bruits
areturbulent blowing soundheard over an
obstructedartery; usually buildup ofplaque. Do
not want topalpate over this area.Why?
WHY DO WE NOT PALPATE OVER A BRUITS IN
ABDOMEN Ans: Risk of Dislodging Clots or
Causing Rupture: Palpating over an area with a
bruit, especially if it's related to an aneurysm or
a weakened blood vessel, can potentially
dislodge a clot or cause the vessel to rupture.
This is particularly a concern in cases of
abdominal aortic aneurysms (AAA), where the
artery is already weakened.
