NURS 612 EXAM 3 MARYVILLE UNIVERSITY
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 150
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
D. Dullness over the suprapubic area on percussion - ANSWER>>A. Rebound
tenderness on palpation
Which finding on a newborn infant suggests congenital anomaly?
A. umbilical cord has one artery and one vein
B. The umbilical cord is thick
C. The umbilical cord is thin
D. There is a small mass around the umbilicus - ANSWER>>A. The umbilical cord has
one artery and one vein
A 61 year old man has a presenting complaint of frequent constipation. He tells the
examiner that there has been a change in his bowel movement habits. He gets
constipated easily and the stool is very skinny looking and has a different color than
usual. He denies pain. What do these symptoms suggest? - ANSWER>>C. Colon or
rectal cancer
The functional ability of the GI tract most severely affected by aging is ? -
ANSWER>>motility
Which rule states that the farther away from the naval abdominal pain occurs the more
likely it is to be of physical importance? - ANSWER>>Apley rule
Ecchymosis of the flanks associated with pancreatitis is identified as which of the
following signs? - ANSWER>>Grey Turner
Which of the following is the correct sequence for examining the abdomen? -
ANSWER>>inspection, auscultation, percussion, palpation
Which of the following identifies the Murphy sign? - ANSWER>>Abrupt cessation of
inspiration on palpation of the gallbladder
ADVANCED HEALTH ASSESSMENT EXAM 3 AND
STUDY GUIDE NEWEST 2024 ACTUAL EXAM 150
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
D. Dullness over the suprapubic area on percussion - ANSWER>>A. Rebound
tenderness on palpation
Which finding on a newborn infant suggests congenital anomaly?
A. umbilical cord has one artery and one vein
B. The umbilical cord is thick
C. The umbilical cord is thin
D. There is a small mass around the umbilicus - ANSWER>>A. The umbilical cord has
one artery and one vein
A 61 year old man has a presenting complaint of frequent constipation. He tells the
examiner that there has been a change in his bowel movement habits. He gets
constipated easily and the stool is very skinny looking and has a different color than
usual. He denies pain. What do these symptoms suggest? - ANSWER>>C. Colon or
rectal cancer
The functional ability of the GI tract most severely affected by aging is ? -
ANSWER>>motility
Which rule states that the farther away from the naval abdominal pain occurs the more
likely it is to be of physical importance? - ANSWER>>Apley rule
Ecchymosis of the flanks associated with pancreatitis is identified as which of the
following signs? - ANSWER>>Grey Turner
Which of the following is the correct sequence for examining the abdomen? -
ANSWER>>inspection, auscultation, percussion, palpation
Which of the following identifies the Murphy sign? - ANSWER>>Abrupt cessation of
inspiration on palpation of the gallbladder
