PA Study Guide Ch. 23 Exam Questions And Answers
Verified 100% Correct
The nurse is assessing the abdomen of an adult client and observes a purple
discoloration at the flanks. The nurse should refer the client to a physician for possible
ANSWER: Internal bleeding
While assess an adult client's abdomen, the nurse observes that the client's umbilicus is
deviated to the left. The nurse should refer the client to a physician for people -
ANSWER: Masses
While assessing an adult client's abdomen, the nurse observes that the client's
umbilicus is enlarged and everted. The nurse should refer the client to a physician for
possible -ANSWER: Umbilical hernia
The nurse assess an adult male client's abdomen and observes diminished abdominal
respirations. The nurse determines that the client should be further assessed for -
ANSWER: peritoneal irritation
The nurse is assessing the bowel sounds of an adult client. After listening to each
quadrant, the nurse determines that bowel sounds are not present. The nurse should
refer the client to a physician for possible -ANSWER: Paralytic ileus
While assessing the abdominal sounds of an adult client, the nurse hears highpitched
tingling sounds throughout the distended abdomen. The nurse should refer the client to
a physician for possible -ANSWER: Intestinal obstruction
17. During a physical examination of an adult client, the nurse is preparing to auscultate
the client's abdomen. The nurse should -ANSWER: Use the diaphragm of the
stethoscope
18. To palpate the spleen of an adult client, the nurse should -ANSWER: Place the
right hand below the left costal margin
19. The nurse is planning to assess a client's abdomen for rebound tenderness. The
nurse should -ANSWER: Palpate deeply while quickly released pressure
20. To assess an adult client for possible appendicitis and a positive psoas sign, the
nurse should -ANSWER: Raise the client's right leg from the hip
Verified 100% Correct
The nurse is assessing the abdomen of an adult client and observes a purple
discoloration at the flanks. The nurse should refer the client to a physician for possible
ANSWER: Internal bleeding
While assess an adult client's abdomen, the nurse observes that the client's umbilicus is
deviated to the left. The nurse should refer the client to a physician for people -
ANSWER: Masses
While assessing an adult client's abdomen, the nurse observes that the client's
umbilicus is enlarged and everted. The nurse should refer the client to a physician for
possible -ANSWER: Umbilical hernia
The nurse assess an adult male client's abdomen and observes diminished abdominal
respirations. The nurse determines that the client should be further assessed for -
ANSWER: peritoneal irritation
The nurse is assessing the bowel sounds of an adult client. After listening to each
quadrant, the nurse determines that bowel sounds are not present. The nurse should
refer the client to a physician for possible -ANSWER: Paralytic ileus
While assessing the abdominal sounds of an adult client, the nurse hears highpitched
tingling sounds throughout the distended abdomen. The nurse should refer the client to
a physician for possible -ANSWER: Intestinal obstruction
17. During a physical examination of an adult client, the nurse is preparing to auscultate
the client's abdomen. The nurse should -ANSWER: Use the diaphragm of the
stethoscope
18. To palpate the spleen of an adult client, the nurse should -ANSWER: Place the
right hand below the left costal margin
19. The nurse is planning to assess a client's abdomen for rebound tenderness. The
nurse should -ANSWER: Palpate deeply while quickly released pressure
20. To assess an adult client for possible appendicitis and a positive psoas sign, the
nurse should -ANSWER: Raise the client's right leg from the hip
