NURS 650 TEST BANK EXAM 3 2025-2026 \UPDATED
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED 100% ALREADY GRADED A+\ACTUAL
EXAM NURS 650
A 22-year-old man comes D
to the clinic for an If an enlarged spleen is felt, then the nurse should refer
examination after falling the person and should not continue to palpate it. An
off his motorcycle and enlarged spleen is friable and can easily rupture with
landing on his left side on overpalpation.
the handle bars. 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 can be
enlarged as a result of
trauma.
B. The spleen is normally
felt on routine palpation.
C. If an enlarged spleen is
noted, then the nurse
should thoroughly
palpate to determine its
size.
D. An enlarged spleen should
not be
palpated because it can easily
rupture.
,A patients abdomen is D
bulging and stretched in A protuberant abdomen is rounded, bulging, and
appearance. The nurse stretched. A scaphoid abdomen caves inward.
should describe this
finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant.
The nurse is describing a D
scaphoid abdomen. To Contour describes the profile of the abdomen from the rib
margin to the pubic bone; a scaphoid contour is one that is
the horizontal plane, a
concave from a horizontal plane.
scaphoid contour of the
abdomen depicts a
profile.
A. Flat
B. Convex
C. Bulging
D. Concave
While examining a C
patient, the nurse Normally, the pulsations from the aorta are observed beneath
the skin in the epigastric area, particularly in thin persons who
observes abdominal
have good muscle wall relaxation.
pulsations between the
xiphoid process and
umbilicus. The nurse
would suspect that these
are:
A. Pulsations of the renal
arteries.
B. Pulsations of the
inferior vena cava.
C. Normal abdominal
aortic pulsations.
D. Increased peristalsis
from a bowel obstruction.
,A patient has hypoactive B
bowel sounds. The nurse Diminished or absent bowel sounds signal decreased
knows that a potential motility from inflammation as exhibited with peritonitis,
cause of hypoactive with paralytic ileus after abdominal surgery, or with
bowel sounds is: late bowel obstruction.
A. Diarrhea.
B. Peritonitis.
C. Laxative use.
D. Gastroenteritis.
The nurse is watching a new B
graduate nurse perform Auscultation is performed first (after inspection) because
auscultation of a patients percussion and palpation can increase peristalsis, which
abdomen. Which statement would give a false interpretation of bowel sounds.
by the new graduate shows a
correct understanding of the
reason auscultation precedes
percussion and palpation of the
abdomen? A We need to
determine the areas of
tenderness before using
percussion and palpation.
B. Auscultation prevents
distortion of bowel sounds that
might occur after percussion
and palpation.
C. Auscultation allows the
patient more time to relax
and therefore be more
comfortable with the physical
examination.
D. Auscultation prevents
distortion of vascular sounds,
such as bruits and hums, that
might occur after percussion
and palpation.
, 10/10/25, 11:28 PM NU 650 Exam 3
The nurse is listening to B
bowel sounds. Which of Bowel sounds are high-pitched, gurgling, and
these statements is cascading sounds that irregularly occur from 5 to 30
true of bowel sounds? times per minute. They originate from the movement of
Bowel sounds: air and fluid through the small intestine.
A. Are usually loud, high-
pitched, rushing, and
tinkling sounds.
B. Are usually high-pitched,
gurgling, and irregular
sounds.
C. Sound like two pieces of
leather being rubbed
together.
D. Originate from the
movement of air and fluid
through the large intestine.
The physician comments D
that a patient has Borborygmi is the term used for hyperperistalsis when
abdominal borborygmi. the person actually feels his or her stomach growling.
The nurse
knows that this term refers to:
A. Loud continual hum.
B. Peritoneal friction rub.
C. Hypoactive bowel sounds.
D. Hyperactive bowel sounds.
During an abdominal B
assessment, the nurse Tympany should predominate in all four quadrants of
would consider which of the abdomen because air in the intestines rises to the
these surface when the person is supine. Vascular bruits are
findings as normal? not usually present. Normally, the spleen is not palpable.
A. Presence of a bruit in the Dullness would not be found in the area of lung
femoral area
resonance (left upper quadrant at the midclavicular
B. Tympanic percussion note
line).
in the umbilical
region
C. Palpable spleen between
the ninth and eleventh ribs
in the left midaxillary line
D. Dull percussion note in the
left upper
/ 2/54
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED 100% ALREADY GRADED A+\ACTUAL
EXAM NURS 650
A 22-year-old man comes D
to the clinic for an If an enlarged spleen is felt, then the nurse should refer
examination after falling the person and should not continue to palpate it. An
off his motorcycle and enlarged spleen is friable and can easily rupture with
landing on his left side on overpalpation.
the handle bars. 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 can be
enlarged as a result of
trauma.
B. The spleen is normally
felt on routine palpation.
C. If an enlarged spleen is
noted, then the nurse
should thoroughly
palpate to determine its
size.
D. An enlarged spleen should
not be
palpated because it can easily
rupture.
,A patients abdomen is D
bulging and stretched in A protuberant abdomen is rounded, bulging, and
appearance. The nurse stretched. A scaphoid abdomen caves inward.
should describe this
finding as:
A. Obese.
B. Herniated.
C. Scaphoid.
D. Protuberant.
The nurse is describing a D
scaphoid abdomen. To Contour describes the profile of the abdomen from the rib
margin to the pubic bone; a scaphoid contour is one that is
the horizontal plane, a
concave from a horizontal plane.
scaphoid contour of the
abdomen depicts a
profile.
A. Flat
B. Convex
C. Bulging
D. Concave
While examining a C
patient, the nurse Normally, the pulsations from the aorta are observed beneath
the skin in the epigastric area, particularly in thin persons who
observes abdominal
have good muscle wall relaxation.
pulsations between the
xiphoid process and
umbilicus. The nurse
would suspect that these
are:
A. Pulsations of the renal
arteries.
B. Pulsations of the
inferior vena cava.
C. Normal abdominal
aortic pulsations.
D. Increased peristalsis
from a bowel obstruction.
,A patient has hypoactive B
bowel sounds. The nurse Diminished or absent bowel sounds signal decreased
knows that a potential motility from inflammation as exhibited with peritonitis,
cause of hypoactive with paralytic ileus after abdominal surgery, or with
bowel sounds is: late bowel obstruction.
A. Diarrhea.
B. Peritonitis.
C. Laxative use.
D. Gastroenteritis.
The nurse is watching a new B
graduate nurse perform Auscultation is performed first (after inspection) because
auscultation of a patients percussion and palpation can increase peristalsis, which
abdomen. Which statement would give a false interpretation of bowel sounds.
by the new graduate shows a
correct understanding of the
reason auscultation precedes
percussion and palpation of the
abdomen? A We need to
determine the areas of
tenderness before using
percussion and palpation.
B. Auscultation prevents
distortion of bowel sounds that
might occur after percussion
and palpation.
C. Auscultation allows the
patient more time to relax
and therefore be more
comfortable with the physical
examination.
D. Auscultation prevents
distortion of vascular sounds,
such as bruits and hums, that
might occur after percussion
and palpation.
, 10/10/25, 11:28 PM NU 650 Exam 3
The nurse is listening to B
bowel sounds. Which of Bowel sounds are high-pitched, gurgling, and
these statements is cascading sounds that irregularly occur from 5 to 30
true of bowel sounds? times per minute. They originate from the movement of
Bowel sounds: air and fluid through the small intestine.
A. Are usually loud, high-
pitched, rushing, and
tinkling sounds.
B. Are usually high-pitched,
gurgling, and irregular
sounds.
C. Sound like two pieces of
leather being rubbed
together.
D. Originate from the
movement of air and fluid
through the large intestine.
The physician comments D
that a patient has Borborygmi is the term used for hyperperistalsis when
abdominal borborygmi. the person actually feels his or her stomach growling.
The nurse
knows that this term refers to:
A. Loud continual hum.
B. Peritoneal friction rub.
C. Hypoactive bowel sounds.
D. Hyperactive bowel sounds.
During an abdominal B
assessment, the nurse Tympany should predominate in all four quadrants of
would consider which of the abdomen because air in the intestines rises to the
these surface when the person is supine. Vascular bruits are
findings as normal? not usually present. Normally, the spleen is not palpable.
A. Presence of a bruit in the Dullness would not be found in the area of lung
femoral area
resonance (left upper quadrant at the midclavicular
B. Tympanic percussion note
line).
in the umbilical
region
C. Palpable spleen between
the ninth and eleventh ribs
in the left midaxillary line
D. Dull percussion note in the
left upper
/ 2/54
