Exam 3: NURS612 NURS 612 Latest

Exam 3: NURS612/ NURS 612 (Latest 2024/ 2025

Update) Advanced Health Assessment Review| Qs & As| 100% Correct| Grade A- Maryville

• Which statement suggests that a patient may be at risk for contracting

viral hepatitis A?

• "I am a healthcare worker."
• "I had a blood transfusion recently."
• "I have renal failure and have hemodialysis three times a week."
• "I have recently been overseas." - ANSWER d
• 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

• portal hypertension.
• renal artery stenosis.
• inferior vena cava obstruction.
• mesentery arterial hypertension. - ANSWER c
• Mrs. Cody is 36 weeks pregnant. She tells the exam- iner that her

stomach muscle feels like it is splitting. A protrusion at the midline of the abdomen is observed. This is recognized as

• abdominal dehiscence.
• swelling of the abdominal aorta.
• diastasis recti.
• umbilical herniation. - ANSWER c 1 / 4

• In which of the following patients would a slight pulsation in the

epigastric area be considered a normal inspection finding?

• A very thin patient
• An obese patient
• A patient with ascites
• An older patient - ANSWER a
• The examiner palpates an organ in the left costal margin. Which

technique should the examiner use to differentiate between an enlarged left kidney and an enlarged spleen?

• Auscultation, listening for renal bruit
• Auscultation, listening for abdominal friction rub
• Palpation, using indirect fist palpation to assess for tenderness
• Percussion, listening for dullness - ANSWER d
• A hiatal hernia is best described as
• a protrusion of abdominal contents through a weakening in the

abdominal wall.

• a protrusion of the stomach through the esophageal opening in the

diaphragm.

• an ulcer in the mucosa of the stomach that herniates into the

peritoneal cavity.

• a herniation of the gallbladder into the cystic duct. - ANSWER

b

• An examiner may wish to use a bimanual technique for abdominal

palpation when 2 / 4

• palpating superficial organs.
• validating abdominal tenderness in the infant.
• meeting muscle resistance while performing deep palpation.
• determining the presence of excessive peritoneal fluid. - ANSWER

c

• A 21⁄2-year-old child presents with abdominal pain and stools that are

red currant jelly in appearance. Which problem would the examiner suspect?

• Meckel diverticulum
• Pyloric stenosis
• Intussusception
• Necrotizing enterocolitis - ANSWER c
• You note that the midclavicular liver span of an adult male patient is

18 cm. With palpation, you note that the liver is enlarged and nontender.What do these findings suggest?

• Diverticulitis
• Ulcerative colitis
• Hepatitis
• Cirrhosis - ANSWER d
• The examiner is unable to palpate the liver or kidney on the patient.

Which of the following techniques will help assess tenderness to these organs?

• Application of continuous, firm pressure for 3 to 5 minutes
• Percussion for tympany
• Percussion for size
• Indirect fist percussion - ANSWER d 3 / 4

• Where is pain felt when an obturator muscle test is positive?
• Right hip and thigh
• Right hypogastric area
• Right lower quadrant and groin
• Beneath the right shoulder blade - ANSWER b
• Which of the following techniques is used to confirm the presence of

abdominal ascites?

• Auscultation of fluid movement within the abdominal cavity
• Palpation of rebound tenderness
• Palpation of pitting edema on the abdomen
• Percussion of dullness over dependent areas of the abdomen -

ANSWER d

• Which of the following examination findings is indicative of

peritoneal irritation or appendicitis?

• Rebound tenderness on palpation
• Shifting dullness over the abdomen on percussion
• Bruit heard over the abdominal aorta on auscultation
• Dullness over the suprapubic area on percussion - ANSWER

a

• Which finding on a newborn infant suggests a con- genital anomaly?
• The umbilical cord has one artery and one vein.
• The umbilical cord is thick.
• The umbilical cord is thin.
• / 4