ABDOMINAL ASSESSMENT

Question 1

What area is only exposed in the abdominal assessment?

Answer 1

Xiphoid Process to the Symphysis Pubis

Question 2

What should you inspect in the abdominal?

Answer 2

inspect abdominal contour

Question 3

Where should you inspect at the abdominal contour?

Answer 3

area bet. lower ribs and pubic bone

Question 4

What is the findings of the abdominal contour?

Answer 4

The abdomen is flat

Question 5

What should you measure and observe in the abdominal symmetry?

Answer 5

protrusion
bulging
lumps
abdominal girth

Question 6

TRUE OR FALSE: The abdomen must be paler than general skin tone.

Answer 6

TRUE

Question 7

What should you inspect in the abdomen?

Answer 7

umbilicus

Question 8

Normal findings for hernia or diastasis recti

Answer 8

abdomen does not bulge when client raises head

Question 9

A slight pulsation of the
abdominal aorta is noted in the _____

Answer 9

epigastrium

Question 10

Peristaltic waves should (BE OR NOT BE) seen

Answer 10

Not seen

Question 11

What side of the stethoscope is used to auscultate the bowel sounds?

Answer 11

diaphragm

Question 12

Where should you begin auscultating the bowel sounds?

Answer 12

right lower quadrant and proceed clockwise

Question 13

bowel sound is more active over the

Answer 13

Ileocecal Valve in the RLQ

Question 14

What side of the stethoscope should you use when you auscultate the vascular sounds and venous hum?

Answer 14

Bell

Question 15

Where should you listen for bruit sounds?

Answer 15

abdominal aorta
renal
iliac
femoral

Question 16

Where should you listen for venous hum?

Answer 16

epigastric and umbilical areas

Question 17

Where should you auscultate the friction rubs?

Answer 17

right and left lower rib cage

Question 18

Where should you start percussing the abdomen?

Answer 18

right upper quadrant and end at the right lower quadrant

Question 19

what tone predominates over all
four quadrants.

Answer 19

tympany

Question 20

is heard over liver and spleen

Answer 20

dullness

Question 21

The liver span in the midclavicular line is

Answer 21

6 cm

Question 22

the liver span in the midsternal line is

Answer 22

4 cm

Question 23

When performing the scratch test you should place the diaphragm of the stethoscope at the

Answer 23

2nd to the last intercostal space, midclavicular line

Question 24

When percussing the spleen, the client’s position must be

Answer 24

right side-lying position with left knee flexed and right leg is straight

Question 25

Where should you begin percussing for the spleen?

Answer 25

posterior to the left midaxillary line

Question 26

The tone in the spleen should change from ____ to ____

Answer 26

resonance to splenic dullness

Question 27

What is the vertical size and longitudinal of the spleen?

Answer 27

vertical size- 5 cm longitudinal size- 6 cm

Question 28

What percussion method should you use for the liver tenderness?

Answer 28

blunt percussion

Question 29

client’s position in blunt percussion?

Answer 29

supine

Question 30

What side of the fist should you use to strike the left hand?

Answer 30

ulnar side

Question 31

What method should you use for the kidney tenderness?

Answer 31

kidney punch test

Question 32

Where should you place your left hand during kidney punch test?

Answer 32

costovertebral angles over the 12th rib

Question 33

for bimanual technique where should you place your left hand?

Answer 33

client’s back at the level of the 11th to 12th ribs

Question 34

What palpation techniques should you use for the liver?

Answer 34

bimanual and hooking technique

Question 35

When palpating for the spleen what is the position of the client?

Answer 35

right side-lying

Question 36

Where should you begin palpating for the urinary bladder for distention?

Answer 36

symphysis pubis to the umbilicus

Question 37

is a condition in which the fluid is collects in the spaces within the abdomen

Answer 37

ascites

Question 38

What is the position of the client when you test for ascites?

Answer 38

lateral decubitus position

Question 39

what percussion technique should you use to test for shifting dullness?

Answer 39

indirect percussion

Question 40

Palpating for rebound tenderness you should apply ____ using both hands in the

Answer 40

deep pressure right lower quadrant

Question 41

refers to the pain felt in the right lower abdomen upon palpation of the left side of the abdomen

Answer 41

rovsing sign

Question 42

means that there is more pain when pressure on the tender area is released. It occurs when the tissue that lines the abdominal cavity (the peritoneum) is irritated, inflamed, or infected.

Answer 42

rebound tenderness

Question 43

What should you do to assess for psoas sign?

Answer 43

client lie on left side hyperextend client’s leg

Question 44

When you assess for the obturator sign what should you do?

Answer 44

flex the hip and knee rotate internally and externally

Question 45

A bulge at the umbilicus suggests an

Answer 45

umbilical hernia

Question 46

is seen as midline protrusion from the xiphoid to the umbilicus or pubis symphysis.

Answer 46

diastasis recti

Question 47

Marked peristaltic waves almost always indicate a pathologic process such as

Answer 47

pyloric stenosis

Question 48

is defined as a span greater than 12 cm at the mid-clavicular line (MCL) and greater than 8 cm at the midsternal line (MSL).

Answer 48

hepatomegaly

Question 49

is defined by an area of dullness exceeding 7 cm.

Answer 49

splenomegaly

Question 50

may be seen with severe weight loss or cachexia related to starvation or terminal illness.

Answer 50

scaphoid abdomen

Question 51

A bluish or purple discoloration around the umbilicus (periumbilical ecchymosis) indicates intra-abdominal bleeding

Answer 51

cullen’s sign

Question 52

bluish of purplish discoloration on the abdominal flanks.

Answer 52

grey-turner’s sign

Question 53

are associated with Cushing’s syndrome.

Answer 53

dark bluish-pink striae

Question 54

may occur when a defect develops in the abdominal muscles because of a surgical incision.

Answer 54

incisional hernia

Question 55

Vigorous, wide, exaggerated pulsations may be seen with

Answer 55

abdominal aortic aneurysm

Question 56

A prominent, laterally pulsating mass above the umbilicus strongly suggests an

Answer 56

aortic aneurysm