Walden NURS3020 2019 JULY Week 3 Quiz

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Walden NURS3020 2019 JULY Week 3 Quiz


NURS3020 Health Assessment

Week 4 Quiz

• Question 1 The nurse is percussing the seventh right intercostal space
at the midclavicular line over the liver. Which sound should the nurse expect
to hear?

Answers: a. Dullness

b. Tympany

c. Resonance

d. Hyperresonance

• Question 2 Which structure is located in the left lower quadrant of the

Answers: a. Liver

b. Duodenum

c. Gallbladder

d. Sigmoid colon

• Question 3 A patient is having difficulty swallowing medications and
food. The nurse would document that this patient has:

Answers: a. Aphasia.

b. Dysphasia.

c. Dysphagia.

d. Anorexia.

• Question 4 The nurse suspects that a patient has a distended bladder.
How should the nurse assess for this condition?

Answers: a. Percuss and palpate in the lumbar region.

b. Inspect and palpate in the
epigastric region.

c. Auscultate and percuss in the
inguinal region.

d. Percuss and palpate the
midline area above the suprapubic bone.

• Question 5 The nurse is aware that one change that may occur in the
gastrointestinal system of an aging adult is:

Answers: a. Increased salivation.

b. Increased liver size.

c. Increased esophageal

d. Decreased gastric acid

• Question 6 A 22-year-old man comes to the clinic for an examination
after falling off his motorcycle and landing on his left side on 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?

Answers: 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.

• Question 7 A patient’s abdomen is bulging and stretched in appearance.
The nurse should describe this finding as:

Answers: a. Obese.

b. Herniated.

c. Scaphoid.

d. Protuberant.

• Question 8 The nurse is describing a scaphoid abdomen. To the
horizontal plane, a scaphoid contour of the abdomen depicts a ______ profile.

Answers: a. Flat

b. Convex

c. Bulging

d. Concave

• Question 9 While examining a patient, the nurse observes abdominal
pulsations between the xiphoid process and umbilicus. The nurse would suspect
that these are:

Answers: a. Pulsations of the renal arteries.

b. Pulsations of the inferior
vena cava.

c. Normal abdominal aortic

d. Increased peristalsis from a
bowel obstruction.

• Question 10 A patient has hypoactive bowel sounds. The nurse knows that a
potential cause of hypoactive bowel sounds is:

Answers: a. Diarrhea.

b. Peritonitis.

c. Laxative use.

d. Gastroenteritis.

• Question 11 The nurse is watching a new graduate nurse perform
auscultation of a patient’s abdomen. Which statement by the new graduate shows
a correct understanding of the reason auscultation precedes percussion and
palpation of the abdomen?

Answers: 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

d. “Auscultation prevents
distortion of vascular sounds, such as bruits and hums, that might occur after
percussion and palpation.”

• Question 12 The nurse is listening to bowel sounds. Which of these
statements is true of bowel sounds? Bowel sounds:

Answers: a. Are usually loud, high-pitched, rushing, and tinkling

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.

Question 13 The physician comments that a patient has
abdominal borborygmi. The nurse knows that this term refers to:

Answers: a. Loud continual hum.

b. Peritoneal friction rub.

c. Hypoactive bowel sounds.

d. Hyperactive bowel sounds.

• Question 14 During an abdominal assessment, the nurse would consider which
of these findings as normal?

Answers: a. Presence of a bruit in the femoral area

b. Tympanic percussion note 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 quadrant at the midclavicular line

Question 15 The nurse is assessing the abdomen of a
pregnant woman who is complaining of having “acid indigestion” all the time.
The nurse knows that esophageal reflux during pregnancy can cause:

Answers: a. Diarrhea.

b. Pyrosis.

c. Dysphagia.

d. Constipation.

• Question 16 The nurse is performing percussion during an abdominal
assessment. Percussion notes heard during the abdominal assessment may include:

Answers: a. Flatness, resonance, and dullness.

b. Resonance, dullness, and

c. Tympany, hyperresonance, and

d. Resonance, hyperresonance,
and flatness.

• Question 17 An older patient has been diagnosed with pernicious anemia.
The nurse knows that this condition could be related to:

Answers: a. Increased gastric acid secretion.

b. Decreased gastric acid

c. Delayed gastrointestinal
emptying time.

d. Increased gastrointestinal
emptying time.

• Question 18 A patient is complaining of a sharp pain along the
costovertebral angles. The nurse is aware that this symptom is most often
indicative of:

Answers: a. Ovary infection.

b. Liver enlargement.

c. Kidney inflammation.

d. Spleen enlargement.

• Question 19 When assessing a patient’s nutritional status, the nurse
recalls that the best definition of optimal nutritional status is sufficient
nutrients that:

Answers: a. Are in excess of daily body requirements.

b. Provide for the minimum body

c. Provide for daily body
requirements but do not support increased metabolic demands.

d. Provide for daily body
requirements and support increased metabolic demands.

• Question 20 The nurse is providing nutrition information to the mother of
a 1-year-old child. Which of these statements represents accurate information
for this age group?

Answers: a. Maintaining adequate fat and caloric intake is
important for a child in this age group.

b. The recommended dietary
allowances for an infant are the same as for an adolescent.

c. The baby’s growth is minimal
at this age; therefore, caloric requirements are decreased.

d. The baby should be placed on
skim milk to decrease the risk of coronary artery disease when he or she grows

• Question 21 A patient tells the nurse that his food simply does not have
any taste anymore. The nurse’s best response would be:

Answers: a. “That must be really frustrating.”

b. “When did you first notice
this change?”

c. “My food doesn’t always have
a lot of taste either.”

d. “Sometimes that happens, but
your taste will come back.”

• Question 22 The nurse is performing a nutritional assessment on a
15-year-old girl who tells the nurse that she is “so fat.” Assessment reveals
that she is 5 feet 4 inches and weighs 110 pounds. The nurse’s appropriate
response would be:

Answers: a. “How much do you think you should weigh?”

b. “Don’t worry about it; you’re
not that overweight.”

c. “The best thing for you would
be to go on a diet.”

d. “I used to always think I was
fat when I was your age.”

• Question 23 The nurse is discussing appropriate foods with the mother of a
3-year-old child. Which of these foods are recommended?

Answers: a. Foods that the child will eat, no matter what they

b. Foods easy to hold such as
hot dogs, nuts, and grapes

c. Any foods, as long as the
rest of the family is also eating them

d. Finger foods and nutritious
snacks that cannot cause choking

• Question 24 The nurse is reviewing the nutritional assessment of an
82-year-old patient. Which of these factors will most likely affect the
nutritional status of an older adult?

Answers: a. Increase in taste and smell

b. Living alone on a fixed

c. Change in cardiovascular

d. Increase in gastrointestinal
motility and absorption

• Question 25 When considering a nutritional assessment, the nurse is aware
that the most common anthropometric measurements include:

Answers: a. Height and weight.

b. Leg circumference.

c. Skinfold thickness of the

d. Hip and waist measurements.

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