Quiz-Assessment of Abdomen

UNIVERSITY OF SANTO THOMAS-LEGASPI CITY CAMPUS
HEALTH ASSESSMENT
Semester II, Year I. Academic Year 2020-2021
QUIZ 3: ASSESSING THE ABDOMEN
MULTIPLE CHOICE QUESTIONS
Encircle the correct answer for each of the following multiple-choice

questions. Kindly fallow the instruction.
1. To percuss the liver of an adult client, the nurse should begin the abdominal
assessment at the client’s
a. right upper quadrant.
b. right lower quadrant.
c. left upper quadrant.
d. left lower quadrant.
2. To palpate for tenderness of an adult client’s appendix, the nurse should begin
the abdominal assessment at the client’s
a. left upper quadrant.
b. left lower quadrant.
c. right upper quadrant.
d. right lower quadrant
3. To palpate the spleen of an adult client, the nurse should begin the abdominal
assessment of the client at the
a. left lower quadrant.
b. left upper quadrant.
c. right upper quadrant.
d. right lower quadrant
4. The nurse plans to assess an adult client’s kidneys for tenderness. The nurse
should assess the area at the
a. right upper quadrant.
b. left upper quadrant.
c. external oblique angle.
d. costovertebral angle.
5. A client visits the clinic because she experienced bright hematemesis
yesterday. The nurse should refer the client to a physician because this
symptom is indicative of
a. stomach ulcers.
b. pancreatic cancer.
c. decreased gastric motility.
d. abdominal tumors.
6. The nurse is assessing an older adult client who has lost 5 pounds since her last
visit 1 year ago. The client tells the nurse that her husband died 2 months ago
The nurse should further assess the client for
a. peptic ulcer.
b. bulimia.
c. appetite changes.
d. pancreatic disorders.
7. A client visits the clinic for a routine examination. The client tells the nurse that
she has become constipated because she is taking iron tablets prescribed for
anemia. The nurse has determines that the client has understood the
instructions when she says
a. “I can decrease the constipation if I eat foods high in fiber and drink water.”
b. “I should cut down on the number of iron tablets I am taking each day.”
c. “Constipation should decrease if I take the iron tablets with milk.”
d. “I should discontinue the iron tablets and eat foods that are high in iron.”
8. The nurse is caring for a female client during her first postoperative day after a
temporary colostomy. The client refuses to look at the colostomy bag or the
area. A priority nursing diagnosis for this client is
a. denial related to temporary colostomy.
b. fear related to potential outcome of surgery.
c. disturbed body image related to temporary colostomy.
d. altered role functioning related to frequent colostomy bag changes
9. The nurse is preparing to assess the abdomen of a hospitalized client 2 days

after abdominal surgery. The nurse should first
a. palpate the incision site.
b. auscultate for bowel sounds.
c. percuss for tympany.
d. inspect the abdominal area.
10. The nurse is planning to assess the abdomen of an adult male client. Before
the nurse begins the assessment, the nurse should
a. ask the client to empty his bladder.
b. place the client in a side-lying position.
c. ask the client to hold his breath for a few seconds.
d. tell the client to raise his arms above his head.
11. 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
a. liver disease.
b. abdominal distention.
c. Cushing’s syndrome.
d. internal bleeding.
12. While assessing 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 possible
a. gallbladder disease.
b. cachexia.
c. kidney trauma.
d. masses.
13 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
a. liver disease.
b. abdominal distention.
c. Cushing’s syndrome.
d. internal bleeding
14. The nurse assesses an adult male client’s abdomen and observes diminished
abdominal respiration. The nurse determines that the client should be further
assessed for
a. liver disease.
b. umbilical hernia.
c. intestinal obstruction.
d. peritoneal irritation
15. 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
a. aortic aneurysm.
b. paralytic ileus.
c. gastroenteritis.
d. fluid and electrolyte imbalances
16. While assessing the abdominal sounds of an adult client, the nurse hears’
high-pitched tingling sounds throughout the distended abdomen. The
nurse should refer the client to a physician for possible
a. intestinal obstruction.
b. gastroenteritis.
c. inflamed appendix.
d. cirrhosis of the liver
17. During a physical examination of an adult client, the nurse is preparing to

auscultate the client’s abdomen. The nurse should
a. palpate the abdomen before auscultation.
b. listen in each quadrant for 15 seconds.
c. use the diaphragm of the stethoscope.
d. begin auscultation in the left upper quadrant
18. To palpate the spleen of an adult client, the nurse should

a. ask the client to exhale deeply.
b. place the right hand below the left costal margin.
c. point the fingers of the left hand downward.
d. ask the client to remain in a supine position.
19. The nurse is planning to assess a client’s abdomen for rebound tenderness.
The nurse should
a. perform this abdominal assessment first.
b. ask the client to assume a side-lying position.
c. palpate lightly while slowly releasing pressure.
d. palpate deeply while quickly releasing pressure.
20. To assess an adult client for possible appendicitis and a positive psoas sign,
the nurse should
a. rotate the client’s knee internally.
b. palpate at the lower right quadrant.
c. raise the client’s right leg from the hip.
d. support the client’s right knee and ankle.
END OF EXAM

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UNIVERSITY OF SANTO THOMAS-LEGASPI CITY CAMPUS

QUIZ 3: ASSESSING THE ABDOMEN

MULTIPLE CHOICE QUESTIONS

Encircle the correct answer for each of the following multiple-choice

9. The nurse is preparing to assess the abdomen of a hospitalized client 2 days

17. During a physical examination of an adult client, the nurse is preparing to

18. To palpate the spleen of an adult client, the nurse should

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