Chapter 23 Health Assessment in Nursing 5th Edition

Chapter 23  Health Assessment in Nursing 5th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1. During deep palpation of the client’s abdomen, the nurse identifies a soft, nontender,
solid mass extending 2 to 3 cm below the right costal margin. Which of the following
actions would be most appropriate?
A) Refer the client for medical follow-up.
B) Evaluate further for a problem with the spleen.
C) Assess urinary output.
D) Document the position of the liver.

2. When reviewing the medications currently taken by a 50-year-old client who is
complaining of constipation, teaching is indicated when the nurse notes which
medication?
A) Vitamin supplement with iron
B) Nonsteroidal anti-inflammatory drug
C) Antidepressant
D) Hormone replacement

3. A group of students is preparing for their clinical experience, during which they are
required to demonstrate the techniques for assessing the abdomen. The students
demonstrate understanding of the proper sequence when they demonstrate the
techniques in which order?
A) Palpate, percuss, inspect, auscultate
B) Auscultate, inspect, palpate, percuss
C) Inspect, auscultate, percuss, palpate
D) Percuss, inspect, auscultate, palpate

4. To promote relaxation of the client’s abdominal muscles, which of the following would
be most appropriate for the nurse to do?
A) Encourage the client to hold his or her breath.
B) Cover the client in a warm blanket.
C) Place a pillow under both of the client’s knees.
D) Assure the client that painful areas will not be examined.

5. A nurse suspects intra-abdominal bleeding in a client who was recently involved in a
motor vehicle accident. Which finding would most likely lead the nurse to this
suspicion?
A) Tenderness on palpation
B) Diastasis recti
C) Cullen’s sign
D) Tympany on percussion

Answer Key

1. D
2. A
3. C
4. C
5. C