1.
) Nurse Anthony is nurse clinical instructor
discussing about Abdomenal Assessment.
What is the correct order for abdominal
assessment?
* 6.) What organs are in the RUQ of the
-Inspection, palpation, auscultation, percussion
-Inspection, auscultation, percussion, palpation
-Auscultation, inspection, palpation,
percussion
-Palpation, inspection, auscultation, percussion
2.) Nurse Kris is havig her assessment on the
bowel status of her patient. How often should
normal bowel sounds be heard in each
quadrant of the abdomen?
* -cerebro spinal fluid
-5-35 times per minute
-Less than 5 times per minute
-15-20 times per minute
-20-40 times per minute
3.) Nurse Ben is performing his routine
abdomenal assessment to Jen, the newly
admitted patient in the ward. Which of the
following is an important part of performing
an abdominal assessment?
* -The cecum
-Completing the assessment as quickly as
possible
-Stopping the assessment if the patient has any
tenderness
-Explaining each step of the assessment to the
patient
-Having the patient breathe normally at all
times
4.) Josephine is a newly hired nurse having a
hard time performing her abdominal
assessment with her patient. What should you
do if a patient is ticklish when you are
palpating the abdomen?
*
-Distract the patient by talking to him or her.
-Do not palpate the abdomen in the upper
quadrants.
-Do only deep palpation of all four quadrants.
-Place your hand over the patient's hand during
palpation
5.)Nurse Clinical Instructor Hans is
emphasizing his lecture to her nursing students
on how to properly palpate teh abdomen. The
moderate and deep palpation of the abdomen
* such as MRI.
-May cause tenderness
-Should not detect masses
-May locate the margins of the liver
-All of the above
abdomen? (Select and complete all 7 correct
answers)
*
-The head of the pancreas,
-cardiac organ
-The gallbladder,
-And part of the ascending and transverse
colon.
-The right kidney and adrenal gland,
-The liver
-The duodenum,
-The hepatic flexure of the colon
7.) What organs are in the RLQ of the
abdomen? (Select and complete all 4 correct
answers)
*
-scapula
-The right ureter,
-right ovary and fallopian tube
-ciatic nerve
-The appendix,
8.) When doing abdomenal assessment how do
you relax a patient for an abdominal exam?
(Select and complete the 5 correct answers)
*
Correct answer
-ensure that the stethoscope is warm and not
too cold
-warm and comfortable room
-Patient supine with arms at side or on chest
-Pillow under head and feet
-Imagery/deep breathing exercises
9.) How would nurse Thelma assess John, a
patient for possible abdominal hernia?
*
-A hernia is a protrusion of the abdominal
viscera through an abnormal opening in the
muscle wall.You would be able to tell upon
inspection.
-Hernia cant be palpated and imaging test such
as CT Scan or Xray must be done to the
patient.
-Hernia is confirmed through laboratory test
-Hernia is not a significant finding and should
not be included on the assessment.
10.) Patient Maritess comes into the clinic
complaining that they have these weird marks
on their abdomen that look like silvery white
cracks but they used to look pink. What would
you tell them?
What kinds of patients would experience these
type of marks? (Select and complete the 2
correct answers)
Correct answer:
-These marks are called Striae. There is
nothing to be concerned with them. They
occur with excessive stretching.
-Patients who have experienced excessive
weight gain and/or pregnancy see this as a
normal finding.
11.) A patient is suspected of having
inflammation of the gallbladder, or
cholecystitis. The nurse should conduct which
of these techniques to assess for this
condition?
-Obturator test
-Test for Murphy sign
-Assess for rebound tenderness
-Iliopsoas muscle test
12.) The nurse is percussion the seventh right
intercostal space at the mid-clavicular line
over the liver. Which sound should the nurse
expect to hear?
-Dullness
-Tympany
-Resonance
-Hyperresonance
13.) When palpating the abdomen of a 20-
year-old patient, the nurse notices the presence
of tenderness in the left upper quadrant with
deep palpation. Which of these structures is
most likely to be involved?
-Spleen
-Sigmoid colon
-Appendix
-Gallbladder
14.) The nurse notices that a patient has had a
black, tarry stool and recalls that a possible
cause would be:
*
-Gallbladder disease
-Overuse of laxatives
-Gastrointestinal bleeding
-Localized bleeding around the anus
15.) Ascites is defines as:
*
-A bowel obstruction
-A proximal loop of the large intestine
-An abnormal enlargement of the spleen
-An abnormal accumulation of serous fluid
within the peritoneal cavity
16.) 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:
*
-Diarrhea
-Pyrosis
-Dysphagia
-Constipation
17.) A 40-year -old man states that his
physician told him that he has a hernia. He
asks the nurse to explain what a hernia is.
Which response by the nurse is appropriate?
*
-No need to worry. Most men you age develop
hernias
-A hernia is a loop bowel protruding through a
weak spot in the abdominal muscles.
-A hernia is the result of prenatal growth
abnormalities that are just causing problems
-I’ll have to have your physicians explain this
to you
18.) Methods to enhance abdominal wall
relaxation during examination include:
*
-A cool environment
-having the patient place arms above the head
-Examining painful areas first
-Positioning the patient with the knees bent.
19.) Which of the following may be noted
through inspection of the abdomen?
*
-Fluid waves, abdominal contour
-Umbilical eversion, Murphy’s sign
-Venous pattern, peristaltic waves, abdominal
contour
-Peritoneal irritation, general tympany, 26.) An action potential:
peristaltic waves *
-Involves the outflux of negative ions to
20.) Hyperactive bowel sounds that may be depolarize the membrane
heard normally which are characteristic of -Involves the influx of negative ions to
stomach growling are: (Select all that apply). depolarize the membrane
* -Is initiated by potassium ion movements
-Loud -Is essential for nerve impulse propagation
-Soft
-Prolonged gurgles 27.) Cell bodies of the sensory neurons of the
-Tinkling spinal nerves are located in:
*
21.) The absence of bowel sounds is -The dorsal root ganglia of the spinal cord
established after listening for: -The thalamus
* -The hypothalamus
-1 full minute -The ventral root ganglia of the of the spinal
-3 full minutes cord
-5 full minutes
-7 full minutes 28.) The effects of the sympathetic nervous
system are essentially opposite of the:
22.) The vital centers for the control of visceral *
activities such as heart rate, breathing blood -Motor division
pressure, swallowing and vomiting are located -Parasympathetic nervous system
in the: -Sensory division
* -Central nervous system
-Hypothalamus
-Pons 29.) Cerebrospinal fluid circulates through all
-Cerebrum of the following except:
-Medulla oblongata *
-Corpus callosum
23.) Immediately after an action potential is -Lateral ventricle
propagated, which one of the following ions -Fourth ventricle
rapidly diffuses out of the cell into the tissue -Cerebral aqueduct
fluid:
* 30.) Regulation by the nervous system
-Potassium provides:
-Sodium *
-magnesium -Relatively slow but long-lasting responses to
-calcium stimuli
-Swift, long-lasting responses to stimuli
24.) The blood-brain barrier is effective -Swift but brief responses to stimuli
against the passage of: -Relatively slow, short lives responses to
* stimuli
-Nutrients such as glucose
-Metabolic waste such as urea 31.) All the motor neurons that control skeletal
-Water muscle are:
-Anesthetics *
-Multipolar neurons
25.) The sympathetic and parasympathetic -Myelinated bipolar neurons
nervous systems are subdivisions of the: -Unipolar, unmyelinated sensory neurons
* -Proprioceptors
-Autonomic nervous system
-Voluntary nervous system
-Somatic nervous system
-Central nervous system
32.) The amorphous ground substance imparts 38.) When regard to muscle fiber arrangement
compressive forces to connective tissue and is in the pennate muscle ______.
composed of all the following EXCEPT: *
* -The fascicle are short and attach obliquely to
-Water a central tendon that runs the length of a
-Glycosaminoglycans (GAGs) muscle
-Hyaluronic acid -The fascicular patter is circular
-Collagen -The fascicle forms a triangle
-The fascicle are in a fusiform arrangement
33.) The muscle spindle receptor in skeletal
muscle can be silenced by one of the following 39.) What primary determines the power of
mechanisms: muscle?
* *
-Contraction f the same muscles extrafusal -The length
fibers -The shape
-Passive stretch of the whole muscle -The number if neurons innervating it
-Stimulation of the gamma motoneuron -The total number f muscle cells available for
-Contraction of the antagonist muscles contraction
extrafusal fibers
40.) A muscle that provides the major force for
34.) Which of the following injuries occurs producing a specific movement is called
from repetitive overuse and affects the _____?
common wrist extensor origin f the extensor *
carpi radialis longus and brevis, and extensor -A synergist
digitorum ad digiti minimi? -An agonist
* -A antagonist
-Lateral epicondylitis -A fixator
-Medial epicondylitis
-Medial valgus stress overload 41.) When the term biceps, triceps or
-Fracture of the distal humerus quadriceps forms part of a muscle’s name, you
can assume that ______.
35.) Scissors demonstrate which type of lever? *
* -The muscle has two, three or four origins,
-A first-class lever respectively
-A second-class lever -The muscle is able to change direction twice,
-A third-class lever three times or four times faster than other
-A fourth-class lever muscles, respectively.
-The muscle has two, three, or four functions,
36.) What muscle is responsible for keeping respectively
your toes from dragging when walking? -The muscle has two, three or four insertions,
* respectively
-Extensor digitorum
-Tibialis anterior 42.) Which of the following statements is true
-Extensor hallicus longus regarding the total number of skeletal in the
-Fibularis tertius human body?
*
37.) What is the mojor factor controlling the -There are approximately the same number of
manner in which level work? muscles as bones: 206
* -There are approximately 350 muscles in the
-The structural characteristics of the muscle of body
the person using the lever -There are over 600 muscles in the body
-The weight of the load -If one considers the very tiny, insignificant
-The direction of the load is being moved muscles, there are over 1000 muscles in the
-The difference in the positioning of the effort, body
load and fulcrum
43.) Muscle tissue, one of the four principal -Sarcomere
types of tissue, consists chiefly of muscle cells -Sarcolayer
that are highly specialized for:
* 50.) Electrical impulses (action potentials)
-Conduction travel down ____ into the muscle cells to
-Contraction efficiently trigger muscle fibre contraction.
-Shortening *
-Lifting -Myoblastic tubules
-Transverse tubules
44.) Which of the following is NOT a type of -Longitudinal tubules
muscle tissue? -Contractile tubules
*
-Smooth
-Cardiac
-Skeletal
-Vascular

45.) Skeletal muscle tissue forms skeletal

muscles, organs that also contain each of the
following, EXCEPT:
*
-Connective tissues
-Bones
-Nerves
-Blood vessels

46.) Each cell in skeletal muscle tissue is a :

*
-single muscle fiber
-Motor unit
-Myofibril
-Pun Kinji fiber

47.) Skeletal muscles performs each pf the

following functions, EXCEPT:
*
-Maintain postures and body position
-Guards entrances and exits
-Moves contents of the digestive tract
-Support soft tissue

48.) During development, groups of _____

fuse together to form individual skeletal
muscle fibers:
*
-Myoblasts
-Myelinocytes
-Myoglobins
-Myotrophs

49.) What is another name for the cell

membrane of a muscle fibre?
*
-Sarcolemma
-Sarcoplasm