Health assessment exam on GIT system

I. Choice question

Choose the best answer from the given alternative

1. Which of the following are the correct orders of abdominal examination?

A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Auscultation, Palpation, Percussion
C. Inspection, palpation, percussion, auscultation
D. Inspection, percussion, palpation , auscultation
2. A client is admitted to the health care facility with the diagnosis of a bleeding gastric
ulcer. The nurse expects this client’s stools to be:
A. coffee-ground-like B. clay colored C. black and tarry D. bright red
3. Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
A. Endoscopy C. upper GI series
B. hemoglobin (Hb) & hematocrit (HCT) D. arteriography
4. The nurse is listening to a patient’s bowel sounds that have small intestine obstruction
and hears them at an irregular rate every 5 to 15 seconds. How should the nurse
document the findings?

A, Normal bowel sounds heard every 5 to 15 seconds

B, Hyperactive bowel sounds heard every 5 to 15 seconds

C, Hypoactive bowel sounds heard every 5 to 15 seconds

D, Abnormal bowel sounds heard every 5 to 15 seconds

5. Which of the following are the subjective data that we got from the patient who have
GIT disorder?
A. Hyperactive sound B. Hypoactive C. anorexia D. A & B
6. Which of the following is not the purpose of deep palpation?
A. To detect masses and size of organs C. To detect tenderness
B. To detect superficial masses and Involuntary rigidity D. A&B E.B&C
7. Which statement is correct about Endoscopy?
A. The Rigid one is used for removal of foreign body
B. used for visualization of the GI tract
C. It is used for both treatment and diagnostic purpose D. ALL E. A &B
8. Which of the following is the normal sound on percussion of the abdomen?
A. Dullness sound on organ area C. tympanic sound on bowels & Stomach
 B. Dullness sound on non organ area D. A & B E. A & C
9. Which type of the percussion sound is heard on full urinary bladder?
A. Resonance sound B. tympanic sound C. dullness sound D. all
10. Which of the following is not the purpose of percussion of the abdomen?
A. Estimating the span of the liver and spleen
B. To identify possible masses that are solid or fluid filled.
C. To determine the bowel sound D. none
II. Essay part
1. Write and define the cardinal signs of appendicitis(8pt)
2. Define the Murphy's sign and how to asses it(2pt)
3. Define shifting dullness and how to asses it(3pt)
4. Define fluid thrill/wave and how to asses it(2pt)