A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
a. Flexion.
b. Abduction.
c. Adduction.
d. Extension.
Question 2The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment? The nurse should:
a. Examine the tender area first.
b. Examine the tender area last.
c. Avoid palpating the tender area. d.
Palpate the tender area first, and then auscultate for bowel sounds.
Question 3During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with:
a. Splenomegaly.
b. Distended bladder.
c. Constipation.
d. Ascites.
Question 4During an assessment, the nurse notices that a patient's umbilicus is enlarged and everted. It is positioned midline with no change in skin color. The nurse recognizes that the patient may have which condition?
a. Intra-abdominal bleeding
b. Constipation
c. Umbilical hernia
d. Abdominal tumor
Question 5During reporting, the student nurse hears that a patient has hepatomegaly and recognizes that this term refers to:
a. Enlarged liver.
b. Enlarged spleen.
c. Distended bowel.
d. Excessive diarrhea.
Question 6During a health history, the patient tells the nurse, I have pain all the time in my stomach. It's worse 2 hours after I eat, but it gets better if I eat again Based on these symptoms, the nurse suspects that the patient has which condition?
a. Appendicitis
b. Gastric ulcer
c. Duodenal ulcer
d. Cholecystitis
Question 7The nurse suspects that a patient has appendicitis. Which of these procedures are appropriate for use when assessing for appendicitis or a perforated appendix? Select all that apply.
a. Test for the Murphy sign
b. Test for the Blumberg sign
c. Test for shifting dullness
d. Perform the iliopsoas muscle test
e. Test for fluid wave