Abdominal Assessment Questions PDF

[ **ABDOMINAL ASSESSEMENT اسااله**] 1\. When performing an abdominal assessment, which of the following is performed first? A\) Percussion B\) Palpation C\) Inspection D\) Auscultation Answer: C) Inspection 2\. A patient presents with pain in the lower right quadrant. The nurse should palpate...

[ **ABDOMINAL ASSESSEMENT اسااله**] 1\. When performing an abdominal assessment, which of the following is performed first? A\) Percussion B\) Palpation C\) Inspection D\) Auscultation Answer: C) Inspection 2\. A patient presents with pain in the lower right quadrant. The nurse should palpate this area: A\) At the beginning of the exam B\) After assessing other areas C\) First, to relieve pain D\) Not at all Answer: B) After assessing other areas 3\. When auscultating bowel sounds, which of the following is considered normal? A\) Absent sounds in all quadrants B\) Hyperactive sounds in the left lower quadrant C\) High-pitched sounds, 5-30 times per minute D\) Continuous rumbling sound Answer: C) High-pitched sounds, 5-30 times per minute 4\. In a patient suspected of having ascites, what test would be used to confirm the presence of fluid? A\) Fluid wave test B\) Percussion for tympany C\) Rebound tenderness D\) Costovertebral angle percussion Answer: A) Fluid wave test 5\. What should be avoided during an abdominal examination to ensure proper relaxation? A\) Direct pressure on painful areas B\) The patient placing arms over their head C\) Having the room cold D\) Asking the patient to breathe rapidly Answer: B) The patient placing arms over their head 6\. Which of the following findings is typical when palpating a healthy liver? A\) Tenderness B\) Firm, smooth, non-tender edge C\) A firm, hard mass D\) Enlarged with pulsation Answer: B) Firm, smooth, non-tender edge 7\. When inspecting the abdomen, if the umbilicus is inverted, this is considered: A\) Abnormal B\) Normal C\) Indicative of a hernia D\) Sign of ascites Answer: B) Normal 8\. If a patient has difficulty swallowing, what aspect of the subjective abdominal assessment should be documented? A\) Food intolerance B\) Dysphagia C\) Nausea D\) Abdominal pain Answer: B) Dysphagia 9\. During light palpation, which of the following is the examiner looking for? A\) Deep masses B\) Tenderness or guarding C\) Fluid accumulation D\) Bowel sounds Answer: B) Tenderness or guarding 10\. A patient has a firm mass in the right upper quadrant upon deep palpation. This finding could indicate: A\) Liver enlargement B\) Bowel obstruction C\) Kidney infection D\) Appendicitis Answer: A) Liver enlargement 11\. A nurse is examining a patient who has recently had abdominal surgery. The nurse notices a tender area on the lower left side of the abdomen. What should the nurse do next? A\) Palpate the area gently to assess the pain level B\) Ask the patient to cough and observe for any changes C\) Document the findings and proceed to the next quadrant D\) Press firmly on the area to see if there's any swelling Answer: A) Palpate the area gently to assess the pain level 12\. During an abdominal exam, the nurse notices the patient has visible pulsations in the upper abdomen. What is this most likely a sign of? A\) Aortic aneurysm B\) Liver disease C\) Gastrointestinal obstruction D\) Normal abdominal movement Answer: A) Aortic aneurysm 13\. A patient reports abdominal pain that worsens with deep breathing. The nurse suspects the pain may be related to the spleen. What action should the nurse take? A\) Gently palpate the left upper quadrant to check for tenderness B\) Percuss the abdomen to check for ascites C\) Apply deep pressure to the right side of the abdomen D\) Perform rebound tenderness test on the left side Answer: A) Gently palpate the left upper quadrant to check for tenderness 14\. While palpating the abdomen of a patient with suspected kidney infection, the nurse observes the patient flinching when pressure is applied to the costovertebral angle. What does this indicate? A\) Normal response B\) Possible kidney infection or inflammation C\) Ascites D\) Pancreatitis Answer: B) Possible kidney infection or inflammation 15\. A patient presents with nausea and reports a sensation of fullness in the abdomen. The nurse begins by performing percussion. What sound is expected over the majority of the abdomen? A\) Dullness B\) Tympany C\) Hyper-resonance D\) Flatness Answer: B) Tympany 16\. While auscultating a patient's abdomen, the nurse hears high-pitched, frequent bowel sounds. What condition might this indicate? A\) Bowel obstruction B\) Normal digestion C\) Gastrointestinal bleeding D\) Liver failure Answer: A) Bowel obstruction 17\. During an abdominal assessment, the nurse notices the patient has an asymmetrical abdomen with bulging on one side. What is the nurse's next step? A\) Document the finding and proceed with the exam B\) Perform a fluid wave test to check for ascites C\) Ask the patient to cough to assess for a hernia D\) Immediately refer the patient for an ultrasound Answer: C) Ask the patient to cough to assess for a hernia 18\. A patient with abdominal pain is asked to take deep breaths. As the patient inhales, the nurse feels a slight bump on the right side. What does this most likely indicate? A\) Liver enlargement B\) Gallbladder inflammation C\) Spleen enlargement D\) Abdominal hernia Answer: A) Liver enlargement 19\. A patient with suspected appendicitis presents with pain in the lower right quadrant and tenderness with rebound pressure. What should the nurse do next? A\) Proceed with deep palpation to locate the exact area of pain B\) Document the findings and alert the physician for further assessment C\) Instruct the patient to perform a Valsalva maneuver to relieve the pain D\) Apply a warm compress to the abdomen to reduce discomfort Answer: B) Document the findings and alert the physician for further assessment 20\. A patient with a history of heartburn and acid reflux complains of difficulty swallowing. The nurse notes dysphagia. What should be the next step in the assessment? A\) Auscultate bowel sounds B\) Perform deep palpation on the abdomen C\) Ask about the patient's food intolerance and pain history D\) Begin the examination by percussing the abdomen Answer: C) Ask about the patient's food intolerance and pain history 21\. A patient with a history of cirrhosis has been complaining of nausea and abdominal swelling. The nurse performs a fluid wave test. What result would indicate the presence of ascites? A\) A distinct tap on the left hand during the test B\) No change in sensation during the test C\) Tympany in the upper abdomen D\) Dullness in the right lower quadrant Answer: A) A distinct tap on the left hand during the test 22\. While examining a patient with suspected bowel obstruction, the nurse notices that bowel sounds are very slow. What does this suggest? A\) Hyperactive bowel sounds due to infection B\) Hypoactive bowel sounds due to surgery or peritonitis C\) Normal bowel sounds D\) Complete absence of bowel sounds Answer: B) Hypoactive bowel sounds due to surgery or peritonitis 23\. During an abdominal exam, the nurse palpates a hard, fixed mass in the upper left quadrant of a patient with no significant pain. What does this likely indicate? A\) Bowel obstruction B\) Cancerous growth C\) Liver inflammation D\) Hernia Answer: B) Cancerous growth 24\. A patient complains of pain in the lower left abdomen and is diagnosed with diverticulitis. When palpating, the nurse notices rigidity in this area. What should the nurse do next? A\) Apply heat to the area to reduce muscle tension B\) Avoid palpating the area further and alert the physician C\) Gently palpate the area to assess pain D\) Instruct the patient to take deep breaths Answer: B) Avoid palpating the area further and alert the physician 25\. During a physical exam, the nurse notices that the patient's abdomen is distended with a high-pitched bowel sound heard upon auscultation. What might this suggest? A\) Intestinal obstruction B\) Ascites C\) Kidney failure D\) Spleen enlargement Answer: A) Intestinal obstruction 26\. A patient is being examined for suspected abdominal tenderness. The nurse asks the patient to take a deep breath and applies light pressure over the right upper quadrant. The patient reports sharp pain during exhalation. What might this indicate? A\) Liver disease B\) Gallbladder inflammation C\) Spleen enlargement D\) Gastritis Answer: B) Gallbladder inflammation 27\. When a patient is lying supine, the nurse percusses and finds tympany in all quadrants. What does this likely indicate? A\) Fluid accumulation B\) Gas in the intestines C\) Organ enlargement D\) Solid masses Answer: B) Gas in the intestines 28\. A patient who recently had a cholecystectomy complains of pain in the upper right quadrant. What should the nurse assess for? A\) Hepatitis B\) Gallstones C\) Liver enlargement D\) Postoperative complications Answer: D) Postoperative complications 29\. During an abdominal examination, the nurse notices a bulge in the lower abdomen and suspects a hernia. What should the nurse ask the patient to do to confirm this? A\) Cough and observe for changes in the bulge B\) Take deep breaths while palpating C\) Perform a Valsalva maneuver D\) Lift both legs and palpate the lower abdomen Answer: A) Cough and observe for changes in the bulge 30\. A patient is being evaluated for liver disease. The nurse performs a percussion test and hears dullness below the right costal margin. What does this finding suggest? A\) Normal liver size B\) Liver enlargement C\) Kidney enlargement D\) Bowel obstruction Answer: B) Liver enlargement 31\. A nurse is assessing a patient who reports sharp pain when palpating the right lower quadrant. Which condition is most likely? A\) Gallbladder inflammation B\) Appendicitis C\) Pancreatitis D\) Diverticulitis Answer: B) Appendicitis 32\. A patient complains of bloating and difficulty passing stool. The nurse notes that the abdomen is firm and distended. What action should the nurse take next? A\) Auscultate the abdomen for bowel sounds B\) Immediately schedule an ultrasound C\) Perform deep palpation to check for masses D\) Ask the patient to drink more fluids Answer: A) Auscultate the abdomen for bowel sounds 33\. During the abdominal exam, the nurse hears high-pitched bowel sounds in the right lower quadrant. What might this indicate? A\) Normal bowel function B\) Early bowel obstruction C\) Gastroenteritis D\) Cirrhosis Answer: B) Early bowel obstruction 34\. While palpating the abdomen, the nurse notices that the patient has tense muscles in the left upper quadrant. What is the most likely cause? A\) Normal muscle tone B\) Recent abdominal surgery C\) Inflammation or infection in the spleen D\) Gas accumulation Answer: C) Inflammation or infection in the spleen 35\. A patient presents with severe lower abdominal pain and nausea. The nurse performs a physical exam and finds tenderness upon palpation of the lower left quadrant. What could this be indicative of? A\) Appendicitis B\) Ectopic pregnancy C\) Diverticulitis D\) Gastroenteritis Answer: C) Diverticulitis 36\. A patient with a history of alcoholism presents with jaundice and abdominal swelling. During the examination, the nurse palpates a firm mass in the upper right quadrant. What is the most likely cause? A\) Hepatitis B\) Cirrhosis C\) Liver tumor D\) Pancreatitis Answer: B) Cirrhosis 37\. During an abdominal exam, the nurse observes the patient has a tender, soft mass in the right upper quadrant. The patient states it has been gradually increasing in size. What should the nurse suspect? A\) Abdominal hernia B\) Liver abscess C\) Ovarian cyst D\) Gallbladder stone Answer: B) Liver abscess 38\. The nurse performs a fluid wave test on a patient with suspected ascites. The test reveals a distinct tap on the left hand. What does this confirm? A\) Normal abdominal findings B\) Liver enlargement C\) Fluid accumulation in the abdomen D\) A hernia Answer: C) Fluid accumulation in the abdomen 39\. A patient is undergoing an abdominal examination. The nurse notices that the patient is breathing deeply and slightly guarding the left lower quadrant. What should the nurse do next? A\) Proceed with deep palpation to assess the pain further B\) Document the finding and ask the patient to relax before proceeding C\) Perform percussion to check for fluid D\) Skip this area and continue with other quadrants Answer: B) Document the finding and ask the patient to relax before proceeding 40\. During a routine abdominal exam, the nurse notes a dull percussion sound in the left lower quadrant. What might this finding indicate? A\) Full stomach B\) Enlarged spleen C\) Gas accumulation D\) Fluid retention Answer: B) Enlarged spleen 41\. A nurse is assessing a patient who is complaining of feeling full after eating only small amounts of food. Upon palpation of the abdomen, the nurse detects tenderness in the upper left quadrant. What should the nurse suspect? A\) Gastritis B\) Pancreatitis C\) Ovarian cyst D\) Spleen enlargement Answer: B) Pancreatitis 42\. During an abdominal assessment, the nurse notes a patient has visible peristalsis. What might this indicate? A\) Normal gastrointestinal activity B\) Gastrointestinal obstruction C\) Acute hepatitis D\) Splenic enlargement Answer: B) Gastrointestinal obstruction 43\. A patient is diagnosed with appendicitis. During the physical examination, the nurse observes rebound tenderness in the right lower quadrant. What does this sign indicate? A\) Peritoneal irritation B\) Liver enlargement C\) Bowel obstruction D\) Abdominal hernia Answer: A) Peritoneal irritation 44\. The nurse is assessing a patient for ascites. After performing the shifting dullness test, the nurse finds that the dullness shifts when the patient changes position. What does this indicate? A\) Fluid accumulation in the abdomen B\) Bowel obstruction C\) Abnormal liver function D\) Gallbladder disease Answer: A) Fluid accumulation in the abdomen 45\. A patient complains of nausea and pain in the right upper quadrant after consuming fatty foods. What condition might this suggest? A\) Gastric ulcer B\) Gallstones C\) Hepatitis D\) Pancreatitis Answer: B) Gallstones 46\. A nurse observes that a patient\'s abdomen is bulging in the lower right quadrant. The nurse asks the patient to cough, and the bulge increases. What should the nurse suspect? A\) Appendicitis B\) Abdominal hernia C\) Peritonitis D\) Diverticulitis Answer: B) Abdominal hernia 47\. A nurse is auscultating a patient\'s abdomen and hears a whooshing sound in the upper abdomen. What should the nurse suspect? A\) Normal bowel sounds B\) Aortic bruit C\) Spleen enlargement D\) Abnormal peristalsis Answer: B) Aortic bruit 48\. During an abdominal exam, a patient complains of sharp pain when the nurse palpates the lower left quadrant. What is the most likely diagnosis? A\) Appendicitis B\) Diverticulitis C\) Hepatitis D\) Bowel obstruction Answer: B) Diverticulitis 49\. A nurse observes that the patient has a distended abdomen, but upon percussion, the sound is dull in the lower quadrants. What does this suggest? A\) Liver enlargement B\) Fluid accumulation C\) Abdominal masses D\) Gas accumulation Answer: B) Fluid accumulation 50\. A nurse notes that a patient with suspected kidney issues is experiencing pain when pressure is applied to the costovertebral angle. What does this indicate? A\) Liver disease B\) Kidney infection or inflammation C\) Pancreatitis D\) Gastrointestinal bleeding Answer: B) Kidney infection or inflammation 51\. During an abdominal exam, the nurse finds a soft, non-tender mass in the upper right quadrant. What might this indicate? A\) Cancerous tumor B\) Enlarged gallbladder C\) Non-cancerous liver mass D\) Bowel obstruction Answer: C) Non-cancerous liver mass 52\. A patient reports feeling bloated and has difficulty passing gas. The nurse auscultates the abdomen and hears high-pitched bowel sounds. What might this suggest? A\) Normal bowel function B\) Small bowel obstruction C\) Gastroenteritis D\) Gallbladder disease Answer: B) Small bowel obstruction 53\. A patient with a history of gallstones reports feeling fullness and pain after meals. Upon palpation, the nurse detects tenderness in the right upper quadrant. What should the nurse suspect? A\) Cholecystitis B\) Hepatitis C\) Pancreatitis D\) Duodenal ulcer Answer: A) Cholecystitis 54\. A nurse performs a percussion test on a patient and detects a dull sound in the right upper quadrant. What does this finding suggest? A\) Normal liver size B\) Liver enlargement C\) Abdominal masses D\) Fluid accumulation Answer: B) Liver enlargement 55\. A patient with suspected liver disease is asked to take a deep breath while the nurse palpates the abdomen. The nurse feels the edge of the liver bump the fingertips. What does this finding suggest? A\) Healthy liver B\) Enlarged liver C\) Liver abscess D\) Gallbladder disease Answer: B) Enlarged liver 56\. During the abdominal exam, the nurse hears bowel sounds that are absent in the lower left quadrant. What does this suggest? A\) Normal variation B\) Peritonitis or paralytic ileus C\) Gastroenteritis D\) Bowel obstruction Answer: B) Peritonitis or paralytic ileus 57\. A patient complains of discomfort in the lower right quadrant. The nurse assesses the area with light palpation. The patient feels sharp pain when the nurse releases the pressure. What does this suggest? A\) Appendicitis B\) Diverticulitis C\) Gastric ulcer D\) Colitis Answer: A) Appendicitis 58\. A patient presents with severe abdominal pain and distention. Upon auscultation, the nurse hears no bowel sounds. What does this suggest? A\) Gastroenteritis B\) Normal abdominal findings C\) Bowel obstruction D\) Ascites Answer: C) Bowel obstruction 59\. During a physical examination, the nurse observes that the patient has an abnormal bulge in the abdomen when coughing. What should the nurse do next? A\) Assess the abdomen further for signs of inflammation B\) Ask the patient to perform a Valsalva maneuver to confirm the bulge C\) Perform deep palpation to assess tenderness D\) Document the finding and proceed with other assessments Answer: B) Ask the patient to perform a Valsalva maneuver to confirm the bulge 60\. A patient with a history of gastrointestinal issues is complaining of a bloated sensation and pain after eating. Upon inspection, the nurse observes abdominal distention. What should the nurse assess next? A\) Auscultate for bowel sounds B\) Perform a fluid wave test C\) Perform deep palpation for masses D\) Assess for rebound tenderness Answer: A) Auscultate for bowel sounds 61\. A patient is undergoing an abdominal exam and the nurse notices that the patient has a small, painless mass in the left lower quadrant. What should the nurse do next? A\) Palpate the mass to assess its size and consistency B\) Document the finding and refer the patient for further evaluation C\) Immediately perform an ultrasound D\) Ask the patient to cough to check for a hernia Answer: B) Document the finding and refer the patient for further evaluation 62\. The nurse auscultates a patient's abdomen and hears faint bowel sounds. The nurse should suspect: A\) Gastroenteritis B\) Normal bowel function C\) Hypoactive bowel sounds due to peritonitis D\) Hyperactive bowel sounds due to diarrhea Answer: C) Hypoactive bowel sounds due to peritonitis 63\. During an abdominal exam, the nurse palpates the right lower quadrant and the patient reports pain. What condition is most likely? A\) Hepatitis B\) Appendicitis C\) Diverticulitis D\) Pancreatitis Answer: B) Appendicitis 64\. A nurse notices that a patient has severe tenderness when palpating the right upper quadrant and the patient reports pain after eating fatty foods. What condition should the nurse suspect? A\) Gastritis B\) Cholecystitis C\) Pancreatitis D\) Peptic ulcer disease Answer: B) Cholecystitis 65\. A patient with abdominal pain and a distended abdomen reports nausea and vomiting. Upon percussion, the nurse notes tympany. What does this suggest? A\) Bowel obstruction B\) Liver failure C\) Gastroenteritis D\) Hepatitis Answer: A) Bowel obstruction 66\. A nurse suspects the patient has ascites. Which of the following tests should the nurse perform to assess for fluid accumulation in the abdomen? A\) Shifting dullness test B\) Rebound tenderness C\) Fluid wave test D\) Percussion for tympany Answer: C) Fluid wave test 67\. A nurse performs a percussion test and detects a dull sound in the right upper quadrant. What does this finding most likely indicate? A\) Bowel obstruction B\) Enlarged liver C\) Fluid accumulation D\) Spleen enlargement Answer: B) Enlarged liver 68\. During an abdominal exam, the nurse observes visible peristalsis in the patient's abdomen. What does this likely indicate? A\) Normal bowel movement B\) Abdominal distention C\) Gastrointestinal obstruction D\) Gastroenteritis Answer: C) Gastrointestinal obstruction 69\. A patient with a history of gastrointestinal problems reports pain after eating fatty foods. Upon palpation, the nurse detects tenderness in the upper right quadrant. What should the nurse suspect? A\) Gallbladder disease B\) Pancreatitis C\) Peptic ulcer D\) Gastritis Answer: A) Gallbladder disease 70\. A patient reports feeling bloated and experiencing difficulty passing gas. Upon inspection, the nurse notices a rounded abdomen. What should the nurse do next? A\) Palpate the abdomen for tenderness B\) Perform auscultation to assess bowel sounds C\) Order an X-ray for possible obstruction D\) Encourage the patient to drink fluids Answer: B) Perform auscultation to assess bowel sounds 71\. During an abdominal exam, the nurse notices a patient with a prominent, bulging mass in the left lower quadrant. The nurse should suspect: A\) Diverticulitis B\) Hernia C\) Ovarian cyst D\) Bowel obstruction Answer: B) Hernia 72\. A nurse performing a physical exam on a patient with suspected ascites notices fluid accumulation in the abdomen. What should the nurse assess for next? A\) Bowel sounds B\) Rebound tenderness C\) Shifting dullness D\) Tenderness in the lower right quadrant Answer: C) Shifting dullness 73\. A nurse is examining a patient with suspected peritonitis. Upon palpation, the nurse observes that the abdomen is rigid. What does this finding suggest? A\) Abdominal hernia B\) Abdominal distention C\) Acute inflammation of the peritoneum D\) Gastrointestinal obstruction Answer: C) Acute inflammation of the peritoneum 74\. A patient with a history of gastric ulcers reports severe abdominal pain. Upon palpation, the nurse notes tenderness in the epigastric region. What does this likely indicate? A\) Peptic ulcer disease B\) Hepatitis C\) Gallbladder disease D\) Abdominal hernia Answer: A) Peptic ulcer disease 75\. A nurse suspects the patient has a kidney infection. When palpating the costovertebral angle, the patient reports pain. What does this suggest? A\) Pancreatitis B\) Kidney infection or inflammation C\) Diverticulitis D\) Appendicitis Answer: B) Kidney infection or inflammation 76\. A patient is experiencing sharp pain in the lower right quadrant with rebound tenderness. What condition should the nurse suspect? A\) Appendicitis B\) Gallbladder disease C\) Pancreatitis D\) Diverticulitis Answer: A) Appendicitis 77\. A nurse is palpating the abdomen and notices a firm, non-tender mass in the left lower quadrant. What is the most likely cause? A\) Bowel obstruction B\) Ovarian cyst C\) Colon tumor D\) Hernia Answer: B) Ovarian cyst 78\. A nurse suspects a patient may have an abdominal hernia. What should the nurse ask the patient to do to confirm this? A\) Take a deep breath B\) Cough while the nurse palpates the abdomen C\) Perform a Valsalva maneuver D\) Lie down and bend the knees Answer: B) Cough while the nurse palpates the abdomen 79\. During an abdominal examination, the nurse asks the patient to take a deep breath. The nurse feels the edge of the liver bumping the fingertips. What does this suggest? A\) Healthy liver B\) Liver enlargement C\) Gallbladder disease D\) Bowel obstruction Answer: B) Liver enlargement 80\. A patient with a history of pancreatitis is experiencing upper abdominal pain. The nurse performs a physical exam and detects tenderness in the epigastric region. What should the nurse do next? A\) Proceed with deep palpation B\) Document the finding and notify the physician C\) Ask the patient to drink water D\) Apply heat to the area Answer: B) Document the finding and notify the physician 81\. A nurse observes a patient with a visible bulge in the lower right quadrant that increases when the patient coughs. What is the most likely diagnosis? A\) Appendicitis B\) Abdominal hernia C\) Liver enlargement D\) Diverticulitis Answer: B) Abdominal hernia 82\. A patient complains of nausea and pain in the upper abdomen. Upon palpation, the nurse detects tenderness in the right upper quadrant. What should the nurse suspect? A\) Pancreatitis B\) Cholecystitis C\) Peptic ulcer disease D\) Gastroenteritis Answer: B) Cholecystitis 83\. A patient reports feeling fullness after eating only small amounts of food. The nurse detects tenderness in the left upper quadrant upon palpation. What condition is most likely? A\) Hepatitis B\) Gastritis C\) Pancreatitis D\) Spleen enlargement Answer: C) Pancreatitis 84\. During an abdominal exam, the nurse observes a patient's abdomen is distended with high-pitched bowel sounds. What does this suggest? A\) Normal peristalsis B\) Bowel obstruction C\) Gastroenteritis D\) Fluid accumulation Answer: B) Bowel obstruction 85\. A patient is complaining of nausea and abdominal pain. The nurse palpates the abdomen and finds tenderness in the right lower quadrant. What should the nurse suspect? A\) Diverticulitis B\) Appendicitis C\) Peptic ulcer disease D\) Gallbladder disease Answer: B) Appendicitis 86\. A nurse is assessing a patient's abdomen and notices an unusual pulsation in the upper abdomen. What might this indicate? A\) Normal gastrointestinal activity B\) Aortic aneurysm C\) Spleen enlargement D\) Ascites Answer: B) Aortic aneurysm 87\. The nurse is performing a physical exam on a patient with suspected abdominal fluid accumulation. The nurse should check for: A\) Shifting dullness B\) Tenderness in the right lower quadrant C\) Hyperactive bowel sounds D\) Hernia Answer: A) Shifting dullness 88\. During auscultation of the abdomen, the nurse hears normal bowel sounds. How often should these sounds occur in a healthy patient? A\) 1-2 times per minute B\) 5-30 times per minute C\) 30-50 times per minute D\) Continuous sounds Answer: B) 5-30 times per minute 89\. A nurse observes that a patient's abdomen is firm and distended with decreased bowel sounds. What is the most likely diagnosis? A\) Bowel obstruction B\) Diverticulitis C\) Appendicitis D\) Hepatitis Answer: A) Bowel obstruction 90\. The nurse palpates the abdomen and finds a soft mass in the left upper quadrant. The patient reports mild discomfort. What could this mass be? A\) Ovarian cyst B\) Hepatic tumor C\) Bowel obstruction D\) Gallbladder stone Answer: A) Ovarian cyst 91\. A nurse is performing a fluid wave test on a patient suspected of having ascites. The nurse detects a distinct tap on the left hand. What does this indicate? A\) Abnormal liver function B\) Fluid accumulation in the abdomen C\) Gastrointestinal obstruction D\) Hepatitis Answer: B) Fluid accumulation in the abdomen 92\. A nurse is assessing a patient for rebound tenderness. The nurse palpates the right lower quadrant and releases pressure quickly. The patient reports sharp pain. What condition is most likely? A\) Bowel obstruction B\) Peritonitis C\) Appendicitis D\) Cholecystitis Answer: C) Appendicitis 93\. A patient reports pain in the left lower quadrant and tenderness upon palpation. The nurse should suspect: A\) Diverticulitis B\) Hepatitis C\) Pancreatitis D\) Gastroenteritis Answer: A) Diverticulitis 94\. A patient presents with nausea, vomiting, and abdominal pain. Upon auscultation, the nurse hears high-pitched, frequent bowel sounds. What should the nurse suspect? A\) Normal bowel sounds B\) Small bowel obstruction C\) Peritonitis D\) Ascites Answer: B) Small bowel obstruction 95\. During an abdominal exam, the nurse observes a patient with an asymmetrical abdomen. The nurse should: A\) Palpate the abdomen for masses B\) Continue the exam and document the findings C\) Ask the patient to cough and observe the abdomen D\) Immediately order an ultrasound Answer: C) Ask the patient to cough and observe the abdomen 96\. A nurse performing percussion on a patient's abdomen hears dullness in the right lower quadrant. This could indicate: A\) Bowel obstruction B\) Enlarged spleen C\) Gallbladder disease D\) Fluid accumulation Answer: B) Enlarged spleen 97\. The nurse detects a palpable, tender mass in the right upper quadrant. The patient reports it is painful after meals. What could this be? A\) Liver mass B\) Gallbladder inflammation C\) Pancreatitis D\) Kidney infection Answer: B) Gallbladder inflammation 98\. A nurse is assessing a patient with a history of gastrointestinal disorders. The nurse should perform: A\) Light palpation and percussion B\) Deep palpation and auscultation C\) Only auscultation for bowel sounds D\) Percussion for the liver span Answer: A) Light palpation and percussion 99\. A patient with abdominal distention and absent bowel sounds may have: A\) A normal finding B\) Peritonitis C\) Bowel obstruction D\) Diverticulitis Answer: B) Peritonitis 100\. A nurse palpates the abdomen and notes the patient has involuntary muscle guarding. What does this suggest? A\) Liver disease B\) Peritoneal irritation or inflammation C\) Abdominal hernia D\) Normal response to palpation Answer: B) Peritoneal irritation or inflammation