Health Assessment 8TH Edition by Janet R. Weber Chapters 23 Assessing Abdomen, Chapter 24 Assing Musculoskeletal System, Chapter 06; Neurological 25 Mental Stat

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Sample questions from Health Assessment 8TH Edition by Janet R. Weber Chapters 23 Assessing Abdomen, Chapter 24 Assing Musculoskeletal System, Chapter 06; Neurological 25 Mental Stat

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.Which sequence is correct for a routine abdominal examination?

   • A.Inspection, auscultation, percussion, palpation
   • B.Inspection, percussion, palpation, auscultation
   • C.Palpation, percussion, auscultation, inspection
   • D.Auscultation, inspection, palpation, percussion

   Rationale: Inspection is followed by auscultation, then percussion and palpation. Manipulation of the abdomen can alter bowel sounds, so listening comes before percussion and palpation. The other sequences place auscultation too late or reverse the proper order.

2. 2.Refer to the client's chart. Which findings require follow-up during this abdominal assessment? Select all that apply.

   • A.Progressive abdominal distention documented between 0800 and 1000
   • B.A soft, nontender abdomen at 0800
   • C.No bowel sounds after auscultation for only 30 seconds
   • D.High-pitched bowel sounds heard at 1000
   • E.A tympanic percussion note over much of the abdomen

   Rationale: Progressive distention and high-pitched sounds are abnormal findings that warrant further assessment. Thirty seconds is insufficient to conclude that bowel sounds are absent; auscultate for an adequate period before documenting absence. A soft, nontender abdomen and tympany over air-filled bowel can be expected findings.

3. 3.Which organ is most directly associated with the right upper abdominal quadrant?

   • A.Urinary bladder
   • B.Sigmoid colon
   • C.Spleen
   • D.Liver

   Rationale: The liver occupies much of the right upper quadrant, along with structures such as the gallbladder. The spleen is generally in the left upper quadrant, the sigmoid colon is in the left lower quadrant, and the bladder is in the lower midline when distended. Quadrant location helps organize assessment findings.

4. 4.Which percussion note is normally expected over most of an abdomen containing air-filled bowel?

   • A.Dullness
   • B.Tympany
   • C.Resonance
   • D.Flatness

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which finding is the most concerning and warrants prompt follow-up?

   • A.Bowel sounds heard in all quadrants
   • B.Mild abdominal tenderness near the incision
   • C.Increasing abdominal distention with involuntary guarding
   • D.A tympanic note over the central abdomen

   Answer and rationale are in the full material.