ATI Test: Abdomen

A nurse is preparing to inspect a male client's abdomen. Which of the following findings should the nurse identify as an unexpected finding?

Rash (The nurse should identify that a rash is an unexpected finding when inspecting a client's abdomen, which can be an indication of an allergic reaction or a manifestation of a condition the client may have) Eversion of the umbilicus (The nurse should identify that eversion of the umbilicus is an unexpected finding when inspecting a client's abdomen, which can indicate conditions such as an abdominal mass or obesity.) Purple striae (The nurse should identify that purple striae is an unexpected finding when inspecting a client's abdomen, which can be an indication of weight gain or loss, abdominal distention, or a manifestation of Cushing syndrome.)

A nurse is preparing to auscultate a client's abdomen for the presence of bowel sounds. Which quadrants should the nurse listen to first?

Right lower quadrant

A nurse is preparing to inspect a client's abdomen. Which of the following variations should the nurse expect to find? (Select all that apply.)

Silver striae (The nurse should identify that silver striae is an expected finding when inspecting a client's abdomen, which can be an indication of a previous pregnancy.) Healed scars (The nurse should identify the healed scars are an expected finding when inspecting a client's ab Mole (The nurse should identify that a mole (nevi) is an expected finding when inspecting a client's abdomen.)

which equipment should the nurse use?

Stethoscope (The nurse should use a stethoscope to auscultate the client's abdominal area to listen for bowel and vascular sounds.) Watch ( The nurse should use a watch or clock to time the intervals of bowel sounds detected.) Tape measure ( The nurse should use a tape measure the client's abdominal circumference if their abdomen is distended.)

A nurse is preparing to inspect the umbilicus of a client's abdomen. Which of the following findings should the nurse identify as an unexpected finding?

Swelling (The nurse should identify that swelling of thee umbilicus can be an indication of a hernia, which is a protrusion of the abdominal viscera through an abnormal opening in the client's muscle wall.

A nurse is providing teaching to a client about health promotion to prevent constipation. Which of the following instructions should the nurse include?

"Consume foods that are high in whole grains." (The nurse should instruct the client to consume foods that are high in whole grains, such as high-fiber cereals and legumes.)

A nurse is preparing to obtain information regarding a client's abdominal health history. Which of the following questions should the nurse ask?

- Do you take any medication? - Have you noticed a change in your appetite? - When was your last bowel movement ? - Are you experiencing abdominal pain?

A nurse is preparing to perform light palpation of a client's abdomen. In what order should the nurse perform the following steps?

1. Place the clients arms at their sides. (If the client's arms are above their head, it may cause tightness of the abdominal muscles.) 2. Use the finger pads of one hand to palpate. (The pads of all 4 fingers on one had should be used for light palpation.) 3. Depress the clients abdomen using a dipping motion. (The nurse should depress the abdomen 1 cm (0.4 in) in a dipping motion while performing light palpation.) 4. Move fingers across the clients abdomen moving clockwise. (The nurse should move clockwise while assessing the abdomen.) 5. Palpate painful areas. (This prevents pain and muscle rigidity during the entire examination.)

A nurse is auscultating a client's abdomen for the presence of bowel sounds. Which of the following findings should the nurse expect for hypoactive bowel sounds?

Bowel sounds heard after 2mins. (The nurse should identify that hypoactive bowel sounds are auscultated after 1 min and up to 5 min for presence of bowel sounds. This can be related to decreased peristalsis due to constipation, adverse effects of medication, anesthesia, or an intestinal obstruction.)

A nurse is preparing to inspect a client's abdomen who has liver disease. Which of the following manifestations should the nurse expect?

Dilated veins (The nurse should identify that dilated veins and spider angiomas on the client's abdomen are manifestations of liver disease.)

A nurse is providing teaching to a client about screening prevention for colorectal cancer. Which of the following tests should the nurse include?

Fecal occult test (screens for blood in the stool, which can detect ulceration in the colon.) Flex sigmoidoscopy (is performed to visualize the rectum and descending colon.) Colonoscopy (is performed to visualize the rectum and large intestines.) Barium enema with contrast (is performed to visualize the large intestines using x-ray and contrast dye.)

The nurse is providing dietary teaching to a client about the purpose of incorporating fiber in their diet. Which of the following information should the nurse include?

Fiber allows large stool to soften and pass easier. (Fiber absorbs water in the intestinal tract, which allows larger stool to soften and pass more easily.)

A nurse is preparing to auscultate a client's abdomen. Which of the following should the nurse expect if the client is experiencing borborygmus?

Hyperactive bowel sounds (The nurse should identify that borborygmi bowel sounds are hyperactive bowel sounds that are auscultated about every 3s due to increased peristalsis of the bowels, as with diarrhea. Borborygmi bowel sounds are louder and have a rushing, rumbling, or tinkling sound.)

A nurse is preparing to asses a client's abdomen. upon palpation which of the following findings should the nurse report to the provider?

Involuntary rigidity (Involuntary rigidity might be present when the client's abdomen feels board-like, hardness, or pain along with with muscle rigidity. This could be an indication that the client has an abdominal mass or an acute inflammation of the peritoneum, and should be reported to the provider.)

A nurse is preparing to palpate a client's abdomen. Which of the following findings should the nurse expect?

Nontender (The nurse should expect the client's abdomen to be nontender, and muscles relaxed upon palpation.)

A nurse is teaching a client about the purpose of probiotics and incorporation them into their diet. Which of the following information should the nurse include?

Probiotics promote the growth of good bacteria in the clients intestinal tract. (The nurse should include the probiotics promote the growth of good bacteria in the intestinal tract to balance with the bad bacteria. This can relieve intestinal discomfort, such as diarrhea or constipation.)