ATI Abdomen Assessment

A nurse is preparing to perform light palpation of a client's abdomen. In which order should the nurse perform the following steps? Use the finger pads of one hand to palpate. Place the client's arms at their sides. Depress the client's abdomen using dipping motion. Move fingers across client's abdomen moving clockwise. Palpate painful areas.

1. Place the client's arms at their sides. 2. Use the finger pads of one hand to palpate. 3. Depress the client's abdomen using dipping motion. 4. Move fingers across client's abdomen moving clockwise. 5. Palpate painful areas.

A nurse is preparing to obtain information regarding a client's abdominal health history. Which of the following questions should the nurse ask? Select all that apply. A. "Are you experiencing abdominal pain?" B. "Do you take any medication?" C. "Have you noticed a change in your appetite?" D. "When was your last bowel movement?" E. "Have you had any changes in your urinary output?"

A. "Are you experiencing abdominal pain?" B. "Do you take any medication?" C. "Have you noticed a change in your appetite?" D. "When was your last bowel movement?"

At what age should a client who is considered to have an average risk for colorectal cancer begin screenings? A. 50 years old B. 30 years old C. 60 years old D. 40 years old

A. 50 years old

Which of the following is an abnormal finding that should be documented and reported to the provider? A. Abdominal distention B. Silver striae C. Abdominal symmetry D. Borborygmus

A. Abdominal distention

Which of the following are functions of the gastrointestinal tract? (Select all that apply.) A. Digestion of food B. Elimination of waste C. Provision of oxygen to the organs D. Circulation of blood E. Production of lymphocytes to fight infection

A. Digestion of food B. Elimination of waste

A nurse is preparing to inspect a client's abdomen who has liver disease. Which of the following manifestations should the nurse expect. A. Dilated veins B. Stretch marks C. Purple striae D. Rash

A. Dilated veins

A nurse is preparing to inspect a male client's abdomen. Which of the following findings should the nurse identify is an unexpected finding? Select all that apply. A. Everted umbilicus B. Purple Striae C. Rash D. Healed Scars E. Mole

A. Everted umbilicus B. Purple Striae C. Rash

A nurse is providing teaching to a client about screening prevention for colorectal cancer. Which of the following tests should the nurse include? Select all that apply A. Fecal occult test B. Flex sigmoidoscopy C. Colonoscopy D. Barium enema with contrast E. Bronchoscopy

A. Fecal occult test B. Flex sigmoidoscopy C. Colonoscopy D. Barium enema with contrast

A nurse is preparing to auscultate a client's abdomen for the presence of bowel sounds. Which of the following quadrants should the nurse listen to first? A. Right lower quadrant B. Left lower quadrant C. Right upper quadrant D. Left upper quadrant

A. 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. A. Silver striae B. Rash C. Taut skin D. Healed scars E. Mole

A. Silver striae D. Healed scars E. Mole

Which of the following assessment findings are unexpected when inspecting abdomen? (Select all that apply.) A. Soft protrusion of the umbilicus B. Silver white striae C. Scaphoid abdomen D. Voluntary guarding E. Prominent veins

A. Soft protrusion of the umbilicus E. Prominent veins

A nurse is preparing to perform an assessment on a client's abdomen. Which of the following piece of equipment should the nurse use? Select all that apply. A. Stethoscope B. Watch C. Tape measure D. Reflex hammer E. Tuning fork

A. Stethoscope B. Watch C. Tape measure

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? A. Swelling B. Mole C. Extraversion D. Scar

A. Swelling

Which of the following assessment findings are expected when palpating the abdomen? A. Voluntary guarding B. Rigidity C. Tenderness D. Superficial masses

A. Voluntary guarding

Which of the following assessment findings are expected when auscultating the abdomen? A. Silent abdomen B. Borborygmi C. Vascular sounds D. Bowel sounds hears every 1 to 3 min

B. Borborygmi

You are teaching a client about recommendations to prevent the occurrence of colorectal cancer. Which of the following should be included in the teaching? (Select all that apply.) A. Consume a diet which is high in fats and simple carbohydrates. B. Engage in moderate exercise for 30 min per day. C. Achieve and maintain a weight within the recommended BMI. D. Limit alcohol intake to 4 to 5 drinks per day. E. Take probiotic daily.

B. Engage in moderate exercise for 30 min per day. C. Achieve and maintain a weight within the recommended BMI.

A 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? A. Fiber can be found in most dairy products. B. Fiber allows larger stool to soften and pass easier. C. Fiber decreases peristalsis to prevent diarrhea. D. Fiber promotes the growth of good bacteria in the intestinal tract.

B. Fiber allows larger stool to soften and pass easier.

A nurse is preparing to assess a client's abdomen. Upon palpation, which of the following findings should the nurse report to the provider? A. Nontender B. Involuntary Rigidity C. Relaxed Muscles D. Adipose Tissue

B. Involuntary Rigidity

Which of the following abdominal organs releases insulin to regulate blood sugar? A. Stomach B. Pancreas C. Gallbladder D. Appendix

B. Pancreas

A nurse is preparing to auscultate a client's abdomen. Which of the following should the nurse expect if the client is experiencing borborygmus? A. Hypoactive bowel sounds B. Absent bowel sounds C. Hyperactive bowel sounds D. Normative bowel sounds

C. Hyperactive bowel sounds

A nurse is teaching a client about the purpose of probiotics and incorporating them in their diet. Which of the following information should the nurse provide? A.Probiotics increase peristalsis to prevent constipation. B. Probiotics allow larger stool to soften to pass. C. Probiotics promote the growth of good bacteria in the client's intestinal tract. D. Probiotics remove fats and waste products from the body.

C. Probiotics promote the growth of good bacteria in the client's intestinal tract.

A nurse is providing teaching to a client about health promotion to prevent constipation. Which of the following instructions should the nurse include? A. "Limit vegetables to 10% of your daily intake." B. "Drink 32 ounces of water per day." C. "Eliminate legumes from your diet." D. "Consume foods that are high in whole grains."

D. "Consume foods that are high in whole grains."

Which of the following would be an appropriate question to collect subjective data about a client's past health history? A. "Do you have any family members with liver disease?" B. "Do you have any painful or tender areas?" C. "Have you noticed changes in your appetite or weight loss or gain?" D. "Have you had any previous abdominal surgeries?"

D. "Have you had any previous abdominal surgeries?"

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. A. Bowel sounds absent after 5 min B. Bowel sounds auscultated every 5 to 30 seconds C. Bowel sounds auscultated every 3 seconds D. Bowel sounds heard after 2 min

D. Bowel sounds heard after 2 min

A nurse is preparing to palpate a client's abdomen. Which of the following findings should the nurse expect? A. Involuntary rigidity B. Voluntary guarding C. Boardlike D. Nontender

D. Nontender

Place the steps of an abdominal assessment in the correct order. A. Auscultate for bowel sounds. B. Visually inspect the abdominal area. C. Palpate the abdominal area. D. Review the client's health history. E. Document findings.

D. Review the client's health history. B. Visually inspect the abdominal area. A. Auscultate for bowel sounds. C. Palpate the abdominal area. E. Document findings.