Clinical Lab #9 ATI

During a visit for school physical, the 13 year old girl being examined questions the asymmetry of her breasts. What is the nurse's best response?

"one breast normally may grow faster than other during development"

The absence of bowel sounds is established after listening for:

5 minutes

The abdomen normally moves with breathing until the age of ____ years

7

A nurse is admitting a client who has bacterial meningitis. The nurse notes during the physical examination that the client cannot extend his leg when his hip is flexed so that his thigh rests on his abdomen. The nurse should document this as which of the following?

Kernig's sign

A normal common breast variation is

a supernumerary nipple

Auscultation of the abdomen may reveal bruits of the _____ arteries

aortic, renal, iliac, and femoral

A nurse is admitting an adolescent following a blunt trauma to the adolescent's abdomen. Which of the following findings should concern the nurse?

blood pressure 92/50 mm Hg

Auscultating the abdomen is begun in the RLQ because:

bowel sounds are always normally present here

A nurse in the emergency department is assessing a client who has multiple injuries of the abdomen. which of the following findings require further investigation by the nurse?

ecchymosis

Hyper active bowel sounds are

high pitched, rushing, tinkling

A nurse is assessing a client's abdomen who reports "stomach pain". which of the following actions should the nurse do first?

inspect

Select the sequence of techniques used during an examination of the abdomen.

inspection, auscultation, percussion, palpation

Any lump found in breast tissue should be referred for further evaluation. A benign lesion will usually have 3 of the following characteristics. Which one is characteristic of a malignant lesion?

irregular shape

The organ in the right upper quadrant of the abdomen is the:

liver

Right upper quadrant tenderness may indicate pathology in the:

liver, pancreas, or ascending colon

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen where should the nurse anticipate abdominal pain?

lower left quadrant

When teaching the breast self examination you would inform the woman that the best time to conduct breast self examination is:

on the 4th to 7th day of the cycle

Methods to enhance abdominal wall relaxation during examination include:

positioning the patient with the knees bent

Breast development in an adolescent girl usually:

precedes menstruation by about 2 years

A nurse is assessing a client's bowel sounds. The nurse understands that the bowel sounds should be auscultated

prior to percussing or palpating the abdomen

A female patient has striae on the abdomen. Which color indicates long-standing striae?

silvery white

You are going to inspect female patient's breasts for retraction. The best position for this part of the exam is:

sitting with hand pushing on hips

The left upper quadrant (LUQ) contains the:

spleen

The most common site of cancerous breast tumors is in the

upper outer quadrant

Which of the following can be noted through inspection of a patient's abdomen?

venous pattern, peristaltic waves, and abdominal contour