The nurse is percussing a clients liver and is

7. The nurse is percussing a client's liver and is assessing liver descent. The nurse should
have the client do which of the following?
A) Cough forcefully
B) Hold the breath
C) Breathe in and out deeply
D) Perform the Valsalva maneuver
8. A nurse determines that the liver span of an older adult male client measures 6 cm. The
nurse would interpret this as indicating which of the following?
9. Which of the following should a nurse suspect if dullness is percussed at the last left
interspace at the anterior axillary line on deep inspiration?
10. While assessing a client's abdomen, the nurse observes involuntary reflex guarding on
expiration. The nurse would interpret this as most likely indicating which of the
following?

11. The nurse is preparing to assess the size of the client's aorta. The nurse should palpate at
which location?
A) Midline at the umbilicus
B) Deep epigastrium to the left of midline
C) Slightly above the suprapubic area
D) Between the umbilicus and the symphysis pubis
12. During palpation of the client's abdomen, the nurse feels a prominent, nontender,
pulsating 6-cm mass above the umbilicus. What action should the nurse take?
13. A nurse is preparing to palpate a client's spleen. Which position should the nurse use to
best facilitate palpation?
14. A client's bladder is found to be distended. At which location should the nurse begin
palpating?
15. The nurse is evaluating a new nursing graduate's ability to perform a rebound tenderness
test for suspected appendicitis. The nurse identifies correct technique when the new
graduate is observed pressing deeply at which abdominal location?
A) Right upper quadrant
B) Left upper quadrant
C) Right lower quadrant
D) Left lower quadrant
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