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During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?

Constipation

Splenomegaly

Distended bladder

Ascites

Answer and Explanation

The Correct Answer is D

A. Constipation: This involves hardened stool in the colon, causing localized distention but no free fluid.

B. Splenomegaly: Enlargement of the spleen causes a palpable mass in the left upper quadrant but no free fluid.

C. Distended bladder: This causes suprapubic distension but does not produce a fluid wave.

D. Ascites: A positive fluid wave test indicates free fluid in the abdominal cavity, a hallmark sign of ascites. The test is performed by tapping one side of the abdomen and observing for a wave-like transmission of fluid to the opposite side.

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Correct Answer is B

Explanation

A. Stops any movement, and appears to listen for the sound: This does not relate to the corneal light reflex test.

B. Consider this a normal finding: Symmetric light reflection at the same clock position in both eyes indicates normal alignment of the eyes.

C. Shows no obvious response to the noise: This response is unrelated to the corneal light reflex test.

D. Shows a startle and acoustic blink reflex: This describes a normal response to a loud noise, not the corneal light reflex test.

A. Blepharitis. B. Dacryocystitis. C. Chalazion D. Hordeolum (Stye)

Correct Answer is D

Explanation

A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.

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During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

Correct Answer is B

Explanation

A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes that this is a:

Correct Answer is D

Explanation

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