The nurse completes inspection of the abdomen on an adult client. Which finding is considered normal for this client?

Peristaltic waves.

Heterogeneous color.

Homogeneous color.

Masses.

Answer and Explanation

The Correct Answer is C

A. Peristaltic waves: Visible peristaltic waves in adults may suggest an intestinal obstruction or other abnormal gastrointestinal motility. These waves might be seen in very thin individuals as slight rippling movements or those with serious digestive tract issues and require further diagnostic evaluation. However, prominent waves are not normal.

B. Heterogeneous color: Uneven or blotchy abdominal skin color may indicate bruising, poor circulation, inflammation, or underlying pathology. Such a finding is not typical and should prompt further assessment to rule out localized or systemic conditions.

C. Homogeneous color: A consistent, uniform skin tone across the abdomen is a normal finding and indicates healthy skin perfusion. This suggests that there is no localized inflammation, bruising, or vascular compromise present during inspection.

D. Masses: Palpable or visible abdominal masses are considered abnormal and can be associated with tumors, hernias, or organ enlargement. The discovery of a mass necessitates further diagnostic tests to determine its cause and clinical significance.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Urinary frequency, unsteady gait, dental enamel erosion: These findings may suggest a urinary tract infection, neurological issue, or an eating disorder like bulimia. However, none are directly linked to amenorrhea in the context of a negative pregnancy test and recent missed periods.

B. Breast tenderness, tremors, high blood pressure: These symptoms could suggest hyperthyroidism or hormonal imbalance, but they are less specific to the cause of missed periods in this scenario compared to more directly relevant signs like weight or thyroid size.

C. Vaginal discharge, presence of genital warts, abdominal tenderness: These findings are related to sexually transmitted infections or gynecologic conditions, but the client has not had recent intercourse, and her main concern is amenorrhea, making these findings less relevant.

D. Body weight, hirsutism, thyroid enlargement: These are key assessment points when evaluating causes of amenorrhea. Low or high body weight can disrupt hormonal balance, hirsutism may indicate polycystic ovary syndrome (PCOS), and thyroid enlargement could suggest a thyroid disorder both common causes of menstrual irregularities in young women.

A. He would have difficulty falling to sleep, and sleep very lightly with more frequent arousals. B. He would sleep soundly during the first half of the night, with increased arousals during the second half. C. Increase sleep latency, and reduce total sleep time. D. Decrease the need for rapid eye movement (REM) sleep.

Correct Answer is A

Explanation

A. He would have difficulty falling to sleep, and sleep very lightly with more frequent arousals: Nicotine is a stimulant that can interfere with sleep by increasing heart rate and causing difficulty in falling asleep. Smokers also tend to experience more fragmented sleep, with frequent awakenings and lighter sleep stages due to withdrawal symptoms during the night which include restlessness, irritability, and difficulty relaxing.

B. He would sleep soundly during the first half of the night, with increased arousals during the second half: This is not typically associated with smoking. While nicotine withdrawal can cause sleep disruption, it does not usually result in sound sleep in the first half of the night followed by arousals. Smoking-related sleep disturbances are more generalized throughout the night.

C. Increase sleep latency, and reduce total sleep time: While nicotine can increase sleep latency (the time it takes to fall asleep), smoking is more likely to cause fragmented sleep and increased arousals rather than just reducing total sleep time. The effect on sleep is often more about poor-quality sleep than simply reduced duration.

D. Decrease the need for rapid eye movement (REM) sleep: Nicotine does not decrease the need for REM sleep, but it disrupts the sleep cycle, including REM sleep, by causing lighter sleep and more frequent awakenings. Smokers tend to have a lower proportion of REM sleep due to these disruptions, but not necessarily a decreased need for it.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse completes inspection of the abdomen on an adult client. Which finding is considered normal for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

An adult male client tells the nurse that he smokes approximately one pack of cigarettes daily. How can the nurse expect smoking to affect this client's sleep?

Correct Answer is A

Explanation

When assessing a client's mouth, which finding requires immediate follow-up by the nurse?

To assess for the presence of egophony, which instruction should the nurse give the client who has a lung abscess?

A nurse performs a Tinetti assessment on an older adult client and calculates a balance score of 12 and a gait score of 8. Which do these results indicate?

The nurse examines a client who is concerned about the amount of menstrual flow she is having. Which finding indicates an abnormality related to the client's current menstruation?

After checking a client's pupillary response to light, the practical nurse (PN) tells the registered nurse (RN) that the client's pupils are constricted with minimal response to light. Before verifying the PN's findings, which action should the RN take?

Which assessment finding, obtained during chest auscultation, should the nurse consider a normal finding?

To confirm the presence of a barrel chest documented in the client's medical record, which action should the nurse take?