Health Promotion and Maintenance NCLEX Questions - Nurselytic

Questions 85

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Health Promotion and Maintenance NCLEX Questions Questions

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Question 1 of 5

A nurse suspects that a client has a distended bladder. On percussing the client's bladder, which finding does the nurse expect to note if the bladder is full?

Correct Answer: A

Rationale: When percussing a full bladder, the nurse expects to note dull sounds over the symphysis pubis. This is because a full bladder produces a flat or dull sound. Hyperresonance sounds are present with gaseous distention of the abdomen, not a full bladder. Bowel sounds are auscultated, not percussed, so hypoactive bowel sounds or an absence of bowel sounds are unrelated findings when assessing bladder distention.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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