2024 PN NCLEX Questions Nursing Practice Question
A nurse preparing to assist with data collection of the abdomen asks the client to void and then assists the client into a supine position. Which primary finding does the nurse expect to note on percussing all four quadrants of the abdominal cavity?
Correct Answer: B
Rationale: When percussing the abdomen, tympany is the expected sound due to the presence of gas in the gastrointestinal tract, which is typically found in all four quadrants.
A: Dullness may indicate the presence of fluid or solid masses, which is less common in a healthy abdomen.
C: Borborygmus refers to the sound of bowel activity, not a percussion finding.
D: Hyperresonance is often associated with conditions like pneumothorax or excessive air in the abdomen, which is not a typical finding in a normal assessment.
Thus, tympany is the primary finding anticipated during a routine abdominal examination.