2024 PN NCLEX Questions Nursing Practice Question
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, dull sounds are expected due to the fluid-filled nature of the bladder, which dampens sound waves.
Option B, hyperresonance sounds, typically indicate the presence of excess air, not fluid, and would not be associated with a distended bladder.
Options C and D, which refer to bowel sounds, are unrelated to bladder percussion. Hypoactive bowel sounds (C) and an absence of bowel sounds (D) pertain to gastrointestinal function, not bladder assessment. Thus, only dull sounds accurately reflect a full bladder condition.