MULTIPLE CHOICE 1. The nurse is percussing the seventh right intercostal space at the midclavicular line over the liver. Which sound should the nurse expect to hear? a. Dullness b. Tympany c. Resonance d. Hyper-resonance ANS: A The liver is located in the right upper quadrant (RUQ) and would elicit a dull percussion note. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: Safe and Effective Care Environment: Management of Care 2. When percussing the left lower quadrant of the abdomen, the nurse elicits a drumlike sound normal for the: a. Liver b. Pancreas c. Left kidney d. Sigmoid colon ANS: D The sigmoid colon is a hollow organ located in the left lower quadrant of the abdomen. Tympanic (drumlike) sounds are usually heard on percussion of hollow viscera. DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General 3. A patient is having difficulty swallowing medications and food. The nurse would document that this patient has: a. Aphasia b. Dysphasia c. Dysphagia d. Anorexia ANS: C Dysphagia is a condition that occurs with disorders of the throat or esophagus and results in difficulty swallowing. Aphasia and dysphasia are speech disorders. Anorexia is loss of appetite. DIF: Cognitive Level: Applying (Application) MSC: Client Needs: Safe and Effective Care Environment: Management of Care