Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

murmur or swishing sound that increases with depression of the cuff.

clear tapping that gradually grows louder

louder knocking sound that occurs with each heartbeat.

sudden change or muffling of the sound.

Answer and Explanation

The Correct Answer is D

A.   A murmur or swishing sound does not correspond to the diastolic pressure; it is more indicative of turbulent blood flow.
B.   Clear tapping sounds are heard at systolic pressure but do not indicate diastolic pressure.
C.   Knocking sounds are associated with systolic pressure, not diastolic.
D.   The muffling sound heard after the first Korotkoff sounds indicates the diastolic pressure in children and some adults, which is the correct method for assessing the diastolic reading.

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Correct Answer is A

Explanation

A. The patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B. The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C. Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D. The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

A. After palpating the abdomen B. Prior to percussing the abdomen C. After checking for kidney tenderness D. Prior to inspecting the abdomen

Correct Answer is B

Explanation

A. Palpation may alter bowel sounds, making auscultation after palpation less accurate.
B. Auscultation should be performed before percussion or palpation to prevent interference with the sounds.
C. Checking for kidney tenderness is important but does not affect the timing of auscultating bowel sounds.
D. Inspection should be done before auscultation to assess for any obvious abnormalities before listening for bowel sounds.

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Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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