The most frequently used skill in the physical nursing assessment is:

auscultation

percussion

inspection

Palpation

Answer and Explanation

The Correct Answer is C

A. Auscultation. – Auscultation (listening to body sounds) is important, but it is not the most frequently used skill in an overall assessment.

B. Percussion. – Percussion (tapping on body surfaces to assess underlying structures) is used selectively, not as frequently as inspection.

C. Inspection. – Inspection (visual examination) is the most frequently used assessment technique. Nurses use it to observe skin color, posture, wounds, and general appearance before using other techniques.

D. Palpation. – Palpation (feeling with hands) is essential but follows inspection in the assessment process.

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Correct Answer is C

Explanation

A. Opening of the AV valves – The AV (atrioventricular) valves open silently during diastole; they do not create the "lub" sound.

B. Closing of the semilunar valves – The closing of the semilunar valves (aortic and pulmonary) produces the "dupp" sound, not the "lub."

C. Closing of the AV valves – The first heart sound (S1), or "lub," occurs when the mitral and tricuspid (AV) valves close at the beginning of systole.

D. Opening of the semilunar valves – The semilunar valves open silently during ventricular contraction; they do not produce the "lub" sound.

A. edema B. exudate C. purulent D. Drainage

Correct Answer is D

Explanation

A. Edema – Edema is the accumulation of fluid in tissues, not the flow or withdrawal of fluids.

B. Exudate –Exudate is a fluid that escapes from blood vessels due to inflammation or injury, but it does not specifically refer to the free flow of fluid.

C. Purulent – Purulent refers to thick, pus-containing fluid, which indicates infection but does not describe fluid drainage in general.

D. Drainage – Drainage refers to the free flow or withdrawal of fluids from a wound, cavity, or tube, including blood, pus, or serous fluid.

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The most frequently used skill in the physical nursing assessment is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Correct Answer is C

Explanation

Free flow or withdrawal of fluids from a wound or a cavity is termed:

Correct Answer is D

Explanation

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

An abnormally rapid heart rate above 100 beats per minute is called:

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

The main reason that auscultation precedes palpation of the abdomen is to:

When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

A nurse is collecting data from a 70-year-old man who has coronary artery disease (CAD) and hypertension (HTN) Which of the following findings will the nurse report as "signs?" (select all that apply)

Adventitious breath sounds that have a whistling or sighing sound due to narrowing of the lumen of a respiratory passage are termed: