The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order?
Inspection, percussion, palpation, auscultation
Inspection, palpation, percussion, auscultation
Palpation, percussion, inspection, auscultation
Inspection, auscultation, palpation, percussion
The Correct Answer is B
A. Inspection, percussion, palpation, auscultation: This sequence starts with visual inspection, followed by percussion (tapping the body to assess underlying structures), palpation (using the hands to feel for abnormalities), and finally auscultation (listening with a stethoscope to assess sounds such as heart, lung, or bowel sounds). However, palpation is usually performed before percussion.
B. Inspection, palpation, percussion, auscultation: This is the correct sequence for performing a physical examination. It begins with visual inspection, followed by palpation to assess for
tenderness, masses, or other abnormalities, then percussion to evaluate the density of underlying structures, and finally auscultation to listen to internal sounds.
C. Palpation, percussion, inspection, auscultation: This sequence starts with palpation, followed by percussion, then inspection, and finally auscultation. However, inspection is typically performed before palpation in a physical examination.
D. Inspection, auscultation, palpation, percussion: This sequence starts with visual inspection, followed by auscultation, palpation, and percussion. While auscultation often follows inspection, palpation is usually performed before auscultation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Areola and papilla separate from the contour of the breast: This is a normal finding in breast development and indicates Tanner stage 4 or higher, which is typical for adolescent girls. It does not necessarily indicate a developmental delay.
B. Absence of first menstrual perioD. Menarche, the first menstrual period, typically occurs between the ages of 9 and 15 in girls. Absence of menarche by the age of 15 or within 3 years after the onset of breast development (thelarche) may indicate a developmental delay or underlying medical condition that should be evaluated by a healthcare provider.
C. Developed breast tissuE. Breast development, indicated by palpable breast tissue, is a normal part of female puberty and typically occurs before menarche. Developed breast tissue alone does not necessarily indicate a developmental delay.
D. Mature distribution and coarseness of pubic hair: Pubic hair development is also a part of female puberty and occurs before or around the time of menarche. While the distribution and coarseness of pubic hair can provide information about pubertal development, the absence of menarche is a more reliable indicator of a potential developmental delay.
Correct Answer is B
Explanation
A. "His average daily intake should be about 3,000 calories.": This statement is incorrect because the average daily calorie intake for a toddler is much lower, typically ranging from 1,000 to 1,400 calories, depending on factors such as age, weight, and activity level.
B. "The quality of food I provide him is more important than the quantity.": This statement reflects an understanding of the importance of nutrient-dense foods in a toddler's diet rather than focusing solely on the quantity of calories consumed.
C. "Because he is such a picky eater, I will give him one of my vitamins each day.": While offering a vitamin supplement may seem like a solution to address nutritional gaps, it's important for toddlers to receive essential nutrients from a variety of foods rather than relying solely on supplements.
D. "I should expect him to have an increased appetite.": While toddlers may experience fluctuations in appetite, expecting a consistently increased appetite may not be accurate or indicative of healthy eating habits.
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