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

skin assessment

neurological assessment

respiratory assessment

circulatory assessment

Answer and Explanation

The Correct Answer is B

A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.

B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.

C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.

D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.

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Correct Answer is C

Explanation

A. Tachycardia. – Tachycardia refers to a heart rate above 100 beats per minute, not a slow heart rate.

B. Tachypnea. – Tachypnea describes rapid breathing, not a slow heart rate.

C. Bradycardia. – Bradycardia is a heart rate below 60 beats per minute. It may be normal in athletes but can indicate conduction abnormalities or medication effects in other individuals.

D. Apnea. – Apnea is the absence of breathing, not a slow heart rate.

A. past health history B. environmental history C. psychosocial history D. family history

Correct Answer is C

Explanation

A. Past health history. – Past health history focuses on previous medical conditions, surgeries, and treatments, not current lifestyle habits.

B. Environmental history. – Environmental history pertains to exposure to environmental factors such as occupational hazards or pollutants, not lifestyle habits.

C. Psychosocial history. – Psychosocial history includes information about the patient’s lifestyle, habits (e.g., smoking, alcohol use), social relationships, stress levels, and coping mechanisms.

D. Family history. – Family history focuses on genetic and hereditary diseases present in the patient’s family, not personal habits and lifestyle.

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

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Naxlex Comprehensive Predictor Exams

An abnormally slow heart rate, below 60 beats per minute is called:

Correct Answer is C

Explanation

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

Correct Answer is C

Explanation

An abnormal rapid rate of breathing seen in many disease conditions is called:

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

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

The study of all factors involved in the development of the disease or the cause of the disease is termed:

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

Short, discrete, interrupted crackling or bubbling adventitious breath sounds heard most commonly on inspiration is termed:

Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

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