Which statement by the nurse indicates the correct order of steps to take when performing a focused assessment of the respiratory system?

"I would palpate, inspect, percuss, and the auscultate.”

"I would percuss, palpate, auscultate, and then inspect.”

"I would auscultate, inspect, percuss, and then palpate."

"I would inspect, auscultate, palpate, and then percuss."

"I would inspect, palpate, percuss, then auscultate.”

Answer and Explanation

The Correct Answer is E

A. Palpate, inspect, percuss, and then auscultate is not the correct order, as inspection is always performed first.
B. Percuss, palpate, auscultate, and then inspect is incorrect, as inspection should come first.
C. Auscultate, inspect, percuss, and then palpate is also incorrect, as auscultation is typically the last step.
D. Inspect, auscultate, palpate, and then percuss is close but does not follow the standard order.
E. Inspect, palpate, percuss, then auscultate is the correct order for respiratory assessment, allowing for a thorough and systematic approach.

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Correct Answer is ["A","C"]

Explanation

A. Pulmonic valve closure is best heard at the base of the heart, near the second intercostal space at the left sternal border.
B. Tricuspid valve sounds are best heard at the lower left sternal border, near the apex rather than the base of the heart.
C. Aortic valve closure is also best heard at the base of the heart, near the second intercostal space on the right sternal border.
D. Mitral valve sounds are heard best at the apex of the heart, near the fifth intercostal space in the midclavicular line, not the base.

A. Closure of mitral and aortic valves B. Closure of mitral and tricuspid valves C. Closure of pulmonic and tricuspid valves D. Closure of pulmonic and aortic valves E. Closure of aortic and tricuspid valves

Correct Answer is B

Explanation

A. This option incorrectly includes the aortic valve rather than the tricuspid valve in the S1 heart sound.
B. S1 represents the closure of the mitral and tricuspid valves, which occurs at the beginning of ventricular systole and produces the "lub" sound.
C. The pulmonic valve closure is associated with the S2 heart sound, not S1.
D. The closure of the pulmonic and aortic valves occurs in S2, not S1.
E. This combination is incorrect, as S1 is associated with mitral and tricuspid valve closure.

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Which statement by the nurse indicates the correct order of steps to take when performing a focused assessment of the respiratory system?

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Naxlex Comprehensive Predictor Exams

When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

Correct Answer is ["A","C"]

Explanation

The nurse is asked to describe what the heart sound S1 represents. What would be the correct response by the nurse?

Correct Answer is B

Explanation

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