A group of students is preparing for their clinical experience, during which they are required to demonstrate the techniques for assessing the abdomen. The students demonstrate understanding of the proper sequence when they demonstrate the techniques in which order?

Percuss, inspect, auscultate, palpate

Auscultate, inspect, palpate, percuss

Palpate, percuss, inspect, auscultate

Inspect, auscultate, percuss, palpate

Answer and Explanation

The Correct Answer is D

A. Percuss, inspect, auscultate, palpate: This sequence is incorrect because inspection should be performed first to assess the abdomen visually.

B. Auscultate, inspect, palpate, percuss: This sequence is incorrect because auscultation should follow inspection and before palpation and percussion.

C. Palpate, percuss, inspect, auscultate: This sequence is incorrect as palpation and percussion should not come before inspection.

D. Inspect, auscultate, percuss, palpate: This is the correct sequence. Inspection is first, followed by auscultation to listen to bowel sounds, then percussion to assess for fluid or gas, and finally palpation to check for tenderness or masses.

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Correct Answer is D

Explanation

A. Gallops refer to abnormal heart sounds that occur during the cardiac cycle, not typically associated with sounds over the carotid artery.

B. Murmurs are abnormal heart sounds that occur due to turbulent blood flow in the heart, not typically related to the carotid artery.

C. Normal findings would not usually include high-pitched swooshing sounds over the carotid artery; such sounds are abnormal.

D. Bruits are abnormal sounds caused by turbulent blood flow in the arteries, which can be detected as high-pitched swooshing sounds over the carotid artery, often indicative of stenosis or narrowing of the vessel.

A. Bronchitis B. Heart failure C. Pneumonia D. Tuberculosis

Correct Answer is B

Explanation

A. Bronchitis primarily causes coughing and mucus production, and does not specifically relate to trouble breathing while lying down.

B. Heart failure often leads to orthopnea (difficulty breathing while lying flat) and paroxysmal nocturnal dyspnea (waking up at night with difficulty breathing). These symptoms align with the client's reported issues.

C. Pneumonia usually presents with acute symptoms such as cough, fever, and chest pain, rather than the specific nocturnal breathing difficulty described.

D. Tuberculosis typically involves symptoms like chronic cough, night sweats, and weight loss, rather than difficulty breathing while lying down.

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A group of students is preparing for their clinical experience, during which they are required to demonstrate the techniques for assessing the abdomen. The students demonstrate understanding of the proper sequence when they demonstrate the techniques in which order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse hears high-pitched swooshing sounds over the carotid artery on the right side. What is this sound indicative of?

Correct Answer is D

Explanation

During a health history, a male client tells the nurse that he "can't breathe well" at night when he is lying down and has trouble sleeping because he wakes up with trouble breathing. The nurse would assess this client further for which of the following?

Correct Answer is B

Explanation

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