Complete the following sentence using the list of options.
Palpation is the assessment technique using the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient.

Palpation is a critical skill for nurses to master for comprehensive patient assessment.

Palpation helps in identifying abnormalities that may not be visible to the naked eye.

This technique involves careful and systematic touching of the body.

Proper palpation technique ensures accurate and thorough physical examinations.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While palpation is a critical skill, this statement does not directly complete the given sentence which defines palpation as a technique. The existing sentence establishes the "what" of palpation, and the completion should elaborate on "how" it's performed or its direct characteristics.

Choice B rationale

Palpation certainly helps identify abnormalities, but this statement describes a benefit or outcome of the technique, not the core method itself as described in the initial sentence. The sentence sets up the physical action, not its diagnostic utility.

Choice C rationale

This choice logically completes the sentence by explaining the *methodology* of palpation, directly following the description of the senses involved and what is being assessed. It specifies that the technique involves "careful and systematic touching of the body," which directly relates to the physical act of assessment.

Choice D rationale

Proper palpation technique ensures accurate examinations, but this statement focuses on the *quality* of the technique rather than describing the technique itself. The initial sentence defines the technique; the completion should expand on its execution, not its outcome. .

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Correct Answer is B

Explanation

Choice A rationale

Cranial nerve I (olfactory) is responsible for smell, and cranial nerve II (optic) is responsible for vision. Cranial nerve V (trigeminal) is involved in facial sensation and mastication. These nerves are not primarily involved in controlling the extrinsic eye muscles responsible for eye movement.

Choice B rationale

Cranial nerve III (oculomotor) innervates the superior, inferior, and medial recti, and the inferior oblique muscles, and controls eyelid elevation. Cranial nerve IV (trochlear) innervates the superior oblique muscle. Cranial nerve VI (abducens) innervates the lateral rectus muscle. Together, these three cranial nerves precisely coordinate all six extraocular muscles for conjugate gaze.

Choice C rationale

While cranial nerve III (oculomotor) is correctly identified, cranial nerve V (trigeminal) and cranial nerve XI (accessory) are not primarily involved in eye movement. Cranial nerve V is involved in facial sensation and mastication, and cranial nerve XI innervates the sternocleidomastoid and trapezius muscles for head and shoulder movement.

Choice D rationale

Cranial nerve II (optic) is responsible for vision, transmitting visual information from the retina to the brain. Cranial nerve V (trigeminal) is involved in facial sensation and chewing. Cranial nerve VI (abducens) is correctly identified as innervating the lateral rectus, but the other two nerves listed do not control the majority of eye movements.

A. The head-to-toe format excludes unnecessary body systems. B. It is a systematic way to include all body systems. C. It requires that painful procedures be done first. D. It reduces time by allowing examination of only one side.

Correct Answer is B

Explanation

Choice A rationale

The head-to-toe format does not exclude unnecessary body systems; rather, it aims to systematically include all major body systems to ensure a comprehensive assessment. Excluding systems could lead to missed findings and an incomplete understanding of the patient's health status. A thorough examination requires a complete survey, even if initial symptoms point to a specific area, to identify any related or unrelated issues.

Choice B rationale

A head-to-toe approach provides a structured and systematic method for examining all body systems. This ensures that no area is overlooked, promoting a comprehensive data collection process. It allows for a logical flow, minimizing omissions and facilitating the identification of interconnections between different bodily functions. This organization enhances efficiency and thoroughness in clinical assessment.

Choice C rationale

The head-to-toe approach does not mandate that painful procedures be done first. In fact, best practice dictates that painful or uncomfortable assessments should generally be deferred until the end of the examination to maintain patient cooperation and trust. Starting with non-painful assessments allows the patient to acclimate and reduces anxiety, improving the overall quality of the examination.

Choice D rationale

A head-to-toe assessment does not reduce time by examining only one side of the body. A comprehensive physical examination requires bilateral assessment of most structures and systems to identify asymmetries or unilateral abnormalities. Limiting the examination to one side would provide an incomplete and potentially misleading clinical picture. Full evaluation ensures all relevant data are collected.

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Complete the following sentence using the list of options. Palpation is the assessment technique using the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient.

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Naxlex Comprehensive Predictor Exams

The six (6) eye muscles that control eye movement are innervated by cranial nerves:

Correct Answer is B

Explanation

Why does the nurse utilize a head-to-toe approach when performing physical examinations of patients?

Correct Answer is B

Explanation

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Complete the following sentence using the list of options.
Palpation is the assessment technique using the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient.