Complete the following sentence using the list of options.
When performing a physical assessment, the first technique the nurse will always use is?
Inspection.
Auscultation.
Percussion.
Palpation.
The Correct Answer is A
Choice A rationale
Inspection is the systematic observation of the patient using the senses of sight, smell, and hearing. It is always the first technique used in a physical assessment because it provides a foundational understanding of the patient's general appearance, symmetry, posture, skin condition, and any visible abnormalities before physical contact is made.
Choice B rationale
Auscultation involves listening to sounds produced by the body, such as heart sounds, lung sounds, and bowel sounds, using a stethoscope. While crucial for assessing various body systems, it typically follows inspection and palpation to avoid altering natural body sounds.
Choice C rationale
Percussion involves tapping on body surfaces to elicit sounds that indicate the density of underlying tissues and organs. This technique helps in assessing organ size, shape, and consistency, but it is performed after inspection and palpation, as it involves direct contact and manipulation.
Choice D rationale
Palpation involves using the sense of touch to assess characteristics such as texture, temperature, moisture, organ size and location, and tenderness. While a vital component of the physical assessment, it follows inspection to avoid introducing discomfort or altering initial observations.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The posterior tibial pulse is located in the groove between the medial malleolus (inner ankle bone) and the Achilles tendon. Palpating this pulse requires a gentle but firm touch to identify the arterial pulsations. It is a common site for assessing peripheral circulation and is essential for evaluating lower extremity perfusion.
Choice B rationale
The inguinal area is the anatomical region of the groin, where the femoral pulse is located. The femoral pulse is palpable just below the inguinal ligament, midway between the anterior superior iliac spine and the pubic symphysis. This is a central pulse site, distinct from the posterior tibial pulse.
Choice C rationale
The top of the foot is where the dorsalis pedis pulse is located. This pulse is found lateral to the extensor hallucis longus tendon, over the metatarsal bones. It is another important site for assessing lower extremity perfusion but is different from the posterior tibial pulse.
Choice D rationale
Behind the knee is the location for palpating the popliteal pulse. This pulse is more difficult to assess due to its deep location within the popliteal fossa. It requires the patient's knee to be slightly flexed to relax the muscles and facilitate palpation.
Correct Answer is ["4"]
Explanation
Step 1 is: Calculate units per mL. 100 units ÷ 100 mL = 1 unit/mL.
Step 2 is: Calculate units per hour. 1 unit/mL × 4 mL/hr = 4 units/hr. The final calculated answer is 4 units/hr.
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