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During which part of a comprehensive physical assessment would the nurse auscultate after inspecting but before percussing?

Anterior chest

Neck

Heart

Abdomen

Answer and Explanation

The Correct Answer is D

A. In the anterior chest assessment, auscultation usually follows inspection and is typically done before percussion.

B. In the neck assessment, the nurse may inspect and then auscultate (e.g., carotid arteries) before palpation.

C. In the heart assessment, auscultation follows inspection but may not involve percussion.

D. In the abdomen, the correct order is to inspect, auscultate, and then percuss to assess bowel sounds effectively before creating additional disturbances with percussion.

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Correct Answer is D

Explanation

A. The iliac pulse is located near the pelvis and is not used for assessing circulation in the lower extremities.
B. The femoral pulse is located in the upper thigh, not near the posterior tibial area.
C. The popliteal pulse is found at the back of the knee and is higher than the posterior tibial location.
D. The posterior tibial pulse is correctly located behind the medial malleolus on the inner side of the ankle. This location is where the posterior tibial artery is accessible and is commonly used to assess blood flow to the lower extremities.

A. Assess the pedal pulses for a full minute. B. Assess the apical pulse for a full minute. C. Assess the popliteal pulses with a Doppler device for a minimum of five minutes. D. Assess the apical pulse with a pulse oximeter.

Correct Answer is B

Explanation

A. Assessing the pedal pulses does not provide relevant information about the irregularity of the radial pulse.

B. Assessing the apical pulse for a full minute is appropriate in this situation, as it provides a more accurate measurement of the heart rate and rhythm, especially when the radial pulse is irregular.

C. Assessing the popliteal pulses with a Doppler device is not necessary and does not directly address the irregular radial pulse.

D. While a pulse oximeter can provide information about oxygen saturation, it does not assess heart rate or rhythm.

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During which part of a comprehensive physical assessment would the nurse auscultate after inspecting but before percussing?

Nursing Test Bank

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A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is D

Explanation

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Correct Answer is B

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