The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

87 lb

81 lb

89 lb

85 lb

Answer and Explanation

The Correct Answer is A

A. 87 lb is a reasonable weight for a 10-year-old boy who was 80 lb the previous year, considering the average weight gain is about 10 pounds a year at this age.

B. 81 lb would be a below-average weight gain for a year for a child of this age. C. 89 lb would be an above-average weight gain for a year for a child of this age.

D. 85 lb is within the range but slightly below the average expected weight gain for a year for a child of this age.

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Correct Answer is A

Explanation

A. The newborn does not respond to a loud noise.

A newborn should exhibit a startle response to a loud noise, indicating intact auditory sensory skills. Failure to respond to a loud noise may suggest a deficit in auditory perception.

B. The newborn's eyes focus on near objects.

Focusing on near objects is a normal visual response in newborns as they adjust to their visual environment. This behavior does not necessarily indicate a sensory deficit.

C. The newborn becomes more alert with stroking when drowsy.

Being more alert with stimulation when drowsy is a normal response and does not necessarily indicate a sensory deficit.

D. The newborn's eyes wander and occasionally are crossed.

In newborns, wandering eyes and occasional crossing are common as their visual system continues to develop. This behavior is not necessarily indicative of a sensory deficit at this stage.

A. Inspection, percussion, palpation, auscultation B. Inspection, palpation, percussion, auscultation C. Palpation, percussion, inspection, auscultation D. Inspection, auscultation, palpation, percussion

Correct Answer is B

Explanation

A. Inspection, percussion, palpation, auscultation: This sequence starts with visual inspection, followed by percussion (tapping the body to assess underlying structures), palpation (using the hands to feel for abnormalities), and finally auscultation (listening with a stethoscope to assess sounds such as heart, lung, or bowel sounds). However, palpation is usually performed before percussion.

B. Inspection, palpation, percussion, auscultation: This is the correct sequence for performing a physical examination. It begins with visual inspection, followed by palpation to assess for

tenderness, masses, or other abnormalities, then percussion to evaluate the density of underlying structures, and finally auscultation to listen to internal sounds.

C. Palpation, percussion, inspection, auscultation: This sequence starts with palpation, followed by percussion, then inspection, and finally auscultation. However, inspection is typically performed before palpation in a physical examination.

D. Inspection, auscultation, palpation, percussion: This sequence starts with visual inspection, followed by auscultation, palpation, and percussion. While auscultation often follows inspection, palpation is usually performed before auscultation.

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The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child?

Correct Answer is A

Explanation

The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order?

Correct Answer is B

Explanation

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