The nurse is teaching the student nurse the sequence for performing the assessment techniques during a physical examination. What is the appropriate order?
Inspection, percussion, palpation, auscultation
Inspection, palpation, percussion, auscultation
Palpation, percussion, inspection, auscultation
Inspection, auscultation, palpation, percussion
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Is beginning to tie her own shoelaces: The ability to begin tying shoelaces is a fine motor skill milestone that is typically achieved around 5 to 6 years of age. This finding indicates appropriate motor skill development.
B. Can copy a square on another piece of paper: Copying shapes is a visual-motor integration skill that develops during early childhood. The ability to copy a square is an appropriate
milestone for a 5-year-old.
C. Draws a person with three body parts: By age 5, most children can draw a person with more body parts, typically including a head, trunk, arms, legs, and facial features. Drawing a person with only three body parts may suggest a delay in fine motor or cognitive development and could be a cause for concern.
D. Can dress and undress herself without help: Independence in dressing and undressing is a self- care skill that is typically achieved by 5 years of age and indicates appropriate motor
development.
Correct Answer is A
Explanation
A. Stands on one foot for a few seconds: By age 3, children typically begin to develop the ability to stand briefly on one foot, although they may not be able to maintain balance for an extended period.
B. Skips and hops on one foot: Skipping and hopping on one foot are more advanced gross motor skills that usually develop around ages 4 to 5, so it would be less expected for a 3-year-old.
C. Walks backwards heel to toE. Walking backwards heel to toe requires a higher level of coordination and balance and is usually mastered later in childhood, typically around ages 4 to 6.
D. Has a vocabulary of 1,500 words: While vocabulary development varies among children, a vocabulary of 1,500 words would be advanced for a 3-year-old. Most children at this age have a vocabulary of around 200 to 1,000 words.
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