The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?

"We need to determine the areas of tenderness before using percussion and palpation."

"Auscultation allows the patient more time to relax and therefore be more comfortable with the physical examination."

"Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation."

"Auscultation prevents distortion of vascular sounds, such as bruits and hums, that might occur after percussion and palpation."

Answer and Explanation

The Correct Answer is C

A. Determine areas of tenderness: While identifying tenderness is important, it is not the reason for auscultating first.

B. Allows the patient to relax: Relaxation is helpful but not the primary reason for the sequence.

C. Prevents distortion of bowel sounds: Percussion and palpation can stimulate or suppress bowel sounds, leading to inaccurate findings if performed before auscultation.

D. Prevents distortion of vascular sounds: Vascular sounds (bruits) are less likely to be affected by percussion or palpation.

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Correct Answer is B

Explanation

A. Ptosis: Drooping of the upper eyelid, often caused by nerve or muscle dysfunction.

B. Ectropion: This condition results from age-related weakening of eyelid muscles or facial nerve palsy, causing the lower eyelid to turn outward, exposing the conjunctiva.

C. Exophthalmos: Protrusion of the eyeball, commonly seen in conditions like Graves' disease.

D. Entropion: Inward rolling of the eyelid, leading to eyelashes rubbing against the eye.

A. Posterior tibial B. Femoral C. Popliteal D. Dorsalis pedis

Correct Answer is A

Explanation

A. Posterior tibial: The posterior tibial pulse is palpated just posterior to the medial malleolus (inner ankle).

B. Femoral: The femoral pulse is assessed in the groin area, not near the ankle.

C. Popliteal: The popliteal pulse is located behind the knee, not near the ankle.

D. Dorsalis pedis: The dorsalis pedis pulse is palpated on the top of the foot, not near the ankle.

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The nurse is watching a new graduate nurse perform auscultation of a patient's abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes percussion and palpation of the abdomen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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