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 A

Explanation

A. This emphasizes recognizing abnormal findings, such as an enlarged testicle or a painless lump, which may indicate testicular cancer.

B. Testicles are smooth, firm, and egg-shaped but should not have a lumpy consistency.

C. Monthly, not weekly, self-examinations are recommended for early detection.

D. The best time to examine is during or after a warm shower when the scrotum is relaxed, not before.

A. Could be indicative of change in cilia; the nurse should assess for hearing loss. B. Represents poor hygiene. C. Is probably the result of lesions from eczema in his ear. D. Is a normal finding and no further follow-up is necessary

Correct Answer is D

Explanation

A. Change in cilia: This is not the cause of dry, flaky cerumen. It would not be typical to assess hearing loss based on this observation alone.

B. Poor hygiene: Dry, flaky cerumen is not indicative of poor hygiene. Hygiene-related cerumen would more likely be wet and impacted.

C. Lesions from eczema: While eczema can affect the ear canal, the dry cerumen itself is more likely to be a normal characteristic for some individuals, particularly in people of Asian descent.

D. Normal finding: The presence of dry, flaky cerumen is normal in certain ethnic groups, including East Asians, and usually requires no follow-up.

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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

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

Correct Answer is A

Explanation

During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:

Correct Answer is D

Explanation

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