The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

systemic

specialized

individualized

Focused

Answer and Explanation

The Correct Answer is D

A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.

B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.

C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.

D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.

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Correct Answer is D

Explanation

A. Percussion – Percussion involves tapping the body to assess underlying structures, not feeling for texture or consistency.

B. Auscultation – Auscultation is listening to body sounds (e.g., heart, lungs, and bowels) using a stethoscope, not feeling structures.

C. Inspection – Inspection is visual observation, not a tactile assessment.

D. Palpation – Palpation involves using the hands to assess the texture, size, consistency, and location of body structures, such as organs or lymph nodes.

A. bruit B. crackle C. thrill D. Wheeze

Correct Answer is A

Explanation

A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.

B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.

C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.

D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.

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The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

Correct Answer is D

Explanation

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

Correct Answer is A

Explanation

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