The "Hooking Technique" is used to palpate which organ?
Spleen
Liver
Kidney
Gallbladder
The Correct Answer is B
A. Spleen is incorrect because the spleen is assessed using bimanual palpation, beginning in the right lower quadrant and progressing diagonally toward the left upper quadrant. The spleen must enlarge significantly before it becomes palpable, and the hooking technique is not appropriate for detecting splenomegaly.
B. Liver is correct because the hooking technique is a specialized method used to palpate the liver edge, particularly in patients who are overweight, obese, or have increased abdominal muscle tone, where standard palpation may be difficult. In this technique, the examiner stands to the patient’s right, hooks their fingers under the right costal margin, and asks the patient to take a deep breath. As the patient inhales, the diaphragm descends and pushes the liver downward, allowing the examiner to feel the liver edge as it meets the fingertips. This method helps assess the size, consistency, and tenderness of the liver, which can indicate conditions such as hepatomegaly, cirrhosis, or liver congestion.
C. Kidney is incorrect because the kidneys are evaluated using deep bimanual palpation, with one hand placed under the flank and the other on the abdomen. The examiner attempts to “capture” the kidney between the hands during inspiration. The hooking technique is not used for kidney assessment.
D. Gallbladder is incorrect because the gallbladder is typically not palpable unless enlarged or inflamed. Instead, it is assessed using Murphy’s sign, where the patient experiences pain and inspiratory arrest during palpation of the right upper quadrant. The hooking technique does not apply to gallbladder evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. II, III, IV is incorrect because cranial nerve II (optic nerve) is responsible for vision and visual acuity, not eye movement. While cranial nerves III and IV do contribute to eye movements, this option omits cranial nerve VI, which is also essential.
B. III, IV, VI is correct because cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) control the six extraocular muscles that move the eyes in all directions. Assessing extraocular movements involves testing these three nerves by having the client follow a target through the six cardinal positions of gaze. Any limitation, nystagmus, or asymmetry can indicate cranial nerve dysfunction or muscular pathology.
C. V and VII is incorrect because cranial nerve V (trigeminal) controls facial sensation and mastication, and cranial nerve VII (facial) controls facial expression. Neither of these nerves is responsible for moving the eyes.
D. IX and X is incorrect because cranial nerve IX (glossopharyngeal) and cranial nerve X (vagus) are involved in swallowing, gag reflex, and parasympathetic functions, not eye movements.
Correct Answer is D
Explanation
A. Heart failure is incorrect because heart failure primarily affects ventricular filling and ejection, leading to extra heart sounds like S3 or S4 gallops, not a systolic click. S3 occurs due to rapid ventricular filling, often in systolic dysfunction, while S4 is related to stiff ventricles in diastolic dysfunction. Neither produces the characteristic high-pitched mid-systolic click of MVP.
B. Ventricular volume overload is incorrect because while it can cause systolic murmurs from regurgitant lesions or S3 gallop, a click is not a feature of volume overload alone. The click is specific to valvular leaflet motion rather than increased volume.
C. Decreased myocardial contractility is incorrect because reduced contractility typically produces weak or low-output heart sounds, S3, or systolic murmurs related to ventricular dilation, but not a systolic click.
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