When performing a peripheral vascular assessment of the lower extremities, a nurse should place the fingertips just posterior to the medial malleolus in order to assess for which of the following peripheral pulses?
Posterior tibial
Femoral
Popliteal
Dorsalis pedis
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Rosenbaum card: Holding reading material at approximately 18 inches from the face suggests that the client has near vision sufficient to perform well on a Rosenbaum test, which evaluates near visual acuity.
B. Stroke: Difficulty reading instructions is not necessarily indicative of a stroke.
C. Visual acuity: While they may not need immediate testing, their near vision appears adequate.
D. Understands procedure: While reading aloud may indicate comprehension, the focus here is on their visual ability.
Correct Answer is {"A":{"answers":"D"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"}}
Explanation
Assessment Technique |
1 |
2 |
3 |
4 |
Percussion |
✅ |
|||
Inspection |
✅ |
|||
Palpation |
✅ |
|||
Auscultation |
✅ |
Rationale:
Begin with inspection to visually assess the abdomen for abnormalities. Auscultate before palpation and percussion to avoid altering bowel sounds. Determine areas of pain to avoid causing discomfort during palpation and percussion. Palpate to assess for tenderness or masses. Percuss last to evaluate organ size and detect abnormal fluid or gas.
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