When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

skin assessment

neurological assessment

respiratory assessment

circulatory assessment

Answer and Explanation

The Correct Answer is B

A. Skin assessment. – While skin assessment is important, it is not the first step in a head-to-toe physical examination.

B. Neurological assessment. – The neurological assessment is performed first because it establishes baseline cognitive function, level of consciousness, and cranial nerve responses, which are essential for assessing overall patient status.

C. Respiratory assessment. – The respiratory system is assessed after neurological status has been established.

D. Circulatory assessment. – While circulation is vital, it is typically evaluated after neurological and respiratory assessments.

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Correct Answer is C

Explanation

A. Auscultation. – Auscultation (listening to body sounds) is important, but it is not the most frequently used skill in an overall assessment.

B. Percussion. – Percussion (tapping on body surfaces to assess underlying structures) is used selectively, not as frequently as inspection.

C. Inspection. – Inspection (visual examination) is the most frequently used assessment technique. Nurses use it to observe skin color, posture, wounds, and general appearance before using other techniques.

D. Palpation. – Palpation (feeling with hands) is essential but follows inspection in the assessment process.

A. apnea B. orthopnea C. dyspnea D. Tachypnea

Correct Answer is D

Explanation

A. Apnea – Apnea refers to the temporary cessation of breathing, not rapid breathing.

B. Orthopnea – Orthopnea is difficulty breathing while lying flat, not an increased respiratory rate.

C. Dyspnea – Dyspnea is the sensation of difficult or labored breathing, not necessarily rapid breathing.

D. Tachypnea – Tachypnea is an abnormally fast respiratory rate, often seen in conditions like fever, anxiety, or respiratory distress.

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When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

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Naxlex Comprehensive Predictor Exams

The most frequently used skill in the physical nursing assessment is:

Correct Answer is C

Explanation

An abnormal rapid rate of breathing seen in many disease conditions is called:

Correct Answer is D

Explanation

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