Which technique would the nurse use to perform scoliosis screening in a school-age child?

Have the child bend at the waist.

Measure the distance between the knees and the ankles.

Measure the length of each leg.

Ask the child to walk across the room.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Having the child bend at the waist allows the nurse to observe the spine for any abnormal curvature indicative of scoliosis, such as uneven shoulders or a rib hump.

B. Measuring the distance between the knees and the ankles is not a technique used to screen for scoliosis; it is more related to assessing leg length discrepancies.

C. Measuring the length of each leg does not assess for scoliosis but is more relevant for evaluating leg length inequalities.

D. Asking the child to walk across the room is useful for assessing gait and balance but does not directly assess for scoliosis.

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Correct Answer is D

Explanation

A. In the anterior chest assessment, auscultation usually follows inspection and is typically done before percussion.

B. In the neck assessment, the nurse may inspect and then auscultate (e.g., carotid arteries) before palpation.

C. In the heart assessment, auscultation follows inspection but may not involve percussion.

D. In the abdomen, the correct order is to inspect, auscultate, and then percuss to assess bowel sounds effectively before creating additional disturbances with percussion.

A. asystole B. ventricular fibrillation C. sinus tachycardia D. sinus bradycardia

Correct Answer is B

Explanation

A. Asystole: Asystole would show a flat line with no electrical activity, which is not seen here.

B. Ventricular fibrillation: Ventricular fibrillation is characterized by chaotic, irregular waveforms without distinct P waves, QRS complexes, or T waves. The ECG strip shows this disorganized, erratic electrical activity consistent with ventricular fibrillation.

C. Sinus tachycardia: Sinus tachycardia would display a regular rhythm with identifiable P waves, QRS complexes, and T waves at a faster rate. This is not present in the ECG strip.

D. Sinus bradycardia: Sinus bradycardia would show a slower rate but with an organized rhythm and distinct P, QRS, and T waves. This is not indicated in the strip.

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Which technique would the nurse use to perform scoliosis screening in a school-age child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During which part of a comprehensive physical assessment would the nurse auscultate after inspecting but before percussing?

Correct Answer is D

Explanation

How should the nurse interpret the rhythm shown on the electrocardiogram strip shown in the diagram?

Correct Answer is B

Explanation

Which lung sounds are expected?

Linea nigra is commonly found on the abdomens of:

When hearing is evaluated, which cranial nerve is being tested?

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which manifestations?

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The nurse is performing a neurological assessment on a client and is assessing the function of cranial nerves III, IV, and VI. Assessment of which aspect of function will yield the best information about these cranial nerves?