In assessing the abdomen, which of the following is the correct sequence of the physical assessment?

Correct Answer: A

Rationale: Abdominal assessment follows inspection, auscultation, percussion, palpation e.g., look, listen (bowel sounds), tap, feel to avoid altering sounds via palpation first. Other sequences disrupt this. Nurses adhere e.g., pre-surgery checks for accurate findings, per physical exam standards.

Correct Answer: B

Rationale: Roy's Adaptation Model (1970s) views humans as biopsychosocial-spiritual beings. Socially, individuals share traits with some e.g., community ties but differ psychologically (unique thoughts). Biologically (physiology) and spiritually (faith capacity), they're alike. This nuance guides nurses to adapt care e.g., social support for loneliness enhancing patient-specific interventions.

Correct Answer: D

Rationale: The nursing process assessment to evaluation is dynamic (adaptive), cyclical (ongoing), and universal (global) e.g., used worldwide. Intrapersonal (within one) doesn't apply; it's interpersonal (nurse-patient). This flexibility ensures tailored care, per standardized practice frameworks.

Correct Answer: B

Rationale: Using the thumb to palpate radial pulse is wrong e.g., its pulse interferes unlike fingers (index, middle) on wrist, palm down, assessing rate, rhythm, volume, symmetry. Nurses avoid this e.g., training for accurate measurement, per skills.

Correct Answer: A

Rationale: One minute between BP readings e.g., reperfusion ensures accuracy, per AHA. Longer is for activity rest. Nurses time this e.g., repeat for trends, per monitoring.