Difficulty: Medium
Average Score: 63%
Simulated
A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct answer
A B C D E
Rationale
The correct order is A B C D E. First, providing adequate lighting (A) ensures a clear view. Listening to abdominal arteries (B) can reveal abnormal sounds. Percussing all four quadrants (C) assesses for organ size and presence of fluid or air. Checking for tenderness (D) identifies painful areas. Finally, locating liver and spleen borders (E) helps assess organ size and position. Choices F and G are not relevant to the sequence of a physical assessment of the abdomen.