Nokea
A 5-year-old child has a fever of 104.4°F axillary. When should you reassess the child's temperature?
- A. Within 60 minutes
- B. Within 90 minutes
- C. Within 2 hours
- D. Within 4 hours
Correct Answer: A
Rationale: A high fever in a child requires reassessment within 60 minutes to monitor response to interventions and prevent complications like febrile seizures.
You may also like to solve these questions
When you assessed the radial pulse and the apical pulse of one of your patients, you noted that one of the pulses was slower than the other one. Which one of the following describes the assessment finding that you obtained?
- A. The radial pulse was faster than the apical pulse
- B. The apical pulse was faster than the radial pulse
- C. The radial pulse was slower than the apical pulse
- D. The apical pulse was slower than the radial pulse
Correct Answer: C
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse due to weak or missed peripheral pulses.
What medical term would be appropriate to use when reporting that your patient is drowsy or mentally sluggish?
- A. Lethargy
- B. Somnolence
- C. Obtundation
- D. Stupor
Correct Answer: A
Rationale: Lethargy is the appropriate term for a state of drowsiness or mental sluggishness.
What assessments should you make of the lower extremities in an initial shift assessment?
- A. Pulse strength, edema, skin condition, range of motion
- B. Capillary refill, temperature, sensation, strength
- C. Color, pulses, edema, mobility
- D. All of the above
Correct Answer: D
Rationale: Lower extremity assessment includes pulse strength, edema, skin condition, range of motion, capillary refill, temperature, sensation, strength, color, and mobility.
The correct sequence to assess the abdomen is
- A. Auscultation, olfaction, observation, palpation, and percussion
- B. Observation, auscultation, palpation, percussion, and olfaction
- C. Observation, palpation, percussion, auscultation, and olfaction
- D. Olfaction, auscultation, observation, palpation, and percussion
- E. Olfaction, observation, auscultation, percussion, and palpation
Correct Answer: B
Rationale: Abdominal assessment starts with observation, then auscultation (before palpation/percussion to avoid altering bowel sounds), followed by palpation, percussion, and olfaction.
What is the medical terminology for each of the 'lubb dupp' heart sounds?
- A. S1 and S2
- B. S1 and S3
- C. S2 and S4
- D. Murmur and bruit
Correct Answer: A
Rationale: The 'lubb' is S1 (closure of mitral and tricuspid valves), and 'dupp' is S2 (closure of aortic and pulmonic valves).