Nokea
Body temperature can provide you with information regarding which of the following?
- A. Central nervous system
- B. Immune system
- C. Hydration level
- D. Infection
- E. Respiratory system
- F. Cardiovascular system
Correct Answer: B,D
Rationale: Body temperature is influenced by the immune system (B) in response to pathogens and indicates infection (D) when elevated.
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While assessing the patient's oral mucosa, you detect severely unpleasant sour breath. What is the correct medical terminology for this finding?
- A. Halitosis
- B. Fetor oris
- C. Malodor
- D. Xerostomia
Correct Answer: A
Rationale: Halitosis is the medical term for bad breath, including sour or unpleasant odors from the mouth.
The acronym CTA stands for what? Which means what?
- A. Clear to auscultation, lungs are clear
- B. Chest tube assessment, tube patency
- C. Cardiac tone auscultation, heart sounds normal
- D. Clear thoracic assessment, no abnormalities
Correct Answer: A
Rationale: CTA stands for 'clear to auscultation,' indicating normal lung sounds with no abnormalities.
Which lobe(s) of the lungs is(are) accessible for auscultation only posteriorly and laterally?
- A. The left upper lobe
- B. The left lower lobe
- C. The right upper lobe
- D. The right middle lobe
- E. The right lower lobe
Correct Answer: B,E
Rationale: The left and right lower lobes are accessible posteriorly and laterally due to their anatomical position.
Which of the following assessment findings is not within the textbook normal range?
- A. 23 bowel sounds per minute in each quadrant
- B. Capillary refill of 5 seconds in a 41-year-old male patient
- C. Respiratory rate of 24 per minute
- D. Systolic pressure of 86 mm Hg
- E. Diastolic pressure of 62 mm Hg
Correct Answer: B,D
Rationale: Capillary refill of 5 seconds (normal is <2-3 seconds) and systolic pressure of 86 mm Hg (normal is 90-120 mm Hg) are outside normal ranges.
During a focused assessment of a patient's circulatory system, you were unable to palpate the left pedal pulse although the right pedal pulse was strong. What should be your first action?
- A. Notify the health-care provider
- B. Check the blood pressure in the left leg
- C. Palpate for the left posterior tibialis pulse
- D. Obtain a Doppler
Correct Answer: D
Rationale: Using a Doppler is the first step to assess an absent pedal pulse, as it can detect blood flow that is not palpable.