Nokea
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.
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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.
Which of the following can be indicators of a person's hydration level?
- A. Color of nailbeds
- B. Temperature of skin on lower extremities
- C. Sluggish capillary refill
- D. Positive consensual reflex
- E. Weight
- F. Thirst
Correct Answer: C,E,F
Rationale: Sluggish capillary refill (C), weight changes (E), and thirst (F) are direct indicators of hydration status, reflecting fluid volume and body water needs.
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.
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.
The acronym PMI stands for what? Which means what?
- A. Point of maximum impulse, strongest heart beat
- B. Pulse measurement index, pulse strength
- C. Primary medical inspection, initial assessment
- D. Point of mitral intensity, mitral valve sound
Correct Answer: A
Rationale: PMI stands for 'point of maximum impulse,' the location where the heart's apex beat is strongest, typically at the 5th intercostal space.