Nokea
Percussion of a patient's abdomen and chest provides you with what information about the patient?
- A. Density of underlying structures
- B. Presence of fluid or air
- C. Organ size and position
- D. All of the above
Correct Answer: D
Rationale: Percussion reveals density, fluid, air, and organ size/position through sound differences (e.g., dullness, tympany).
You may also like to solve these questions
Abnormal sounds that can be auscultated over the lung fields are called
- A. Crackles
- B. Wheezes
- C. Rhonchi
- D. Stridor
- E. Pleural friction rub
Correct Answer: A,B,C,D,E
Rationale: Abnormal lung sounds include crackles (rattling sounds), wheezes (high-pitched whistling), rhonchi (low-pitched rattling), stridor (high-pitched sound during breathing), and pleural friction rub (grating sound due to pleural inflammation).
If you hear a shrill, high-pitched, crowing sound coming from the room of a 3-year-old child who has croup, you recognize the ominous sign known as
- A. Crackles
- B. Rhonchi
- C. Wheezes
- D. Pleural friction rub
- E. Stridor
Correct Answer: E
Rationale: Stridor is a high-pitched, crowing sound associated with upper airway obstruction, common in croup.
Explain the importance of performing an initial shift assessment within the first hour of your shift.
- A. Ensures early detection of changes in patient condition
- B. Establishes a baseline for comparison
- C. Guides care planning and interventions
- D. All of the above
Correct Answer: D
Rationale: An initial shift assessment within the first hour establishes a baseline, detects changes, and guides care planning.
You have just completed an initial shift assessment of a male in his 30s with a history of elevated hypertension and elevated cholesterol. Which of the following assessment findings provides information about his circulatory system?
- A. Skin is pale, warm, and dry
- B. BP is 164/98
- C. R is 27 regular and even
- D. AP is 94 regular and 2+, RP is 90 irregular and 2+, and pulse deficit is 4
- E. Pedal pulses are weak and equal bilaterally
- F. He has 2+ edema of both ankles
- G. He is awake, alert, and oriented to four spheres
Correct Answer: B,D,E,F
Rationale: BP, pulse deficit, pedal pulses, and edema are direct indicators of circulatory status, reflecting vascular pressure, perfusion, and fluid dynamics.
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.