Nokea
Select the symptom(s) from this list of assessment findings.
- A. Flushing
- B. Fever of 102.8°F
- C. Nausea
- D. Vomiting
- E. Light-headedness
- F. Cramping
- G. Guarding
Correct Answer: C,D,E,F
Rationale: Symptoms are subjective complaints reported by the patient (nausea, vomiting, light-headedness, cramping), while others are objective findings.
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During assessment of your patient, you notice that the patient has numbness of the left side of her face. You would use the medical term to document this finding.
- A. Paresthesia
- B. Hypoesthesia
- C. Anesthesia
- D. Dysesthesia
Correct Answer: B
Rationale: Hypoesthesia is the medical term for reduced sensation or numbness in a specific area, such as the face.
Which of the following would be the most accurate description of dorsal flexion assessment?
- A. Ask the patient to press his or her toes toward the foot of the bed, applying pressure against the palms of your hands so you can assess the strength and equality of the flexion between the two sides
- B. Ask the patient to pull his or her toes toward the head, pulling against the palms of your hands so you can assess the strength and equality of the flexion between the two sides
- C. Ask the patient to gently point his or her toes toward the foot of the bed so you can assess agility and coordination of the lower extremities
- D. Ask the patient to gently point his or her toes toward the head so you can assess the neuromuscular activity of his lower extremities
Correct Answer: B
Rationale: Dorsal flexion involves pulling the toes toward the head, assessed for strength and equality against resistance.
What type of assessment is performed on admission?
- A. A focused assessment
- B. An initial head-to-toe shift assessment
- C. A comprehensive health assessment
- D. A brief admission systems assessment
- E. Disease and injury assessment
Correct Answer: B,C
Rationale: A comprehensive health assessment (C) is typically performed on admission to gather baseline data, often including an initial head-to-toe shift assessment (B) to evaluate all body systems.
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.
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.