Nokea
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.
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Describe the assessments that you will perform to establish the status of his renal system and ensure that he is not getting into fluid overload problems.
- A. Urine output, weight, edema, breath sounds
- B. Blood pressure, serum creatinine, BUN
- C. Fluid intake, electrolyte levels, lung auscultation
- D. All of the above
Correct Answer: D
Rationale: Renal system assessment includes urine output, weight, edema, breath sounds, blood pressure, serum creatinine, BUN, fluid intake, and electrolyte levels to monitor for fluid overload.
List all the assessments that are part of a neurological examination.
- A. Level of consciousness, pupil response, motor function, sensory function, reflexes
- B. Cranial nerve testing, muscle strength, coordination, gait, sensation
- C. Mental status, reflexes, motor function, sensory function, pupil response
- D. All of the above
Correct Answer: D
Rationale: A neurological examination includes level of consciousness, pupil response, motor function, sensory function, reflexes, cranial nerve testing, coordination, and gait.
Your instructor has asked you to come to the patient's room to hear a good example of a murmur and a bruit. You know that there are specific instances when you use the bell versus the diaphragm side on your stethoscope and when you use light pressure as opposed to pressing to make a firm seal against the patient's skin. Which of the following correctly describes how to use the bell and diaphragm chest piece of your stethoscope?
- A. Use the flat diaphragm to auscultate lower-pitched sounds
- B. Use the bell to auscultate lower-pitched sounds
- C. When using the bell, press firmly to seal it against the skin
- D. When using the flat diaphragm, press it firmly to seal it against the skin
- E. Murmurs and bruits are considered high-pitched sounds
- F. The S1 and S2 are considered high-pitched sounds
Correct Answer: B,D
Rationale: The bell is used for low-pitched sounds with light pressure, while the diaphragm is pressed firmly for high-pitched sounds like murmurs and bruits.
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.
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.