Nokea
What is the medical terminology for each of the 'lubb dupp' heart sounds?
- A. S1 and S2
- B. S1 and S3
- C. S2 and S4
- D. Murmur and bruit
Correct Answer: A
Rationale: The 'lubb' is S1 (closure of mitral and tricuspid valves), and 'dupp' is S2 (closure of aortic and pulmonic valves).
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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.
Describe the assessments that should be performed in relation to these limited data.
- A. Skin turgor, mucous membrane moisture, pressure ulcer risk
- B. Capillary refill, weight, urine output
- C. Edema, skin integrity, mobility
- D. All of the above
Correct Answer: D
Rationale: For a dehydrated, bedridden patient, assess skin turgor, mucous membranes, pressure ulcer risk, capillary refill, weight, urine output, edema, skin integrity, and mobility.
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.
What assessments should you make of the lower extremities in an initial shift assessment?
- A. Pulse strength, edema, skin condition, range of motion
- B. Capillary refill, temperature, sensation, strength
- C. Color, pulses, edema, mobility
- D. All of the above
Correct Answer: D
Rationale: Lower extremity assessment includes pulse strength, edema, skin condition, range of motion, capillary refill, temperature, sensation, strength, color, and mobility.
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.