Nokea
When you assessed the radial pulse and the apical pulse of one of your patients, you noted that one of the pulses was slower than the other one. Which one of the following describes the assessment finding that you obtained?
- A. The radial pulse was faster than the apical pulse
- B. The apical pulse was faster than the radial pulse
- C. The radial pulse was slower than the apical pulse
- D. The apical pulse was slower than the radial pulse
Correct Answer: C
Rationale: A pulse deficit occurs when the radial pulse is slower than the apical pulse due to weak or missed peripheral pulses.
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The correct sequence to assess the abdomen is
- A. Auscultation, olfaction, observation, palpation, and percussion
- B. Observation, auscultation, palpation, percussion, and olfaction
- C. Observation, palpation, percussion, auscultation, and olfaction
- D. Olfaction, auscultation, observation, palpation, and percussion
- E. Olfaction, observation, auscultation, percussion, and palpation
Correct Answer: B
Rationale: Abdominal assessment starts with observation, then auscultation (before palpation/percussion to avoid altering bowel sounds), followed by palpation, percussion, and olfaction.
You are caring for a patient with mitral valve stenosis. You plan to assess the mitral valve during your initial assessment. Where will you be best able to auscultate the mitral valve?
- A. The right base of the heart
- B. The left base of the heart
- C. The apex of the left ventricle
- D. The left lateral sternal border
Correct Answer: C
Rationale: The mitral valve is best heard at the apex of the left ventricle, typically in the 5th intercostal space, midclavicular line.
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 both anteriorly and posteriorly?
- 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: A,C
Rationale: The left and right upper lobes can be auscultated anteriorly and posteriorly due to their position in the chest.
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.