Which are infectious diseases?
- A. Measles
- B. Pneumonia
- C. Hay fever
- D. Tuberculosis
- E. Osteoarthritis
- F. Acquired immunodeficiency syndrome
Correct Answer: A,B,D,F
Rationale: Infectious diseases result from the invasion of microorganisms into the body. Examples of infectious diseases include acquired immunodeficiency syndrome (AIDS), tuberculosis, measles, and pneumonia. Hay fever is a manifestation of an allergic reaction, and osteoarthritis is an example of a degenerative disease.
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Auscultating the heart sounds should result in a "lub-dup" sound when using the bell and the diaphragm of the stethoscope. What causes the "lub" sound?
- A. Opening of the AV valves
- B. Opening of the semilunar valves
- C. Closing of the AV valves
- D. Closing of the semilunar valves
Correct Answer: C
Rationale: The 'lub-dup' sound of the heart is caused by the closing of the AV and semilunar valves, respectively.
A nurse is gathering objective data when admitting a patient. Which assessment finding reported by the patient is considered objective?
- A. Complains of nausea
- B. States "I hurt all over."
- C. Complains of feeling anxious
- D. Appears to be anxious
Correct Answer: D
Rationale: Objective data can be seen, heard, measured, or felt by the examiner. It is information that is observable and measurable and can be verified by more than one person. Anxiety is the only objective assessment finding. All other options are examples of subjective data.
A nurse is caring for a patient with congestive heart failure. During the physical assessment the nurse notes the patient is experiencing difficulty breathing. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Ecchymosis
Correct Answer: A
Rationale: Dyspnea is shortness of breath or difficulty in breathing that may be caused by certain heart and lung conditions, strenuous exercise, or anxiety.
What is the suggested sequence for a systematic approach to begin auscultating the thorax?
- A. Anterior thorax
- B. Apices
- C. Left lateral thorax
- D. Right lateral thorax
Correct Answer: B
Rationale: The suggested sequence for a systematic auscultation of the thorax is to begin with the apices.
A nurse is gathering objective data when admitting a patient. Which assessment finding is considered objective data?
- A. The patient complains of chest pain.
- B. The patient states "I am having trouble breathing."
- C. The patient complains of coughing up sputum.
- D. The patient expectorates red-tinged sputum.
Correct Answer: D
Rationale: Objective data can be seen, heard, measured, or felt by the examiner. It is information that is observable and measurable and can be verified by more than one person. Expectoration of red-tinged sputum is the only objective assessment finding. All other options are examples of subjective data.
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