Nokea
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.
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A 5-year-old child has a fever of 104.4°F axillary. When should you reassess the child's temperature?
- A. Within 60 minutes
- B. Within 90 minutes
- C. Within 2 hours
- D. Within 4 hours
Correct Answer: A
Rationale: A high fever in a child requires reassessment within 60 minutes to monitor response to interventions and prevent complications like febrile seizures.
During examination of the eyes, you check something known as consensual reflex. How is this done?
- A. Shine a light into one eye and observe pupil constriction in both eyes
- B. Shine a light into one eye and observe pupil dilation in the other eye
- C. Ask the patient to follow a moving object with both eyes
- D. Check pupil size in a darkened room
Correct Answer: A
Rationale: Consensual reflex is tested by shining a light into one eye, causing constriction in both the illuminated and opposite pupil.
Blood pressure can provide you with information regarding which of the following?
- A. Central nervous system
- B. Cardiovascular system
- C. Integumentary system
- D. Renal system
- E. Fluid status
- F. Infection
Correct Answer: B,D,E
Rationale: Blood pressure reflects cardiovascular function (B), renal function (D) through regulation of blood volume, and fluid status (E) as it affects vascular volume.
Which lobe(s) of the lungs is(are) accessible for auscultation only posteriorly and laterally?
- 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: B,E
Rationale: The left and right lower lobes are accessible posteriorly and laterally due to their anatomical position.
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.