intermittent fevers are

NCLEX-RN

NCLEX RN Actual Exam Test Bank

1. Intermittent fevers are:

A. fevers which come and go.
B. fevers which rise and fall but are always considered above the patient's average temperature.
C. fevers which fluctuate more than three degrees and never return to normal.
D. None of the above.

Correct answer: A

Rationale: Intermittent fevers are characterized by periods of fever followed by periods of normal body temperature. They alternate between being febrile and afebrile. Continuous fevers show minimal fluctuations over a 24-hour period, while remittent fevers fluctuate significantly but do return to normal body temperature. Choice A is correct as it accurately describes intermittent fevers. Choices B and C are incorrect as they do not fully capture the defining characteristic of intermittent fevers, which involve cyclical episodes of fever and normal temperature. Choice D is incorrect as there is a specific definition for intermittent fevers.

2. When is a physician likely to assess turgor?

A. When iron deficiency is suspected.
B. When heart and lung issues are suspected.
C. When dehydration is suspected.
D. None of the above.

Correct answer: C

Rationale: Skin turgor is assessed when dehydration is suspected. To evaluate skin turgor, a physician pinches the skin and observes how quickly it returns to its normal position. If the skin stays folded for an extended period, it indicates dehydration. Assessing turgor helps determine a patient's hydration status. Choice A is incorrect because skin turgor is not used to assess iron deficiency. Choice B is incorrect as turgor is not related to heart and lung issues, but rather hydration status. Choice D is incorrect as turgor assessment is relevant when dehydration is suspected.

3. The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement?

A. Performs the examination from both sides of the bed.
B. Examines tender or painful areas last to help relieve the patient's anxiety.
C. Follows a flexible examination sequence, considering the patient's age and condition.
D. Organizes the assessment to ensure that the patient does not change positions too often.

Correct answer: D

Rationale: The nurse should organize the assessment to minimize the patient's need to change positions frequently, ensuring efficiency and comfort. It is essential to perform the examination from both sides of the bed to facilitate a comprehensive assessment. Examining tender or painful areas last can help reduce patient discomfort and anxiety. The examination sequence should be flexible, taking into account the patient's age, condition, and specific needs. This approach allows for a tailored and patient-centered assessment, optimizing the quality of care provided.

4. What is the primary purpose of emergency planning?

A. Comply with the laws of the state.
B. Comply with the laws of the U.S.
C. Comply with both state and U.S. laws
D. Maintain safety

Correct answer: D

Rationale: The primary purpose of emergency planning is to ensure and maintain the safety of people and the preservation of objects, such as buildings and personal possessions during emergencies or disasters. While compliance with state and federal laws regarding emergency planning is important, the main goal is to prioritize life and safety. Choices A, B, and C focus on legal compliance, which is necessary but secondary to the fundamental objective of safeguarding lives and property in emergency situations.

5. A small fire has erupted in a wastebasket in the client waiting room. Which of the following is the first action of the nurse?

A. Call 9-1-1
B. Find the fire extinguisher
C. Move clients to safety
D. Throw water on the fire

Correct answer: C

Rationale: When a fire starts in a healthcare setting, the first action of the nurse is to move clients and anyone who may be in danger to a safe location. Ensuring the safety of clients is the top priority during emergencies. While using a fire extinguisher could be a subsequent step to contain the fire, the immediate focus should be on evacuating individuals from harm's way. Calling 9-1-1 is important, but moving clients to safety should be the nurse's initial response. Throwing water on the fire may not be effective or safe, as it can exacerbate some types of fires.