which of the following vital signs can be expected in a child that is afebrile

NCLEX-RN

NCLEX RN Actual Exam Test Bank

1. Which of the following vital signs can be expected in a child that is afebrile?

A. Rectal Temp of 100.9 degrees F.
B. Oral Temp of 38 degrees C.
C. Axillary Temp of 98.6 degrees F.
D. All of the above are incorrect.

Correct answer: C

Rationale: The correct answer is the axillary temperature of 98.6 degrees F. Afebrile means without a fever, and an axillary temperature, which is taken in the armpit, is considered normal at 98.6 degrees F. Choice A is incorrect as a rectal temperature of 100.9 degrees F indicates a fever. Choice B is incorrect as an oral temperature of 38 degrees C is also indicative of a fever. Choice D is incorrect as not all options are wrong; only choices A and B are incorrect for an afebrile child.

2. The abbreviation pc is defined as ________________.

A. before the meal
B. with the meal
C. after the meal
D. post corpi

Correct answer: C

Rationale: The correct answer is C: 'after the meal.' In medical terminology, 'pc' is an abbreviation for 'post cibum,' which means 'after eating' or 'after the meal.' This term is used to indicate when a medication should be taken concerning meals. Choices A, B, and D are incorrect. 'Before the meal' (A) is typically abbreviated as 'ac,' 'with the meal' (B) is abbreviated as 'pc,' and 'post corpi' (D) is not a valid medical abbreviation or term.

3. Which of the following lists the recommended sequence for removing soiled personal protective equipment when preparing to leave a patient's room?

A. Gown, goggles, mask, gloves, and exit the room.
B. Gloves, wash hands, remove gown, mask, and goggles.
C. Gloves, goggles, gown, mask, and wash hands.
D. Gloves, goggles, gown, mask, and wash hands.

Correct answer: D

Rationale: The correct sequence for removing soiled personal protective equipment is crucial to prevent contamination. Gloves should always be removed first as they are most likely to be contaminated. Following the removal of gloves, goggles, gown, mask, and finally washing hands is recommended. Choice A is incorrect as gloves should be removed first. Choice B is incorrect as the sequence is not in the recommended order. Choice D is incorrect as gloves should be removed before goggles.

4. During a class on cultural practices, the nurse hears the term cultural taboo. Which statement illustrates the concept of a cultural taboo?

A. Trying prayer before seeking medical help
B. Believing that illness is a punishment of sin
C. Refusing to accept blood products as part of treatment
D. Stating that a child's birth defect is the result of the parents' sins

Correct answer: C

Rationale: The concept of a cultural taboo involves practices that are forbidden or avoided within a particular culture. Refusing to accept blood products as part of treatment is a clear example of a cultural taboo, as some cultures or religions prohibit the use of blood products for medical purposes. This practice is deeply rooted in cultural beliefs and traditions. The other choices provided do not directly relate to cultural taboos. Trying prayer before seeking medical help, believing illness is a punishment of sin, and stating that a child's birth defect is the result of parents' sins are beliefs or actions based on religious or personal beliefs, but they do not specifically represent cultural taboos.

5. When a patient is standing in anatomical position, where are their feet?

A. Facing forward with the toes spread open
B. Facing out to the sides to open the hips
C. Side by side and facing forward; toes resting comfortably
D. The feet are pointed inward.

Correct answer: B

Rationale: When a person is standing in anatomical position, their feet are side by side, and they are facing forward with the toes pointing out to the sides to open the hips. This position allows for proper alignment of the body for anatomical reference. Choice A is incorrect because the feet should not be spread open, but rather side by side. Choice C is incorrect as it does not mention the correct positioning of the feet. Choice D is incorrect as the feet should not be pointed inward, but rather facing out to the sides to open the hips.