1. A patient presents with a fever of 103°F (39.4°C). The nurse should assess for which of the following?
A) Blood pressure
B) Respiratory rate
C) Level of consciousness
D) All of the above
Answer: D) All of the above
Rationale: The nurse should assess all vital signs and neurological statu...
1. A patient presents with a fever of 103°F (39.4°C). The nurse should assess for which of
the following?
A) Blood pressure
B) Respiratory rate
C) Level of consciousness
D) All of the above
Answer: D) All of the above
Rationale: The nurse should assess all vital signs and neurological status to determine the
severity and potential underlying cause of the fever.
2. Which of the following is the most common cause of fever in adults?
A) Bacterial infection
B) Viral infection
C) Fungal infection
D) Autoimmune disorder
Answer: B) Viral infection
Rationale: Viral infections are the most frequent cause of fever in adults, particularly in
respiratory infections.
3. When educating a patient with a fever, which statement by the nurse is most
appropriate?
A) “You should take aspirin for the fever.”
B) “It’s essential to stay hydrated while you have a fever.”
C) “You should avoid all medications.”
D) “Fever is always dangerous and needs immediate treatment.”
Answer: B) “It’s essential to stay hydrated while you have a fever.”
Rationale: Staying hydrated is crucial as fever can lead to fluid loss and dehydration.
4. The nurse knows that a fever is defined as a body temperature greater than:
A) 98.6°F (37°C)
B) 100.4°F (38°C)
C) 101.0°F (38.3°C)
D) 102.0°F (38.9°C)
Answer: B) 100.4°F (38°C)
Rationale: A fever is typically defined as a body temperature exceeding 100.4°F (38°C).
, 5. In a febrile patient, which laboratory test would best help to identify the cause of the
fever?
A) Complete blood count (CBC)
B) Blood cultures
C) Urinalysis
D) Chest X-ray
Answer: B) Blood cultures
Rationale: Blood cultures are essential for identifying any bacterial infection that may be
causing the fever.
6. A 4-year-old child with a fever is brought to the emergency department. The nurse
knows that which of the following medications is appropriate for this age group?
A) Aspirin
B) Ibuprofen
C) Acetaminophen
D) Both B and C
Answer: D) Both B and C
Rationale: Both ibuprofen and acetaminophen are safe and effective for treating fever in
children, while aspirin should be avoided due to the risk of Reye's syndrome.
7. Which of the following assessments would be a priority for a nurse caring for a patient
with a fever?
A) Skin integrity
B) Pain level
C) Fluid intake
D) Vital signs
Answer: D) Vital signs
Rationale: Monitoring vital signs is critical to assess the patient's condition and identify any
complications related to the fever.
8. A patient with a fever is receiving acetaminophen. The nurse should monitor for which
potential side effect?
A) Gastrointestinal bleeding
B) Liver toxicity
C) Renal failure
D) Heartburn
Answer: B) Liver toxicity
Rationale: Acetaminophen can cause liver toxicity, especially at high doses or with chronic use.
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