A patient presents with chest pain that increases when lying flat and low-grade fever
Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation?
The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
a. Multiple-response item, comprehension level
b. Hot-spot item, analysis level
c. Chart exhibit item, application level
d. Drag-and-drop item, knowledge level
ANS: B
Correct: This is a hot-spot item; students are presented with a figure on which they must indicate the answer by clicking the mouse over the area. The student would place the mouse over the left sternal border. It is analysis level because the student must take data from many sources to provide a complete assessment of the patient's condition.
Incorrect:
a. Multiple-response questions ask the candidate to check all responses that are correct for a given statement.
c. A chart exhibit requires the candidate to seek additional information in a patient's chart.
d. The drag-and-drop format questions require the candidate to place options in a specific order, moving them from left to right using the mouse.
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