Question 1

An apical pulse is counted for

Accepted Answer

A)  15 seconds 
B)  30 seconds 
C)  45 seconds 
D)  1 minute 
A)  15 seconds 
B)  30 seconds 
C)  45 seconds 
D)  1 minute

Question 2

Body temperature is measured at the following sites except

Accepted Answer

A)  The mouth 
B)  The axilla 
C)  The rectum 
D)  Behind the knee 
A)  The mouth 
B)  The axilla 
C)  The rectum 
D)  Behind the knee

Question 3

A person has a naso-gastric tube. When measuring temperature, you cannot use the

Accepted Answer

A)  Oral site 
B)  Rectal site 
C)  Axillary site 
D)  Tympanic membrane site 
A)  Oral site 
B)  Rectal site 
C)  Axillary site 
D)  Tympanic membrane site

Question 4

Respirations usually are counted

Accepted Answer

A)  Right after taking the temperature 
B)  Right after taking the pulse 
C)  Right before measuring blood pressure 
D)  Right after measuring blood pressure 
A)  Right after taking the temperature 
B)  Right after taking the pulse 
C)  Right before measuring blood pressure 
D)  Right after measuring blood pressure

Question 5

Body temperature is measured at the following sites except

Accepted Answer

A)  The mouth 
B)  The tympanic membrane 
C)  Under the breasts 
D)  The temporal artery 
A)  The mouth 
B)  The tympanic membrane 
C)  Under the breasts 
D)  The temporal artery

Question 6

Which is the most common site for taking a pulse?

Accepted Answer

A)  The radial site 
B)  The apical site 
C)  The carotid site 
D)  The brachial site 
A)  The radial site 
B)  The apical site 
C)  The carotid site 
D)  The brachial site

Question 7

Which instrument is used to listen to sounds produced by the body?

Accepted Answer

A)  Thermometer 
B)  Sphygmomanometer 
C)  Stethoscope 
D)  Cuff 
A)  Thermometer 
B)  Sphygmomanometer 
C)  Stethoscope 
D)  Cuff

Question 8

A resident needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is not within normal range?

Accepted Answer

A)  98.1° F 
B)  99.8° F 
C)  98.2° F 
D)  98.0° F 
A)  98.1° F 
B)  99.8° F 
C)  98.2° F 
D)  98.0° F

Question 9

The apical pulse is found

Accepted Answer

A)  On the thumb side of the wrist 
B)  Just below the right nipple 
C)  Just below the left nipple 
D)  At the inner aspect of the elbow 
A)  On the thumb side of the wrist 
B)  Just below the right nipple 
C)  Just below the left nipple 
D)  At the inner aspect of the elbow

Question 10

To take a rectal temperature, how is the person positioned?

Accepted Answer

A)  Lying down 
B)  In semi-Fowler's position 
C)  In Sims' position 
D)  In the prone position 
A)  Lying down 
B)  In semi-Fowler's position 
C)  In Sims' position 
D)  In the prone position

Question 11

When taking an apical pulse, you need to use

Accepted Answer

A)  Your thumb 
B)  The middle 3 fingers 
C)  Your ring and little fingers 
D)  A stethoscope 
A)  Your thumb 
B)  The middle 3 fingers 
C)  Your ring and little fingers 
D)  A stethoscope

Question 12

A patient complains of pain. Which will not help you collect information about the person's pain?

Accepted Answer

A)  Ask if the pain is mild, moderate, or severe. 
B)  Ask the person what factors cause the pain. 
C)  Check the person's vital signs. 
D)  Give the person drugs to relieve the pain. 
A)  Ask if the pain is mild, moderate, or severe. 
B)  Ask the person what factors cause the pain. 
C)  Check the person's vital signs. 
D)  Give the person drugs to relieve the pain.

Question 13

The amount of force exerted against the walls of an artery by the blood is the

Accepted Answer

A)  Blood pressure 
B)  Pulse deficit 
C)  Diastolic pressure 
D)  Systolic pressure 
A)  Blood pressure 
B)  Pulse deficit 
C)  Diastolic pressure 
D)  Systolic pressure

Question 14

A resident just finished his daily exercise program. You need to measure the person's blood pressure. How long does he need to rest before the measurement?

Accepted Answer

A)  5 minutes 
B)  5 to 10 minutes 
C)  10 to 20 minutes 
D)  20 to 30 minutes 
A)  5 minutes 
B)  5 to 10 minutes 
C)  10 to 20 minutes 
D)  20 to 30 minutes

Question 15

For an adult, which pulse rate is reported to the nurse at once?

Accepted Answer

A)  66 
B)  74 
C)  88 
D)  104 
A)  66 
B)  74 
C)  88 
D)  104

Question 16

Which diastolic pressure should you report at once?

Accepted Answer

A)  50 
B)  62 
C)  74 
D)  80 
A)  50 
B)  62 
C)  74 
D)  80

Question 17

A patient has a cast on his left wrist. Which statement is correct?

Accepted Answer

A)  Blood pressure is measured on the left arm. 
B)  Blood pressure is measured on the right arm. 
C)  The person decides what arm to use. 
D)  You use the arm that is easiest to reach. 
A)  Blood pressure is measured on the left arm. 
B)  Blood pressure is measured on the right arm. 
C)  The person decides what arm to use. 
D)  You use the arm that is easiest to reach.

Question 18

The healthy adult has

Accepted Answer

A)  10 to 14 respirations per minute 
B)  12 to 18 respirations per minute 
C)  12 to 20 respirations per minute 
D)  15 to 30 respirations per minute 
A)  10 to 14 respirations per minute 
B)  12 to 18 respirations per minute 
C)  12 to 20 respirations per minute 
D)  15 to 30 respirations per minute

Question 19

Chronic pain lasts

Accepted Answer

A)  7 days 
B)  30 days 
C)  Until tissues heal 
D)  Long after healing occurs 
A)  7 days 
B)  30 days 
C)  Until tissues heal 
D)  Long after healing occurs

Question 20

The pressure in the arteries when the heart contracts is

Accepted Answer

A)  Blood pressure 
B)  Pulse deficit 
C)  Diastolic pressure 
D)  Systolic pressure 
A)  Blood pressure 
B)  Pulse deficit 
C)  Diastolic pressure 
D)  Systolic pressure

Exam 21: Assisting With Assessment

An apical pulse is counted for

Body temperature is measured at the following sites except

A person has a naso-gastric tube. When measuring temperature, you cannot use the

Respirations usually are counted

Body temperature is measured at the following sites except

Which is the most common site for taking a pulse?

Which instrument is used to listen to sounds produced by the body?

A resident needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is not within normal range?

The apical pulse is found

To take a rectal temperature, how is the person positioned?

When taking an apical pulse, you need to use

A patient complains of pain. Which will not help you collect information about the person's pain?

The amount of force exerted against the walls of an artery by the blood is the

A resident just finished his daily exercise program. You need to measure the person's blood pressure. How long does he need to rest before the measurement?

For an adult, which pulse rate is reported to the nurse at once?

Which diastolic pressure should you report at once?

A patient has a cast on his left wrist. Which statement is correct?

The healthy adult has

Chronic pain lasts

The pressure in the arteries when the heart contracts is

Hospitals and Nursing Centers

The Persons Rights

The Nursing Assistant

Work Ethics

Communicating With the Health Team

Understanding the Person

Body Structure and Function

Care of the Older Person

Assisting With Safety

Assisting With Fall Prevention

Restraint Alternatives and Safe Restraint Use

Preventing Infection

Body Mechanics

Assisting With Moving and Transfers

Assisting With Comfort

Assisting With Hygiene

Assisting With Grooming

Assisting With Urinary Elimination

Assisting With Bowel Elimination

Assisting With Nutrition and Fluids

Assisting With Specimens

Assisting With Exercise and Activity

Assisting With Wound Care

Assisting With Pressure Ulcers

Assisting With Oxygen Needs

Assisting With Rehabilitation and Restorative Nursing Care

Caring for Persons With Common Health Problems

Caring for Persons With Mental Health Disorders

Caring for Persons With Confusion and Dementia

Assisting With Emergency Care

Assisting With End-Of-Life Care

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