Question 1

Before placing the stethoscope on the person, you need to warm the diaphragm

Accepted Answer

A)  In warm water 
B)  In hot water 
C)  In your hand 
D)  Under the person's arm 
A)  In warm water 
B)  In hot water 
C)  In your hand 
D)  Under the person's arm

Question 2

Acute pain

Accepted Answer

A)  Is felt suddenly 
B)  Is felt in a body part that is no longer there 
C)  Is felt at the site of tissue damage and in nearby areas 
D)  Is constant or occurs on and off 
A)  Is felt suddenly 
B)  Is felt in a body part that is no longer there 
C)  Is felt at the site of tissue damage and in nearby areas 
D)  Is constant or occurs on and off

Question 3

A person is unconscious. 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

You are taking a resident's pulse. The beats are not spaced evenly. When reporting to the nurse, how would you describe the person's pulse?

Accepted Answer

A)  Weak and feeble 
B)  Strong and full 
C)  Irregular 
D)  Thready and bounding 
A)  Weak and feeble 
B)  Strong and full 
C)  Irregular 
D)  Thready and bounding

Question 5

A patient's coffee cup holds 250 mL. The person did not drink all the coffee. You measure that 75 mL of coffee remain. How much did the person drink?

Accepted Answer

A)  100 mL 
B)  200 mL 
C)  175 mL 
D)  125 mL 
A)  100 mL 
B)  200 mL 
C)  175 mL 
D)  125 mL

Question 6

Before inserting a rectal thermometer, do the following

Accepted Answer

A)  Clean it with hot water 
B)  Lubricate the bulb end 
C)  Place it in a probe cover 
D)  Clean it with a disinfectant 
A)  Clean it with hot water 
B)  Lubricate the bulb end 
C)  Place it in a probe cover 
D)  Clean it with a disinfectant

Question 7

Body temperature is usually the lowest

Accepted Answer

A)  In the morning 
B)  In the afternoon 
C)  In the evening 
D)  At bedtime 
A)  In the morning 
B)  In the afternoon 
C)  In the evening 
D)  At bedtime

Question 8

Intake and output are totaled

Accepted Answer

A)  Every 2 hours 
B)  Every 4 hours 
C)  At the end of the shift 
D)  At least once during an 8-hour shift 
A)  Every 2 hours 
B)  Every 4 hours 
C)  At the end of the shift 
D)  At least once during an 8-hour shift

Question 9

You are taking an apical pulse. Which statement is correct?

Accepted Answer

A)  The lub sound is counted as one beat. 
B)  The dub sound is counted as one beat. 
C)  The lub-dub is counted as one beat. 
D)  The pulse deficit is counted. 
A)  The lub sound is counted as one beat. 
B)  The dub sound is counted as one beat. 
C)  The lub-dub is counted as one beat. 
D)  The pulse deficit is counted.

Question 10

The number of pulses felt in one minute is the

Accepted Answer

A)  Pulse 
B)  Pulse deficit 
C)  Pulse rate 
D)  Heartbeat 
A)  Pulse 
B)  Pulse deficit 
C)  Pulse rate 
D)  Heartbeat

Question 11

The pressure in the arteries when the heart is at rest 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

Question 12

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 13

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 14

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 15

The beat of the heart felt at an artery as a wave of blood passes through the artery is the

Accepted Answer

A)  Pulse 
B)  Pulse deficit 
C)  Pulse rate 
D)  Heartbeat 
A)  Pulse 
B)  Pulse deficit 
C)  Pulse rate 
D)  Heartbeat

Question 16

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 17

A patient has an IV in her left arm. Which is correct?

Accepted Answer

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

Question 18

A person is receiving oxygen. When measuring temperature, you cannot use the

Accepted Answer

A)  Oral site 
B)  Rectal site 
C)  Temporal artery site 
D)  Tympanic membrane site 
A)  Oral site 
B)  Rectal site 
C)  Temporal artery site 
D)  Tympanic membrane site

Question 19

You are going to measure a resident's height. You need the following information from the nurse and the care plan

Accepted Answer

A)  How to measure height 
B)  What the person's height should be 
C)  What scale to use 
D)  If the person should wear shoes 
A)  How to measure height 
B)  What the person's height should be 
C)  What scale to use 
D)  If the person should wear shoes

Question 20

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

Exam 20: Assisting With Assessment

Before placing the stethoscope on the person, you need to warm the diaphragm

Acute pain

A person is unconscious. When measuring temperature, you cannot use the

You are taking a resident's pulse. The beats are not spaced evenly. When reporting to the nurse, how would you describe the person's pulse?

A patient's coffee cup holds 250 mL. The person did not drink all the coffee. You measure that 75 mL of coffee remain. How much did the person drink?

Before inserting a rectal thermometer, do the following

Body temperature is usually the lowest

Intake and output are totaled

You are taking an apical pulse. Which statement is correct?

The number of pulses felt in one minute is the

The pressure in the arteries when the heart is at rest is

Chronic pain lasts

Body temperature is measured at the following sites except

Which diastolic pressure should you report at once?

The beat of the heart felt at an artery as a wave of blood passes through the artery is the

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

A patient has an IV in her left arm. Which is correct?

A person is receiving oxygen. When measuring temperature, you cannot use the

You are going to measure a resident's height. You need the following information from the nurse and the care plan

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

Introduction to Hospitals and Nursing Centers

The Nursing Assistant

Work Ethics

Communicating With the Health Team

Understanding the Person

Body Structure and Function

Care of the Older Person

Promoting Safety

Preventing Falls

Restraint Alternatives and Safe Restraint Use

Preventing Infection

Body Mechanics

Safely Handling, Moving, and Transferring the Person

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 Oxygen Needs

Assisting With Rehabilitation and Restorative Nursing Care

Caring for Persons With Common Health Problems

Caring for Persons With Mental Health Problems

Caring for Persons With Confusion and Dementia

Assisting With Emergency Care

Caring for the Dying Person

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