Question 1

You are taking an oral temperature with a glass thermometer. How long do you leave the thermometer in place?

Accepted Answer

A)  1 minute 
B)  2 minutes 
C)  2 to 3 minutes 
D)  5 to 10 minutes 
A)  1 minute 
B)  2 minutes 
C)  2 to 3 minutes 
D)  5 to 10 minutes

Question 2

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 3

A radial pulse is usually counted for

Accepted Answer

A)  15 seconds 
B)  30 seconds 
C)  45 seconds 
D)  60 seconds 
A)  15 seconds 
B)  30 seconds 
C)  45 seconds 
D)  60 seconds

Question 4

Which systolic pressure should you report at once?

Accepted Answer

A)  168 
B)  120 
C)  116 
D)  118 
A)  168 
B)  120 
C)  116 
D)  118

Question 5

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 6

Vital signs do the following except

Accepted Answer

A)  Show changes in the person's condition 
B)  Signal life-threatening events 
C)  Diagnose illness 
D)  Tell about responses to treatment 
A)  Show changes in the person's condition 
B)  Signal life-threatening events 
C)  Diagnose illness 
D)  Tell about responses to treatment

Question 7

You are counting a patient's respirations. Which is incorrect?

Accepted Answer

A)  You need to tell the person what you are doing. 
B)  Each rise and fall of the chest is counted as 1 respiration. 
C)  Both sides of the person's chest should rise and fall equally. 
D)  Respirations are usually counted for 30 seconds. 
A)  You need to tell the person what you are doing. 
B)  Each rise and fall of the chest is counted as 1 respiration. 
C)  Both sides of the person's chest should rise and fall equally. 
D)  Respirations are usually counted for 30 seconds.

Question 8

A rectal thermometer is color-coded in

Accepted Answer

A)  Blue 
B)  Red 
C)  Green 
D)  Yellow 
A)  Blue 
B)  Red 
C)  Green 
D)  Yellow

Question 9

To rinse a glass thermometer, you need to use

Accepted Answer

A)  Warm water 
B)  Hot water 
C)  Cold water 
D)  A disinfectant solution 
A)  Warm water 
B)  Hot water 
C)  Cold water 
D)  A disinfectant solution

Question 10

A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measurement is within normal range?

Accepted Answer

A)  98.6$\degree$ F 
B)  99.0$\degree$ F 
C)  98.0$\degree$ F 
D)  97.6$\degree$ F 
A)  98.6$\degree$ F 
B)  99.0$\degree$ F 
C)  98.0$\degree$ F 
D)  97.6$\degree$ F

Question 11

Every other long line of a Fahrenheit thermometer is

Accepted Answer

A)  An even number 
B)  An odd number 
C)  A consecutive number 
D)  A fraction 
A)  An even number 
B)  An odd number 
C)  A consecutive number 
D)  A fraction

Question 12

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 13

A person has dementia. Which temperature site promotes the person's comfort and safety?

Accepted Answer

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

Question 14

Taking temperatures is delegated to you. The nurse and care plan tell you the following except

Accepted Answer

A)  What thermometer to use 
B)  What site to use 
C)  The normal range for the site used 
D)  When to take temperatures 
A)  What thermometer to use 
B)  What site to use 
C)  The normal range for the site used 
D)  When to take temperatures

Question 15

Temperature, pulse, respirations, and blood pressure are

Accepted Answer

A)  Basic needs 
B)  Vital signs 
C)  Measurements 
D)  Observations 
A)  Basic needs 
B)  Vital signs 
C)  Measurements 
D)  Observations

Question 16

The covered probe of the tympanic membrane thermometer is inserted

Accepted Answer

A)  Into the mouth 
B)  Into the rectum 
C)  Under the arm 
D)  Into the ear 
A)  Into the mouth 
B)  Into the rectum 
C)  Under the arm 
D)  Into the ear

Question 17

When taking a radial pulse, you need to use

Accepted Answer

A)  Your thumb 
B)  Your first 2 or 3 fingertips 
C)  Your ring and little fingertips 
D)  A stethoscope 
A)  Your thumb 
B)  Your first 2 or 3 fingertips 
C)  Your ring and little fingertips 
D)  A stethoscope

Question 18

You are measuring blood pressure. How far should you inflate the cuff beyond the point where you last felt the person's pulse?

Accepted Answer

A)  10 mm Hg 
B)  20 mm Hg 
C)  30 mm Hg 
D)  40 mm Hg 
A)  10 mm Hg 
B)  20 mm Hg 
C)  30 mm Hg 
D)  40 mm Hg

Question 19

Radiating pain is

Accepted Answer

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

Question 20

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.

Exam 20: Assisting With Assessment

You are taking an oral temperature with a glass thermometer. How long do you leave the thermometer in place?

An apical pulse is counted for

A radial pulse is usually counted for

Which systolic pressure should you report at once?

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?

Vital signs do the following except

You are counting a patient's respirations. Which is incorrect?

A rectal thermometer is color-coded in

To rinse a glass thermometer, you need to use

A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measurement is within normal range?

Every other long line of a Fahrenheit thermometer is

Which is the most common site for taking a pulse?

A person has dementia. Which temperature site promotes the person's comfort and safety?

Taking temperatures is delegated to you. The nurse and care plan tell you the following except

Temperature, pulse, respirations, and blood pressure are

The covered probe of the tympanic membrane thermometer is inserted

When taking a radial pulse, you need to use

You are measuring blood pressure. How far should you inflate the cuff beyond the point where you last felt the person's pulse?

Radiating pain is

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

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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