NCHSE test review
A nursing assistant notes a patients Bp to be 148/96. What is the best action the
assistant can take?
A-Tell pt the Bp
B-report the reading to the pt's nurse
c-wait 15 minutes and then repeat
d-immediately repeat procedure on other arm - correct answer-B-report the reading
to the pt's nurse
You were assigned to take vitals on a 80 year old male nursing home resident who
was recently admitted after having a stroke. Vital signs are: Bp: 130/90, T:99.4 P:92
R:32. Which vital signs is with normal limits?
A-pulse
B-blood pressure
c-respirations
d-temperature - correct answer-d-temperature
which of the following is most likely to develop hypertension based on the risk
factors?
a-underweight 12 year old Indian female student
b-obese 4o year old African American male smoker
c-30 year old asian male distance runner who works on air traffic control
d- 45 year old Caucasian mother of triplets who is on a low carbohydrate diet -
correct answer-B
which pt is best candidate for oral temp?
a-one year old healthy infant
b-16 year old receiving annual physical exam
c- 21 year old pt on seizure precautions
d-62 year old comatose patient - correct answer-b
a pt who has tachycardia most likely has an ?
a-elevated temperature
b-elevated blood pressure
c- fast pulse
d- increased respiratory rate - correct answer-c
what is least accurate route for measuring temp?
a- aural
b-axillary
c-oral
d-rectal - correct answer-b
,Which is considered an elevated temperature?
A-aural 37.2 C
b-Axillary 38.4 c
c- oral 37 c
d- rectal 37.8 c - correct answer-b: 101.12 f
where are pulse rates most commonly measured?
a- apical
b-brachial
c-carotid
d-radial - correct answer-d- radial
What is the respiratory rate for a pt with 16 inspirations and 16 expirations - correct
answer-
In a Bp of 132/86 the 86 represents what?
a- bradycardia
b-tachycardia
c- diastolic
d- systolic - correct answer-C-diastolic
Before taking vital signs of a pt what should you do first?
a- close the curtain
b-explain procedure
c-introduce yourself
d-place call bell within reach - correct answer-c-introduce yourself
In order to avoid errors, whose approved list of abbreviations should you use when
documenting vital signs?
a-American medical association
b- health science textbook
c-board of nursing
d-your employer - correct answer-d- your employer
how does the pulse rate and respiratory rate of a toddler compare to that of a healthy
21 year old?
a- Higher pulse, equal resp
b-lower pulse, higher resp
c-lower pulse, lower resp
d-higher pulse, higher resp - correct answer-d-higher pulse, higher resp
The terms weak and thready are used to describe what?
a-Bp
, b-P
C-Resp
D-T - correct answer-B-pulse
the terms weak and shallow are used to describe what?
a-Bp
b-P
c-Resp
D-T - correct answer-c-Resp
Which thermometer requires to be "shaken down"
A-digital
B-electronic
C-Glass
D-Tympanic - correct answer-C-glass
Which procedure is lubricant required?
A-aural
B-rectal
C-blood pressure
D-pulse/respirations - correct answer-B-rectal
A febrile pt will exhibit a/an?
elevated pulse
B-elevated temp
C-normal pulse
D-normal temp - correct answer-b-Elevated Temp
Why should you not use your thumb when taking pulse?
A-the width of the thumb impedes an accurate feel of pulse
B-The thumb has a pulse of its own and can be confused with pts pulse
C-the sensation of the thumb is not as good as it is in the middle two fingers
D- there is more dexterity in the fingers than there is in the thumb - correct answer-B
Which is true about the size of a blood pressure cuff?
a-the bladder of the cuff needs to cover about 80% of the circumference of the arm
b-cuffs should cover about 80% of length of upper arm
c-blood pressure cuffs are indicated by age of pt
d- except for infants, all adults use same size - correct answer-A
Where would you find an anaerobic microorganism?
a-on a toliet seat
b-in the soil
c-in the air
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper lydiaomutho. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €7,80. Je zit daarna nergens aan vast.