CNA Module 10 Test

For an adult, which pulse rate is reported to the nurse at once? A. 50 B. 62 C. 75 D. 98

A. 50

Which diastolic pressure should you report at once? A. 50 B. 60 C. 70 D. 80

A. 50

Taking temperature is delegated to you. The nurse and care plan tell you the following except: A. the normal range for the site used B. what site to use C. what thermometer to use D. when to take temperatures

A. the normal range for the site used

Vital signs do the following except A. detect changes in the body function B. signal life-threatening events C. diagnose illness D. tell about treatment responses

C. diagnose illness

A mercury glass thermometer breaks. Which is incorrect? A. follow procedures for handling hazardous substances B. follow the bloodborne pathogen standard C. complete an incident report D. call the doctor

D. call the doctor

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

blood pressure

The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is

body temperature

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

bood pressure

The blood pressure cuff is applied over the

brachial artery

A heart rate less than 60 beats per minute is

bradycardia

What do you need to do before storing a glass thermometer?

clean it following agency policy

To read a glass thermometer, you need to use

cold water

The systolic pressure is the

first sound you hear

To take a rectal temperature, the person needs to be

in sims' position

The tympanic membrane thermometer is inserted

into the ear

You are taking a resident's pulse. The beats are not spread evenly. How would you describe the person's pulse when reporting to the nurse?

irregular

The apical pulse is found

just below the left nipple

The diastolic pressure is the

last sound you hear

Before inserting a rectal thermometer, you need to

lubricate the end of the covered probe

A person has a convulsive disorder. When measuring temperature, you cannot use the

oral site

A person is paralyzed on the right side. When measuring temperature, you cannot use the

oral site

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

oral site

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

oral site

Which pulse site is used for children under 2 years old?

the apical site

Which pulse site requires the use of a stethoscope?

the apical site

Which is the most often used site for taking a pulse?

the radial site

Your agency uses electronic blood pressure equipment. Why do you still need to feel pulses?

the rate is given but not the rhythm or force

The blood pressure cuff is applied

to the bare arm

A person has dementia and is confused. Which should you use to measure temperature for a reliable reading?

tympanic membrane

A person has ear drainage. When measuring temperature, you cannot use the

tympanic membrane site

Temperature, pulse, respirations, and blood pressure are

vital signs

The short lines of a centigrade thermometer are marked in

0.1 of a degree

The short lines of a Fahrenheit thermometer are marked in

0.2 of a degree

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

10 to 20 minutes

The healthy adult has

12-20 respirations per minute

You measured a resident's blood pressure. His diastolic pressure was 78 mm Hg. His systolic pressure was 144 mm Hg. How do you record these measurements?

144/78 mm Hg

A resident smokes. The person just has a cigarette. How long do you need to wait before taking the person's temperature orally?

15 to 20 minutes

How many staff members are needed to take an apical-radial pulse?

2

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

2 minutes

You are measuring blood pressure. How fast should you deflate the cuff?

2 to 4 millimeters per second

You are taking a temperature with a temporal artery thermometer. How long does it normally take to obtain a temperature using this device?

3 to 4 seconds

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

30 mm Hg

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

5 to 10 minutes

An apical pulse is usually counted for

60 seconds

Unless agency policy states a different length of time, a radial pulse is usually counted for

60 seconds

When taking an apical-radial pulse, the pulses are counted for

60 seconds

Which diastolic pressure should you report at once? A. 100 B. 64 C. 70 D. 76

A. 100

Which systolic pressure should you report at once? A. 168 B. 110 C. 116 D. 118

A. 168

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 normal? A. 98.6 F B. 99.0 F C. 98.0 F D. 97.6 F

A. 98.6 F

A patient has an IV in her left arm. Which is correct? A. blood pressure is measured on the right arm B. blood pressure is measured on the left arm C. she decides what arm to use D. you use the arm that is easies to reach

A. blood pressure is measured on the right arm

The following factors tend to increase blood pressure except: A. severe bleeding B. stress C. high-sodium diet D. smoking

A. severe bleeding

The statements are about apical-radial pulses. Which is correct? A. the rates should be the same B. the apical rate should be greater than the radial rate C. the radial rate should be greater than the apical rate D. the radial rate can be higher than the apical rate

A. the rates should be the same

Vital signs are immediately reported to the nurse at the following times except: A. whenever they are taken B. if there is a change from a previous measurement C. if above the normal range D. if below the normal range

A. whenever they are taken

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

Respirations usually are counted

After taking the pulse

A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is abnormal? A. 98.1 F B. 99.8 F C. 98.2 F D. 98.0 F

B. 99.8 F

A patient has a cast on his left wrist. Which statement is correct? A. blood pressure is measured on the injured arm B. blood pressure is measure on the right arm C. the person decides what arm to use D. you can use the arm that is easiest to reach

B. blood pressure is measure on the right arm

Ten years ago a patient had breast surgery on her right side. Which is correct? A. blood pressure is measured on the right arm B. blood pressure is measured on the left arm C. she decides what arm to use D. you use the arm that is easiest to reach

B. blood pressure is measured on the left arm

Apical pulses are taken on the following persons except A. persons who have heart disease B. persons who have dementia C. persons who have irregular heart rhythms D. persons who take drugs that affect the heart

B. persons who have dementia

The following factors tend to increase blood pressure except: A. alcohol B. sudden position changes C. weight gain D. pain

B. sudden position changes

A female resident is 40 years old. The following will affect her body temperature except: A. weather and exercise B. her menstrual cycle C. talking D. illness

C. talking

You are taking an apical pulse. Which statement is correct? A. the lub sound is counted as one beat B. the dub sound is counted as one beat C. the lub-dub sound is counted as one beat D. the pulse deficit is counted

C. the lub-dub sound is counted as one beat

Body temperature is measured at the following sites except: A. the mouth B. the tympanic membrane C. under the breasts D. the rectum

C. under the breasts

For an adult, which pulse rate is reported to the nurse at once? A. 66 B. 74 C. 88 D. 110

D. 110

Which systolic pressure should you report at once? A. 120 B. 110 C. 90 D. 80

D. 80

Body temperature is measured at the following sites except: A. the mouth B. the axilla C. the rectum D. behind the knee

D. behind the knee

A systolic blood pressure that is 140 mm Hg or a diastolic pressure that is 90 mm Hg is or higher is:

Hypertension

A systolic blood pressure below 90 mm Hg and a diastolic pressure below 60 mm Hg is

Hypotension

The difference between the apical and radial pulse rate is the

Pulse deficit

To obtain the pulse deficit, you need to

Subtract the radial pulse rate from the apical pulse rate

An apical-radial pulse means that

The apical and radial pulses are taken at the same time

Older persons are at risk for orthostatic hypotension.

True

When taking an apical pulse, you need to use

a stethoscope

A resident is 83 years old. You measure the person's vital signs

according to the person's care plan

What should you use to clean a stethoscope?

antiseptic wipes

To rinse a glass thermometer, you need to use

cold water

The long lines of a centigrade thermometer are marked in

consecutive numbers

The heart muscle relaxes during

diastole

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

diastolic pressure

For an accurate measurement, the axillary site need to be

dry

The long lines of a Fahrenheit thermometer are marked in

even numbers

Temperature-sensitive tape is usually applied to the

forehead

To measure a temporal artery temperature, you need to

gently slide the device across the forehead

Body temperature is usually lower

in the morning

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

in your hand

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

pulse

The number of pulses felt in 1 minute is the

pulse rate

A person has diarrhea. When measuring temperature, you cannot use the

rectal site

A person has heart disease. When measuring temperature, you cannot use the

rectal site

A rectal thermometer is color-coded in

red

The act of inhalation and exhalation is

respiration

Vital signs are normally taken with the person

sitting or lying down

Which of the following is used to measure blood pressure?

sphygmomanometer

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

stethoscope

To measure blood pressure, you need a

stethoscope and sphygmomanometer

A glass thermometer for rectal temperatures has a

stubby tip

The period of heart muscle contraction is

systole

A heart rate of over 100 beats per minute is

tachycardia

You cannot hear the person's blood pressure. What should you do?

tell the nurse

When taking a radial pulse, you need to use

your 2 or 3 fingertips