Medical Assisting - Chapter 37
Which of the following factors has an effect on body temperature? 1) Race 2) Gender 3) Age 4) Time of day
Gender Age Time of day
In addition to obtaining the length and weight of an infant, you will also measure the ____. 1) Leg length 2) Arm length 3) Abdominal girth 4) Head circumference 5) Body mass index
Head circumference
Infants have their ______ checked at every visit to monitor brain development. 1) Weight 2) Height 3) Blood pressure 4) Head circumference
Head circumference
What sounds are amplified by using an aneroid sphygmomanometer when recording blood pressure? 1) Kidney 2) Lungs 3) Knee 4) Heart
Heart
Which of the following are body measurements that may be required for adults? 1) Height 2) Head circumference 3) Length 4) Weight
Height Weight
Which of the following is important when taking a rectal temperature? 1) Hold the thermometer in place while taking the temperature 2) Use a disposable thermometer 3) Rinse the thermometer under water before inserting it 4) Insert the thermometer 2 inches into the rectum 5) Ask the patient to stand up and bend over
Hold the thermometer in place while taking the temperature
Which of the following is abnormally deep, rapid breathing? 1) Hyperpnea 2) Apnea 3) Tachypnea 4) Rales
Hyperpnea
Which of the following is excessively fast and deep breathing, usually due to hysteria? 1) Apnea 2) Hypoventilation 3) Hyperventilation 4) Rales
Hyperventilation
The patient must be able to hold the thermometer in their mouth, with the lips closed, when obtaining an ______ temperature. 1) Aural 2) Axillary 3) Rectal 4) Oral
Oral
When taking an infant's pulse, if the brachial artery cannot be felt, which pulse site would be checked? 1) At the infant's heel 2) Over the apex of the heart 3) Over the brachial artery 4) At the radial artery 5) At the antecubital space
Over the apex of the heart
If a brachial pulse cannot be felt on a young child, then take a pulse 1) Over the apex of the heart. 2) From the child's thumb. 3) From the carotid artery. 4) On the ankle of the foot.
Over the apex of the heart.
Which of the following is considered the fifth vital sign and is recorded with other vital signs during a patient interview? 1) Temperature 2) Pain assessment 3) Blood pressure 4) Pulse
Pain assessment
Match the Korotkoff sound with the appropriate description.
Phase 1 - First tapping sound you hear; represents the systolic pressure Phase 2 - Strong heartbeat changes to a softer, swishing sound Phase 3 - Resumption of a crisp, tapping sound Phase 4 - Sounds become muffled Phase 5 - Point at which the sound disappears; represents the diastolic pressure
Which of the following is important when measuring an axillary temperature? 1) Lubricate the thermometer before use 2) Place the middle of the thermometer on the edge of the axilla 3) Place the shaft of the thermometer facing forward 4) Have the patient stand up 5) Avoid pressing the patient's upper arm against his side
Place the shaft of the thermometer facing forward
Which of the following is part of the procedure for measuring the weight of an adult? 1) Placing a disposable towel on the scale 2) Placing the lower weight at the lowest number until the balance indicator drops to the bottom 3) Moving all the weights to the right side to see whether the scale is in balance 4) Asking the patient to step on the back of the scale and lean forward 5) Moving the upper weight slowly to the left
Placing a disposable towel on the scale
Which of the following is important when putting on a blood pressure cuff? 1) Position the cuff so the lower edge of the cuff is 1 inch above the antecubital space 2) Make the bladder of the cuff encircles 50% to 60% the distance around the arm 3) Place the blood pressure cuff over the patient's sleeve 4) Locate the popliteal artery 5) Position the cuff so that the midline of the bladder is at the back of the elbow
Position the cuff so the lower edge of the cuff is 1 inch above the antecubital space
An increase in a patient's pulse rate of more than 10 bpm and a drop in blood pressure of more than 20 points while the patient is in different positions indicate a 1) Negative blood pressure 2) Positive tilt test 3) Negative tilt test 4) Positive blood pressure
Positive tilt test
The condition in which blood pressure becomes low and the pulse increases when a patient is moved from a lying to standing position is called ______. 1) Postural tachycardia 2) Postural hypertension 3) Postural bradycardia 4) Postural hypotension
Postural hypotension
Mrs. Reeves is a 57-year-old patient who was brought to the office because she has been having frequent dizzy spells. In addition to the routine vital signs, which of the following would you expect the physician to ask you to perform for this patient? 1) Postural vital signs 2) Gait tests 3) Capillary refill time 4) Elbow and knee reflexes 5) Pupil reactivity
Postural vital signs
Which of the following are considered vital signs? 1) Pulse 2) Height 3) Weight 4) Temperature 5) Blood pressure 6) Respiration
Pulse Temperature Blood pressure Respiration
Adult height should be measured to the nearest ____. 1) Eighth of an inch 2) Sixteenth of an inch 3) Inch 4) Half-inch 5) Quarter of an inch
Quarter of an inch
Which of the following pulse points is located in the groove on the thumb side of the inner wrist? 1) Brachial 2) Pedal 3) Temporal 4) Radial 5) Femoral
Radial
The medical term hyperpnea is ____. 1) Rapid and deep breathing 2) Difficult or painful breathing 3) Normal breathing 4) The absence of breathing 5) Slow breathing
Rapid and deep breathing
What is the definition of tachypnea? 1) Rapid breathing 2) Normal breathing 3) Deep or labored breathing 4) Lack of breathing 5) Difficult or painful breathing
Rapid breathing
The first tapping sound heard when taking a blood pressure is the ____. 1) Pulse point 2) Diastolic pressure 3) Palpated pressure 4) Systolic pressure 5) Blood pressure
Systolic pressure
What is the rationale for counting respirations for 1 full minute? 1) The patient will be irritated if it's more than 1 minute. 2) Pulse can be measured at the separately 3) It is less likely that you will miss a breathing abnormality. 4) The patient is more likely to calm down after a minute.
It is less likely that you will miss a breathing abnormality.
OSHA guidelines are intended to: 1) Keep the workplace safe 2) Protect patients 3) Protect health care workers 4) Create liabilities 5) Facilitate transmission of disease
Keep the workplace safe Protect patients Protect health care workers
Which of the following conditions can cause secondary hypertension? 1) Skin disease 2) Cancer 3) Kidney disease 4) Joint disease
Kidney disease
When taking a blood pressure, there are five phases that are heard after the cuff is deflated. These phases are called ____. 1) Auscultated pressure 2) Pulse pressure 3) Korotkoff sounds 4) Systolic pressure 5) Diastolic pressure
Korotkoff sounds
Which of the following are body measurements that may be required for an infant? 1) Length 2) Weight 3) Head circumference 4) Oral temperature
Length Weight Head circumference
Mrs. Young called the medical office because her 6-year-old daughter Mary says she feels ill. Mrs. Young used a disposable thermometer to measure the child's temperature and found it to be 102.3° Fahrenheit. Which of the following would be the best response to Mrs. Young? 1) Advise Mrs. Young that the flu is going around; have her give Mary plenty of fluids and call in three days if she does not improve 2) Explain that the physician's schedule is full until next Wednesday and ask Mrs. Young if she would like an appointment for Mary then 3) Tell Mrs. Young to take Mary immediately to the nearest urgent care center or emergency room for treatment 4) Make an appointment for Mary this afternoon, and ask Mrs. Young to use a regular oral thermometer to check the temperature again 5) Advise Mrs. Young to keep Mary isolated from other children for a minimum of one week to avoid spreading disease
Make an appointment for Mary this afternoon, and ask Mrs. Young to use a regular oral thermometer to check the temperature again
Which of the following is the correct method of obtaining a patient's respirations? 1) Ask the patient to breathe normally while you measure respirations. 2) Tell the patient that you are going to take the pulse and respirations. 3) Tell the patient to take a deep breath before you begin. 4) Measure respirations without telling the patient you are doing so.
Measure respirations without telling the patient you are doing so.
Accurate weight measurements are necessary because ______ are prescribed according to weight. 1) Wound care instructions 2) Medications 3) Infection control measures 4) Electrocardiograms
Medications
A respiratory rate indicating no problems is described as 1) Normal 2) Shallow 3) Bounding 4) Deep
Normal
Which of the following is important in the palpatory method of obtaining blood pressure? 1) Inflate the cuff to 50 mmHg 2) Note the level of pressure at which the pulse disappears 3) Palpate the brachial artery 4) Place the stethoscope over the brachial pulse point 5) Increase the pressure by 5 mmHg increments
Note the level of pressure at which the pulse disappears
Essential hypertension is caused by 1) Unknown factors 2) Excessive sugar in the blood 3) Active lifestyle 4) Low white blood cell count
Unknown factors
If you are unable to use a patient's arms for taking a blood pressure, you may use the patient's 1) Knee 2) Upper leg 3) Finger. 4) Foot.
Upper leg
Which of the following is a special consideration when taking blood pressure in adults? 1) Be aware that the blood pressure tends to be low in anxious patients 2) Wait 15 minutes before taking the blood pressure of a patient who has just exercised 3) Always take the blood pressure in the arm that has an implant 4) Do not take the blood pressure of a person who is anxious or upset 5) Avoid using any cuff other than the standard adult cuff
Wait 15 minutes before taking the blood pressure of a patient who has just exercised
16 to 22 respirations per minute is a normal range for 1) an infant 0 to 1 year old 2) a child 1 to 2 years old 3) a child 2 to 5 years old 4) a child 6 to 12 years old
a child 6 to 12 years old
Which of the following is considered a normal blood pressure for a healthy adult? 1) 74/50 to 100/70 2) 80/50 to 112/80 3) 90/60 to 139/78 4) 84/54 to 120/80 5) less than 120/less than 80
less than 120/less than 80
Which of the following can elevate blood pressure readings? 1) After exercise 2) Anxiety 3) Stress 4) Exercise 5) Rest
After exercise Anxiety Stress Exercise
A common site for taking a pulse in children is the brachial artery, which is at the 1) Antecubital space. 2) Temporal space. 3) Popliteal space. 4) Bend in the wrist.
Antecubital space
How often should children and infants be weighed in the office? 1) At each visit 2) Every other visit 3) Yearly 4) Once a month
At each visit
How often should an adult's height be measured? 1) Monthly 2) Every 5 years 3) At the initial visit 4) Yearly
At the initial visit Yearly
Which of the following is important when using a tympanic thermometer? 1) Pull the ear down and forward for an adult 2) Remove the thermometer from the recharging unit and put it in the ear before the light goes on 3) Wait at least 15 minutes after a patient has been eating, drinking, or smoking 4) Attach a disposable sheath and place the thermometer snugly in the ear 5) Shake the thermometer down to a reading between 96.0ºF and 97.0ºF
Attach a disposable sheath and place the thermometer snugly in the ear
When taking blood pressure, sometimes there is a period when the sound either vanishes temporarily or changes, which is called the 1) Auscultatory blood pressure 2) Auscultatory pressure 3) Sound gap 4) Auscultatory gap
Auscultatory gap
A patient just had a drink of cold water and you are getting ready to perform the vital signs and measurements. Which would be the best order? 1) BP, T, P, R, Ht., Wt. 2) T, P, R, BP, Ht., Wt. 3) BP, P, R, Ht., Wt., T 4) Ht., Wt., T, P, R, BP 5) T, BP, R, P, Wt., Ht.
BP, P, R, Ht., Wt., T
Cardiac output, blood volume, vasoconstriction, and blood viscosity can affect _____. 1) Respirations 2) Pulse 3) Temperature 4) Blood pressure
Blood pressure
Which of the following is the force at which blood is pumped against the walls of the arteries? 1) Respirations 2) Blood pressure 3) Heart rate 4) Body temperature
Blood pressure
What does BMI stand for? 1) Body Mass Index 2) Body Mean Index 3) Body Mass Indicator 4) Body Mean Indicator
Body Mass Index
The reliable indicator of healthy body weight that is calculated based on height and weight is called the 1) Body mass profile 2) Body weight 3) Body profile index 4) Body mass index
Body mass index
The pulse point that is located in the bend of the elbow is called the ____ pulse. 1) Pedal 2) Apical 3) Radial 4) Brachial 5) Temporal
Brachial
A patient with a pulse rate of 45 beats per minute is said to have ________. 1) Hyperventilation 2) Tachycardia 3) Tachypnea 4) Bradycardia 5) Hypotension
Bradycardia
What sites could be used if a patient has poor circulation in their fingers or toes? 1) Armpit 2) Upper lip 3) Bridge of the nose 4) Earlobes
Bridge of the nose Earlobes
Nina Trevez is a 32-year-old patient who is new to your medical office. During the initial patient interview, Ms. Trevez says her appendix was removed when she was 10 years old, she had a complete mastectomy of the left breast 5 years ago, and she has a severe allergy to penicillin. Which of the following actions would you be careful to take while taking Ms. Trevez's vital signs? 1) Perform orthostatic vital signs 2) Wear a mask to prevent transmission of bacterial diseases 3) Check her blood pressure using the right arm 4) Include a pain assessment of her abdominal and chest areas 5) Avoid using an oral thermometer
Check her blood pressure using the right arm
The normal range for adult oral temperature is: 1) 98.6ºF-99.8 ºF 2) 97.8ºF-99.1ºF 3) 96.6ºF-99.3 ºF 4) 97.2ºF-100.0 ºF 5) 98.8ºF-100.1 ºF
97.8ºF-99.1ºF
Which respirations is a pattern of breathing that gradually alternates between deep and shallow breaths with a period of apnea, or no breathing, that can last from 5 to 40 seconds? 1) Cheyne-Stokes 2) Tachypnea 3) Hyperpnea 4) Rales
Cheyne-Stokes
Which of the following pieces of information should be included each time a temperature is recorded in a patient's chart? 1) Date 2) Patient's comments 3) Results of the test 4) Patient's age 5) Location the temperature was taken
Date Results of the test Location the temperature was taken
The last tapping sound heard when taking the blood pressure is the ____. 1) Diastolic pressure 2) Auscultated pressure 3) Palpated pressure 4) Pressure point 5) Systolic pressure
Diastolic pressure
What type of readout does an electronic sphygmomanometer provide? 1) Printed 2) Verbal 3) Digital 4) Hand written
Digital
Which thermometer has indicators that change color according to the body temperature detected? 1) Disposable 2) Rectal thermometers 3) Tympanic thermometers 4) Temporal scanner
Disposable
Which of the following thermometers provides the least accurate temperature reading? 1) Disposable thermometers 2) Tympanic thermometers 3) Electronic thermometers 4) Temporal thermometers 5) Oral thermometers
Disposable thermometers
What is the medical term for difficult or painful breathing? Group of answer choices Apnea Tachypnea Eupnea Dyspnea Hyperpnea
Dyspnea
A tympanic thermometer measures infrared energy emitted from the: 1) Eardrum 2) Axilla 3) Mouth 4) Temporal artery
Eardrum
How often are vital signs measured? 1) Every half hour at home 2) Never 3) Every fifth office visit 4) Every office visit
Every office visit
Severe hypotension may be present with shock, heart failure, severe burns, and 1) Excessive bleeding 2) Diabetes 3) Asthma 4) Neuropathy
Excessive bleeding
After a patient has engaged in strenuous activity, you should wait _______ minute(s) before taking blood pressure readings to avoid falsely elevated readings. 1) 15 2) 5 3) 10 4) 1
15
When recording pulse volume on a numerical scale, how is a faint pulse recorded? 1) 4+ 2) 3+ 3) 1+ 4) 2+
2+
To convert kilograms to pounds, the mathematical formula is kg × ______ = lbs. 1) 1.125 2) 22.05 3) 0.125 4) 2.205
2.205
The bladder of the blood pressure cuff should encircle at least ____ of the distance around the adult arm. 1) 70-90% 2) 80-100% 3) 40-60% 4) 60-80%
80-100%
An abnormal pulse oximetry reading below ______% that cannot be corrected by with deep breathing should be reported. 1) 96 2) 90 3) 86 4) 100
90
Normally, an adult's pulse is measured for 1 minute, but some office policies allow medical assistants to count for 1) 10 seconds and multiply by 6. 2) 20 seconds and multiply by 3. 3) 30 seconds and multiply by 2. 4) 15 seconds and multiply by 3.
30 seconds and multiply by 2
Which of the following is the normal range for respirations per minute in an infant? 1) 12-18 2) 30-60 3) 25-36 4) 18-24 5) 40-50
30-60
To convert Fahrenheit to Celsius, the formula is C = (F - _____) × 5/9. 1) 32 2) 9 3) 36 4) 42
32
Which of the following is a temperature of 98.6ºF converted to Celsius? 1) 36.4ºC 2) 38°C 3) 35.9ºC 4) 37.6º C 5) 37ºC
37ºC
The usual ratio of the pulse rate to the respiration rate is ____. 1) 1:1 2) 8:1 3) 4:1 4) 6:1 5) 2:1
4:1
Respiration is the number of times a patient breathes in ____ seconds. 1) 90 2) 60 3) 15 4) 20 5) 30
60
Which of the following is the normal range for an adult heart rate per minute? 1) 55-110 2) 80-160 3) 85-150 4) 75-130 5) 60-100
60-100
Which of the following is a normal pulse for an adult? 1) 20 beats per minute 2) 70 beats per minute 3) 50 beats per minute 4) 120 beats per minute
70 beats per minute
To convert pounds to kilograms, multiply pounds by 1) 3.4 2) 0.22 3) 0.454 4) 1.5
0.454
Axillary temperature is ______ degrees Fahrenheit lower than the oral temperature. 1) 1.5 to 2 2) 2 to 3 3) 3.5 to 4 4) 0.5 to 1
0.5 to 1
How long is an irregular pulse counted for? 1) 30 seconds 2) 15 seconds 3) 2 minutes 4) 1 minute
1 minute
Pulse is measured as the number of times the heart beats in 1) 2 minutes 2) 1 hour 3) 1 minute 4) 2 hours
1 minute
Pulse is measured as the number of times the heart beats in ____. 1) 20 seconds 2) 15 seconds 3) 1 minute 4) 2 minutes 5) 30 seconds
1 minute
What is the waiting time between measuring each orthostatic vital sign after repositioning the patient? 1) 10 to 15 minutes 2) 0 minutes 3) 1 to 3 minutes 4) 2 to 5 minutes
1 to 3 minutes
Beginning with the first step on top, list the steps of calibrating a sphygmomanometer.
1) Check the recording needle rests within the small square at the bottom of the dial 2) Use the Y connector to attach the dial to the pressure bulb 3) Use the pressure bulb to elevate both manometer readings to 250 mmHg 4) Compare the differences between the paired readings to make sure they don't exceed 3 mmHg
Beginning with the first step on top, list the steps for obtaining respirations and pulse.
1) Introduce yourself to the patient 2) Find the radial pulse 3) Count the pulse for 30 seconds 4) Observe the rise and fall of the chest movement for 1 minute 5) Record respiration and pulse
Beginning with the first step on top, list the steps to obtaining blood pressure.
1) Rest the patients' arm on a flat surface 2) Select the appropriate cuff size 3) Inflate the cuff 4) Open the valve to release the pressure
All temperature measurements should be recorded to the nearest ______ of a degree in the patient's chart. 1) 1 2) 1/100 3) 1/10 4) 1/1000
1/10
Proper documentation for adult weight is to record to the nearest ______ pound. 1) 1/100 2) 1/4 3) tenth 4) 1/10
1/4
Which of the following would be considered an abnormal respiration rate for an adult? 1) 12 per minute 2) 15 per minute 3) 18 per minute 4) 10 per minute
10 per minute
Which of the following is the normal range for an infant's heart rate per minute? 1) 75-130 2) 70-115 3) 85-145 4) 60-100 5) 100-160
100-160
What is a normal respiration rate for an adult? 1) 18 to 30 respirations per minute 2) 30 to 60 respirations per minute 3) 22 to 34 respirations per minute 4) 12 to 20 respirations per minute
12 to 20 respirations per minute
The normal adult range for respirations per minute is ____. 1) 26-40 2) 10-20 3) 20-30 4) 12-18 5) 18-24
12-18
Blood pressure readings of 82 diastolic and 132 systolic should be documented as 1) 82/132 2) 132/82 3) 82.132 4) 132-82
132/82
Which of the following is not an internal factor that affects the blood pressure? 1) Stress 2) Blood volume 3) Blood viscosity 4) Vasoconstriction 5) Cardiac output
Stress
Probe covers on thermometers prevent 1) The thermometer from breaking 2) Contamination of the probe 3) The patient from biting down on the probe 4) The patient's mouth from getting cold
Contamination of the probe
What can happen when an improper sized cuff is used to take a blood pressure? 1) Inaccurate reading 2) Gives an accurate reading 3) Cuts the reading in half 4) Doubles the reading
Inaccurate reading
A fever is usually a sign of 1) Inflammation 2) Tachycardia 3) Infection 4) Apnea
Inflammation Infection
Which of the following is correct in the procedure for taking an auscultated blood pressure? 1) Switch the stethoscope to the bell 2) Inflate the cuff to 30 mm Hg above the level determined by palpation 3) Hold the stethoscope in place with the thumb 4) Record the levels of all five Korotkoff sounds 5) Do not wait to take the blood pressure after completing the palpatory method
Inflate the cuff to 30 mm Hg above the level determined by palpation
Patients are measured in the office because the measurements are used to 1) Interpret diagnostic tests 2) Give proper dosages of medication 3) Determine respiratory rate 4) Determine the extent of an injury
Interpret diagnostic tests Give proper dosages of medication Determine the extent of an injury
Quint Gardner, a 35-year-old established patient, is in the office for his annual checkup. He says he feels great, and he appears to be in good physical condition. According to office policy, you check his blood pressure using the aneroid sphygmomanometer and his temperature using an axillary thermometer. His vital signs are: BP: 118/88, R: 16, T: 102.4, P: 62. Given these vitals what would the medical assistant's next step be? 1) Notify the physician that this patient's temperature is dangerously elevated 2) Recheck the blood pressure using an electronic sphygmomanometer 3) Recheck his temperature using a different type of thermometer 4) Ask him if he has had anything cold to drink in the last half hour 5) Ask him to sit quietly for 15 minutes, and then recheck his pulse
Recheck his temperature using a different type of thermometer
According to OSHA guidelines, taking a temperature by which method requires the use of gloves? 1) Aural 2) Temporal 3) Rectal 4) Axilla
Rectal
When obtaining a temperature through the _____ route, it is extremely important for the MA to hold the thermometer in place for safety. 1) Temporal 2) Axilla 3) Oral 4) Rectal
Rectal
Which of the following is the most accurate measurement of body temperature? 1) Rectal temperature 2) Axillary temperature 3) Temporal temperature 4) Oral temperature 5) Tympanic temperature
Rectal temperature
Which of the following vital sign measurements requires the MA to wear gloves? 1) Rectal temperature 2) Pulse 3) Pain Assessment 4) Respirations
Rectal temperature
Diastolic pressure is measured during ______ of the heart. 1) Hypertension 2) Contraction 3) Relaxation 4) Hypotension
Relaxation
What is the medical term for deep snoring or rattling sounds that are associated with asthma? 1) Tachypnea 2) Rhonchi 3) Dyspnea 4) Rales 5) Hyperventilation
Rhonchi
What should be done if a sphygmomanometer does not calibrate? 1) Use it as a back-up 2) Use it only in the mornings 3) Throw it away 4) Send it in for repair
Send it in for repair
Which of the following terms can be used in describing respiration quality of effort? 1) Irregular 2) Shallow 3) Deep 4) Normal
Shallow Deep Normal
Which of the following is a characteristic of electronic sphygmomanometers? 1) Some types also measure pulse and oxygen saturation. 2) They have a circular gauge for registering pressure. 3) The mercury rises with an increase in pressure as the cuff is inflated. 4) They are the least expensive type of sphygmomanometer. 5) They require the use of a stethoscope.
Some types also measure pulse and oxygen saturation.
Proper documentation for adult weight is to record to the nearest ______ of kilogram. 1) Fifth 2) Half 3) Fourth 4) Tenth
Tenth
Which of the following is an accurate statement about a stethoscope? 1) The diaphragm is the cone-shaped side of the stethoscope chestpiece. 2) The cone is the larger, flat side of the stethoscope chestpiece. 3) The bell is best at amplifying low-pitched sounds, such as vascular and heart sounds. 4) For best results, the earpieces should be loosely placed in the ears. 5) Earpieces should be angled down and to the rear for best fit.
The bell is best at amplifying low-pitched sounds, such as vascular and heart sounds.
Which of the following is important when measuring an oral temperature? 1) The patient must be able to breathe through the nose. 2) You should ask the patient to lie on the left side. 3) The patient should hold the thermometer between the teeth. 4) You should place the thermometer on top of the tongue and in the center. 5) You should wait 5 minutes after a patient eats or drinks before taking the temperature.
The patient must be able to breathe through the nose.
Which of the following is true regarding pulse? 1) Male rates are generally faster than female rates. 2) Female rates are generally slower than male rates. 3) The younger the patient, the higher the pulse. 4) The older the patient, the higher the pulse.
The younger the patient, the higher the pulse.
Which of the following is a true statement concerning mercury sphygmomanometers? 1) They are no longer being manufactured. 2) They do not require the use of a stethoscope. 3) They have a circular gauge for registering pressure. 4) They never need to be calibrated. 5) They are less accurate than electronic sphygmomanometers.
They are no longer being manufactured.
Which of the following is a characteristic of aneroid sphygmomanometers? 1) They are no longer being manufactured. 2) They have a circular gauge for registering pressure. 3) They are very costly. 4) They are least likely to give an accurate reading. 5) They provide a digital readout of the blood pressure.
They have a circular gauge for registering pressure.
A(n) ______ test is used to diagnose orthostatic, or postural, hypotension. 1) Blood pressure 2) Hypotension 3) Tilt 4) Ortho
Tilt
Which of the following factors impacts body temperature? 1) Height 2) Time of day 3) Emotion 4) Metabolism
Time of day Emotion Metabolism
Which of the following is part of the procedure for weighing a toddler? 1) Asking the parent to remove the toddler's clothing 2) Weighing the parent holding the toddler 3) Asking the toddler to step on the scale, facing forward 4) Measuring the weight to the nearest pound 5) Asking the parent to leave the room
Weighing the parent holding the toddler
Blood pressure readings should not be taken on an arm 1) With a blocked artery 2) On the same side as a mastectomy 3) That has an injury 4) That had a blood pressure taken on it yesterday
With a blocked artery On the same side as a mastectomy That has an injury
The correct manner in which to record a blood pressure reading is 1) systolic reading first, separated by a period, then diastolic reading. 2) diastolic reading first, separated by a slash, then systolic reading. 3) diastolic reading first, separated by a period, then systolic reading. 4) systolic reading first, separated by a slash, then diastolic reading.
systolic reading first, separated by a slash, then diastolic reading.
Normal systolic blood pressure for an adult is less than ______ mm Hg. 1) 70 2) 120 3) 80 4) 130
120
Which of the following is a normal respiration rate for a child 3-6 years old? 1) 12 to 20 2) 15 to 25 3) 60 to 80 4) 20 to 24
20 to 24
The formula for converting Celsius to Fahrenheit is F = (C × 9/5) + ______. 1) 32 2) 0.454 3) 40 4) 2.205
32
For what amount of time should a patient's respirations be counted? 1) 45 seconds 2) 30 seconds 3) 15 seconds 4) 60 seconds
60 seconds
Which of the following is a normal range for an adult pulse rate? 1) 60-100 beats per minute 2) 80-140 beats per minute 3) 100-160 beats per minute 4) 50-110 beats per minute
60-100 beats per minute
Normal diastolic blood pressure for an adult is less than ______ mm Hg. 1) 120 2) 70 3) 80 4) 110
80
Which of the following diastolic blood pressure reading ranges indicates Stage 1 hypertension? 1) More than 120 mm Hg 2) Less than 80 3) 140 to 159 mm Hg 4) 80 to 89 mm Hg
80 to 89 mm Hg
An aneroid sphygmomanometer measures blood pressure using 1) Mercury that rises. 2) Digital readouts. 3) A circular gauge. 4) Chemicals.
A circular gauge
Which of the following is an advantage of aneroid sphygmomanometers? 1) They are very accurate when calibrated. 2) They can be used by untrained personnel. 3) They are simple to use. 4) They can be used without a stethoscope.
They are very accurate when calibrated.
Which of the following is an advantage of electronic sphygmomanometers? 1) They are inexpensive 2) They can be used on the leg 3) They are very accurate 4) They can be used without a stethoscope
They can be used without a stethoscope
If a pulse rate feels as if it is leaping out and then quickly disappearing with each pulse beat, it would be described as 1) Regular 2) Bounding 3) Disappearing 4) Weak
Bounding
What is an abnormally slow pulse rate called? 1) Tachycardia 2) Hypertension 3) Hypotension 4) Bradycardia
Bradycardia
Which of the following factors can affect blood pressure? 1) Cardiac output 2) Blood viscosity 3) Lung capacity 4) Blood volume 5) Body temperature 6) Vasoconstriction
Cardiac output Blood viscosity Blood volume Vasoconstriction
Which thermometer has indicators that change color according to the body temperature detected? 1) Rectal thermometers 2) Tympanic thermometers 3) Disposable 4) Temporal scanner
Disposable
Which thermometer is convenient for patients to use at home but is not as accurate as other types of thermometers? 1) Rectal thermometers 2) Temporal scanner 3) Tympanic thermometers 4) Disposable
Disposable
What units are temperatures generally measured in? 1) Fahrenheit 2) Pounds 3) Kilograms 4) Celsius
Fahrenheit Celsius
Which of the following terms can be used to describe a pulse? 1) Weak 2) Speedy 3) Bounding 4) Soft 5) Strong 6) Irregular 7) Regular 8) Wimpy
Weak Bounding Strong Irregular Regular
Which of the following measurements are used to track a child's physical growth and development? 1) Weight 2) Head circumference 3) Height 4) Blood pressure
Weight Head circumference Height
Match the terms febrile, afebrile, tachycardia, and bradycardia with the definition.
Febrile - Having an elevated body temperature Afebrile - Having a normal body temperature Tachycardia - Fast heart rate Bradycardia - slow heart rate
Which of the following locations is temperature NOT taken? 1) Ear 2) Femoral artery 3) Temporal artery 4) Mouth
Femoral artery
Which of the following locations on the body are used for pulse measurement using an electronic blood pressure machine? 1) Great toe 2) Forehead 3) Finger 4) Earlobe
Finger Earlobe
In pulse oximetry, a sensor must be placed on the patient's 1) Finger 2) Earlobe 3) Lip 4) Toe 5) Forearm
Finger Earlobe Toe
Which medical term means "low blood pressure". 1) Hypertension 2) Rales 3) Hypotension 4) Cheyenne-Stokes
Hypotension
The diaphragm side of the stethoscope chestpiece is best used for which types of sound? 1) Heart sounds 2) Lung sounds 3) Low-pitched sounds 4) Bowel sounds
Lung sounds Bowel sounds
What does a sphygmomanometer consist of? 1) Manometer 2) Pressure bulb 3) Thermometer 4) Inflatable cuff
Manometer Pressure bulb Inflatable cuff
Which of the following is the correct method of obtaining a patient's respirations? 1) Tell the patient to take a deep breath before you begin. 2) Tell the patient that you are going to take the pulse and respirations. 3) Measure respirations without telling the patient you are doing so. 4) Ask the patient to breathe normally while you measure respirations.
Measure respirations without telling the patient you are doing so.
Which agency provides guidelines for preventing the transmission of disease when performing vital signs? 1) CLIA 2) DEA 3) OSHA 4) FDA
OSHA
A noninvasive test that measures the saturation of oxygen in a patient's arterial blood is called pulse 1) Oximetry. 2) Saturation. 3) Mensuration. 4) Palpation.
Oximetry
The respiration rate reveals how well a patient's body is delivering ______ to the tissues. 1) Carbon dioxide 2) Nutrients 3) Heat 4) Oxygen
Oxygen
Which of the following are vital signs that can be measured using an electronic blood pressure device? 1) Oxygen saturation 2) Respiration 3) Pulse 4) Pain assessment 5) Blood pressure
Oxygen saturation Pulse Blood pressure
The ______ method of blood pressure measurement provides a necessary preliminary approximation of the systolic blood pressure to ensure an adequate level of inflation when the actual auscultatory measurement is made. 1) Hypertensive 2) Orthostatic 3) Palpatory 4) Antecubital
Palpatory
Which of the following are conditions in which rales may be heard? 1) Pneumonia 2) Head injury 3) Asthma 4) Bronchitis 5) Stroke
Pneumonia
Why is it important to use proper technique and instrument when taking temperatures? 1) Prevent the spread of infection 2) To get accurate readings 3) To finish performing vital signs faster 4) In order to prevent a fever
Prevent the spread of infection To get accurate readings
The adult pulse is usually measured at the ______ artery. 1) Radial 2) Popliteal 3) Femoral 4) Brachial
Radial
The artery located in the groove on the thumb side of the inner wrist, where the pulse is taken on adults, is the ______ artery. 1) Radial 2) Femoral 3) Brachial 4) Temporal
Radial
A patient should refrain from which of the following for at least 15 minutes before obtaining a temperature 1) Smoking 2) Drinking 3) Eating 4) Driving
Smoking Drinking Eating
A ______ is an instrument used for measuring blood pressure. 1) Stethoscope 2) Pressure guage 3) Sphygmomanometer 4) Pulse oximeter
Sphygmomanometer
Systolic blood pressure readings over 140 or diastolic readings over 90 indicates which type of hypertension? 1) Normal 2) Stage 3 3) Stage 2 4) Stage 1
Stage 2
What is an instrument used to amplify body sounds? 1) Blood pressure cuff 2) Stethoscope 3) Sphygmomanometer 4) Pulse oximeter
Stethoscope
Where is the best area's on a patient to check respiration rate? 1) Stomach 2) Shoulders 3) Back 4) Forearm 5) Earlobe
Stomach Shoulders Back
An abnormally fast pulse is known as ______. 1) Bradycardia 2) Tachycardia 3) Hypotension 4) Hypertension
Tachycardia
If a patient's oxygen saturation reading is below 90%, what should the medical assistant ask the patient to do? 1) Breathe in and out very fast 2) Hold their breath 3) Breathe into a paper bag 4) Take several deep breaths
Take several deep breaths
Proper cuff placement for taking blood pressure is: 1) On the lower arm in the antecubital space 2) Below the brachial artery and above the radial artery 3) Above the brachial artery on the upper portion of the arm 4) Over the radial artery
Above the brachial artery on the upper portion of the arm
A patient who has a normal or acceptable body temperature is described as being: 1) Febrile 2) Afebrile 3) Hypopyrexic 4) Hyperpyrexic
Afebrile
Match the terms apnea, hyperpnea, hypopnea, hypotension, and hypertension with the correct definition
Apnea - Absence of breathing Hyperpnea - Fast breathing Hypopnea - Slow breathing Hypotension - Low blood pressure Hypertension - High blood pressure
When measuring an axillary temperature, place the tip of the thermometer in the middle of the ______, with the shaft facing forward. 1) Rectum 2) Armpit 3) Temporal artery 4) Mouth
Armpit
A temporal scanner measures the infrared heat of the temporal ______ and the temperature of the site where the temperature is taken to determine the final measurement. 1) Lobe 2) Capillaries 3) Artery 4) Vein
Artery
Which blood pressure is measured by listening with a stethoscope? 1) Papillary 2) Korotkoff 3) Auscultated 4) Acoustic
Auscultated
The value that is typically normal for a specific patient is called his or her: 1) Acceptable value 2) Assessment value 3) Baseline value 4) Variance value
Baseline value
OSHA guidelines recommend used rectal thermometer sheaths, dressings, and bandages to be properly disposed of in a ______ container. 1) Sharps 2) Laundry 3) Regular trash 4) Biohazard
Biohazard
