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1. When measuring an adult patient's blood pressure using a
manual sphygmomanometer, the medical assistant should
position the patient's arm so that the brachial artery is at
which level relative to the heart?
A. 2 inches above the heart
B. At the same level as the heart
C. 2 inches below the heart
D. Dependent below the heart
Answer: B
Rationale: The brachial artery should be positioned at the same
level as the heart (mid-sternal level) to obtain an accurate blood
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,pressure reading. Positioning above or below the heart can
falsely lower or raise readings due to hydrostatic pressure
effects .
2. A medical assistant is assessing a patient's vital signs. The
patient has a blood pressure reading of 148/92 mmHg. How
should this finding be classified according to current blood
pressure guidelines?
A. Normal
B. Elevated
C. Hypertension Stage 1
D. Hypertensive Crisis
Answer: C
Rationale: According to ACC/AHA guidelines, Stage 1
hypertension is defined as systolic 130-139 or diastolic 80-89
mmHg. A reading of 148/92 meets this classification.
Hypertensive crisis requires systolic >180 and/or diastolic >120.
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, 3. Which of the following pulse sites is mostappropriate for
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assessing heart rate in an adult patient during a routine
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physical examination? t
A. Popliteal
B. Brachial
C. Radial
D. Dorsalispedis t
Answer: C t
Rationale: The radial pulse at the wrist is the most common and
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accessible site for routine heart rate assessment in adults. The
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brachial pulse is often used for infants and young children.
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Dorsalis pedis and popliteal pulses are used for assessing circulation
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in the lower extremities.
t t t t
4. A patient has an oral temperature of101.8°F (38.8°C).The
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medical assistant should document this finding as:
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A. Hypothermia
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