PCHA Final Exam Newest Exam 2026 | All
Questions and Correct Answers | Verified
Answers | Graded A+ | Just Released
The nurse is taking a blood pressure on a patient; the patient's baseline blood
pressure is unknown. The nurse does not have any previous information about
the patient's blood pressure measurements, nor is the patient able to give any
information about previous blood pressure readings. Which of the following
techniques would be the MOST accurate way to measure this patient's blood
pressure? ------------Correct Answer--------------------Inflate the blood pressure cuff
30 mm Hg above the point at which the palpated pulse disappeared.
A patient is being seen in the clinic for "fainting episodes". The patient has a blood
pressure of 150/90 in a lying position, 120/80 in a sitting position, and 90/60 in a
standing position. How should the nurse interpret these findings? ------------
Correct Answer--------------------The change in blood pressure readings is called
orthostatic hypotension.
In the article by Rakotz, 'Medical students and measuring blood pressure: Results
from the American Medical Association Blood Pressure Check Challenge', what
are the consequences of poor technique when measuring blood pressure? ---------
---Correct Answer--------------------all of the above
- A 5- to 10-mm Hg error can result in an incorrect diagnosis of hypertension.
- Poor technique can cause patients with hypertension that is controlled to
appear uncontrolled.
,- Without accurate blood pressure readings, improving blood pressure control in
unlikely because physicians will not reliably know which patients need to be more
aggressively treated and which do not.
Which of the following is correct about arterial blood pressure? ------------Correct
Answer--------------------It is important to know the normal blood pressure of each
individual.
The nurse has just admitted the patient for evaluation of unexplained fever. The
patient's temperature is 102o F, blood pressure 76/50 (baseline 130/74), pulse
110 bpm (baseline 72), respiration 16 bpm (baseline 12). Which of the following
best explains the patient's hypotension? ------------Correct Answer--------------------
Vasodilation secondary to his illness.
Which of the following is NOT true regarding assessment of the respiratory
system? ------------Correct Answer--------------------Orthopnea refers to a subjective
feeling of not being able to get enough oxygen while standing.
The patient is a 85-years-old and has come to your clinic with complaints of
fatigue, cough and decreased appetite for 3 days. When taking vital signs on this
client, you note the oral temperature to be 99.3o F. You should: ------------Correct
Answer--------------------consider this a concerning finding which needs attention
, According to the article by Kiekkas, et al., 'Physical Antipyresis in Critically Ill
Adults', what is the benefit of temperature elevation? ------------Correct Answer----
----------------inhibits bacterial growth
In the article by Cretikos, et al., 'Respiratory rate: The neglected vital sign', a
patient with a respiratory rate of over 24 breaths/minute should be monitored
more closely, even if other vital signs are normal. ------------Correct Answer----------
----------true
Which of the following is true with regard to using the temporal artery
thermometer? ------------Correct Answer--------------------Measure only the 'up' or
exposed side for the most accurate reading.
The patient is admitted to the hospital after a three day history of severe vomiting
and diarrhea secondary to a bacterial infection of the colon. The patient is
otherwise in good health with no chronic illnesses. The baseline blood pressure is
130/84, pulse 78. During the admission assessment, what might the nurse expect
the patient's vital signs to be based on the illness? (All blood pressures taken in
the supine (lying) position). ------------Correct Answer--------------------Pulse: 130,
Blood Pressure: 90/50, Resp: 24, Temp: 102°F
The nurse is observing a student who is listening to a patient's lungs. Which action
by the student indicates a need to review respiratory assessment skills? ------------
Correct Answer--------------------The student auscultates over the scapulae.
Questions and Correct Answers | Verified
Answers | Graded A+ | Just Released
The nurse is taking a blood pressure on a patient; the patient's baseline blood
pressure is unknown. The nurse does not have any previous information about
the patient's blood pressure measurements, nor is the patient able to give any
information about previous blood pressure readings. Which of the following
techniques would be the MOST accurate way to measure this patient's blood
pressure? ------------Correct Answer--------------------Inflate the blood pressure cuff
30 mm Hg above the point at which the palpated pulse disappeared.
A patient is being seen in the clinic for "fainting episodes". The patient has a blood
pressure of 150/90 in a lying position, 120/80 in a sitting position, and 90/60 in a
standing position. How should the nurse interpret these findings? ------------
Correct Answer--------------------The change in blood pressure readings is called
orthostatic hypotension.
In the article by Rakotz, 'Medical students and measuring blood pressure: Results
from the American Medical Association Blood Pressure Check Challenge', what
are the consequences of poor technique when measuring blood pressure? ---------
---Correct Answer--------------------all of the above
- A 5- to 10-mm Hg error can result in an incorrect diagnosis of hypertension.
- Poor technique can cause patients with hypertension that is controlled to
appear uncontrolled.
,- Without accurate blood pressure readings, improving blood pressure control in
unlikely because physicians will not reliably know which patients need to be more
aggressively treated and which do not.
Which of the following is correct about arterial blood pressure? ------------Correct
Answer--------------------It is important to know the normal blood pressure of each
individual.
The nurse has just admitted the patient for evaluation of unexplained fever. The
patient's temperature is 102o F, blood pressure 76/50 (baseline 130/74), pulse
110 bpm (baseline 72), respiration 16 bpm (baseline 12). Which of the following
best explains the patient's hypotension? ------------Correct Answer--------------------
Vasodilation secondary to his illness.
Which of the following is NOT true regarding assessment of the respiratory
system? ------------Correct Answer--------------------Orthopnea refers to a subjective
feeling of not being able to get enough oxygen while standing.
The patient is a 85-years-old and has come to your clinic with complaints of
fatigue, cough and decreased appetite for 3 days. When taking vital signs on this
client, you note the oral temperature to be 99.3o F. You should: ------------Correct
Answer--------------------consider this a concerning finding which needs attention
, According to the article by Kiekkas, et al., 'Physical Antipyresis in Critically Ill
Adults', what is the benefit of temperature elevation? ------------Correct Answer----
----------------inhibits bacterial growth
In the article by Cretikos, et al., 'Respiratory rate: The neglected vital sign', a
patient with a respiratory rate of over 24 breaths/minute should be monitored
more closely, even if other vital signs are normal. ------------Correct Answer----------
----------true
Which of the following is true with regard to using the temporal artery
thermometer? ------------Correct Answer--------------------Measure only the 'up' or
exposed side for the most accurate reading.
The patient is admitted to the hospital after a three day history of severe vomiting
and diarrhea secondary to a bacterial infection of the colon. The patient is
otherwise in good health with no chronic illnesses. The baseline blood pressure is
130/84, pulse 78. During the admission assessment, what might the nurse expect
the patient's vital signs to be based on the illness? (All blood pressures taken in
the supine (lying) position). ------------Correct Answer--------------------Pulse: 130,
Blood Pressure: 90/50, Resp: 24, Temp: 102°F
The nurse is observing a student who is listening to a patient's lungs. Which action
by the student indicates a need to review respiratory assessment skills? ------------
Correct Answer--------------------The student auscultates over the scapulae.
