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1. While inserting a rectal thermometer, the technologist encounters resis-
tance. What action should the technologist take?
a. Remove the thermometer immediately.
b. Apply mild pressure to advance the thermometer.
c. Ask the patient to take a few deep breaths.
d. Remove the thermometer and reinsert gently.: A
2. The technologist assesses the patient's respirations and sees that they are
abnormally shallow (i.e., two to three breaths followed by an irregular period of
apnea). Documentation by the technologist would be correct if which phrase
were used?
a. Hyperpneic respirations
b. Kussmaul's respirations
c. Biot's respirations
d. Cheyne-Stokes respirations: C
3. The technologist measures the patient's blood pressure and obtains 145/90
mm Hg. Which action should the technologist implement next?
a. Talk with the patient about the use of blood pressure medications.
b. Ask for the date of the initial hypertension diagnosis.
c. Repeat the blood pressure after the patient sits for a few minutes.
d. Ask the patient about caffeine, fat, and sodium intake.: C
4. A patient born without arms needs to have a blood pressure assessment.
Which artery should the technologist use to most accurately obtain this
measurement?
a. Femoral
b. Carotid
c. Brachial
d. Popliteal: D
5. The technologist is preparing to obtain a set of vital signs. Which is the most
important factor for the technologist to consider when measuring patient vital
signs?
a. Normal limits are very narrow and are generally the same for all patients.
b. Documentation of vital signs requires timely and accurate recording.
c. Measuring equipment must suit the patient's condition and characteristics.
d. Environmental factors play a minor role on patient vital signs.: C
, RADS 3213 Advanced Clinical Practice Skills Final Exam
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6. Which action should the technologist implement to obtain an accurate
measurement of a patient's blood pressure on an upper extremity?
a. Apply the diaphragm of the stethoscope lightly over the brachial artery.
b. Limit the cuff deflation rate to 10 mm Hg per second or heartbeat.
c. Record the second Korotkoff sound as the systolic pressure.
d. Use a cuff with a cuff width that is 40% larger than the diameter of the arm.: D
7. The technologist is caring for a lethargic, 18-year-old patient with a respi-
ratory rate of 32 breaths per minute. What is the first action the technologist
should take?
a. Place the patient in high-Fowler's position.
b. Reassess the respiratory rate.
c. Assess the remaining vital signs.
d. Notify the health care provider.: A
8. The patient is hypotensive after hemodialysis. Which intervention should
the technologist implement to prevent complications from hypotension?
a. Place the patient in the supine position.
b. Elevate the head of the bed.
c. Place the patient on seizure precautions.
d. Provide warm blankets.: A
9. The technologist needs to measure the adult patient's temperature, but the
patient has just finished a cup of coffee. Which is the best type of temperature
for the technologist to obtain accurate results efficiently?
a. Rectal
b. Disposable
c. Tympanic
d. Axillary: C
10. The patient is morbidly obese and the technologist uses a blood pressure
(BP) cuff that is too narrow for the patient's arm. What problem will the
technologist encounter because of the cuff used?
a. A false high BP reading would occur.
b. The stethoscope could not be positioned correctly.
c. Only a palpable BP could be obtained.
d. The Korotkoff sounds would not be heard.: A