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Questions and correct answers with rationales
Which of the following is NOT true when taking a blood pressure reading?
The optimum position for the resident is lying down with their feet elevated.
Blood pressure readings can be a little higher in the mornings.
The optimum position for the resident is sitting with both feet on the floor.
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It is best if the resident does not talk while their blood pressure reading is being taken. –
Correct Answer :The correct answer is:
The optimum position for the resident is lying down with their feet elevated.
Explanation:
It is not optimum to have a resident lying down for a blood pressure reading. All of the other options are true
considerations for optimum results.
A resident has the following symptoms: Dizziness—feels faint, blood pressure below 90/60 and cold, sweaty
skin. They are most likely suffering from:
Hypoglottis
Hypertension
Hypodermia
Hypotension - Correct Answer :The correct answer is:
Hypotension
Explanation:
Hypotension is low blood pressure and all these symptoms are associated with it. Hypodermia is the medical
term for tissue under the epidermis, Hypoglottis is the underside of the tongue and Hypertension is high blood
pressure.
The normal pulse rate for an adult is 60-100 beats per minute. The normal pulse rate for children is:
60-100 beats per minute.
70-120 beats per minute.
40-60 beats per minute.
55-105 beats per minute. - Correct Answer :The correct answer is:
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70-120 beats per minute.
Explanation:
A range of 70-120 is normal for young children. Babies up to 1 year old can have even higher pulse rates. The
other options could apply to adults or conditioned athletes so are incorrect for children.
Alcohol-based hand cleanser is appropriate for all of the following EXCEPT:
When soap and water are not available.
When hands have observable dirt.
After walking a resident down the hall.
After handling a resident's clothes. - Correct Answer :The correct answer is:
When hands have observable dirt.
Explanation:
Observable dirt that is visible on hands require soap and water. The other options are all considered times that
alcohol-based hand cleanser could be used.
Which of the following incidences necessitates a nursing assistant to wait for a 15 minute period:
Assisting a resident in the bathroom so they don't feel rushed.
Going to the resident's room when they've pulled a "help cord" to see if they can help themselves first.
Taking an oral temperature if the resident has had a cold drink.
Reporting a fall to the supervising nurse. - Correct Answer :The correct answer is:
Taking an oral temperature if the resident has had a cold drink.
Explanation:
If a resident has just had a cold or hot drink it is best to wait 15 minutes before taking an oral temperature
reading. All of the other options require an immediate response.
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If you are helping a resident put on a clean night shirt and it falls to the ground before you get started, it is best
to:
Ask the resident if they want to go ahead and use the dropped shirt.
Tell the resident to wear the shirt until you can go and get a clean one.
Place the shirt on the chair and go to get a clean garment.
Put the shirt in the hamper for cleaning and get another clean garment. - Correct Answer :The correct answer is:
Put the shirt in the hamper for cleaning and get another clean garment.
Explanation:
Picking up something that has dropped to the floor and then using it on a resident can cause contamination and
infection. The resident may not make the best decision and should not choose. Placing the shirt on a chair can be
easily forgotten and the resident could pick it up at a later time and put it on.
Convulsions are associated with:
A spasm.
A tear.
A seizure.
A sprain. - Correct Answer :The correct answer is:
A seizure.
Explanation:
Convulsion is a term often used interchangeably with seizures. The other options are all incorrect.
When muscle tissues shorten and then a joint becomes hard to move it is called:
A perforation.
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