PCHA FINAL EXAM 2025 | ALL QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM (JUST RELEASED)
Which of the following statements is true regarding use of the tympanic
thermometer? ---------CORRECT ANSWER-----------------The practitioner
needs to wait at least 10 minutes to obtain the temperature if the patient
has been outdoors.
Which of the following is true regarding an oral temperature? ---------
CORRECT ANSWER-----------------The thermometer should be placed in
the posterior sublingual pocket of the mouth.
Your client has a long history of chronic obstructive pulmonary disease.
Which of the following are you most likely to observe? ---------CORRECT
ANSWER-----------------all of the above
- an anterior-posterior (AP) : transverse diameter ratio of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the Emergency Department
after she has fallen down the stairs. She has sudden, sharp pain on the
right side of her chest with shortness of breath. Thoracic expansion is
asymmetrical, with little movement of her right side. Her trachea is deviated
toward the left side. She has hyperresonant percussion sounds on the right
chest and resonant sounds on the left chest. There are no breath sounds
heard on the right. This description is most consistent with: ---------
CORRECT ANSWER-----------------pneumothorax
,Expected assessment findings in the normal adult lung include the
presence of: ---------CORRECT ANSWER-----------------resonant percussion
tones over lung tissue and symmetrical thoracic expansion.
When auscultating the posterior lower lung lobes of the adult client, the
practitioner notes low pitched, soft breath sounds with inspiration being
longer than expiration. The practitioner knows that these are: ---------
CORRECT ANSWER-----------------vesicular breath sounds and are normal
in that location
Which of the following techniques is appropriate during auscultation of
breath sounds? ---------CORRECT ANSWER-----------------Listen to at least
one full respiration (inspiration and expiration) in each location.
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.
CORRECT ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM (JUST RELEASED)
Which of the following statements is true regarding use of the tympanic
thermometer? ---------CORRECT ANSWER-----------------The practitioner
needs to wait at least 10 minutes to obtain the temperature if the patient
has been outdoors.
Which of the following is true regarding an oral temperature? ---------
CORRECT ANSWER-----------------The thermometer should be placed in
the posterior sublingual pocket of the mouth.
Your client has a long history of chronic obstructive pulmonary disease.
Which of the following are you most likely to observe? ---------CORRECT
ANSWER-----------------all of the above
- an anterior-posterior (AP) : transverse diameter ratio of 1:1.
- pursed lip breathing
- tripod position when sitting
A 25-year-old female college student comes to the Emergency Department
after she has fallen down the stairs. She has sudden, sharp pain on the
right side of her chest with shortness of breath. Thoracic expansion is
asymmetrical, with little movement of her right side. Her trachea is deviated
toward the left side. She has hyperresonant percussion sounds on the right
chest and resonant sounds on the left chest. There are no breath sounds
heard on the right. This description is most consistent with: ---------
CORRECT ANSWER-----------------pneumothorax
,Expected assessment findings in the normal adult lung include the
presence of: ---------CORRECT ANSWER-----------------resonant percussion
tones over lung tissue and symmetrical thoracic expansion.
When auscultating the posterior lower lung lobes of the adult client, the
practitioner notes low pitched, soft breath sounds with inspiration being
longer than expiration. The practitioner knows that these are: ---------
CORRECT ANSWER-----------------vesicular breath sounds and are normal
in that location
Which of the following techniques is appropriate during auscultation of
breath sounds? ---------CORRECT ANSWER-----------------Listen to at least
one full respiration (inspiration and expiration) in each location.
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.
