PCHA FINAL EXAM NEWEST EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM
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.
Mrs. M. is admitted for pneumonia in her right middle lobe. Where would
the practitioner expect to auscultate decreased or adventitious breath
sounds? ---------CORRECT ANSWER-----------------On the anterior and
lateral chest, between the 4th and 6th ribs approximately, starting from the
midaxillary line to the right sternal border.
A patient tells the nurse that he is very nervous, nauseated and that he
"feels hot". This type of data would be considered: ---------CORRECT
ANSWER-----------------subjective
, Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer
should: ---------CORRECT ANSWER-----------------reduce noise by turning
off televisions and cell phones
A nurse is taking complete health histories on all the patients attending a
wellness workshop. While conducting an interview with a patient, the nurse
asks, "Can you tell me a little about yourself?" This question is an example
of: ---------CORRECT ANSWER-----------------an open-ended question
During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss the child's treatment,
however, the parent suddenly crosses the arms against the chest and
crosses the legs. Based on the understanding that nonverbal modes of
communication provide clues to understanding feelings, the sudden change
in body position would suggest that the parent is: ---------CORRECT
ANSWER-----------------uncomfortable talking about his child's treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit.
The patient has a history of ulcerative colitis. The patient states he has
been having "black stools" for the last 24 hours. Which of the following
would be the most complete way for the nurse to document the patient's
reason for seeking care? ---------CORRECT ANSWER-----------------J.M. is a
59-year-old patient here for having "black stools" for the past 24 hours.
Which of the following statements best describes the purpose of a health
history? ---------CORRECT ANSWER-----------------to provide a database of
subjective information about the patient's past and current health.
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM
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.
Mrs. M. is admitted for pneumonia in her right middle lobe. Where would
the practitioner expect to auscultate decreased or adventitious breath
sounds? ---------CORRECT ANSWER-----------------On the anterior and
lateral chest, between the 4th and 6th ribs approximately, starting from the
midaxillary line to the right sternal border.
A patient tells the nurse that he is very nervous, nauseated and that he
"feels hot". This type of data would be considered: ---------CORRECT
ANSWER-----------------subjective
, Because the physical environment in which an interview takes place is an
important consideration for the success of an interview, the interviewer
should: ---------CORRECT ANSWER-----------------reduce noise by turning
off televisions and cell phones
A nurse is taking complete health histories on all the patients attending a
wellness workshop. While conducting an interview with a patient, the nurse
asks, "Can you tell me a little about yourself?" This question is an example
of: ---------CORRECT ANSWER-----------------an open-ended question
During an interview, a parent of a hospitalized child is sitting in an open
position. As the interviewer begins to discuss the child's treatment,
however, the parent suddenly crosses the arms against the chest and
crosses the legs. Based on the understanding that nonverbal modes of
communication provide clues to understanding feelings, the sudden change
in body position would suggest that the parent is: ---------CORRECT
ANSWER-----------------uncomfortable talking about his child's treatment
A 59-year-old patient is returning to the outpatient clinic for a follow up visit.
The patient has a history of ulcerative colitis. The patient states he has
been having "black stools" for the last 24 hours. Which of the following
would be the most complete way for the nurse to document the patient's
reason for seeking care? ---------CORRECT ANSWER-----------------J.M. is a
59-year-old patient here for having "black stools" for the past 24 hours.
Which of the following statements best describes the purpose of a health
history? ---------CORRECT ANSWER-----------------to provide a database of
subjective information about the patient's past and current health.
