PCHA FINAL EXAM QUESTIONS AND ANSWERS
(100% VERIFIED) LATEST UPDATE 2026/2027 |
GRADED A+ | ASSURED PASS.
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.
A patient is at the clinic for a physical examination. He states that he is "very
anxious" about the physical exam. What steps can the examiner take to make the
patient more comfortable? - CORRECT ANSWER Appear unhurried and
confident when examining the patient.
When performing a physical examination, safety must be considered to protect the
examiner and the patient against the spread of infection. Which of the following
statements describes the most appropriate actions the examiner should take when
performing a physical examination? - CORRECT ANSWER -Wash hands at the
beginning of the examination and any time that one leaves and re-enters the room.
A 50-year-old patient who is taking anti-hypertensive medications returns to the
clinic to have their blood pressure (BP) checked. The last BP was 146/88. The BP
reported to the nurse is 168/96. Both blood pressures were taken at the brachial
site. Which of the following is true regarding blood pressure assessment in this
patient? Choose all that apply:
1. The patient should be allowed to adequately rest prior to assessing the blood
pressure.
2. The width of the cuff should cover 40% of the circumference of the upper
arm.
3. The position of the arm used for blood pressure assessment should be above
the level of the heart.
4. Goal blood pressure for this patient should be systolic less than 120 mm Hg
and diastolic less than 80 mmHg.
,5. The last audible sound auscultated during blood pressure assessment should
be recorded for the systolic reading.
6. An unsupported arm may be used for an accurate blood pressure measure -
CORRECT ANSWER -1, 2, 4
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.
The inspection phase of the physical assessment: - CORRECT ANSWER -begins
the moment you first meet the person and develop a "general survey".
While caring for a patient with heart disease, the nurse notices an irregularity in the
rhythm of the patient's radial pulse. The previous assessment did not reveal an
irregular pulse. What would be the BEST action to take? - CORRECT ANSWER
-count the patient's apical pulse for one minute
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.
, 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.
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.
(100% VERIFIED) LATEST UPDATE 2026/2027 |
GRADED A+ | ASSURED PASS.
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.
A patient is at the clinic for a physical examination. He states that he is "very
anxious" about the physical exam. What steps can the examiner take to make the
patient more comfortable? - CORRECT ANSWER Appear unhurried and
confident when examining the patient.
When performing a physical examination, safety must be considered to protect the
examiner and the patient against the spread of infection. Which of the following
statements describes the most appropriate actions the examiner should take when
performing a physical examination? - CORRECT ANSWER -Wash hands at the
beginning of the examination and any time that one leaves and re-enters the room.
A 50-year-old patient who is taking anti-hypertensive medications returns to the
clinic to have their blood pressure (BP) checked. The last BP was 146/88. The BP
reported to the nurse is 168/96. Both blood pressures were taken at the brachial
site. Which of the following is true regarding blood pressure assessment in this
patient? Choose all that apply:
1. The patient should be allowed to adequately rest prior to assessing the blood
pressure.
2. The width of the cuff should cover 40% of the circumference of the upper
arm.
3. The position of the arm used for blood pressure assessment should be above
the level of the heart.
4. Goal blood pressure for this patient should be systolic less than 120 mm Hg
and diastolic less than 80 mmHg.
,5. The last audible sound auscultated during blood pressure assessment should
be recorded for the systolic reading.
6. An unsupported arm may be used for an accurate blood pressure measure -
CORRECT ANSWER -1, 2, 4
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.
The inspection phase of the physical assessment: - CORRECT ANSWER -begins
the moment you first meet the person and develop a "general survey".
While caring for a patient with heart disease, the nurse notices an irregularity in the
rhythm of the patient's radial pulse. The previous assessment did not reveal an
irregular pulse. What would be the BEST action to take? - CORRECT ANSWER
-count the patient's apical pulse for one minute
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.
, 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.
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.
