CORRECT ANSWERS
2026/2027 LATEST EXAM UPDATE – GUARANTEE HIGH PASS
MARK
Certified Clinical Medical Assistant (NHA) – National Healthcareer
Association
Question 1
What is the normal adult resting pulse rate range?
A) 40-60 beats per minute
B) 60-100 beats per minute
C) 80-120 beats per minute
D) 100-140 beats per minute
Correct Answer: B
Rationale: Normal adult pulse is 60-100 beats per minute. Athletes may have lower rates; fever,
anxiety, or illness may increase rate.
Question 2
Which of the following is the correct order for obtaining a blood pressure?
A) Position cuff, palpate radial pulse, inflate cuff, deflate slowly, listen for Korotkoff sounds
B) Inflate cuff, position stethoscope, deflate rapidly, record
C) Palpate brachial pulse, inflate cuff, deflate, listen for breath sounds
D) Position cuff, inflate to 300 mmHg, deflate immediately
Correct Answer: A
Rationale: Correct BP procedure: position cuff over brachial artery, palpate radial pulse, inflate
30 mmHg above palpated pulse disappearance, deflate 2-3 mmHg/sec, listen for Korotkoff
sounds.
Question 3
A patient has a temperature of 38.5°C (101.3°F). This is classified as:
A) Hypothermia
B) Normal
,C) Fever (pyrexia)
D) Hyperpyrexia
Correct Answer: C
Rationale: Normal oral temperature is 36.5-37.5°C (97.7-99.5°F). 38.5°C is a low-grade fever
(pyrexia). Hyperpyrexia is >41°C.
Question 4
Which artery is most commonly used to obtain an adult blood pressure reading?
A) Radial artery
B) Carotid artery
C) Brachial artery
D) Femoral artery
Correct Answer: C
Rationale: The brachial artery, located in the antecubital fossa, is the standard site for
auscultatory blood pressure measurement.
Question 5
The first Korotkoff sound heard when deflating the blood pressure cuff represents:
A) Diastolic pressure
B) Systolic pressure
C) Mean arterial pressure
D) Pulse pressure
Correct Answer: B
Rationale: The first clear tapping sound (Korotkoff phase I) indicates systolic pressure. The
disappearance of sound (phase V) indicates diastolic pressure in adults.
Question 6
A patient with an apical pulse of 110 beats per minute has:
A) Bradycardia
B) Tachycardia
C) Normal heart rate
D) Arrhythmia
Correct Answer: B
,Rationale: Tachycardia is defined as a resting heart rate >100 beats per minute. Bradycardia is
<60 beats per minute.
Question 7
Which pulse site is used for an infant?
A) Carotid
B) Radial
C) Brachial
D) Femoral
Correct Answer: C
Rationale: The brachial pulse is used for infants (under 1 year) because the carotid may be
difficult to palpate. For children over 1 year, carotid or femoral may be used.
Question 8
Normal adult respiratory rate is:
A) 6-10 breaths per minute
B) 12-20 breaths per minute
C) 22-30 breaths per minute
D) 30-40 breaths per minute
Correct Answer: B
Rationale: Normal adult respiratory rate is 12-20 breaths per minute. Rate below 12 is
bradypnea; above 20 is tachypnea.
Question 9
A patient's oxygen saturation is 89% on room air. This indicates:
A) Normal oxygenation
B) Mild hypoxemia
C) Severe hypoxemia requiring oxygen therapy
D) Hyperoxia
Correct Answer: C
Rationale: Normal SpO2 is 95-100%. SpO2 <90% indicates significant hypoxemia requiring
supplemental oxygen per most protocols.
, Question 10
What is the first step when taking a patient's blood pressure?
A) Inflate the cuff to 200 mmHg
B) Ask the patient if they have a preference for which arm
C) Place the stethoscope earpieces facing forward
D) Deflate the cuff rapidly
Correct Answer: B
Rationale: Ask the patient about any arm pain, mastectomy, or IV line. Use the arm with the
highest reading if known, otherwise the left arm is standard.
Question 11
Which position is used for a patient with orthopnea (difficulty breathing when lying flat)?
A) Supine
B) Prone
C) Fowler's (semi-sitting)
D) Trendelenburg
Correct Answer: C
Rationale: Fowler's position (semi-sitting) uses gravity to assist breathing. Orthopnea is
common in heart failure and COPD.
Question 12
A patient with a pulse oximetry reading of 94% is considered:
A) Hypoxic
B) Within normal range
C) Severely hypoxic
D) Hyperoxic
Correct Answer: B
Rationale: Normal SpO2 is 95-100%. 94% is borderline low but may be acceptable in some
patients with chronic lung disease. Below 90% is clinically significant hypoxemia.
Question 13
What is the normal adult oral temperature range?
A) 96.0-97.5°F (35.6-36.4°C)
B) 97.6-99.6°F (36.4-37.6°C)
C) 99.7-101.5°F (37.6-38.6°C)