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1. When measuring an adult patient's blood pressure using a
manual sphygmomanometer, the medical assistant should
position the patient's arm so that the brachial artery is at
which level relative to the heart?
A. 2 inches above the heart
B. At the same level as the heart
C. 2 inches below the heart
D. Dependent below the heart
Answer: B
Rationale: The brachial artery should be positioned at the same
level as the heart (mid-sternal level) to obtain an accurate blood
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,pressure reading. Positioning above or below the heart can
falsely lower or raise readings due to hydrostatic pressure
effects .
2. A medical assistant is assessing a patient's vital signs. The
patient has a blood pressure reading of 148/92 mmHg. How
should this finding be classified according to current blood
pressure guidelines?
A. Normal
B. Elevated
C. Hypertension Stage 1
D. Hypertensive Crisis
Answer: C
Rationale: According to ACC/AHA guidelines, Stage 1
hypertension is defined as systolic 130-139 or diastolic 80-89
mmHg. A reading of 148/92 meets this classification.
Hypertensive crisis requires systolic >180 and/or diastolic >120.
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,3. Which of the following pulse sites is most appropriate for
assessing heart rate in an adult patient during a routine
physical examination?
A. Popliteal
B. Brachial
C. Radial
D. Dorsalis pedis
Answer: C
Rationale: The radial pulse at the wrist is the most common and
accessible site for routine heart rate assessment in adults. The
brachial pulse is often used for infants and young children.
Dorsalis pedis and popliteal pulses are used for assessing
circulation in the lower extremities.
4. A patient has an oral temperature of 101.8°F (38.8°C). The
medical assistant should document this finding as:
A. Hypothermia
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, B. Afebrile
C. Febrile
D. Hyperpyrexia
Answer: C
Rationale: Normal oral temperature is approximately 98.6°F
(37°C). A temperature above 100.4°F (38°C) is considered
febrile (fever). Hyperpyrexia refers to extreme elevation above
105.8°F (41°C). Hypothermia is below 95°F (35°C).
5. Before taking an adult patient's blood pressure, the medical
assistant should ask the patient to avoid which activity for at
least 30 minutes prior to measurement?
A. Drinking water
B. Sitting quietly
C. Smoking or caffeine consumption
D. Deep breathing exercises
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