NCHSE test review
A nursing assistant notes a patients Bp to be 148/96. What is the best action the
assistant can take?
A-Tell pt the Bp
B-report the reading to the pt's nurse
c-wait 15 minutes and then repeat
d-immediately repeat procedure on other arm - correct answer-B-report the reading
to the pt's nurse
You were assigned to take vitals on a 80 year old male nursing home resident who
was recently admitted after having a stroke. Vital signs are: Bp: 130/90, T:99.4 P:92
R:32. Which vital signs is with normal limits?
A-pulse
B-blood pressure
c-respirations
d-temperature - correct answer-d-temperature
which of the following is most likely to develop hypertension based on the risk
factors?
a-underweight 12 year old Indian female student
b-obese 4o year old African American male smoker
c-30 year old asian male distance runner who works on air traffic control
d- 45 year old Caucasian mother of triplets who is on a low carbohydrate diet -
correct answer-B
which pt is best candidate for oral temp?
a-one year old healthy infant
b-16 year old receiving annual physical exam
c- 21 year old pt on seizure precautions
d-62 year old comatose patient - correct answer-b
a pt who has tachycardia most likely has an ?
a-elevated temperature
b-elevated blood pressure
c- fast pulse
d- increased respiratory rate - correct answer-c
what is least accurate route for measuring temp?
a- aural
b-axillary
c-oral
d-rectal - correct answer-b
,Which is considered an elevated temperature?
A-aural 37.2 C
b-Axillary 38.4 c
c- oral 37 c
d- rectal 37.8 c - correct answer-b: 101.12 f
where are pulse rates most commonly measured?
a- apical
b-brachial
c-carotid
d-radial - correct answer-d- radial
What is the respiratory rate for a pt with 16 inspirations and 16 expirations - correct
answer-
In a Bp of 132/86 the 86 represents what?
a- bradycardia
b-tachycardia
c- diastolic
d- systolic - correct answer-C-diastolic
Before taking vital signs of a pt what should you do first?
a- close the curtain
b-explain procedure
c-introduce yourself
d-place call bell within reach - correct answer-c-introduce yourself
In order to avoid errors, whose approved list of abbreviations should you use when
documenting vital signs?
a-American medical association
b- health science textbook
c-board of nursing
d-your employer - correct answer-d- your employer
how does the pulse rate and respiratory rate of a toddler compare to that of a healthy
21 year old?
a- Higher pulse, equal resp
b-lower pulse, higher resp
c-lower pulse, lower resp
d-higher pulse, higher resp - correct answer-d-higher pulse, higher resp
The terms weak and thready are used to describe what?
a-Bp
, b-P
C-Resp
D-T - correct answer-B-pulse
the terms weak and shallow are used to describe what?
a-Bp
b-P
c-Resp
D-T - correct answer-c-Resp
Which thermometer requires to be "shaken down"
A-digital
B-electronic
C-Glass
D-Tympanic - correct answer-C-glass
Which procedure is lubricant required?
A-aural
B-rectal
C-blood pressure
D-pulse/respirations - correct answer-B-rectal
A febrile pt will exhibit a/an?
elevated pulse
B-elevated temp
C-normal pulse
D-normal temp - correct answer-b-Elevated Temp
Why should you not use your thumb when taking pulse?
A-the width of the thumb impedes an accurate feel of pulse
B-The thumb has a pulse of its own and can be confused with pts pulse
C-the sensation of the thumb is not as good as it is in the middle two fingers
D- there is more dexterity in the fingers than there is in the thumb - correct answer-B
Which is true about the size of a blood pressure cuff?
a-the bladder of the cuff needs to cover about 80% of the circumference of the arm
b-cuffs should cover about 80% of length of upper arm
c-blood pressure cuffs are indicated by age of pt
d- except for infants, all adults use same size - correct answer-A
Where would you find an anaerobic microorganism?
a-on a toliet seat
b-in the soil
c-in the air
A nursing assistant notes a patients Bp to be 148/96. What is the best action the
assistant can take?
A-Tell pt the Bp
B-report the reading to the pt's nurse
c-wait 15 minutes and then repeat
d-immediately repeat procedure on other arm - correct answer-B-report the reading
to the pt's nurse
You were assigned to take vitals on a 80 year old male nursing home resident who
was recently admitted after having a stroke. Vital signs are: Bp: 130/90, T:99.4 P:92
R:32. Which vital signs is with normal limits?
A-pulse
B-blood pressure
c-respirations
d-temperature - correct answer-d-temperature
which of the following is most likely to develop hypertension based on the risk
factors?
a-underweight 12 year old Indian female student
b-obese 4o year old African American male smoker
c-30 year old asian male distance runner who works on air traffic control
d- 45 year old Caucasian mother of triplets who is on a low carbohydrate diet -
correct answer-B
which pt is best candidate for oral temp?
a-one year old healthy infant
b-16 year old receiving annual physical exam
c- 21 year old pt on seizure precautions
d-62 year old comatose patient - correct answer-b
a pt who has tachycardia most likely has an ?
a-elevated temperature
b-elevated blood pressure
c- fast pulse
d- increased respiratory rate - correct answer-c
what is least accurate route for measuring temp?
a- aural
b-axillary
c-oral
d-rectal - correct answer-b
,Which is considered an elevated temperature?
A-aural 37.2 C
b-Axillary 38.4 c
c- oral 37 c
d- rectal 37.8 c - correct answer-b: 101.12 f
where are pulse rates most commonly measured?
a- apical
b-brachial
c-carotid
d-radial - correct answer-d- radial
What is the respiratory rate for a pt with 16 inspirations and 16 expirations - correct
answer-
In a Bp of 132/86 the 86 represents what?
a- bradycardia
b-tachycardia
c- diastolic
d- systolic - correct answer-C-diastolic
Before taking vital signs of a pt what should you do first?
a- close the curtain
b-explain procedure
c-introduce yourself
d-place call bell within reach - correct answer-c-introduce yourself
In order to avoid errors, whose approved list of abbreviations should you use when
documenting vital signs?
a-American medical association
b- health science textbook
c-board of nursing
d-your employer - correct answer-d- your employer
how does the pulse rate and respiratory rate of a toddler compare to that of a healthy
21 year old?
a- Higher pulse, equal resp
b-lower pulse, higher resp
c-lower pulse, lower resp
d-higher pulse, higher resp - correct answer-d-higher pulse, higher resp
The terms weak and thready are used to describe what?
a-Bp
, b-P
C-Resp
D-T - correct answer-B-pulse
the terms weak and shallow are used to describe what?
a-Bp
b-P
c-Resp
D-T - correct answer-c-Resp
Which thermometer requires to be "shaken down"
A-digital
B-electronic
C-Glass
D-Tympanic - correct answer-C-glass
Which procedure is lubricant required?
A-aural
B-rectal
C-blood pressure
D-pulse/respirations - correct answer-B-rectal
A febrile pt will exhibit a/an?
elevated pulse
B-elevated temp
C-normal pulse
D-normal temp - correct answer-b-Elevated Temp
Why should you not use your thumb when taking pulse?
A-the width of the thumb impedes an accurate feel of pulse
B-The thumb has a pulse of its own and can be confused with pts pulse
C-the sensation of the thumb is not as good as it is in the middle two fingers
D- there is more dexterity in the fingers than there is in the thumb - correct answer-B
Which is true about the size of a blood pressure cuff?
a-the bladder of the cuff needs to cover about 80% of the circumference of the arm
b-cuffs should cover about 80% of length of upper arm
c-blood pressure cuffs are indicated by age of pt
d- except for infants, all adults use same size - correct answer-A
Where would you find an anaerobic microorganism?
a-on a toliet seat
b-in the soil
c-in the air
