PCHA exam 2025
PCHA EXAM 2025, PATIENT CARE HEALTH ASSISTANT QUESTIONS,
VERIFIED PCHA ANSWERS, LATEST PCHA TEST, PCHA STUDY GUIDE
PDF, GRADED PCHA QUESTIONS, CERTIFICATION REVIEW
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 - ANSWER-1, 2, 4
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? - ANSWER-count the patient's apical pulse for one minute
Which of the following statements is true regarding use of the tympanic thermometer? -
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? - ANSWER-The thermometer
should be placed in the posterior sublingual pocket of the mouth.
1|Page
, PCHA exam 2025
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? - 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? - 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? - 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? - 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? - ANSWER-Vasodilation secondary to his illness.
Which of the following is NOT true regarding assessment of the respiratory system? - ANSWER-
Orthopnea refers to a subjective feeling of not being able to get enough oxygen while standing.
2|Page
, PCHA exam 2025
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: - 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? - 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. - ANSWER-true
A patient tells the nurse that he is very nervous, nauseated and that he "feels hot". This type of
data would be considered: - 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: - 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: - 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: - ANSWER-uncomfortable talking about his child's treatment
3|Page
PCHA EXAM 2025, PATIENT CARE HEALTH ASSISTANT QUESTIONS,
VERIFIED PCHA ANSWERS, LATEST PCHA TEST, PCHA STUDY GUIDE
PDF, GRADED PCHA QUESTIONS, CERTIFICATION REVIEW
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 - ANSWER-1, 2, 4
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? - ANSWER-count the patient's apical pulse for one minute
Which of the following statements is true regarding use of the tympanic thermometer? -
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? - ANSWER-The thermometer
should be placed in the posterior sublingual pocket of the mouth.
1|Page
, PCHA exam 2025
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? - 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? - 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? - 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? - 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? - ANSWER-Vasodilation secondary to his illness.
Which of the following is NOT true regarding assessment of the respiratory system? - ANSWER-
Orthopnea refers to a subjective feeling of not being able to get enough oxygen while standing.
2|Page
, PCHA exam 2025
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: - 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? - 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. - ANSWER-true
A patient tells the nurse that he is very nervous, nauseated and that he "feels hot". This type of
data would be considered: - 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: - 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: - 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: - ANSWER-uncomfortable talking about his child's treatment
3|Page
