Test for Students Units 18-21 PDF

Name: ________________________ Class: ___________________ Date: __________ ID: A Units 18-21 Multiple Choice (Two points each) Identify the choice that best completes the statement or answers the question. ____ 1. The average oral Fahrenheit temperature is...

Name: ________________________ Class: ___________________ Date: __________ ID: A Units 18-21 Multiple Choice (Two points each) Identify the choice that best completes the statement or answers the question. ____ 1. The average oral Fahrenheit temperature is a. 95.8 degrees. c. 98.6 degrees. b. 101.4 degrees. d. 103.6 degrees. ____ 2. Body temperature is most accurate when measured in the a. mouth. c. rectum. b. ear. d. armpit. ____ 3. A rectal temperature registers a. one degree higher than oral. c. one degree higher than axillary. b. one degree lower than oral. d. one degree lower than axillary. ____ 4. Which method would you select for taking the temperature of an unconscious patient? a. Oral c. Rectal b. Axillary d. Groin ____ 5. You are assigned to take Mr. Lippincott's temperature orally every four hours. At 8:00 AM it is 99.2 degrees F. At 12:00 PM it is 102. degrees F. You should a. document it on the clipboard or flow sheet at the end of your shift. b. continue taking temperatures on the other patients you are assigned to. c. report Mr. Lippincott's temperature to the nurse at once. d. refill the water pitcher and instruct the patient to drink plenty of ice water. ____ 6. What color is the dot at the end of the stem on a rectal thermometer? a. Red c. Green b. Yellow d. Blue ____ 7. The normal rectal Fahrenheit temperature is a. 97.6 degrees. c. 99.6 degrees. b. 98.6 degrees. d. 100.6 degrees. ____ 8. Which method of taking a temperature is the least accurate? a. Tympanic c. Rectal b. Oral d. Axillary ____ 9. The pulse is counted by a. palpating a vein. b. placing a stethoscope over the antecubital space. c. palpating an artery. d. auscultating a capillary. 1 Name: ________________________ ID: A ____ 10. The pulse a. varies in different parts of the body. b. indicates how well the cardiovascular system is working. c. is a measurement of the velocity of the blood. d. indicates how well the tissue absorbs oxygen. ____ 11. Bradycardia is a. a slow pulse. c. a fast pulse. b. a normal pulse rate. d. an irregular heart rate. ____ 12. The character of the pulse is the a. rate. c. speed. b. volume. d. main indicator of illness. ____ 13. An apical pulse is checked a. for one full minute. b. after the nurse gives a heart medication. c. on children 12 or younger. d. on patients over age 65. ____ 14. The average pulse rate in an infant is a. 80 to 100 beats per minute. c. 140 to 180 beats per minute. b. 100 to 120 beats per minute. d. 120 to 160 beats per minute. ____ 15. The average pulse rate in an adult female is a. 40 to 80 beats per minute. c. 65 to 80 beats per minute. b. 66 to 96 beats per minute. d. 80 to 120 beats per minute. ____ 16. Stertorous respirations are a. difficult and labored. c. moist. b. snoring. d. rapid and shallow. ____ 17. Apnea is a. Noisy respirations. c. rapid and shallow respirations. b. difficult or labored respirations. d. no respiration. ____ 18. The average respiratory rate for adults is a. 12 to 24 per minute. c. 12 to 20 per minute. b. 14 to 22 per minute. d. 18 to 26 per minute. ____ 19. When counting respirations, a. count each inhalation and each expiration and add them together. b. wear gloves. c. count one inhalation and one expiration as one respiration. d. tell the patient what you are doing. ____ 20. Blood pressure depends on the a. rate of the heartbeat. c. respiratory rate. b. force of the heartbeat. d. amount of oxygen in the blood. 2 Name: ________________________ ID: A ____ 21. When taking the blood pressure, the highest point at which sound is heard is called a. diastolic pressure. c. tachypneic pressure. b. systolic pressure. d. pulse deficit. ____ 22. Hypertension is a. high blood pressure. c. normal blood pressure. b. low blood pressure. d. absence of blood pressure. ____ 23. Hypotension is when the blood pressure is a. 120/80 or above. c. 110/70 or above. b. 130/70 or below. d. 100/60 or below. ____ 24. The blood pressure cuff should be applied a. one inch above the elbow. c. three inches above the elbow. b. two inches above the elbow. d. four centimeters above the elbow. ____ 25. When measuring the patient's height in bed, a. use a yardstick for greatest accuracy. b. make a mark on the sheet at the top of the head and another mark even with the heels. c. place the tape measure on the top of the forehead and extend it down the body to the feet. d. use a ruler to mark off inches on the sheet. ____ 26. When weighing a patient on a wheelchair scale, a. walk the patient up the ramp, then transfer to the chair. b. lock the wheels when the patient is on the scale. c. lock the ramp in the closed position when weighing the patient. d. transfer the patient to the sling on the scale. ____ 27. The reason the patient's height and weight are obtained on admission is a. to order the proper diet. b. because it is part of routine vital signs taken on all patients. c. to obtain a baseline reading for comparison purposes. d. so the medical record is complete. ____ 28. You are assigned to obtain the admission height and weight for Mrs. Lopez. This patient is ambulatory and her balance is good. Which scale will you use to weigh the patient? a. Upright scale c. Wheelchair scale b. Chair scale d. Electronic bed scale ____ 29. Mrs. Tang weighs 110 pounds. You will record this on the flow sheet as a. 110". c. 110 lb. b. 110'. d. 110 kg ____ 30. Mrs. Seriya is 5 feet, 2 inches tall. You will record this on the flow sheet as a. 52". c. 5"2'. b. 5'2". d. 52'. ____ 31. Your facility requires you to chart the patient's height in inches. You will record Mrs. Seriya's height as a. 52 inches. c. 60 inches. b. 55 inches. d. 62 inches. 3 Name: ________________________ ID: A True/False (One point each) Indicate whether the statement is true or false. ____ 32. Body temperature normally varies 1 to 4 degrees during the course of the day. ____ 33. Body temperature is less stable in children than it is in adults. ____ 34. An axillary temperature is the least accurate method of taking a temperature. ____ 35. It is not necessary to wear gloves when taking the temperature in the groin area. ____ 36. It is necessary to hold the thermometer in place when taking an axillary temperature. ____ 37. When using the tympanic thermometer for children under age 3, pull the pinna down and back. ____ 38. Clean thermometers should be stored in a dry container. ____ 39. When using the tympanic thermometer for children over age 3, pull the pinna up and back. ____ 40. The purpose of pulling on the pinna before inserting a tympanic thermometer is to straighten the ear canal. ____ 41. Breathing is partially under voluntary control. ____ 42. Tachycardia is an unusually slow heart rate. ____ 43. The average pulse rate for an adult male is 60 to 70 beats per minute. ____ 44. The radial pulse is located on the thumb side of the wrist. ____ 45. The nursing assistant should write down the patient's TPR on a notepad and then transfer it to the patient's chart. ____ 46. If the stethoscope tubing contacts the patient or bed linen, wipe it with an alcohol pad. ____ 47. If the patient appears to be using the muscles of the neck or abdomen for breathing, inform the nurse. ____ 48. Size of the blood pressure cuff is not a consideration for obtaining accurate values. ____ 49. Age, weight, and sleep can influence blood pressure readings. ____ 50. The patient should empty his bladder before being weighed. ____ 51. If the patient is wearing an incontinent brief, make sure it is dry before weighing. 4 Name: ________________________ ID: A Completion (Two points each) Complete each statement. 52. Always apply ____________________ to a rectal thermometer before using it. 53. Rapid, shallow breathing is called ____________________. 54. Difficult or labored breathing is called ____________________. 55. ______________________________ respirations are characterized by periods of dyspnea followed by periods of apnea. 56. A respiratory rate greater than 25 per minute is____________________. Short Answer 57. List four situations in which you would not take a rectal temperature (Four points). 58. List four things the nursing assistant can do to make sure a patient's weight measurement is accurate (Four points).. 5