Study Game CCA 46-60

46. Part of your assignment is to measure the height of a patient in bed. After you have identified the client and explained the procedure, performed hand hygiene, collected your supplies, and provided for client privacy, you still have one more step to do BEFORE you measure the client. What is the next step?

• a. Ask for assistance with the task

• b. Make sure the client is in the prone position.

• c. Pull the measuring tape alongside the client’s body until it extends past the head.

• d. Ask the client to hold the other end of the measuring tape.

47. You are mentoring a student support worker, and you have explained to her that vital signs are measured to reveal even minor changes in a client’s condition. The student asks you how to tell the difference between readings. Which of the following is the correct response to the student’s question?

• a. By comparing any readings you take with the client’s baseline reading

• b. By comparing with the normal range for vital signs

• c. By asking the nurse

• d. By checking the client chart

48. Vital signs are measured to detect changes in normal body function. It is important to be aware of factors that can affect vital signs. Which of the options is one of these factors?

• a. Emotions

• b. Height and weight

• c. Pulse rate

• d. Temperature

49. A support worker has just taken the blood pressure of a newborn boy. His blood pressure is 72/56 mm Hg. This blood pressure is categorized as which of the following?

• a. Below normal

• b. Above normal

• c. Normal

• d. Extremely low

50. A normal body temperature range can be much lower in older persons than it is in younger adults. What does this mean for you as a support worker caring for an older person?

• a. You need to use the right type of thermometer when measuring their temperature

• b. You need to report their temperature each time to make sure there is no issue.

• c. You cannot measure their temperature orally.

• d. A client may have a fever when the body temperature seems to be within a normal range.

51. You have completed the pre-procedure tasks and correctly positioned the client in order to measure the client’s pulse and oxygen concentration. You have also turned on the pulse oximeter. What is the next step?

• a. Clip the pulse oximeter over the client’s index finger with the sensor centered over the client’s fingernail.

• b. Clip the pulse oximeter over the client’s thumb with the sensor centered over the client’s thumbnail.

• c. Clip the pulse oximeter over the client’s index finger with the sensor centered over the pad of the client’s finger.

• d. Clip the pulse oximeter over the client’s thumbnail with the sensor centered over the pad of the client’s thumb.

52. You are measuring the heart rate of Heather, an adolescent client, and determine that her heart rate is 110 beats per minute. Your colleague tells you that you need to report this finding. Why is this true?

• a. This reading is slower than the normal range for her age.

• b. This reading is higher than the normal range for an adolescent.

• c. This reading can be an indication of hypotension.

• c. This reading can be an indication of hypotension.

53. You have just finished taking the vital signs of Mrs. Santos, who is 75 years old. Her temperature is 36°C, her blood pressure is 140/90 mm Hg, her pulse rate is 95 beats per minute, and the oximeter registered a reading of 90%. Which finding do you need to report to your supervisor?

• a. Pulse rate of 95 beats per minute.

• b. Oximeter reading of 90%

• c. Blood pressure of 160/90 mm Hg

• d. Temperature of 36°C

54. A 55-year-old client needs rehabilitation after hip replacement surgery. The support worker takes the client’s oral temperature. Which of the following measurements is abnormal?

• a. 36.6°C (97.9°F)

• b. 37.7°C (99.9°F)

• c. 36.8°C (98.2°F)

• d. 36.7°C (98.1°F)

55. In emergencies, which pulse site is used for adults?

• a. The radial site.

• b. The apical site.

• c. The carotid site.

• d. The brachial site.