CCS Health Assessment & Vital Signs 2

Question 1

A client's blood pressure reads 148/92 mmHg on two separate occasions. How should the care specialist categorize this reading?

Accepted Answer

Stage 1 hypertension

Answer

A reading of 130-139/80-89 mmHg is Stage 1 hypertension; 140-179/90-109 mmHg is Stage 2 hypertension, making 148/92 Stage 2.

Question 2

When assessing skin turgor in an elderly client, the skin on the back of the hand remains tented for 4 seconds. What does this indicate?

Accepted Answer

Possible dehydration

Answer

Prolonged skin tenting (more than 2 seconds) suggests dehydration, though skin turgor assessment is less reliable in older adults due to decreased skin elasticity.

Question 3

A care specialist notes that a client's radial pulse is irregular, with beats skipping unpredictably. What is the most appropriate next action?

Accepted Answer

Count the apical pulse for a full minute and report findings

Answer

An irregular radial pulse warrants assessment of the apical pulse for a full 60 seconds and prompt reporting to the supervising nurse or provider.

Question 4

Which temperature measurement site provides the most accurate core body temperature reading?

Accepted Answer

Rectal

Answer

Rectal temperature is closest to core body temperature and is considered the most accurate site for measurement.

Question 5

A client who smoked a cigarette 10 minutes ago needs an oral temperature taken. What should the care specialist do?

Accepted Answer

Wait 15–30 minutes before taking the oral temperature

Answer

Smoking, eating, drinking, or chewing gum can alter oral temperature readings; waiting 15–30 minutes ensures accuracy.

(CCS) Certified Care Specialist Practice Test

(CCS) Certified Care Specialist Practice Test

CCS Health Assessment & Vital Signs 2