CNA CNA Vital Signs and Measurements 5

Question 1

The nurse asks the CNA to obtain an apical pulse. Where is the stethoscope placed?

Accepted Answer

Left side of the chest at the 5th intercostal space, midclavicular line

Answer

Right side of the chest below the clavicle

Answer

Center of the sternum

Answer

Left armpit area

Question 2

A resident weighed 162 lbs last week and now weighs 167 lbs. What should the CNA do?

Accepted Answer

Document and report the weight gain to the nurse

Answer

Reweigh the resident tomorrow to confirm

Answer

Advise the resident to reduce sodium intake

Answer

Document only; a 5 lb gain is always normal

Question 3

What is the normal range for adult oxygen saturation (SpO2) as measured by pulse oximetry?

Accepted Answer

95–100%

Answer

85–90%

Answer

90–94%

Answer

78–85%

Question 4

When measuring a resident's height with a standing scale, the CNA should instruct the resident to:

Accepted Answer

Remove shoes and stand straight with heels together

Answer

Look down at the floor

Answer

Hold their breath during measurement

Answer

Stand on tiptoe for accuracy

Question 5

Which of the following is a sign of hypotension that a CNA should report after taking a blood pressure?

Accepted Answer

BP of 88/54 and the resident feels dizzy

Answer

BP of 130/85 and the resident feels fine

Answer

BP of 120/80 after the resident stands up

Answer

BP of 140/90 with no symptoms

Question 6

A resident has an irregular pulse. How long should the CNA count the pulse?

Accepted Answer

One full minute

Answer

15 seconds and multiply by 4

Answer

30 seconds and multiply by 2

Answer

Two full minutes

Question 7

Which factor can cause a falsely LOW blood pressure reading when using a manual sphygmomanometer?

Accepted Answer

Deflating the cuff too quickly

Answer

Using a cuff that is too small for the arm

Answer

Having the resident sit upright

Answer

Waiting 2 minutes between measurements