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

The apical pulse is auscultated at the apex of the heart, located at the 5th intercostal space along the midclavicular line on the left.

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

A 5 lb weight gain in one week can indicate fluid retention and must be documented and reported to the nurse.

Question 3

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

Accepted Answer

95–100%

Answer

A normal SpO2 in a healthy adult is 95–100%; values below 95% should be reported.

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

Shoes must be removed and the resident should stand erect with heels together for an accurate height measurement.

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

A BP of 88/54 with dizziness indicates hypotension, which requires immediate reporting to the nurse.

CNA Practice Test