GNA Vital Signs and Physical Assessment 2

Question 1

A nursing assistant is preparing to take a resident's blood pressure. What is the correct placement of the blood pressure cuff?

Accepted Answer

Around the upper arm, about 1 inch above the elbow crease

Answer

The blood pressure cuff should be placed around the upper arm approximately 1 inch (2–3 cm) above the antecubital crease (elbow crease) for accurate readings.

Question 2

Which thermometer route is most appropriate for a resident who is confused and cannot follow instructions to hold the thermometer under the tongue?

Accepted Answer

Axillary (armpit)

Answer

The axillary route is the safest alternative for confused or uncooperative residents because it poses no risk of injury and requires no resident cooperation.

Question 3

What is the normal oral body temperature range for an adult?

Accepted Answer

97.6°F–99.6°F (36.4°C–37.6°C)

Answer

Normal oral body temperature for an adult is approximately 97.6°F–99.6°F (36.4°C–37.6°C), with 98.6°F (37°C) as the classic average.

Question 4

When counting a resident's pulse, the nursing assistant notices the rhythm is irregular. What is the best action?

Accepted Answer

Count the pulse for a full minute and report the finding to the nurse

Answer

An irregular pulse must be counted for a full 60 seconds and reported to the nurse immediately, as it may indicate a cardiac arrhythmia.

Question 5

The nursing assistant notices a resident's skin is pale, cool, and clammy. Which vital sign change is most consistent with these findings?

Accepted Answer

Low blood pressure and rapid pulse

Answer

Pale, cool, and clammy skin combined with low blood pressure and a rapid pulse are classic signs of shock or cardiovascular compromise, requiring immediate reporting.

GNA - Geriatric Nursing Assistant Practice Test

GNA - Geriatric Nursing Assistant Practice Test

GNA Vital Signs and Physical Assessment 2