GNA Vital Signs and Physical Assessment 3

Question 1

A resident's temperature is 101.8°F (38.8°C). This finding indicates:

Accepted Answer

Fever (pyrexia), which must be reported to the nurse

Answer

A temperature of 101.8°F is classified as a fever (pyrexia) and must be reported to the nurse promptly so appropriate interventions can be initiated.

Question 2

Which of the following actions should the nursing assistant take BEFORE measuring a resident's blood pressure?

Accepted Answer

Ensure the resident has rested for at least 5 minutes in a seated position

Answer

The resident should rest quietly for at least 5 minutes before blood pressure measurement to avoid falsely elevated readings caused by recent activity.

Question 3

When measuring vital signs in an elderly resident, which change is considered a normal part of aging that the nursing assistant should be aware of?

Accepted Answer

Blood pressure that tends to be slightly higher than in younger adults

Answer

Blood pressure tends to be slightly higher in older adults due to decreased arterial elasticity, which is a normal aging change, though significantly elevated readings still require reporting.

Question 4

A resident has a pulse oximetry reading of 89%. What is the most appropriate nursing assistant action?

Accepted Answer

Report the reading to the nurse immediately

Answer

A pulse oximetry reading of 89% indicates low oxygen saturation (normal is 95–100%); this is a critical finding that requires immediate reporting to the nurse.

Question 5

The nursing assistant documents a resident's respirations as 'labored.' What does this term mean?

Accepted Answer

The resident requires visible effort or appears to be struggling to breathe

Answer

Labored breathing means the resident is using accessory muscles and appears to be working hard to breathe, which is an abnormal finding that must be reported.

GNA - Geriatric Nursing Assistant Practice Test

GNA - Geriatric Nursing Assistant Practice Test

GNA Vital Signs and Physical Assessment 3