INACE Basic Nursing Skills 2 — Questions and Answers
Question 1: When taking an oral temperature, how long should the thermometer remain in place if using a glass thermometer?
- 1 minute
- 3–5 minutes (Correct answer)
- 7–10 minutes
- 30 seconds
Correct answer: 3–5 minutes
A glass thermometer must remain under the tongue for 3–5 minutes to obtain an accurate oral temperature reading.
Question 2: A resident's systolic blood pressure reading is 158 mmHg. The nursing assistant should:
- Record it and report it to the nurse immediately (Correct answer)
- Repeat the reading in 24 hours without reporting
- Advise the resident to drink more water
- Ignore it since it is close to normal
Correct answer: Record it and report it to the nurse immediately
A systolic reading of 158 mmHg is above the normal range and must be recorded and reported to the nurse promptly.
Question 3: Which pulse site is most commonly used by nursing assistants during routine vital sign assessment?
- Femoral
- Apical
- Radial (Correct answer)
- Carotid
Correct answer: Radial
The radial pulse, located at the wrist, is the standard site for routine pulse measurement by nursing assistants.
Question 4: When counting respirations, the nursing assistant should:
- Tell the resident to breathe normally while counting
- Count secretly after measuring the pulse without informing the resident (Correct answer)
- Ask the resident to take deep breaths
- Count for exactly 15 seconds and multiply by 4
Correct answer: Count secretly after measuring the pulse without informing the resident
Respirations should be counted without the resident's knowledge so breathing remains natural and uninfluenced.
Question 5: A nursing assistant is preparing to give a bed bath. Which water temperature is safe for bathing a resident?
- 95°F (35°C)
- 105–110°F (40.5–43.3°C) (Correct answer)
- 120°F (48.9°C)
- 90°F (32.2°C)
Correct answer: 105–110°F (40.5–43.3°C)
Bath water should be kept between 105–110°F to be comfortable and safe, particularly for residents with reduced sensation.
Question 6: During a bed bath, the nursing assistant should change the bath water when it becomes:
- Cooler than room temperature
- Soapy, dirty, or cool (Correct answer)
- Used for more than 15 minutes
- Slightly discolored
Correct answer: Soapy, dirty, or cool
Bath water should be changed when it becomes soapy, dirty, or cool to maintain hygiene and resident comfort.
Question 7: Which action best protects a resident's privacy during perineal care?
- Performing care quickly to minimize exposure
- Using a bath blanket to cover unexposed areas (Correct answer)
- Turning off the room lights
- Asking family members to assist
Correct answer: Using a bath blanket to cover unexposed areas
Draping the resident with a bath blanket while exposing only the area being cleaned protects dignity and privacy.
INACE Basic Nursing Skills 2
When taking an oral temperature, how long should the thermometer remain in place if using a glass thermometer?