INACE Basic Nursing Skills 2

Question 1

When taking an oral temperature, how long should the thermometer remain in place if using a glass thermometer?

Accepted Answer

3–5 minutes

Answer

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:

Accepted Answer

Record it and report it to the nurse immediately

Answer

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?

Accepted Answer

Radial

Answer

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:

Accepted Answer

Count secretly after measuring the pulse without informing the resident

Answer

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?

Accepted Answer

105–110°F (40.5–43.3°C)

Answer

Bath water should be kept between 105–110°F to be comfortable and safe, particularly for residents with reduced sensation.

(INACE) Illinois Nurse Assistant Competency Exam Practice Test