PCA Basic Nursing Skills 2

Question 1

When measuring a client's blood pressure, the cuff should be placed on the arm how many inches above the antecubital space?

Accepted Answer

1 inch

Answer

The blood pressure cuff should be placed approximately 1 inch (2-3 cm) above the antecubital space for accurate readings.

Question 2

A normal adult resting heart rate falls within which range?

Accepted Answer

60-100 beats per minute

Answer

A normal adult resting heart rate is 60-100 beats per minute; values outside this range should be reported.

Question 3

Which action is most important immediately AFTER removing soiled gloves during personal care?

Accepted Answer

Wash hands with soap and water for at least 20 seconds

Answer

Handwashing with soap and water for at least 20 seconds after glove removal is essential to prevent cross-contamination.

Question 4

A client's temperature reads 101.2°F orally. Which action should the PCA take first?

Accepted Answer

Report the finding to the supervising nurse

Answer

A temperature of 101.2°F indicates fever and must be reported to the supervising nurse immediately for further assessment.

Question 5

Which site is considered the most accurate for measuring body temperature in adults?

Accepted Answer

Rectal

Answer

The rectal route is considered the most accurate for measuring core body temperature in adults.

(PCA) Personal Care Assistant Practice Test