STNA Vital Signs and Clinical Observations

Question 1

What is the normal resting heart rate range for a healthy adult?

Accepted Answer

60–100 beats per minute

Answer

40–60 beats per minute

Answer

100–120 beats per minute

Answer

50–70 beats per minute

Question 2

When counting respirations, the nurse aide should:

Accepted Answer

Count without informing the patient, often while appearing to take the pulse

Answer

Tell the patient you are counting their breaths

Answer

Count only for 15 seconds and multiply by 4

Answer

Ask the patient to take deep breaths during counting

Question 3

Which finding requires the nurse aide to immediately report a blood pressure reading?

Accepted Answer

90/60 mmHg or lower

Answer

120/80 mmHg

Answer

118/76 mmHg

Answer

125/82 mmHg

Question 4

Which site is most commonly used for measuring an adult's temperature orally?

Accepted Answer

Sublingual (under the tongue)

Answer

Under the arm (axillary)

Answer

Rectal

Answer

Temporal artery

Question 5

A nurse aide measures a patient's axillary temperature at 99.6°F. Compared to a normal oral temperature, the axillary reading is typically:

Accepted Answer

1 degree Fahrenheit lower than oral

Answer

The same as oral temperature

Answer

1 degree Fahrenheit higher than oral

Answer

2 degrees Fahrenheit lower than oral

Question 6

What does an oxygen saturation (SpO2) reading of 88% indicate?

Accepted Answer

Low oxygen level that must be reported to the nurse immediately

Answer

Normal oxygenation for an older adult

Answer

Adequate oxygenation requiring no action

Answer

A calibration error in the pulse oximeter