UNAR Vital Signs Measurement 5

Question 1

A resident's blood pressure was 118/76 mmHg this morning and is now 88/58 mmHg after standing up. This drop is called:

Accepted Answer

Orthostatic (postural) hypotension

Answer

Essential hypertension

Answer

White coat syndrome

Answer

Hypertensive crisis

Question 2

A CNA notices a resident's pulse oximeter reading is 88%. What action should the CNA take first?

Accepted Answer

Reposition the probe and reassess, then report to the nurse if still low

Answer

Document the reading and check again in one hour

Answer

Administer oxygen immediately

Answer

Increase the resident's activity level

Question 3

Which factor can cause a pulse oximeter reading to be falsely LOW?

Accepted Answer

Poor peripheral circulation or cold fingers

Answer

High altitude

Answer

Fever

Answer

Anxiety

Question 4

When documenting vital signs, the CNA should record which of the following in addition to the values?

Accepted Answer

The date, time, site used, and any resident complaints related to the measurement

Answer

The CNA's personal opinion of the resident's condition

Answer

Only the values with no additional notes

Answer

The name of the nurse who ordered the vital signs

Question 5

A CNA obtains a blood pressure reading that seems much higher than the resident's baseline. What is the BEST next step?

Accepted Answer

Recheck the blood pressure in the same arm after a few minutes and report the finding to the nurse

Answer

Immediately call 911

Answer

Document the reading and say nothing unless asked

Answer

Discard the reading and record the previous day's value

Question 6

Which resident situation requires the CNA to report vital signs to the nurse immediately rather than waiting until the end of the shift?

Accepted Answer

A respiratory rate of 8 breaths per minute and SpO2 of 90%

Answer

A pulse of 72 bpm and respirations of 16 per minute

Answer

A temperature of 98.8°F and blood pressure of 120/80 mmHg

Answer

A blood pressure of 118/76 mmHg after mild exertion

Question 7

The nurse asks the CNA to obtain orthostatic blood pressures. In which order should measurements be taken?

Accepted Answer

Lying down (supine), then sitting, then standing — with a brief wait between each position change

Answer

Standing, then sitting, then lying down

Answer

Sitting only, three times in a row

Answer

Standing only, comparing left arm to right arm