A medical assistant should report which of the following as outside the expected reference range when obtaining vitals?
A steady pulse rhythm in a 16-year-old male patient
A pulse rate of 68/min in a 35-year-old female patient
A bounding pulse volume in a 56-year-old male patient
A pulse rate of 120/min in a 22-year-old female patient
The Correct Answer is C
Correct answer: C
A. A steady pulse rhythm in a 16-year-old male patient. A steady pulse rhythm is normal and within the expected range for a 16-year-old male.
B. A pulse rate of 68/min in a 35-year-old female patient: A pulse rate of 68/min is within the normal resting heart rate range for a 35-year-old female (60-100/min).
C. A bounding pulse volume in a 56-year-old male patient: A bounding pulse volume indicates an unusually strong pulse, which could be a sign of hypertension or other circulatory issues and should be reported.
D. A pulse rate of 120/min in a 22-year-old female patient: A pulse rate of 120/min is above the normal range (tachycardia) and should be reported, as it could indicate a cardiac or systemic problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Avoiding intense eye contact: Avoiding intense eye contact is generally respectful and can be appropriate depending on cultural norms.
B. Reassuring the patient by touching them: In some Muslim cultures, physical contact between individuals of the opposite gender who are not family members may be considered inappropriate.
C. Maintaining distance from the patient: Maintaining a respectful distance is generally appropriate and often preferred in various cultures.
D. Using gestures cautiously: Using gestures cautiously is respectful and avoids miscommunication.
Correct Answer is B
Explanation
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress test.
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