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. 1:5: This ratio would create a stronger solution than typically recommended for disinfection, which might not be necessary and could be harsh on equipment.
B. 1:10: A 1:10 dilution of bleach to water is commonly used for disinfecting surfaces and cleaning medical equipment, as it provides effective disinfection while being safe for equipment.
C. 1:15: This dilution might not be strong enough to ensure effective disinfection.
D. 1:20: This ratio is even more diluted and may not provide adequate disinfectant strength for cleaning purposes.
Correct Answer is C
Explanation
A. 99.6°F: This temperature is higher than expected for an axillary reading. Axillary temperatures are generally lower than oral temperatures.
B. 98.6°F: This reading matches the oral temperature. However, axillary temperatures are usually lower by approximately 1°F compared to oral temperatures.
C. 97.6°F: This is the correct answer because axillary temperatures tend to be about 1°F lower than oral temperatures.
D. 96.6°F: This reading is lower than typically expected for an axillary temperature and would indicate hypothermia, which is not expected if the oral temperature was normal.
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