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 C
Explanation
A. Microvilli: Microvilli are cellular extensions found on the surface of some cells, not inside the cell.
B. Cilia: Cilia are projections on the cell surface and are not located inside the cell.
C. Cytoplasm: The cytoplasm is the gel-like substance inside the cell membrane that contains organelles and other cellular components.
D. Interstitial fluid: Interstitial fluid is found outside the cells, in the spaces between cells, not inside the cell itself.
Correct Answer is B
Explanation
A. Call for the provider. Calling for the provider may not address the immediate concern of the patient’s anger and can escalate the situation if not handled calmly first.
B. Speak to the patient using a low tone of voice. Speaking in a calm and low tone can help de-escalate the situation and show that the assistant is attentive and empathetic.
C. Tell the patient to calm down. Telling a patient to calm down can come across as dismissive and may worsen their frustration.
D. Respond in the same tone as the patient. Matching the patient’s angry tone is unprofessional and can escalate the situation further.
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