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. Patient was advised to choose foods low in fiber: This may not be appropriate for all patients; dietary recommendations should be personalized and specific.
B. Patient was advised to eliminate lactose in their diet: This is only applicable if lactose intolerance or a similar condition is identified.
C. Patient was provided with a MyPlate handout: Documenting the provision of educational materials such as a MyPlate handout shows that preventative dietary guidelines were shared with the patient.
D. Patient was provided a sodium reference guide: While useful, it does not encompass the full range of preventative dietary guidelines typically covered in an annual exam.
Correct Answer is A
Explanation
A. Label the tube after collection, including the date and time of collection: Labels should be applied to the tube immediately after the sample is collected to ensure accuracy and prevent mix-ups. Including the date and time helps with tracking and documentation.
B. Label the tube after collection, including the provider's name: While it is important to include identifying information, the primary focus should be on the date and time of collection to ensure the sample's accuracy.
C. Label the tube prior to collection, including the date and time of collection: Labels should be applied after the collection to avoid potential errors and ensure the correct sample is labeled.
D. Label the tube prior to collection, including the provider's name: Labeling prior to collection may lead to mistakes if the wrong sample is placed in the labeled tube. The correct practice is to label after collection.
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