Nursing Assistant State Practice Exam 3
Nursing Assistant state practice exam 3
- 1.
A nurse assigns you a task. You do not understand the instructions. You should
- A.
Try your best
- B.
Ask the resident what to do
- C.
Ask the nurse for clarification
- D.
Refuse to carry out the request
Correct Answer
C. Ask the nurse for clarificationExplanation
Always ask the nurse if you have any questions or attempt to perform anything you are not prepared for.Rate this question:
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- 2.
Nursing assistants
- A.
Never give medications
- B.
Supervise other nursing assistants
- C.
Do not perform personal hygiene measures
- D.
Must perform all tasks and procedure as directed by the nruse
Correct Answer
A. Never give medicationsExplanation
Nursing assistants are not authorized to administer medications to patients. This task is typically performed by licensed nurses or other healthcare professionals who have received the appropriate training and certification. Nursing assistants may assist with medication administration by preparing the medications, ensuring the patient takes them, and documenting any observed side effects or reactions. However, they are not responsible for actually administering the medications themselves.Rate this question:
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- 3.
The following statements are about the resident rights. Which statement is true?
- A.
Residents' mail can be opened by any facility employee
- B.
Residents have the right to have telephone conversations in private
- C.
Residents' closets and drawers can be searched to look for lost items
- D.
Residents may only visit with others in an area where they can be seen and heard by others
Correct Answer
B. Residents have the right to have telephone conversations in privateExplanation
Residents have the right to have telephone conversations in private. This means that facility employees or anyone else should not listen in or interrupt the resident's phone conversations. It ensures that residents have the freedom to communicate with others without any intrusion or violation of their privacy. This right is important for maintaining the dignity and autonomy of residents in a care facility.Rate this question:
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- 4.
He intentional attempt or thereat to touch a person's body without that person's consent is
- A.
Assault
- B.
Battery
- C.
Defamation
- D.
False imprisonment
Correct Answer
A. AssaultExplanation
Intentionally attempting or threatening to touch; battery, actual unauthorized touching; Defamation, of name and reputation; False imprisonment, restricting a person's freedom of movementRate this question:
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- 5.
Which is invasion of privacy?
- A.
A resident is covered while being moved on a stretch
- B.
The door to the resident's room is closed while a treatment is being given
- C.
A resident is being given a back rub. Only the resident's back is uncovered
- D.
The resident's condition and treatment are discussed with the resident's cousin who works in the dietary department
Correct Answer
D. The resident's condition and treatment are discussed with the resident's cousin who works in the dietary departmentExplanation
The invasion of privacy in this scenario occurs when the resident's condition and treatment are discussed with the resident's cousin who works in the dietary department. This violates the resident's right to confidentiality and privacy regarding their personal medical information. It is important to maintain confidentiality and only share medical information with authorized individuals who are directly involved in the resident's care.Rate this question:
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- 6.
Communication is
- A.
The exchange of information
- B.
A verbal account of resident care and observation
- C.
Using sight, hearing, touch, and smell to collect information
- D.
A written account of the resident's illness and response to treatment
Correct Answer
A. The exchange of informationExplanation
A verbal or written message sent, received, and interpreted by the intended person is communicationRate this question:
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- 7.
Mrs. Greene refuses to eat certain foods because of her religious beliefs. The nursing assistant should
- A.
Tell the doctor
- B.
Respect her religious beliefs and notify the nurse
- C.
Tell Mrs. Greene that she will not receive anything else to eat
- D.
Tell Mrs. Greene that she should eat the food because the doctor wants her to.
Correct Answer
B. Respect her religious beliefs and notify the nurseExplanation
The correct answer is to respect Mrs. Greene's religious beliefs and notify the nurse. This is the most appropriate and respectful course of action. By respecting her beliefs, the nursing assistant is showing empathy and understanding towards Mrs. Greene's personal choices. Notifying the nurse ensures that the appropriate healthcare professionals are aware of the situation and can address any dietary concerns or alternatives for Mrs. Greene.Rate this question:
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- 8.
Which of the following is not a sign of hearing loss?
- A.
Speaking too loudly
- B.
Loneliness and boredom
- C.
Asking for thing to be repeated
- D.
Answering questions inappropriately
Correct Answer
B. Loneliness and boredomExplanation
Loneliness and boredom are not direct signs of hearing loss. While individuals with hearing loss may experience social isolation and feelings of boredom due to difficulties in communication, these symptoms are not exclusive to hearing loss and can be caused by various other factors. On the other hand, speaking too loudly, asking for things to be repeated, and answering questions inappropriately are common signs of hearing loss as they indicate difficulties in hearing and understanding conversations.Rate this question:
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- 9.
Death of a spouse is a risk as people grow older. Which statement is false?
- A.
Men generally live longer than women
- B.
The surviving spouse may lose the will to live
- C.
The surviving spouse may develop serious physical problems
- D.
The surviving spouse may develop serious mental health problems
Correct Answer
A. Men generally live longer than womenExplanation
In general, men do not live as long as women. The surviving spouse may develop any of the other symptomsRate this question:
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- 10.
To care effectively for the residents, you must consider the whole person. What does this mean?
- A.
The person's entire body must be considered intact
- B.
How the residents view themselves is important
- C.
Residents must be called by name, not their room and bed numbers
- D.
Residents must be viewed as having physical, psychological, social and spiritual parts
Correct Answer
A. The person's entire body must be considered intactExplanation
The resident must seen as a total person, not as a physical disease, problem, or room and bed numberRate this question:
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- 11.
Which statement about charting is incorrect?
- A.
All entries must be signed
- B.
All entries must be in pencil
- C.
No blank lines are left in an entry
- D.
All entries must be dated and signed
Correct Answer
B. All entries must be in pencilExplanation
Always use ink to record information. Pencil can be erased or smudged. Do not skip lines, draw line through blank space of partially completed line. Sign, date and time all entriesRate this question:
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- 12.
Paralysis on one side of the body is called
- A.
Hemiplegia
- B.
Paraplegia
- C.
Hemaplegia
- D.
Quadriplegia
Correct Answer
A. HemiplegiaExplanation
Paraplegia: waist down; Quadriplegia: neck downRate this question:
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- 13.
Which of the following actions will not assist the residents with their sexuality?
- A.
Allowing normal grooming routines
- B.
Accepting the resident's relationship
- C.
Having the resident wear a hospital gown
- D.
Allowing the resident and his or her partner privacy
Correct Answer
C. Having the resident wear a hospital gownExplanation
Let the resident choose what clothing he /she wants to wear. Hospital gowns are embarrassing to bothRate this question:
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- 14.
An illness/injury for which there is no reasonable expectation of recovery is called a(n)
- A.
Acute illness
- B.
Chronic illness
- C.
Terminal illness
- D.
Long-term illness
Correct Answer
C. Terminal illnessExplanation
Acute will recover, chronic/ long term or long time illness, but not usually cause immediate deathRate this question:
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- 15.
Rigor mortis usually occurs
- A.
Immediately after death
- B.
Within 1 hour after death
- C.
2 to 4 hours after death
- D.
24 hours after death
Correct Answer
C. 2 to 4 hours after deathExplanation
Rigor motis begins 2 to 4 hours after death. Chemical changes in muscle fibers. Complete within 8 hoursRate this question:
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- 16.
The most common accident in the long-term care facilities is
- A.
A fall
- B.
A burn
- C.
Poisoning
- D.
Suffocation
Correct Answer
A. A fallExplanation
The most common accident in long-term care facilities is a fall. This is because elderly individuals in these facilities may have mobility issues, balance problems, or cognitive impairments that make them more prone to falling. Additionally, the environment in these facilities, such as slippery floors or obstacles, can increase the risk of falls. Falls can result in serious injuries, such as fractures or head trauma, and can have a significant impact on the overall health and well-being of the residents. Therefore, it is crucial for long-term care facilities to have appropriate measures in place to prevent falls and ensure the safety of their residents.Rate this question:
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- 17.
The following statements are about preventing falls. Which is false?
- A.
Residents should wear nonskid shoes resident's room
- B.
A nightlight should be kept on in the resident's room
- C.
The signal light should always be within the resident's reach
- D.
The bed should always be kept in the highest horizontal position
Correct Answer
D. The bed should always be kept in the highest horizontal positionExplanation
The bed should always be kept in the lowest horizontal position except when giving care.Rate this question:
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- 18.
Which resident is least likely to be able to protect himself?
- A.
Mr. McCabe who is 52 and in a coma
- B.
Mr. Jones who is 60 and wears glasses
- C.
Mr. walker who is 80 and hard-of-hearing
- D.
Mr. Turner who is 71 and has a chest cold
Correct Answer
A. Mr. McCabe who is 52 and in a comaExplanation
Mr. McCabe, who is 52 and in a coma, is least likely to be able to protect himself because being in a coma means that he is in a state of unconsciousness and unable to respond to his surroundings or defend himself from potential harm.Rate this question:
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- 19.
Which statement about restraints is false?
- A.
Restraints require a doctor's order
- B.
A restraint should prevent movement of the body part
- C.
Bony areas should be padded when a restraint is applied
- D.
A resident may become more confused and agitated after restraints are applied
Correct Answer
B. A restraint should prevent movement of the body partExplanation
some movement is allowed when restraints are used. This insures that the restraint is not too tightRate this question:
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- 20.
You are to apply a jacket restraint. Which is false?
- A.
Apply the restraint over the resident's clothing
- B.
Apply the vest so the straps cross in the back
- C.
Tie the straps to the bed frame in a square knot
- D.
Make sure the resident is comfortable and in good body alignment
Correct Answer
B. Apply the vest so the straps cross in the backExplanation
A vest never crosses in the back, it can cause strangulation. Applied over clothing, tied to the bed frameRate this question:
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- 21.
You must especially be careful about the fire if the resident is receiving
- A.
Oxygen
- B.
Heat treatments
- C.
Intravenous fluids
- D.
Sleeping medications
Correct Answer
A. OxygenExplanation
Oxygen is essential for firesRate this question:
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- 22.
You re using a fire extinguisher. The hose is aimed at
- A.
Top of flame
- B.
Middle of the flame
- C.
Base of the fire
- D.
Area around the fire
Correct Answer
C. Base of the fireExplanation
Otherwise fire may spreadRate this question:
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- 23.
A microorganism needs the following to grow except
- A.
Food
- B.
Light
- C.
Water
- D.
Warmth
Correct Answer
B. LightExplanation
Light and heat destroy microorganisms. The microbe must get nourishment from the reservoir (host)Rate this question:
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- 24.
You are going to wash your hands. You should stand
- A.
Right up against the sink
- B.
6 inches away from the sink
- C.
2 feet away from the sink
- D.
Far enough so that your uniform does not touch the sink
Correct Answer
D. Far enough so that your uniform does not touch the sinkExplanation
Contagious (communicable) disease require isolation precautions. Not all infections are contagiousRate this question:
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- 25.
Isolation precautions are used for residents with
- A.
Allergies
- B.
Contagious disease
- C.
Any type of infection
- D.
Gastrointestinal disease
Correct Answer
B. Contagious diseaseExplanation
Isolation precautions are used for residents with contagious diseases because these diseases can easily spread from person to person. By isolating individuals with contagious diseases, the risk of transmission to other residents and healthcare workers is minimized. Isolation precautions may include wearing personal protective equipment, such as gloves and masks, and implementing strict protocols for cleaning and disinfection. This helps to protect both the individual with the contagious disease and others in the healthcare setting.Rate this question:
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- 26.
What should you do first when putting on a gown?
- A.
Tie the waist stings
- B.
Tie the strings at the neck
- C.
Overlap the back of the gown
- D.
Make sure it completely covers all of your uniform
Correct Answer
D. Make sure it completely covers all of your uniformExplanation
The first step is d. Then trying the neck, overlapping the back of the gown, and last is tie the waistRate this question:
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- 27.
A resident in a wheelchair complains of a draft. You best action would be
- A.
Return the resident to the bed
- B.
Bring the resident a lap robe
- C.
Close off the air vent near the resident
- D.
Move the resident to draft free location
Correct Answer
D. Move the resident to draft free locationExplanation
You may not close off a vent without being told to do soRate this question:
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- 28.
Weak and small muscle groups are located in the
- A.
Hips
- B.
Thighs
- C.
Back
- D.
Shoulders and upper arms
Correct Answer
C. BackExplanation
The back muscles are weak and small. Using the back muscles to lift will often cause back strainRate this question:
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- 29.
You are going to move a resident to the side of the bed. You should not?
- A.
Raise the side rail on your side
- B.
Cross the resident's arms over his or her chest
- C.
Move the resident in segments beginning with the neck and shoulders
- D.
Stand on the side of the bed to while you will be moving the resident
Correct Answer
A. Raise the side rail on your sideExplanation
The opposite side rail must be up. Stand on the same side of the bed as the resident will be turned toRate this question:
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- 30.
Mr. Jones is sitting in a chair while his bed is being made. the top linens are folded back so that he can get into bed. This is a(n)
- A.
Open bed
- B.
Closed bed
- C.
Surgical bed
- D.
Occupied bed
Correct Answer
A. Open bedExplanation
An open bed with the top linens folded back is ready for the residentRate this question:
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- 31.
Plastic draw sheets do the following except
- A.
Protect the mattress
- B.
Protect the bottom linens
- C.
Increase the resident's comfort
- D.
Increase the risk of skin breakdown
Correct Answer
C. Increase the resident's comfortExplanation
Plastic draw sheets cause heavy perspiration; cause discomfort and increase risk of skin breakdownRate this question:
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- 32.
Which is not used for oral hygiene?
- A.
Toothpaste
- B.
Mouthwash
- C.
Dental floss
- D.
A hard-bristled tooth brush
Correct Answer
D. A hard-bristled tooth brushExplanation
A hard-bristled toothbrush is not used for oral hygiene because it can cause damage to the teeth and gums. Hard bristles can be too abrasive and can wear down the enamel of the teeth, leading to sensitivity and other dental issues. Dentists recommend using a soft or medium-bristled toothbrush for effective cleaning without causing harm to the teeth and gums.Rate this question:
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- 33.
The best time to bathe a resident is
- A.
After breakfast
- B.
Before lunch
- C.
Before bedtime
- D.
At the time preferred by the resident
Correct Answer
D. At the time preferred by the residentExplanation
The best time to bathe a resident is at the time preferred by the resident because it allows them to have control over their own routine and promotes their independence. By allowing the resident to choose the time, it ensures that they are comfortable and more likely to cooperate during the bathing process. Additionally, it respects their individual preferences and promotes person-centered care, which is essential for maintaining their dignity and overall well-being.Rate this question:
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- 34.
Water for bath should be between
- A.
90-100 F
- B.
100-105 F
- C.
105-110 F
- D.
110-115 F
Correct Answer
D. 110-115 FExplanation
The correct answer is 110-115 F. This temperature range is recommended for water used in bathing because it is warm enough to provide comfort and relaxation, but not too hot to cause discomfort or skin irritation. Water at this temperature range also helps to open up the pores, allowing for better cleansing and moisturizing of the skin. Additionally, it is important to note that individual preferences may vary, so it is always best to adjust the water temperature according to personal comfort.Rate this question:
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- 35.
Which should yo do first when shaving Mr. Jones?
- A.
Wash his face
- B.
Apply a generous amount of lather
- C.
Shave in the direction of the hair growth
- D.
Apply a wet washcloth or towel to his face
Correct Answer
A. Wash his faceExplanation
It is important to clean to reduce the amount of bacteria on the skin; then apply a wet cloth or towel to soften the beardRate this question:
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- 36.
You empty a urinal and observe the following Which observation needs to be reported?
- A.
Urine is clear
- B.
Urine is pale yellow
- C.
Small particles are in the urine
- D.
Urine has a faint ammonia odor
Correct Answer
C. Small particles are in the urineExplanation
This needs to be reported. Normal urine is pale yellow,clear and has a faint ammonia odorRate this question:
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- 37.
A resident cannot clean the perineal area after urinating. You should
- A.
Report this to the nurse
- B.
Give the resident a partial bath
- C.
Clean the perineal area with cotton balls
- D.
Clean gently from front to back with toilet tissue
Correct Answer
D. Clean gently from front to back with toilet tissueExplanation
If the resident cannot wipe after urinating, you must do this for themRate this question:
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- 38.
Unconscious residents usually have mouth care done
- A.
Every 2 hours
- B.
Every 8 hours
- C.
Every 12 hours
- D.
Once a day
Correct Answer
A. Every 2 hoursExplanation
Mouth care on unconscious residents is usually done when the resident is turned or positionedRate this question:
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- 39.
Other terms used for Foley catheter are
- A.
Levin catheter for Fowler's catheter
- B.
Clintest catheter and Testape catheter
- C.
Collecting catheter and drainage catheter
- D.
Retention catheter and indwelling catheter
Correct Answer
D. Retention catheter and indwelling catheterExplanation
The correct answer is "retention catheter and indwelling catheter". These terms are used interchangeably to refer to a type of catheter that is inserted into the bladder to drain urine and is left in place for an extended period of time. The catheter remains in the bladder to help patients who are unable to urinate on their own or who require continuous drainage of urine.Rate this question:
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- 40.
A fractional urine spectimen involves having the resident urinate twice. This is because need
- A.
A sterile specimen
- B.
A very fresh specimen
- C.
A large amount of urine
- D.
Urine that has been in the bladder several hours
Correct Answer
A. A sterile specimenExplanation
The bladder is emptied of "stale " urine. "Fresh" urine produced in 30 minutes is used to test for sugarRate this question:
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- 41.
Which statement is true?
- A.
Feces are always hard and dry
- B.
Feces are normally brown in color
- C.
Defecation only occurs after a meal
- D.
It is abnormal to have a bowel movement every day
Correct Answer
B. Feces are normally brown in colorExplanation
Defecation can occur at any time. Bowel movement can be every day or every 2 to 3 daysRate this question:
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- 42.
Milk and dairy products are not high in
- A.
Fat
- B.
Protein
- C.
Calcium
- D.
Vitamins A and C
Correct Answer
D. Vitamins A and CExplanation
The main nutrients of milk are protein, calcium, fat, carbohydrates and riboflavinRate this question:
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- 43.
Which statement about vitamins is false?
- A.
They are ingested through food
- B.
They cannot be stored in the body
- C.
They do not provide any calories
- D.
They are produced by the body
Correct Answer
B. They cannot be stored in the bodyExplanation
Vitamins A, D, E, and K are stored by the body. They are commonly obtained through foods. body cannot produce vitamins. Vitamins have no caloric valueRate this question:
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- 44.
Edema means
- A.
Increased appetite
- B.
Decreased appetite
- C.
Body tissues are swollen with water
- D.
There is a decreased amount of water in body tissues
Correct Answer
C. Body tissues are swollen with waterExplanation
Edema means swelling. It has little to do with the appetite. It is the opposite of dehydrationRate this question:
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- 45.
Which resident should not receive fresh drinking water
- A.
A blind resident
- B.
The resident that is NPO
- C.
The resident who is on a general diet
- D.
The resident who has a force fluid order
Correct Answer
B. The resident that is NPOExplanation
The resident that is NPO should not receive fresh drinking water because NPO stands for "nothing by mouth," indicating that this resident is not allowed to consume any food or drink orally. This could be due to a medical condition, upcoming surgery, or other reasons. Providing fresh drinking water to a resident who is NPO would contradict their prescribed dietary restrictions and could potentially harm their health.Rate this question:
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- 46.
Which is not allowed on a low cholesterol diet?
- A.
Bread
- B.
Potatoes
- C.
Ice cream
- D.
Skimmed milk
Correct Answer
C. Ice creamExplanation
Because it is high in fat. The others are allowed, they are low in fatRate this question:
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- 47.
Which of the following are not recorded as intake?
- A.
Coffee, tea, juices, and soft drink
- B.
Butter sauces and melted cheese
- C.
Jell-O, popsicle, and creamed cereals
- D.
Ice creams, sherbert, custard, and pudding
Correct Answer
B. Butter sauces and melted cheeseExplanation
These items are nearly impossible to measure. Ounce equivalents are available for the othersRate this question:
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- 48.
Which body process is not measured by vital signs?
- A.
Respirations
- B.
Heart function
- C.
Bowel function
- D.
Body function
Correct Answer
C. Bowel functionExplanation
The others reflect the three body processes essential for lifeRate this question:
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- 49.
You are to take a rectal temperature with a glass accelerometer. Which is incorrect?
- A.
Hold the thermometer is place for two minutes
- B.
Lubricate the end of the thermometer before insertion
- C.
Insert thermometer about six inches into the rectum
- D.
Shake down the thermometer until the mercury is below the lines and numbers
Correct Answer
C. Insert thermometer about six inches into the rectumExplanation
The thermometer is inserted only 1 inch into the rectumRate this question:
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- 50.
For an oral temperature, the thermometer is placed
- A.
Under the tongue
- B.
Next to cheek
- C.
Between the teeth
- D.
On top of the tongue
Correct Answer
A. Under the tongueExplanation
so they are close to superficial blood vessels. This gives a small, pocket-like area for accurate measuremntRate this question:
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