NHA Exam – Complete Study Guide
Heart rates Correct Ans - Normal: 60-100 beats/min
Athletes (normal): ~40 beats/min
Tachycardia: > 100 beats/min
Bradycardia: < 60 beats/min
*dizziness and shortness of breath may indicate tachy and bradycardia
*measure for 1min.
Temperature Correct Ans - Normal: 97.6-99.6 F (36.4-37.6 C)
Fever (oral): >100 F (37.8 C)
Fever (rectal/ear): >101 F
Fever (pediatric rectal): > 100.4 F (38 C)
*most common method to measure: orally
*most accurate method to measure: rectally
Supine Position Correct Ans - Pt lies flat facing upward
Respiration Correct Ans - Normal: 12-20 breaths/min
*deviation may be due to injury or illness
*observe for pale, ashen, cyanoic, or cold skin for pts with reading out of the 12-20
breaths/min range
Systolic Correct Ans - Pressure in blood vessels when your heart beats (ventricles
contract)
Diastolic Correct Ans - Pressure in blood vessels when your heart rests between
beats (ventricles relax)
Sphygmomanometer Correct Ans - Blood pressure cuff
*palpate brachial atery in antecubical region of arm
*center bladder of cuff over brachial artery with the tube away from pt body and bulb close
to pt body
*position cuff 1in. above bend in elbow with guage at eye level to read
*release dial slowly at 2mm/sec
*1st beat = systolic reading
*when the best stops = diastolic reading
, Dorsal Recumbent Positon Correct Ans - Pt lies face up with knees bent (vaginal US
position)
Fowler's Position Correct Ans - Pt lies on table with head of table elevated to 90*
Semi-Fowler's Position Correct Ans - Pt lies on table with head of table elevated at
45*
Prone position Correct Ans - Pt lies facedown
Sims Position Correct Ans - Pt lies on left side with right leg sharply bent and knees
on table (rectal exam position)
Knee-chest Position Correct Ans - Pt rests on knee and chest with head turned to
one side (baby pose with butt up)
Trendelenburg Position Correct Ans - Pt is supine with the bottom of the table
elevated at 30*
Topical Administration of Meds Correct Ans - Applied on skin for local effect (ex.
Lotion)
Transdermal Administration of Meds Correct Ans - Patch that transfers medication
slowly through the skin
Intramuscular, Intradermal, and Subcutaneous Administration of Medd Correct Ans -
Must be in sterile, liquid form
Intramuscular (IM) Injections Correct Ans - Insert the needle at a 90* angle
*aspirate (pull back) before administering to make sure you are not injection into a blood
vessel
Intradermal Injection Correct Ans - Insert the needle at a 15* angle
*administer slowly and steadily
Subcutaneous Injection Correct Ans - Insert the needle at a 45* angle
*abdomen, back area of the upper arm, outer area of the thighs
*aspirate before injection to observe for blood. You do NOT want to see blood
*only massage if physician told you to
Pulmonary Function Test (PFT) Correct Ans - Helps with diagnosis of lung disease
and the extent to which it progressed through the use of a spirometer
*no smoking and bronchodilator for 6hrs. before testing
Snellen Chart Correct Ans - Visual testing
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