{
  "module": "103.2",
  "title": "103.2 Vital Signs and Changes in Health Status",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "How long should a person sit quietly before a blood pressure reading?",
        "options": [
          "No wait is needed",
          "Five minutes",
          "Thirty seconds",
          "One hour"
        ],
        "correct": 1,
        "explanation": "Resting five minutes helps give an accurate reading."
      },
      {
        "question": "Where should the blood pressure cuff go?",
        "options": [
          "On the bare upper arm, just above the elbow",
          "Over a thick sweater sleeve",
          "On the forearm near the wrist",
          "On the lower leg"
        ],
        "correct": 0,
        "explanation": "An automated upper-arm cuff belongs on bare skin above the elbow."
      },
      {
        "question": "What happens if the cuff is too small for the arm?",
        "options": [
          "The reading will be too low",
          "The reading will not change",
          "The cuff will measure pulse instead",
          "The reading will be too high"
        ],
        "correct": 3,
        "explanation": "Too-small cuffs give falsely high readings, sometimes by almost 20 points."
      },
      {
        "question": "What is the normal resting pulse range for a healthy adult?",
        "options": [
          "30 to 50 beats per minute",
          "120 to 160 beats per minute",
          "60 to 100 beats per minute",
          "12 to 18 beats per minute"
        ],
        "correct": 2,
        "explanation": "A normal adult resting pulse is 60 to 100 beats per minute."
      },
      {
        "question": "A reading of 134/78 falls in which category?",
        "options": [
          "Normal",
          "Elevated",
          "Stage 2 high blood pressure",
          "Stage 1 high blood pressure"
        ],
        "correct": 3,
        "explanation": "A top number of 130 to 139 is stage 1, even when the bottom number is under 80."
      },
      {
        "question": "A reading of 124/76 falls in which category?",
        "options": [
          "Elevated",
          "Normal",
          "Stage 1 high blood pressure",
          "Stage 2 high blood pressure"
        ],
        "correct": 0,
        "explanation": "Elevated is a top number of 120 to 129 with a bottom number under 80."
      },
      {
        "question": "In BE FAST, what does the letter F stand for?",
        "options": [
          "Fever",
          "Fatigue",
          "Face drooping or uneven",
          "Fast pulse"
        ],
        "correct": 2,
        "explanation": "F is for face: one side drooping or looking uneven is a stroke sign."
      },
      {
        "question": "A client's reading is 186/122 and he has a sudden, severe headache. What should the CHW do?",
        "options": [
          "Call 911 right away",
          "Tell him to lie down and recheck tomorrow",
          "Give him one of his blood pressure pills",
          "Tell him to drive himself to the clinic"
        ],
        "correct": 0,
        "explanation": "A reading above 180/120 with symptoms is an emergency that needs 911."
      },
      {
        "question": "A client's reading is 182/110 and she has no symptoms. What should the CHW do first?",
        "options": [
          "Call 911 at once without asking anything",
          "Wait five minutes and check again",
          "Tell her the cuff is broken",
          "Tell her the reading is fine"
        ],
        "correct": 1,
        "explanation": "Without symptoms, recheck after five minutes; if still high, contact the provider and the RN supervisor."
      },
      {
        "question": "A client's pulse is much faster than at her last three visits, but she says she feels fine. What should the CHW do?",
        "options": [
          "Ignore it because she feels fine",
          "Tell her she has a heart problem",
          "Recheck it, document it, and report the change to the RN supervisor",
          "Tell her to stop her medicines"
        ],
        "correct": 2,
        "explanation": "A change from a person's usual numbers must be reported; CHWs do not diagnose."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "A reading of 134/78 falls in which category?",
        "options": [
          "Normal",
          "Elevated",
          "Stage 2 high blood pressure",
          "Stage 1 high blood pressure"
        ],
        "correct": 3,
        "explanation": "A top number of 130 to 139 is stage 1, even when the bottom number is under 80."
      },
      {
        "question": "A reading of 124/76 falls in which category?",
        "options": [
          "Elevated",
          "Normal",
          "Stage 1 high blood pressure",
          "Stage 2 high blood pressure"
        ],
        "correct": 0,
        "explanation": "Elevated is a top number of 120 to 129 with a bottom number under 80."
      },
      {
        "question": "What is the normal resting pulse range for a healthy adult?",
        "options": [
          "30 to 50 beats per minute",
          "120 to 160 beats per minute",
          "60 to 100 beats per minute",
          "12 to 18 beats per minute"
        ],
        "correct": 2,
        "explanation": "A normal adult resting pulse is 60 to 100 beats per minute."
      },
      {
        "question": "A client's reading is 186/122 and he has a sudden, severe headache. What should the CHW do?",
        "options": [
          "Call 911 right away",
          "Tell him to lie down and recheck tomorrow",
          "Give him one of his blood pressure pills",
          "Tell him to drive himself to the clinic"
        ],
        "correct": 0,
        "explanation": "A reading above 180/120 with symptoms is an emergency that needs 911."
      },
      {
        "question": "In BE FAST, what does the letter F stand for?",
        "options": [
          "Fever",
          "Fatigue",
          "Face drooping or uneven",
          "Fast pulse"
        ],
        "correct": 2,
        "explanation": "F is for face: one side drooping or looking uneven is a stroke sign."
      },
      {
        "question": "What happens if the cuff is too small for the arm?",
        "options": [
          "The reading will be too low",
          "The reading will not change",
          "The cuff will measure pulse instead",
          "The reading will be too high"
        ],
        "correct": 3,
        "explanation": "Too-small cuffs give falsely high readings, sometimes by almost 20 points."
      },
      {
        "question": "Where should the blood pressure cuff go?",
        "options": [
          "On the bare upper arm, just above the elbow",
          "Over a thick sweater sleeve",
          "On the forearm near the wrist",
          "On the lower leg"
        ],
        "correct": 0,
        "explanation": "An automated upper-arm cuff belongs on bare skin above the elbow."
      },
      {
        "question": "A client's pulse is much faster than at her last three visits, but she says she feels fine. What should the CHW do?",
        "options": [
          "Ignore it because she feels fine",
          "Tell her she has a heart problem",
          "Recheck it, document it, and report the change to the RN supervisor",
          "Tell her to stop her medicines"
        ],
        "correct": 2,
        "explanation": "A change from a person's usual numbers must be reported; CHWs do not diagnose."
      },
      {
        "question": "How long should a person sit quietly before a blood pressure reading?",
        "options": [
          "No wait is needed",
          "Five minutes",
          "Thirty seconds",
          "One hour"
        ],
        "correct": 1,
        "explanation": "Resting five minutes helps give an accurate reading."
      },
      {
        "question": "A client's reading is 182/110 and she has no symptoms. What should the CHW do first?",
        "options": [
          "Call 911 at once without asking anything",
          "Wait five minutes and check again",
          "Tell her the cuff is broken",
          "Tell her the reading is fine"
        ],
        "correct": 1,
        "explanation": "Without symptoms, recheck after five minutes; if still high, contact the provider and the RN supervisor."
      }
    ]
  }
}