Nacc Test # 2 Flashcards
1
Q
SECTION A. INDIVIDUALITY 1. An allegation is a statement that has yet to be: a. Proven b. Denied c. Confirmed d. A and C
A
D -
A and B
2
Q
Decisions that are concerned with right and wrong are called: a. Amoral b. Legal c. Ethical d. Religious
A
C -
Ethical
3
Q
People residing in and receiving care in a long term care facility are: a. Residents b. Registrants c. Care providers d. Inmates
A
A-
Residents
4
Q
To obtain information about a client ands the care he/she needs, the caregiver should review:
a.
The medical chart
b.
c.
Input and output sheets
d.
The staff assignment sheet
A
B
- The nursing care plan
5
Q
The Canadian Charter of Rights and Freedoms applies to:
a.
Only adults living in the community
b.
Everyone except frail elderly in long term care institutions
c
.Every Canadian
d.
Only clients with AIDS
A
C- .
Every Canadian
6
Q
Food and water arc: a. Safety and security needs b. Physiological needs c. Self-esteem needs d. Self-actualization needs
A
B-
Physiological needs
7
Q
Holistic health care recognizes: a. All items outlined in the care plan b. The social, physical, psychological and spiritual person c. Cultural and religious backgrounds d. Physical and safety needs
A
B-
The social, physical, psychological and spiritual person
8
Q
Care of the aged is called: a. Geriatrics b. Pediatrics c. Respite care d. Palliative care
A
A-
Geriatrics
9
Q
The following statements are related to basic needs. Which one is incorrect?
a.
People normally meet their own needs.
b.
Higher level needs must be met before lower level needs.
c.
The need for self-actualization is rarely totally met.
d.
The need for self-esteem is affected by illness.
A
B-
Higher level needs must be met before lower level needs.
10
Q
Retirement usually results in: a. Lowered income b. Physical changes from aging c. Companionship and usefulness d. Financial security
A
A-
Lowered income
11
Q
.
Clients living in a long-term care facility have the RIGHT to: a. Disturb other clients if they wish b. Disregard facility policies c. Know the Care Plans of other residents d. Refuse care and treatments
A
D-
Refuse care and treatments
12
Q
.
Sexual activity: a. Always involves intercourse b. Is not allowed in nursing centers c. Involves hand holding, touching and embracing d. Is unhealthy for older persons
A
C-
Involves hand holding, touching and embracing
13
Q
Section B. ROLE OF THE WORKER
One of the differences between a R.N. and a PSW is that only RN s can:
a.
Upgrade their skills with continuing education courses
b.
Provide direct patient care
c.
Assess, plan and evaluate nursing care
d.
Make important observations about their client
A
C
Assess, plan and evaluate nursing care
14
Q
If you make a mistake when caring for a resident, you should:
a.
Try to fix the mistake before anyone finds out about it
b.
Blame it on the person who was helping you
c.
Admit the mistake at once
d.
Report the mistake only it causes injury
A
C
Admit the mistake at once.
15
Q
Mrs. Jones asks you to perform a function which extends beyond the scope of your
responsibility and training. What should you do?
a.
Perform the function with extra caution
b.
Advise her that you are not trained to do that skill and report the request to your
supervisor
c.
Call a co-worker and ask her how to do that skill
d.
Ask Mrs. Jones to tell you how to perform that skill
A
C
Advise her that you are not trained to do that skill and report the request to your
supervisor.
16
Q
When planning care for several residents, the caregiver should first assist the resident who needs to: a. Talk b. Void c. Walk d. Dress
A
B
Void
17
Q
A PSW breaks a resident's glasses because of carelessness. What specific term applies to this action? a. Battery b. Assault c. Malpractice d. Negligence
A
D
Negligence
18
Q
You are caring for Mr. Clark. You are feeling frustrated by his slow progress. You should:
a.
Tell him that are frustrated
b.
Be firm and tell him that he must work harder
c.
Discuss your feelings with the supervisor
d.
Ask a co-worker to care for Mr. Clark
A
C
Discuss your feelings with the supervisor
19
Q
.
Professionalism involves:
a.
Discussing a problem you have with a client in a cafeteria
b.
Reporting to the nurse in charge each time you leave the unit
c.
Waiting for someone else to answer the call bell
d.
Removing the call bell of a resident who is always ringing it
A
B
Reporting to the nurse in charge each time you leave the unit
20
Q
.
A PSW s work is concerned primarily with: a. Assessment b. Documentation c. Care planning d. Implementation
A
D
Implementation
21
Q
When providing emergency care, which one is incorrect?
a.
Know your limits. Do not do more than you are able.
b.
Call for help.
c.
Move the person to a more comfortable place.
d.
Keep the person warm.
A
C
Move the person to a more comfortable place
22
Q
To maintain a professional image at work, a PSW should:
a.
Wear a clean, pressed uniform each day
b.
Use lightly scented perfume to cover body odour
c.
Wear fashionable jewelry
d.
Have their fingernails professionally manicured
A
A
Wear a clean, pressed uniform each day
23
Q
Injuring a person's name by making false statements to a third party refers to: a. Defamation b. Battery c. Assault d. Confidence
A
A
Defamation
24
Q
.
A supportive care worker who assists clients or performs A.D.L.s for a client is: a. An Occupational Nurse b. A Registered Nurse c. A Ward Clerk d. A Personal Support Worker
A
D
A Personal Support Worker
25
```
SECTION C. INTERPERSONAL SKILLS
When answering a phone in a client s home you should:
a.
Use the client s name instead of your name
b.
Say hello only
c.
Explain why you are answering the phone
d.
Give your name and title
```
D
| Give your name and title
26
```
A common barrier to effective communication is:
a.
Allowing silence
b.
Not listening
c.
Good eye contact
d.
Speaking slowly
```
B
| Not listening
27
```
Which one of the following is an objective symptom?
a.
Headache
b.
Fatigue
c.
Anxiety
d.
Bruising
```
D
| Bruising
28
```
Which is an example of a non-verbal communication?
a.
A letter
b.
Holding hands
c.
Sign language
d.
A telephone message
```
B
| Holding hands
29
```
The inability to send or receive verbal or written messages is called:
a.
Aphasia
b.
Dysphasia
c.
Paraplegia
d.
Atazia
```
A
| Aphasia
30
```
A resident’s vital signs are:
a.
Plotted or recorded on the flow sheet
b.
Confidential
c.
Always recorded daily
d.
A and B
```
D
| A and B
31
.
```
Looking at things from another s point of view is called:
a.
Courtesy
b.
Empathy
c.
Work ethics
d.
Politeness
```
B
| Empathy
32
```
Subjective symptoms are:
a.
Felt and described only by the client
b.
Observed by the PSW
c.
Difficult to recognize
d.
Related only to what the doctor determi
```
A
| Felt and described only by the client
33
```
Seeing things from another s point of view refers to:
a.
Confidentiality
b.
Enthusiasm
c.
Sympathy
d.
Empathy
```
D
| Empathy
34
```
Restating a person s message back to them in your own words, refers to the act of:
a.
Focusing
b.
Distracting
c.
Paraphrasing
d.
Denial
```
C
| Paraphrasing
35
```
Which one of the following is incorrect when recording a resident’s vital signs?
a.
They are always recorded daily
b.
They are confidential
c.
They are plotted/recorded on a flow sheet
d.
They are recorded in blue or black ink
```
A
| They are always recorded daily
36
```
When recording care related data, all of the following are correct except:
a.
Use ink
b.
Ensure all writing is legible
c.
Include the time, date and your initials
d.
Erase or white out any errors
```
D
| Erase or white out any errors
37
```
SECTION C. SAFETY
Which one of the following can occur due to the improper use of restraints?
a.
Skin tears
b.
Fatigue
c.
Burns
d.
Anorexia
```
A
| Skin tears
38
```
Mrs. Ford has a belt restraint. How often should she be checked for the position of the
restraint?
a.
Every 10-15 minutes
b.
Every 30-45 minutes
c.
Every hour
d.
Every two hours
```
A
| Every 10-15 minutes
39
.
```
The fire alarm sounds. You should do all of the following except:
a.
Turn off the oxygen
b.
Use the elevator
c.
Close the doors
d.
Move the residents to a safe plac
```
B
| Use the elevator
40
```
Viruses, bacteria, fungi and protozoa are all forms of:
a.
Infection control measures
b.
Foot fungi
c.
Plaque or tartar
d.
Microorganisms
```
D
| Microorganisms
41
```
A microorganism that causes an infection is called a:
a.
Host
b.
Carrier
c.
Pathogen
d.
Non pathogen
```
C
| Pathogen
42
```
The best method for sterilization of a stainless steel instrument is to:
a.
Wash it with soap and water
b.
Autoclave it (steam under pressure)
c.
Soak it in chemical disinfectant
d.
Sanitize with chemical spray
```
```
B
Autoclave it (steam under pressure)
```
43
```
Nosocomial infections are:
a.
Caused by eating contaminated food
b.
Insignificant and do not need to be treated
c.
A type of sinus infection
d.
Acquired after admission to a hospital or long term care facility
```
D
| Acquired after admission to a hospital or long term care facility
44
```
A face mask:
a.
Can be reused
b.
Is considered contaminated when moist
c.
Should have a loose fit
d.
Is clean inside at all times
```
B
| Is considered contaminated when moist
45
.
```
Which one of the following would spread disease by droplet infection?
a.
Poor hand washing technique
b.
Improperly sterilized instruments
c.
Coughing and/or sneezing
d.
Contaminated food and wate
```
C
| Coughing and/or sneezing
46
```
When a client vomits in the supine position, what should the care giver do?
a.
Raise the client s heads
b.
Turn the client on her side
c.
Transfer the client to the bathroom
d.
Position the client’s head between her knees
```
B
| Turn the client on her side
47
```
We can see microorganisms with the:
a.
Human eye
b.
Microscope
c.
Telescope
d.
Ophthalmoscope
```
B
| Microscope
48
```
The best method to identify a resident of a long term care facility is to:
a.
Use the identification bracelet
b.
Call the person by name
c.
Have the person tell you their name
d.
Check the laundry label on their shirt
```
C
| Have the person tell you their name
49
If the seal on the sterile packaged gauze is broken, the PSW should:
a.
Consider the package contaminated
b.
Sterilize it in the autoclave
c.
Use a disinfectant on the package before use
d.
Note the seal is broken in the chart and use it
A
| Consider the package contaminated
50
```
Gloves should be worn when in contact with:
a.
Blood
b.
Body secretions
c.
Body fluids
d.
All of the above
```
D
| All of the above
51
```
WHMIS is concerned with:
a.
Sanitation and disinfection
b.
Workplace exposure to hazardous materials
c.
Safe lifting and bed making procedures
d.
Patient isolation and techniques to prevent disease
```
B
| Workplace exposure to hazardous materials
52
```
Substances that will cause poisoning are:
a.
Corrosive
b.
Reactive
c.
Toxic
d.
Flammable
```
C
| Toxic
53
```
SECTION D. MOBILITY
The dorsal recumbent position refers to:
a.
Fowler's position
b.
Lateral position
c.
Supine position
d.
Sim's position
```
C
| Supine position
54
.
```
Which one of the following will cause friction and shearing?
a.
Rolling the resident in bed
b.
Sliding the resident in bed
c.
Using a turning sheet
d.
Lifting the resident into a wheelchai
```
B
| Sliding the resident in bed
55
.
When the PSW assists a client with active ROM:
a.
The client moves the joint or limb
b.
The PSW moves the joint or limb
c.
The PSW implements new exercises in keeping with the client s progress
d.
The PSW's job is to only count the repetitions
A
| The client moves the joint or limb
56
```
Bending a body part refers to:
a.
Flexion
b.
Rotation
c.
Adduction
d.
Abduction
```
A
| Flexion
57
When using a cane, it should be:
a.
Positioned on the affected or weaker side
b.
Positioned on the unaffected or strong side
c.
Alternated, first on the one side, then the other
d.
Held on the side the resident prefers
B
| Positioned on the unaffected or strong side
58
```
A lift sheet will extend from the:
a.
Shoulders to above the knees
b.
Shoulders to below the knees
c.
The head to below the ankles
d.
Waist to the ankles
```
A
| Shoulders to above the knees
59
```
Which one of the following is not a long bone of the body?
a.
Femur
b.
Tibia
c.
Humerus
d.
Patella
Patella
```
D
| Patella
60
.
What is the best action to take when assisting a blind person to walk?
a.
Walk on the side while holding the person s elbow.
b.
Instruct the person to hold onto your arm.
c.
Walk alongside while the person uses a cane.
d.
Stand behind the person and provide directions
B
| Instruct the person to hold onto your arm.
61
```
Bed cradles are used to:
a.
Keep the weight of the top linens off the feet
b.
Keep the hips abducted
c.
Promote plantar flexion
d.
Prevent the mattress from sagging
```
A
| Keep the weight of the top linens off the feet
62
```
Muscles are attached to bones by:
a.
Ligaments
b.
Fascia
c.
Other muscles
d.
Tendons
```
D
| Tendons
63
Mr. Searles has been in bed for several days and getting up for the first time. Before he gets
up, he will be helped to sit on the side of the bed and dangle his feet for a few minutes.
The main reason for this is to:
a.
Make it easier to put on his robe and slippers
b.
Prevent dizziness or fainting
c.
Make him feel less afraid to get up
d.
Provide time to get a chair and pillow in proper position
B
| Prevent dizziness or fainting
64
.
```
A person with a spinal cord injury should be:
a.
Transferred in segments
b.
Turned in segments
c.
Transferred with their back slightly inclined
d.
Log rolled in one unit
```
D
| Log rolled in one unit
65
```
The main function of the long bones of the body is:
a.
Bearing the weight of the body
b.
Allowing for skill and ease of movement
c.
Protecting vital organs
d.
Allowing for various degrees of body movement
```
A
| Bearing the weight of the body
66
.
```
Immobilized residents must be turned a minimum of once every:
a.
2 hours
b.
3 hours
c.
3 ½ hours
d.
4 hours
```
A
| 2 hours
67
```
When using a Hoyer (type of client lift) which one of the following is true?
a.
One person can use it alone
b.
Two caregivers must be present
c.
Residents feel safe in it
d.
It prevents bruising of the client while lifti
```
B
| Two caregivers must be present
68
```
Skeletal muscles are:
a.
Under voluntary control
b.
Under involuntary control
c.
Smooth in appearance
d.
Striped and smooth
```
A
| Under voluntary control
69
```
SECTION E. ABUSE
An abuser is often a:
a.
Stranger
b.
Close family member
c.
Health care worker
d.
Neighbour
```
B
| Close family member
70
```
Yelling at a resident is considered to be:
a.
Assault
b.
Physical abuse
c.
Emotional abuse
d.
Neglect
```
C
| Emotional abuse
71
.
```
Intentionally trying to, threatening to touch a person without their consent, causing fear or
bodily harm is:
a.
Assault
b.
Battery
c.
Harassment
d.
Vexatious
```
A
| Assault
72
```
Mr. Jones has been left lying in urine and feces for long periods of time. This is a type of:
a.
Verbal abuse
b.
Mental abuse
c.
Physical abuse
d.
Sexual abuse
```
C
| Physical abuse
73
.
```
Elder abuse can occur:
a.
In the elderly person s home
b.
In the community
c.
In active and long-term care facilities
d.
All of the above
```
D
| All of the above
74
```
Signs and symptoms of physical abuse include all of the following except:
a.
Unexplained bruises and welts
b.
Withdrawn from friends and family
c.
Bleeding from genitals
d.
Changes in behaviour
```
C
| Bleeding from genitals
75
```
When abuse is suspected you should first:
a.
Let abuse resolve on its own
b.
Report immediately to supervisor
c.
Confront the abuser
d.
Call police
```
B
| Report immediately to supervisor
76
.
```
Beatings, unreasonable physical restraint and over-medicating are forms of:
a.
Physical abuse
b.
Psychological abuse
c.
Neglect
d.
Financial abuse
```
A
| Physical abuse
77
```
Unusual or inappropriate activity in bank accounts, including signature that do not resemble
the older persons signature, indicate concern of.
a.
Physical abuse
b.
Psychological abuse
c.
Sexual abuse
d.
Financial abuse
```
D
| Financial abuse
78
.
```
Rashes, sores, lice on the elder, or the elder is inadequately clothed, malnourished or
dehydrated are indicators of:
a.
Neglect
b.
Physical abuse
c.
Sexual abuse
d.
A and C
```
A
| Neglect
79
```
A PSW physically struggles with a resident who does not want to be showered. The PSW
could be accused of:
a.
Negligence
b.
Emotional abuse
c.
Battery
d.
Slander
```
C
| Battery
80
```
Tickling and/or wrestling with a child-client may be considered a form of:
a.
Neglect
b.
Sexual abuse
c.
Physical abuse
d.
B and C
```
D
| B and C
81
```
SECTION F. HOUSEHOLD MANAGEMENT AND MEAL PREPARATION
Which of the following diets might be ordered for a client with heart disease?
a.
Sugar free diet
b.
High cholesterol diet
c.
High sodium diet
d.
Low sodium diet
```
D
| Low sodium diet
82
.
```
Light housekeeping includes all of the following except
a.
Laundry
b.
Cleaning the toilet
c.
Mowing the lawn
d.
Vacuuming and dusting
```
C
Mowing the lawn
d.
83
.
```
According to Canada s Food Guide to Healthy Eating, pregnant or breast feeding women
need to increase their intake of one of the four food groups. Identify the food group and appropriate amount for this group.
a.
3-4 servings milk group
b.
2-3 servings milk group
c.
3-5 servings meat group
d.
4-6 servings fruit group
```
A
| 3-4 servings milk group
84
```
While sorting the laundry for one of your clients, you come across a garment with the
following label 0. This label means:
a.
Machine wash
b.
Tumble dry
c.
Dry clean
d.
Hand wash
```
C
| Dry clean
85
```
Foods likely to cause constipation are:
a.
Fruits
b
.Dairy products
```
c.
Vegetables
d.
Whole grains
B
| .Dairy products
86
```
Water is one of the most important physical needs for survival. Without water our bodies are
at risk for:
a.
Disease
b.
Expiration
c.
Dehydration
d.
All of the above
```
D
| All of the above
87
```
Which one of the following has the most nutrient value?
a.
Soda pop
b.
Sugarless chewing gum
c.
Peanut butter
d.
Chocolate chip cookies
```
C
| Peanut butter
88
```
Mrs. Brown has difficulty chewing. Her doctor has ordered a:
a.
Liquid diet
b.
Bland diet
c.
Regular diet
d.
Soft diet
```
D
| Soft diet
89
```
Food poisoning symptoms generally include:
a.
Constipation
b.
Joint pain
c.
Abdominal upset and headache
d.
Edematous feet
```
C
| Abdominal upset and headache
90
```
Bile is produced in the:
a.
Bones
b.
Enamel
c.
Gallbladder
d.
Liver
```
D
| Liver
91
```
Clear liquid diets include:
a.
Milk, coffee, orange juice
b.
Broth, milk, tea
c.
Only liquid you can see through
d.
Milk and orange juice only
```
C
| Only liquid you can see through
92
```
The diabetic diet controls the amount of:
a.
Carbohydrate, protein and fat
b.
Sodium, clear fluids, gas forming foods
c.
Caloric intake
d.
Semi-solid foods that digest easily
```
A
| Carbohydrate, protein and fat
93
```
When feeding a resident, the PSW:
a.
Stands to keep an eye on the other residents
b.
Mixes pureed food together
c.
Sits to maintain eye contact with the resident
d.
Sits on the side of the bed
```
C
| Sits to maintain eye contact with the resident
94
4.
```
When preparing a meal for a client with an allergy to wheat you avoid serving:
a.
Ham and bean soup
b.
Eggs and bacon
c.
Cottage cheese and peaches
d.
Toast and butter
```
D
| Toast and butter
95
```
The human body has specific needs for survival. Identify the most important physical needs.
a.
Sunshine and vitamin D
b.
Vitamins and minerals
c.
Oxygen and water
d.
Love and understa
```
C
| Oxygen and water
96
```
Absorption of most nutrients takes place in the:
a.
Oral cavity
b.
Esophagus
c.
Liver
d.
Small intestine
```
D
| Small intestine
97
```
The substance that makes food easier to swallow is called:
a.
Bile
b.
Chyme
c.
Saliva
d.
Insulin
```
C
| Saliva
98
```
Bile is needed to digest:
a.
Proteins
b.
Fibre
c.
Fats
d.
Carbohydra
```
C
| Fats
99
```
SECTION G. OPTIMAL SUPPORT PLANNING
Aging begins at:
a.
Birth
b.
30 years of age
c.
50 years of age
d.
65 years of age
```
A
| Birth
100
```
The process of rehabilitation emphasizes the:
a.
Disability
b.
Limitations
c.
Abilities
d.
New activities
```
C
| Abilities
101
Which one of the following statements is true regarding the care plan?
a.
It is written by the physician.
b.
It is the same for all residents.
c.
It provides for consistency and continuity of care.
d.
It is stable and fixed for a period of time.
C
| It provides for consistency and continuity of care.
102
```
A normal temperature reading for a healthy adult is:
a.
35.5 C
b.
37.0 C
c.
38.5 C
d.
39.9 C
```
B
| 37.0 C
103
.
```
The first step in effective care planning is:
a.
Determining goals
b.
Identifying needs
c.
Setting deadlines
d.
Selecting resources
```
B
| Identifying needs
104
.
```
A skill or learning process which is expected to occur by a particular age is referred to as:
a.
A physical task
b.
A developmental task
c.
A cognitive task
d.
An associative task
```
B
| A developmental task
105
```
The benefits of exercise to the older person include:
a.
Improved digestion
b.
Increased muscle mass
c.
Improved sleep
d.
All of the above
```
D
| All of the above
106
```
An artificial replacement of a missing body part is:
a.
An amputation
b.
A prosthesis
c.
A dressing
d.
A bandage
```
B
| A prosthesis
107
```
A splint is an appliance that:
a.
Supports injured or wounded body parts
b.
Measures blood pressure
c.
Holds soft tissues together
d.
Aligns teeth in the dental arch
```
A
| Supports injured or wounded body parts
108
```
Common emotions experienced by a person going through rehabilitation are:
a.
Optimism and cheerfulness
b.
Frustration and depression
c.
Satisfaction and increased self-esteem
d.
Humiliation and despair
```
B
| Frustration and depression
109
.
```
Which one of the following terms refers to no control of bladder and bowels?
a.
Incontinent
b.
Inconsistent
c.
Incompetence
d.
Incomplete
```
A
| Incontinent
110
```
Which one of the following correctly completes this statement?
Two types of observations are:
a.
Protective and objective
b.
Objective and subjective
c.
Sensitive and insensitive
d.
Sensitive and non-sensitive
```
B
| Objective and subjective
111
.
```
SECTION H. ASSISTING WITH PERSONAL CARE
A client has dry, fragile skin. It is important to:
a.
Avoid using soap of any kind when bathing
b.
Bathe the client daily
c.
Use water below 35 C for bath
d.
Pat the skin dry and apply lotion
```
D
| Pat the skin dry and apply lotion
112
```
The main cause of decubitus ulcers is:
a.
Gravity
b.
Dry skin
c.
Pressure
d.
Cellular necrosis
```
C
| Pressure
113
```
Oral hygiene should be given to an unconscious person:
a.
Once a day
b.
Once each shift
c.
When the PSW has time
d.
Every two hours
```
D
| Every two hours
114
.
```
A client is on complete bed rest. To prevent a bedsore a caregiver should:
a.
Keep the top sheet tucked in snugly
b.
Keep the bottom sheet wrinkle free
c.
Use only cotton sheets
d.
Apply several thick pads over the top sheet
```
B
Keep the bottom sheet wrinkle free
.
115
.
```
Brushing is important to keep the hair:
a.
Soft and shiny
b.
Clean
c.
Free from pediculosis
d.
All of the above
```
D
| All of the above
116
```
Pericare (perineal care) involves cleaning the:
a.
Genitals and anal areas
b.
Upper extremities
c.
Anal area only
d.
Person s entire body in bed
```
A
| Genitals and anal areas
117
```
The best approach to pressure sores is:
a.
Treatment with ointments
b.
Bed rest
c.
Prevention
d.
Surgery
```
C
| Prevention
118
A person with diabetes needs to have his toenails cut. What should the PSW do?
a.
Cut the resident s toenails
b.
Tell the nurse in charge
c.
Ask the resident s family to cut his nails
d.
Make an appointment for the resident to see a podiatrist
B
| Tell the nurse in charge
119
```
When assisting a disabled resident with personal care, the PSW should:
a.
Do everything for the person
b.
Encourage the person to watch
c.
Encourage the person to participate and do as much as they can
d.
Provide strict guidelines
```
C
| Encourage the person to participate and do as much as they can
120
```
Which one of the following is not a purpose of bathing?
a.
Increase circulation
b.
Promote the drying of the skin
c.
Exercise body parts
d.
Refresh and relax the resident
```
B
| Promote the drying of the skin
121
```
Bacteria which form on the enamel surface of a tooth as a soft deposit is called:
a.
Chancre
b.
Tarter
c.
Plaque
d.
Calculus
```
C
| Plaque
122
```
When undressing a client who has had a stroke, which side should you remove the clothing
from first'?
a.
Strong side
b.
Weak side
c.
Either side
d.
Both sides together
```
A
| Strong side
123
```
Which one of the following will help to prevent decubitus ulcers?
a.
Repositioning a client every two hours
b.
Applying alcohol to dry skin
c.
Massaging the skin vigorously
d.
All of the above
```
A
| Repositioning a client every two hours
124
.
```
Pediculosis is another name for:
a.
Cold sores
b.
Athletes foot
c.
Head lice
d.
Dandruff
```
C
| Head lice
125
```
The PSW is assigned to bathe a resident. What should the PSW do first?
a.
Test the temperature of the water
b.
Help the resident to undress
c.
Tell the resident what they are going to do
d.
Close the door and windows
```
C
| Tell the resident what they are going to do
126
```
The PSW s best action to take when a resident of a long-term care facility feels weak in the
shower is to:
a.
Turn on cold water to stimulate circulation
b.
Use the call bell to get assistance
c.
Quickly complete the shower
d.
Go and get help
```
B
| Use the call bell to get assistance
127
```
SECTION I. THE FAMILY
A nursing mother will require:
a.
At least 3 servings of milk products per day
b.
A low calorie diet
c.
Foods which are high in fat
d.
Extra tea and coffee with her meals
```
A
| At least 3 servings of milk products per day
128
```
Which one of these routes cannot be used to take a temperature on a 3 year old child?
a.
Axillary
b.
Oral
c.
Rectal
d.
Tympanic
```
B
| Oral
129
```
Mom, Dad and your siblings are all part of your:
a.
Nuclear family
b.
Extended family
c.
Single parent family
d.
Descendant family
```
A
| Nuclear family
130
When bottle-feeding a newborn you should:
a.
Burp the baby every 5 minutes
b.
Save any remaining formula for the next feeding
c.
Prop the bottle with a pillow
d.
Tilt the bottle so the formula fills the neck of the bottle and the nipple
D
| Tilt the bottle so the formula fills the neck of the bottle and the nipple
131
.
```
When holding a newborn infant you should:
a.
Hold him securely
b.
Cuddle him
c.
Sing to him
d.
All of the above
```
D
| All of the above
132
```
Heredity can determine:
a.
Talents and abilities
b.
Physical wellness
c.
Height and weight
d.
All of the above
```
D
| All of the above
133
```
A newborn will be breastfed. The mother should:
a.
Wash her hands first
b.
Hold the infant close to her breast
c.
Stimulate the rooting reflex
d.
All of the above
```
D
| All of the above
134
```
The study of the aging process refers to:
a.
Pediatrics
b.
Gerontology
c.
Genealogy
d.
Microbiology
```
B
| Gerontology
135
```
Growth and development during adolescence occurs between the ages of:
a.
13 AND 15
b.
12 AND 18
c.
13 AND 19
d.
14 and 20
```
B
| 12 AND 18
136
.
```
Hormonal changes during menopause can result in:
a.
Mood swings
b.
Hot flashes
c.
Increased problems sleeping
d.
All of the above
```
D
| All of the above
137
```
A pinkish brown vaginal drainage that lasts for about 10 days after birth is called:
a.
Lochia serosa
b.
Cesarean
c.
Lochia rubra
d.
Lochia alba
```
A
| Lochia serosa
138
```
Max is a newborn infant. His head must be supported for the first:
a.
Seven to ten months
b.
Month
c.
Three months
d.
Six months
```
C
| Three months
139
```
Accidental poisoning is most common with:
a.
The elderly
b.
Teenagers
c.
Children 14 years of age
d.
Infants
```
C
| Children 14 years of age
140
```
Which formula is the best to feed a newborn infant?
a.
The powdered formula
b.
The one on sale
c.
The one ordered by the doctor
d.
The one that can be left open for one week
```
C
| The one ordered by the doctor
141
```
SECTION J. COGNITIVE IMPAIRMENTS
Dementia often develops in persons with:
a.
Angina pectoris
b.
Bulimia
c.
AID's
d.
Spinal cord injuries
```
C
| AID's
142
```
The bone that protects the brain is called the:
a.
Cranium
b.
Maxilla
c.
Clavicle
d.
Xiphoid process
```
A
| Cranium
143
```
An extended lack of oxygen to the brain resulting in permanent damage is called:
a.
Myocardial infarction
b.
Cerebrovascular accident
c.
Brainstem occlusion
d.
Cranial arrest
```
B
| Cerebrovascular accident
144
```
The best way to get the attention of a patient with Alzheimer s Disease is to:
a.
Touch the person s back
b.
Make a loud noise as you approach
c.
```
d.
Call the person loudly by name
C
| Approach the person from the front
145
.
```
Your client has not been eating and has changed his sleeping pattern. These may be
caused by:
a.
Anger
b.
Denial
c.
Depression
d.
Rationalization
```
C
| Depression
146
resident has significant short term memory loss and does not remember daily caregivers.
What is the most appropriate response when the resident asks, Who are you?
a.
You know me. You see me every day.
b.
Say nothing because it would upset him.
c.
Don t worry. I in the same person you had yesterday.
d.
State your name and say, I m here to take care of you.
D
| State your name and say, I m here to take care of you.
147
```
With a confused client, which one of the following methods would reduce their level of
confusion?
a.
Transitional or familiar objects and/or persons
b.
Poor lighting
c.
Excessive noise
d.
Increased activity
```
A
| Transitional or familiar objects and/or persons
148
```
Person s with Alzheimer s Disease:
a.
Have poor judgment
b.
Lose impulse control and have difficulty with communication
c.
May wander or have hallucinations
d.
All of the above
```
D
| All of the above
149
```
A persistent thought or idea is:
a.
An obsession
b.
A phobia
c.
A compulsion
d.
A defense mechanism
```
A
| An obsession
150
```
Mental retardation:
a.
Is always severe
b.
Mental retardation:
a.
Is always severe
b.
Can occur before, during and after birth
c.
Is caused by an extra chromosome
d.
Affects the motor region in the brain
```
c.
Is caused by an extra chromosome
d.
Affects the motor region in the brain
```
B
Mental retardation:
a.
Is always severe
b.
Can occur before, during and after birth
c.
Is caused by an extra chromosome
d.
Affects the motor region in the brain
```
151
```
The earliest symptom of Alzheimer s Disease is:
a.
Lack of motor control
b.
Inability to recognize loved ones
c.
Memory lapses
d.
Wandering
```
C
| Memory lapses
152
```
An exaggerated belief about one s own importance, wealth or power is called:
a.
An allusion
b.
A delusion of persecution
c.
An hallucination
d.
A delusion of grandeur
```
D
| A delusion of grandeur
153
.
Dementia is best described as:
a.
A false belief
b.
c.
A developmental delay
d.
Seeing, hearing or feeling something that is not real
B
| A mental disorder caused by changes in the brain
154
```
The only identified risk factors of Alzheimer s Disease are:
a.
Age and family history of Alzheimer s Disease
b.
A family history of Down s Syndrome
c.
Race and gender
d.
A and B
```
D
| A and B
155
```
Which one of the following factors, other than brain disease, can cause confusion in elderly
clients?
a.
Fatigue, dehydration
b.
Drugs, nutritional deficiencies
c.
Sensory impairment, sleep disturbances
d.
All of the above
```
D
| All of the above
156
.
Validation therapy is useful when a resident is suffering from:
a.
A mood disorder
b.
c.
A concussion
d.
Osteoarthritis
B
| Severe dementia
157
```
When a person is confused, which food substance is thought to increase restlessness,
confusion and agitation?
a.
Fats
b.
```
c.
Dairy products
d.
Salt
B
| Caffeine
158
ementia and depression are often mistaken for each other. Why?
a.
People with dementia are always depressed.
b.
People with depression are suffering from dementia.
c.
Dementia and depression share similar symptoms.
d.
Depressed people believe they are demented
D
| Dementia and depression share similar symptoms.
159
```
According to Dr. Sigmund Freud s theory of personality development, the part of the
personality that deals with knowing right from wrong is the:
a.
Id
b.
Superego
c.
Ego
d.
Unconscious
```
B
| Superego
160
Which one of the following is true?
a.
Affective disorders relate to feelings only.
b.
Bipolar disorder has extreme mood swings.
c.
Persons with a paranoid personality disorder trust others.
d.
A person with an abusive personality copes with all people and is a trusting friend.
B
| Bipolar disorder has extreme mood swings.
161
.
```
Anorexia Nervosa is:
a.
A type of panic attack
b.
Another name for stuttering
c.
```
A brain tumour
B
| A type of eating disorder
162
```
SECTION K. ONGOING CONDITIONS
Emphysema is a type of:
a.
Congestive heart failure
b.
Pneumonia
c.
Liver carcinoma
d.
Chronic obstructive pulmonary disease
```
D
| Chronic obstructive pulmonary disease
163
```
A person has hypertension. Which complication can occur?
a.
Stroke
b.
Heart attack
c.
Renal failure
d.
All of the above
```
D
| All of the above
164
```
What does dysuria mean?
a.
Glucose in the blood
b.
Difficulty speaking
c.
Pain when urinating
d.
Voiding at night
```
C
| Pain when urinating
165
```
The name for surgical removal of the breast is:
a.
apendectomy
b.
mastoidectomy
c.
mastectomy
d.
adipose reduction
```
C
| mastectomy
166
```
When feeding a person with Parkinson s Disease you should:
a.
Limit the amount of fluids
b.
Feed soft foods that are easy to swallow
c.
Place the person in a Sims position
d.
Use wrist restrains
```
B
| Feed soft foods that are easy to swallow
167
```
A common sign of multiple sclerosis is:
a.
Barrel chest
b.
Easy bruising
c.
Sudden, severe headache
d.
Blurred or double vision
```
D
Blurred or double vision
168
```
Clients with chronic respiratory problems require:
a.
Increased amounts of pain killers
b.
A soft comfortable chair
c.
A liquid diet
d.
Frequent rest periods
```
D
| Frequent rest periods
169
```
Which one of the following is not a measure used in prevention of bed sores?
a.
A bed cradle
b.
An autoclave
c.
A flotation pad
d.
An egg crate mattress
```
B
| An autoclave
170
```
When a circular opening expands (is made wider) the term used is:
a.
Constriction
b.
Dilation
c.
Reduction
d.
Stenosis
```
B
| Dilation
171
```
Which heart chamber receives freshly oxygenated blood first?
a.
Right atrium
b.
Left atrium
c.
Right ventricle
d.
Left ventricle
```
B
| Left atrium
172
```
Structures in the respiratory system include:
a.
Heart, lungs and teeth
b.
Nose, trachea and alveoli
c.
Mouth, esophagus and lungs
d.
Larynx, heart and sinuses
```
B
| Nose, trachea and alveoli
173
```
How does the heart contract?
a.
Both atria followed by both ventricles
b.
Left chambers followed by right chambers
c.
Right chambers followed by left chambers
d.
Randomly
```
C
| ight chambers followed by left chambers
174
```
Mrs. Goodman is incontinent and has a mobility problem.
The first sign of decubitus ulcer to watch for is:
a.
Presence of drainage of the area
b.
Pale/reddened skin
c.
Skin tear
d.
Wrinkled skin
```
B
| Pale/reddened skin
175
```
The rhythmic, muscular movement that pushes the food through the stomach and intestines
is called:
a.
Vomiting
b.
Swallowing
c.
Peristalsis
d.
Contractions
```
C
| Peristalsis
176
```
Angina pectoris is:
a.
An embolism in the brain
b.
A painful condition of the dermis
c.
Lack of oxygen to the heart muscle
d.
Cancer of the chest
```
C
| Lack of oxygen to the heart muscle
177
```
Decreased vision by increased pressure within the eye is called:
a.
Cataracts
b.
Myopia
c.
Glaucoma
d.
Astigmatism
```
C
| Glaucoma
178
```
Mr. Smith has had his larynx removed due to cancer. What will he be unable to do?
a.
Cough
b.
Swallow
c.
Speak
d.
Sneeze
```
C
| Speak
179
.
```
The digestive system is responsible for:
a.
Protection from infection
b.
Regulation of body temperatures
c.
Moving fluids and nutrients to body cells
d.
Changing food into a form that can be absorbed into the bloodstream
```
D
| Changing food into a form that can be absorbed into the bloodstream
180
```
A complication of vomiting is:
a.
Myocardial infarction
b.
Fluid retention
c.
Duodenal ulcer
d.
Aspiration
```
D
| Aspiration
181
To reduce the possibility of injury during a seizure, the PSW should:
a.
Remove anything nearby that might get in the way, such as furniture or equipment
b.
Place a padded tongue depressor between the resident s teeth
c.
Keep the residents head above their feet
d.
Attempt to hold the resident still
A
To reduce the possibility of injury during a seizure, the PSW should:
a.
Remove anything nearby that might get in the way, such as furniture or equipment
b.
Place a padded tongue depressor between the resident s teeth
c.
Keep the residents head above their feet
d.
Attempt to hold the resident still
182
```
SECTION L. MEDICATIONS
When giving a suppository, the client should be:
a.
Lying on his/her left side
b.
Lying on his/her right side
c.
Standing bent at the waist
d.
Lying on his/her stomach
```
A
| Lying on his/her left sid
183
```
A medication with a local effect means that it:
a.
Acts at the point of contact
b.
Can be obtained at the local pharmacy
c.
Penetrates deep into the muscle tissue
d.
Can be used on arms and legs only
```
A
| Acts at the point of contact
184
```
To stop bleeding and to reduce pain, swelling and heat in tissues, which one of the
following may be ordered?
a.
Hot pack
b.
Linament
c.
Cold pack
d.
Suppository
```
C
| Cold pack
185
You have been assisting your client with their medications. The doctor has changed your
client s Digoxin dose. What would be the responsibility of the PSW?
a.
Go ahead and give the medication as the doctor ordered it
b.
Wait for approval and further direction before giving the medication
c.
Call the supervisor and let her know there has been a change
d.
Go ahead and give the medication as previously ordered, the nurse will alter the dose
when she arrives
C
| Call the supervisor and let her know there has been a change
186
Which one of the following identifies the five rights in administering medications?
a.
Right dose, label, client, day, medication
b.
Right person, colour, amount, day, route
c.
d.
Right person, time, dose, amount, temperature
C
| Right dose, client, medication, time, route
187
```
Sublingual administration refers to:
a.
An injection just under the skin
b.
Medication place under the tongue
c.
Medication rubbed on the skin
d.
An injection given in the abdomen
```
B
| Medication place under the tongue
188
In bathing Mrs. X on her second day after beginning her antibiotic medication,
you notice a rash on her trunk and upper arms. You should:
a.
Put some moisturizing cream on the affected skin
b.
Report the rash immediately to your supervisor following any new directions given by
registered staff or physician
c.
Tell Mrs. X it is fairly common to develop a rash while on an antibiotic
d.
Ignore the rash for fear it might alarm her but call the family physician
B
Report the rash immediately to your supervisor following any new directions given by
registered staff or physician
189
.
```
Medication to be given after a meal will use the abbreviation:
a.
po
b.
ob
c.
ac
d.
pc
```
D
| pc
190
```
Dry powdered drugs that have been formed into a small disc are called:
a.
Tablets
b.
Ointments
c.
Suppositories
d.
Capsules
```
A
| Tablets
191
```
When administering eye drops, it is best to position the client:
a.
With their head tilted forward
b.
On their left side
c.
With their head tilted slightly back
d.
With their eyes closed
```
C
| With their head tilted slightly back
192
Your client s sleeping pills have been used more frequently than ordered.
You notice your client is often drowsy in the morning and difficult to rouse. You should:
a.
Ask your client and their family why the sleeping pills are missing
b.
Ignore the issue and let your client sleep in
c.
Hide the sleeping pills where you feel your client won t find them
d.
Contact your supervisor for advice on how to deal with the situation
D
| Contact your supervisor for advice on how to deal with the situation
193
SECTION M. ASSISTING THE PERSON WHO IS DYING
A written document in which a person specifies the treatments they do and do not want in
cases where they are near death is called:
a.
A power of attorney
b.
A living will
c.
A health care plan
d.
Euthanasia directive
B
| A living will
194
```
s death approaches the last sense to be lost is:
a.
Vision
b.
Hearing
c.
Smell
d.
Taste
```
B
| Hearing
195
Which of the following actions would be helpful to the family of a dying person?
a.
Stay in the room with the family and the person as much as possible
b.
Forbid family members to provide care
c.
Give the family opportunities to take a break
d.
Ask the family to leave when visiting hours are ov
C
| Give the family opportunities to take a break
196
```
Which one of the following is necessary for post-mortem care?
a.
Gloves
b.
Wash basin
c.
Valuables list
d.
All of the above
```
D
| All of the above
197
.
```
Care for the terminally ill involves all of the following except:
a.
Eye care
b.
Mouth care
c.
Active range of motion exercises
d.
Frequent position changes
```
C
| Active range of motion exercises
198
```
our client complains of pain in the left side of the chest, up the left jaw, down the left
shoulder and to the left arm. This is called:
a.
Acute pain
b.
Chronic pain
c.
Radiating pain
d.
A phantom pain
```
C
Radiating pain
199
```
According to Kublar-Ross s theory of dying, the first stage a dying person enters on hearing
he/she has a terminal condition is:
a.
Anger
b.
Bargaining
c.
Depression
d.
Denial
```
D
| Denial
200
```
he natural process of expiration of air in the lungs, stomach and intestines of the dead body
will cause the body to:
a.
Remain flat after death
b.
Move after death
c.
Remain very still after death
d.
Become very light in weight after death
```
B
| Move after death
