exam 1
Ways to control the Portals of Exit are:
A. Do not sit on the resident's bed or chair
B. Clean genital area after elimination
C. Cover your nose and mouth when coughing or sneezing
D. Wash contaminated areas with soap and water
C. Cover your nose and mouth when coughing or sneezing.
The following statements are all true regarding restraints except:
A. The nurse will decide when to use restraints, what type to use and how long to use them
B. Restraints are to be tied with a quick release knot
C. Before applying the restraint, you must explain to the resident what you are going to do
D. When you check a resident in a tied extremity restraint, you need to ask the resident if they are
A. The nurse will decide when to use restraints, what type to use and how long to use them.
Which of the following is a characteristic of the aging skin?
A. Oil glands in the skin produce more oil causing itching
B. Sweat glands increase activity
C. Circulation to the skin decreases
D. Fingernails and toenails thin and become tough
C. Circulation to the skin decreases
When you arrive in the room to take the resident’s temperature, the resident is drinking a cup of coffee. How long should you wait to take the resident’s oral temperature?
A. 7-10 minutes
B. 30-45 minutes
C. 15-20 minutes
D. 3-4 minutes
C. 15-20 minutes
Which foods would be allowed on a clear liquid diet?
A. Water, tea, and yogurt
B. Popsicles, coffee, milk
C. Apple juice, water, pudding
D. Tea, carbonated drinks, cranberry juice
D. Tea, carbonated drinks, cranberry juice
When you wear a gown for Isolation Precautions, the contaminated areas are:
A. The ties at the neck and the waist
B. The gown front and sleeves
C. The gown back and sleeves
D. Only the areas of the gown that touch the resident
B.. The gown front and sleeves
Why do you need 2 or 3 staff members to logroll a person?
A. No assistive devices are used when you log roll
B. The person is probably totally dependent and needs extra help
C. A person who is being log rolled is usually in pain
D. It is important to keep the spine straight and in alignment
D. It is important to keep the spine straight and in alignment
When shaving a resident’s face with a safety razor
A. Shave when the skin is dry
B. Discard the razor in the wastebasket when done
C. Shave against the direction of hair growth
D. Hold the skin taut (tight)
D. Hold the skin taut (tight)
Which of the following is a normal age-related change for the body?
A. MI
B. Alzheimer's disease
C. Constipation
D. COPD
C. Constipation
To use an alcohol-based hand rub correctly
A. Rinse your hands after applying the hand rub
B. Rub your hands together until they are dry
C. Wash your hands before applying the hand rub
D. Rub the product only on the palms of your hands
B. Rub your hands together until they are dry.
Which area is best for a pathogen to live and grow?
A. A hot and bright area
B. A dry area with oxygen
C. A cold and wet area
D. A warm and dark area
D. A warm an dark area.
It is important for you to be aware of weather conditions which may affect the safety of the
residents; the facility may instruct you to perform specific safety measures to protect the
residents while certain weather conditions exist. For example, the Weather Service will issue
a ____________ when conditions are favorable (definite possibility) for a tornado to
develop.
A. Tornado Watch
B. High Wind Warning
C. Tornado Warning
D. High Wind Watch
A. Tornado watch
You are caring for a resident in a coma as a result of a serious accident. What should you remember to do when providing mouth care?
A. Explain to the resident what will be done
B. Position the resident in the supine position
C. Apply lubricant to the tongue and lips
D. Use glycerin and lemon swabs to cleanse the mouth once a day
A. Explain to the resident what will be done
A heart rate less than 60 beats per minute is:
A. Hypertension
B. Tachycardia
C. Bradycardia
D. Hypotension
C. Bradycardia
A comatose resident begins to vomit while lying in bed. Your first response should be to position the resident in the:
A. Prone position
B. High-Fowler's position
C. Lateral position
D. Supine position
C. Lateral position.
Mr Jones often rambles and tells long stories where his thoughts wander. You need to know if he had a bowel movement today, so you will
A. Paraphrase his thoughts
B. Make a clarifying statement
C. Ask a focusing question
D. Ask an open-ended question
C. Ask a focusing question.
Before lifting, moving, turning, or transferring a resident, you need to:
A. Move the resident to the middle of the bed
B. Apply a transfer/gait belt
C. Explain to the resident what you are going to do
D. Ask a co-worker to assist you
C. Explain to the residen what your are going to do.
You are caring for a resident with Parkinson’s disease; this resident has dysphagia. You know that the most serious risk associated with dysphagia is:
A. Aspiration
B. Anorexia
C. Inadequate fluid intake
D. Weight loss
A. Aspiration
Strokes can occur suddenly. It is important to recognize signs and symptoms of a stroke, such as:
A. Sudden numbness of the face, arm or leg, pain radiating down the left arm
B. Sudden trouble walking or loss of balance, pallor or cyanosis
C. Sudden, severe headache with no known cause, trouble speaking
D. Sudden trouble seeing in one or both eyes
C. Sudden, severe headache with no known cause, trouble speaking
A resident has diabetes and an IV in her left arm. Which is correct:
A. You use the arm that is easiest to reach
B. Blood pressure is measured on the right arm
C. She decides which arm to use
D. Blood pressure is measured on the left arm
B. Blood pressure is measured on the right arm.
The first sign or symptoms an older adult may indicate they have an infection may be
A. Poor Diet
B. low Immune system
C. Mental status change
D. Lack of Mobility
C. Mental status change.
Which is an example of good body mechanics?
A. Placing your feet close together when lifting an object
B. Leaning over a raised bed rail to give care
C. Twisting your body when moving objects
D. Holding an object close to your body
D. Holding an object close to your body
Mr. Barnes, age 90, has a large obstructing tumor of the esophagus. He cannot take nourishment by mouth. He receives nutritional formula through a gastrostomy tube. What is a gastrostomy tube?
A. A tube inserted into the stomach through a surgically created opening
B. A tube inserted through the nose and into the stomach
C. An opening into the middle part of the small intestine
D. An IV used to give nutrition to a resident who is unable to eat
A. A tube inserted into the stomach through a surgically created opening
Common causes of constipation include all except:
A. Ignoring the urge to have a bowl movement (BM)
B. Decreased fluid intake
C. High fiber diet
D. Aging
C. High Fiber diet
You can help prevent regurgitation when a resident is receiving a tube feeding when you position the resident in a _____________ after the feeding
A. Fowler's or semi-Fowler's
B. Supine position
C. left lateral position
D. Prone position
A. Fowler's or semi-Fowler's