Review Session

NACC

100

The normal pulse range for an adult is:

(A): 140-50 beats per minute

(B): 60-100 beats per minute

(C): 120-160 beats per minute

(D): 90-140 beats per minute

(B) 60–100 beats per minute

100

Which of the following areas is a common site for arterial ulcers?

(A): on the scalp

(B): on top of the nose

(C): on the outer side of the ankle

(D): behind the knee

- (A) on the scalp
  Not related to arterial circulation problems.
- (B) on top of the nose
  Not a typical site for arterial ulcers.
- (C) on the outer side of the ankle
  Correct. Arterial ulcers commonly appear on bony, pressure‑exposed areas with poor blood supply — especially the lateral (outer) ankle, toes, and feet.
- (D) behind the knee
  Not a common site.

100

When a person is in pain, it is important for the PSW to ask, record and report, which of the following questions?

(A): when did it start

(B): can you rate your pain on a scale of 0-10

(C): what makes it better or worse

(D): all of the above

(D) all of the above

100

Narcotics affect oxygen needs because they do which of the following?

(A): A cause brain damage (

B): depress the respiratory centre in the brain

(C): decrease heart rate and blood flow

(D): cause swelling of the mucous membranes in the upper airway

(B) depress the respiratory centre in the brain

100

You have been assigned to take care of Mr. Roberts. You observed that he has bowel movements after breakfast, another in the afternoon, and also once before going to bed. How would you describe these bowel movements?

(A): Diarrhea

(B): Normal bowel movements

(C): Aging

(D): Fecal incontinence

(B) Normal bowel movements

200

Which of the following must be reported to your supervisor at once?

(A): An adult has a pulse rate of 120 beats per minute

(B): An infant has a pulse rate of 130 beats per minute

(C): An adult has a pulse rate of 80 beats per minute (D): An adult has a pulse rate of 64 beats per minute

(A) An adult has a pulse rate of 120 beats per minute

200

Older people should avoid fried and fatty foods because of:

(A): a decrease in saliva secretion

(B): Ill-fitting dentures or loss of teeth

(C): decreased amount of digestive juices

(D): decreased sense of taste

- A) a decrease in saliva secretion
  This can make chewing harder, but it doesn’t explain why fried or fatty foods should be avoided.
- (B) ill‑fitting dentures or loss of teeth
  This affects chewing, not fat digestion.
- (C) decreased amount of digestive juices
  Correct. As people age, the body produces fewer digestive enzymes and less bile, making fried and fatty foods harder to break down. This can lead to indigestion, discomfort, and slower digestion.
- (D) decreased sense of taste
  This affects appetite, not the ability to digest fats.
Correct answer: (C) decreased amount of digestive juices
You’re working through these really smoothly.

200

Conversations with the person about their values, beliefs, hopes and plans for care in the event that the person is no longer able to speak for they is called: (A): Continued power of attorney

(B): Last will and testament

(C): Advance care planning

(D): Certificate of life birth

200

Mr. Smith, 88, has sever circulatory issues. You should do the following:

(A): ignore his complaints of discomfort

(B): follow the care plan

(C): plan physically demanding activities

(D): allow him to carry heavy bags

(B) follow the care plan

200

: What does RICE stand for?

(A): Rest, isolate, compression, elevate

(B): Rest, ice, compression, elevate

(C): Rest, ice, compensation, elevate

(D): Rice, ice, compression, elevate

(B) Rest, ice, compression, elevate

300

The liquid part of blood is (are):

(A): Hemoglobin

(B): Red blood cells

(C): Plasma

(D): Alveolus

- (A) Hemoglobin
  This is a protein inside red blood cells, not a liquid.
- (B) Red blood cells
  These are solid cellular components.
- (C) Plasma
  Correct. Plasma is the liquid part of blood, making up about 55% of total blood volume. It carries nutrients, hormones, waste products, and proteins.
- (D) Alveolus
  This is part of the lungs, not the blood.

300

Non-verbal behaviours that might indicate that a person is in pain include:

(A): resisting care, facul grimacing, and change in behavior

(B): Rapid treating and hot dry skin

(C): Yelling and screaming

(D): Decreased blinking and skin rash

(A) resisting care, facial grimacing, and change in behavior

300

When Mr. Coelho was given his diagnosis, he was told that he has a malignant tumor. This means he has which of the following?

(A): cancer

(B): metastasis

(C): a tumor that grows slowly

(D): death of tissue

(A) cancer

A) cancer
Correct. A malignant tumor is cancerous — it grows uncontrollably and can invade nearby tissues.
(B) metastasis
Metastasis means the cancer has spread to other parts of the body. A malignant tumor can metastasize, but the word “malignant” itself does not mean metastasis.
(C) a tumor that grows slowly
Slow‑growing tumors are usually benign, not malignant.
(D) death of tissue
That refers to necrosis, not malignancy.

300

You notice your client massaging his abdomen. After his bowel movement, you observe that the faces are black and tarry. After reporting this observation to your supervisor, you see an order for a stool specimen to be collected from the client. What is the purpose of this procedure?

(A): To rule out colon cancer

(B): To test the stool for blood

(C): To rule out hemorrhoids

(D): To rule out ulcers

(B) To test the stool for blood

300

One of the main illnesses that cause children to miss school or childcare is:

(A): stomach flu

(B): Headaches

(C): Chicken pox

(D): Head lice

(D) Head lice

- (A) Stomach flu — common, but not the leading cause of missed school.
- (B) Headaches — not a major cause of school absence in young children.
- (C) Chicken pox — far less common today due to vaccination.
- (D) Head lice — correct. This is one of the most frequent reasons children are kept home.

400

Respiratory disorders include:

(A): Asthma, bronchitis and hypertension

(B): Bronchitis, pneumonia and asthma

(C): Asthma, eczema and psoriasis

(D): Pneumonia, copd and colitis

(B) Bronchitis, pneumonia and asthma

- (A) Asthma, bronchitis and hypertension
  Hypertension is a circulatory disorder, not respiratory.
- (B) Bronchitis, pneumonia and asthma
  Correct. All three affect the lungs and breathing.
- (C) Asthma, eczema and psoriasis
  Eczema and psoriasis are skin conditions.
- (D) Pneumonia, COPD and colitis
  Colitis is a digestive disorder.

400

Common physical changes in the last hours include: (A): Irregular breathing and reduced intake

(B): Regular breathing and increased intake

(C): Irregular breathing, watery eyes

(D): Decreased fatigue

(A) Irregular breathing and reduced intake

400

Mr. Ritchie, a 55-year-old male, has swollen feet and ankles and enlarged neck veins. Which of the follow cardiovascular system disorders does Mr. Ritchie likely have?

(A): Myocardial infarction

(B): Congestive heart failure

(C): Hypotension

(D): Arrhythmia

(B) Congestive heart failure

- A) Myocardial infarction
  A heart attack can cause chest pain and shortness of breath, but it does not typically cause swollen ankles or neck‑vein distention.
- (B) Congestive heart failure
  This fits perfectly. In heart failure—especially right‑sided—blood backs up into the veins, causing jugular vein distention and swelling in the feet and ankles.
- (C) Hypotension
  Low blood pressure doesn’t cause these symptoms.
- (D) Arrhythmia
  Irregular heartbeats can cause dizziness or palpitations, but not the swelling described.

400

You have just finished taking the vital signs of Mrs. Santos, who is 75 years old. Her temperature is 36’C, her blood pressure is 140/90 mm Hg, her pulse rate is 95 beats per minute, and the oximeter registered a reading of 90%. Which finding do you need to report to your supervisor?

(A): Pulse rate of 95 beats per minute

(B): Oximeter madding of 190

(C): Blood pressure of 160/90 mm ng

(D): Temperature of 36 C

(B) Oximeter reading of 90%

400

Which of the following best demonstrates an example of prejudice?

(A): a group of popular kids at school ignores Jane completely because she is not part of their group (B): a group of popular kids at school treats Jane well even though she is not a part of their group

(C): a group of popular kids at school says unkind things about Jane in front of other students because she is overweight

(D): a group of popular kids at school excludes Jane because she was not born in Canada

(D) a group of popular kids at school excludes Jane because she was not born in Canada

500

Congestive heart failure would not affect which of the following?

(A): The right side of the heart

(B): The liver

(C): the left side of the heart

(D): both sides of the heart

(B) The liver is not correct

- A) The right side of the heart
  CHF can absolutely affect the right side.
- (B) The liver
  Right‑sided heart failure often causes liver congestion and swelling, so the liver is affected.
- (C) The left side of the heart
  CHF commonly begins on the left side, so it is affected.
- (D) Both sides of the heart
  CHF can progress to involve both sides.

500

The Substitute Decision Maker

(A): is chosen by the client

(B): is chosen by the family

(C): Makes decisions based on what the Substitute Decision Maker would want for himself or herself

(D): only makes financial decisions

(A) is chosen by the client

500

A 52-year-old man fell while taking a shower. His wife found him lying on the floor, fully conscious. She driven him to the ER, where the physician notes paralysis of one side of the man's body and loss of the to speak. Which of the following statements best describes his current diagnosis?

(D) the client experienced a stroke and now has hemiplegia

(A): the client experienced a cerebrovascular accident (CVA) and now has quadriplegia (B): the client experienced a stroke and now has scleroderma (C): the client experienced a cerebrovascular accident (CVA) and now has paraplegic (D): the client experienced a stroke and now has hemiplegia

500

A normal body temperature range can be much lower in older persons than it is in younger adults. What does this mean for you as a support worker caring for an older person?

(A): you need to use the night type of thermometer when measuring the temperature

(B): you need to report their temperature each time to make sure there is no issue

(C): you cannot measure the temperature orally

(D): a client may have a fever when the body temperature seems to be within a normal range

(D) a client may have a fever when the body temperature seems to be within a normal range

500

Gentle Persuasive Approach is important in Dementia care to support people with:

(A): Responsive behaviours

(B): Aggressive behaviours

(C): Assertive behaviours

(D): Passive behaviours

(A) Responsive behaviours