Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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A nursing pattern that brings services from departments to the bedside is
a. | Primary nursing | b. | Team nursing | c. | Patient-focused
care | d. | Case management |
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2.
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RNs do all of the following except:
a. | Follow doctor’s orders | b. | Delegate to LPNs/LVNs | c. | Develop care plans
for the person and family | d. | Prescribe treatments for the
person |
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3.
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Who has the most authority in a nursing service department?
a. | Nurse manager | b. | Charge nurse | c. | Staff
nurse | d. | Director of nursing |
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4.
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Assisted living residences provide the following except
a. | Housing | b. | Help with personal care | c. | Complex medical
care | d. | Social activities |
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5.
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These individuals give basic nursing care under the supervision of a licensed
nurse:
a. | Nurse practitioners | b. | Social workers | c. | Nursing
assistants | d. | Medical technologists |
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6.
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Nursing assistants may report to the following except
a. | An RN | b. | An LPN/LVN | c. | A nurse team
leader | d. | Another nursing assistant |
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7.
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Who helps patients, residents, and families with social, emotional, and
environmental issues
affecting illness and recovery?
a. | The speech-language pathologist | b. | The podiatrist | c. | The activities
director | d. | The social worker |
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8.
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The goal of rehabilitation is
a. | To return persons to the highest possible level of physical and mental
functioning | b. | To reduce the risk of illness | c. | To help the person make simple life-style
changes | d. | To do as much as possible for the person |
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9.
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What must an agency have to operate and provide care?
a. | A certificate | b. | Accreditation | c. | Policies and
procedures | d. | A license |
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10.
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Which requires nursing assistant training and competency evaluation?
a. | Medicare and Medicaid | b. | Health maintenance
organizations | c. | Omnibus Budget Reconciliation Act of 1987 | d. | The Older Americans
Act |
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11.
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An ombudsman does the following except
a. | Provide a person’s care | b. | Protect a person’s health and
safety | c. | Protect a person’s rights | d. | Investigate a person’s
complaints |
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12.
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A nurse asks you to inspect a person’s closet and drawers. To protect
yourself, you should:
a. | Refuse to do it | b. | Ask the nurse to do it
instead | c. | Ask a co-worker to be present with you during the inspection | d. | Ask the family to
inspect the closet and drawers themselves |
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13.
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The Omnibus Budget Reconciliation Act of 1987 is a
a. | State law | b. | Nurse practice act | c. | Federal
law | d. | Criminal law |
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14.
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OBRA requires re-training and/or a new competency evaluation for persons
who
a. | Have not worked as a nursing assistant for 24 months | b. | Were found guilty of
abuse or neglect | c. | Were convicted of a crime | d. | Did not have good performance
evaluations |
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15.
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Which tells you what your employer expects?
a. | Your job description | b. | The state nurse practice
act | c. | OBRA | d. | Code of ethics |
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16.
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A nurse asks you to do a urinary catheterization. This involves sterile
technique and
inserting a tube into the person’s bladder. The nurse gives you very clear
instructions.
What should you do?
a. | Perform the task. The nurse’s directions were clear. | b. | Perform the task if
the nurse is available to answer questions. | c. | Refuse the task. It is beyond the legal limits
of your role. | d. | Perform the task if another nursing assistant can help
you. |
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17.
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You can refuse to perform a delegated task if
a. | You are too busy | b. | You do not like the task | c. | It is the end of
your shift and you are ready to go home | d. | The task is not in your job
description |
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18.
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You discuss last night’s date with your patient. This is
a. | Invasion of privacy | b. | Boundary violation | c. | Slander | d. | Emotional abuse |
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19.
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Which is not a source for standards of care?
a. | Textbooks | b. | Manufacturer’s
instructions | c. | The nurse’s directions | d. | Job
descriptions |
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20.
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A nursing assistant pinches and pushes a patient. This is:
a. | Negligence | b. | Malpractice | c. | Neglect | d. | Abuse |
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21.
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Work ethics means
a. | Trusting others with personal information | b. | Being polite and
considerate | c. | Behavior in the workplace | d. | Right and wrong
conduct |
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22.
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You say things that offend another person. This is
a. | Gossip | b. | Defamation | c. | Being
rude | d. | Harassment |
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23.
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Large rings and bracelets are dangerous because:
a. | Patients and residents can pull them off. | b. | They can scratch
patients and residents. | c. | They provide a place for microbes to grow and
multiply. | d. | They can damage care equipment. |
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24.
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A person has not had a job in four years. The person should
a. | Write N/A in the blanks for those four years | b. | Give information
regarding the employment gap on the application stating the
reason | c. | Do nothing; the
interviewer will ask if they desire to know | d. | Write employed |
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25.
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You arrive at Fair Haven Nursing Center for an interview. What should you do
first?
a. | Stop in the restroom. | b. | Get something to drink. | c. | Give the
receptionist your name. | d. | Take a walk through the
center. |
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26.
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You are in the waiting area before your interview. What should you do?
a. | Sit quietly. | b. | Eat your lunch. | c. | Talk to the
receptionist. | d. | Look at things on the receptionist desk. |
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27.
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Which answers are best during an interview?
a. | “Yes” and “no” answers | b. | Brief
explanations | c. | Long explanations | d. | Written
responses |
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28.
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Children emergencies are
a. | Your responsibility | b. | The agency’s
responsibility | c. | Your co-workers’ responsibility | d. | Part of your benefits
package |
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29.
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You need to arrive for work
a. | Before your shift starts | b. | When your shift starts | c. | Within 5 minutes of
your shift’s starting time | d. | Within 10 minutes of your shift’s
starting time |
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30.
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You see two health team members talking quietly to each other. You tell your
co-workers
what you overheard. This is
a. | Eavesdropping | b. | Gossip | c. | An invasion of
privacy | d. | Defamation |
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31.
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What is the best way to look professional at work?
a. | Ask your friends to help you shop for uniform. | b. | Wear your favorite
clothes to work. | c. | Check yourself in the mirror before leaving for work. | d. | Follow the
agency’s dress code. |
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32.
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You need to call your children. When should you make the call?
a. | After you finish assigned tasks | b. | When patients or residents are
napping | c. | During meal or break times | d. | When the nurse is talking to the
doctor |
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33.
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To keep personal matters out of the workplace, you should
a. | Use phones on the nursing unit to make personal calls | b. | Sell your handmade
crafts at work | c. | Have your son meet you over your lunch break | d. | Send text messages
from the hallway as opposed to the person’s room |
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34.
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A patient’s care is assigned to Sally Jones. The patient needs to use the
bathroom. Sally
Jones is on a meal break. Who will help the patient?
a. | Sally Jones. She will have to return to the unit. | b. | No one. The patient
will have to wait until Sally Jones is done eating. | c. | Any staff member on the unit will
help. | d. | The patient’s family will help. |
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35.
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Stress in your personal life can affect your work and the care you give.
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36.
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You could lose your job for the following reasons except
a. | Refusing to accept a delegated task that is not in your job
description | b. | Neglecting a patient or resident | c. | Violating any agency policy | d. | Giving false
information on your job application |
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37.
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You could lose your job for the following reasons except
a. | Using offensive speech and language | b. | Destroying a patient’s or a
resident’s property | c. | Having a weapon in the
workplace | d. | Working when scheduled |
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38.
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Which does not promote communication
a. | Being brief and concise | b. | Giving information in the order the events
occurred | c. | Presenting facts | d. | Talking about two subjects at
once |
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39.
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You are working in a nursing center. Where would you record information about
the
person’s hygiene, elimination, and sleep?
a. | The admission sheet | b. | The progress notes | c. | Activities-of-daily-living flow sheet | d. | Kardex |
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40.
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You are reporting to the nurse. Which is incorrect?
a. | Be prompt, thorough, and accurate. | b. | Give the person’s name, room and bed
number, and the time you gave care of
made observations. | c. | Report what
co-workers did. | d. | Use your notes. |
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41.
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When should you report changes in the person’s condition?
a. | At once | b. | At the end of your shift | c. | Before you take your
lunch break | d. | During the end-of-shift report |
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42.
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Anyone who reads your charting should know the following except
a. | What you observed | b. | What you did | c. | What your co-workers
did | d. | The person’s response |
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43.
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The clock shows 12:00 noon. In 24-hour clock time, this is
a. | 12:00 noon | b. | 12:00 | c. | 1200 | d. | Noon |
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44.
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Dys-means
a. | Without, not, lack of | b. | Slow | c. | Difficult | d. | Inners, inside |
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45.
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Gastro-means
a. | Stomach | b. | Large intestine | c. | Small
intestine | d. | Intestines |
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46.
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Pnea-means
a. | breathing, respiration | b. | Lung, air, gas | c. | Nose | d. | Lung |
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47.
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Vaso-means
a. | Artery | b. | Vein | c. | Blood
vessel | d. | Dilate |
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48.
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The suffix-phasia means
a. | Swallowing | b. | Speaking | c. | Paralysis | d. | Fear |
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49.
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The suffix-plegia means
a. | Paralysis | b. | Swallowing | c. | Speaking | d. | Sagging |
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50.
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The abbreviation ADL means
a. | Abdomen | b. | Before meals | c. | Activities of daily
living | d. | As desired |
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51.
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These statements are about computer use in health care agencies. Which is
correct?
a. | You should use the computer to send information that requires
immediate
reporting. | b. | You should use the computer to send jokes and
other entertainment material. | c. | Authorized staff can retrieve deleted computer
files. | d. | You should use the computer to post your opinions and messages on the
Internet. |
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52.
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These statements are about computer use in health care agencies. Which is
incorrect?
a. | You should share your password with co-workers. | b. | You should use
correct spelling, punctuation, and grammar. | c. | You should prevent others from seeing what is
on the screen. | d. | You should double-check your entries |
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53.
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Before transferring a call, you should
a. | Explain that you are going to transfer the call | b. | Lay the phone down
and find out where to transfer the call | c. | Take a message | d. | Find out the reason
for the call |
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54.
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A phone message should contain the following information except
a. | The caller’s name and phone number | b. | The caller’s
social security number | c. | The date and time | d. | The
message |
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55.
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You have a conflict with a co-worker. In resolving the conflict, you
should
a. | Discuss the problem in front of a witness | b. | Focus on facts and
specific behavior | c. | Ask your supervisor to talk to the
person | d. | Give the problem time to go away |
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56.
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Collecting information about a person is
a. | Assessment | b. | Gossip | c. | Implementation | d. | Evaluation |
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57.
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The nursing process is focused on
a. | The person’s needs | b. | The doctor’s orders | c. | Agency
policies | d. | The medical record |
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58.
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Which is a symptom?
a. | Noisy respirations | b. | Pulse rate of 78 | c. | Cough | d. | Tingling |
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59.
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The planning step of the nursing process involves the following
except
a. | Making nursing diagnoses | b. | Setting priorities | c. | Setting
goals | d. | Identifying nursing measures |
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60.
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Care planning helps to ensure the nursing team members
a. | Follow the doctor’s orders | b. | Do assessments | c. | Complete the
required paper work | d. | Are consistent, giving the same
care |
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61.
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Which is not a nursing diagnosis?
a. | Anxiety | b. | Constipation | c. | Impaired bed
mobility | d. | Heart attack |
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62.
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Goals are set during the planning step of the nursing process. Which is
incorrect?
a. | A goal is that which is desired for or by the health team as a result of nursing
care. | b. | Goal are aimed at the person’s highest level of well-being and
function. | c. | Goals promote health and prevent health problems. | d. | Goals promote
rehabilitation |
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63.
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Which step in the nursing process involves measuring if the goals set in the
planning step
were met?
a. | Assessment | b. | Planning | c. | Implementation | d. | Evaluation |
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64.
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You can help a new resident feel safe and secure by
a. | Listening to the person’s concerns | b. | Keeping the person
in his or her room | c. | Asking direct questions | d. | Asking visitors to
leave the room |
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65.
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A person’s cultural beliefs and practices are
a. | Included in the person’s care plan | b. | Ordered by the
doctor | c. | Not allowed in nursing centers | d. | Determined by the health care
team |
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66.
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A nursing center resident wants to attend religious services in the
center’s chapel. What
should you do?
a. | Assist the person to the chapel. | b. | Report the request to the
nurse. | c. | Check the person’s care plan | d. | Ask why the person wants to
attend |
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67.
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A person’s religion is different from yours. What should you do?
a. | Judge the person by your standards. | b. | Ask to care for other patients or
residents. | c. | Learn about the person’s religion. | d. | Tell the person what
you believe |
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68.
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A lost, absent, or impaired physical or mental function is
a. | An illness | b. | A physical need | c. | A medical
problem | d. | A disability |
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69.
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You ask a patient a question. You should
a. | Give the person time to process what you asked | b. | Expect an answer
right away | c. | Ask the question in another way | d. | Ask the question only
once |
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70.
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A patient says: “I’m tired of waiting for my lunch. I want it
now!” To paraphrase, you say
a. | “Why do you want your lunch now?” | b. | “You want your
lunch now.” | c. | “What do you want for
lunch?” | d. | “Could you tell me that again?” |
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71.
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A resident is very upset about her lunch. Which communication technique can help
the
person gain control?
a. | Paraphrasing | b. | Silence | c. | Clarifying | d. | Focusing |
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72.
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Which is not a pat answer?
a. | “Everything will be just fine.” | b. | “Don’t
worry.” | c. | “Can you tell me what’s wrong?” | d. | “Your doctor
knows best.” |
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73.
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Where is the nucleus located?
a. | Outside the cell | b. | In the center of the cell | c. | Inside the
genes | d. | Inside the chromosomes |
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74.
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The process of cell division is called
a. | Protoplasm | b. | Chromosomes | c. | Nucleosis | d. | Mitosis |
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75.
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Groups of cells with similar functions are
a. | Tissues | b. | Organs | c. | Chromosomes | d. | Genes |
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76.
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These statements are about the integumentary system. Which is
incorrect?
a. | It is the skin. | b. | It is the body’s natural
covering | c. | It is the largest body system. | d. | It has 3
layers. |
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77.
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Which carries messages to the brain?
a. | The auditory nerve | b. | The semicircular canals | c. | The
cochlea | d. | The eustachian tube |
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78.
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White blood cells
a. | Are needed for clotting | b. | Carry oxygen and carbon
dioxide | c. | Protect the body against infection | d. | Produce heat |
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79.
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Which vessels carry blood away from the heart?
a. | Arteries | b. | Capillaries | c. | Veins | d. | Venules |
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80.
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Another name for the trachea is the
a. | Nose | b. | Mouth | c. | Windpipe | d. | Alveoli |
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81.
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After passing through the trachea, air enters the
a. | Right bronchus and left bronchus | b. | Bronchioles | c. | Alveoli | d. | Pharynx and
larynx |
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82.
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Which is not a part of the digestive system?
a. | The mouth | b. | The larynx | c. | The
esophagus | d. | The stomach |
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83.
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Saliva is secreted by salivary glands in the
a. | Mouth | b. | Taste buds | c. | Teeth | d. | Tongue |
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84.
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What is the function of saliva?
a. | It allows sweet, sour, bitter, and salty tastes to be sensed. | b. | It aids in chewing
and swallowing. | c. | It cuts, chops, and grinds food for digestion and swallowing. | d. | It moistens food
particles for easier swallowing. |
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85.
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During swallowing, the tongue pushes food into the
a. | Stomach | b. | Esophagus | c. | Pharynx | d. | Pancreas |
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86.
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Chyme moves through the small and large intestine by
a. | Peristalsis | b. | Gravity | c. | Digestion | d. | The blood |
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87.
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The penis contains the
a. | Fallopian tubes | b. | Prostate gland | c. | Urethra | d. | Vagina |
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88.
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Growth hormone is secreted by the
a. | Thyroid gland | b. | Adrenal glands | c. | Parathyroid
glands | d. | Pituitary gland |
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89.
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Which hormone regulates metabolism?
a. | Thyroid-stimulating hormone | b. | Oxytocin | c. | Thyroid
hormone | d. | Antidiuretic hormone |
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90.
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Which increase(s) heart rate, blood pressure, and energy?
a. | Parathormone | b. | Epinephrine and
norepinephrine | c. | Insulin | d. | Adrenocorticotropic
hormone |
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91.
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The immune system functions to
a. | Regulate body activities | b. | Protect the body against disease and
infection | c. | Regulate water balance | d. | Eliminate waste |
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92.
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An abnormal or unwanted substance is
a. | An antibody | b. | An antigen | c. | Immunity | d. | Hormones |
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93.
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Development is
a. | An involuntary movement | b. | A skill that must be
completed | c. | Changes in mental, emotional, and social function | d. | The physical changes
that can be measured and that occur in a steady, orderly manner |
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94.
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Growth is
a. | The development of social and physical skills | b. | A skill that must be
completed | c. | Changes in mental, emotional, and social function | d. | The physical changes
that are measured and that occur in a steady, orderly manner |
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95.
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At 1 month old, infants can
a. | Lift their heads up briefly | b. | Reach for objects | c. | Roll from front to
back | d. | Babble, coo, and make sounds |
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96.
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Development tasks of the preschool child include the following
except
a. | Performing self-care | b. | Learning gender appropriate behaviors and
attitudes | c. | Learning right from wrong and good from bad | d. | Learning to play
with others |
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97.
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Four-year-olds prefer the primary caregiver of the same sex.
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98.
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Which is not a developmental task for school-age children?
a. | Developing the social and physical skills needed for playing
games | b. | Learning basic reading, writing, and math skills | c. | Developing a
conscience and morals | d. | Developing and keeping friendships with
peers |
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99.
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Which statement about late childhood (pre-adolescence) is correct?
a. | Boys are taller and heavier than girls are. | b. | Children need
factual sex education. | c. | Family is the center of
activities. | d. | Children accept adult standards and rules without
question. |
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100.
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Which is not a developmental task of late adulthood?
a. | Adjusting to aging parents | b. | Adjusting to retirement and reduced
income | c. | Coping with a partner’s death | d. | Preparing for one’s own
death |
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