Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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Which statement about growth and development is incorrect?
a. | Each stage is the basis for the next stage. | b. | A stage can be
skipped. | c. | The process occurs in certain directions: from head to foot and from the center
of
the body outward. | d. | Each stage has its own characteristics and
developmental tasks. |
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2.
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Which is not a development task of infancy?
a. | Learning to eat solid foods | b. | Beginning to talk and
communicate | c. | Gaining control of bowel and bladder function | d. | Developing stable
sleep and feeding patterns |
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3.
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At what age do children start to lose their baby teeth?
a. | 4 years | b. | 6 years | c. | 7
years | d. | 8 years |
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4.
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Which is incorrect?
a. | Teenagers have emotional highs and lows. | b. | Teenagers need
guidance, discipline, and support from parents. | c. | Teens usually are not involved in exploring
their sexuality. | d. | Adolescents begin to think about careers and what to do after high
school. |
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5.
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Young adults need to cope with children leaving home and being in-laws and
grandparents.
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6.
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The following are developmental tasks of middle adulthood except
a. | Developing friendships | b. | Adjusting to physical
changes | c. | Having grown children | d. | Adjusting to aging
parents |
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7.
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The time when menstruation stops is called
a. | Adolescence | b. | Menarche | c. | Menopause | d. | Middle
adulthood |
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8.
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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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9.
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Which statement about older persons is correct?
a. | Most older people need nursing center care. | b. | All old people are
the same. | c. | Older people lose interest sex. | d. | Most older people have frequent contact with
their children. |
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10.
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Which statement is correct?
a. | All old people are the same. | b. | Most older people need nursing center
care. | c. | Older adults are at risk for health problems and disabilities. | d. | Aging means illness
and disability |
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11.
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Because older people tend to have dry skin
a. | Mild soaps or soap substitutes are used | b. | Lotions are not
used | c. | Tub baths are taken daily | d. | Only shower are
taken |
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12.
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These statements are about an older person’s feet. Which is
incorrect?
a. | Nails become thick and tough. | b. | Feet usually have poor
circulation | c. | Serious infections can result from nicks or cuts. | d. | Deodorants are
needed for foot odors. |
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13.
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Musculo-skeletal changes in the older person require the following except
to
a. | Rest as much as possible | b. | Be as active as possible | c. | Have a diet high in
protein, calcium, and vitamins | d. | Be moved gently and
carefully |
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14.
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Which does not help prevent losses in bone and muscle strength?
a. | Activity | b. | Exercise | c. | A balanced
diet | d. | Bedrest |
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15.
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Which is not a change in the nervous system due to aging?
a. | Nerve conduction and reflexes are slower. | b. | Blood flow to the
brain is reduced. | c. | Nerve cells are lost. | d. | Sleep periods are
longer. |
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16.
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Older persons need
a. | Fewer calories | b. | More calories | c. | Less
water | d. | More water |
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17.
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Because of changes in the urinary system, older persons
a. | Have fewer urinary tract infections | b. | Urinate more often | c. | Have less
urine | d. | Need less fluids |
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18.
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In men, this sex hormone decreases with aging.
a. | Testosterone | b. | Insulin | c. | Estrogen | d. | Progesterone |
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19.
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In men, the following occur with aging except
a. | An erection takes longer | b. | The time between erection and orgasm is
longer | c. | Orgasm is longer and more forceful | d. | Erections are lost
quickly |
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20.
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An older woman lives with her adult son. She has some disabilities and needs
some
supervision. Her son works during the day. They might consider
a. | Congregate housing | b. | Adult day care | c. | Foster
care | d. | Nursing center care |
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21.
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Adult day-care centers provide
a. | Supervised activities and meals | b. | Personal care | c. | Housekeeping and
laundry services | d. | Health care services |
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22.
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Which housing option is for persons who need help with daily living?
a. | Apartment living | b. | Elder cottage housing
opportunity | c. | Home sharing | d. | Assisted living
residences |
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23.
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Persons needing nursing center care often suffer many loses. Which is not
a common loss?
a. | Loss of identity | b. | Loss of possessions | c. | Loss of
independence | d. | Loss of children |
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24.
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Suffocation is
a. | The loss of memory and thinking and reasoning abilities | b. | A sudden event in
which people are killed and injured | c. | When breathing stops from lack of
oxygen | d. | When electrical current passes through the body |
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25.
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To make sure you give the right care to the right person, you need to
a. | Follow the person’s care plan | b. | Identify the person before giving
care | c. | Check the label on the person’s clothing | d. | Check the
MSDS |
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26.
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Which of the following will help prevent suffocation in infants and
children?
a. | Keeping plastic bags away from children | b. | Positioning an
infant on his or her stomach for sleep | c. | Using pillows to position an
infant | d. | Tying a pacifier around a child’s neck |
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27.
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What is the most common cause of obstructed airway?
a. | Loose dentures | b. | The tongue falling to the back of the
throat | c. | A large, poorly chewed piece of meat. | d. | Drinking
alcohol |
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28.
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When transferring a person to or from the wheelchair
a. | The wheels must be locked | b. | The person needs to stand on the
footplates | c. | The handgrips are held | d. | The person is given needed
accessories |
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29.
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A warning label on a hazardous substance container is damaged. What should you
do?
a. | Try to read the label. | b. | Take the container to the
nurse. | c. | Pour the substance into a different container. | d. | Apply a new warning
label. |
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30.
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You spilled a hazardous substance. Before cleaning up the spill, you
should
a. | Check the material safety data sheet (MSDS) | b. | Put on a gown,
gloves, mask, and boots | c. | Call the fire department | d. | Wash your
hands |
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31.
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You are warming your lunch in a microwave. While the lunch is warming,
you
a. | Can give needed care | b. | Can finish a task | c. | Can do an
errand | d. | Stay by the microwave |
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32.
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You can help prevent workplace violence by
a. | Reporting safety and security concerns | b. | Carrying a handgun or other
weapon | c. | Giving drugs to persons with mental illness | d. | Using touch to calm
a person who is angry or agitated |
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33.
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A person is agitated. You should do the following except
a. | Stand away from the person and near the door | b. | Keep your hand
free | c. | Talk to the person in a calm manner | d. | Stay with the person until the nurse
arrives |
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34.
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You are going to take the train to work. You should do the following
except
a. | Have your money ready | b. | Stand with others near the ticket
booth | c. | Sit near the conductor | d. | Put your purse or back pack on the seat next to
you |
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35.
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Someone tries to attack you. You should do the following except
a. | Use your car keys as a weapon | b. | Attack the person’s face and
eyes | c. | Attack the person’s genitals | d. | Try not to
scream |
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36.
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The greatest risk from bed rail use is
a. | Anxiety | b. | Entrapment | c. | Coma | d. | Confusion |
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37.
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Bed rails can be used
a. | For persons who try to get out of bed without help | b. | When a person is at
high risk for falling | c. | If they are needed to treat a person’s
medical symptoms | d. | If the person’s family requests them |
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38.
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The space between crib rail slats must be no more than
a. | 2 inches | b. | 2 3/8 inches | c. | 3
inches | d. | 3.5 inches |
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39.
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Drop-side cribs meet current safety standards.
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40.
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A resident does not use bed rails. To prevent the person from falling, when
making an
occupied bed
a. | Ask a co-worker to help you | b. | Tell the person to be very careful when the bed
is raised | c. | Keep the bed in the low position | d. | Get the person up in the
chair |
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41.
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A confused person tries to move about after a fall. Which action is
incorrect?
a. | Use force to hold the person down. | b. | Stay calm and protect the person from
injury. | c. | Talk to the person in a calm, soothing voice. | d. | Call for
help. |
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42.
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It is a person’s right to be free from restraint.
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43.
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Informed consent is needed for restraint use.
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44.
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A patient scratches and picks at his skin. You would expect the nurse to
a. | Find out the reason for the behavior | b. | Order mitt restraints for the
person | c. | Order wrist restraints for the person | d. | Ask the doctor to order an
ointment |
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45.
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Restraints are used to
a. | Punish a person | b. | Control a behavior | c. | Treat medical
symptoms | d. | Help the staff |
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46.
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Restraints are applied so that they are
a. | Loose enough for the person to get free of them | b. | Snug | c. | Tight | d. | The least
restrictive |
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47.
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Which is not a restraint alternative?
a. | Keeping the signal light within the person’s reach | b. | Making the person
take an afternoon nap | c. | Explaining all procedures and care
measures | d. | Padding walls and the corners of furniture |
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48.
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Before applying a restraint, the person must be
a. | Sitting | b. | Lying down | c. | In good
alignment | d. | Resting quietly |
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49.
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Jacket restraints
a. | Are applied with the opening in back | b. | Can be worn backwards | c. | Cross in
back | d. | Open at the side |
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50.
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A resident keeps trying to pull out her feeding tube. Which restraint is the
least restrictive?
a. | Mitt restraints | b. | Jacket restraint | c. | Vest
restraint | d. | Belt restraint |
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51.
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A carrier is
a. | The environment in which microbes live and grow | b. | Someone who is a
reservoir for microbes but who does not develop the infection | c. | The location where
microbes usually live and grow | d. | A preparation given to produce immunity against
an infection disease |
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52.
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Infection starts with a
a. | Source or pathogen | b. | Reservoir or host | c. | Portal of exit or
portal of entry | d. | Susceptible host |
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53.
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A carrier
a. | Can transmit pathogens to others | b. | Has immunity | c. | Has the signs and
symptoms of an infection | d. | Is a susceptible
host |
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54.
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Commons sites for healthcare-associated infections include all of the following
except:
a. | Urinary system | b. | Respiratory system | c. | Wounds | d. | Cardiac system |
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55.
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Who can develop healthcare-associated infections?
a. | Residents and patients | b. | The nursing team | c. | Doctors | d. | The health team |
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56.
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To prevent the spread of microbes, wash your hands in the following situations
except
a. | When gloves are on | b. | After having a bowel
movement | c. | After contact with blood, body fluids, secretions, or excretions | d. | Before and after
handling, preparing, or eating food |
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57.
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Which measure will not help prevent the spread of microbes in the
home?
a. | Flushing the toilet after each use | b. | Wiping out the tub daily | c. | Using a disinfectant
to clean toilet surfaces | d. | Wiping up spills right
away |
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58.
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Standard Precautions do not prevent the spread of infection from
blood.
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59.
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When removing a mask, you must
a. | Touch only the ties or the elastic bands | b. | Practice hand
hygiene | c. | Put on new gloves | d. | Leave the room |
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60.
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You need to put on a face mask. You should
a. | Let the person see your face first | b. | Enter the room with the mask
on | c. | Put the mask on, and then tell the person your name | d. | Wash your face
first |
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61.
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You were just hired at a nursing center. Which statement is
incorrect?
a. | The nursing center makes the hepatitis B vaccination available to you within
the
first 10 days of being hired. | b. | You can refuse to have the hepatitis B
vaccination. | c. | If you refuse the hepatitis B vaccination, you can request it at a later
time. | d. | You pay for the hepatitis B vaccination. |
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62.
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Using the body in an efficient and careful way is
a. | Body mechanics | b. | Base of support | c. | Ergonomics | d. | Posture |
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63.
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The back-lying position is
a. | The supine position | b. | Fowler’s position | c. | Sims’
position | d. | The prone position |
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64.
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Good body alignment is needed
a. | When standing | b. | When sitting | c. | When lying
down | d. | A, B, and C |
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65.
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To use good body mechanics, you should do the following except
a. | Avoid sudden or jerky movements | b. | Avoid twisting your body | c. | Bend at the
waist | d. | Face the direction of your work |
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66.
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Which is not a risk factor for work-related musculo-skeletal disorders
(MSDs)?
a. | Unexpected or sudden motions | b. | Performing the same motion
frequently | c. | Awkward postures | d. | A wide base of
support |
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67.
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To protect yourself from injury, it is best to
a. | Work alone | b. | Lift with forceful
movements | c. | Bend while lifting | d. | Avoid lifting whenever
possible |
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68.
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The nurse asks you to position a patient in the lateral position. This position
is
a. | A side-lying position | b. | A sitting position | c. | The back-lying
position | d. | The dorsal recumbent position |
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69.
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To sit in a chair, a person must be able to
a. | Stay awake | b. | Hold the upper body and head
erect | c. | Support the feet | d. | Sit without
pillows |
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70.
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You can reduce friction and shearing by
a. | Rolling the person | b. | Using a transfer belt | c. | Positioning the
person in Fowler’s position | d. | Sliding the
person |
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71.
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A stand-pivot transfer is used if
a. | The person requests it | b. | The person is not able to
assist | c. | A mechanical lift is not available | d. | The person is strong enough, cooperative, and
can assist |
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72.
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A mechanical lift is used to transfer a patient to the wheelchair. Before using
the lift, you need to
a. | Clean it | b. | Read the manufacturer’s
instructions | c. | Apply a transfer belt | d. | Apply an assist
device |
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73.
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Which type of lift sling is used for a person with extra large thighs?
a. | A standard full sling | b. | An extended length sling | c. | A bathing
sling | d. | An amputee sling |
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74.
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You need to reposition a person in the chair. Which is correct?
a. | Follow the nurse’s directions and the care plan. | b. | Pull the person up
from behind. | c. | Use a transfer belt. | d. | Ask the person what to
do. |
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75.
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Several staff members are talking and laughing at the nurses’ station.
Besides causing a lot of noise, what other problem does their behavior create?
a. | Their behavior is negligent. | b. | Their behavior is abuse. | c. | Patients and
residents cannot hear what their visitors are saying. | d. | Patients and residents may think the staff are
talking and laughing about them. |
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76.
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Which statement is incorrect?
a. | Many ill people are sensitive to noises and sounds. | b. | Patients and
residents may find sounds dangerous, frightening, and irritating. | c. | New sounds may cause
the person to become upset, anxious, and uncomfortable. | d. | There is little you
can do to control noise in health care agencies. |
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77.
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What kind of lighting is cheerful to most people?
a. | Bright lighting | b. | Dim lighting | c. | Soft
lighting | d. | Lighting that causes glares and shadows |
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78.
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Which statement about bed wheels is incorrect?
a. | Bed wheels are locked at all times except when moving the bed. | b. | Bed wheels must be
locked when giving bedside care. | c. | Lock bed wheels when transferring a person to
and from the bed. | d. | Bed wheels are unlocked when the bed is in the
lowest horizontal position. |
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79.
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You feel that a person is at risk for entrapment in the hospital bed system.
What should you do?
a. | Tell the person about your concern. | b. | Report your concern to the nurse at
once. | c. | Tell the person’s family. | d. | Report your concern to the person’s
doctor. |
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80.
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These statements are about resident closet and drawer space. Which is
incorrect?
a. | You can search the person’s closet and drawers whenever you want
to. | b. | Items in the closet and drawers are the person’s property. | c. | The person’s
consent is needed to search closets and drawers. | d. | The person is present when closets and drawers
are inspected. |
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81.
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Which will not keep beds neat and clean?
a. | Straighten linens when loose or wrinkled. | b. | Straighten loose or
wrinkled linens at bedtime. | c. | Check for and remove food and crumbs at the end
of the day. | d. | Change linens when they become wet, soiled, or damp. |
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82.
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These statements are about cribs and crib linens. Which is
correct?
a. | The crib mattress should be soft and comfortable. | b. | The mattress must
fit tightly into the crib. | c. | The mattress must be at least 20 inches lower
than the top of the crib rails. | d. | Bumper pads are used until the baby is 12
months old. |
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83.
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The bottom sheet is placed on the bed correctly if
a. | The hem-stitching is down | b. | The hem-stitching is up | c. | The top edge is even
with the top of the mattress | d. | It completely covers the plastic
drawsheet |
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84.
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A resident brought a pillow from home. Which is correct?
a. | The person needs to bring a pillowcase, too. | b. | The person must use
a pillow provided by the nursing center. | c. | The person has the right to use the
pillow. | d. | The pillow must have a safety check by the maintenance
department. |
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85.
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A patient needs oral hygiene. The nurse and care plan tell you the following
except
a. | What type of oral hygiene to give | b. | If flossing is needed | c. | How much help the
person needs | d. | How to give oral hygiene |
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86.
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When flossing the person’s teeth, you need to
a. | Use sponge swabs | b. | Break off an 18-inch piece of dental floss from
the dispenser | c. | Give the floss dispenser to the person to tear their own floss | d. | Use the bristles of
the toothbrush to floss in between teeth |
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87.
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A patient is unconscious. To keep the person’s mouth open during oral
hygiene, you need to use
a. | Sponge swabs | b. | A padded tongue blade | c. | Your
fingers | d. | An orange stick |
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88.
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Bathing method, time, and frequency are
a. | Decided by the nurse | b. | Matters of personal choice | c. | Ordered by the
doctor | d. | Decided by the health team |
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89.
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Older persons usually need a complete bath
a. | Daily | b. | Twice a week | c. | Three times a
week | d. | Every other day |
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90.
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A resident is unconscious. You are going to give the person a complete bed bath.
Before you start the bath, you do the following except
a. | Close the room door | b. | Close the privacy curtain | c. | Open the
person’s window | d. | Pull down the
shades |
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91.
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Bath water temperature for complete baths should be maintained at what
temperature?
a. | Between 110° F and 115°F | b. | At least 100° F | c. | No more than
110° F | d. | Between 100° F and 110° F |
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92.
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Bar soap is used for a resident’s bath. Between latherings, soap is
a. | Placed in a soap dish | b. | Left in the basin | c. | Placed on a paper
towel | d. | Kept in your hand |
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93.
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You are going to assist a patient with his bath. Before doing so, you need the
following information except
a. | The type of bath to give | b. | What skin care products to
use | c. | His activity and position limits | d. | How to apply lotion and
powder |
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94.
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You are bathing a patient. You note a reddened area on the person’s left
shoulder. What should you do?
a. | Massage the area during the back massage. | b. | Report the
observation to the nurse. | c. | Apply powder to the site. | d. | Rub the
area. |
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95.
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The partial bath involves washing the
a. | Face, hands, underarms, feet, and perineal area | b. | Face, hands,
underarms, back, buttocks, and perineal area | c. | Face, hands, underarms, feet, buttocks, and
perineal area | d. | Face, hands, underarms, and feet. |
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96.
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Water temperature for a tub bath is usually
a. | 110° F to 115° F | b. | 110° F to 120° F | c. | 105°
F | d. | 105° F to 109° F |
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97.
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A back massage should last
a. | 3 to 5 minutes | b. | 5 to 10 minutes | c. | 10 to 15
minutes | d. | No longer than 20 minutes |
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98.
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When giving a back massage, you do the following except
a. | Use firm strokes | b. | Keep your hands in contact with the
person’s skin | c. | Rub reddened areas | d. | Knead the
person’s skin |
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99.
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When giving perineal care
a. | Upward strokes are used (rectal area to urethra) | b. | A clean part of the
washcloth is used for each stroke | c. | The rectal area is washed
first | d. | Bath oil is used |
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100.
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A male resident is not circumcised. When giving perineal care, you need
to
a. | Retract the foreskin | b. | Separate the labia | c. | Start at the
rectum | d. | Use firm, upward strokes |
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