Multiple Choice Identify the
choice that best completes the statement or answers the question.
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1.
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Excessive body hair is
a. | Alopecia | b. | Dandruff | c. | Pediculosis | d. | Hirsutism |
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2.
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When combing curly hair, you start at
a. | The neckline | b. | The hair ends | c. | The
scalp | d. | The forehead |
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3.
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A male resident is 86 years old. How often is his hair washed?
a. | At least once a week | b. | Daily | c. | Three times a
week | d. | As often as he chooses |
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4.
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Which are risks when using a blade razor?
a. | Nicks and cuts | b. | Irritated skin and rashes | c. | Sores | d. | Pediculosis
corporis |
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5.
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When shaving a person, you must follow
a. | Standard Precautions and the Bloodborne Pathogen Standard | b. | Surgical
asepsis | c. | OBRA regulations | d. | Accrediting agency
standards |
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6.
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A resident has a beard. His beard is trimmed
a. | Daily | b. | Weekly | c. | When the nurse
thinks it is too long | d. | Only with his
consent |
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7.
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What do you use to clean under fingernails?
a. | Scissors | b. | Nail clippers | c. | An emery
board | d. | An orange stick |
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8.
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You are assisting a person to dress. Which is incorrect?
a. | Provide for privacy. | b. | Choose what the person should
wear. | c. | Encourage the person to do as much as possible. | d. | Support the arm or
leg when removing or putting on a garment. |
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9.
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When changing the gown of a person with an IV, you keep the IV bag
a. | Hanging on the IV pole | b. | Below the person | c. | Above the
person | d. | On the bed |
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10.
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A person has an IV. When putting on the clean gown, you first put the clean
gown
a. | On the arm with the IV | b. | On the arm without the IV | c. | Over the
person’s head | d. | So the ties are in the
front |
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11.
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A resident has an IV in his right arm. He wears a standard gown. He has an IV
pump. Which is correct?
a. | Put his gown on the right arm first and then on the left arm. | b. | Put his gown on the
left arm first and then on the right arm. | c. | His right arm is not put through the sleeve of
the gown. | d. | The gown is put on so the ties are in the front. |
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12.
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Dysuria means
a. | Sugar in the urine | b. | Blood in the urine | c. | A scant amount of
urine | d. | Painful or difficult urination |
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13.
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The loss of urine at predictable intervals when the bladder is full is
a. | Overflow incontinence | b. | Stress incontinence | c. | Reflex
incontinence | d. | Urinary incontinence |
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14.
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Which do men use for urinating?
a. | Bedpans | b. | Fracture pans | c. | Urinals | d. | Commodes |
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15.
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These statements are about incontinence. Which is incorrect?
a. | It is a cause of falls. | b. | Infection can occur. | c. | Skin breakdown can
occur. | d. | It is a matter of personal choice. |
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16.
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A resident has a catheter. Catheter care is given
a. | According to the care plan | b. | Daily | c. | Twice a
day | d. | Every shift |
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17.
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You are giving catheter care. Which action is incorrect?
a. | Pulling on the catheter | b. | Using soap, water, and a clean
washcloth | c. | Using a clean area of the washcloth for each stroke | d. | Cleaning down the
catheter about 4 inches from the insertion site |
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18.
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Constipation is
a. | Passage of a hard, dry stool | b. | Frequent passage of liquid
stools | c. | Prolonged retention and accumulation of feces in the rectum | d. | Inability to control
the passage of feces and gas through the anus |
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19.
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Flatus is
a. | The excessive formation of gas in the stomach and intestines | b. | Gas or air passed
through the anus | c. | A black, tarry stool | d. | Excreted feces |
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20.
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These statements are about normal elimination. Which is incorrect?
a. | A bowel movement is needed every day. | b. | Stools are normally brown. | c. | Stools are normally
soft, formed, moist, and shaped like the rectum. | d. | Stools normally have an
odor. |
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21.
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What is the usual position for defecation?
a. | Sitting or squatting | b. | Sims’ | c. | Semi-Fowler’s | d. | Left side-lying |
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22.
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A resident has finished defecating. You need to do the following
except
a. | Assist with perineal care as necessary | b. | Dispose of stools promptly | c. | Assist the person
with hand washing | d. | Give the person a
suppository |
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23.
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A patient complains of constipation. If the person is constipated, you would
expect her stools to be
a. | Large or marble-sized | b. | Liquid | c. | Soft and shaped like
the rectum | d. | Black and tarry |
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24.
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Which can occur if constipation is not relieved?
a. | Fecal impaction | b. | Enema | c. | Diarrhea | d. | Suppository |
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25.
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A patient complains of flatulence. Which position often produces flatus?
a. | Fowler’s | b. | Semi-Fowler’s | c. | Right
side-lying | d. | Left side-lying |
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26.
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Giving an enema is delegated to you. Because of the end-of-shift report, the
nurse will not be available to supervise you. What should you do?
a. | Ask a co-worker to help you. | b. | Give the enema if it is in your job
description. | c. | Give the enema because it was part of your education and
training. | d. | Refuse to give the enema because the nurse is not available to supervise
you. |
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27.
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A cleansing enema takes effect
a. | Right away | b. | In 5 to 10 minutes | c. | In 10 to 20
minutes | d. | In 30 minutes |
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28.
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These statements are about colostomies. Which is incorrect?
a. | The person wears a pouch to collect feces and flatus. | b. | Stool consistency
depends on the colostomy site. | c. | The more colon remaining, the more liquid the
stool. | d. | Good skin care is necessary because feces irritate the
skin. |
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29.
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A person has an ileostomy. Which statement is incorrect?
a. | The entire colon was removed. | b. | Feces are liquid in
consistency. | c. | Feces drain constantly from the ileostomy. | d. | Water is absorbed
before feces are expelled into the pouch. |
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30.
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To empty an ostomy pouch
a. | The belt is removed | b. | The pouch is removed | c. | The drain at the top
is opened | d. | The drain at the bottom is opened |
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31.
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Anorexia is the
a. | Loss of appetite | b. | Breathing of fluid, food, vomitus, or an object
into the lungs | c. | Backward flow of food from the stomach to the mouth | d. | Swelling of body
tissues with water |
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32.
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Daily Value is
a. | How a serving fits into the daily diet | b. | The amount of intake and output in 24
hours | c. | A substance that is ingested, digested, absorbed, and used by the
body | d. | The amount of energy produced when the body burns
food |
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33.
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Remember the following when selecting foods from the meat and beans
group:
a. | Choose lean or low-fat meat and poultry. | b. | Processed meats are
low in sodium. | c. | Liver and other organ meats are low in cholesterol. | d. | Eggs are low in
cholesterol and fat. |
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34.
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Which nutrient is needed for tissue growth and repair?
a. | Protein | b. | Carbohydrate | c. | Fat | d. | Vitamins |
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35.
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Which vitamin is needed for resistance to infection?
a. | Vitamin K | b. | Vitamin C | c. | Vitamin
D | d. | Folic acid |
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36.
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OBRA requires the following for foods served in long-term care centers
except
a. | That food be served at the correct temperature | b. | That food is
appetizing | c. | That residents be served 3 meals and offered a bedtime snack | d. | That food be
prepared without seasoning |
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37.
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A person is on a fiber- and residue-restricted diet. The person can have the
following except
a. | Raw fruits and vegetables | b. | Cottage and cream cheese | c. | Potatoes (not
fried) | d. | Refined bread and crackers |
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38.
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A person is on a bland diet. Which is incorrect?
a. | Foods are low in roughage. | b. | Foods are served at moderate
temperatures. | c. | Foods contain strong spices for taste. | d. | Fried foods are not
allowed. |
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39.
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A person is on a high-calorie diet. Which is correct?
a. | This is a high-protein diet. | b. | There are dietary increases in all
foods. | c. | The person eats only snacks. | d. | Calorie intake is increased to 2500 a
day. |
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40.
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A person on a sodium-controlled diet can
a. | Have fruits and vegetables | b. | Add salt at the table | c. | Have bacon, ham, and
sausage | d. | Have tomato juice and cheese |
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41.
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Diabetes meal planning involves having the person
a. | Eat only carbohydrates | b. | Eat only protein | c. | Avoid
fats | d. | Eat the same amount of carbohydrates, proteins, and fat each
day |
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42.
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A resident is on aspiration precautions. You position the person in
semi-Fowler’s position after eating. How long should the person remain in this position?
a. | 15 minutes | b. | At least 30 minutes | c. | 45
minutes | d. | At least 1 hour |
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43.
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The amount of fluid taken in (intake) and the amount of fluid lost (output) must
be equal.
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44.
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A person’s 24-hour intake was 1500 mL. You know that this amount
a. | Meets normal requirements | b. | Is below normal
requirements | c. | Is above normal requirements | d. | Was ordered by the
doctor |
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45.
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To maintain normal fluid balance, an adult needs to ingest
a. | 1000 to 1500 mL of fluid a day | b. | 1500 to 2000 mL of fluid a
day | c. | 2000 to 2500 mL of fluid a day | d. | 2500 to 3000 mL of fluid a
day |
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46.
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Older persons are at risk for dehydration because
a. | They have kidney disease | b. | The amount of body water decreases with
age | c. | They produce more urine than younger persons | d. | They depend on
others for drinking water |
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47.
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A male resident is on I&O. When urinating, he needs to use
a. | The toilet | b. | A graduate | c. | A specimen
pan | d. | The urinal |
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48.
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A patient’s coffee cup holds 250 mL. The person did not drink all the
coffee. You measure that 75 mL of coffee remain. How much did the person drink?
a. | 100 mL | b. | 200 mL | c. | 175
mL | d. | 125 mL |
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49.
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Which will not prevent the spread of infection when providing drinking
water?
a. | Make sure the water pitcher is labeled with the person’s name and room and bed
number. | b. | Do not touch the rim or inside of the water glass or pitcher. | c. | Do not let the ice
scoop touch the rim or inside of the water glass or pitcher. | d. | Store the ice scoop
in the ice dispenser. |
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50.
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Intravenous therapy is
a. | Giving nutrients through the gastro-intestinal system | b. | A tube
feeding | c. | Giving fluids through a needle or catheter inserted into a vein | d. | The many processes
involved in the ingestion, digestion, absorption, and use of food and fluids by the
body |
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51.
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A jejunostomy tube is
a. | An opening in the stomach | b. | A feeding tube inserted into a surgically
created opening in the jejunum of the small intestine | c. | A tube inserted into the stomach through a stab
wound | d. | A tube inserted through the nose and into the stomach |
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52.
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Persons receiving tube feedings are at risk for aspiration. You need to report
the following to the nurse at once except
a. | Complaints of nausea | b. | Coughing | c. | Fever | d. | Pulse rate of
72 |
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53.
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An apical-radial pulse means that
a. | The apical pulse is taken first. | b. | The radial pulse is taken after the apical
pulse. | c. | The apical and radial pulses are taken at the same time. | d. | You can take the
apical pulse or the radial pulse. |
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54.
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A heart rate over 100 beats per minute is
a. | Bradycardia | b. | Tachycardia | c. | Hypotension | d. | Hypertension |
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55.
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A glass thermometer for rectal temperatures has a
a. | Stubby tip | b. | Long tip | c. | Pear-shaped
tip | d. | Slender tip |
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56.
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A rectal thermometer is color-coded in
a. | Blue | b. | Red | c. | Green | d. | Yellow |
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57.
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A person has heart disease. When measuring temperature, you cannot use
the
a. | Oral site | b. | Rectal site | c. | Axillary
site | d. | Tympanic membrane site |
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58.
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Before inserting a rectal thermometer, you need to
a. | Clean it with hot water | b. | Lubricate the end of the covered
probe | c. | Place it in a probe cover | d. | Clean it with a
disinfectant |
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59.
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The apical pulse is found
a. | On the thumb side of the wrist | b. | Just below the left nipple | c. | Just below the right
nipple | d. | At the inner aspect of the elbow |
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60.
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An apical pulse is usually counted for
a. | 15 seconds | b. | 30 seconds | c. | 45
seconds | d. | 60 seconds |
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61.
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These statements are about apical-radial pulses. Which is correct?
a. | The rates should be the same. | b. | The apical rate should be greater than the
radial rate. | c. | The radial rate should be greater than the apical rate. | d. | The radial rate can
be higher than the apical rate. |
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62.
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To obtain the pulse deficit, you need to
a. | Add the apical and radial pulse rates | b. | Subtract the apical pulse rate from the radial
pulse rate | c. | Subtract the radial pulse rate from the apical pulse rate | d. | Multiply the pulse
rates by 2 |
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63.
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Respirations usually are counted
a. | After taking the temperature | b. | After taking the pulse | c. | Before measuring
blood pressure | d. | After measuring blood pressure |
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64.
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You measured a resident’s blood pressure. His diastolic pressure was 78 mm
Hg. His systolic pressure was 144 mm Hg. How do you record these measurements?
a. | 78 mm Hg/144 mm Hg | b. | 78/144 mm Hg | c. | 144 mm Hg/78 mm
Hg | d. | 144/78 mm Hg |
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65.
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Which systolic pressure should you report at once?
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66.
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A resident just finished his daily exercise program. You need to measure his
blood pressure. How long does he need to rest before the measurement?
a. | 5 minutes | b. | 5 to 10 minutes | c. | 10 to 20
minutes | d. | 20 to 30 minutes |
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67.
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The blood pressure cuff is applied
a. | Over clothing | b. | To the bare arm | c. | Over the radial
artery | d. | Under the brachial artery |
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68.
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Abduction is
a. | Moving a body part away from the midline of the body | b. | Moving a body part
toward the midline of the body | c. | Straightening a body part | d. | Bending a body
part |
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69.
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A contracture is
a. | A decrease in size or wasting away of tissue | b. | The lack of joint
mobility caused by abnormal shortening of a muscle | c. | The loss of muscle strength as a result of
inactivity | d. | A drop in blood pressure when the person stands |
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70.
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External rotation is
a. | Turning the joint outward | b. | Turning the joint inward | c. | Turning the joint
downward | d. | Turning the joint upward |
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71.
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Bending the foot down at the ankle is
a. | Pronation | b. | Plantar flexion | c. | Supination | d. | Dorsiflexion |
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72.
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The act of walking is
a. | Trochanter | b. | Ambulation | c. | Orthosis | d. | Range of motion |
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73.
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The doctor ordered bed-boards for a resident. Bed-boards prevent
a. | Plantar flexion | b. | The hips and legs from external
rotation | c. | Contractures of the thumb, fingers, and wrist | d. | The mattress from
sagging |
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74.
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Active range-of-motion exercises are done
a. | By the person | b. | By a health team member | c. | By the person with
your help | d. | With a trapeze |
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75.
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You can perform range-of-motion exercises to the neck only if
a. | There is a doctor’s order | b. | The patient or resident asks you
to | c. | You are supervised by a physical therapist | d. | Allowed by your
agency and the nurse instructs you to |
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76.
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Which exercise is not done to the shoulder?
a. | Flexion | b. | Extension | c. | Supination | d. | Hyperextension |
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77.
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Which exercises are done to the forearm?
a. | Pronation and supination | b. | Flexion and extension | c. | Abduction and
adduction | d. | Internal and external rotation |
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78.
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Which exercises are done to the ankle?
a. | Dorsiflexion and plantar flexion | b. | Abduction and adduction | c. | Internal and
external rotation | d. | Radial and ulnar
flexion |
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79.
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How far should you walk a person?
a. | As far as the person can tolerate | b. | As far as directed by the nurse and the care
plan | c. | Down the hall and back to the room | d. | As far as the person
chooses |
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80.
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These statements are about canes. Which is incorrect?
a. | The cane is held on the weak side. | b. | The grip is level with the
hip. | c. | The cane is moved forward first. | d. | The cane tip is about 6 to 10 inches to the
side of the foot. |
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81.
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Acute pain
a. | Is felt suddenly | b. | Is felt in a body part that is no longer
there | c. | Is felt at the site of tissue damage and in nearby areas | d. | Is constant or
occurs on and off |
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82.
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The day-night cycle is
a. | REM sleep | b. | NREM sleep | c. | The sleep-wake
cycle | d. | Circadian rhythm |
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83.
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To be free from mental or physical stress is
a. | Comfort | b. | Rest | c. | Relaxation | d. | Sleep |
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84.
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A patient complains of pain. Which will not help you collect information
about the person’s pain?
a. | Ask if the pain is mild, moderate, or severe. | b. | Ask the person what
factors cause the pain. | c. | Check the person’s vital
signs. | d. | Give the person drugs to relieve the pain. |
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85.
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A resident is 84 years old. How many hours of sleep does the person need?
a. | 5 to 7 | b. | 7 to 8 | c. | 10 to
11 | d. | 11 to 12 |
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86.
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Which of the following measures will not promote sleep?
a. | Providing tea and chocolate cake before bedtime | b. | Assisting with
ambulation in the courtyard after the evening meal | c. | Assisting with a shower before
bedtime | d. | Allowing television programs as requested |
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87.
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The nurse assesses that a resident is suffering from sleep deprivation. Which is
correct?
a. | The person cannot sleep or stay asleep. | b. | The amount and
quality of sleep are decreased. | c. | The person leaves his bed and walks about
during sleep. | d. | The person is having pain. |
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88.
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You are going to prepare a room for a new patient. How do you know what
equipment is needed?
a. | You check the care plan. | b. | The nurse tells you. | c. | You follow hospital
policy. Every patient needs the same equipment. | d. | The person’s family tells
you. |
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89.
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A new hospital patient is ambulatory. Which is incorrect?
a. | Open the bed. | b. | Lower the bed to its lowest
position. | c. | Raise the bed rails. | d. | Attach the signal light to the bed
linens. |
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90.
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You introduce yourself to a new resident by name and title.
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91.
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You are admitting a new resident. You will do the following except
a. | Discuss the person’s diagnoses and medical history | b. | Complete a clothing
list | c. | Orient the person to the room | d. | Orient the person to the nursing unit and the
center |
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92.
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You are admitting a new resident. The person’s niece is in the room. You
ask the niece to leave the room. Which is correct?
a. | The niece must leave the room. | b. | You have no right to ask the niece to
leave. | c. | The resident can ask the niece to stay. | d. | The niece needs to
stay. She needs to give identifying information. |
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93.
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Which is not a guideline for measuring weight and height?
a. | Footwear is worn. | b. | The person voids before being
weighed. | c. | Weigh the person at the same time of day. | d. | Use the same scale
for daily, weekly, and monthly weights. |
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94.
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These statements are about transfers. Which is incorrect?
a. | Only a doctor can request a transfer. | b. | A transfer may be needed if the person’s
condition changes. | c. | The person is transported by wheelchair,
stretcher, or the bed. | d. | Transfers may be necessary if roommates do not
get along. |
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95.
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A resident is being transferred to another unit. Which will not help
reassure the person?
a. | Telling the person that everything will be OK | b. | Using touch to
provide comfort | c. | Introducing the person to the new staff | d. | Introducing the
person to the new roommate and other residents |
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96.
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An exam is done only with the person’s consent.
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97.
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A nasal speculum is used to examine the
a. | Inside of the nose | b. | Vagina | c. | Rectum | d. | Mouth, teeth, and
throat |
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98.
|
Which examination position is used to examine the cervix of a female
resident?
a. | The lithotomy position | b. | The Sims’ position | c. | The position she
chooses | d. | The position the examiner chooses |
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99.
|
The knee-chest position is used to examine the
a. | Rectum | b. | Abdomen | c. | Chest | d. | Breasts |
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100.
|
When assisting with a physical exam, you are responsible for the following
except
a. | Protecting the right to privacy | b. | Obtaining informed consent | c. | Reassuring the
person throughout the exam | d. | Protecting the person from
falling |
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