Multiple Choice
Identify the
choice that best completes the statement or answers the question.
|
|
|
1.
|
A malignant tumor
a. | Grows slowly and in a localized area | b. | Spreads to other parts of the
body | c. | Invades and destroys nearby tissue | d. | Is not cancer |
|
|
|
2.
|
A person has cancer. You know that the person has
a. | A benign tumor | b. | A malignant tumor | c. | Metastasis | d. | Radiation
exposure |
|
|
|
3.
|
A resident is dying of cancer. Which program might be helpful to the person and
the person’s family?
a. | Rehabilitation | b. | Subacute care | c. | Hospice | d. | Group therapy |
|
|
|
4.
|
A person infected with HIV may be symptom-free for
a. | 6 weeks | b. | 6 months to 1 year | c. | 3 to 6
years | d. | More than 10 years |
|
|
|
5.
|
A person infected with HIV is symptom-free. Which is correct?
a. | The person is a carrier and can infect others. | b. | The person cannot
infect others until symptoms are present. | c. | Symptoms appear after others are
infected. | d. | The person does not show symptoms until other diseases
develop. |
|
|
|
6.
|
Persons with AIDS develop other diseases because
a. | Their immune systems are affected | b. | They practice unprotected
sex | c. | They share needles and syringes | d. | They have a reduced blood
supply |
|
|
|
7.
|
To protect yourself and others from HIV, you must follow Standard Precautions
and the Bloodborne Pathogen Standard
a. | When caring for persons at risk | b. | When caring for persons diagnosed with HIV or
AIDS | c. | When caring for persons diagnosed with HIV | d. | At all
times |
|
|
|
8.
|
Arthritis is
a. | The surgical replacement of a joint | b. | Joint inflammation | c. | A disease in which
bones become porous and brittle | d. | The repair of a
fracture |
|
|
|
9.
|
Warning signs of stroke include the following except
a. | Sudden, severe chest pain and shortness of breath | b. | Sudden numbness or
weakness on one side of the body | c. | Sudden confusion, trouble speaking, or
understanding | d. | Sudden, severe headache |
|
|
|
10.
|
Care of a person after a stroke often includes the following
except
a. | Catheter care | b. | A bowel or bladder training
program | c. | ROM to prevent contractures | d. | Placing objects on the affected
side |
|
|
|
11.
|
Which statement about multiple sclerosis (MS) is incorrect?
a. | The person may have remissions. | b. | Symptoms may last for a few weeks or a few
months. | c. | Blurred or double vision often occurs. | d. | Severe disability or death is common early
after onset. |
|
|
|
12.
|
Which statement about head injuries is incorrect?
a. | Permanent damage is unlikely. | b. | There may be other injuries, especially to the
spinal cord. | c. | Sensory problems may result. | d. | Bowel and bladder problems, personality
changes, and speech problems may result. |
|
|
|
13.
|
A patient is paralyzed from the waist down. The person is at risk for
a. | Pressure ulcers and contractures | b. | Aphasia and dysphagia | c. | Aspiration and
pneumonia | d. | MS and Parkinson’s disease |
|
|
|
14.
|
If untreated, autonomic dysreflexia can lead to
a. | Spinal cord infection | b. | Stroke and heart attack | c. | Paraplegia | d. | Constipation and fecal
impaction |
|
|
|
15.
|
Which statement about osteoarthritis is incorrect?
a. | It occurs with aging. | b. | Pain occurs with weight-bearing and joint
motion. | c. | Being under-weight is a common cause. | d. | Weight-bearing joints are commonly
affected. |
|
|
|
16.
|
A patient has rheumatoid arthritis. The following can relieve pain and
inflammation except
a. | Drugs | b. | Heat or cold applications | c. | A cast or
traction | d. | Rest balanced with exercise |
|
|
|
17.
|
A patient has a plaster of paris cast. The cast dries in
a. | 2 to 3 hours | b. | 4 to 8 hours | c. | 12 to 24
hours | d. | 24 to 48 hours |
|
|
|
18.
|
A resident has a cast. The following signs and symptoms indicate a problem
except
a. | Pain and numbness in the casted part | b. | Swelling and a tight cast | c. | Odor and drainage
from under the cast | d. | Joint pain and
stiffness |
|
|
|
19.
|
Traction is used to immobilize a fracture. This is done by
a. | Applying a steady pull in two directions | b. | Inserting wires and
pins | c. | Inserting a prosthesis | d. | Applying a
stockinette |
|
|
|
20.
|
A hip fracture requires
a. | External fixation | b. | Internal fixation | c. | A
cast | d. | Traction |
|
|
|
21.
|
A patient has a fractured right hip. How is the leg positioned?
a. | Abducted at all times | b. | Abducted when in bed | c. | Adducted at all
times | d. | Adducted when in bed |
|
|
|
22.
|
Tissues die and become black, cold, and shriveled. This is
a. | Cancer | b. | Gangrene | c. | Arthritis | d. | Metastasis |
|
|
|
23.
|
Congenital means
a. | A chronic condition | b. | To be born with | c. | An acute
illness | d. | A life-long illness |
|
|
|
24.
|
Angina not relieved by nitroglycerin and rest may signal
a. | Hypertension | b. | Stroke | c. | Heart
failure | d. | Heart attack |
|
|
|
25.
|
Heart failure means that the heart
a. | Has stopped beating | b. | Is damaged | c. | Cannot pump blood
normally | d. | Is old and weak |
|
|
|
26.
|
A person has heart failure. The person’s diet is likely to be
a. | Sodium-controlled | b. | High protein | c. | High
carbohydrate | d. | High fat |
|
|
|
27.
|
A person has chronic bronchitis. You expect the following signs and symptoms
except
a. | Productive cough, possibly with pus | b. | Difficulty breathing | c. | Barrel
chest | d. | Fatigue |
|
|
|
28.
|
Which does not occur with emphysema?
a. | Alveoli fill with fluid. | b. | Alveoli enlarge. | c. | Air is trapped in
alveoli. | d. | Alveoli become less elastic. |
|
|
|
29.
|
What is the most common cause of emphysema?
a. | Smoking | b. | Infection | c. | Air
pollution | d. | Family history |
|
|
|
30.
|
A resident has emphysema. You expect the following signs and symptoms
except
a. | Productive cough, possibly with pus | b. | Difficulty breathing | c. | Barrel
chest | d. | Fever |
|
|
|
31.
|
A resident has emphysema. The person is likely to be most comfortable in
a. | The supine position | b. | Fowler’s position | c. | Upright and slightly
forward | d. | A side-lying position |
|
|
|
32.
|
A person has vomited. You need to
a. | Test the vomitus for sugar and blood | b. | Measure the amount of
vomitus | c. | Leave the vomitus in the room until the nurse observes it | d. | Change all
linens |
|
|
|
33.
|
A pouch that bulges outward through a weak spot in the colon is called a
a. | Colon pouch | b. | Colostomy | c. | Diverticulum | d. | Hernia |
|
|
|
34.
|
Hepatitis is
a. | A stomach disorder | b. | Inflammation of the
gallbladder | c. | Inflammation of the liver | d. | A bloodborne
pathogen |
|
|
|
35.
|
What type of diabetes is more common in older persons?
a. | Type 1 | b. | Type 2 | c. | Gestational | d. | Situational |
|
|
|
36.
|
If not corrected, hypoglycemia and hyperglycemia can lead to
a. | A heart attack | b. | Renal failure | c. | Blindness | d. | Death |
|
|
|
37.
|
Urine is passed in large amounts. 1000 mL to 5000 mL is produced a day. This
is
a. | Dysuria | b. | Diuresis | c. | Oliguria | d. | Pyuria |
|
|
|
38.
|
Cystitis is usually treated with
a. | Dialysis | b. | Antibiotics and fluids | c. | Fluids and drugs for
pain relief | d. | Dietary changes |
|
|
|
39.
|
A patient has a urostomy. You know that
a. | The person needs good skin care | b. | The person is incontinent | c. | The person needs
bladder training | d. | The person needs a catheter |
|
|
|
40.
|
A resident has chronic renal failure. The person’s care plan includes the
following. Which should you question?
a. | Measures to encourage fluids | b. | Measures to prevent injury and
bleeding | c. | Measures to prevent itching | d. | Measures to prevent pressure
ulcers |
|
|
|
41.
|
Signs and symptoms of herpes include
a. | Warts | b. | Painful, blister-like sores | c. | Urinary frequency
and urgency | d. | Diarrhea |
|
|
|
42.
|
Affect relates to
a. | A vague, uneasy feeling in response to stress | b. | A false
belief | c. | Feelings and emotions | d. | A persistent thought or
idea |
|
|
|
43.
|
Panic is
a. | A persistent thought or idea | b. | False beliefs and suspicion about a person or
situation | c. | An intense and sudden feeling of fear, anxiety, terror, or dread | d. | Not being able to
correctly view or interpret reality |
|
|
|
44.
|
Phobia is
a. | A false belief | b. | An intense fear | c. | A persistent thought
or idea | d. | Fear, panic, or dread |
|
|
|
45.
|
Psychosis means that the person
a. | Has false beliefs | b. | Sees, hear, or feels things that are not
real | c. | Has severe mental impairments | d. | Has fear, panic, or
dread |
|
|
|
46.
|
A person’s ability to cope and adjust to stress is disturbed. Behavior and
function are impaired. Which is correct?
a. | The person has a mental disorder. | b. | The person has false
beliefs. | c. | The person has severe mood swings. | d. | The person has
paranoia. |
|
|
|
47.
|
According to Maslow’s theory of basic needs, unmet needs at any age affect
personality development.
|
|
|
48.
|
Which statement about anxiety is correct?
a. | Mentally healthy people are free of anxiety. | b. | It usually occurs
when needs are met. | c. | The person senses real or imagined danger or
harm. | d. | The person always knows the source or cause of the
anxiety. |
|
|
|
49.
|
Which statement about anxiety is incorrect?
a. | Anxiety levels are higher in persons with mental health
disorders. | b. | Anxiety level depends on the stressor. | c. | A specific stressor always produces the same
anxiety level. | d. | Coping and defense mechanisms are used to relieve
anxiety. |
|
|
|
50.
|
You admire the way a nurse dresses and styles her hair. You try to do the same.
Which defense mechanism are you using?
a. | Projection | b. | Identification | c. | Rationalization | d. | Substitution |
|
|
|
51.
|
Fear of darkness is
a. | Algophobia | b. | Mysophobia | c. | Xenophobia | d. | Nyctophobia |
|
|
|
52.
|
Which statement about alcoholism is incorrect?
a. | Alcoholism is a chronic disease. | b. | Life-style and genetics are risk
factors. | c. | The craving for alcohol can be as strong as the need for food or
water. | d. | There is no treatment. |
|
|
|
53.
|
Which statement about suicide is correct?
a. | Poison is the most common method for suicide in women. | b. | The highest rate of
suicides is among white men between the ages of 18 and 20 years. | c. | Men attempt suicide
more often than women do. | d. | There are fewer deaths due to suicide than from
HIV and AIDS. |
|
|
|
54.
|
Which statement about acute confusion is incorrect?
a. | It occurs suddenly. | b. | It is usually permanent. | c. | Infection, illness,
and injury are common causes. | d. | Drugs and surgery are common
causes. |
|
|
|
55.
|
A resident is confused. It is time for the person’s shower. What should
you do?
a. | Explain what you are going to do and why. | b. | Ask the person to
undress. | c. | Ask if the person wants a tub bath or shower. | d. | Let the confusion
pass before you assist with the person’s shower. |
|
|
|
56.
|
At what age does AD usually occur?
a. | Between age 30 and 40 | b. | Between age 40 and 50 | c. | After age
60 | d. | Around age 80 |
|
|
|
57.
|
What is the cause of AD?
a. | Family history | b. | Down syndrome | c. | Aging | d. | Unknown |
|
|
|
58.
|
A resident has AD. She tends to wander. Her care plan includes the following.
Which should you question?
a. | Make sure her ID bracelet is on. | b. | Keep door alarms turned on. | c. | Explain to her why
she cannot go outside. | d. | Let her wander in an enclosed
garden. |
|
|
|
59.
|
A resident has AD. The person’s hallucinations include seeing “kitty
cats” in the closet. Which of the following measures will not be helpful?
a. | Helping the person search the closet | b. | Using touch to reassure the
person | c. | Preventing glares, shadows, and reflections | d. | Taking the person
for a walk |
|
|
|
60.
|
Catastrophic reactions usually occur from
a. | Elimination needs | b. | Hunger | c. | Too many
stimuli | d. | Lack of sleep |
|
|
|
61.
|
A resident has AD. She is trying to rub her perineum through her clothes. Which
is incorrect?
a. | The behavior is sexual. | b. | She may be wet or soiled from urine or
feces. | c. | She may have a urinary or reproductive infection. | d. | She may have pain or
discomfort in her urinary or reproductive system. |
|
|
|
62.
|
A resident has AD. His wife visits daily. They like to touch, hold hands, and
kiss. Which action is correct?
a. | Discouraging such contact | b. | Providing privacy | c. | Allowing only
supervised visits | d. | Trying to distract
them |
|
|
|
63.
|
Persons with AD are at risk for
a. | Infection | b. | Stroke | c. | Heart
attack | d. | Diarrhea |
|
|
|
64.
|
A resident has AD. When planning activities for the person, the therapist
considers
a. | What equipment and supplies are available | b. | How much time is
available | c. | The person’s abilities and interests | d. | Staff interests and
needs |
|
|
|
65.
|
A patient has AD. To gain the person’s attention, you need to
a. | Approach the person from behind | b. | Approach the person from the
side | c. | Approach the person from the front | d. | Lightly touch the person’s
arm |
|
|
|
66.
|
To protect persons with AD, you need to do the following except
a. | Keep utility room doors unlocked | b. | Prevent fires and burns | c. | Prevent
falls | d. | Place safety plugs in electrical outlets |
|
|
|
67.
|
Which statement about developmental disabilities is incorrect?
a. | The impairment can be physical or mental or both. | b. | The disability is
severe and permanent. | c. | Function is limited in three or more life
skills. | d. | The disability improves during adulthood. |
|
|
|
68.
|
The goal for persons with developmental disabilities is
a. | To live independently | b. | Independence to the extent
possible | c. | Financial independence | d. | Education and job
training |
|
|
|
69.
|
Intellectual disabilities involve
a. | An extra chromosome and heart defects | b. | Muscle weakness and poor muscle
control | c. | Low intellectual functioning and impaired adaptive behavior | d. | Impaired social
skills and confusion |
|
|
|
70.
|
The most common inherited form of intellectual disabilities is
a. | Autism | b. | Fragile X syndrome | c. | Hydrocephalus | d. | Spina bifida |
|
|
|
71.
|
Down syndrome is caused by
a. | An extra chromosome | b. | Lack of oxygen to the brain | c. | Faulty development
during the first month of pregnancy | d. | Unknown factors |
|
|
|
72.
|
Which statement about cerebral palsy is incorrect?
a. | It can occur in early childhood from poisoning, choking, near drowning, and head
injuries. | b. | Premature infants and low–birth-weight infants are at risk. | c. | Infants born with
fetal alcohol syndrome are at risk. | d. | It can occur in adulthood from stroke, heart
attack, and accidents. |
|
|
|
73.
|
A person has spastic cerebral palsy. Which is incorrect?
a. | The person has slow weaving or writhing motions. | b. | Muscles are stiff
and cannot relax. | c. | One or both sides of the body may be
involved. | d. | Posture, balance, and movement are affected. |
|
|
|
74.
|
A person has athetoid cerebral palsy. Which is correct?
a. | The person has slow weaving or writhing motions. | b. | Muscles are stiff
and cannot relax. | c. | One or both sides of the body may be
involved. | d. | Only the arms are involved. |
|
|
|
75.
|
A resident has cerebral palsy. The person’s care depends on
a. | The person’s financial abilities | b. | The person’s gender | c. | The degree of brain
damage | d. | Center policy and procedures |
|
|
|
76.
|
Which are common with spina bifida?
a. | Bowel and bladder problems | b. | Breathing problems | c. | Seizures | d. | Behavior
problems |
|
|
|
77.
|
Sex is
a. | The physical activities involving reproductive organs | b. | The physical,
emotional, social, cultural, and spiritual factors that affect feelings and attitudes about
sex | c. | Who a person is attracted to | d. | Preferred sexual
practices |
|
|
|
78.
|
A term used to describe persons who are undergoing hormone therapy or surgery
for sexual reassignment is
a. | Transgender | b. | Homosexual | c. | Transsexual | d. | Transvestite |
|
|
|
79.
|
Which statement about sexuality and older persons is incorrect?
a. | Reproductive organs change with aging. | b. | Immobility and chronic illness may affect
frequency of sex. | c. | Older persons need frequent
intercourse. | d. | Attitudes and sex needs change with aging. |
|
|
|
80.
|
A resident asks you for a kiss. What should you do?
a. | Give the person a kiss. | b. | Be supportive and
understanding. | c. | Tell the person that this behavior makes you uncomfortable. | d. | Check the care
plan. |
|
|
|
81.
|
A male resident with Alzheimer’s disease has poor communication skills. He
touches your breasts to get your attention. Which statement is correct?
a. | His behavior is sexually aggressive. | b. | He thinks you are his wife. | c. | His behavior is not
sexual. | d. | He cannot control his behavior. |
|
|
|
82.
|
Postpartum refers to
a. | Before childbirth | b. | During childbirth | c. | After
childbirth | d. | After circumcision |
|
|
|
83.
|
An episiotomy is
a. | An incision into the perineum | b. | Needed for a cesarean
section | c. | A complication of pregnancy | d. | A postpartum
infection |
|
|
|
84.
|
You are checking a baby’s crib for safety. Which is not
safe?
a. | The mattress fits snugly. | b. | Mattress hooks are not bent or
broken. | c. | The crib is close to a heat register. | d. | The crib is away from other
furniture. |
|
|
|
85.
|
A mother is breast-feeding. Which is incorrect?
a. | Make sure the mother holds the baby close to the breast. | b. | Encourage feeding
from both breasts at each feeding. | c. | Remind the mother to wash her breasts with soap
and water. | d. | Encourage the mother to place nursing pads in her
bra. |
|
|
|
86.
|
When preparing formula, which is incorrect?
a. | Follow the directions on the formula container. | b. | Wash formula
containers before opening them. | c. | Measure exact amounts when preparing
formula. | d. | Extra bottles are capped and stored in the refrigerator for up to 3
days. |
|
|
|
87.
|
You are bottle-feeding a baby. Which will not promote comfort and
safety?
a. | Assume a comfortable position. | b. | Hold the baby close to you. | c. | Tilt the bottle so
the neck of the bottle and the nipple are always full. | d. | Prop the bottle and lay the baby down for the
feeding. |
|
|
|
88.
|
To give nail care to infants, use infant nail clippers and a soft emery
board.
|
|
|
89.
|
The following occur in an assisted living residence (ALR). Which is
unsafe?
a. | Garbage is stored in covered containers. | b. | The hot water
temperature is 130° F. | c. | Hazardous substances are stored in locked
areas. | d. | Soiled linen and clothing are stored away from food
areas. |
|
|
|
90.
|
Which statement about assisted living residences (ALRs) is
incorrect?
a. | Clean and soiled linens are stored in the same area. | b. | Pets and animals are
controlled to protect residents and maintain sanitation. | c. | Oxygen is stored
according to the manufacturer’s instructions. | d. | Employees have access to a first aid
kit. |
|
|
|
91.
|
Assisted living caregivers need training in the following areas
except
a. | Ethics and confidentiality | b. | Food preparation, service, and
storage | c. | Housekeeping and sanitation | d. | Using care
plans |
|
|
|
92.
|
Which statement about the person’s service plan is correct?
a. | It is reviewed annually. | b. | It is written by the person’s
doctor. | c. | Services are added or reduced as the person’s needs change. | d. | The social worker
decides what is included on the person’s service plan. |
|
|
|
93.
|
How often should you vacuum floors?
a. | Every day | b. | At least weekly | c. | Twice a
month | d. | Every month |
|
|
|
94.
|
You are using a dishwasher for eating and cooking utensils. Which is
incorrect?
a. | Dishwasher soap is used. | b. | They are rinsed before loading them into the
dishwasher. | c. | Cast iron and wood items are put in the dishwasher. | d. | Pots and pans are
washed with detergent and hot water. |
|
|
|
95.
|
Which is used to remove grease spills and splashes?
a. | Powdered cleanser and hot water | b. | A wet sponge | c. | A liquid surface
cleaner | d. | Scouring powder |
|
|
|
96.
|
A person needs help taking drugs. State laws usually allow you to
a. | Give the drugs | b. | Remind the person it is time to take the
drug | c. | Take the drug out of the container | d. | Change the dosage of a
drug |
|
|
|
97.
|
The ALR stores a resident’s drugs. Where are the person’s drugs
kept?
a. | In the refrigerator | b. | In the person’s
drawer | c. | In the person’s closet or dresser | d. | In a locked
container, cabinet, or area |
|
|
|
98.
|
The ALR has procedures in place for disposing of expired drugs.
|
|
|
99.
|
Assisted-living residents have the right to the following except the
right to
a. | Keep and use personal property | b. | Take part in developing the plan for care and
services | c. | Refuse services | d. | Skilled nursing
care |
|
|
|
100.
|
Assisted-living residents have the right to the following except the
right to
a. | Voice grievances | b. | Participate in community
activities | c. | Smoke anywhere in the building | d. | Have reasonable access to a
phone |
|