A resident is out of the bed most of the day. Which bed should you make?
a. A closed bed
b. An open bed
c. An occupied bed
d. A surgical bed
A surgical bed is kept
a) In Fowler's position
b) In the lowest position
c) In the highest position
d) In the supine position
Oral hygiene does the following except
a) Prevent mouth odors
b) Prevent infection
c) Increase comfort
d) Coat and dry the mouth
Which action is wrong when bathing a person?
a) Covering the person for warmth and privacy
b) Rinsing the skin thoroughly to remove all soap
c) Washing from the dirtiest to the cleanest area
d) Patting the skin dry
Water for a complete bed bath is at least
a) 100 degrees F
b) 105 degrees F
c) 110 degrees F
d) 120 degrees F
You are going to give a back massage. Which is false?
a) It should last 3 to 5 minutes.
b) Lotion is warmed before being applied.
c) Your hands are always in contact with the skin.
d) The side-lying position is best.
Which prevents hair from matting and tangling?
b) Daily brushing and combing
c) Daily shampooing
d) Cutting hair
A person requests a shampoo. You should
a) Shampoo the hair during the person's shower
b) Shampoo hair at the sink
c) Shampoo the person in bed
d) Follow the care plan
When shaving a person's face, do the following except
a) Practice Standard Precautions
b) Follow the Bloodborne Pathogen Standard
c) Shave in the direction of hair growth
d) Shave when the skin is dry
A person is nicked during shaving. Your first action is to
a) Wash your hands
b) Apply direct pressure
c) Tell the nurse
d) Apply a bandage
The person using a standard bedpan is in
a) Fowler's position
b) The supine position
c) The prone position
d) The side-lying position
a) Is always permanent
b) Requires good skin care
c) Is treated with a catheter
d) Requires bladder training
A person has a catheter. Which is not correct?
a) Keep the drainage bag above the level of the bladder.
b) Keep drainage tubing free from kinks.
c) Coil the drainage tubing on the bed.
d) Secure the catheter according to agency policy.
When giving catheter care, you clean the catheter
a) From the meatus down the catheter about 4 inches.
b) From the meatus down the entire catheter.
c) From the drainage tube connection up the catheter to the meatus.
d) From the drainage tube connection up the catheter about 4 inches
The goal of bladder training is to
a) Remove the catheter.
b) Allow the person to walk to the bathroom.
c) Gain control of urination.
d) Have the person void twice a day.
These statements are about ostomies. Which is false?
a) Good skin care around the stoma is needed.
b) Deodorants can control odors.
c) The person wears a pouch.
d) Stools are liquid.
An ostomy pouch is usually emptied
a) Every 4 to 6 hours
b) Every shift
c) Every 3 to 7 days
d) When stools are present
Which food group contains the most fat?
d) Meat and beans
Which foods provide the most protein?
a) Butter and cream
b) Tomatoes and potatoes
c) Meats and fish
d) Corn and lettuce
Which is not a sign of a swallowing problem?
b) Coughing while eating
A person is NPO. You should
a) Provide a variety of fluids
b) Offer fluids in small amounts and in small containers
c) Remove the water pitcher and cup from the room
d) Remove oral hygiene equipment from the room
Before providing fresh drinking water, you need to know the person's
c) Fluid orders
d) Preferred beverages
A person with a feeding tube is NPO. You should do the following except
a) Give the person hard candy or gum
b) Provide oral hygiene
c) Provide mouth rinses
d) Apply lubricant to the lips
You note bleeding from an IV insertion site. What should you do?
a) Tell the nurse.
b) Move the needle or catheter.
c) Discontinue the IV.
d) Clamp the IV tubing.
Which does not protect a person from drafts?
a) Wearing enough clothing
b) Being covered with enough blankets
c) Being moved from a drafty area
d) Sitting by a fan
To prevent odors, you need to do the following except
a) Check incontinent persons often
b) Dispose of ostomy products at the end of your shift
c) Keep laundry containers closed
d) Clean persons who are wet or soiled
Which does not control noise?
a) Using plastic items
b) Handling dishes with care
c) Speaking softly
d) Talking with others in the hallway
The head of the bed is raised 30 degrees. This is called
a) Fowler's position
b) Semi-Fowler's position
c) Trendelenburg's position
d) Reverse Trendelenburg's position
These statements are about hospital bed system entrapment. Which is false?
a) Serious injuries and death can occur.
b) Older, frail, and confused persons are at risk.
c) The head, neck, and chest are areas of entrapment.
d) Bed rails present the only risk for entrapment.
The overbed table is used for
a) A work surface
b) Soiled linen
c) The urinal
d) The telephone
The bedpan is stored in the
b) Bedside stand
c) Overbed table
Signal lights are answered
a) When you have time
b) At the end of your shift
d) When you are near the person's room
Which requires a linen change?
a) The person will have visitors
b) Wet linen
c) Wrinkled linen
d) Loose linen
When handling linens
a) Put dirty linens on the floor
b) Hold linens away from your body and uniform
c) Shake linens to unfold them
d) Take extra linen to another person's room
You are using a waterproof drawsheet. Which is true?
a) A cotton drawsheet must completely cover the waterproof drawsheet.
b) Waterproof pads are needed.
c) The person's consent is needed.
d) The waterproof material is in contact with the person's skin.
When making an occupied bed, you do the following except
a) Cover the person with a bath blanket
b) Screen the person
c) Raise the far bed rail
d) Fan-fold top linens to the foot of the bed
Measures to relieve pain are part of the person's care plan. Which should you question?
a) Give care before the nurse gives a drug for pain relief.
b) Provide blankets as needed.
c) Provide soft music.
d) Give a back massage.
Measures to promote sleep are part of person's care plan. Which should you question?
a) Let the person choose the bedtime.
b) Provide hot tea and a cheese sandwich at bedtime.
c) Position the person in good alignment.
d) Follow the person's bedtime rituals.
The person's unit is considered private. T/F
Persons with dementia may have extreme reactions to strange sounds. T/F
The privacy curtain prevents others from hearing conversations. T/F
Soft, dim lighting is relaxing. T/F
The signal light must always be within the person's reach. T/F
The overbed table and bedside stand should be within the person's reach. T/F
Hygiene is needed for comfort, safety, and health. T/F
After lunch Mrs. Bell asks for a back massage. You can give the back massage. T/F
A toothbrush with hard bristles is used for oral hygiene. T/F
Unconscious persons are supine for mouth care. T/F
You use your fingers to keep an unconscious person's mouth open for oral hygiene. T/F
A person has a lower denture. It is cleaned over a counter. T/F
A tub bath lasts 30 minutes. T/F
You can give permission for showers but not tub baths. T/F
Weak persons are left alone in the shower if they are sitting. T/F
A back massage relaxes muscles and stimulates circulation. T/F
Perineal care helps prevent infection. T/F
Foreskin is returned to its normal position immediately after cleaning. T/F
You brush a person's teeth and note the following. Which is not reported to the nurse?
a) Bleeding, swelling, or redness of the gums
b) Irritations, sores, or white patches in the mouth or on the tongue
c) Lips that are dry, cracked, swollen, or blistered
d) Food between the teeth
Which is not a purpose of bathing?
a) Increased circulation
b) Promoting drying of the skin
c) Exercising body parts
d) Refreshing and relaxing the person
A person has alopecia. This is
a) Excessive body hair
b) Dry, white flakes from the scalp
c) An infestation with lice
d) Hair loss
A person's hair is not matted or tangled. When brushing hair, start at
a) The forehead and brush backward
b) The hair ends
c) The scalp
d) The back of the neck and brush foreward
Brushing keeps the hair
a) Soft and shiny
c) Free of lice
Fingernails are cut with
a) An emery board
c) A nail file
d) Nail clippers
A person has a loose toenail. You should
a) Tell the nurse
b) Cut the toenail
c) File the toenail
d) Remove the toenail
Mr. Polk has a mustache and beard. To promote his comfort, you can shave his beard and mustache. T/F
Clothing is removed from the strong side first. T/F
The person chooses what to wear. T/F
A person has poor circulation in the legs and feet. You can cut and trim the person's toenails. T/F
You can cut matted hair. T/F
Which is false?
a) Urine is normally clear and yellow or amber in color.
b) Urine normally has an ammonia odor.
c) Voiding usually occurs before going to bed and after sleep.
d) A person normally voids 1500 mL a day.
Which is not a rule for normal elimination?
a) Help the person assume a normal position for voiding.
b) Provide for privacy.
c) Help the person to the bathroom or commode. Or provide the bedpan or urinal as soon as requested.
d) Stay with the person who uses the bedpan.
After using the urinal, the man should
a) Put it on the bedside stand
b) Use the signal light
c) Put it on the overbed table
d) Empty it
Which is not a cause of functional incontinence?
a) Unanswered signal light
b) No signal light within reach
c) Problems removing clothing
d) Urinary tract infection
A person has a catheter. Which is not correct?
a) Tape any leaks at the connection site.
b) Follow Standard Precautions and the Bloodborne Pathogen Standard.
c) Empty the drainage bag at the end of your shift.
d) Report complaints of pain, burning, the need to void, or irritation at once.
A person has a catheter. You are going to turn the person from the left side to the right side. What should you do with the drainage bag?
a) Move it to the right side.
b) Keep it on the left side.
c) Hang it from an IV pole.
d) Remove the catheter and the drainage bag.
Mr. Cooper has a condom catheter. You apply elastic tape
a) Completely around the penis.
b) To the inner thigh.
c) To the abdomen.
d) In a spiral fashion
Which is false?
a) A person must have a bowel movement every day.
b) Stools are normally brown, soft, and formed.
c) Diarrhea occurs when feces move rapidly through the bowels.
d) Constipation results when feces move slowly through the colon.
The prolonged retention and accumulation of feces in the rectum is called
b) Fecal impaction
d) Fecal incontinence
Which does not promote comfort and safety for bowel elimination?
a) Asking visitors to leave the room
b) Helping the person to a sitting position
c) Offering the bedpan after meals
d) Telling the person that you will return very soon
Bowel training is aimed at
a) Bowel control and regular elimination
b) Ostomy control
c) Preventing fecal impaction, constipation, and fecal incontinence
d) Preventing bleeding
Which is not used for a cleaning enema?
a) Castile soap
d) Tap water
These statements are about enemas. Which is false?
a) The solution should be cool.
b) The Sims' position is used.
c) The enema bag is held 12 inches above the anus.
d) The solution is given slowly.
In adults, the enema tube is inserted
a) 2 to 4 inches
b) 4 to 6 inches
c) 6 to 8 inches
d) 8 to 10 inches
The oil-retention enema is retained for at least
a) 10 to 15 minutes
b) 15 to 30 minutes
c) 30 to 60 minutes
d) 60 to 90 minutes
The MyPyramid food guidance system encourages the follwoing except
a) The same diet for everyone
b) Smart food choices
c) Physical activity
d) Small steps to improve diet and life-style
On a 2000 calorie a day diet, what is the amount of grains needed?
a) 6 ounces
b) 4 to 5 ounces
c) 3 to 4 ounces
d) 2 ounces
On a 2000 calorie a day diet, what is the amount of meat and beans needed?
a) 2 1/2 ounces
b) 3 to 4 ounces
c) 4 to 5 ounces
d) 5 1/2 ounces
These statements are about oils. Which is false?
a) Oils are high in calories.
b) The best oil choices come from fish, nuts, and vegetable oils.
c) Oils from plant sources contain cholesterol.
d) Mayonnaise, some salad dressings, and soft margarine are mainly oil.
Protein is needed for
a) Tissue growth and repair
b) The fiber for bowel elimination
c) Body heat and to protect organs from injury
d) Improve the taste of food
The sodium-controlled diet involves
a) Omitting high-sodium foods
b) Adding salt to food at the table
c) Using 2400 mg of salt in cooking
d) A sodium-intake flow sheet
Diabetes meal planning involves the following except
a) Food the person likes
b)Eating the same amount of carbohydrates, protein, and fat each day
c) Eating at regular times
d) Sodium control
a) 2 regular meals
b) Between-meal snacks
c) 3 regular meals and a bedtime snack
d) Meals every 6 hours
Adult fluid requirements for normal fluid balance are about
a) 1000 to 1500 mL daily
b) 1500 to 2000 mL daily
c) 2000 to 2500 mL daily
d) 2500 to 3000 mL daily
You are feeding a person. Which action is not correct?
a) Ask if he or she wants to pray before eating.
b) Use a fork to feed the person.
c) Ask the person the order in which to serve food and fluids.
d) Engage the person in a pleasant conversation.
Which position prevents regurgitation after a tube feeding?
a) Fowler's or semi-Fowler's position
b) The supine position
c) The left or right side-lying position
d) The prone position
A person has an NG tube. The care plan includes the following measures to prevent nasal irritation.
a) Clean the nose and nostrils every 4 hours
b) Tape the tube to the nose
c) Remove the tube every 4 hours
d) Secure the tube to the person's gown.
A nurse asks you to check an IV flow rate. What should you do?
a) Count the drops in 30 seconds; multiply the number by 2.
b) Count the drops for 1 minute.
c) Check if the fluid is dripping too fast or slow.
d) Measure the amount of fluid.
Which should you report at once?
a) An oral temperature of 98.4 degrees F
b) A rectal temperature of 101.6 degrees F
c) An axillary temperature of 97.6 degrees F
d) An oral temperature of 99.0 degrees F
A rectal temperature is taken when the person
a) Is unconscious
b) Has heart disease
c) Is confused
d) Has diarrhea
Which is usually used to take an adult's pulse?
a) The radial pulse
b) The apical pulse
c) The carotid pulse
d) The brachial puls
Which is reported to the nurse at once?
a) An adult has a pulse of 124 beats per minute.
b) An adult has a pulse of 90 beats per minute.
c) An adult has a pulse of 86 beats per minute.
d) An adult has a pulse of 64 beats per minute.
In an adult, normal respirations are
a) 10 to 18 per minute
b) 12 to 20 per minute
c) Less than 20 per minute
d) More than 20 per minute
Respirations are usually counted
a) After taking the temperature
b) After taking the pulse
c) Before taking the pulse
d) After taking the blood pressure
Which blood pressure is normal for an adult?
a) 88/54 mmHg
b) 140/90 mm Hg
c) 100/58 mm Hg
d) 112/78 mm Hg
When measuring blood pressure, you should do the following except
a) Use the arm with an IV infusion
b) Apply the cuff to a bare upper arm
c) Turn off the TV
d) Locate the brachial artery
The systolic pressure is the point
a) Where the pulse is no longer felt
b) Where the first sound is heard
c) Where the last sound is heard
d) 30 mm Hg above where the pulse was felt
A person has pain in the left chest, the left jaw, and the left shoulder and arm. This is
a) Acute pain
b) Chronic pain
c) Radiating pain
d) Phantom pain
A person complains of pain. You should ask the person to do the following except
a) Point to where the pain is felt
b) Tell you when the pain started
c) Describe the pain
d) Let you look at the pain
Which are not counted as liquid foods?
a) Coffee, tea, juices, and soft drinks
b) Butter, sauces, and melted cheese
c) Ice cream, sherbert, custard, pudding
d) Jell-O, Propsicles, and creamed cereals
Which is not measured as output?
d) Wound drainage
For an accurate weight measurement, the person
a) Wears footwear
b) Wears a robe and gown
c) Voids first
d) Chooses what scale to use
Cognitive function relates to the following except
a) Memory loss and personality
b) Thinking and reasoning
c) Ability to understand
d) Judgment and behavior
A person is confused after surgery. The confusion is likely to be
c) Caused by infection
d) Caused by a brain injury
A person is confused. The care plan includes the following. Which should you question?
a) Restrain in bed at night.
b) Give clear, simple directions.
c) Use touch to communicate.
d) Open drapes during the day.
A person has delusions. A delusion is
a) A false belief
b) An illness caused by changes in the brain
c) Seeing, hearing, or feeling something that is not real
d) Alzheimer's disease
A person has AD. Which is true?
a) AD occurs only in older persons.
b) Diet and drugs can cure the disease.
c) AD and delirium are the same.
d) AD ends in death.
The following are common in persons with AD except
a) Memory loss, poor judgment, and sleep disturbances
b) Loss of impulse control and communication abilities
c) Wandering, delusions, and hallucinations
d) Paralysis, dyspnea, and pain
Sundowning means that
a) The person becomes sleepy when the sun sets
b) Behaviors become worse in the late afternoon and evening hours
c) Behavior improves at night
d) The person goes to bed when the sun sets
A person with AD is screaming. You know that this is
a) An agitated reaction
b) A way to communicate
c) Caused by a delusion
d) A repetitive behavior
AD support groups do the following except
a) Provide care
b) Offer encouragement and care ideas
c) Provide support for the family
d) Promote the sharing of feelings and frustrations
A person with AD tends to wander. You should do the following except
a) Make sure door alarms are turned on
b) Make sure and ID bracelet is worn
c) Assist with exercise as ordered
d) Tell the person where to wander safely
Safety is important for the person with AD. Which is false?
a) Safety plugs are placed in electric outlets.
b) Cleaners and drugs are kept locked up.
c) The person can keep smoking materials.
d) Sharp and breakable objects are removed from the person's setting.
You are caring for a person with AD. Which is false?
a) You can reason with the person.
b) Touch can calm and reassure the person.
c) A calm, quiet setting is important.
d) Help is needed with ADL.
Which is true?
a) Death from terminal illness is sudden and unexpected.
b) Doctors know when death will occur.
c) An illness is terminal when recovery is not likely.
d) All severe injuries end in death.
Reincarnation is the belief that
a) There is no afterlife
b) The spirit or soul is reborn into another human body or another form of life
c) The body keeps its physical form in the afterlife
d) Only the spirit or soul is present in the afterlife
Adults and older persons usually fear
a) Dying alone
c) The five stages of dying
d) Advance directives
Persons in the stage of denial
a) Are angry
b) Make "deals" with God
c) Are sad and quiet
d) Refuse to believe they are dying
A dying person tries to gain more time during the stage of
When caring for the dying person, you should
a) Use touch and listen
b) Do most of the talking
c) Keep the room darkened
d) Speak in a loud voice
As death nears, the last sense lost is
The dying person's care includes the following except
a) Eye care
b) Mouth care
c) Active range-of-motion exercises
d) Position changes
The dying person is positioned in
a) The supine position
b) The Fowler's position
c) Good body alignment
d) The dorsal recumbent position
A "DNR" order was written. This means that
a) CPR will not be done
b) The person has a living will
c) Life-prolonging measures will be carried out
d) The person is kept alive as long as possible
The signs of death are
a) Convulsions and incontinence
b) No pulse, respirations, or blood pressure
c) Loss of consciousness and convulsions
d) The eyes stay open, no muscle movements, and the body is rigid
Post-mortem care is done
a) After rigor mortis sets in
b) After the doctor pronounces the person dead
c) When the funeral director arrives for the body
d) After the family has viewed the body