MIDTERM PT 2

An 80-year old women has undergone chemotherapy for cancer. She is at risk for shingles. T/F

True

An exam is done only with the person's consent. T/F

True

Black slaps and chest thrusts are used to relieve foreign body airway obstruction in infants. T/F

True

Everyone with diabetes is at risk for diabetic retinopathy. T/F

True

Illness, injury, and aging affect sexuality. T/F

True

It is a person's right to be free from restraint. T/F

True

Never practice CPR on another person. T/F

True

Sexuality is important throughout life. T/F

True

Standard precautions prevent the spread of infection from blood.

True

The recovery position is not used if the person might have neck injuries or other trauma. T/F

True

The surgical site is marked before surgery to prevent surgery on the wrong body part or area. T/F

True

To give nail care to infants, use infant nail clippers and a soft emery board. T/F

True

When providing care in the person's home, full visual privacy is needed. T/F

True

A complete bed bath is not given for several days after surgery to allow the person to rest. T/F

False

A student wants to observe a treatment. The person's consent is not needed because the observer is a student. T/F

False

Drop-side cribs meet current safety standards. T/F

False

Low vision is eyesight that can be corrected with eyeglasses or surgery. T/F

False

Rehabilitation starts when the person is discharged from the hospital. T/F

False

The delegating nurse must be present with you when you are performing home care. T/F

False

You explain the reason for transfer or discharge to the person. T/F

False

You should never self-administer abdominal thrusts. T/F

False

The greatest risk from osteoporosis is...

Fractures

Which is a sign or symptom of postpartum complications?

Leg pain and swelling

Which is a sign or symptom of angina?

Pallor or feeling faint

Which is a focus of rehabilitation?

Preventing further loss of function

When assisting with a physical exam, what are you responsible for?

Protecting the right for privacy

A person needs help taking drugs. State laws usually allow you to:

Remind the person it is time to take the drug

To promote safety for a crying baby, you must:

Respond to the baby's cries

Angina is usually relieved by

Rest and nitroglycerin

A resident spills coffee. When should you wipe up the spill?

Right away

Restorative nursing may involve measures that promote what?

Self-care

A patient has aphasia following a stroke. Which of the following are helpful?

Speech therapy and communication devices

Children with autism usually:

Spend time alone

Mucus from the respiratory system that is expelled through the mouth is

Sputum

A resident is making slow progress in therapy. You see another nursing assistant laughing at the person. What should you do?

Tell the nurse.

A resident wants a bath in the evening, not in the morning. The person has the right to make this choice. T/F

True

A stool specimen must not be contaminated with urine. T/F

True

A vaccine is available to prevent shingles. T/F

True

To balance a scale, you must move the weights to

0

Tumors that do not spread to other body parts and usually do not grow back when removed are:

Benign

How much sputum is needed for a specimen?

1-2 teaspoons

A person has a fracture. The bone is broken but the skin is intact. The person has:

A closed fracture

The most common site for a skin puncture is...

A fingertip

Assisted living units must have which of the following? a. A television b. A private room c. A private dining room d. A window or door that provides natural light

A window or door that provides natural light

A person is in shock. You need to do what?

Activate the EMS system

Which occurs with emphysema?

Air is trapped in alveoli.

Seizures are caused by

An abnormality in the brain

A patient had a stroke. When does rehabilitation begin?

At once

When collecting a sputum specimen, the person coughs up sputum from the..

Bronchi and trachea

A resident thinks her hearing aid is not working. What should you do first?

Check to see if the hearing aid is on.

A bowel prep may be given pre-operatively to:

Cleanse the bowel of feces

A person has suffered burns. You should do which of the following?

Cover the burns with sterile, dry coverings

The doctor completed the exam. You should do what?

Cover the exam table with clean paper.

Receptive aphasia relates to...

Difficulty understanding language

A person has scheduled surgery to replace her left knee joint. This is

Elective surgery

A resident had a stroke. The person's left side is affected. Which of the following might the person's care plan include?

Encourage deep breathing and coughing.

A brain disorder in which clusters of brain cells sometimes signal abnormally is:

Epilepsy

Before helping a person assume an examination position, you must...

Explain how to assume the position

The person with Parkinson's disease needs protection from..

Falls

A patient takes a long time getting dressed. What should you do?

Give the person time to complete the task.

You find a person sleepwalking. You should...

Guide the person back to bed

With coronary artery disease, the coronary arteries are:

Hardened and narrow

To prepare a person for an exam, you need which of the following information from the nurse and the care plan?

How soon you should position the person

A person has speech disorder. The goal of rehabilitation is to...

Improve the person's ability to communicate

Otitis media is most common in

Infants and children between 4 months and 4 years of age

Acute pain is caused by

Injury, disease, trauma, or surgery

The nurse asks you to test a stool specimen for occult blood. You know that occult blood...

Is hidden or unseen

Effects from stroke often include which of the following?

Loss of face, hand, arm, leg, or body control

A person is in cardiac arrest. You cannot open the person's mouth. Which of the following is indicated?

Mouth-nose-breathing

Which is a major sign of sudden cardiac arrest?

No response

During the exam...

Only the part being examined is exposed

A patient is blind. When serving the person's meals, you should do which of the following?

Open cartons, cut meat, and so on as needed.

You are admitting a new resident. You will do what?

Orient the person to the room

Which is a sign of illness in babies?

The baby has a high fever

Which signals otitis media in children?

The child tugs at the ears.

Which health team member is responsible for obtaining the person's written consent for surgery?

The doctor

Which health team member measures the person for elastic stockings?

The nurse

Which statement about quality of life during emergencies is correct? a. The person is protected from unnecessary exposure. b. The right to personal choice is left up to the family. c. Onlookers have the right to know what happened. d. Personal items may be discarded during an emergency.

The person is protected from unnecessary exposure

A new resident has dementia. You should expect which of the following?

The person may show signs of fear and agitation.

Which person is the least likely to have a successful rehabilitation program?

The person who tries to go beyond his limits and tells the staff what to do

metastasis

The spread of cancer to other body parts

arthroplasty is

The surgical replacement of a joint

Spastic means

The uncontrolled contractions of skeletal muscles

Persons with AIDS develop other diseases because

Their immune systems are affected

Why is pain usually worse at night?

There are fewer distractions and the person has more time to think

Which of the following is common with otitis media?

Tinnitus

The major symptoms of Ménière's disease are...

Tinnitus, hearing loss, vertigo, and pressure in the ear

A person with a disability needs to adjust physically, psychologically, socially, and economically. T/F

True

You find a victim lying on his right side. He is breathing and has a pulse. However, he is bleeding from his right leg. You should do which of the following next?

Try to control the bleeding

To properly care for cloth diapers:

Wash them in hot water and use baby laundry detergent

A resident's artificial eye is removed. Proper care of the eye socket involves:

Washing the socket with warm water or saline

When is cord care given?

With every diaper change

A resident has osteoarthritis. The person is most likely to have joint stiffness with...

With joint motion

Autonomic dysreflexia affects persons with...

With spinal cord injuries above the mid-thoracic level

A patient is speech-impaired. When communicating with the person, you should ask the person to...

Write down key words or the message.

You are going to prepare a room for a new patient. How do you know what equipment is needed?

You check the care plan

acetone is

a substance that appears in urine from the rapid breakdown of fat for energy; ketone body or ketone

Risk factors for hypertension include the following. A person cannot change his or her: a. Age, gender, race, or family history b. Weight and stress level c. Diet, tobacco use, and alcohol intake d. Exercise level

a. Age, gender, race, or family history

A patient complains of pain. Which will help you collect information about the person's pain? a. Ask if the pain is mild, moderate, or severe. b. Ask the person what he ate for breakfast. c. Ask the family members if they feel the person is really in pain. d. Give the person drugs to relieve the pain.

a. Ask if the pain is mild, moderate, or severe.

Which of the following should be reported to the nurse at once? a. Bleeding from the incision b. Mild discomfort c. Strong, regular pulse d. Clear, amber urine

a. Bleeding from the incision

Which statement about TB is correct? a. Persons having frequent close contact with the infected individual are at risk. b. Symptoms occur 6 weeks after being infected. c. It is treated with antivirals. d. TB is detected by a blood analysis.

a. Persons having frequent close contact with the infected individual are at risk.

You will bottle-feed a baby. Which is correct? a. To warm the bottle, hold it under warm running tap water. b. To test the temperature, sprinkle a few drops on the inside of the baby's mouth. c. Feed the baby cold formula from the refrigerator. d. A bottle can be propped in the baby's mouth if needed.

a. To warm the bottle, hold it under warm running tap water.

Radiation therapy can be used to treat cancer. Which is correct? a. X-ray beams are aimed at the tumor. b. It can only be done after surgery. c. It is used to prevent the cancer's return. d. Only cancer cells are affected.

a. X-ray beams are aimed at the tumor.

A life-threatening sensitivity to an antigen is

anaphylaxis

How often should you dust furniture?

at least weekly

How often should you vacuum floors?

at least weekly

Which statement about restorative aides is correct? a. They must meet OBRA training requirements. b. They are nursing assistants with training in restorative nursing and rehabilitation skills. c. Those with excellent work ethics are promoted to nursing assistants. d. They have had some nursing education.

b. They are nursing assistants with training in restorative nursing and rehabilitation skills.

Which statement about persons with intellectual disabilities is correct? a. Their ability to learn is normal. b. They have difficulty with activities of daily living. c. Their ability to respond in socially appropriate ways is impossible. d. They need constant support.

b. They have difficulty with activities of daily living.

ALRs usually require that residents

be mobile

Hematuria means

blood in the urine

A person has spastic cerebral palsy. Which is correct? a. The person has slow weaving or writhing motions. b. Muscles are relaxed and weak. c. One or both sides of the body may be involved. d. Posture, balance, and movement are not usually affected.

c. One or both sides of the body may be involved.

You are performing passive range-of-motion exercises. Which action will promote comfort? a. Exposing the body so that you have easy access to the part being exercised b. Asking the person to support the part being exercised c. Providing for privacy d.Moving the joint quickly and forcefully

c. Providing for privacy

A resident has pneumonia. The following is part of the person's care plan. Which should you question? a. Encourage fluids. b. Encourage rest. c. Side-lying position. d. Change linens as needed.

c. Side-lying position

Which statement is correct? a. Rehabilitation begins after restorative nursing care. b. Restorative nursing care begins after rehabilitation. c. Some people need both rehabilitation and restorative care. d. The person returns home after completing a rehabilitation program.

c. Some people need both rehabilitation and restorative care.

You are giving an infant a sponge bath. Which is correct? a. Wash the infant in a cool environment so he does not overheat. b. Use a moistened cotton swab to clean inside the nose. c. Support the infant's head and neck whenever you pick him up. d. Avoid washing the creases and folds.

c. Support the infant's head and neck whenever you pick him up.

Chemotherapy can be used to treat cancer. Which is correct? a. It affects only the cancer cells. b. It can be given only before surgery. c. The person is at risk for bleeding and infection. d. It prevents cancers from getting or using hormones needed for tumor growth.

c. The person is at risk for bleeding and infection

Which statement about vision loss is correct? a. Vision loss occurs only in the older adult. b. Blindness is the absence of light. c. Vision loss is gradual or sudden in onset. d. Both eyes are always affected.

c. Vision loss is gradual or sudden in onset.

Which statement is correct? a. Children never understand pain. b. Children have less pain than adults do. c. Children deal with pain in the same way adults do. d. Children rely on adults for help in relieving pain.

d. Children rely on adults for help in relieving pain.

paralysis of one side of the body is

hemiplegia

A person is having a seizure. What do you do?

loosen tight clothing or jewelry

Another term for convulsion is

seizure

cardiopulmonary resuscitation

support breathing and circulation

A disability affects

the whole person

babies feel secure when

wrapped and held snugly