PCM Quizzes
Which muscle group is most important for movements and lifts that require extra effort? Unit 4 Posture
Core stabilizers
Proper seat depth can be determined by: Unit 6
Placing 2 or 3 fingers between the front edge of the seat and the patient's popliteal fold (your hand parallel to the floor)
Which of these patients needs immediate medical attention? Unit 3 Vital Signs
BP 180/100
What pain scale might you use with a 5 year old child? Unit 3 Vital Signs
Faces
You are performing a manual muscle test for shoulder flexion and the patient is able to lift their arm 75% through the range of motion while standing. No resistance is given. What muscle grade would you give? Unit 7
3-/5
When fitting a blood pressure cuff, what percentage of the arm should the length of the bladder cover? Unit 3 Vital Signs
80%
The difference between a Deep Squat Lift and a Power Lift is: Unit 4 Posture
A Deep Squat Lift requires a full squat and a Power Lift requires only a partial squat
The following is NOT a nonverbal indicator for pain? Unit 3 Vital Signs
Blinking
It is best practice to give verbal instructions and demonstrate a transfer to the patient prior to starting the transfer. What is the best way to give the verbal instructions? Unit 7
Concise terminology with action oriented verbiage.
Which of the following is the best way for a wheelchair user to negotiate very steep slopes? unit 6
Go up the slope using a zigzagging path
Your patient is a 55-year-old man who just had a transtibial amputation secondary to a work-related accident. You are working with him on functional mobility just after his surgery. Which of the following represents the best positioning for this patient?
Have him spend some time in prone each day to encourage extension of the affected hip and knee.
Which of the following is true regarding transferring a patient status post THR? Unit 7
Instruct them to lead with their hips when coming to stand
Following a total knee replacement, in what position is it important to keep the affected extremity at rest?
Knee extension
Which areas are especially prone to pressure sores in a patient who is wheelchair dependent?
Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles
The most important action when assisting a patient to move around in bed is Unit 5
Let the patient help as much as possible when permitted
When a patient is able to do 25% to 49% of a transfer they are considered to require:
Maximum assistance
When a patient is able to do 25% to 49% of a transfer they are considered to require: Unit 5
Maximum assistance
Which pain scale involves the patient taking the average of 3 ratings over 24 hours? Unit 3 Vital Signs
NPRS
Which of the following vital sign readings is NOT within normal limits (WNL)? Unit 3 Vital Signs
Respiration of 23 bpm (breaths per minute)
Elevation of caster wheels by the patient: Unit 6
Should only be attempted if the patient has sufficient upper extremity strength and coordination and be able to maintain sitting balance.
Which posture is recommended for performing activities below the waist, such as removing clothes from a front-loading dryer? Unit 4 Posture
Sitting, stooping, or kneeling
At what level is the approximate center of gravity (COG) of a standing person? Unit 4 Posture
The second sacral segment
When assisting a patient to ascend a curb while in a wheelchair: unit 6
The therapist can assist facing forward or backward
When helping a patient descend stairs in a wheelchair the wheelchair should be: Unit 6
Tilted on the drive wheels.
If a patient is transferring to the right from a wheelchair to bed, where should the buttocks be positioned before the transfer?
Toward the front of the wheelchair seat, in front of the drive wheel
When taking a patient up a curb in a w/c which of the following is CORRECT: Unit 6
When approaching the curb with the wheelchair backwards the chair should already be in a "wheelie" position with the caster wheels off the ground
Which of the following is true regarding the head/hips relationship?
Where the patient swings their head their hips go opposite
During an upward movement transfer of a supine patient, how should the patient's lower extremities be positioned?
With the hips and knees flexed and feet flat on the bed
In applying an alcohol-based hand rub, what is the appropriate step to take after rubbing the product briskly over all surfaces of the hands? Quiz 2 Infection Control
b. Continue to rub until the hands are dry.
What is the most important activity that caregivers should perform before and after contact with a patient to control infection? Quiz 2 Infection Control
b. Hand hygiene
Your patient is a 64-year-old man who had a stroke and has severe right upper-extremity weakness as a result. His right hand has become very edematous. Which of the following is the best position for the patient's right arm to aid in the management of his edema?
b. With the hand on a pillow, higher than the heart, while he is supine
What are the most common modes of transmission of pathogenic microorganisms? Quiz 2 Infection Control
d. Contact, droplet, airborne
According to standard isolation precautions for airborne transmission, what is the recommended architecture for a patient's room? Quiz 2 Infection Control
d. Private isolation room with a closed door
All of the following are benefits of proper posture EXCEPT: Unit 4 Posture
It increases stress on your joints
As a clinician, you decide to complete a standing dependent pivot transfer with a patient. You are expecting to provide ___________ assistance. Unit 7
Maximal
When rolling a pt. from supine to prone, towards the patient's left side, the left UE should be positioned: Unit 5
Overhead in full shoulder flexion, if the patient has the range
In an attempt to lift an object, which two measures are recommended for proper body mechanics? Unit 4 Posture
a. Increasing your base of support, positioning your COG near the object's COG
Microorganisms move from place to place by various means in a cyclical manner. What are the five elements in the cycle of infection? Quiz 2 Infection Control
a. Reservoir, exit, transmission, infection, and susception
During which of the following situations would the wearing of gloves be most appropriate? Quiz 2 Infection Control
a. You are cleaning the therapy treatment area at the end of the day in your inpatient rehabilitation unit.
When performing a dependent transfer with a patient from supine to prone, how should the arm over which the patient will roll be positioned? Unit 5
Adducted, externally rotated, elbow straight, and hand tucked under the pelvis, palm up
Which of the following objects is a potential host site for the survival of pathogens? Quiz 2 Infection Control
All given answers are correct
Orthostatic hypotension (OH) is classified as a decrease in systolic blood pressure of greater than what? Unit 3 Vital Signs
20
To determine how much to inflate the blood pressure cuff, find the occlusion point then inflate the cuff how many mm/Hg? Unit 3 Vital Signs
20
Following a total hip replacement, what device is often used for proper positioning?
An adduction pillow to prevent excessive hip adduction
During a standing, assisted pivot transfer, where should a caregiver's left leg be placed if the patient has significant right knee weakness? Unit 7
Anterior to the weak knee
When coordinating a lifting activity with others, how should directions be given? Unit 5
As brief, concise, and action-oriented commands
In general, how frequently should the patient's position be changed when immobile in bed? Unit 5
At least every 2 hours
When assisting a patient in a wheelchair up the stairs, the assistants at the front of the wheelchair should grasp the: unit 6
Chair Frame
When rolling a pt. from prone to supine, towards the patient's left side, how should the right lower extremity be positioned?
Crossed over the left leg at the ankles
How should a patient using both upper extremities for wheelchair propulsion be taught to navigate up a particularly steep ramp or incline? Unit 6
Facing forward, moving in a zigzag fashion
Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing accident. He is unable to move below the level of his umbilicus. You are positioning him in the bed following your treatment. Which of the following describes the most appropriate positioning for this patient?
In a three-quarters supine position with pillows behind him and between his legs
The easiest and safest way to assist a patient descending a curb while in a wheelchair is: Unit 6
In the backward position while tilting the chair up on the drive wheels.
Which of the following is true regarding the 'golfer's lift': Unit 4 Posture
It is used to pick up lighter objects
What area of the spine is host to most injuries caused by lifting? Unit 4 Posture
Lumbar
Which of the following would increase an individual's base of support (BOS)? Unit 4 Posture
Placing the feet farther apart in an anterior-posterior stance
Which of these patients may need to rest or be on supplemental oxygen- O2 sat= oxygen saturation? Unit 3 Vital Signs
Pulse 80 bpm, O2 sat 88%
To elevate the casters of a wheelchair while assisting a patient the therapist will need to: Unit 6
Push down and forward on a tipping lever while pushing down and back on the push handles.
What factor does NOT affect the pulse oximeter (pulse ox) reading? Unit 3 Vital Signs
Size of blood pressure cuff
After performing your muscle test, you find that your patient has no strength (0/5) in their legs and 4/5 strength in their arms. You would initially use the:
Sliding board transfer
What level of assistance is used if a patient requires only verbal cues to perform an activity safely and within an acceptable time frame? Unit 5
Standby assistance
When assisting a patient using only verbal cues to perform an activity safely and within an acceptable time frame, what level of assistance has been provided?
Standby assistance
In standing from a seated position, how should the patient's feet be positioned if one is significantly weaker than the other?
With the stronger foot posterior to the weaker foot
What is the recommended length of time for hand washing with ordinary soap and water? Quiz 2 Infection Control
c. 15-30 seconds
In which of the following scenarios is protective eyewear most important? Quiz 2 Infection Control
c. During times when blood splashes or sprays of other body fluids are likely
What is a potential adverse effect of the placement of a small bolster behind the knees of a supine patient?
c. Iliopsoas and hamstring contractures
For which of the following procedures might it be unnecessary to wear gloves? Quiz 2 Infection Control
c. Measuring blood pressure or temperature
