Deck 4: Patient Care

Question 1

Li, a 63-year-old Chinese immigrant, is extremely agitated today. Which activity do you expect the licensed nurse will recommend?

A)Competitive sports
B)Bingo
C)Trivial Pursuit
D)Daily walks

Answer 1

Daily walks

Question 2

The patient care technician is demonstrating proper foot care to a diabetic client. Which of the following is an appropriate action?

A)Soaking the client's feet in hot water
B)Avoiding using mild soap on the feet
C)Applying a moisturizing lotion to dry feet, but not between the toes
D)Cutting nails and removing cuticles weekly

Answer 2

Applying a moisturizing lotion to dry feet, but not between the toes

Question 3

Which action is incorrect when flossing a client's teeth?

A)Hold the floss between the middle fingers of each hand.
B)Start at the upper back tooth and work down between the teeth.
C)Move the floss gently up and down between the teeth.
D)Use a new piece of floss for each tooth.

Answer 3

Use a new piece of floss for each tooth.

Question 4

Sawyer has been a resident in the facility for three months and was having difficulty feeding herself due to her paralysis of the left arm. Which statement about feeding a person is not correct?

A)Ask if she wants to pray before eating.
B)Use a fork to feed the client.
C)Ask the client the order in which to serve foods.
D)Engage the client in a pleasant conversation.

Question 5

Lippett, age 66, is experiencing sensory and perceptual problems that affect her right visual field (right homonymous hemianopia) because of stroke. When placing a meal tray in front of Mrs. Lippett, the patient care technician should:

A)Place all the food on the right side of the tray.
B)Before leaving the room, remind the client to look all over the tray.
C)Place food and utensils within the client's left visual field.
D)Stay with the client & periodically draw her attention to the food on the right side of the tray to prevent unilateral neglect.

Question 6

Gershwin has a deep vein thrombosis and was ordered by the doctor to apply elastic stockings. Which of the following actions indicates that the patient care technician is applying the stockings correctly?

A)Applying the stockings while the client is on the bed
B)Applying the stockings while the client is sitting in a chair
C)Applying the stockings while the client is sitting on the bed and dangling her feet
D)Applying the stockings while the client is standing

Question 7

Older persons are prone to stomachaches and bloating. Which of the following foods are avoided, since they are gas-forming?

A)Prunes
B)Cauliflower
C)Colas and sodas
D)Protein-rich foods

Question 8

The patient care technician is helping a hemiplegic client get dressed. Which of the following is a correct way to help this client get dressed?

A)Undress the client's weak or involved extremity first.
B)Undress the upper extremity first, then the lower extremity.
C)Undress the client's non-involved extremity last.
D)Dress the weak or most involved extremity first.

Question 9

A client is admitted to the unit with an order for hourly monitoring of blood pressure. The patient care technician finds that the cuff is too small. This will cause the blood pressure reading to be:

A)Inconsistent.
B)Low systolic and high diastolic.
C)Higher than what the reading should be.
D)Lower than what the reading should be.

Question 10

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?

A)Beans and tortillas.
B)Cheese and olive oils.
C)Vegetables and rice.
D)Red meat and potatoes.

Question 11

Phillips fractured his left leg and now has a cast. A patient care technician caring for Mr. Phillips should do all of the following except:

A)Elevate the cast with one pillow.
B)Place talcum powder under the cast when the client complains of itchiness.
C)Check for discoloration of the toes.
D)Keep the cast clean and dry.

Question 12

The patient care technician is correctly providing penile hygiene to an unconscious clients if she:

A)Uses warm water without soap.
B)Dries all areas of the penis thoroughly.
C)Washes from the base of the shaft to the tip.
D)Avoids retracting the foreskin if not circumcised.

Question 13

Which of the following are examples of fluid output that need to be recorded onthe I&O sheet?
-Urine
-Emesis
-Blood loss
-Excessive perspiration

A)Urine only
B)Urine and blood loss
C)All except emesis
D)All are recorded in the client's I&O sheet

Question 14

Which of the following factors contributes to constipation?

A)Excessive exercise
B)High fiber diet
C)No regular time for defecation daily
D)Microbes in food and water

Question 15

Which of the following measure(s) is /are included in the care plan of clients with fecal incontinence?
I.Help with elimination after meals and every 2 to 3 hours.
II.Provide good skin care after every elimination.
III.Assist the nurse in the insertion of a suppository as ordered by the physician.
IV.Apply of incontinence products.
V.Eliminate foods that are gas-forming (cabbage, cauliflower, radish, beans, onions, and cucumbers).

A)II and IV
B)I, II, IV, and V
C)All of the above.
D)II only

Question 16

The physician has ordered to bladder training for a client with an indwelling catheter. 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)Void every 3 to 4 hours.

Question 17

Which of the following foods is considered part of a full-liquid diet?

A)Gelatin dessert
B)Milkshake
C)Popsicle or similar frozen dessert
D)Tea

Question 18

As an attendant enters the client's room, the client says, "Bugs are crawling on my sheets! Get them off my bed!" Which of the following responses is the most appropriate?

A)"Don't worry, I'll stay here and brush away the bugs for you."
B)"Try to relax. The crawling sensation will go away sooner if you can relax."
C)"There are no bugs on your sheets. It's just your imagination playing tricks on you."
D)"I know you're frightened. I don't see bugs crawling on your sheets, but I'll stay with you."

Question 19

The preferred position for the client receiving a back massage is:

A)Prone
B)Supine
C)Fowler's
D)Side lying.

Question 20

Lulu Simpson, 52 years old, is scheduled for a colonoscopy. Prior to the diagnostic procedure, a cleansing enema was ordered by the physician. As the nurse informs Ms. Simpson of the order, you are aware that the common position for this procedure is:

A)Sims left lateral.
B)Dorsal Recumbent.
C)Supine.
D)Prone.

Question 21

Hillary Stank (CMA) is about to bring the meal tray to the room of Mrs. Agnes Wilbur, a 69 year-old resident, who survived a stroke with some neurological deficits and moderate dysphagia. Which of the following statement is incorrect about a client with dysphagia?

A)The client will find pureed or soft foods, such as custards, easier to swallow than water.
B)Fowler's or semi Fowler's position reduces the risk of aspiration during swallowing.
C)The client should always feed herself.
D)The patient care technician should perform oral hygiene before assisting with feeding.

Question 22

Macy, the new patient care technician, is about to take a client's rectal temperature as ordered by the nurse. Which of the following actions show that Macy is doing the procedure inappropriately?

A)Explaining the procedure to the client and assisting in the right-side lying position.
B)Dipping probe into liberal amount of lubricant applied to a tissue, covering the probe at least 1 to 2 inches.
C)With non-dominant hand, separating buttocks to expose anus; asking the resident to breathe slowly and relax.
D)With dominant hand, inserting thermometer probe gently into anus, aiming the probe in the direction of the umbilicus, which is 1-2 inches.

Question 23

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?

A)Wrap the bandage around the arm loosely.
B)Apply the bandage while stretching it slightly.
C)Apply heavy pressure with each turn of the bandage.
D)Start applying the bandage at the upper arm and work toward the lower arm.

Question 24

When giving the client a bed bath, which of the following sequences is preferred?

A)Face, arms, legs, chest, back, buttocks
B)Face, chest, arms, legs, back, buttocks
C)Face, chest, arms, back, buttocks, legs
D)Face, arms, chest, legs, back, buttocks

Question 25

Sipps has a nasogastric tube in place for intermittent feedings. During feedings she should be placed in which position, unless contraindicated?

A)Flat with head to one side
B)Flat and supine
C)High Fowler's
D)Right lateral

Question 26

Clients with osteoarthritis may be on bed rest for prolonged periods. When working with said clients, the nursing assistant is aware that she should:

A)Encourage coughing and deep breathing and limit fluid intake.
B)Provide only passive range of motion and decrease stimulation.
C)Have the client lie as still as possible and give adequate massage.
D)Turn the client every 2 hours and encourage coughing and deep breathing.

Question 27

While you are obtaining a client's vital signs, he tells you that he is experiencing pain on his IV site. You check his right arm where the intravenous line is connected and notice that it is reddened. What should be your priority action?

A)Change the position of the clamp.
B)Regulate the flow rate to facilitate flushing.
C)Report the observation immediately to the licensed nurse.
D)Stop the flow rate, pull out the IV line aseptically, and report to the licensed nurse. This is a sign of phlebitis.

Question 28

Which of the following ways can a patient care technician demonstrate empathy?

A)Putting others ahead of self
B)Sharing of emotions with residents
C)Imagining self in the place of others
D)Going the extra mile for someone

Question 29

A client says to you, "I am worthless person. I should be dead."? What should be your response?

A)"Don't say you are worthless, you are not a worthless person."
B)"We are going to help you with your feelings."
C)"What makes you feel you're worthless?"
D)"What you say is not true."

Question 30

The patient care technician needs to remember that after a surgical repair of a hip, which of the following positions is best for the client's legs and hips?

A)Abduction
B)Adduction
C)Prone
D)Supination

Question 31

Sue McGregor, a 25 year-old schoolteacher, is being observed for a possible eating disorder. The physician orders daily weight-taking. Which action should be avoided to ensure an accurate weight?

A)Using the same scale for each measurement.
B)Balancing the scale at zero.
C)Taking the client's weight at different times each day.
D)Making sure that the client is wearing the same clothing during each measurement.

Question 32

Which item is inappropriate for a client whose dietary prescription is for clear liquids?

A)Ice cream
B)Popsicle
C)Gelatin
D)Broth

Question 33

Justine (CMA) was instructed by the staff nurse to elevate the client's left limb, which is in a cast, to prevent swelling. Which of the following actions indicates that Justine is elevating the limb with the cast correctly?

A)She places the limb with the cast above the level of the heart.
B)She places the limb with a cast close to the body.
C)She places the limb with the cast below the level of the heart.
D)She places the limb with the cast at the level of the heart.

Question 34

Michelle is giving a male client a bed bath. She noticed that the Foley catheter is no longer taped on the client's anterior thigh. Michelle obtains medical tape and secures the catheter back in place. The rationale for lateral or upward anchoring of the urethral catheter in a male is to:

A)Prevent pressure at the penescrotal area.
B)Promote comfort.
C)Secure the catheter well.
D)Provide privacy.

Question 35

Stephanie is going to give Mrs. Crouton, a 65 year-old client, a bed bath. The initial action of Stephanie before performing the procedure is:

A)Close the door and windows of the client's room.
B)Inform the client and explain the purpose of the procedure.
C)Remove the client's gown under the cover of the top sheet.
D)Place the bed in flat position.

Question 36

The patient care technician takes a confused client to the bathroom every night at 9:00 PM prior to helping him to bed for the night. This is an example of:

A)Bladder and bowel training.
B)Encouraging client participation.
C)Establishing a consistent routine.
D)Providing orientation cues.

Question 37

A client is ordered to have a cleansing enema. The patient care technician understands that the purpose of this kind of enema is to:

A)Stimulate peristalsis through infusion of a large volume of solution.
B)Lubricate the colon and rectum.
C)Provide relief from gaseous distention.
D)Let the feces absorb oil to become softer and easier to pass.

Question 38

Which of the following symptoms indicates hyperglycemia?

A)Weight gain, tiredness, and rapid pulse
B)Irritability, excessive perspiration, and rapid pulse
C)Diarrhea, abdominal pain, and weight loss
D)Thirst, frequent urination, and weight loss

Question 39

If a client comes to you with poor balance issues, then they are probably having issues with what system?

A)Vestibular
B)Brain
C)Feet
D)Respiratory

Question 40

Which of the following is a correct statement about binders?

A)A breast binder can be applied for breastfeeding mothers to relieve discomfort.
B)Straight abdominal binders are applied while the client is sitting on a chair.
C)The double T-binder is specifically used for male clients.
D)When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins.

Question 41

Kleine, age 57, was diagnosed with chronic bronchitis. Andrea, the patient care technician assigned to him, knows that all of the following are appropriate interventions to promote adequate respiratory function, except:

A)Adequate fluid intake.
B)Minimizing cigarette smoking.
C)Deep breathing and coughing exercises.
D)Frequent change of position among bedridden clients.

Question 42

The patient care technician is caring for a client with delirium when the client says, "Look at the spiders on the wall." ?What should the patient care technician say to the client?

A)"You're having hallucinations. There are no spiders in this room at all."
B)"I can see the spiders on the wall, but they are not going to hurt you."
C)"Would you like me to kill the spiders?"
D)"I know you are frightened, but I do not see spiders on the wall."

Question 43

The first stage of pressure ulcer formation is:

A)A non blan chable, erythematic area of intact skin
B)Partial thickness skin loss involving epidermis and/or dermis
C)Full thickness skin loss involving damage or necrosis of subcutaneous tissue
D)Full thickness skin loss, tissue necrosis or damage to muscle

Question 44

During the end-of-shift report, the nurse informed the patient care technician that a client of Jewish faith requested for a strict kosher diet, and arrangements have been made in the dietary department. At lunchtime, which of the following meal trays would be appropriate for the patient care technician to serve said client?

A)Pork roast, rice, vegetables, mixed fruit, milk
B)Crab salad on a croissant, vegetables with dip, potato salad, milk
C)Sweet and sour chicken with rice and vegetables, mixed fruit, juice
D)Fettuccini Alfredo with shrimp and vegetables, salad, mixed fruit, iced tea

Question 45

When taking radial pulse, a patient care technician should do all of the following except:

A)Point the patient's palms downward.
B)Use the thumb to palpate the artery.
C)Use two to three fingertips to palpate the pulse at the inner wrist.
D)Assess the pulse rate, rhythm, volume, and bilateral equality.

Question 46

Situation: Judy Montgomery, an 85-year-old client with Alzheimer's disease, developed a serious complication of pneumonia and is now attached to a respirator.
Knowing that for a comatose client, hearing is the last sense to be lost. As Judy's patient care technician all through her stay in the hospice, what should you do?

A)Tell her family that probably she can't hear them.
B)Talk loudly so that Judy can hear you.
C)Tell her family who are in the room not to talk.
D)Speak softly then hold her hands gently.

Question 47

Justine (CMA) was instructed by the staff nurse to elevate the client's left limb, which is in a cast, to prevent swelling. Which of the following actions indicates that Justine is elevating the limb with the cast correctly?

A)She places the limb with the cast above the level of the heart.
B)She places the limb with a cast close to the body.
C)She places the limb with the cast below the level of the heart.
D)She places the limb with the cast at the level of the heart.

Question 48

Situation: Judy Montgomery, an 85-year-old client with Alzheimer's disease, developed a serious complication of pneumonia and is now attached to a respirator. Knowing that for a comatose client, hearing is the last sense to be lost. As Judy's patient care technician all through her stay in the hospice, what should you do?

A)Tell her family that probably she can't hear them.
B)Talk loudly so that Judy can hear you.
C)Tell her family who are in the room not to talk.
D)Speak softly then hold her hands gently.

Question 49

A new patient care technician is on an orientation tour with the supervisor. A client approaches her and says, "I don't belong here. Please try to get me out." The patient care technician's best response would be:

A)"What would you do if you were out of the hospital?"
B)"I am a new staff member, and I'm on a tour. I'll come back and talk with you
C)"I think you should talk to the head nurse about that.'
D)"I can't do anything about that."

Question 50

Sawyer has been a resident in the facility for three months and was having difficulty feeding herself due to her paralysis of the left arm. Danielle, the new licensed patient care technician is helping her to eat. Which statement about feeding a person is not correct?

A)Ask if she wants to pray before eating.
B)Use a fork to feed the client.
C)Ask the client the order in which to serve foods.
D)Engage the client in a pleasant conversation.

Question 51

Rehabilitation and restorative care focus on:

A)What the person cannot do.
B)What the person can do.
C)The whole person.
D)The person's rights.

Question 52

Macy, the new patient care technician, is about to take a client's rectal temperature as ordered by the nurse. Which of the following actions show that Macy is doing the procedure inappropriately?

A)Explaining the procedure to the client and assisting in the right-side lying position.
B)Dipping probe into liberal amount of lubricant applied to a tissue, covering the probe at least 1 to 2 inches.
C)With non-dominant hand, separating buttocks to expose anus; asking the resident to breathe slowly and relax.
D)With dominant hand, inserting thermometer probe gently into anus, aiming the probe in the direction of the umbilicus, which is 1-2 inches.