Deck 45: Working in Acute Care

Question 1

What is usually worn by a client undergoing a physical exam?

A)Pajamas
B)A patient gown
C)A drape
D)Regular clothes

Answer 1

B

Question 2

The following were used during an exam.Which of these can the support worker dispose of?

A)Paper drapes
B)Otoscope
C)Speculum
D)Ophthalmoscope

Answer 2

A

Question 3

A percussion hammer is used for which of the following?

A)Examine the eardrum
B)Test reflexes
C)Examine the tympanic membrane
D)Test hearing

Answer 3

B

Question 4

What is a vaginal speculum is used to examine?

A)Cervix
B)Ears
C)Nose
D)Eyes

Question 5

A female client is in the lithotomy position.How would she be positioned?

A)Kneeling with her body resting on her knees and chest
B)Lying on her back with her legs together
C)Lying on her back, knees flexed, hips externally rotated, and feet in stirrups
D)Lying on her left side

Question 6

Which of the following health care team members can perform physical examinations?

A)The nursing team
B)Physiotherapists
C)Physicians
D)Support workers

Question 7

A client complains of feeling cold during the examination.What should the support worker do?

A)Provide a blanket
B)Turn up the heat
C)Tell the examiner
D)Tell the client that the exam will be over shortly

Question 8

After the physical exam is over, which of the following can be done?

A)Give the results only to the client.
B)Give the results to the client and the family.
C)Discuss the results with all of the health care team members.
D)Discuss the results with only the health care team members involved in the care of that client.

Question 9

What is a laryngeal mirror is used to examine?

A)Vagina
B)Rectum
C)Mouth, teeth, and throat
D)Ears

Question 10

Which of the following is not a guideline for assisting with a physical examination?

A)Place instruments and equipment near the examiner.
B)Anticipate the examiner's need for different examining positions.
C)Perform hand hygiene before and after the examination.
D)Practise medical asepsis and follow Standard Practices.

Question 11

The support worker asks the client to void before undergoing a physical exam.Why is this necessary?

A)So that the examiner can feel abdominal organs more easily
B)So that the exam is not interrupted by the client's need to urinate
C)To obtain a urine specimen
D)To measure output

Question 12

When a child or infant is having an examination, the parents are to do which of the following?

A)Provide comfort for the child.
B)Wait in a designated area.
C)Be present.
D)Assist when possible.

Question 13

If a client is in the supine position, how would he be positioned?

A)Kneeling with his body resting on his knees and chest
B)Lying on his back with his legs together
C)Lying on his back, knees flexed, hips externally rotated, and feet in stirrups
D)Lying on his left side

Question 14

What is an otoscope used to examine?

A)Nose
B)External ear and eardrum
C)Eyes
D)Mouth, teeth, and throat

Question 15

An ophthalmoscope is used to examine the internal structures of which body part?

A)Nose
B)Ears
C)Eyes
D)Vagina

Question 16

What is a nasal speculum used to examine?

A)Inside of the nose
B)Vagina
C)Rectum
D)Mouth, teeth, and throat

Question 17

Sims' position is used for which examination?

A)Rectum or vagina
B)Chest and abdomen
C)Breasts and abdomen
D)Chest and breasts

Question 18

A tuning fork is used for which of the following?

A)Examine the eardrum
B)Test reflexes
C)Examine the tympanic membrane
D)Test hearing

Question 19

After assisting after the examination, the support worker may also be asked to do which of the following?

A)Get the client's consent
B)Give the results of the examination
C)Collect certain specimens
D)Label specimens and take them to the designated area, according to employer policy

Question 20

Kim, the support worker, is going to assist with a physical exam.Kim can do all of the following, except which action?

A)Collect examination equipment.
B)Prepare the exam room.
C)Transport the client to and from the exam room.
D)Obtain the client's informed consent.

Question 21

Surgery done urgently to save a person's life is called which of the following?

A)Elective surgery
B)Immediate surgery
C)Urgent surgery
D)Emergency surgery

Question 22

The support worker assists in preparing a client for transport to the operating room.Which of the following measures promotes safety?

A)The OR staff brings the stretcher to the room.
B)The client is covered with a bath blanket.
C)After the client is transferred to the stretcher, safety straps are secured and side rails are raised.
D)A pillow is placed under the client's head.

Question 23

A resident fell and fractured his right hip.He is scheduled for surgery in the morning to repair the fracture.What type of surgery is this?

A)Elective surgery
B)Next-day surgery
C)Urgent surgery
D)Emergency surgery

Question 24

What is the purpose of the preoperative skin prep?

A)To reduce the risk of infection
B)To sterilize the skin
C)To make the client more comfortable
D)To provide a smooth surgical site

Question 25

What is the loss of consciousness and all feeling or sensation called?

A)Anaesthesiology
B)General anaesthesia
C)Regional anaesthesia
D)Local anaesthesia

Question 26

After surgery, when does the client ambulate for the first time?

A)On the day of surgery
B)2 days after surgery
C)3 days after surgery
D)When the client feels strong enough

Question 27

After surgery, how often is the client repositioned?

A)Every half hour
B)At least every 1 to 2 hours
C)Only when the client requests a position change
D)At least every 4 hours

Question 28

Preoperative teaching is done by which of the following?

A)The support worker
B)The surgeon
C)The nurse
D)The social worker

Question 29

Bill, the support worker, is assisting with preoperative care for a 6-year-old child.Bill should do which of the following?

A)Shampoo and style her hair.
B)Check for loose teeth.
C)Trim her fingernails.
D)Give her a back massage.

Question 30

What is the correct term for a blood clot that travels through the vascular system until it lodges in a distant vessel?

A)Regional anaesthesia
B)An embolus
C)A thrombus
D)Spirometry

Question 31

What is the loss of feeling or sensation in a large area of the body while being awake is called?

A)Anaesthesiology
B)General anaesthesia
C)Regional anaesthesia
D)Local anaesthesia

Question 32

Deep breathing and coughing exercises help prevent which of the following complications?

A)Infection and skin breakdown
B)Muscle and joint pain
C)Incision pain
D)Pneumonia and atelectasis

Question 33

Scheduled surgery to replace a person's left knee joint is which type of surgery?

A)Elective surgery
B)Scheduled surgery
C)Urgent surgery
D)Emergency surgery

Question 34

Why might a cleansing enema be given preoperatively?

A)Prevent nausea and vomiting
B)Help the client sleep better
C)Cleanse the bowel of feces
D)Decrease postoperative pain.

Question 35

A client tells the support worker that he is afraid of surgery because his uncle had a lot of pain after his hip surgery.What should the support worker do?

A)Tell the client not to worry.
B)Change the subject.
C)Call the client's doctor.
D)Report the client's concerns to the nurse.

Question 36

What is the goal of preoperative care?

A)Listen to the client.
B)Prevent complications before, during, or after surgery.
C)Answer the family's questions.
D)Explain the care you will give and why you will give it.

Question 37

After surgery, how often are leg exercises performed?

A)At least every 1 to 2 hours while the client is awake
B)Whenever the client has the energy to do them
C)Every 3 to 4 hours and whenever you have time
D)Twice every shift

Question 38

The loss of feeling or sensation produced by a drug is which of the following?

A)Thrombus
B)Anaesthesia
C)Preoperative medication
D)Electrocardiogram

Question 39

A client is scheduled for surgery at 0800.Which of the following statements is correct?

A)The client is NPO 6 to 8 hours before surgery.
B)The client can have a light breakfast before surgery.
C)The client is allowed only water after midnight.
D)The client will receive a regular evening meal and a bedtime snack.

Question 40

A client just came back from surgery and is wearing elastic stockings.Why are these applied?

A)To decrease pain after surgery
B)To help prevent pneumonia
C)To help prevent thrombi
D)To promote wound healing