Question 1

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?

Accepted Answer

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. A

Question 2

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

Accepted Answer

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

Question 3

Which of the following is a correct statement about binders?

Accepted Answer

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. C

Question 4

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:

Accepted Answer

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 5

Which of the following factors contributes to constipation?

Accepted Answer

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

Question 6

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?

Accepted Answer

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 7

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:

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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?

Accepted Answer

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 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

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

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:

Accepted Answer

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 14

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?

Accepted Answer

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 15

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:

Accepted Answer

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

Question 16

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

Accepted Answer

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 17

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?

Accepted Answer

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 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?

Accepted Answer

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

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

Accepted Answer

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 20

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?

Accepted Answer

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

Exam 4: Patient Care

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?

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

Which of the following is a correct statement about binders?

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:

Which of the following factors contributes to constipation?

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:

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

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

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?

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

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

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:

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?

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

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?

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?

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

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?