1.
If the seal on the sterile package gauze is broken, the PSW should
Correct Answer
A. Consider the package contaminated
Explanation
If the seal on the sterile package gauze is broken, the PSW should consider the package contaminated. This is because a broken seal indicates that the package may have been exposed to outside contaminants, compromising its sterility. Therefore, it is important to assume that the gauze is contaminated and take appropriate precautions to prevent infection or harm to the patient.
2.
The substance that makes food more easy to swallow is called
Correct Answer
C. Saliva
Explanation
Saliva is the substance that makes food more easy to swallow. It is produced by the salivary glands and contains enzymes that begin the process of breaking down food. Saliva also helps to moisten the food, making it easier to form into a bolus and pass through the esophagus. Additionally, saliva contains lubricants that aid in the smooth movement of food during swallowing. Therefore, saliva plays a crucial role in the digestion and swallowing process.
3.
You are caring for Mr. Clark, you are feeling frustrated by his slow progress. You should
Correct Answer
C. Discuss your feelings with the supervisor
Explanation
When caring for a patient like Mr. Clark, it is important to maintain professionalism and seek support when feeling frustrated. Telling him that you are frustrated may not be helpful and could potentially harm the patient's well-being. Being firm and telling him to work harder may also not be appropriate as it could create a negative environment. Instead, discussing your feelings with the supervisor allows for open communication and the possibility of finding solutions or getting guidance on how to handle the situation better. Asking a co-worker to care for Mr. Clark may not address the underlying issue of frustration and may not be fair to the co-worker.
4.
Which one of the following is not a long bone in the body
Correct Answer
D. Patella
Explanation
The patella, also known as the kneecap, is not a long bone in the body. Long bones are typically found in the limbs and are characterized by their elongated shape. The femur, tibia, and humerus are all long bones, while the patella is a sesamoid bone. Sesamoid bones are small, rounded bones embedded within tendons, and their purpose is to protect the tendon and increase its mechanical efficiency. The patella functions to increase the leverage of the quadriceps muscles during knee extension.
5.
Bile is needed to digest
Correct Answer
C. Fats
Explanation
Bile is needed to digest fats because it helps in the emulsification and breakdown of fats into smaller molecules, making it easier for enzymes to digest them. Bile is produced by the liver and stored in the gallbladder, and it is released into the small intestine during digestion. In the small intestine, bile acts as a detergent, breaking down large fat globules into smaller droplets, increasing the surface area available for enzymes to work on. This process aids in the absorption and utilization of fats by the body.
6.
A splint is an appliance that
Correct Answer
A. Supports injured or wounded body parts
Explanation
A splint is a medical device that is used to support and immobilize injured or wounded body parts. It helps in preventing further damage and promotes healing by providing stability and reducing movement in the affected area. Splints are commonly used for fractures, sprains, and strains to provide support and protect the injured body part from further injury.
7.
The best method for sterilization of a stainless steel instrument is to
Correct Answer
B. Autoclave it (steam under pressure)
Explanation
Autoclaving stainless steel instruments with steam under pressure is the best method for sterilization. This process uses high temperature and pressure to kill microorganisms effectively, ensuring the instrument is free from any potential pathogens. Washing with soap and water may remove some dirt and debris but does not guarantee sterilization. Soaking in chemical disinfectant or sanitizing with chemical spray may not penetrate all areas of the instrument, leaving some microorganisms behind. Autoclaving is the most reliable and widely used method for sterilization in healthcare settings.
8.
Aging begins at
Correct Answer
A. Birth
Explanation
Aging is a natural process that begins at birth. From the moment we are born, our bodies start to undergo various changes and experiences the effects of aging. As we grow older, these changes become more evident and noticeable. Therefore, it is accurate to say that aging begins at birth.
9.
What is the best action to take when assisting a blind person to walk
Correct Answer
B. Instruct the person to hold onto your arm
Explanation
The best action to take when assisting a blind person to walk is to instruct the person to hold onto your arm. This allows the blind person to have a physical connection with you, providing them with stability and guidance while walking. Holding onto the person's arm allows you to easily communicate any changes in direction or obstacles, ensuring their safety and comfort during the walk.
10.
Which one of the following statements is true regarding the care plan
Correct Answer
C. It provides for consistency and continuity of care
Explanation
The care plan provides for consistency and continuity of care. This means that it ensures that the residents receive the same level of care and that their care is not interrupted or inconsistent. The care plan is not necessarily written by the physician, as it can be a collaborative effort involving various healthcare professionals. It is also not the same for all residents, as each resident has unique needs and requirements. The care plan is not necessarily stable and fixed for a period of time, as it may need to be updated and adjusted based on the resident's changing condition or needs.
11.
The process of rehabilitation emphasizes the
Correct Answer
C. Abilities
Explanation
The process of rehabilitation focuses on the individual's abilities rather than their disabilities, limitations, or new activities. Rehabilitation aims to help individuals regain or enhance their physical, cognitive, and emotional abilities, enabling them to live as independently as possible. By emphasizing abilities, rehabilitation professionals work with individuals to develop and strengthen their skills, adapt to their environment, and achieve their fullest potential.
12.
Accidental poisoning is most common with
Correct Answer
C. Children of 14 years of age
Explanation
Accidental poisoning is most common with children of 14 years of age because at this age, children are often curious and may be more likely to explore their surroundings, including potentially harmful substances. They may also have a better understanding of their environment and be more independent, which can lead to increased risk-taking behavior. Additionally, children of this age may have access to a wider range of substances, such as medications or household chemicals, increasing the likelihood of accidental poisoning.
13.
Bed cradles are used to
Correct Answer
A. Keep the weight of the top linens off the feet
Explanation
Bed cradles are used to keep the weight of the top linens off the feet. This is important because having the weight of the linens on the feet can cause discomfort and pressure ulcers. By using a bed cradle, the linens are lifted off the feet, reducing the risk of these issues. Additionally, bed cradles can also help improve circulation and promote proper alignment of the legs and feet while lying in bed.
14.
Subjective symptoms are
Correct Answer
A. Felt and described only by the client
Explanation
Subjective symptoms are felt and described only by the client. This means that the symptoms are based on the client's personal experiences and cannot be directly observed by others. They are often described in the client's own words and can vary from person to person. These symptoms may include pain, fatigue, dizziness, or any other sensation that the client perceives. It is important for healthcare professionals to listen to and take into account these subjective symptoms when diagnosing and treating the client.
15.
Yelling at a resident is considered to be
Correct Answer
C. Emotional abuse
Explanation
Yelling at a resident can be considered emotional abuse because it involves using verbal aggression and intimidation to cause emotional distress and harm to the individual. Emotional abuse can have long-lasting effects on a person's mental well-being and can be just as damaging as physical abuse. It is important to recognize and address emotional abuse to ensure the safety and well-being of individuals in care settings.
16.
Which formula is the best to feed a newborn infant
Correct Answer
C. The one ordered by the doctor
Explanation
The best formula to feed a newborn infant is the one ordered by the doctor. This is because doctors have the expertise and knowledge to recommend the formula that is most suitable for the specific needs and health conditions of the newborn. They take into consideration factors such as allergies, digestion issues, and any other specific requirements that the infant may have. Therefore, it is important to follow the doctor's recommendation to ensure the infant receives the appropriate nutrition and support for their development.
17.
Common emotions experienced by a person going through rehabilitation are
Correct Answer
B. Frustration and depression
Explanation
Going through rehabilitation can be a challenging and difficult process, which can lead to feelings of frustration and depression. The individual may feel frustrated due to the slow progress or setbacks they may encounter during their rehabilitation journey. This frustration can further lead to feelings of depression, as they may feel hopeless or discouraged about their situation. It is common for individuals to experience a range of emotions during rehabilitation, and frustration and depression are two emotions that are often experienced due to the difficulties and obstacles faced during the process.
18.
Professionalism involves
Correct Answer
B. Reporting the nurse in charge each time you leave the unit
Explanation
Reporting the nurse in charge each time you leave the unit demonstrates professionalism because it shows accountability and responsibility. By informing the nurse in charge about your absence, you ensure that there is proper communication and continuity of care for the client. It also reflects a commitment to following protocols and maintaining a safe and efficient work environment.
19.
Dementia often develops in persons with
Correct Answer
C. AID's
Explanation
Dementia often develops in persons with AIDS because the human immunodeficiency virus (HIV) that causes AIDS can directly affect the brain and nervous system. HIV can lead to inflammation and damage in the brain, resulting in cognitive impairments and memory problems commonly associated with dementia. Additionally, opportunistic infections and complications that arise from a weakened immune system in individuals with AIDS can further contribute to the development of dementia.
20.
Seen things from another's point of view, refers to
Correct Answer
D. Empathy
Explanation
The phrase "seen things from another's point of view" suggests the ability to understand and share the feelings of another person. This aligns with the concept of empathy, which involves putting oneself in someone else's shoes and experiencing their emotions. Confidentiality, enthusiasm, and sympathy do not directly relate to understanding another's perspective in the same way empathy does.
21.
A normal temperature reading for a healthy adult is
Correct Answer
B. 37 C
Explanation
A normal temperature reading for a healthy adult is 37 C. This is considered the average body temperature for most individuals. It is within the normal range and indicates that the person is not experiencing a fever or any significant health issues.
22.
Gloves should be worn when in contact with
Correct Answer
D. All of the above
Explanation
Gloves should be worn when in contact with blood, body secretions, and body fluids because these substances can potentially contain harmful pathogens or infectious agents. Wearing gloves helps to protect both the wearer and others from the transmission of diseases or infections. It is important to take precautions and use personal protective equipment like gloves to minimize the risk of contamination and maintain a safe and hygienic environment.
23.
The first step in effective care planning is
Correct Answer
B. Identifying needs
Explanation
The first step in effective care planning is identifying needs. This is because before any goals can be determined or deadlines can be set, it is essential to understand and assess the specific needs of the individual or situation. By identifying the needs, healthcare professionals can tailor the care plan to address those specific requirements and ensure that the appropriate resources are selected.
24.
Rashes, sores, lice on the elder, or the elder is inadequately clothed, malnourished or dehydrated are indicators of
Correct Answer
A. Neglect
Explanation
The indicators mentioned in the question, such as rashes, sores, lice, inadequate clothing, malnourishment, and dehydration, point towards neglect. Neglect refers to the failure to provide necessary care and support to an individual, resulting in their physical or emotional harm. These indicators suggest a lack of proper attention and care towards the elder, which falls under the category of neglect.
25.
The bone that protects the brain is called the
Correct Answer
A. Cranium
Explanation
The cranium is the correct answer because it is the bone that surrounds and protects the brain. It is a part of the skull and provides a hard, protective covering for the brain, helping to prevent injury to this vital organ. The maxilla is a facial bone, the clavicle is a collarbone, and the xiphoid process is a small extension of the sternum, none of which directly protect the brain.
26.
Phychological aspects include
Correct Answer
D. All of the above
Explanation
Psychological aspects encompass various elements of an individual's mental and emotional state. Personality behavior refers to the patterns of thoughts, feelings, and actions that characterize a person. Sexuality encompasses an individual's sexual orientation, preferences, and behaviors. Life span refers to the developmental changes and psychological processes that occur throughout a person's entire life. Therefore, all of the given options - personality behavior, sexuality, and life span - are included in the psychological aspects.
27.
Restating a person's message back to them in your own words, refers to the act of
Correct Answer
C. Paraphrasing
Explanation
Paraphrasing refers to the act of restating a person's message back to them in your own words.
28.
WHIMS is concern with
Correct Answer
B. Workplace exposure to hazardous materials
Explanation
WHIMS stands for Workplace Hazardous Materials Information System. It is a system that provides information on the safe handling, storage, and disposal of hazardous materials in the workplace. It includes procedures for identifying and assessing workplace hazards, as well as measures to control and minimize exposure to these hazardous materials. Therefore, the correct answer is workplace exposure to hazardous materials.
29.
An extended lack of oxygen to the brain resulting in permanent damage is called
Correct Answer
B. Cerebrovascular accident
Explanation
A cerebrovascular accident refers to an extended lack of oxygen to the brain, which can lead to permanent damage. This condition is commonly known as a stroke. It occurs when there is a disruption in the blood supply to the brain, either due to a blockage or a burst blood vessel. The lack of oxygen causes brain cells to die, resulting in various neurological impairments depending on the area of the brain affected.
30.
Retirement usually results in
Correct Answer
A. Lowered income
Explanation
Retirement usually results in lowered income because individuals are no longer receiving a regular salary or wages from employment. Instead, they rely on retirement savings, pensions, or social security benefits which may not be as high as their previous income. This can lead to a decrease in their overall income and potentially impact their financial situation.
31.
Which is not part of Erikson's theory of psychological development
Correct Answer
D. Moving to unfamiliar surroundings creates love and belonging needs
Explanation
Erikson's theory of psychological development includes the idea that people move through a series of stages throughout their lives, that people most successfully complete a task in each stage before moving on to the next, and that babies must learn to trust that their needs will be met. However, moving to unfamiliar surroundings creating love and belonging needs is not a part of Erikson's theory. Erikson's theory focuses on different stages of development and the tasks that individuals need to accomplish in each stage, rather than the specific effects of moving to unfamiliar surroundings.
32.
Clients living in a long term care facility have the right to
Correct Answer
D. Refuse care and treatments
Explanation
Clients living in a long-term care facility have the right to refuse care and treatments. This means that they have the autonomy to make decisions regarding their own healthcare and can choose to decline any care or treatment offered to them. This right is important as it respects the individual's right to make choices about their own body and healthcare, even if it goes against the recommendations or policies of the facility.
33.
Looking at things from another's point of view is called
Correct Answer
B. Empathy
Explanation
Empathy refers to the ability to understand and share the feelings of others. It involves putting oneself in someone else's shoes and seeing things from their perspective. This understanding and consideration for others is often seen as a polite and courteous behavior. While courtesy and politeness are also important in interpersonal interactions, empathy specifically focuses on the emotional aspect of understanding others. Work ethics, on the other hand, pertains to the moral principles and values that guide one's behavior in the workplace. Therefore, empathy is the most suitable term to describe the act of looking at things from another person's point of view.
34.
A PSW physically struggles with a resident who does not want to shower. The PSW could be accused of
Correct Answer
C. Battery
Explanation
In this scenario, the PSW physically struggles with a resident who does not want to shower. The term "battery" refers to the intentional and unlawful act of physically harming or making unauthorized physical contact with another person. In this case, the PSW's actions of physically struggling with the resident without their consent can be considered as battery, as it involves the use of force against the resident.
35.
Which one of the following terms refers to no control of bladder and bowels
Correct Answer
A. Incontinent
Explanation
The term "incontinent" refers to the lack of control over one's bladder and bowels. This means that a person is unable to hold or control the release of urine or feces, resulting in involuntary leakage or accidents.
36.
The PSW is assigned to bathe a resident. What should the PSW do first
Correct Answer
C. Tell the resident what they are going to do
Explanation
The PSW should first inform the resident about what they are going to do. This is important because it helps establish trust and ensures that the resident is aware of the upcoming task. It also allows the resident to express any concerns or preferences they may have before the bathing process begins. By communicating with the resident beforehand, the PSW can create a comfortable and respectful environment for both parties involved.
37.
When assisting a disabled resident with personal care, the PSW should
Correct Answer
C. Encourage the person to participate and do as much as they can
Explanation
When assisting a disabled resident with personal care, it is important for the PSW to encourage the person to participate and do as much as they can. This approach promotes independence and empowerment for the individual, allowing them to maintain a sense of control and dignity. By encouraging their participation, the PSW can also help the person build confidence and develop their skills, ultimately improving their overall well-being and quality of life.
38.
Which one of the following correctly completes this statement?Two types of observations are
Correct Answer
B. Objective and subjective
Explanation
The statement is discussing two types of observations. The word "objective" refers to observations that are based on facts and evidence, while the word "subjective" refers to observations that are influenced by personal opinions and feelings. Therefore, the answer "objective and subjective" correctly completes the statement by presenting two distinct types of observations.
39.
Nosocomial infections are
Correct Answer
D. Acquired after admission to a hospital or a long term care facility
Explanation
Nosocomial infections are acquired after admission to a hospital or a long-term care facility. This means that individuals who were not infected prior to their admission to these healthcare settings develop infections during their stay. These infections are often caused by bacteria, viruses, or fungi that are present in the healthcare environment and can be transmitted through contact with contaminated surfaces, healthcare personnel, or other patients. Nosocomial infections are a significant concern as they can lead to prolonged hospital stays, increased healthcare costs, and even mortality if not properly treated and managed.
40.
An allegation is a statement that has yet to be:
Correct Answer
D. A and C
Explanation
An allegation is a statement that has yet to be proven or confirmed. It is an assertion or claim made by someone without any evidence or proof. Until the allegation is investigated and verified, it remains unconfirmed. Similarly, until the allegation is supported by evidence and established as true, it is considered unproven. Therefore, both options A (proven) and C (confirm) accurately describe the status of an allegation.
41.
Sexual activity
Correct Answer
C. Involves hand holding, touching and embracing
Explanation
Sexual activity can involve a range of activities, including intercourse, but it is not limited to it. Hand holding, touching, and embracing are also considered forms of sexual activity. The statement that sexual activity is not allowed in nursing centers suggests that there may be restrictions or guidelines in place regarding sexual activity for older people in these settings. The option stating that sexual activity is unhealthy for older people is not supported by the information given.
42.
Muscles are attached to bones by
Correct Answer
D. Tendons
Explanation
Muscles are attached to bones by tendons. Tendons are tough and flexible bands of fibrous connective tissue that connect muscles to bones. They play a crucial role in transmitting the force generated by the contraction of muscles to the bones, allowing for movement and stability of the skeletal system. Unlike ligaments, which connect bones to other bones, tendons specifically connect muscles to bones. Fascia is a connective tissue that surrounds muscles, but it does not directly attach muscles to bones. Other muscles may indirectly assist in movement, but they do not serve as the primary attachment point between muscles and bones.
43.
Which one of the following is not a purpose of bathing
Correct Answer
B. Promote the drying of the skin
Explanation
Bathing is commonly done to increase circulation, exercise body parts, and refresh and relax the resident. However, promoting the drying of the skin is not a purpose of bathing. Bathing is usually done to cleanse the skin and maintain its moisture, so promoting drying would be counterproductive.
44.
The PSW's best action to take when a resident of a long term care facility feels weak in the shower is to
Correct Answer
B. Use the call bell to get assistance
Explanation
When a resident of a long-term care facility feels weak in the shower, the best action for the PSW to take is to use the call bell to get assistance. This is the safest and most appropriate response because it ensures that someone with the necessary skills and training will be available to help the resident in case they need any support or medical attention. It also minimizes the risk of any further harm or injury to the resident.
45.
When holding a newborn infant you should
Correct Answer
D. All of the above
Explanation
When holding a newborn infant, it is important to hold them securely to ensure their safety and prevent any accidental falls or injuries. Cuddling the baby provides comfort and promotes bonding between the caregiver and the infant. Singing to the baby has a soothing effect and can help calm them down. Therefore, all of the above options are recommended when holding a newborn infant to ensure their well-being and create a nurturing environment.
46.
Mr. Searles has been in bed for several days and getting up for the first time. Before he gets up, he will be helped to sit on the side of the bed and dangle his feet for a few minutes. The main reason for this is to
Correct Answer
B. Prevent dizziness or fainting
Explanation
The main reason for helping Mr. Searles sit on the side of the bed and dangle his feet for a few minutes before getting up is to prevent dizziness or fainting. This is a common practice to allow the body to adjust to the change in position gradually, especially if someone has been in bed for several days. By sitting up slowly and allowing blood flow to stabilize, it reduces the risk of feeling lightheaded or fainting when standing up.
47.
A client has dry, fragile skin, it is important to
Correct Answer
D. Pat the skin dry and apply lotion
Explanation
When a client has dry, fragile skin, it is important to pat the skin dry and apply lotion. This is because using soap can further strip the skin of its natural oils and worsen dryness. Bathing the client daily helps to keep the skin clean and hydrated, but it is crucial to use water below 35°C as hot water can be drying to the skin. After bathing, patting the skin dry instead of rubbing helps to prevent irritation and applying lotion helps to moisturize and nourish the skin, keeping it hydrated and preventing further dryness.
48.
Bacteria which form on the enamel surface of a tooth as a soft deposit is called
Correct Answer
C. Plaque
Explanation
Plaque is the correct answer because it refers to the soft deposit of bacteria that forms on the enamel surface of a tooth. It is a sticky film that can build up if not properly removed through regular brushing and flossing. Plaque contains harmful bacteria that produce acids, which can lead to tooth decay and gum disease if left untreated. Regular dental cleanings and good oral hygiene practices are necessary to prevent plaque buildup and maintain oral health.
49.
Decisions that are concerned with right and wrong are called:
Correct Answer
C. Ethical
Explanation
Decisions that are concerned with right and wrong are called ethical. Ethical decisions involve considering moral principles and values to determine the best course of action. These decisions are based on ethical standards and guidelines, which help individuals or organizations make choices that are morally acceptable and aligned with societal norms. Ethical decisions often involve weighing the potential consequences and considering the impact on others.
50.
A client is on complete bed rest. To prevent a bed sore the caregiver should
Correct Answer
B. Keep the bottom sheet wrinkle free
Explanation
Keeping the bottom sheet wrinkle-free is important in preventing bed sores because wrinkles can create pressure points on the client's body, leading to reduced blood flow and increased risk of developing sores. By ensuring that the bottom sheet is smooth and free of wrinkles, the caregiver can help distribute the client's weight evenly and minimize the chances of bed sores forming.