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Online_Assessment#2

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

What is the primary purpose of Republic Act No. 11058, also known as the Occupational Safety and Health Standards Law?

a)

To ensure safe and healthful working conditions for all workers

b)

To promote tourism and cultural heritage preservation

c)

To regulate the prices of essential goods and services

d)

To establish guidelines for international labor migration

2.

Which of the following is considered a common biological hazard in a nursing home or day care setting?

a)

Ergonomic strain from lifting patients

b)

Exposure to infectious diseases from residents/clients

c)

Loud noise from equipment

d)

Slippery floors due to spills

3.

Under COVID-19 infection control in the Workplace, what is the recommended minimum physical distancing to observe?

a)

0.5 meter (1.6 feet)

b)

1 meter (3 feet)

c)

3 meters (10 feet)

d)

5 meters (16 feet)

4.

Republic Act No. 9003 primarily focuses on which environmental aspect?

a)

Clean Air Act

b)

Coastal Zone Protection

c)

Ecological Solid Waste Management

d)

Forest Protection and Conservation

5.

Which of the following is a key principle promoted by RA 9003 regarding waste management?

a)

Collection of mixed waste by all local governments

b)

Incineration as the primary waste disposal method

c)

Open dumping of waste

d)

Segregation of waste at the source

6.

In the context of COVID-19 infection control, what is the purpose of regular disinfection of frequently touched surfaces in a caregiving environment?

a)

To humidify the air and prevent dryness.

b)

To eliminate viruses and bacteria that may reside on surfaces, reducing indirect     transmission.

c)

To improve the aesthetic appearance of the facility only.     

d)

To ensure electrical appliances function properly.

7.

What is a key principle of COVID-19 infection control in the Workplace, particularly relevant for caregivers?

a)

Discontinuing the use of personal protective equipment (PPE) for non-symptomatic individuals.

b)

Exclusive reliance on natural ventilation for air purification.

c)

Strict adherence to physical distancing and proper hand hygiene.

d)

Encouraging shared use of personal items to foster community.

8.

In the context of caregiving, what is a crucial aspect of OHS policies regarding manual handling?

a)

Providing proper training on ergonomic lifting techniques and using assistive devices.

b)

Minimizing client movement to avoid any lifting at all.

c)

Encouraging caregivers to lift heavy clients without assistance to build strength.

d)

Relying solely on the caregiver's discretion for all lifting tasks.

9.

Beyond direct patient care, what is another significant career opportunity for individuals with caregiving skills?

a)

Healthcare administration or coordination roles that benefit from understanding patient needs

b)

Forensic science

c)

Commercial piloting

d)

Architectural design

10.

For a trained caregiver, what is a significant career opportunity that often involves working in different countries?

a)

Seeking employment as an Overseas Filipino Worker (OFW) in direct care roles for families or facilities.

b)

Becoming a diplomat representing their home country abroad.

c)

Working as an international financial consultant.

d)

Joining a global peacekeeping force.

11.

A caregiver is listening to a client express frustration about their limited mobility. The caregiver maintains eye contact, nods occasionally, and summarizes the client's feelings at the end. Which therapeutic communication technique is the caregiver primarily demonstrating?

a)

reflection

b)

active listening

c)

empathy

d)

clarification

12.

A client tells their caregiver, 'I've been feeling so tired lately, and I just don't feel like eating.' Which response from the caregiver demonstrates the use of an open-ended question?

a)

Tell me more about what 'so tired' feels like for you.

b)

You're tired because you're not eating, right?

c)

Have you tried taking naps during the day?

d)

Are you sleeping enough at night?

13.

A client mentions, 'Sometimes I just don't feel right.' Which caregiver response uses clarification therapeutically?

a)

Are you feeling nauseous?

b)

What do you mean by ' I don't feel right’?

c)

Oh, everyone feels that way sometimes.

d)

Perhaps you should talk to your doctor about that.

14.

During a conversation, a client pauses and looks thoughtful, but doesn't speak. The caregiver remains quiet and maintains an attentive posture. When is silence most therapeutically effective in this situation?

a)

When the client is finished speaking and is waiting for the caregiver to respond immediately.

b)

When the client is formulating their thoughts or processing information.

c)

When the caregiver wants to avoid discussing a sensitive topic.

d)

When the caregiver needs time to think of the next question.

15.

A client expresses, 'I feel so hopeless since I can't do things for myself anymore.' Which caregiver statement demonstrates empathy?

a)

You really shouldn't feel that way; think about what you can do.

b)

I understand this must be incredibly frustrating for you.

c)

Many people in your situation feel the same way.

d)

Don't worry, you'll feel better soon.

16.

A client asks their caregiver, 'I'm thinking about moving to assisted living, but I'm not sure if it's the right choice.' Which caregiver response exemplifies a non-therapeutic 'giving advice' technique?

a)

Many of our other clients have found assisted living beneficial.

b)

Have you considered making a list of pros and cons?

c)

I think you should definitely move; it will be much better for you.'

d)

What are some of your main concerns about moving?

17.

A client is visibly anxious about an upcoming medical test, stating, 'I'm so worried about what they might find.' Which caregiver response is an example of false reassurance?

a)

It sounds like you're feeling quite anxious about this test.

b)

What specifically are you most worried about?

c)

Don't worry, I'm sure everything will be just fine.

d)

It's natural to feel worried before a test like this.

18.

A client begins to discuss a difficult family issue, appearing distressed. The caregiver immediately changes the topic by saying, 'Oh, look! It's time for your favorite TV show.' This is an example of which non-therapeutic technique?

a)

using medical jargon

b)

giving advice

c)

defensive responding        

d)

changing the subject         

19.

Caregiver Leon is explaining a client's diet modifications. Which statement uses medical jargon non-therapeutically?

a)

We need to avoid foods high in saturated fats and sodium for your cardiovascular health.

b)

Can you tell me what foods you usually eat that are high in fat or salt?

c)

We need to cut down on fatty and salty foods for your heart.

d)

It's important to eat foods that are good for your health.

20.

A client reveals to their caregiver that they sometimes forget to take their medication. Which caregiver response is a judgmental statement?

a)

We can work together to find a better way to help you remember your medication.

b)

Tell me, what makes it difficult for you to remember to take your medication?

c)

Why are you so careless with your health? You know how important this is.

d)

It's crucial that you take your medication exactly as prescribed; forgetting can be dangerous.

21.

You are caring for a newborn diagnosed with a cleft lip and palate. The infant struggles to create suction while bottle-feeding, leading to prolonged feeding times and inadequate intake. What is the most appropriate caregiver intervention to facilitate feeding?

a)

Utilize specialized bottles with one-way valves and elongated nipples that allow milk to flow without strong suction, ensuring upright feeding position.         

b)

Feed the infant only when they are crying vigorously to ensure they are hungry.

c)

Use a regular baby bottle and try to squeeze milk into their mouth.

d)

Attempt to breastfeed exclusively, as it is always the best option.

22.

A premature infant (34 weeks gestational age) is attempting to bottle-feed, but tires quickly after only a few sips, often falling asleep before consuming enough milk. What is the most effective caregiver intervention to ensure adequate nutrition?

a)

Offer smaller, more frequent feeds, using a paced feeding technique and burping often.

b)

Increase the nipple flow rate to make feeding faster.

c)

Force larger volumes of milk during awake periods to compensate.

d)

Wait until the infant is fully alert and hungry before offering any feed.

23.

An infant diagnosed with hypotonia (low muscle tone) struggles with latching onto the breast or bottle, often losing suction and letting milk dribble from the sides of their mouth. What caregiver intervention would best support feeding?

a)

Switch to pureed foods immediately, bypassing liquid feeding altogether.

b)

Provide chin and cheek support during feeding to encourage a stronger suck and maintain the latch.

c)

Use a standard, fast-flow nipple to make it easier for milk to come out.

d)

Attempt to feed the infant while they are lying flat on their back to relax them.

24.

A newborn is struggling with breastfeeding, exhibiting a shallow latch, clicking sounds during feeding, and often detaching from the breast. The mother reports significant nipple pain. These symptoms might suggest a tongue-tie. What is the caregiver's most appropriate initial action?

a)

Tell the mother to feed the baby more frequently to strengthen their tongue muscles.

b)

Document observations and recommend consultation with a lactation consultant or pediatrician for assessment of tongue-tie.

c)

Suggest the mother use a nipple shield to improve latch.

d)

Advise the mother to stop breastfeeding and switch to formula.

25.

An infant has a stuffy nose due to a common cold, making bottle-feeding difficult as they frequently unlatch to breathe. What caregiver intervention would best help the infant feed more comfortably?

a)

Use a bulb syringe or saline nasal drops to clear nasal passages before feeding.

b)

Extend feeding intervals to allow more time for breathing between feeds.

c)

Offer solid foods instead of milk until the congestion clears.

d)

Feed the infant while they are lying flat to allow mucus to drain.

26.

A 4-month-old infant frequently pulls away from the breast or bottle during feeding, arches their back, cries, and often spits up shortly after. This pattern might indicate gastroesophageal reflux disease (GERD). What is a primary caregiver intervention to alleviate discomfort during feeding?

a)

Offer larger volumes of milk less frequently to reduce stomach filling.

b)

Lay the infant down immediately after feeding for quiet rest.

c)

Keep the infant upright during feeding and for at least 20-30 minutes afterward, and burp frequently.

d)

Introduce solid foods early to thicken stomach contents.

27.

An infant who was primarily bottle-fed in the hospital is now struggling to latch onto the breast, showing signs of frustration and nipple confusion. What is the most supportive caregiver intervention to encourage breastfeeding?

a)

Insist on bottle-feeding to ensure adequate intake, as breastfeeding is clearly not working

b)

Only offer the breast when the infant is crying intensely from hunger

c)

Switch to a faster-flow bottle nipple to make feeding easier for the infant

d)

Offer the breast when the infant is calm and showing early hunger cues, avoiding forceful attempts

28.

A 9-month-old infant gags frequently when presented with pureed foods, and struggles to accept any texture beyond smooth liquids. This might indicate an oral motor delay. What is an appropriate caregiver feeding intervention?

a)

Continue with smooth purees, but gradually introduce very finely mashed or soft, dissolvable foods in small amounts, observing for readiness

b)

Forcefully introduce textured foods to help them adapt quickly

c)

Only give them finger foods, avoiding all spoon feeding

d)

Avoid all solid foods entirely until they are much older

29.

A newborn with jaundice is excessively sleepy and difficult to rouse for feeds, leading to concerns about inadequate milk intake. What is the most crucial caregiver intervention to ensure the infant feeds sufficiently?

a)

Wake the infant gently for feeds every 2-3 hours, ensuring active sucking and swallowing, even if sleepy

b)

Give the infant sugar water to provide quick energy for feeding

c)

Feed the infant only when they cry vigorously for hunger

d)

Allow the infant to sleep for longer periods to conserve energy        

30.

During breastfeeding, a mother reports that her infant frequently chokes, coughs, and pulls off the breast, especially at the start of a feed. This might indicate an overactive milk let-down. What is a helpful caregiver intervention?

a)

Suggest the mother exclusively pump and bottle-feed for better control

b)

Recommend feeding in an upright position or reclining slightly, and hand expressing some milk before latching

c)

Tell the mother to feed the baby less frequently to reduce milk supply

d)

Advise the mother to push the infant's head closer to the breast to improve latch

31.

You have just assisted a client with severe diarrhea, confirmed to be caused by Clostridium difficile (C. diff). You removed your gloves and gown. What is your next most critical and effective hand hygiene action?

a)

Apply an alcohol-based hand rub thoroughly

b)

Wear a new pair of gloves immediately to avoid contamination

c)

Rinse hands quickly under running water

d)

Wash hands vigorously with soap and water for at least 20 seconds

32.

You are preparing to enter a client's room where contact and droplet precautions are in effect due to a respiratory infection. In what correct sequence should you don your Personal Protective Equipment (PPE)?

a)

Gown, Mask, Eye Protection, Gloves

b)

Eye Protection, Gown, Gloves, Mask

c)

Gloves, Gown, Mask, Eye Protection

d)

Mask, Gown, Eye Protection, Gloves

33.

Scenario: After providing direct care to a client in isolation for a highly contagious respiratory illness, you need to doff (remove) your PPE. Which is the safest sequence for removal?

a)

Gown and Gloves (together), Eye Protection

b)

Mask Gloves, Eye Protection, Gown, Mask

c)

Mask, Gloves, Gown, Eye Protection

d)

Eye Protection, Mask, Gown, Gloves

34.

You are assisting a nurse with changing a sterile dressing on a client's surgical wound. The nurse instructs you to don sterile gloves. What is a key principle you must adhere to during sterile gloving?

a)

You can touch the outside of the first glove with your bare hand, but not the second

b)

It's acceptable for your gloved hand to touch your uniform if it's clean

c)

Only touch the inside cuff of the first glove and the outside of the second glove

d)

You can adjust the gloves fully after both are on, even if it means touching the bare skin of your wrist

35.

You notice a visible spill of juice on your client's bedside table and some dust accumulation. What is the correct procedure for environmental cleaning of this surface?

a)

Spray disinfectant directly onto the surface and leave it to air dry

b)

Use a hospital-grade disinfectant wipe or a clean cloth with an approved cleaning solution, wiping from least-soiled to most-soiled areas

c)

Wipe the spill with a dry paper towel, then leave it

d)

Use a feather duster to remove the dust, then wipe the spill with a damp cloth

36.

After using a blood pressure cuff and stethoscope on a client with active influenza, what is the appropriate level of disinfection required for these pieces of equipment before using them on another client?

a)

Low-level disinfection (e.g., soap and water wash)

b)

Intermediate-level disinfection (e.g., alcohol-based wipe or EPA-approved disinfectant for non-critical surfaces)

c)

No disinfection needed, just wipe with a dry cloth

d)

High-level disinfection (e.g., glutaraldehyde soak)

37.

While giving an injection, the needle accidentally slips and falls onto the floor. What is the correct and safest method for disposing of this used needle?

a)

Pick it up with your gloved hand and place it in the nearest trash can

b)

Leave it on the floor and report it to your supervisor at the end of the shift

c)

Use tongs or a dustpan and brush to pick it up and immediately place it into a puncture-resistant sharps container

d)

Wrap it in paper and dispose of it in a general waste bin

38.

You have just removed contaminated dressings from a client's wound that has purulent (pus-like) discharge. In which waste category should these dressings be disposed of?

a)

Biodegradable waste (green bag)

b)

Infectious/Medical waste (yellow or specific biohazard bag)

c)

Pathological waste (red bag)

d)

General solid waste (black or clear bag)

39.

You are assisting a client with bathing and dressing, and there is a risk of splashes from bodily fluids. Which type of gown is most appropriate to wear during this task?

a)

A clean, non-sterile isolation gown (disposable or reusable)

b)

No gown is needed, just gloves

c)

A personal cloth apron

d)

A sterile surgical gown

40.

You are performing a task that involves potential exposure to respiratory droplets from a coughing client, but they are not confirmed to have an airborne illness (e.g., active TB). What is the primary reason for you to wear a surgical mask?

a)

To prevent the inhalation of very fine airborne particles like dust

b)

To prevent the transmission of large respiratory droplets from the client to your respiratory mucous membranes

c)

To filter out all viruses and bacteria from the air

d)

To protect your eyes from splashes

41.

You are assisting with a procedure where there is a high risk of blood or body fluid splashes (example suctioning, wound debridement). In addition to gloves, gown, and mask, which PPE item is most crucial for your protection?

a)

 bouffant cap          

b)

double gloves

c)

shoe covers

d)

eye protection

42.

Before entering an operating room or a sterile environment, you are required to wear a bouffant cap. What is the primary purpose of wearing this specific head covering?

a)

To identify the caregiver's role within the medical team

b)

To prevent shedding of hair and skin cells from the caregiver onto the sterile field or into the environment

c)

To provide warmth to the caregiver's head in cool environments

d)

To protect the wearer's hair from becoming contaminated by environmental pathogens

43.

You are performing routine care for a client who is not on any specific isolation precautions. When is it most appropriate to use an alcohol-based hand rub instead of washing with soap and water?

a)

Before eating a meal

b)

After using the restroom

c)

After touching the client's intact skin or their immediate environment (example bed rail) when hands are not visibly soiled

d)

When hands are visibly soiled with blood or body fluids

44.

You are clearing a client's room after they've been discharged. You find a newspaper, an empty plastic water bottle, and some clean tissues that were not used. In which waste category should these items be placed?

a)

Medical/Infectious waste (biohazard bag)

b)

Sharps container

c)

Recycling bin (if available and permissible for these items

d)

General solid waste (regular trash bin)

45.

You are preparing to administer an injection to a client. After drawing up the medication, what is the safest practice regarding the needle before injection?

a)

Lay the uncapped needle on the sterile tray until ready to use

b)

Break the needle off the syringe before disposal

c)

Recap the needle by hand to protect yourself until ready to

d)

Do not recap the needle; activate the safety feature immediately after injection and dispose of it in a sharps container

46.

Your client accidentally touches a hot stove, resulting in a first-degree burn (redness, pain, no blisters) on their hand. You have a basic first aid kit. Design the most appropriate initial first aid treatment.

I.    Apply butter or oil to soothe the burn

II.   Apply ice directly to the burn to cool it quickly

III.   Cover the burn tightly with an adhesive bandage from the kit

IV . Run the burned area under cool running water for at least 10-20 minutes, then cover loosely with a clean, non-stick dressing

a)

IV only

b)

I and II

c)

III and IV        

d)

I and III

47.

You are responding to a client who has sustained a deep cut on their forearm, bleeding profusely. You have a basic first aid kit available. Design the immediate first aid response using the kit's contents.

I.    Apply a tourniquet above the wound, then elevate the arm

II.   Apply direct pressure with a sterile dressing from the kit, elevate the limb, and maintain pressure. If bleeding continues, add more dressings

III.   Clean the wound with antiseptic solution, then apply a small adhesive bandage

IV.   Apply a cold pack to the wound to slow bleeding

a)

I and II

b)

III only

c)

I and IV

d)

II and III

48.

A 3-year-old child is choking on a small toy. They are conscious but unable to cough, speak, or cry. You are the only adult present. Formulate your immediate intervention strategy.

 

I.    Perform abdominal thrusts (Heimlich maneuver) immediately until the object is   dislodged

II.   Perform back blows only

III.  Attempt to sweep their mouth with your finger to remove the object

IV. Call emergency services immediately before attempting any intervention

a)

I only

b)

IV only

c)

I and II

d)

III and IV

49.

You are an off-duty caregiver at home when your 9-month-old infant suddenly becomes unresponsive, not breathing, and has no pulse. You are alone. Design the most effective CPR protocol for this situation.

 

I.   Call emergency services first, then begin chest compressions

II.  Give 5 rescue breaths, then check for a pulse and begin compressions if none

III.  Perform 15 chest compressions, then give 2 breaths, repeating until help arrives

IV. Perform 30 chest compressions, then give 2 breaths, repeating for 2 minutes before calling emergency services

a)

I only             

b)

II only

c)

II and IV            

d)

I and IV

50.

You are at a public park and witness a child (approximately 6 years old) suddenly collapse. There are no immediate visible hazards. You are the first responder. Formulate the immediate, most appropriate sequence of actions following Emergency Action Principles (EAP).

 

I.    Begin chest compressions immediately, then call for an AED

II.   Call for help, then check for responsiveness, then begin CPR

III.  Check for responsiveness, shout for help, open the airway, check for breathing, then call emergency services

IV.  Move the child to a safer location, then check for responsiveness

a)

I and II

b)

III only

c)

III and IV

d)

II and IV