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Patient Care Tech Practice Exam 3

Total questions: 70

Worksheet time: 35mins

Name
Class
Date
1.

Immobility may cause all of the following EXCEPT

a)

pressure sores

b)

renal calculi

c)

increased intestinal peristalsis

d)

secretions remaining in the lungs

2.

The nurse aide knows the term “up ad lib” means the client

a)

is not permitted out of bed

b)

is encouraged to take balanced periods of rest and activity

c)

is out of bed at mealtime only

d)

will need assistance for all activities of daily living

3.

When lifting a patient, it is important to use good body mechanics. The nurse aide should

a)

keep the patient at arm’s length

b)

bend at the knees

c)

twist at the waist

d)

move the patient rapidly

4.

A common sign of approaching death is

a)

increased appetite

b)

normal or elevated vital signs

c)

severe, unceasing pain

d)

decreased body functions

5.

Tuberculosis is a disease of the

a)

throat

b)

colon

c)

lungs

d)

kidney

6.

The nursing assistant notes that a client’s respiratory rate is irregular. The nurse aide should

a)

remain calm

b)

wait ten minutes and check again

c)

inform the client’s family

d)

report to the charge nurse immediately

7.

After a client dies, their spouse begins to share his emotions. The nurse aide should

a)

attempt to try to provide comfort

b)

change the subject

c)

tell the spouse to contact a counselor

d)

send him to the charge nurse

8.

A special device to help prevent contractures is a(n)

a)

handroll

b)

doppler

c)

air mattress

d)

manometer

9.

Falsely stating that a coworker took a client’s money is an example of

a)

negligence

b)

assault

c)

slander

d)

hoarding

10.

Hemiplegia refers to

a)

paralysis on one side of the body

b)

paralysis of both legs

c)

paralysis of both arms

d)

paralysis of all four extremities

11.

The most accurate method of measuring body temperature is

a)

rectal

b)

oral

c)

axillary

d)

feeling the forehead

12.

Which of the following sets of vital signs should be reported immediately?

a)

T-98.6, P-64, R-18, BP-110/70

b)

T-102.4, P-104, R-28, BP-150/98

c)

T-99.0, P-88, R-16, BP-118/72

d)

T-97.8, P-82, R-20, BP-130/84

13.

A client consumed 180 cc of tea, 60 cc of soup, and 120 cc of ice cream. What is her total fluid intake?

a)

180 cc

b)

240 cc

c)

360 cc

d)

400 cc

14.

A client on strict I&O after surgery. The nurse aide should

a)

keep the client’s water pitcher full

b)

record the client’s entire solid food intake

c)

record the client’s fluid intake and urine output

d)

measure urine only

15.

Which of the following would be included in a client’s output record?

a)

uric acid levels

b)

used food trays

c)

liquids taken in during the shift

d)

vomitus

16.

Which of the following is an intake and output procedure the nurse aide must report?

a)

The client starts tube feeding

b)

The client requests a bedpan

c)

The client has not voided in eight hours

d)

The client’s eight-hour output is 450 cc

17.

A client’s water pitcher holds 500 cc. The pitcher is full at the beginning of the shift, and empty halfway through the shift. The nurse aide should record the client’s fluid intake as

a)

250 cc

b)

500 cc

c)

750 cc

d)

1,000 cc

18.

The nurse aide finds a damaged piece of equipment. The nurse aide should

a)

use it until new equipment arrives

b)

use the equipment immediately

c)

do not use it; report it immediately

d)

repair it herself and then use it

19.

When caring for a confused client, the nurse aide should

a)

take the client to the safety room

b)

take the client first to the restroom

c)

stay with the client and call for help

d)

help the client to the floor and find a pillow

20.

A nursing assistant is giving foot care to a diabetic client. The nurse aide should NOT

a)

cleanse between the toes

b)

soak the resident’s feet in warm water

c)

trim the toenails

d)

use lotion

21.

When restraints are in use, the nurse aide should report all of the following EXCEPT

a)

the type of device being used

b)

how long the restraint was applied

c)

unusual observations about the client’s skin

d)

the aide’s experience with restraints

22.

The pulse located in the neck is called the

a)

apical pulse

b)

femoral pulse

c)

radial pulse

d)

carotid pulse

23.

A client complains of numbness on one side of the body. The client’s grip is weak and speech is slurred. The nurse aide should

a)

call the doctor because the client had a CVA

b)

check the blood pressure to verify it is a CVA

c)

check the client later to see if it may be a CVA

d)

report it to the charge nurse immediately because it may be a CVA

24.

When providing personal care to a female patient, it is important to wash from the front to the back to avoid spreading bacteria found in the resident’s

a)

pancreas

b)

urethra

c)

meatus

d)

rectum

25.

The order “vital signs q.i.d.” means to record vital signs

a)

four times per day

b)

twice per day

c)

morning and evening

d)

once per shift

26.

The nurse aide notices that a client has an open red area on her coccyx. The nurse aide should

a)

wash the area with soap and water and apply lotion

b)

ask another nursing assistant to look at it and give her opinion

c)

check it again at the same time the next day

d)

tell the charge nurse so she can check it

27.

A nursing assistant is ambulating a client in the hallway. Suddenly, the client complains of chest pain and shortness of breath. The nurse aide should

a)

walk the client back to the bed immediately

b)

get the sphygmomanometer and take the client’s blood pressure

c)

stay with the client and call for help

d)

help the client to the floor and go find a pillow

28.

A client finishes drinking a glass of cold water just as the nurse aide prepares to take the client’s oral temperature. The nurse aide should

a)

wait 15 minutes before taking the temperature

b)

take the client some warm water to counter the effect of the cold

c)

take the client’s rectal temperature

d)

ask the charge nurse

29.

Which of the following observations should be reported immediately?

a)

T-98.8, BP-118/78, P-20

b)

normal-appearing stool

c)

yellow color to lips and skin

d)

skin that is warm and dry to the touch

30.

Microorganisms can be spread by direct and indirect contact. An example of indirect contact is

a)

bathing the patient

b)

using contaminated blood

c)

touching objects or dirty instruments

d)

breathing dust particles in the air

31.

Which statement about handwashing is correct?

a)

The faucet is clean and may be touched when washing hands.

b)

Wash at least two inches above the wrist.

c)

Hands can be washed in any temperature water.

d)

Hand sanitizers never substitute for handwashing.

32.

The nursing assistant finds a client lying on the floor. The nursing assistant should first

a)

run out of the room and get help

b)

help her up into a chair

c)

gently shake her and ask if she is okay

d)

call 911

33.

Which statement about use of fire extinguishers is correct?

a)

Any fire extinguisher can be used on any fire.

b)

Each extinguisher should be used for the correct type of fire.

c)

Nurse aides are not responsible for using fire extinguishers.

d)

Fire extinguishers should not be used for small fires.

34.

A client begins to choke during feeding. The client is conscious but unable to speak or cough. The nurse aide should

a)

shake the client and ask if the client is okay

b)

call the physician

c)

administer abdominal thrusts

d)

sweep one finger in the client’s mouth to check for obstruction

35.

The nurse aide should tell the licensed nurse if a patient with ________ does not finish the food on his tray.

a)

stroke

b)

cancer

c)

diabetes

d)

Alzheimer’s disease

36.

Which of the following tasks is NOT within the job description of the nurse aide?

a)

providing the resident with ROM

b)

shaving the resident

c)

applying a sterile dressing to an open wound

d)

recording vital signs

37.

Giving good oral care to a client includes all of the following except

a)

wearing gloves

b)

handling and storing dentures carefully

c)

using dental floss

d)

removing oxygen before brushing

38.

To prevent infection in a client with an indwelling catheter, the nurse aide should

a)

keep the drainage bag higher than the bladder

b)

do perineal care from front to back as needed

c)

let the tubing make a U loop below the bed

d)

do perineal care every other night

39.

A client is on a clear fluid diet. The client’s lunch tray may consist of

a)

tea, broth, and gelatin

b)

coffee, milk and soup

c)

milk, soup and ice cream

d)

coffee, broth and crackers

40.

Which statement about injuries to clients and staff members is correct?

a)

Injuries should be treated and reported on an incident report.

b)

Injuries to staff can be ignored if they are minor.

c)

Injuries should be reported only if they are major.

41.

A client with dysphagia has difficulty with

a)

seeing

b)

swallowing

c)

breathing

d)

hearing

42.

Constipation can be prevented by

a)

increasing water and fiber in the diet

b)

decreasing activity

c)

eating foods low in fiber

d)

restricting fluid intake

43.

When transferring a client from bed to wheelchair, the nurse aide should

a)

lower the bed to the lowest position

b)

have the client place their hands around the nurse aide’s neck

c)

lock the brakes on the wheelchair

d)

raise the bed to waist height

44.

Normal aging changes include

a)

increased bladder capacity

b)

increased sense of taste

c)

decreased mobility

d)

thickening of bones

45.

The nurse aide is caring for a confused client. The nurse aide should

a)

avoid explaining procedures

b)

provide simple, step-by-step instructions

c)

speak loudly and firmly

d)

restrain the client for safety

46.

A client who is NPO should NOT

a)

drink water

b)

take a bath

c)

have their temperature taken

d)

take a nap

47.

What is the correct procedure for measuring blood pressure?

a)

Inflate cuff until radial pulse disappears, then pump 30 mmHg higher

b)

Inflate cuff to 200 mmHg on every patient

c)

Place cuff on the forearm

d)

Use the dominant arm only

48.

A client is complaining of severe abdominal pain. The nurse aide should

a)

ignore the complaint because abdominal pain is normal

b)

have the client drink a glass of water

c)

report the pain to the charge nurse immediately

d)

take the client for a walk

49.

If a patient is on seizure precautions, the nurse aide should

a)

place padded side rails on the bed

b)

restrain the patient during the seizure

c)

put a tongue blade in the patient’s mouth

d)

leave the patient alone

50.

When caring for a resident with a hearing aid, the nurse aide should

a)

wash the hearing aid with hot water

b)

turn the hearing aid off when not in use

c)

keep the hearing aid in the resident’s pocket

d)

remove the battery before every meal

51.

The nurse aide notices the resident’s room smells strongly of urine. The nurse aide should

a)

open the window to air out the room

b)

ignore it because it is normal in long-term care

c)

report it to the charge nurse immediately

d)

ask housekeeping to mop the room

52.

A resident is on a bowel-training program. The nurse aide should expect the resident to

a)

remain incontinent

b)

have pain during elimination

c)

be taken to the bathroom at scheduled times

d)

need restraints during toileting

53.

A resident with dementia becomes upset and starts yelling. The nurse aide should

a)

firmly tell the resident to be quiet

b)

remain calm and speak softly

c)

leave the resident alone in the room

d)

threaten to call the nurse

54.

Which of the following is a sign of dehydration?

a)

moist skin

b)

increased urine output

c)

dry mouth

d)

clear urine

55.

A resident tells the nurse aide she is feeling sad and lonely. The best response is to

a)

tell her to stop complaining

b)

tell her she will feel better later

c)

stay and listen to her feelings

d)

ignore the statement

56.

When a resident has a bowel movement, the nurse aide should

a)

flush the toilet without looking

b)

observe the stool for color, amount, and consistency

c)

save the stool in a container

d)

ask another aide to check it

57.

The nurse aide is assigned to a resident who is on complete bed rest. What is MOST important?

a)

Increase sensory stimulation

b)

Encourage frequent position changes

c)

Let the resident sit in a chair once a day

d)

Decrease fluids

58.

When collecting a urine specimen, the nurse aide should

a)

fill the container to the top

b)

use a clean container

c)

add toilet paper to the sample

d)

measure the urine before sending it

59.

A resident with chronic obstructive pulmonary disease (COPD) will often

a)

prefer lying flat

b)

have difficulty breathing

c)

need little fluid

d)

breathe normally

60.

The best way to identify a resident before giving care is to

a)

ask the resident’s roommate

b)

check the resident’s ID band

c)

look at the room number

d)

call the resident by name and wait for a nod

61.

To prevent burns during mealtime, the nurse aide should

a)

serve hot liquids quickly

b)

keep hot liquids away from the resident

c)

test the temperature of foods and liquids

d)

feed the resident very fast

62.

The nurse aide is assisting a resident who becomes short of breath. The nurse aide should

a)

leave the room to get the nurse

b)

lay the resident flat

c)

place the resident in a sitting or Fowler’s position

d)

give the resident water

63.

When caring for a resident who is visually impaired, the nurse aide should

a)

rearrange the room often

b)

keep the room well-lit and explain each step

c)

speak loudly from across the room

d)

leave doors half-open

64.

When assisting a resident with ambulation, the nurse aide should

a)

walk behind the resident

b)

use a gait belt

c)

lock knees with the resident

d)

have the resident hold onto furniture

65.

A resident with congestive heart failure may have

a)

increased swelling in the legs

b)

decreased fluid retention

c)

steady, regular heartbeat

d)

low oxygen levels only at night

66.

If a resident suddenly becomes confused, the nurse aide should

a)

immediately restrain the resident

b)

leave the resident alone

c)

stay with the resident and report the change

d)

give the resident food or drink

67.

A resident with Parkinson’s disease is likely to have

a)

steady, controlled movements

b)

tremors and muscle stiffness

c)

no difficulty walking

d)

sudden bursts of energy

68.

A resident with urinary incontinence should

a)

be reminded to use the bathroom regularly

b)

be punished for accidents

c)

not drink fluids

d)

be told to clean up alone

69.

A resident is on oxygen therapy. The nurse aide should NOT

a)

check for kinks in the tubing

b)

ensure the resident is not lying on the tubing

c)

adjust the oxygen level

d)

check the tubing for disconnection

70.

Proper body alignment when lifting prevents

a)

falls

b)

confusion

c)

back strain

d)

weight gain