WorksheetsPatient Care pp. 13-17
Total questions: 47
Worksheet time: 24mins
Which statement best explains why accurate and timely documentation is critical in clinical settings?
It mainly serves marketing and public relations
It is a legal record and supports reimbursement
It helps with break scheduling for staff
It replaces clinical assessments and exams
In a SOAP note, which entry belongs in the Subjective section?
Plan to initiate gait training tomorrow
Therapist notes decreased hip strength 3/5
Blood pressure 118/76 mmHg at rest
Patient reports dizziness after standing up
Which best differentiates subjective from objective data?
Subjective is confidential; objective is public info
Subjective is patient-reported; objective is clinician-measured
Subjective must be cited; objective cannot be cited
Subjective is always numerical; objective is descriptive
Which item correctly matches the SOAP component with its focus?
Plan: current measurable observations
Assessment: clinician’s analysis of progress
Subjective: clinician’s diagnosis summary
Objective: future interventions to modify
A key purpose of encounter forms (superbills) is to:
Capture visit details for billing and coding
Record only informal staff notes
Replace electronic health records entirely
Store inventory for clinic supplies
Which is a common documentation error that should be avoided?
Noting patient response to treatment
Omitting significant findings from notes
Recording both systolic and diastolic values
Using approved medical abbreviations
When making a late entry in a paper chart, the correct approach is to:
Add a clearly dated late entry notation
Leave the omission uncorrected
Erase and rewrite the original entry
Backdate to match the original session
Which statement about EHR systems for physical therapy is most accurate?
They make paper charts legally invalid
They prevent all documentation errors automatically
They eliminate the need for clinical judgment
They streamline data entry and retrieval for care
Which action improves timeliness and accuracy of charting?
Enter notes in real time or same day
Wait until week’s end to summarize
Rely on memory instead of measurements
Skip documenting minor vital signs
Which temperature finding in an adult requires immediate reporting by a technician?
97.9°F after drinking cold water
100.4°F or higher measured accurately
100.0°F measured tympanically at work
98.6°F measured orally after resting
When assessing a regular adult pulse at the radial artery, how long should you count to obtain rate accurately?
10 seconds then multiply by six
Full minute without multiplication
15 seconds then multiply by four
30 seconds without multiplication
Which respiratory rate would be considered normal for a resting adult?
22–28 breaths per minute
8 breaths per minute
12–20 breaths per minute
30 breaths per minute
Which blood pressure value is at or above the reportable threshold for adults in this setting?
140/90 mmHg
118/78 mmHg
90/60 mmHg
128/84 mmHg
Which statement best describes normal pediatric ranges compared to adults?
Children generally have higher normal blood pressures
Children generally have higher resting pulses
Children generally have lower body temperatures
Children generally have lower respiratory rates
A 17-year-old athlete has a resting pulse of 54 bpm with no symptoms. What is the best action?
Report immediately as a critical low pulse
Start rescue breathing and call emergency services
Reassess after vigorous exercise
Document as low but acceptable with conditioning
When counting respirations, which technique is recommended for accuracy?
Count while the patient talks to relax them
Observe for 10 seconds and extrapolate
Tell the patient you are timing breaths
Watch chest or abdomen for 30–60 seconds
Which stage of pressure injury is characterized by red, non-blanchable skin that does not fade when pressed?
Stage 1 pressure injury
Stage 2 pressure injury
Stage 3 pressure injury
Stage 4 pressure injury
Unstageable pressure injury
A wound shows partial-thickness skin loss with a shallow open sore. What stage is this pressure injury?
Stage 1 with intact skin
Stage 4 with exposed bone
Stage 2 with shallow sore
Stage 3 with deep crater
Unstageable with eschar
Full-thickness tissue loss revealing fat but not bone or muscle best describes which pressure injury stage?
Stage 3 full-thickness loss
Stage 4 exposed tendon
Stage 2 blister formation
Stage 1 superficial redness
Unstageable obscured base
A pressure ulcer has full-thickness loss with exposed bone, tendon, or muscle. Which stage is it?
Stage 1 intact redness
Stage 3 subcutaneous fat
Stage 2 shallow ulcer
Unstageable obscured base
Stage 4 exposed structures
A wound base is covered with black eschar, making depth undeterminable. What is the correct classification?
Stage 3 deep crater
Stage 2 shallow sore
Stage 1 redness only
Unstageable pressure injury
Stage 4 exposed bone
During wound cleaning, what is the correct direction to minimize contamination?
From distal to proximal
From wound edge inward
From center outward
From clean area outward
From least to most contaminated
Foam dressings are best indicated for which wound characteristic?
Highly contaminated wounds
Necrotic wounds requiring enzymes
Shallow, non-draining wounds
Wounds with moderate exudate
Dry wounds needing moisture
Transparent films are most suitable for which situation?
Heavily exudative wound
Bleeding post-op incision
Shallow non-draining wound
Infected undermined wound
Deep tunneling wound
Which combination correctly matches wound type with a common cause?
Diabetic ulcers—excess arterial perfusion
Traumatic wounds—immobility on bony areas
Venous stasis ulcers—inadequate venous return
Pressure ulcers—acute thermal burns
Surgical wounds—electrical injury only
Which finding should be reported immediately as a sign of possible wound infection or complication?
Increased pain and foul odor
Mild pink granulation
Stable dry eschar
Scant clear drainage
Edges approximated well
Tunneling and undermining are best described as which phenomena?
Dry scab formation over surface
Superficial epithelial budding
Raised keloids forming externally
Narrow passageways under skin or wider area under edges
Surface blisters at wound edge
Which practice is most appropriate when securing a dressing?
Secure with medical tape or wrap as directed
Wrap tightly to restrict blood flow
Avoid following facility protocol for flexibility
Use any tape regardless of skin integrity
Leave edges loose to allow air entry
Which observation best indicates Trendelenburg gait during stance phase?
Knee remains fully extended during stance
Pelvis drops on swing side during stance
Pelvis elevates bilaterally during stance
Trunk flexes forward throughout stance
During a patient interview, which action best encourages fuller responses while maintaining rapport?
Use rapid yes–no questions for efficiency
Use open-ended questions with calm demeanor
Focus only on current pain score rating
Avoid discussing aggravating factors entirely
Which pair correctly matches an abnormal posture with its description?
Kyphosis: lateral spinal curvature
Scoliosis: decreased coronal curvature
Kyphosis: excessive thoracic curvature
Lordosis: decreased lumbar curvature
A grade of 5 on the Manual Muscle Testing (MMT) scale indicates which performance?
Trace contraction without joint movement
No visible or palpable muscle activation
Movement through partial gravity range
Full strength against maximal resistance
Which deep tendon reflex grade reflects hyperactive response?
2+ on the reflex grading scale
0 on the reflex grading scale
4+ on the reflex grading scale
1+ on the reflex grading scale
Before palpation for tissue assessment, which step is essential for safe, patient-centered care?
Explain process and obtain consent first
Begin quickly to reduce discomfort
Palpate one side only for efficiency
Skip comparisons to avoid bias
Which action is the priority first aid for external hemorrhage?
Remove soaked dressings immediately
Keep limb elevated above the heart
Apply a tourniquet as first measure
Apply direct pressure to the wound
Which sequence accurately represents the initial CPR approach for an unresponsive adult with no pulse?
Assess pulse only, then reassess responsiveness
Check airway, give breaths, start compressions
Call EMS, give breaths, check pulse again
Start compressions, ensure airway, provide breaths
For single-rescuer CPR, which compression-to-ventilation ratio is correct across ages?
15 compressions to 1 breath
30 compressions to 2 breaths
15 compressions to 2 breaths
30 compressions to 1 breath
What is the recommended hand placement for chest compressions in a child during single-rescuer CPR?
One or two hands on lower half sternum
Two hands on center above nipple line
Two thumbs encircling chest for all ages
Two fingers on lower half of sternum
During gait assessment, recognizing antalgic gait primarily reflects which patient behavior?
Pelvic hiking during initial contact
Reduced stance time due to pain
Exaggerated arm swing bilaterally
Increased step length to compensate
Which sequence correctly orders the steps for initiating CPR when a person is unresponsive and not breathing normally?
Breathing, Airway, Circulation sequence
Defibrillation, Airway, Breathing sequence
Airway, Breathing, Circulation sequence
Circulation, Airway, Breathing sequence
For a single rescuer performing CPR on any age, what is the standard compression‑to‑ventilation ratio?
15 compressions to 2 breaths
10 compressions to 1 breath
30 compressions to 2 breaths
20 compressions to 2 breaths
What compression rate should be maintained during CPR for all age groups?
120–140 compressions per minute
100–120 compressions per minute
80–100 compressions per minute
60–80 compressions per minute
A single rescuer is providing CPR to an infant under 1 year. Which hand placement and depth are correct?
One hand on lower sternum, about 2 inches
Two hands at the center, at least 2 inches
Two thumbs encircling chest, about 2 inches
Two fingers below nipple line, about 1.5 inches
Which statement best describes age‑specific hand placement for chest compressions with one rescuer?
Adults: lower half sternum; Children: center chest; Infants: two fingers
Adults: lower ribs; Children: xiphoid area; Infants: heel of hand
Adults: center chest; Children: lower half sternum; Infants: two fingers
Adults: upper sternum; Children: center chest; Infants: two thumbs
Which action should occur first after confirming scene safety for an unresponsive person with no normal breathing and no pulse?
Deliver two rescue breaths immediately
Begin chest compressions promptly
Check for injuries before compressions
Place the person in recovery position
Which combination of compression depth and hand use is recommended for children aged 1–12 years during CPR?
One or two hands, about 2 inches deep
Two hands, at least 2 inches deep
Thumbs‑encircling technique, 1 inch deep
Two fingers, about 1.5 inches deep
In two‑rescuer infant CPR, what is the recommended hand technique for compressions?
Heel of one hand on sternum
Two fingers on lower sternum
Two thumbs encircling the chest
Two hands pressing center chest
