Question 1

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

Accepted Answer

The licensed nurse will likely ask you to assist Mr. Lee with daily walks. In this manner, the client will be diverted from the hostile feelings and will be calmed down. Walking with the client signifies the patient care technicianâ€™s genuine interest and a willingness to listen to the clientâ€™s concerns, thoughts, and feelings. The other activities entail competition with other clients that could further aggravate the clientâ€™s agitation.

Question 2

The patient care technician is demonstrating proper foot care to a diabetic client. Which of the following is an appropriate action?

Accepted Answer

The patient care technician should apply a moisturizing lotion to dry feet, but not between the toes. The moisture between the toes can encourage fungus growth. Other guidelines for foot care are the following:
-Wash feet every day. Dry them carefully, especially between the toes.
-If the person can see and reach the toenails, trim them when needed. Trim toenails straight across, and file the edges with an emery board or nail file.
-Wear shoes and socks at all times. Never walk barefoot. Wear comfortable shoes that fit well and protect the feet. Check the insides of the shoes before wearing them. Make sure the lining is smooth and there are no objects inside.
-Protect feet from hot and cold. Wear shoes at the beach or on hot pavement. Don't put feet into hot water. Test water before putting the feet in it. Never use hot water bottles, heating pads, or electric blankets. The person can burn his feet without feeling it.
-Keep the blood flowing to the feet. Put feet up when sitting. Wiggle toes and move ankles up and down for 5 minutes, two (2) or three (3) times a day. Don't cross legs for long periods of time. Don't smoke.

Question 3

Which action is incorrect when flossing a client's teeth?

Accepted Answer

It is unnecessary to use a new piece of floss for each tooth. Break off an 18-inch piece of floss from the dispenser; this will do for all the teeth. Just move to a new section of floss after every second tooth is flossed. The other choices are correct steps in flossing.

Question 4

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. Which statement about feeding a person is not correct?

Accepted Answer

Instead of fork, use spoons to feed the person. They are less likely to cause injury than forks. The spoon should only be one-third full. Many people pray before eating. Allow time and privacy for prayer. This shows respect and care for the person. Serve food and fluids in the order the person prefers. Meals provide social contact with others. Engage the person in pleasant conversation. However, allow time for chewing and swallowing.

Question 5

Lippett, age 66, is experiencing sensory and perceptual problems that affect her right visual field (right homonymous hemianopia) because of stroke. When placing a meal tray in front of Mrs. Lippett, the patient care technician should:

Accepted Answer

The client has blindness in the same visual field of both eyes. The safety of the client is the priority of care. Appropriate measures to manage this problem are:
-Approach the client from the unaffected side.
-Place the client's personal objects within the unaffected visual field.
-Encourage the client to turn the head to scan the complete range of vision; otherwise, he or she does not see half of the visual field.
-Encourage independence in activities of daily living to promote self-esteem.

Question 6

Gershwin has a deep vein thrombosis and was ordered by the doctor to apply elastic stockings. Which of the following actions indicates that the patient care technician is applying the stockings correctly?

Accepted Answer

Elastic stockings or anti-embolic stockings are applied before the client gets out of bed. Otherwise, the legs can swell from sitting or standing. Stockings are difficult to put on when the legs are swollen. The client lies in bed while they are off. This prevents the legs from swelling.

Question 7

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

Accepted Answer

Cauliflower should be avoided with older clients. Other examples of gas-forming foods are beans, cabbage, radishes, and cucumbers.

Question 8

The patient care technician is helping a hemiplegic client get dressed. Which of the following is a correct way to help this client get dressed?

Accepted Answer

The patient care technician is assisting a hemiplegic client get dressed correctly by dressing the client's weak or involved extremity first and undressing the client's weak or involved extremity last.

Question 9

A client is admitted to the unit with an order for hourly monitoring of blood pressure. The patient care technician finds that the cuff is too small. This will cause the blood pressure reading to be:

Accepted Answer

Using a cuff that is too small will cause the blood pressure reading to be higher than what it should be. In obtaining the blood pressure it is important to select the proper size blood pressure cuff (sphygmomanometer). The cuff should fit 40% of the upper arm (if cuff is too small, the reading will be falsely high; if too large, the reading will be a false low reading).

Question 10

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?

Accepted Answer

Food preferences for Hispanic clients often include beans and tortillas. These foods are a staple in many Hispanic diets.

Question 11

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

Placing talcum powder under the cast when the client complains of itchiness is not allowed. The extremity should be elevated for 24 to 48 hours. Keeping the cast clean and dry and monitoring for discoloration of the toes, presence of distal pulses, or foul odor coming from the cast are all correct measures for clients with a cast.

Question 12

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

Accepted Answer

Careful drying is essential to avoid maceration of the penis. To decrease the risk for infection, wash the penis from the tip the base to reduce the risk for introducing microorganisms into the urethral meat us. Effective cleaning requires soap and thorough rinsing.
It's also essential to remove secretions that accumulate under the foreskin because they can lead to inflammation and are associated with the development of penile cancer. The foreskin in uncircumcised men must be retracted for cleaning, then replaced to prevent paraphimosis (capistration).

Question 13

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

Fluid output is the sum total of liquids that come out of the body.
Most fluid is discharged from the body as urine. Output also includes emesis (vomit us), drainage from a wound, loss of blood, and excessive perspiration. Every time the client uses the urinal, emesis basin, or bedpan, the urine and other fluids must be measured. For perspiration, wound discharges, or bleeding, indicate the following:
-What was wet
-How wet (damp, dripping, etc.)
-The size of the wet area
-The time this occurred

Question 14

Which of the following factors contributes to constipation?

Accepted Answer

Constipation is the passage of a hard, dry stool. The person usually strains to have a bowel movement. Common causes include a low-fiber diet, ignoring the urge to defecate and not having a regular time for defecation daily, decreased fluid intake, inactivity, drugs, aging, and certain diseases. Microbes in food and water are attributed to diarrhea.

Question 15

Which of the following measure(s) is /are included in the care plan of clients with fecal incontinence?
I.Help with elimination after meals and every 2 to 3 hours.
II.Provide good skin care after every elimination.
III.Assist the nurse in the insertion of a suppository as ordered by the physician.
IV.Apply of incontinence products.
V.Eliminate foods that are gas-forming (cabbage, cauliflower, radish, beans, onions, and cucumbers).

Accepted Answer

Fecal incontinence is the inability to control the passage of feces and gas through the anus. The client may need bowel training, help with elimination after meals and every 2 to 3 hours, incontinence products to keep garments and linens clean, good skin care, and avoidance of gas-forming foods.

Question 16

The physician has ordered to bladder training for a client with an indwelling catheter. The goal of bladder training is to:

Accepted Answer

Bladder training programs help some persons with urinary incontinence. Control of urination is the goal. Bladder control promotes comfort and quality of life. You assist with bladder training as directed by the nurse and the care plan.

Question 17

Which of the following foods is considered part of a full-liquid diet?

Accepted Answer

Full-liquid diets contain milk, cereal, gruel, clear diets, and plain frozen desserts. The clear-liquid diet contains only foods that are clear and liquid at room or body temperature, such as gelatin, fat-free broth, bouillon, popsicles or similar frozen desserts, tea, and regular or decaffeinated coffee.

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

The best response is, "I know you're frightened. I don't see bugs crawling on your sheets, but I'll stay with you." Never argue about hallucinations with a client. Instead, promote an environment of trust and safety by acknowledging the client's perceptions.

Question 19

The preferred position for the client receiving a back massage is:

Accepted Answer

The preferred position during back massage is prone. This allows the back of the client facing towards you for ease and ensures proper body mechanics while performing the procedure.

Question 20

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

Sim's left lateral position allows easy insertion of the probe into the colon as it accesses the correct anatomical location of the colon as it terminates into the rectum, i.e., in the left position. This position places the upper leg sharply flexed so it is not on the lower leg. The lower arm is behind the person. Sim's position is also called the semi-prone side position.

Quiz 4: Patient Care