ACTUAL EXAM
1. Older persons usually fear dying
a. in nursing center
b. in a hospital
c. alone
d. in pain - ANSWER: alone
2. A resident requires mechanical ventilation. The nurse asks you to assist with the
person's care. Which should you politely refuse to do?
a. follow the care plan to communicate with the person
b. explain who you are and what you are going to do every time you enter the room
c. check the ventilator settings and reset alarms
d. answer the signal light promptly - ANSWER: check the ventilator settings and reset
alarms
3. A quality nursing center must
a. be near shopping and churches
b. have large gardens
c. serve only older persons
d. meet OBRA requirements - ANSWER: meet OBRA requirements
4. You are taking an apical pulse. Which statement is correct? - ANSWER: the lub-dub
is counted as one beat
5.Basic Life Support procedures
a. prevent ventricular fibrillation
b. support breathing and circulation
c. prevent injuries from becoming worse
d. control bleeding and prevent shock - ANSWER: support breathing and circulation
6. You are emptying a urinary drainage bag. The drain
a. is cleaned with antiseptic wipes
b. is kept clamped
c. must not touch any surface
d. can touch the measuring container - ANSWER: must not touch any surface
7. Which is a developmental task of late adulthood?
a. adjusting to aging parents
b. adjusting to physical changes
c. adjusting to retirement and reduced income
d. becoming a parent and raising childrenq - ANSWER: adjusting to retirement and
reduced income
,8. Which of the following persons are at risk for complications from cold
applications? A
a. person with sensory impairment
b. dark-skinned person
c. person with arthritis
d. younger person - ANSWER: person with sensory impairment
9. A resident asks to see his chart. What should you do?
a. make a copy for him
b. tell the doctor
c. give it to him
d. tell the nurse - ANSWER: tell the nurse
10. When do residents need fresh drinking water?
a. every 8 hours
b. every day
c. with each meal and at bedtime
d. every shift and whenever the pitcher is empty - ANSWER: every shift and
whenever the pitcher is empty
11. A resident has AD. The person often screams a word in a foreign language. You
know that screaming is
a. an agitated behavior
b. a restless behavior
c. the person's way of communicating
d. an aggressive behavior - ANSWER: the person's way of communicating
12. You want to make sure that a resident understands what you said. You should
a. ask questions to see if the person understands
b. assume that the person is confused and disoriented
c. assume that the person understands
d. respect the person's culture and religion - ANSWER: ask questions to see if the
person understands
13. When assisting with a physical exam, you are responsible for which of the
following?
a. meeting the person's nutritional desires
b. obtaining informed consent
c. providing a safe setting
d. protecting the person's roommate from hearing the exam - ANSWER: providing a
safe setting
14. Which of the following are at high risk for burns?
a. older persons
b. young adults
c. middle adults
d. teenagers - ANSWER: older persons
,15. Which is required by OBRA?
a. E-mail and electronic messages
b. the Kardex
c. computer records
d. the Minimum Data Set (MDS) - ANSWER: the Minimum Data Set (MDS)
16. Having concern for a person is
a. empathy
b. caring
c. respect
d. enthusiasm - ANSWER: caring
17. Which statement about growth and development is correct?
a. they occur in a sequence, order, and pattern
b. some stages overlap
c. a stage can be skipped
d. stages share some of the same characteristics and development tasks - ANSWER:
they occur in a sequence, order, and pattern
18. A resident has AD. The person has the following behaviors. Which has the
greatest risk for danger?
a. wandering
b. catastrophic reactions
c. delusions
d. screaming - ANSWER: wandering
19. A resident is dying. Which of the following measures promote comfort?
a. good body alignment
b. infrequent position changes
c. restraints
d. friction and shearing - ANSWER: good body alignment
20. Which instrument is used to listen to sounds produced by the body?
a. Sphygmomanometer
b. thermometer
c. stethoscope
d. cuff - ANSWER: stethoscope
21. A person has a drainage container for urine. To empty and dispose of the urine,
you need to
a. check the material safety data sheet
b. wear gloves
c. follow care plan
d. use a leak-proof plastic bag - ANSWER: wear gloves
22. When a person is logrolled, the person is
, a. turned toward you
b. moved with the spine straight
c. turned away from you
d. moved in segments - ANSWER: moved with the spine straight
23. Constipation is a common problem in older persons because of
a. swallowing problems
b. decreased peristalsis
c. chewing problems
d. decreased digestive juices - ANSWER: decreased peristalsis
24. You are going to assist with a physical exam using a vaginal speculum. You can do
which of the following?
a. insert the speculum
b. obtain the vaginal secretions using a speculum
c. measure vital signs
d. feel abdominal organs - ANSWER: measure vital signs
25. Flexion is
a. bending a body part
b. straightening a body part
c. moving a body part toward the midline of the body
d. moving a body part away from the midline of the body - ANSWER: Bending a body
part
26. Which is a common response to illness and disability?
a. withdrawal
b. anger
c. self-centered behavior
d. demanding behavior - ANSWER: anger
27. A resident has dry skin. What should you do?
a. apply powder to dry areas
b. use soap during the person's bath
c. apply cornstarch to dry areas
d. apply moisturizer as directed by the nurse - ANSWER: Apply moisturizer as
directed by the nurse
28. After the exam, you need to do which of the following?
a. help the person dress
b. explain to the person's roommate what was done
c. explain the results to the person
d. explain the results to the family - ANSWER: Help the person dress.
29. A resident has cerebral palsy. The person's care depends on
a. the degree of brain damage
b. center policy and procedures