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PCA Practice

100 Questions  I  By Keevee
PCA practice
Test of basic nursing skills.

 

  
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Question Excerpt

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1.  As a Personal Care Assistant, you:
A.
B.
C.
D.
2.  When you work in the home you will be:
A.
B.
C.
D.
3.  As Personal Care Assistant, it is your responsibility to:
A.
B.
C.
D.
4.  True or False. In the home, it is important to be a good listener.
A.
B.
5.  True or False. Always tell the patient what you are going to do before starting a procedure.
A.
B.
6.  True or False. You only communicate through words.
A.
B.
7.  Which of the following is important when communicating with people:
A.
B.
C.
D.
8.  Body language is:
A.
B.
C.
D.
9.  PCA care for a conscious patient should be preceded by
A.
B.
C.
D.
10.  Miss Harris, a Personal Care Assistant, is assigned to care for Mr. Goodway. Miss Harris notices that she feels very angry when she is with Mr. Goodway. What should Mrs. Harris do because she feels this way?
A.
B.
C.
D.
11.  A patient accuses a Personal Care Assistant of stealing five dollars. The PCA has not taken the patient’s money, but the patient does not believe this. What should the PCA do?
A.
B.
C.
D.
12.  True or False. If you do not chart a task that you do for a patient, legally, it was not done.
A.
B.
13.  True or False. If the patient has a new area of skin breakdown, and the nurse is coming in two days, you do not need to report the skin breakdown to your supervisor.
A.
B.
14.  True or False. A rapid pulse and shortness of breath in a patient usually indicates the patient is excited and does not need to be reported to the nurse.
A.
B.
15.  The patient tells you he has not moved his bowels in three days. What should you do?
A.
B.
C.
D.
16.  Which of these actions is the Personal Care Assistant permitted to take in relation to drug administration?
A.
B.
C.
D.
17.  When a patient complains of pain, what should the Personal Care Assistant do first?
A.
B.
C.
D.
18.  A patient’s prescription for heart pills has recently been changed. The home health PCA should notify the agency supervisor immediately if the patient makes which of these comments:
A.
B.
C.
D.
19.  Mrs. Rand, who has diabetes and takes insulin regularly, tells the Personal Care Assistant that she feels very nervous and jittery. What should the PCA do immediately?
A.
B.
C.
D.
20.  True or False. Always report a pulse if the beats per minute are under 60 or over 100.
A.
B.
21.  True or False. The temperature of an unconscious patient should be taken orally since they are not moving about.
A.
B.
22.  True or False. Recording a patient’s TPR or vital signs is not important as long as you remember what they are.
A.
B.
23.  For which, if any, of these body areas is 99.6 degrees F. a normal temperature?
A.
B.
C.
D.
24.  When taking a patient pulse, you should take it for:
A.
B.
C.
D.
25.  When a patient’s respirations are being counted, it is best that the patient:
A.
B.
C.
D.
26.  True or False. Hand washing is the single best way to decrease the number of pathogens.
A.
B.
27.  True or False. Gloves should be worn when handling items soiled by body fluids. 
A.
B.
28.  True or False. The catheter drainage bag must be lower than the bladder, but not on the floor. 
A.
B.
29.  During a visit, you need to wash your hands after removing gloves:
A.
B.
C.
D.
30.  In what situation should gloves be used
A.
B.
C.
D.
31.  True or False. Diarrhea can cause dehydration and other serious complications and should be reported.
A.
B.
32.  True or False. If a person complains of pain, it is important to have the patient describe the pain and then report it to the nurse and record it in your notes.
A.
B.
33.  True or False. It's normal for most people to complain of pressure, swelling, or bloating in their ankles, feet, stomach or legs.
A.
B.
34.  If you notice the patient’s catheter is not draining, the first thing you should do is:
A.
B.
C.
D.
35.  Which of the following is not recommended for promoting good daily habits?
A.
B.
C.
D.
36.  Mrs. Morris has not had a bowel movement for three days. She has always given herself an enema if she does not have a bowel movement for that length of time. Mrs. Morris asks the Personal Care Assistant to give her an enema. What should the PCA do?
A.
B.
C.
D.
37.  True or False. Bedrails should never be used to secure vest restraints.
A.
B.
38.  True or False. Smoking in bed is fine for anyone who is not confused.
A.
B.
39.  Part or your duties as a Personal Care Assistant are to assure a safe home environment. This includes:
A.
B.
C.
D.
40.  A patient is receiving oxygen through a nasal canella. Which safety precautions should the Personal  Care Assistant take:
A.
B.
C.
D.
41.  True or False. For an injury with profuse bleeding, apply pressure and call for assistance.
A.
B.
42.  True or False. If the patient begins to have a seizure, your first responsibility is to prevent the patient from injuring himself.
A.
B.
43.  True or False. If the patient falls and complains of pain in his hip, you should help him to get up and walk to bed.
A.
B.
44.  A patient is choking on some object that is caught in his airway. Before first-aid measures are applied, find out:
A.
B.
C.
D.
45.  While giving a bath on a shower chair, the patient suddenly gasps and becomes unresponsive. The Personal Care Assistant should:
A.
B.
C.
D.
46.  For which of these emergencies is the knowledge of pressure points essential:
A.
B.
C.
D.
47.  The telephone numbers of all the following are important to a patient. Which number  must the Personal Care Assistant have next to the phone?
A.
B.
C.
D.
48.  True or False. Every patient is the same and has the same needs and wants. 
A.
B.
49.  True or False. It is alright to use any item in the home without asking as long as it is for the patient’s personal care.
A.
B.
50.  True or False. You may use the telephone in the patient’s home without asking permission.
A.
B.
51.  A neighbor has asked you some questions about the patient you are presently taking care of. "Mrs. Cooler is dying, isn’t she?" How will you answer?
A.
B.
C.
D.
52.  Which of these statements about the elderly is true?
A.
B.
C.
D.
53.  When working with people that are disabled, the general goal of care is to:
A.
B.
C.
D.
54.  It is Mrs. Morris’ usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Morris has made this type of statement. What should the home health PCA do?
A.
B.
C.
D.
55.  The ability to make observations is even more important when working with infants and young children than it is when working with adults. The chief reason for this is that infants and young children:
A.
B.
C.
D.
56.  True or False. It is important to keep a patient covered during a bed bath except for the part being washed.
A.
B.
57.  True or False. Massaging of bony prominences help to prevent skin breakdown by increasing the blood supply to the area.
A.
B.
58.  True or False. When giving peri-care to a patient after a BM, wash using a front to back motion in order not to spread fecal material to other areas.
A.
B.
59.  When giving the patient a bath, if the water is too hot, it can injure (burn) the person’s skin. If it is too cold, it can chill the person. Therefore you should test the water temperature before beginning the bath by:
A.
B.
C.
D.
60.  Which of the following is most important practice to promote good skin care in the elderly?
A.
B.
C.
D.
61.  If dentures are not worn when sleeping, where should you store them?
A.
B.
C.
D.
62.  An elderly male patient occasionally wets his trousers. What should the home health PCA do?
A.
B.
C.
D.
63.  In giving foot care to a patient who has diabetes, the Personal Care Assistant may take which of these actions?
A.
B.
C.
D.
64.  True or False. Always transfer a patient toward his good side. 
A.
B.
65.  True or False. There is no need to be near an object to pick it up, just reach.
A.
B.
66.  True or False. It is best to use a gait belt if a patient is unsteady.
A.
B.
67.  A patient lying on his back has slid down in bed and needs help in moving up again. To start this, the patient should, if possible:
A.
B.
C.
D.
68.  Before helping a patient in or out of a wheelchair, which of these actions are necessary?
A.
B.
C.
D.
69.  When assisting a patient to walk with his walker, you should:
A.
B.
C.
D.
70.  A patient who has been on bed rest is to get up in a chair.  The Personal Care Assistant helps the patient to sit on the edge of the bed. The patient says, “I am dizzy.” What should you do?
A.
B.
C.
D.
71.  The Patient has had a stroke and has a right-sided weakness. The patient can walk with a little assistance. It is best for the Personal Care Assistant to assist the patient by walking in which of these positions?
A.
B.
C.
D.
72.  Mr. Sticke is 76 years old, needs help with bathing, and has a foley catheter in place. He has great difficulty walking and uses a wheelchair. When helping Mr. Sticke from the bed to the wheelchair, which of these actions are essential?
A.
B.
C.
D.
73.  True or False. Passive range of motion exercise is for the prevention of contractures in patients with paralyzed limbs.
A.
B.
74.  True or False. During range of motion exercises, if you feel resistance or the patient complains of pain, you should continue anyway.
A.
B.
75.  True or False. It’s best to have a pillow between the legs or a patient with a new hip replacement.
A.
B.
76.  To prevent bed sores in the elderly, you should:
A.
B.
C.
D.
77.  The Personal Care Assistant should be sure to take which of these actions when caring for a new born baby?
A.
B.
C.
D.
78.  Which or these statements describe good body mechanics?
A.
B.
C.
D.
79.  When caring for a patient who is on bed rest, what should the PCA do to prevent bed sores?
A.
B.
C.
D.
80.  True or False. Soy sauce is good to spice up a low salt diet. 
A.
B.
81.  True or False. A regular diet is a well balanced diet with no restrictions. 
A.
B.
82.  True or False. Bread and potatoes are a good source of protein.
A.
B.
83.  Foods on a liquid diet would include:
A.
B.
C.
D.
84.  Foods that are high in vitamin C include:
A.
B.
C.
D.
85.  If there is 50cc left in a glass and the glass holds 150cc you should record the intake as:
A.
B.
C.
D.
86.  Milk is a good source of calcium. Which of these foods are also good in calcium?
A.
B.
C.
D.
87.  When patients do not have enough fluids, they may develop which of these problems?
A.
B.
C.
D.
88.  If a patient is to have a fluid intake record kept, the right time to record the patient’s fluid is:
A.
B.
C.
D.
89.  Patients on low salt diets are usually allowed to have which of these foods?
A.
B.
C.
D.
90.  Patients sometimes express religious beliefs with which the Personal Care Assistant does not agree. In dealing with these situations, which of these understandings should the PCA use as a guide?
A.
B.
C.
D.
91.  True or False. A PCA is allowed to reinforce a dressing.
A.
B.
92.  True or False. A PCA is allowed to apply a hot pack.
A.
B.
93.  True or False. A PCA is allowed to give an enema. 
A.
B.
94.  True or False. A PCA is allowed to administer medication.
A.
B.
95.  True or False. A PCA is allowed to change a sterile dressing.
A.
B.
96.  True or False. A PCA is allowed to assist with change of a colostomy bag. 
A.
B.
97.  True or False. A PCA is allowed to give a rectal suppository. 
A.
B.
98.  True or False. A PCA is allowed to give a tubule feeding.
A.
B.
99.  True or False. A PCA is allowed to give insulin.
A.
B.
100.  True or False. A PCA is allowed to cut nails.
A.
B.
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