Wound And Skin Isolation

91 Questions | Total Attempts: 92

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Wound Care Quizzes & Trivia

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Questions and Answers
  • 1. 
    For a resident who is classified as wound and skin isolation, the soiled linen should be
    • A. 

      Placed in the linen hamper

    • B. 

      Discarded

    • C. 

      Bagged before removing from the room

    • D. 

      Taken directly to the laundry

  • 2. 
    On entering a room, you notice that the patient is not breathing. Your first action should be to
    • A. 

      Call for help

    • B. 

      Lay the resident down on his back

    • C. 

      Give four quick breaths

    • D. 

      Give 8-10 abdominal thrusts

  • 3. 
    If a resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing
    • A. 

      Back blows

    • B. 

      Mouth to mouth ventilations

    • C. 

      A finger sweep

    • D. 

      Abdominal thrusts

  • 4. 
    When you make bed, you should place the soiled linen
    • A. 

      On the bedside table

    • B. 

      On he overbed table

    • C. 

      In a laundry bag

    • D. 

      On a chair

  • 5. 
    When making a occupied bed, it is important to
    • A. 

      Make half of the bed at one time

    • B. 

      Have one side rail up and one down

    • C. 

      Make a toe pleat in the top covers

    • D. 

      Do all of the above

  • 6. 
    You can prevent decubitus ulcers by
    • A. 

      Changing the patient's position frequently

    • B. 

      Placing an egg-crate mattress on top of the mattress

    • C. 

      Incrfeasing the patient's vitamin C consumption

    • D. 

      Doing both a and b

  • 7. 
    After positioning a patient, it is most important to
    • A. 

      Examine the resident thoroughly

    • B. 

      Close the door to the resident's room so she can rest

    • C. 

      Offer the patient a drink of juice

    • D. 

      Check hte positon of nonfunctional limbs

  • 8. 
    The first step in getting a residnet up to walk is to
    • A. 

      Sit the resident on the side of the bed

    • B. 

      Put the resident's slippers on

    • C. 

      Check the activity order

    • D. 

      Tell the resident what you want him to do

  • 9. 
    As you are transferring a patient, the resident becomes weak and starts to fall. You should
    • A. 

      Hold the patient's transfer belt and lean away formt he fall

    • B. 

      Call for help

    • C. 

      Grasp the transfer belt and lower the residnet to the floor along your bent leg

    • D. 

      Hold the resident tightly and lean backwards

  • 10. 
    The patient's TPR is 98.8-80-30. The finding that should be reported at once is
    • A. 

      Pulse

    • B. 

      Temperature

    • C. 

      Respiration

    • D. 

      All of the above

  • 11. 
    Which of the following can cause an inaccurate oral temperature reading?
    • A. 

      Drinking hot or cold liquids within 10 minutes of the reading

    • B. 

      Failure to shake down a mercury thermometer

    • C. 

      Vigorous exercise prior to measuring temperature

    • D. 

      All of the above

  • 12. 
    Accurate daily wights are measured  15
    • A. 

      At the same time each day

    • B. 

      With the resident fully clothed

    • C. 

      In the morning

    • D. 

      All of the above

  • 13. 
    The first step in performing any procedure is to
    • A. 

      Expalin step in performing any procedure

    • B. 

      Gather needed equipment

    • C. 

      Wash your hands

    • D. 

      Provide privacy

  • 14. 
    The most important factor in preventing the spread of infection is to
    • A. 

      Place hte residnt in isolation

    • B. 

      Handwash between resident contacts

    • C. 

      Clean the unit each day

    • D. 

      Wear sterile gloves to care for all residents

  • 15. 
    In the event of a fire ina resident;s room, your first actio should be to
    • A. 

      Notify the head nurse

    • B. 

      Turn in a fire alarm

    • C. 

      Get the resident to a safe place

    • D. 

      Get the fire extinguisher

  • 16. 
    Safe use of oxygen therapy includes
    • A. 

      Always setting the flowmeter at 2-3 liters per minute

    • B. 

      Using wool blankets only

    • C. 

      Cleansing the nasal prongs each shift with alcohol

    • D. 

      Posting a "no smoking" sign on hte door

  • 17. 
    When you perform CPR, the patient should be lying
    • A. 

      Flat on a hard surface

    • B. 

      With head and shoulders elevated

    • C. 

      With the head and feet rasied slightly

    • D. 

      None of the above

  • 18. 
    You have come upon a patient lying on the floor who is not moving. Your first action should be to
    • A. 

      Call for help

    • B. 

      Gently shake the victim and ask, Are you all right?"

    • C. 

      Check to see if the patient is breathing

    • D. 

      Check to see if the patient has a pulse

  • 19. 
    If a resident asks a question you cannot answer, you should
    • A. 

      Tell the residnet you will look it up

    • B. 

      Ask the charge nurse to talk to the resident about it

    • C. 

      Call the doctor to talk to the resident

    • D. 

      Tel the resident that you cannot answer the question

  • 20. 
    Which of the following best describes nail care?
    • A. 

      Nail care is not needed for the elderly

    • B. 

      Use scissors for all nail care

    • C. 

      All residents need nail care

    • D. 

      Check with the LPN for nail care instructions

  • 21. 
    When performiong perinal care on a male, always
    • A. 

      Clean the scrotum first

    • B. 

      Retract the foreskin if uncircumcised

    • C. 

      Clean form front to back

    • D. 

      Hold the penis at a 90 degree angle

  • 22. 
    When giving a resident a shower, you should
    • A. 

      Use a bath blanket

    • B. 

      Wear a raincoat to protect yourself

    • C. 

      Place the resident in a shower chair

    • D. 

      Run water at 135 degrees F

  • 23. 
    The purpose of the cleaning bath is to
    • A. 

      Provide cleanliness

    • B. 

      Promote circulatiuon

    • C. 

      Observe skin condition

    • D. 

      Do all of the above

  • 24. 
    The reason for rubbing a patient's back include
    • A. 

      Improving circulation

    • B. 

      Incrasing one-on-one interaction time

    • C. 

      Relaxing the resident

    • D. 

      All of the above

  • 25. 
    The procecure for bathing that prevents damage to the skin is to
    • A. 

      Rub carefully with a rough washcloth

    • B. 

      Use a large amount of lotion

    • C. 

      Rinse well and dry thoroughly

    • D. 

      Apply a generous amount fo talcum powder after the bath

  • 26. 
    The patient's elbows are dry and red. You should
    • A. 

      Report this to the charge nurse

    • B. 

      Rub them with lotion

    • C. 

      Apply elbow protectors

    • D. 

      Sll of the above

  • 27. 
    The preferred substance for a back rub is
    • A. 

      Alcohol

    • B. 

      Talcum powder

    • C. 

      Lotion

    • D. 

      Baby oil

  • 28. 
    A decubitus ulcer is caused by
    • A. 

      Poor circulation

    • B. 

      Pressure on the skin

    • C. 

      Poor nutrition

    • D. 

      All of the above

  • 29. 
    You should shampoo a resident's hair to improve
    • A. 

      Circulation to the scalp

    • B. 

      The resident's general appearance

    • C. 

      The resident's feeling of well-being

    • D. 

      All of the above

  • 30. 
    When shampooing a patient's hair, it si important to
    • A. 

      Rinse thoroughly

    • B. 

      Protect the eyes

    • C. 

      Provide for privacy

    • D. 

      Do all of the above

  • 31. 
    Which statement about trimminmg a diabetic's toenails is correct?
    • A. 

      You should always cut the toenails in a rounded pattern

    • B. 

      Be sure you have the doctor's order before beginning

    • C. 

      Always use safety/bandage scissors on diabetic residents

    • D. 

      A nursing assistant may not trim a diabetic's toenails

  • 32. 
    Which of hte following statements about dressing residents is true?
    • A. 

      It is not necessary for handicapped residents to dress in street clothes

    • B. 

      Residens like staff members to dress them

    • C. 

      Residents are concerned about how they look

    • D. 

      Residents are used to being dressed in front of others

  • 33. 
    Which of the following activities ahould be included in personal daily hygiene?
    • A. 

      Shaving male residents

    • B. 

      Hair care

    • C. 

      Oral hygiene

    • D. 

      All of the above

  • 34. 
    You are removing a soiled gown from a resident who has an IV. You should
    • A. 

      Remove the opposite arm from the gown first

    • B. 

      Have the nurse remove the IV needle

    • C. 

      Disconnect the bag and tubing

    • D. 

      Slip the gown over the IV solution bag

  • 35. 
    The preferred way to remove a bedpan from a resident who is unable to lift her buttocks is to
    • A. 

      Use a mechanical lifting device

    • B. 

      Have another nursing assistant lift the resident

    • C. 

      Turn the patient to the side while holding the pan

    • D. 

      Slowly slide the pan from under ther resident

  • 36. 
    If you patient does not eat all the food on his tray, the first thing you should do is
    • A. 

      Notify the charge nurse

    • B. 

      Ask the resident why

    • C. 

      Remove the tray

    • D. 

      Urge the patient to eat all the food

  • 37. 
    The resident states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low salt diet. You should
    • A. 

      Explain this means no salt when preparing food

    • B. 

      Tell the patient not to use the salt

    • C. 

      Check hte diet order with the nurse

    • D. 

      Cal the kitchen for a new tray

  • 38. 
    If a resident is receiving forced fluid treatment, you should
    • A. 

      Provide at least 2000 ml of fluid per shift

    • B. 

      Provide high-protein fluids

    • C. 

      Offer liquids every two hours

    • D. 

      Do all of the above

  • 39. 
    The main safety factor in transferring a patient is to
    • A. 

      Always transfer slowly

    • B. 

      Raise the side rails

    • C. 

      Secure adequate assistance

    • D. 

      Make sure the resident is not tired

  • 40. 
    A resident who is too large for staff memebers to tranfer safely is
    • A. 

      Moved wit a mechanical lifting device

    • B. 

      Placed on a calorie-controlled diet

    • C. 

      Left in bed, but turned every two hours

    • D. 

      Left in bed, but repositioned every hour

  • 41. 
    Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to
    • A. 

      Rearrange his gown or clothing

    • B. 

      Prevent orthostatic hypotension

    • C. 

      Position and secure the wheelchair

    • D. 

      Rest and remove the transfer belt

  • 42. 
    At the beginning of your shift, you give a resident a water pitcher containing 270ml (9 oz) of water. At the end of your shift, yo unote that 35 ml of water is left in the pitcher. How much wate has been consumed?
    • A. 

      35 ml

    • B. 

      135 ml

    • C. 

      175 ml

    • D. 

      235 ml

  • 43. 
    When a resident is on I & O, which of the following are measured?
    • A. 

      Liquids other than water

    • B. 

      See through liquids only

    • C. 

      Milk, ice cream, and carbonated beverages

    • D. 

      All substances that are fluid at room temperature

  • 44. 
    Decubitus ulcers may develop in patients who are
    • A. 

      Incontinent

    • B. 

      Paralyzed

    • C. 

      Poorly noruished

    • D. 

      Al of the above

  • 45. 
    The proper procedure for washing the female resident's perineal area is to
    • A. 

      Clean from front to back

    • B. 

      Clean the rectal area last

    • C. 

      Pat dry thoroughly

    • D. 

      Do all of the above

  • 46. 
    Frequent mouth care should be given to residents who
    • A. 

      Receive oxygen therapy

    • B. 

      Are unconscious

    • C. 

      Receive tube feedings

    • D. 

      All of the above

  • 47. 
    Using the Bass method,a patient's teeth are to be brushed
    • A. 

      Up and down

    • B. 

      For at least ten minutes

    • C. 

      With circular motions

    • D. 

      All of the above

  • 48. 
    When a resident complains that his dentures are hurting, you should
    • A. 

      Encourage him to wear the dentures more often

    • B. 

      Report the complaint to the charge nurse

    • C. 

      Report the complaint to the physician

    • D. 

      Put the dentures on the bedside table

  • 49. 
    The first thing you should do before giving a patient a tub bath is to
    • A. 

      Make sure the tub is clean

    • B. 

      Check the temperature of the water

    • C. 

      Make sure there is an order for it

    • D. 

      Gather necessary supplies

  • 50. 
    The resident's religion forbids eating pork.
    • A. 

      Tell the residnet to eat it because she should needs protein

    • B. 

      Tell the residndet it's all right sicne her doctor ordered the diet

    • C. 

      Tell the resident that restrictions don't pertain in times of illness

    • D. 

      Ask the nurse to call the kitchen

  • 51. 
    It is important to remember that dying residents
    • A. 

      Have the same needs for care as other patients

    • B. 

      Need to be by themselves in a quiet room

    • C. 

      Do not need to be consulted regarding their care

    • D. 

      Are usually in pain

  • 52. 
    Dying residents and their families
    • A. 

      Always pass through five stages of dying in order

    • B. 

      Always accept dath before it occurs

    • C. 

      May go back and forth among the five stages

    • D. 

      Must go through all stages of dying before they die

  • 53. 
    A sign of dementia in elderly pateint is
    • A. 

      A need to eat regular meals

    • B. 

      Not knowing who are where they are

    • C. 

      An ability to figure out problems

    • D. 

      A good memory for recent events

  • 54. 
    Residents with Alzheimer's disease may show shich of the following signs/symptoms?
    • A. 

      Physical and mental wasting away

    • B. 

      Extremely clear memory

    • C. 

      Frequent pacing or wandering

    • D. 

      A and c only

  • 55. 
    When a patient turns on the call bell every few minutes, the appropriate response is to
    • A. 

      Ask the patient not to call so often

    • B. 

      Stop by the room more often

    • C. 

      Place the call bell out of reach

    • D. 

      Tell the patient how busy you are

  • 56. 
    How a patient reacts to illness and disability is most dependent on his or her
    • A. 

      Age and stage of life

    • B. 

      Spouse's support

    • C. 

      Income and level of education

    • D. 

      Support system and life history

  • 57. 
    An 85 year old residnet tells you that his mother is coming to visit. Your best response would be,
    • A. 

      "That's impossible. Your mother can't come to se you."

    • B. 

      "That's nice, when is she coming?"

    • C. 

      "Tell me how old your mother is."

    • D. 

      "Are you wishing you could see your mother?"

  • 58. 
    In the lont-tem cre facility, the family members should be asked to
    • A. 

      Leave during treatments

    • B. 

      Attend care-planning meetings

    • C. 

      Avoid visiting during mealtimes

    • D. 

      Help perform patient care

  • 59. 
    Sexuality in long-tem cre patients may include all fo the following EXCEPT
    • A. 

      Needing private time with a partner

    • B. 

      Caring about one's physical appearance

    • C. 

      Engaging in public fondling

    • D. 

      Desiring sexual interaction

  • 60. 
    A patient hits you during lunch. You should
    • A. 

      Call the charge nurse for help

    • B. 

      Continue to feed her

    • C. 

      Apply a restraint

    • D. 

      Yell at her to stop hitting you

  • 61. 
    The nursing assistant must report abuse fo a resident by
    • A. 

      The family

    • B. 

      The staff

    • C. 

      Another patient

    • D. 

      All of the above

  • 62. 
    A cane should be used on
    • A. 

      The affected (weak) side of the body

    • B. 

      The unaffected (strong) side of the body

    • C. 

      The side with the strongest arm

    • D. 

      Teh weak side ond day, strong side next day

  • 63. 
    When using crutches, teh resident's weight must rest on the
    • A. 

      Armpits

    • B. 

      Spine

    • C. 

      Handrests

    • D. 

      Knees

  • 64. 
    A walker may be used if the resident can
    • A. 

      Support some weight

    • B. 

      Use her hands well

    • C. 

      Balance without help

    • D. 

      Walk independently

  • 65. 
    Correct ROM for the neck includes
    • A. 

      Pronation, supination, flexion

    • B. 

      Rotation, abduction, flexion, extension

    • C. 

      Flexion, extension, rotation

    • D. 

      Rotation, abducatin, adduction

  • 66. 
    Which of the following statements about ROM is FALSE?
    • A. 

      Active ROM means the resident does the exercises

    • B. 

      Passive ROM means the nursing assistant does the exercises

    • C. 

      Active ROM means the nursing assistant does the exercises

    • D. 

      Active ROM is best, if possible

  • 67. 
    If the patient is in traction, you should never
    • A. 

      Monitor affected skin temperature

    • B. 

      Give a total bed bath

    • C. 

      Change the positiion of weights

    • D. 

      Monitor distal pulses

  • 68. 
    To transfer a resident correctly from a bed to a stretcher, you must
    • A. 

      Use good body mechanics

    • B. 

      Use a Hoyer lift

    • C. 

      Use at least six co-workers

    • D. 

      Raise the far side rail of the stretcher first

  • 69. 
    If trhe chains on a mechanical Hoyer lift with a chair-type seat are uneven, then the
    • A. 

      Shorter end goes toward the patient's feet

    • B. 

      Shorter end goes toward the patient's head

    • C. 

      Lift cannot be used

    • D. 

      It does not matter

  • 70. 
    When a resident with a cast complains of itching, the nursing assistant should
    • A. 

      Wash the exposed skin and pat dry

    • B. 

      Discourage the resident from scratching

    • C. 

      Report it to the charge nurse

    • D. 

      Do all of the above

  • 71. 
    Which statement about mentally handicapped patients is correct?
    • A. 

      They usually hve no ADL skills

    • B. 

      They are usually bedbound

    • C. 

      They can learn, but at a slow pace

    • D. 

      They are dangerous because they are always strong

  • 72. 
    When helping a resident use a walker, you should tell him to
    • A. 

      Move the walker and his feet at the same time

    • B. 

      Move the walker, place the walker firmly, and step

    • C. 

      Move the walker and then slide his feet

    • D. 

      Take several sateps, slide the walker, and then place the walker firmly

  • 73. 
    The purpose of correctly positioning the patient is to
    • A. 

      Prevent skin breakdown

    • B. 

      Maintain function of joints and muscles

    • C. 

      Increase comfort

    • D. 

      Do all of the above

  • 74. 
    To move a resident with a fractured hip, you would
    • A. 

      Roll her toward the affected side

    • B. 

      Roll her toward the unaffected side

    • C. 

      Use an abduction pillow

    • D. 

      Check the physician's order

  • 75. 
    The most important goal of bladder training is to
    • A. 

      Decrease the cost of care

    • B. 

      Stop urinary incontinence

    • C. 

      Prevent embarrassment to staff members

    • D. 

      It is necessary for all residents

  • 76. 
    Security for a resident's dentures includes
    • A. 

      Keeping them in a tissue in a dresser drawer

    • B. 

      Placing them in a labeled denture cup

    • C. 

      Insisting the resident wear the dentures

    • D. 

      Placing an identifying mark on the dentures

  • 77. 
    If family members bring new clothes in for a resident, you should make sure the
    • A. 

      Clothes are put in hte resident's dresser drawers

    • B. 

      Clothes are labeled with the resident's name

    • C. 

      Family removes an equal number for old clothes

    • D. 

      Charge nurse sees the clothes

  • 78. 
    The charge nurse instructs you to clean a resident's closet. You should
    • A. 

      Throw away all torn clothes

    • B. 

      Ask the family to come do it

    • C. 

      Enlist the help of the resident

    • D. 

      Tell the nurse you are too busy

  • 79. 
    Before dressing a resident, you should
    • A. 

      Close the door and pull the curtain

    • B. 

      Choose trhe proper clothes

    • C. 

      Check for a doctor's order

    • D. 

      Do all of the above

  • 80. 
    Confidentiality refers to
    • A. 

      Never sharing information with anyone

    • B. 

      The right of the patient to privacy

    • C. 

      Only sharing information with those involved in the resident's care

    • D. 

      Both b and c

  • 81. 
     A patient's dentures are lost. You should 
    • A. 

      Notify the administrator

    • B. 

      Look for them

    • C. 

      Notify the doctor

    • D. 

      Notify the charge nurse

  • 82. 
    As a nursing assistant, it is your responsibility to
    • A. 

      Plan the resident's care

    • B. 

      Do the tasks the supervisor assigns to you

    • C. 

      Do the best you can without asking for help

    • D. 

      Compare assignments with your co-workers

  • 83. 
    Maintaining good interpersonal relationships depends on
    • A. 

      Going along with crowd

    • B. 

      Communicating clearly with others

    • C. 

      Following orders without questioning

    • D. 

      Doing all of the above

  • 84. 
    If you do not know how to do an assigned task, you should
    • A. 

      Call another nursing assistant for help

    • B. 

      Ask the patient how she prefers to have it done

    • C. 

      Call the charge nurse and ask for help

    • D. 

      Follow the instructions in the procedural manual

  • 85. 
    Reporting exactly what you see is an example of a (an) ____ observation
    • A. 

      Clinical

    • B. 

      Objective

    • C. 

      Personal

    • D. 

      Subjective

  • 86. 
    When caring for a resident who has just been placed on NPO, you should
    • A. 

      Encourage the patient not to think about food and water

    • B. 

      Encourage the resident ot eat and drink

    • C. 

      Remove the water pitcher and all items of food and drink

    • D. 

      Give the patient meticulous mouth care

  • 87. 
    Failure to raise the side rails on teh bed of a confused pateint is an act of
    • A. 

      Malpractice

    • B. 

      Negligence

    • C. 

      Overt commission

    • D. 

      Breaking a criminal law

  • 88. 
    During a job interview you should tell the interviewer about your
    • A. 

      Scheduling needs

    • B. 

      Child care needs

    • C. 

      Qualifications

    • D. 

      All of the above

  • 89. 
    When you are unable to work due to illness, you should
    • A. 

      Arrange for someone to cover for you

    • B. 

      Call the facility as early as possible

    • C. 

      Call your charge nurse an hour before your scheculed time

    • D. 

      Notify the facility at least 30 minutes before your scheduled time

  • 90. 
    The primary reason for laundering a nursing uniform after reach each day's wearing is to
    • A. 

      Look professional

    • B. 

      Look neat

    • C. 

      Remove body odor

    • D. 

      Prevent the spread of germs

  • 91. 
    The purpose of using restraints is to
    • A. 

      Position an atrophied extremity

    • B. 

      Protect the resident and others from injury

    • C. 

      Prevent wandering in the halls

    • D. 

      Do all of the above