Protected: Healthcare Competency Test Competency Test Step 1 of 2 50% Name(Required) First Last Email(Required) Phone(Required) In any room where Oxygen is being used, a necessary precaution is to:(Required) a. Remove all electrical equipment. b. Keep the air moving. c. See that no one lights a match. d. Limit the number of persons present at the same time. In giving a bed bath, the Aide drapes the patient so that only the part of the body being bathed is exposed. Why is this important?(Required) a. It prevents the patient from becoming chilled. b. It helps the Aide to remember the order to follow when bathing the patient. c. It shortens the amount of time it takes to bathe the patient. d. It reminds the patient which area is being bathed. The blood circulation of elderly patients generally improves when their:(Required) a. Clothing is kept clean. b. Liquid intake is increased. c. Room temperature is kept around 70 degrees. d. Activity is increased. One purpose of keeping an intake and output record is to:(Required) a. Find out the amount of time between drinking fluids and urinating. b. Identifying the type of fluid that is most easily; digested. c. See if the patient is urinating enough. d. Evaluate the patient’s intestinal function. To determine the proper temperature of the water for a bed bath, what should the Aide do?(Required) a. Ask the patient to place a finger in the water. b. Test the water on the aide’s inner wrist. c. Fill a glass with water and feel the temperature of the glass. d. Soak a washcloth in water and place it against the aide’s cheek. Mrs. Collier accuses a male Aide of assaulting her sexually. He denies this. There are no witnesses. Which of these statements about Mrs. Collier’s rights in this situation is correct?(Required) a. She gave up her rights when she was admitted to home care. b. She lost her right to complain because there is no supporting evidence for her charge. c. She has the right to have her complaint investigated. d. Because she has a right to privacy, discussion of her complaint should be limited to her family. Mrs. Lapp is hard of hearing. When caring for Mrs. Lapp, the Aide should:(Required) a. Rely on written communication. b. Speak loudly and very slowly. c. Stand in front of her and speak clearly. d. Allow her to initiate all conversation. Which of the following best describes when hand washing is appropriate?(Required) Which of the following best describes when hand washing is appropriate? b. Hand washing is to be done before and after any procedure or patient care to protect yourself and your patient. c. Hand washing is needed only if you do not bathe the patient since your hands will be in water during a bath. d. Hand washing dries out the skin, which can cause dry cracking hands so hand washing is only done if hands are visibly soiled. To take a radial pulse accurately, it should be counted as follows:(Required) a. Until the beat becomes regular. b. At the same time the respirations are taken. c. For 30 seconds and multiplied by two if the pulse is regular and for a full 60 seconds if the pulse is irregular. d. For 2 Minutes and divide the results by four. Mr. Gillian’s Foley catheter is attached to a drainage bag. The drainage bag should always be kept:(Required) a. Below the level of his bladder. b. At the level of his bladder. c. 12 inches above the level of his bladder. d. 3 feet above the level of his bladder. A patient is near death and does not respond to verbal cues. The patient is incontinent of urine and stool. When providing care the Aide should assume the patient:(Required) a. Has no pain. b. Will not be aware of the Aide touching them. c. Can hear when you talk to them. d. Would prefer that the room be darkened. What procedure would be incorrect for the Aide to perform when providing foot care?(Required) a. Placing small pieces of cotton between the patient’s toes. b. Cutting a Diabetic patient’s toenails. c. Encouraging the patient to wear socks and shoes. d. Checking the patient’s feet for reddened areas. When a patient makes frequent requests for attention which of these questions should the Aide consider first.(Required) a. “Would ignoring the patient’s request be likely to discourage them?” b. “Is responding to the patient’s requests likely to reinforce them?” c. “Are the patient’s needs being met?” d. “Would refusing the patient’s requests help the patient reconsider them?” Mrs. Snow is to be weighed daily. In weighing her, which of these measures is essential?(Required) a. Balancing the scale after she gets off. b. Weighing her at the same time each day. c. Having the same person weigh her each day. c. Having the same person weigh her each day. Mr. Johnson recently had a stroke and his left leg is paralyzed. He has passive range of motion to his lower extremities ordered. What is the main reason for performing the passive range of motion?(Required) a. To raise his spirits. b. To relieve any pain he feels in his legs. c. To completely restore the use of his left leg. d. To prevent the formation of contracture in his lower extremities. Which of these statements describes good body mechanics?(Required) a. Carry heavy objects as far away from the body as possible. b. Bend the knees and use your legs when lifting an object off the floor. c. Bend from the waist when lifting an object off the floor. d. Lift rather than push a heavy object. The Aide finds Mrs. Lane slid down in bed. Which of these instructions would be most appropriate to give Mrs. Lane so she can assist in moving up in bed?(Required) a. “Bend your knees and press your heels down into the mattress.” b. “Straighten your legs and let yourself go limp.” c. Grip the sides of the mattress with your hands and press your back against the mattress.” d. “Roll over on your side and press both hands against the mattress” The Aide finds Mr. Raft in bed, on his back, vomiting. Which action should the Aide take first?(Required) a. Change Mr. Raft’s clothing and the soiled bedding. b. Help Mr. Raft rinse his mouth out with cool water. c. Turn Mr. Raft on his side. d. Place a folded towel or pad under Mr. Raft’s head. When talking with a patient the Aide should:(Required) a. Use a loud voice when speaking to the patient. b. Pause frequently while talking to the patient. c. Anticipate what the patient will say. d. Listen carefully to the patient. What is the best method for the Aide to use to record a patient’s intake?(Required) a. Write down the amount of fluid after each time the patient drinks. b. Write down the amount of fluid served at the time the patient receives the fluid. c. Ask the patient to save all of the fluid containers and estimate the amount of fluid drunk during the shift. d. Ask the patient to write down the amount of fluid the patient believes he/she drank during the shift. Which of these measures should the aide carry out in giving a patient a bed bath?(Required) a. Use soap containing Hexachlorophene. b. Rinse the soap off thoroughly. c. Change the water at least four times during the bed bath. d. Apply an astringent after the bed bath. When working with patients who have disabilities, the general goal of care is:(Required) a. To provide constant supervision. b. To provide total care. c. To promote maximum self-care and independence within the limits of the person’s ability. d. To assure the complete return of the patient’s abilities. The patient is supposed to practice using a walker without wheels. The Aide should be sure that the patient moves the walker forward:(Required) a. By lifting the walker. b. By keeping the fingers in an extended position. c. While keeping the elbows straight. d. While moving both feet forward together. What food can be included on a clear liquid diet?(Required) a. Diluted skim milk. b. Strained orange juice. c. Grape Popsicle. d. Vanilla ice cream. Which statement regarding how a patient reacts to illness is FALSE?(Required) a. Reactions of an individual to illness can vary greatly. b. A patient’s family will always be well motivated by his/her illness to make necessary adjustments in their lives for his/her care. c. Some common emotional reactions to illness can be denial, depression, over-dependence and impatience. d. It is sometimes helpful to encourage a patient to verbalize things that they perceive as unpleasant. The patient complains of stomach pain upon the Aide’s arrival at the home. What should the Aide do?(Required) a. Call the patient’s doctor. b. Call the office and talk with the nursing supervisor. c. Offer the patient something to drink. d. Give the patient 2 tsp. of antacid. The loss of fatty tissue is a normal part of the aging process that makes the elderly more likely to develop which of these?(Required) a. Bedsores. b. Fractured hips. c. Skin cancers. d. Constipation. Applications of cold compresses or ice packs may cause injury to a patient if they have:(Required) a. A fever. b. Dependent swelling. c. Poor circulation. d. Large bruises. The Aide is assisting Mrs. Zalman with her bath. Mrs. Zalman prefers to clean her genital/rectal area herself. What information should the Aide give the Mrs. Zalman regarding cleaning her genital/rectal area?(Required) a. Tell Mrs. Zalman to wash from the vaginal area toward the rectal area. b. Tell Mrs. Zalman to avoid using soap when washing her rectal area. c. Remind Mrs. Zalman to use only cold water to wash her vaginal area. d. Remind Mrs. Zalman to wash the outside of her labia. Since Mrs. Saunder’s is paralyzed, when making her bed, special measures must be taken in putting on the top sheet and blanket to help prevent:(Required) a. Hip contracture. b. Decubiti. c. Knee flexion. d. Foot drop. Which of the following best describes universal precautions?(Required) a. Caring for a patient with AIDS requires using gloves, gown, mask & goggles no matter what type of care is being given. b. Caring for all patients requires the use of gloves, gown, mask, and goggles at all times. c. All patients should be considered potentially infected with a number of different communicable diseases and protective barriers should be used when in contact with any patient blood or body fluids. d. It is only necessary to use universal precautions if you have a cold. Mrs. Anson says, “I hate not being able to take care of myself.” To show Mrs. Anson that you understand her feelings, what should you say to her?(Required) a. “It is hard to have someone help you when you are used to taking care of yourself.” b. “You shouldn’t feel that way.” c. “You should like being taken care of.” c. “You should like being taken care of.” While talking to a patient the Aide places a hand on the patient’s shoulder and feels the patient suddenly become tense. What statement may explain why the patient acted this way?(Required) a. Touch helps people to focus. b. Touch is comforting to people. c. The touch brought the patient back to reality. d. This patient was upset by the touch. Which of these statements about Middle-aged people is true?(Required) a. People think best during middle age. b. Sexual relations are less satisfying during middle age. c. Middle-aged people focus on the past instead of the future. d. Middle-aged people often have to care for both their children and parents. Which of the following best describes the primary reason for choosing to wear a gown when giving patient care?(Required) a. Because it is required for caring for patients. b. To prevent soiling the Aide’s clothing with potentially infected blood or body fluids. c. To prevent the patient from becoming infected. d. To prevent the spread of Tuberculosis. Which of these statements suggest the reason you should understand how others perceive you.(Required) a. People communicate things to others even when they do not say anything. b. People can accidentally say things they do not mean. c. People who know their prejudices do not communicate them. d. People who recognize their negative reactions will act positively. While Mr. Carey is walking across the bedroom, he begins to fall. What should the Aide do?(Required) a. Place the Aide’s hands on Mr. Carey’s upper arms. b. Place the Aide’s knee between Mr. Carey’s legs. c. Apply counter pressure to push Mr. Carey in the opposite direction from the fall. d. Use the Aide’s leg to support Mr. Carey while they slide him safely to the floor. What measure is most likely to prevent the development of a bedsore on a patient’s buttock?(Required) a. Placing a pillow under the buttocks. b. Taping a large dressing over the buttock. c. Keeping the buttock clean and dry. d. Limiting the movement of the buttock. When planning to give care to elderly patients the aide needs to remember that:(Required) a. Patients should take an active role in their care. b. The wishes of family members are more important than the wishes of most patients. c. The healthcare staff should decide what type of care is best for the Patient. d. Patients are responsible for the results of their treatment. The oral temperature is the standard accurate temperature. When taking a auxiliary temperature you should:(Required) a. Subtract two degrees to make it equal to an oral temperature. b. Add one degree to make it equal to an oral temperature. c. Add two degrees to make it equal to a rectal temperature. d. Never take an axillary temperature. Which of these measures is essential in caring for a female patient who has an indwelling urinary catheter?(Required) a. Keeping the area around the catheter lubricated with a non-greasy lotion. b. Pulling gently on the catheter at regular intervals to see if it is securely in place. c. Keeping the area around the catheter clean. d. Taping the catheter to the perineal area. A patient is bed bound due to their medical condition. To prevent the patient from developing pressure sores, the Aide should:(Required) a. Rub the skin over the patient’s bony prominences with alcohol. b. Change the patient’s position at least every two hours, more frequently if reddened areas are found over bony prominences. c. Keep the patient’s knees bent. d. Keep the patient in a semi-sitting position. When a patient’ respirations are being counted, the result will be most accurate if the patient:(Required) a. Is unaware of the counting. b. Sits up straight. c. Tries to breathe evenly during the counting. d. Breathes as deeply as possible. In the normal aging process the oil glands produce less oil. The elderly patient is likely therefore to have which of these complaints?(Required) a. Dryness and itching of the skin especially in cold weather. b. An acidic body odor, especially in warm weather. c. A need to urinate more frequently. d. An increase in the size of the pores of the skin. An accurate respiratory rate is obtained by counting:(Required) a. Each breathe in and out as one respiration for 60 seconds. b. Each breathe in and out as separate breaths. c. Only the breaths in for 60 seconds and divide by four. d. Only the breaths out for 60 seconds and multiply by two. Which of the following best describes the function of the skin?(Required) a. The skin gives movement to part of the body and protects. b. The skin provides the first line of defense against infection maintains body temperature and secretes waste. c. The skin carries nutrients, oxygen and water to the body cells and removes waste. d. The skin keeps the muscle and bones in place. Which of the following is FALSE?(Required) a. Each patient and family member must be treated with respect, kindness and dignity. b. A patient has the right to have information about medical treatment and care kept private and confidential. c. Cultural and religious aspects rarely affect your provision of care. d. A patient has a right to participate in their plan of care. A patient who is on a low-salt diet has the following items on the table. Which one can the patient use?(Required) a. Catsup. b. Mustard. c. Pepper. d. Margarine. Why is the thumb not used for taking a patient’s radial pulse?(Required) a. The flat part of the thumb is less sensitive than the flat part of the other fingertips. b. The thumb can place too much pressure on the patient’s wrist. c. Your own thumb‘s pulse may be felt instead of the patient’s radial pulse. d. The thumb’s tip is in a more awkward position when taking the pulse than the other fingertips. Bill Corning, 14 years old, has a long cast on his leg. When checking Bill’s toes, the Aide should report to the nursing supervisor if the toes are found to be:(Required) a. Warm. b. Pale. c. Mobile. d. Dry.