Following a total hip replacement, what device is often used for proper positioning?

An abduction pillow to prevent excessive hip adduction

Which of the following is true regarding the 'golfer's lift':

It is used to pick up lighter objects

Microorganisms cyclically move by various means. What are the six elements in the cycle of infection?

Infectious Agent, Reservoir, Exit, Transmission, Infection, Susceptibility

The easiest and safest way to assist a patient descending a curb while in a wheelchair is:

In the backward position while tiling the chair up on the drive wheels

Proper seat depth can be determined by:

Placing 2-3 fingers between front edge of seat and the ptpopliteal fold

When coordinating a lifting activity with others, how should directions be given?

As brief, concise, and action-oriented commands

What is the proper procedure if you suspect a victim has become unresponsive due to asphyxiation (drowning)?

Initiate CPR for 2 minutes before calling 911.

Which of the following vital sign readings is NOT within normal limits (WNL)?

Respiration of 23 bpm (breaths per minute)

The difference between a Deep Squat Lift and a Power Lift is:

A Power Lift requires for the lifter’s hips to remain above the knees.

If there is increased leg length/foot plates are too low. The patient may experience:

Increased pressure on the distal posterior aspect of the thigh

When rolling a pt. from supine to prone, towards the patient’s left side, the left UE should be positioned:

overhead in full shoulder flexion, if the patient has the range

If a pt is transferring to the right from a wheelchair to bed, where should buttocks be positioned before the transfer?

Toward the front of the wheelchair seat, in front of the drive wheel

With the hand on a pillow, higher than the heart, while he is supine

In which position should a person in shock be placed?

Supine with the head slightly lower than the lower extremities

How should a seizing person be handled?

Convulsions should not be restrained or restricted

clinician, you decide to complete standing dependent pivot transfer with a pt. You would choose this transfer because

The patient that >3/5 in the legs and both legs affected

Which areas are especially prone to pressure sores in a patient who is wheelchair dependent?

Ischial tuberosities and olecranon processes

Concise terminology with action oriented verbage.

In which of the following scenarios is protective eyewear most important?

During times when blood splashes or sprays of other body fluids are likely

For which of the following procedures might it be unnecessary to wear gloves?

Measuring blood pressure or temperature

What is a potential adverse effect of the placement of a small bolster behind the knees of a supine patient?

Iliopsoas and hamstring contractures

The most important action when assisting a patient to move around in bed is

Let the patient help as much as possible when permitted

Facing forward, moving in a zig-zag fashion

During which of the following situations would the wearing of gloves be most appropriate?

cleaning treatment area at the end of the day in your inpatient rehab unit

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PCM 1 USAHS Midterm Exam

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Questions 81

Answers

1
Following a total hip replacement, what device is often used for proper positioning?
A continuous passive motion machine
A full-length leg cast
Lateral towel rolls to maintain hip adduction
An abduction pillow to prevent excessive hip adduction
2
question in photo
Arm rests
Cross-bar
Leg rests
Chair frame
3
Which of the following is true regarding the 'golfer's lift':
The BOS is the feet in a lateral stance
The weight bearing leg is fully extended
It is used to pick up lighter objects
The non-weight bearing leg is flexed
4
When fitting a blood pressure cuff, what percentage of the arm should the length of the bladder cover?
80%
40%
30%
60%
5
Microorganisms cyclically move by various means. What are the six elements in the cycle of infection?
Infectious Agent, Reservoir, Exit, Transmission, Infection, Susceptibility
Infection, contamination, decontamination, transmission, and exit
Susception, reservoir, wound, isolation, and exit
Isolation, wound, contamination, infection, and sterilization
6
The easiest and safest way to assist a patient descending a curb while in a wheelchair is:
In the backward position while tilting the chair up on the caster wheels
Forward facing while tilting the chair up on the drive wheels
In the backward position while tiling the chair up on the drive wheels
Forward facing while tilting the chair up on the caster wheels
7
Proper seat depth can be determined by:
Placing 4 fingers between the front edge of the seat and the pt popliteal
Placing 2-3 fingers between front edge of seat and the ptpopliteal fold
Placing your hand vertically between the patient’s greater trochanter
Placing your hand horizontal between the pt greater trochanter
8
When coordinating a lifting activity with others, how should directions be given?
In the form of elaborate and detailed explanation
As brief, concise, and action-oriented commands
Mostly with the use of hand gestures
As quickly and loudly as possible
9
When a therapist assists a patient and gives 26% to 50% assistance, the patient is considered to require:
Dependent
Maximum assistance
Moderate assistance
Minimal assistance
10
What is the proper procedure if you suspect a victim has become unresponsive due to asphyxiation (drowning)?
Initiate CPR for 10 minutes before calling 911.
Initiate CPR for 2 minutes before calling 911.
Call 911 and wait for emergency service personnel to arrive.
Call 911 and then begin CPR.
11
What is the recommended length of time for hand washing with ordinary soap and water?
more than 60 seconds
minimum of 20 seconds
0–10 seconds
10–15 seconds
12
When a patient is able to do 25% to 49% of a transfer they are considered to require:
Moderate assistance
Minimal assistance
Dependent
Maximum assistance
13
Which body part is often wrapped in a circular pattern with a “figure of eights”?
The thigh
The head
The shoulder
The forefoot and ankle
14
In general, how frequently should a dependent patient’s positioned be changed?
At least every 4 hours
Once per day
At least every 2 hours
Twice per day
15
Following a total knee replacement, in what position is it important to keep the affected extremity at rest?
Hip flexion
Hip extension
Knee flexion
Knee extension
16
What level of assistance is used if pt requires verbal cues to perform activity safely within an acceptable time frame?
Minimal assistance
Standby assistance
Moderate assistance
Contact guarding
17
Through which anatomical structure should a plumb line run during ideal postural alignment?
Scapula
Bodies of the thoracic vertebrae
Lateral malleolus
Greater trochanter
18
Which of the following vital sign readings is NOT within normal limits (WNL)?
Temperature of 98 degrees
Respiration of 23 bpm (breaths per minute)
Heart rate of 90 bpm (beats per minute)
Blood pressure 115/75 mmHg
19
The difference between a Deep Squat Lift and a Power Lift is:
A Deep Squat Lift requires full knee flexion and partial hip flexion
none of the above
A Power Lift requires for the lifter’s hips to remain above the knees.
Power lift has back straight while the Deep Squat Lift requires flexion
20
If there is increased leg length/foot plates are too low. The patient may experience:
Insufficient trunk support
Difficulty getting wheelchair into narrow doorways
Increased pressure on ischial tuberosities
Increased pressure on the distal posterior aspect of the thigh
21
When rolling a pt. from supine to prone, towards the patient’s left side, the left UE should be positioned:
overhead in full shoulder flexion, if the patient has the range
in the reverse T position
next to the trunk with the shoulder int rotated and the down, tucked under
across the body with the hand at the right shoulder
22
In general, how frequently should the patient's position be changed when immobile in bed?
Twice per day
At least every 4 hours
At least every 2 hours
Once per day
23
If a pt is transferring to the right from a wheelchair to bed, where should buttocks be positioned before the transfer?
Toward the front of the wheelchair seat, in front of the drive wheel
Toward the back of the wheelchair seat, behind the drive wheel
To the right side of the wheelchair seat, behind the drive wheel
In the middle of the wheelchair seat
24
Which of the following objects is a potential host site for the survival of pathogens?
All given answers are correct
Sink rims
Faucet handles
Bar soap
25
QUESTION IN PHOTO
With the forearm supported on the armrest while sitting in a wheelchair
By his side with fingers extended and his palm facing up while he is supine
Across his chest while he is lying on his left side
With the hand on a pillow, higher than the heart, while he is supine
26
Over which body part should your hands be clasped when performing the Heimlich maneuver?
The sternum
Below the umbilicus
The upper back
Below the diaphragm
27
Orthostatic hypotension (OH) is classified as a decrease in systolic blood pressure of greater than what?
15
30
20
10
28
What factor does NOT affect the pulse oximeter (pulse ox) reading?
Artificial nails
Raynaud's syndrome
Size of blood pressure cuff
Poor circulation
29
QUestion in photo
lateral swing transfer
standing dependent pivot transfer
standing assisted pivot transfer
sliding board transfer
30
Most important activity that caregivers should perform before/after contact with a patient to control infection?
Gown changing
Documentation
Linen changing
Hand hygiene
31
Which condition occurs most frequently when a pt attempts to stand rapidly from a stooped, kneeling, recumbent, sitting
Autonomic hyperreflexia
Acidosis
Hypoglycemia
Orthostatic hypotension
32
In which position should a person in shock be placed?
Supine with the head slightly lower than the lower extremities
Side lying with the legs flexed toward the chest
Sitting with the upper body supported
Prone
33
How should a seizing person be handled?
Motions of the lower extremities should be restricted
Convulsions should not be restrained or restricted
All extremities should be restrained during the seizure
Head motion should be restrained
34
clinician, you decide to complete standing dependent pivot transfer with a pt. You would choose this transfer because
The patient has >3/5 in the legs and one leg affected
The patient that >3/5 in the legs and both legs affected
The patient has <3/5 in the legs and arms >2/5
The patient has <3/5 in the legs and arm
35
Which areas are especially prone to pressure sores in a patient who is wheelchair dependent?
Acromions and dorsal surfaces of the feet
Ischial tuberosities and olecranon processes
The mandible and knees
Tibial tubercles and the occiput
36
What area of the spine is host to most injuries caused by lifting?
Thoracic
Sacrococcygeal
Cervical
Lumbar
37
question in photo
Detailing each step from start to beginning
One word commands.
Sing the directions so they are able to remember and repeat
Concise terminology with action oriented verbage.
38
When a patient is able to do 25% to 49% of a transfer they are considered to require:
Moderate assistance
Dependent
Minimal assistance
Maximum assistance
39
In which of the following scenarios is protective eyewear most important?
In the transportation of a patient subject to contact precautions
When a patient is performing upper extremity exercises
Around a patient associated with airborne precautions
During times when blood splashes or sprays of other body fluids are likely
40
For which of the following procedures might it be unnecessary to wear gloves?
Controlling bleeding
Handling or cleaning contaminated instruments
Performing oral or nasal suctioning
Measuring blood pressure or temperature
41
What is a potential adverse effect of the placement of a small bolster behind the knees of a supine patient?
Erector spinae and ankle dorsiflexor contractures
Quadriceps and hip extensor contractures
Hip adductor and extensor contractures
Iliopsoas and hamstring contractures
42
The most important action when assisting a patient to move around in bed is
Let the patient help as much as possible when permitted
Apply pressure under the patient's axillae when rolling over
always keep the patient's feet next to each other in an extended position
Lower the bed to below waist height for optimal body mechanics
43
question in photo
Facing forward, moving in a straight line
Facing forward, moving in a zig-zag fashion
Facing backward, moving in a straight line
Facing backward, moving in a zig-zag fashion
44
Which of these patients needs immediate medical attention?
BP 160/90
Heartrate 98
BP 180/100
Respiration 19
45
question in photo
Anterior to the weak knee
Near the patient’s stronger side
Posterior to the weak knee
Lateral to the weak knee
46
question in photo
Standard adult wheelchair
Ultra-light wheelchair
One-hand drive wheelchair
Sports wheelchair
47
question in photo
Air-fluidized support bed
Low air loss therapy bed
Posttrauma mobility bed
Standard bed
48
This type of wheelchair allows the user to go from a vertical position, to a fully horizontal position.
Power wheelchair
Tilt-in-space wheelchair
Semi-reclining wheelchair
Fully reclining wheelchair
49
The following is NOT a nonverbal indicator for pain?
Rubbing the affected area
Grimacing
Restlessness
Blinking
50
Which posture is recommended for activities below the waist, such as removing clothes from a front-loading dryer?
Sitting, stooping, or kneeling
Rotating at the spine while squatting
Flexing at the hips while rotating at the spine
Flexing forward at the hips with the knees extended
51
During which of the following situations would the wearing of gloves be most appropriate?
You have an open wound on your forearm where your kitten scratched you.
cleaning treatment area at the end of the day in your inpatient rehab unit
opening packages of clean linens to place on covered linen storage shelves.
You are providing education for the patient and family.
52
Which of the following conditions is life threatening and requires prompt emergency care?
Heat stroke
Hypoglycemia
Orthostatic hypotension
Heat exhaustion
53
QUESTION IN PHOTO
On his back with a medium-sized pillow under his knees
In 3 quarters supine position with pillows behind him and between his legs
On his stomach with a large pillow under his feet
On his back with a large pillow behind his shoulder blades
54
At what level is the approximate center of gravity (COG) of a standing person?
The second sacral segment
The iliac crest
The navel
The first lumbar segment
55
What are the most common modes of transmission of pathogenic microorganisms?
Water and food
Gloves, masks, and gowns
Contact, droplet, airborne
Tables, chairs, and beds
56
Which areas of the side-lying patient are at greatest risk for pressure sores?
Forehead, spines of the scapulae, lesser trochanters, and fibular heads
Occipital tuberosity, transverse processes of vertebrae, sacrum, and heels
Sternum, iliac crests, patellae, and lateral ears
Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles
57
In an attempt to lift an object, which two measures are recommended for proper body mechanics?
Decreasing base of support, positioning your COG far from the object’s COG
Increasing base of support, positioning your COG far from the object’s COG
Decreasing your base of support, positioning your COG near the object’s COG
Increasing your base of support, positioning your COG near the object’s COG
58
All of the following are benefits of proper posture EXCEPT:
It increases stress on your joints
It conserves energy
It promotes proper balance and postural control
It promotes effective and safe movements
59
QUESTION IN PHOTO
Contact guarding
Modified Independent
Independent
Minimal assistance
60
Which of the following is true regarding the head/hips relationship?
It is a key component of the standing transfers
It is used to transfer when there is sufficient strength in the legs
Where the patient swings their head their hips go opposite
It does not require the therapist to block the patients legs
61
During an upward movement transfer of a supine patient, how should the patient’s lower extremities be positioned?
With the hips and knees flexed and feet flat on the bed
With both hips fully adducted
Fully extended on the bed
Crossed with one ankle on top of the other
62
What pain scale might you use with a 5 year old child?
Faces
Initial Pain Assessment Tool
McGill pain questionnaire
VAS (visual analog scale)
63
Which of these patients may need to rest or be on supplemental oxygen- O2 sat= oxygen saturation?
Pulse 70 bpm, O2 sat 98%
Pulse 90 bpm, O2 sat 95%
Pulse 75 bpm, O2 sat 92%
Pulse 80 bpm, O2 sat 88%
64
question in photo
Caster
Reclining
Camber
Incline
65
According to the textbook, which of the following descriptions is most likely to be related to nerve pain?
Sharp
Throbbing
Intolerable
Deep, nagging
66
Standard isolation precautions for airborne transmission say: what is the recommended architecture for a patient’s room?
Private isolation room with a closed door
Cohort
Private
Private or cohort, preferably more than 3 feet between beds
67
Which muscle group is most important for movements and lifts that require extra effort?
Ankle stabilizers
Core stabilizers
Knee stabilizers
Scapular stabilizers
68
To determine how much to inflate the blood pressure cuff, find the occlusion point then inflate the cuff how many mm/Hg?
20
10
5
30
69
Which of the following would increase an individual’s base of support (BOS)?
Spreading the elbows out to the side when carrying a box
Bending at the knees and hips
Placing the feet closer together
Placing the feet farther apart in an anterior-posterior stance
70
QUESTION IN PHOTO
Place a pillow under knee of residual limb to improve comfort in supine.
While sitting in the chair, position knee in flex to encourage circulation
Turn affected leg out while sitting to stretch the hip adductor muscles.
spend time prone each day to increase extension of the affected hip/knee
71
In standing from a seated position, how should the pt feet be positioned if one is significantly weaker than the other?
should be positioned level with each other, more than shoulder width apart
They should be positioned level with each other, less than shoulder width
With the stronger foot posterior to the weaker foot
With the weaker foot posterior to the stronger foot
72
Which of the following are signs of hypoglycemia?
Fruity breath odor
Deep, labored breathing
Vomiting
Excited, agitated behavior
73
Which of the following are considered severe reactions to an allergy?
Abdominal pain and difficulty swallowing
Itchy skin and sneezing
Itchy and watery eyes
Hives and skin redness
74
Which of the following is true regarding transferring a patient status post THR?
Instruct them to lead with their hips when coming to stand
Have them lean their trunk fwd so they can shift their weight over
Instruct to pivot on their LEs when moving from the wheelchair to the bed
The bed should be slightly lowered so they don't have to stand up as much
75
Which muscle group is most important for movements and lifts that require extra effort?
Scapular stabilizers
Knee stabilizers
Ankle stabilizers
Core stabilizers
76
question in photo
Sip and puff
Hand control
Head control
Chin control
77
Which of the following methods should you use to screen for patient tolerance of pressure on the skin?
Press gently with 1-2 fingers on the skin in question and quickly release.
Press firmly with 1-2 fingers on the skin, hold for 30 seconds, then relea
Press firmly with 1-2 fingers on the skin, hold for 1 minute, then release.
Press gently/quickly with 1-2 fingers on the skin three or four times,
78
When rolling a pt. prone to supine, towards the patient’s left side, how should the right lower extremity be positioned?
crossed over the left leg at the ankles
parallel to the left leg with the ankle dorsiflexed to neutral
abducted and externally rotated
the knee should be flexed to 90 degrees
79
When performing dependent transfer with a pt from supine to prone, which arm over which the pt will roll be positioned
abducted with internal rotation, elbow flexed to 90
add, ext rotated, elbow straight, and hand tucked under the pelvis, palm up
abducted shoulder, flexed elbow and tuck the hand under the pelvis
adducted and internally rotated with the hand over the pelvis, palm down
80
alcohol-based hand rub, what is the appropriate step to take after rubbing the product briskly over the hands?
Rinse the hands with water after every use.
Use a paper towel to wipe residual hand rub from the hands
Rinse the hands with soap and water after every use.
Continue to rub until the hands are dry.
81
question in photo
Subtract 2 inches
Subtract approximately 4 inches
Add approximately 1.5 inches
Add two inches

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