A bowel training program includes which of the following?

Allowing ample time for evacuation.

When assisting someone to the commode, the first pair of gloves I don will be

Before I place the commode in position

Making an occupied bed involves

Changing the linens while the person is still in the bed

Measures to decrease incontinence include

answering the resident call like promptly

Older adults can be at risk for skin breakdown. Which of the following interventions can help maintain skin integrity?

Provide the client with a diet high in protein

The three main parts of the brain are (click all that apply)

brain stem, cerebrum, cerebellum

Placing an incontinent person on a toileting schedule

What is the definition of Medical Asepsis?

Reduces infectious agent but doesn't eliminate

If the resident is unable to clean up properly after using a bedside commode, the HCA should:

Provide the resident with privacy and clean him gently

Canada's food guide recommends:

half your plate vegetables / fruits

You are providing perineal care to an uncircumcised patient the HCA should:

Forskin must be retracted to properly clean the secreations

While providing mouth care you should never:

leave soiled linens on resident's bed

When assisting the resident to the toilet or bedside commode the HCA should...

Check on resident every 5 minutes

Which of the following actions should the nurse take to decrease risk of skin breakdown on a paralyzed client?

Use pillows to keep heels off bed surface

What is an alternating pressure mattress for?

It is to sleep on and reduce risk of pressure injury

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HCAP143

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Questions 94

Answers

1
pureed diets are
chopped
blenderized
strained
diced
2
Tearing of skin tissue caused when the skin sticks to a surface is:
friction
abrasion
shearing
laceration
3
How many staff members must be in attendance when using a mechanical lift?
1
2
3
all of the above
4
What is the purpose of being on a texture modified diet
To prevent dehydration
All of the above
To prevent choking and embarrassing situations at meal times
To prevent aspiration pneumonia
5
What is the purpose of being on a texture modified diet
All of the above
To prevent aspiration pneumonia
To prevent dehydration
To prevent choking and embarrassing situations at meal times
6
Providing good mouth care is important for...
All of the above
Reducing risk of infection
Ensuring families know their loved one is being cared for
Patients dignity and comfort
7
Which of the following foods would be allowed on a Level 1 Dysphagia Pureed diet?
Meatloaf
Moist pancakes
Applesauce
Soft cheese slice
8
If you were to notice signs of skin breakdown, you should first...
Scream cry
Inform the nurse
massage the area
Check bony prominences
9
A 93-year-old has decreased hydration intake leading to poor skin integrity. To help slow skin breakdown, the HCA would
offer 4 oz of fluid every hour
request an order for a feeding tube
inform the resident to eat more
spoon feed the resident
10
A bowel training program includes which of the following?
Decreasing fluid intake to 1000ml.
Using a diet that is low in bulk.
Administering an enema once a day to stimulate peristalsis.
Allowing ample time for evacuation.
11
Never refer to the clients affected side as the "Bad Side."
True
False
12
A HCA should give nail care:
when the resident's nail polish wears off
whenever she has time
when she is bathing a resident
When she notices a residents nails are getting long
13
When assisting someone to the commode, the first pair of gloves I don will be
When I wipe the resident
Before I place the commode in position
When I remove the resident's clothing
When I clean the commode
14
Making an occupied bed involves
Placing special devices on the patients bed
Making the metered corners at each end of the bed
Changing the linens while the person is still in the bed
Changing the linens while the person is int the shower
15
Keeping skin moisturized can increase risk for pressure injuries
True
False
16
The peripheral nervous system (PNS) is the brain and spinal cord while the CNS is everything else
False
True
17
Always communicate with your partner when transfering a patient
False
True
18
Feeding a patient with dysphagia, you would:
Order Steak dinner
Have the patient side lying
Have lots of people in the room
Sit the patient upright
19
The two main divisions of the nervous system are the central nervous system and the:
peripheral nervous system
somatic nervous system
autonomic nervous system
parasympathetic nervous system
20
What does PPE stand for?
Personal preventative equipment
Personals preotectives equipment
Protect people effectively
Personal protective equipment
21
Major cause of food poisoning?
Rodents
Hair
Cross contamination
People being rude
22
Measures to decrease incontinence include
leaving the bedpan in place for at least 15 minutes
answering the resident call like promptly
applying an incontinence brief
increasing the residents fluid intake before bedtime
23
The policy that is best practice for the safety of transferring patients is called:
safe handling policy
mechanical lift policy
Safe transfer policy
Zero lift policy
24
Older adults can be at risk for skin breakdown. Which of the following interventions can help maintain skin integrity?
Provide the client with a diet high in protein
Massage bony prominences to promote circulation
Reposition the client every 3 hours
Apply cornstarch to keep the skin dry
25
The three main parts of the brain are (click all that apply)
brain stem
cerebrum
cerebellum
occiptal
26
Dysphagia is;
difficulty having a BM
difficulty swallowing
difficulty walking
difficulty talking
27
Bladder training is:
Placing an incontinent person on a toileting schedule
Something only a doctor assists with
Something only a RN assists with
A surgical procedure
28
What should the HCA not do when shaving a patient who is on continuous oxygen (cannot be removed)?
Use lotion after shaving
Use extra shaving cream
Use a safety razor
Use an electric razor
29
Unhook all drainage tubing prior to repositioning a client to ensure no tangles
True
False
30
where does skin breakdown usually occur?
inner ears
stomach
bony prominences
arch of the foot
31
The rubbing of one surface against another
abrasion
laceration
shearing
friction
32
What is the definition of Medical Asepsis?
microorganism free area
Absolute killing of all life form
Protection against infection with the use of sterile technique
Reduces infectious agent but doesn't eliminate
33
What term occurs if fluid output is more than the intake?
Dehydration
Edema
Output
Graduate
34
After assisting Mr. Roth with ambulation, what observations should you immediately report?
Mr. Roth complained of pain.
A transfer belt was used.
Mr. Roth was wearing non-skid shoes.
Mr. Roth sat down for a short rest during ambulation
35
If the resident is unable to clean up properly after using a bedside commode, the HCA should:
Give a washcloth and instruct proper cleaning techniques
Assist the resident to bed and return later to clean him/her
Tell the resident that he will be cleaned at bath time.
Provide the resident with privacy and clean him gently
36
Dark amber urine may be a sign of dehydration
False
True
37
Canada's food guide recommends:
half your plate to be grains
half your plate vegetables / fruits
1/2 your plate protein foods
1/4 of your plate as dairy
38
Two significant risks associated with extended bed rest are:
Fatigue and insomnia
Boredom and irritation
blood clot and pressure ulcers
Poor hygiene and weight gain
39
You are providing perineal care to an uncircumcised patient the HCA should:
Make sure the forskin is retracted & glans exposed p care
Provide all Care the same
Forskin must be retracted to properly clean the secreations
Do not retract the forskin due to the glands being sensitive
40
Which of the following situations is a safety hazard for the client using a cane?
The client is holding the cane on the unaffected side
The rubber cane tip is wet.
The grip is level with the hip.
The client is ambulating wearing no-skid shoes.
41
which is not the type of diet texture
pureed
soft
minced diet
rice
42
The bedpan shown below is a :
Fracture pan
Flat pan
Standard pan.
Curved pan.
43
While providing mouth care you should never:
clean all surfaces including gums
leave soiled linens on resident's bed
use gentle motions
wear gloves
44
When assisting the resident to the toilet or bedside commode the HCA should...
Help the resident by removing a bowel impaction
allow the resident adequate time
Check on resident every 5 minutes
Notify the nurse of every regular bowel movement
45
When working in the community, the HCA must observe for the presence of HAZARDS such as:
grab bars in the shower
good lighting
stair rails
scatter rugs
46
Which of the following actions should the nurse take to decrease risk of skin breakdown on a paralyzed client?
Massage erythematous bony prominences
Implement turning schedule every 4 hours
Use pillows to keep heels off bed surface
Keep environmental humidity less than 30%
47
What is an alternating pressure mattress for?
It is for walking on.
It is for working on.
It is to sleep on and reduce risk of pressure injury
it is for sleeping.
48
Ways to prevent muscle atrophy include:
resting in bed
keeping positive
keeping active
visiting with friends
49
A transfer belt will be used
when the caregiver is feeling weak and tired
none of the above
whenever ambulating a client
when the client is bigger and heavier than the HCA
50
Food poisoning be life threatening
True
False
51
Most food poisoning bacteria will be killed by:
Freezing
Washing
Cooking
Refrigeration
52
Which of the following statements is true when measuring intake and output?
You should wash your hands before writing amount
all above are correct
You should measure amount of fluid at eye level
You should wear gloves with any body fluids
53
Why do we record mouth care?
For use in research
Because we have to
To cover our back if there is a complaint
To maintain accurate records and support interdisciplinary communication
54
Compression garments can be washed
Never
In normal aged care facility laundry
by Hand & hung to dry
Monthly wash will do
55
The HCA may also hear elastic stockings referred to as
TED hose
all of the above
compression socks
anti-embolic stockings
56
Which are preventions for a fecal impaction? choose all that apply
Increasing fluid intake.
Constant use of stool softeners.
Diet high in fiber.
Bed rest.
57
When making accurate observations of feces, the HCA should take note of the following:
The time of day of the bowel movement
The location in which the client had the bowel movement
The amount, color, odour, consistency, and anything unusual about the feces
Whether the client was able to perform pericare for herself
58
Food safety is important because:
It helps you make better choices about nutrition
It is not really important
It is a part of the training for being a cook
It protects you and others from illness
59
Which of the following situations require good skin care?
client with prosthesis
client with diabetes
All of the above
client with incontinence
60
Hemiplegia is the paralysis of...
an ABNORMAL part of the body.
the WHOLE body.
one vertical HALF of the body.
ANY part of the body.
61
When you transfer a client to the toilet
ensure that the client is taking big steps
ensure that the back of the client’s legs touch the toilet before sitting
use the transfer belt to pull the client towards the toilet
place your hands under the client’s axilla to provide the best support
62
Anal leakage is the primary symptom of fecal impaction?
False
True
63
when bed making you should always
use good body mechanics
all of the above
wash hands prior to handling clean linens, and afterwards
follow medical asepsis rules
64
Which is not a symptom of dysphagia?
choking
excessive drooling
coughing
constipation
65
A resident has fecal incontinence. You know that
Good skin care is required.
The person has dementia
A bowel training program will cure the person
The condition is permanent.
66
A triangular apparatus above a bed, used to help the client reposition and support weight or help with position change
Bed cradle
trapeze bar
Grab bar
bed railing
67
Standard Precautions apply to:
The health team
All residents
All persons.
Persons with infections.
68
Why would you use a mechanical lift?
All of the above
Patient is immobile and unable to bear weight.
Makes it easier.
Nurse is too lazy to assist.
69
Dysphagia is most common in?
Children
Stroke
Pregnant women
Heart failure
70
What is the main purpose of a bedpan?
Cooking in bed
For the non ambulatory patient to use for defacation and urination in bed
To store dirty sheets
For a vomiting patient
71
Which of the following best describes a type of texture modification?
The food is pureed
The food is left in large pieces
72
If a client starts to fall while mobilizing with him, you will:
ask his daughter to help catch him
let him fall but put down a pillow to protect his head
Ease him down your leg and go down with him
run and get help
73
Which results from the breakdown of skin?
All of the above
Bedsore
Pressure injury
Decubitus ulcer
74
You make an occupied bed;
Open
Closed
Fanfold the sheets away from the side by the gurney
By turning the Resident side to side
75
Incontinence is a normal part of aging
False
True
76
The health assistant performs skin care to avoid breakdown. What link in the chain of infection is targeted?
causative agent
portal of entry
susceptible host
reservoir
77
What is Dangling a Patient?
medical procedure to take blood
seems dangerous
a sitting position on the side of the bed
A laying down position for surgery
78
What is so important about fibre? (choose 2)
Tastes great, yummy!
Needed for digestive system health
Nothing.. who needs it!
Helps to manage blood glucose and blood cholesterol
79
FIBRE
HELPS US GROW
IS IN PASTA, RICE, CEREALS AND POTATOES
IS GOOD FOR OUR DIGESTION & BOWEL ELIMINATION
80
which of the following is NOT a reason for incontinence?
too much fluid intake
childbirth
strokes
prostate problems
81
Which of the following is a MINIMAL daily adult urine output:
2000 mL per day
1000 mL per day
1200 mL per day
1500 mL per day
82
Which patient would wear a disposable brief?
urinary catheter
urinary dysplasia
urinary retention
urinary incontinence
83
Intake and output be about the same?
True
False
Maybe
84
what are the first signs of skin breakdown?
clear blood flow
pale, white, or reddened skin
depression
difficulty breathing
85
Your patient is in a coma. While making the bed, you..
Talk reassuringly & explain the procedure while changing bed
Don't change the linens as often since they are hard to move
Remove the patient out of bed
Don't worry about privacy because the patient is not aware
86
How should you store food?
In a sealed container
labeled with the date opened / cut in a sealed container
labeled with the date it expires
labeled with the date opened / cut
87
Standard precautions include:
Isolating the patient from visitors
Hand Hygiene and PPE
Disposals of sharps in a black waste bag
Environmental cleaning every so often
88
True or false. For a purée diet, food can be runny.
True
False
89
Muscles have 3 important functions, which of the below is NOT one of them?
absorption
body heat
posture
movement
90
Pocketing food in the oral cavity can cause all of the following EXCEPT
dessert for later
choking on food particles
aspiration which can cause respiratory diseases such as pneumonia
91
The HCA must ensure equipment is in good working order
True
False
92
When assisting with bedpan you should
both RED & BLUE choices are correct
Provide toilet tissue, wipes, call device with in reach
provide privacy, explain, identify self, wear gloves
only RED choice is correct
93
Alternating pressure mattress
Egg crate mattress
Memory foam matress
Automatic repositioning mattress
Inflation and deflation of air changes pressure points
94
To avoid skin breakdown in those unable to mobilize, how often, at minimum, will you reposition?
15 minutes
twice per shift
2 hours
1 hour

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