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NF Unit 4 Study Guide
Name:________________________________
1. Which type of fracture consists of a broken bone and fragments in tissue?
a. Simple
b. Compound
c. Comminuted
d. Greenstick
2. What are effects of aging in the skeletal system?
a. Joints are less flexible
b. Slow recovery
c. Bones are more porous
d. All of the above
3. Kara has an oral temperature of 38.6 Celcius. She would be treated with:
a. A cold tub bath
b. Tylenol
c. Hot blankets
d. Nothing
4. When you go in to check a resident’s oral temperature, you notice he is eating
dinner. You should:
a. Ask him to stop eating and go back and take the temperature in 15 minutes
b. Take an aurel temperature
c. Use an electronic thermometer to measure the oral temperature
d. Go back and take the temperature 15 minutes after he finishes eating.
5. If you want to know if a patient has circulation in his lower leg, you would check for
a pulse in the:
a. Temporal artery
b. Radial artery
c. Brachial artery
d. Popliteal artery
6. An important guideline for performing ROM is:
a. Follow directions on number of times each joint is to be exercised
b. Massage area briskly before beginning
c. Don’t be concerned if it hurts because it probably will
d. Make sure they have had a balanced meal first
7. When performing ROM on a resident, the NA needs to move them:
a. Slowly, smoothly, and gently
b. Fast, smooth, and only in the morning
c. With pressure against the joints
d. All of the above
8. When removing a hearing aid, the NA should:
a. Store on night stand
b. Use tissues to wipe off wax from the ear piece
c. Wash them in warm water
d. Never remove hearing aids
9. The diastolic pressure is the pressure the blood exerts on the walls of arteries
when the heart:
a. Is at rest
b. Is fibrillating
c. Is contracting
d. Is filled with blood
10. Replace batteries in a hearing aid when:
a. There is no whistle
b. There is a whistle
c. Volume is high
d. They are special batteries that need not be changed
11. Sarah Janes’s blood pressure is 140/100. Her systolic pressure is considered to be
a. High
b. Low
c. Within normal range
d. None of the above
12. What type of pulse is taken with a stethoscope?
a. Tympanic
b. Auditory
c. Femoral
d. Apical
13. What type of sphygmomanometer has a round gauge with a needle?
a. Electronic
b. Mercury
c. Disposable
d. Aneroid
14. Cheyne-Stokes respirations are often seen in patients who are dying. This type of
respiration is characterized by:
a. An absence of respirations
b. Bubbling or noisy respirations
c. Periods of apnea followed by periods of dyspnea
d. Wheezing and coughing after each deep breath
15. Which of the following is NOT a type of scale?
a. Bathroom scale
b. Walker scale
c. Bed scale
d. Scale attached to hydraulic lifts
16. Residents who have contractures or cannot stand:
a. Must be measured using a tape measure
b. Get measured upon arrival to the facility, but never again
c. The NA can make an educated guess how tall they are
d. Can tell NA what their height was when they could stand
17. A patient in a doctor’s office has the following VS: B/P 132/82, P 74, R 32, and T
98.2 degrees F. Which VS is NOT in a normal range?
a. B/P
b. T
c. P
d. R
18. When weighing a resident, you would:
a. Measure them with all their clothes on
b. You don’t weight the resident
c. Use the same scale each time
d. Do it at different times each day
19. Mrs. Gordon is an elderly patient with organic brain syndrome who is completely
bedridden. The physical therapist is performing range of motion exercises to
prevent:
a. Muscle Hypertrophy
b. Contractures
c. Decubitus Ulcers
d. Muscle Spasm
20. What statement about walkers is true?
a. Most walkers have two legs
b. Walkers are for strong patients with leg injuries
c. A walker should be properly fitted to a patient
d. A patient should slide the walker forward
21. You use a gait belt when…
a. There is an emergency situation
b. Residents cannot walk
c. Residents are unsteady on their feet
d. One or both legs are weak
22. When taking a resident into an elevator while on a stretcher or in a wheelchair:
a. Take them out of it and hold them
b. Don’t take them into an elevator
c. Put them in feet first
d. Back them in head first
23. When using wheelchairs for residents:
a. Seats should sag a little in the center
b. Seats should not reach the back of the resident’s bent knees
c. Be guided forward when going downhill
d. Should be pulled forward over indented or raised areas
24. What term is used to describe the pain felt when the heart does not receive
enough oxygen?
a. Fibrillation
b. Angina Pectoris
c. Edema
d. Arteriosclerosis
25. Which is an example of a circulatory system change due to aging?
a. Heart muscle is less efficient
b. Capillaries become more fragile
c. Blood pressure increases
d. All of the above
26. Which pulse site is located on the inner aspect of the elbow?
a. Femoral
b. Radial
c. Brachial
d. Carotid
27. Which of the following circulatory disorders is known as a moving blood clot?
a. Embolus
b. Thrombus
c. Phlebitis
d. Atherosclerosis
28. What is the proper way to apply a gait belt?
a. At the waist under the clothes
b. Around the hips under the clothes
c. At the waist over the clothes
d. Around the hips over the clothes
29. You are helping a patient ambulate with crutches when the patient becomes dizzy.
You would:
a. Help the patient ambulate back to his room and go back to bed
b. Help the patient sit in the nearest chair and call for help
c. Let the patient stop walking for a minute until the dizziness passes
d. Sit the patient on the floor and prepare to perform CPR
30. What should you do FIRST before transferring Mr. Flynn from his bed to a
stretcher?
a. Lock the wheels of the bed
b. Lower the siderails of the bed
c. Place the stretcher near the bed
d. Put the siderails up on the stretcher
31. When you are ambulating a patient with a gait belt, how should you hold the gait
belt?
a. Hold onto the front of the belt using an overhand grasp
b. Keep one hand on the gait belt and the other hand on the patient’s shoulder
c. Hold the back of the gait belt with an underhand grasp
d. Once the patient begins walking let go of the gait belt but stay beside the
patient
32. Leslie has a cast on her wrist. What motion can she still do with her lower arm,
wrist and hand?
a. Flexion
b. Rotation
c. Extension
d. Hyperextension
33. Which is the sensory organ disease that involves infection of the middle ear:
a. Otitis media
b. Sty
c. Deafness
d. Glaucoma
34. What is the medical term for a stroke?
a. Cerebrovascular accident
b. Cerebellum venous artery
c. Claudic Ventral Anurysm
d. Central Vascular Arteriosclerosis
35. Which is/are common nervous system disorder?
a. Parkinson’s
b. Cancer
c. Multiple sclerosis
d. A and C
36. Which is an effect of aging on the nervous system?
a. Reduced sense of touch and sensitivity to pain
b. Increased blood flow to brain
c. Forgetfulness
d. Both A and C
37. Which is an observation to report?
a. Tremors
b. Onyching
c. Lacrimal
d. Bilivesic
38. The doctor request the most accurate temperature for a hypothermic patient. The
student will obtain and document which temperature?
a. 95.2
b. 96.2 Ax
c. 96.2 R
d. 97.2
39. Measuring the pulse is one way of checking on the _____ system.
a. Skeletal
b. Circulatory
c. Muscle
d. Sensory
40. Doris is experiencing decreased feeling in her lower limbs. Which pulse site is best
to assess for circulation?
a. Radial
b. Brachial
c. Dorsalis Pedis
d. Carotid
41. Blood consists of ___% water.
a. 50
b. 70
c. 80
d. 90
42. An 8 year old has had oral surgery. Which type of thermometer is best to use for
taking her temperature?
a. Aurel
b. Oral electronic
c. Glass
d. Rectal electronic
43. The patient has the following VS: T 102.2, P 92, R 28, B/P 154/96. The patient
has:
a. bradycardia
b. hyperthermia
c. hypotension
d. hypothermia
44. The student takes the patient’s blood pressure, which is 166/78. The student
should be concerned about the:
a. Heart contracting
b. Heart resting
c. Irregular pulse rate
d. Irregular rhythm of the heart
45. What is the largest part of the brain?
a. Cerebellum
b. Thalamus
c. Hypothalamus
d. Cerebrum
46. How long is the spinal cord?
a. 18 inches
b. 16 inches
c. 8 inches
d. 2 feet
47. Which blood pressure reading should be reported immediately?
a. 110/60
b. 132/78
c. 144/80
d. 188/120
48. What do temperature and blood pressure have in common?
a. Excessive bleeding can cause the data to change
b. The data should not be compared to previous data
c. They provide data that can be used to treat illness
d. 10
49. Louis suffered a fractured metatarsal while playing baseball. The best ambulation
device for him is:
a. Cane
b. crutch
c. walker
d. walking boot
50. A patient returns from surgery and the nurse assistant is helping with the transfer
from the stretcher to the bed. The nurse assistant knows the most important
thing is to:
a. Have a gait belt to assist with the transfer
b. Lock the wheels on the stretcher and the bed
c. Place the patient in the prone position
d. Take the patient’s vital signs
51. Jackie is scheduled for a massage. She complains of muscle tightness in her neck
and shoulders. The most relaxing treatment of Jackie’s muscle tightness is:
a. Effleurage
b. Hot packs
c. Ice packs
d. Petrissage
52. The medical term for platelet is:
a. erythrocyte
b. leukocyte
c. phagocyte
d. thrombocyte
53. When using an electronic thermometer if taking a rectal temperature the probe
should be what color?
a. Blue
b. Green
c. Red
d. Yellow
54. Where is the aural temperature taken?
a.
Ear
b. Axillary
c. Rectal
d. Oral
55. Respiration means to breath in ______ and breath out ______
a. Carbon dioxide, oxygen
b. Oxygen, oxygen
c. Oxygen, carbon dioxide
d. CO2, C02
56. The process in which oxygen and carbon dioxide are exchanged between the lungs
and blood is called:
a. Internal Respiration
b. External Respiration
c. Hypo-respiration
d. All of the above
57. The main function of leukocytes is to:
a. Carry blood proteins
b. Blood clotting
c. Fight infection
d. Produce energy
58. The main function of erythrocytes is to:
a. Carry oxygen
b. Fight infection
c. Blood clotting
d. Produce energy
59. What is the membrane that encloses the lungs?
a. Nose
b. Alveoli
c. Diaphragm
d. Pleura
60. Which type of care follows rehabilitation? The goal is to keep the resident at the
level achieved by rehabilitation services.
a. Restorative
b. Rehabilitation
c. Respite
d. Palliative
61. Which is a goal of rehabilitation/restoration?
a. Learning new skills
b. Prevention of complications
c. Retraining lost skills
d. All of the above
62. The muscular layer of the heart is the:
a. Endocardium
b. Myocardium
c. Pericardium
d. Septum
63. The structures inside the heart that prevent back flow of blood are the:
a. arterioles
b. bundles of His
c. atria
d. valves
64. Which type of care is managed by professionals to help restore a person to the
highest level of function?
a. Restorative
b. Rehabilitation
c. Respite
d. Palliative
65. The smooth membrane that lines the inside of the heart and heart valves:
a. Myocardium
b. Viscera
c. Pericardium
d. Endocardium
66. Carl has spasms of the bronchial tube walls, which cause narrowing of air passages
due to him eating certain foods. Which common disorder of the respiratory system
does Carl have?
a. COPD
b. Bronchitis
c. Asthma
d. URI
67. What is a highly contagious URI?
a. Pleurisy
b. Influenza
c. Bronchitis
d. Asthma
68. What are the symptoms of the Respiratory System due to aging?
a. Number of alveoli decrease
b. Respirations increase
c. Chest walls become more rigid
d. All of the above
69. What are normal respirations per minute for adults?
a. 5 -10
b. 6-11
c. 12-20
d. 15-21
70. What large artery does blood enter as it leaves the left ventricle of the heart?
a. Aorta
b. Carotid
c. Jugular
d. Vena Cava
71. The upper chambers of the heart are called:
a. Atria
b. Nodes
c. Septums
d. Ventricles
72. The superior vena cava carries deoxygenated blood to what part of the heart?
a. Right atrium
b. Left atrium
c. Right ventricle
d. Left ventricle
73. The artery in the arm usually used for blood pressure is:
a. Brachial
b. Radial
c. Tibial
d. Ulnar
74. Blood that leaves the legs will pass through what vein before reaching the heart?
a. Aorta
b. Carotid
c. Pulmonary vein
d. Inferior vena cava
75. What body mechanics do you use?
a. Keep back straight
b. Use both hands to move objects
c. Don’t twist your body
d. All of the above
76. The day of surgery, the MD wants the patient to sit up on the side of the bed for a
few minutes. She would write an order to:
a. Delete bedrest
b. Dangle the patient
c. Ambulate qd
d. Align the patient
77. When using crutches the weight is supported on the handle bars not the _______?
a. Knee
b. Foot
c. Axilla
d. Tarsal
78. How many fingers should fit between the arm rest and axilla to fit properly?
a. 1 finger
b. 2 fingers
c. 4 fingers
d. It doesn’t matter as long as it is not touching
79. What is the purpose for TED stockings?
a. Support
b. Circulation
c. Prevent blood clots
d. All of the above
80. Systolic pressure has a greater force and is when the heart is:
a. Relaxing
b. At rest
c. Contracting
d. Superior
81. Diastolic pressure is the least force exerted as the heart ______
a. Relaxes
b. Is medial
c. Contracts
d. Fails
82. Heart failure can cause poor circulation resulting in venous congestion. What
occurs when fluid accumulates in the tissues?
a. Fibrillation
b. Angina Pectoris
c. Myocardial Infarction
d. Edema
83. When recording blood pressure you record it in what order?
a. Systolic over Diastolic
b. Diastolic over Systolic
c. Side by side
d. In numerical order
84. A disease of the circulatory system characterized by fatty deposits in the walls of
the arteries which reduces the amount of blood going to an organ:
a. Atherosclerosis
b. Emphysema
c. Angina Pectoris
d. Phlebitis
85. When a resident is using a walker which leg should they lead with?
a. Weaker
b. Stronger
c. Longer
d. Shorter
86. What should canes be level with when used?
a. Head of Pelvis
b. Head of Femur
c. Below the knee
d. Just above the knee
87. The areas where cranial bones join together to form immovable joints are called:
a. Cranial seals
b. Foramen
c. Sutures
d. Fontanels
88. Braces are used for:
a. Support a weak part of the body
b. Prevent movement of joint
c. Correct deformities
d. All of the above
89. IF you move from a sitting to a standing position what type of joint movement
occurs at the knee?
a. Flexion
b. Extension
c. Abduction
d. Adduction
90. What type of movement occurs when you turn your head from side to side to say
“no”?
a. Circumduction
b. Pronation
c. Supination
d. Rotation
91. During a fall from a tree, Tim fractured his tibia. The bone broke through the skin.
This type of fracture is:
a. Comminuted
b. Compound
c. Closed
d. Simple
92. The main reason for applying a cast around a fracture is to:
a. Immobilize the bone
b. Prevent infection
c. Protect the bone fragments
d. Decrease inflammation
93. What is a ligament?
a. Connects bone to bone
b. Connects muscle to muscle
c. Connects muscle to bone
d. Connects tendon to muscle
94. What is a tendon?
a. connects bone to bone
b. connects bone to tendon
c. connects muscle to bone
d. connects tendon to muscle
95. If we fail to exercise, our muscles will become weak, flaccid and will:
a. Hypertrophy
b. Atrophy
c. Fill with fluid
d. Become myosclerotic
96. The two types of ROM are:
a. Active, passive
b. Transport, active
c. Inactive, passive
d. Passive, transport
97. The purpose of ROM is:
a. Decrease circulation
b. Maintain muscle tone
c. Increases deformities
d. All of the above
98. What two words would describe someone’s respirations if they are fast and
labored?
a. Dyspnea and tachypnea
b. Apnea and shallow
c. Tachypnea and rales
d. Dyspnea and rales
99. As Wilma ages her bones will become more porous, lose calcium and be more likely
to fracture. This is called:
a. Osteomalacia
b. Osteoma
c. Osteomyelitis
d. OSteoporosis
100.
A tree falls on Ryan’s leg, causing a splintering of the bone, but does not
completely separate the bone. What disorder does Ryan have?
a.
Greenstick fracture
b. Compound fracture
c. Comminuted fracture
d. Dislocation