1.PSW FOUNDATION
1.Bathing Grooming And Elimination Are Example Of
a)
b)
c)
d)
High Level Needs
Cognitive Function
Activities Of Daily Living
Communication Skills
2. A Resident Is Very Angry The Psw Should
a)
b)
c)
d)
Not Argue
Listen With Caring Attitude
Stay Calm
All Of The Above
3.Mrs.Rose Ask You To Perform A Function Which Extends Beyond The Scope Of Your Responsibility And
Training You Should;
a) Ask Mr. Rose To Tell You How To Perform That Skill
b) Call A Coworker And Ask Her How To Do The Skill
c) Advise The Client That You Are Not Trained To Perform That Skill And Report The Request To Ur
Supervisor
d) Perform The Function With Extra Caution
4.Which Need Is The Most Essential For Life
a)
b)
c)
d)
Oxygen
Food
Water
Sexual Stimulation
5.Which Statement Is False
a)
b)
c)
d)
An Attitude Of Hopefulness Must Be Conveyed To The Person
You Should Know How To Use The Equipment’s Used In The Person’s Care
You Should Know How To Apply Self Care Devises
Sympathy And Pity Help A Person Adjust To A Disability
6.A Professional Concerned With A clients Ability To Perform Essential Daily Living Task
a)
b)
c)
d)
Medical Doctor
A Physio Therapist
Occupational Therapist
Personal Support Worker
7 Which One Of The Following Is An Objective Symptom
a) Anxiety
b) Fatigue
c) Bruising
d) Head Ache
8.According To Maslow Experiencing Ones Potential Fulfills Which Needs
a)
b)
c)
d)
Safety And Security
Self-Actualization
Physical Security
Love And Belongings
9.Subjective Symptoms Are;
a)
b)
c)
d)
Related Only To What The Doctor Determines
Difficult To Recognize
Observed By The Psw
Felt And Described Only By The Client
10.To Obtain Information About Mrs. Khan And The Care She Needs The Care Giver Should Review;
a)
b)
c)
d)
Her Medical Chart
The Staff Assignment Sheet
Her Input And Output Record
Her Nursing Care Plan
11.Which One Of The Following Would Be An Example Of Supportive Housing;
a)
b)
c)
d)
Hospice Care
Chronic Care
Long Term Care Facility
Outreach Apartments
12 Upholding And Promoting The Residents Bill Of Rights For Residents Of Long-Term Facilities Is The
Responsibilities Of;
a)
b)
c)
d)
The Activity Departments Of Long-Term Care Institutions
Only The Director Of Nursing
All Workers And Professionals In The Long-Term Care Institution
Only Doctors, Nurses And Administrations
13.Family And Friends Help Meet The Need For;
a)
b)
c)
d)
Safety And Security
Love And Belongings
Self Esteem
Self Actualization
14.A Person Who Fills The Medication Prescription Monitors And Evaluates Drug Interactions, Drug
Action and Reaction Is A;
a) Registered Nurse
b) Pharmacist
c) Dentist
d) Nurse Practitioner
15.Looking At Things From Another Point Of View Is Called;
a)
b)
c)
d)
Politeness
Courtesy
Work Ethic
Empathy
16.Self Care Activities That People Perform Daily To Remain Independent And To Function;
a)
b)
c)
d)
Stressors
Rituals
Functionalities
Activities Of Daily Living
17.In A Community Settings Who Usually Asses, Monitor, And Evaluates The Client And Co-Ordinates
The Services Of The Health Care Team;
a)
b)
c)
d)
Occupational Therapist
Social Worker
Family Physician
The Case Manager
18.Mrs.Bell Would Like To Take Bath. When You Say, Do U Want To Take A Bath, You Are;
a)
b)
c)
d)
Augmenting
Focusing
Delaying
Paraphrasing
19.Care Of The Aged Is Called;
a)
b)
c)
d)
Palliative Care
Respite Care
Pediatrics
Geriatric
20.Client Specific Information That Is Gathered Directly From The Client And Recorded it At The Time Of
Admission As A Part Of The Permanent Record To Ensure Ongoing Consent To Treatment Is;
a)
b)
c)
d)
Substitute Decision
Advocacy Statement
Informed Consent
Implied Consent
21.Behaviour That Tends To Treat People Unfairly Refers To;
a) Holism
b) Stigma
c) Discrimination
d) Disability
22.Restating People Message Back To Them In Your Own Words Refers The Act Of;
a)
b)
c)
d)
Distracting
Paraphrasing
Denial
Focusing
23.The Term That Refers To Every Residents Right To Receive Health Care With Similar Terms And
Conditions Is;
a)
b)
c)
d)
Non- Social
Normalization
Universality
Neutrality
24.During An Exchange Of Information, A message Is Sent;
a)
b)
c)
d)
From A Speaker To Another Speaker
From The Speaker To A Receiver
From The Receiver To The Speaker
Without Feed Back
25.Which One Of The Following Is Considered A More Accurate Reflection Of A Person’s Feeling?
a)
b)
c)
d)
Verbal Communication
Non-Verbal Communications
Written communication
Sign Language
26.An Approach To Work That Demonstrates Respect To Others, Commitment, Competence, And
Appropriate Behavior Is;
a)
b)
c)
d)
Jurisprudence
Professionalism
Kibitzing
Scope Of Practice
27.By Encouraging The Clients To Carry Out The Activities Of Daily Living That They Are Able To Do On
Their Own, The Psw Is Helping To Meet The Clients Need For;
a)
b)
c)
d)
Relying On Others
Cultural Practices
Independence And Self Esteem
Dependance And Love
28.If A Person Is Responsible To Their Actions And Bound To Give An Explanation, They Are Considered;
a)
b)
c)
d)
Regulated
Licensed
Employed
Accountable
29.Decisions That Are Concerned With Right And Wrong Is Called;
a)
b)
c)
d)
Religious
Ethical
Legal
Amoral
30.The Resident’s Unit;
a)
b)
c)
d)
Is Keep Clean By The Resident
Should Be Personal And Home Like As Possible
Should Always Have Dim lighting
Is Arranged For Staff Convenience
31.Someone Who Relies On Another Person For Support And Assistances;
a)
b)
c)
d)
A Self Determined Person
An Interdependent Person
A Dependent Person
An Independent Person
32.Giving Responsibility Of Non-Controlled Acts Refers To;
a)
b)
c)
d)
Assignment
Delegation
Transfer Of Function
Standing Orders
33.Which One Of The Following Is A Subjective Symptom?
a)
b)
c)
d)
A Pulse Rate Of 79
Pain And Discomfort
A Temperature Of 37.1c
Skin Breakdown
34.Someone Who Develops Menus And Special Diet Is;
a)
b)
c)
d)
Social Worker
Registered Nurse
Physiotherapist
Dietitian
35.Strategies That Improve Or Maintain Health Antiindependence Refers To;
a) Medicare
b) Home Care
c) Disease Prevention
d) Health Promotion
36.The Clients Right To Decide To Choose Or To Refuse In All Aspects Of Their Care Refers To;
a)
b)
c)
d)
Self Determination
Self Care
Interdependence
Independence
37.Injuring A Person’s Name By Making A False Statements To A third Party Refers To;
a)
b)
c)
d)
Assault
Confidence
Defamation
Battery
38.The Canadian Charter Of Rights And Freedom Applies To;
a)
b)
c)
d)
Only Clients With Aids
Every Canadian
Everyone Except Frail Elderly In Long Term Care Institution
Only Adults Living In A Community
39.Legislation That Clarifies Types Of Health Services That Are To Be Insured Is The;
a)
b)
c)
d)
Health Discipline Act
Food And Drug Act
Regular Health Provisions Act
Federal Health Act
40.Temporary Care Of A Person With A Serious Illness Or Disability That Gives The Regular Care Giver A
Break From Their Duties Is;
a)
b)
c)
d)
Acute Care
Palliation
Respite Care
Chronic Care
41.To Make An Unfair Or Preferred Choice Or Distinction Refers To;
a)
b)
c)
d)
Confirmation
Affirmation
Discrimination
Allegation
42.Values, Beliefs, Habits, Likes ,Dislikes And Characteristics Of A Group Passes From One Generation To
The Next Refers To;
a)
b)
c)
d)
Religion
Culture
Custom
Tradition
43.Which One Of The Following Is Responsible For The Development And Administration Of Their Own
Health Care Insurance Plan;
a)
b)
c)
d)
Territory
Municipality
Province
Both A & C
44. A Common Barrier To Effective Communication Is;
a)
b)
c)
d)
Speaking Slowly
Good Eye Contact
Not Listening
Allowing Silence
45.Consideration Of Physical, Psychological, Social And Spiritual Needs Refers To Health That Is;
a)
b)
c)
d)
Acute
Chronic
Holistic
Medical
46.Proffessionalism Involves;
a)
b)
c)
d)
Removing The Call Bell Of A Resident Who Is Always Ringing It
Waiting For Someone Else To Answer The Call Bell
Reporting The Nurse In charge Each Time U Leave The Unit
Discussing A Problem With A Client In A Cafeteria
47.Mrs, Roger Is Discharged From The Long-Term Health Care Facility, Her Medical Record Is;
a)
b)
c)
d)
Retained By Her Family
Destroy To Ensure Her Confidentiality
Permanent And Stored In Keeping With Provincial Legislation
Sent Home With Her As It Is Her Property
48.By Encouraging Their Clients To Carry Out The Activities Of Daily Living That They Are Able To Do On
Their Own, The Psw Is Helping To Meet The Clients Need For;
a)
b)
c)
d)
Cultural Practice
Dependance And Love
Independence And Self Esteem
Relying On Others
49.When Planning Care For Several Residents The Care Giver Should First Assist The Resident Who Need
To;
a)
b)
c)
d)
Walk
Dress
Talk
Void
50.The Evening Clock Says 9 ; 21 .You Record;
a)
b)
c)
d)
921 Am
921
2121
21
51.Conversation Will Be Stimulated By Questions That Are;
a)
b)
c)
d)
Short
Long
Open Ended
Closed Ended
52.Respecting And Guarding Personal And Private Information About Another Person Refers To;
a)
b)
c)
d)
Jurisprudence
Secrecy
Confidentiality
Compassion
53.Messeges Are Sent Through
a)
b)
c)
d)
Touch
Facial Expression And Body Posture
Verbal Communication
All Of The Above
54.Giving Responsibility Of Non-Controlled Acts Refers To;
a)
b)
c)
d)
Assignment
Delegation
Transfer Of Function
Standing Orders
55.The Time Is 2.40 In The Afternoon Using A 24 Hour Clock This Would Be Recorded As;
a)
b)
c)
d)
1240
240 Pm
1440
240
56.Using Culturally Sensitive Assistance Help To Develop;
a)
b)
c)
d)
Universal Health Care
Recognition And Respect
High Expectations Of Caregivers
Political Correctness
57.A Professional Who Treats People With Speech Disorder Is A;
a)
b)
c)
d)
Social Worker
Speech Pathologist
Personal Attendant
Personal Support Worker
58.Clients Living In A Long-Term Care Facility Have The Right To;
a)
b)
c)
d)
Know The Care Plans Of Other Resident
Disregard Facility Policy
Refuse Care And Treatment
Disturb Other Clients If They Wish
59.Which One Of The Following Actions Would Help Meets A Client Self Esteem;
a)
b)
c)
d)
Assisting The Client With Performance Of Adl
Suggesting That At Family Member Perform The Care
Encouraging The Client To Perform Self Care When Able
Anticipating The Needs Before The Client Request Help
60.A Person Authorized Give Or Withhold Consent On And Incapable Persons Behalf Is Called;
a)
b)
c)
d)
Executor
Assaulter
Consenter
Substitute Decision Maker
61.The Holistic Health Care Recognize;
a)
b)
c)
d)
Physical And Safety Needs
Cultural And Religious Back Ground
The Social, Physical, Physiological And Spiritual Person
All Items Outline In The Care Plan
62.The Term Stat Means;
a)
b)
c)
d)
Before The End Of The Shift
Immediately
Within 2 Hours
As Soon As Possible
63.Deciding If The Resident’s Room Has An Odor Involves Which Sense;
a) Touch
b) Vision
c) Smell
d) Hearing
64.Creating, Learning And Reaching One’s Individual Goals And Optimum Level Of Functioning Helps To
Meet The Need For;
a)
b)
c)
d)
Physical Exercise
Safety And Security
Self Actualization
Love And Belonging
65.A Medical Doctor Who Prescribes Medication and Leads the Health Care Team Is A;
a)
b)
c)
d)
Surgeon
Cardiologist
Physician
Pathologist
66.When Your Client Mr. George Tells You That He Has a Head Ache And Sore Back He Is Communicating
His;
a)
b)
c)
d)
Diagnosis
Assessment
Signs
Symptoms
67.A Psw Breaks A Resident’s Glasses Because Of Carelessness, What Specific Term Applies;
a)
b)
c)
d)
Malpractice
Negligence
Assault
Battery
68.Knocking and Requesting to Enter A Client Room Supports the Client’s Right To;
a)
b)
c)
d)
Services
Assistance
Privacy
Confidentiality
2.Safety and mobility
1. The following is incorrect regarding call bells
a. leaving a client without a call bell can be regarded as emotional
b. Place the call bell on the client's weak side
c. Remind the client to use the call bell if they need anything
d. Answer call bells promptly
2. Staff training, material labeling, and M.S.D.S. identifications are all mandatory requirements of
a. Accreditation
b. The Regulated Health Professions Act
c. W.H.M.I.S.
d. Infection control guides
3.A lift sheet will extend from the:
a. Head to above the knees
b. Shoulders to below the knees
c. Head to below the ankles
d. Waist to the ankles
4. When using the proper handwashing technique, the PSW should:
a. Rinse with water
b. Rinse with the fingertips pointing down
c. Use hot water
d. Turn off the faucets with a gloved hand
5.Fever, nausea, vomiting, rash or sores, pain or tenderness, and redness may indicate the resident has:
a. An infection
b. A fracture
c. A nodule
d. A skin tag
6. Mr. James is very confused. He likes to have a cigarette after lunch. You should:
a. Take him to the smoking room
b. Supervise his smoking
c. Respect his right to smoke any time he wants
d. Tell him he cannot smoke
7.Gloves should be worn when in contact with:
a. Blood
b. Body secretions
c. Body fluids
d. all of the above
8. Viruses. Bacteria, fungi, and protozoa are all forms of:
a. Infection control measures
b. Food fungi
c. Plaque or tartar
d. Microorganisms
9. Transmission based precautions:
a. Are used for client's infected or colonized with certain pathogens
b. are used in place of standard precautions
c. can be used to protect other people from a client's infection
d. Both a and c
10. The back-lying position or dorsal recumbent position refers to the:
a. Fowler's position
b. Lateral position
c. Supine position
d. Sim's position
11. Personal protective equipment includes:
a. Gloves, gowns, masks, goggles
b. Aprons, booties, gloves
c. Eye shields, aprons, masks
d. All of the above
12. Immobilized residents must be turned a minimum of once every:
a. 2 hours
b. 3 hours
c. 3 and a half hours
d. 4 hours
13. Isolation precautions:
a. Prevent all infections
b. Destroy pathogens
c. Prevent the spread of communicable diseases
d. Destroy pathogens and non-pathogens
14. Which one of the following is not true?
a. A nurse or physical therapist determines the best method for transfer based on
b. A mechanical lift is a useful device for wheeling residents from one room to
c. one disadvantage of mechanical lifts are that residents don't have as
opportunity to use their muscles
d. All of the above
15. The joint movement Plantar Flexion is defined as:
a. Straightening a body part
b. Bending the toes and foot up at the ankle
c. Turning upward
d. Bending the foot down of the ankle
16. Muscles are attached to bones by:
a. Ligaments
b. Fascia
c. Other muscles
d. Tendons
17. Which body system has the responsibility to destroy pathogens?
a. Cardiovascular
b. Respiratory
c. Digestive
d. Immune
18. A person with a spinal cord injury should be:
a. Transferred in segments
b. Turned in segments
c. Transferred with their back slightly inclined
d. Log rolled in one unit
19. When using hazardous cleaning products, which one of the following precautions
a. Mix with detergent to ensure washability
b. Store on the bottom shelf
c. Dilute the product so it lasts longer
d. Use the correct personal protective equipment
20. When microbes have been reduced in numbers, which one of the following has occurred ?
a. Sterilization
b. Disinfection
c. Contamination
d. Outbreak
21. Which one of the following is not a mode of bacterial transmission?
a. Direct
b. Indirect
c. Vector
d. Sterilization
22. AIDS, hepatitis, and influenza are all examples of infections caused by:
a. Viruses
b. Bacteria
c. Fungus
d. Parasites
23. When using a Hoyer (type of client lift) which one of the following is true?
a. It prevents bruising of the client while lifting
b. Residents feel safe in it
c. Two caregivers must be present
d. One person can use it alone
24. A vector is an intermediate host such as:
a. An animal
b. An insect
c. A grab bar
d. A and b
25. The rubbing of one surface against another is called:
a. Friction
b. Contusions
c. Fractures
d. Shearing
26. When the PSW assists a client with active ROM:
a. The PSW implements new exercise in keeping with the client's progress
b. The PSW's job is to only count the repetitions
c. The client moves the joint or limb
d. The PSW moves the joint or limb
27. The term body mechanics refers to.
a, Using the transfer board
b, how strong the Psw is
c. Reducing injury
d. The movement of the body in an efficient and careful way
28. You should wash your hands thoroughly
a. Only if your hands are contaminated
b. Before talking with a client
c. After toileting a client
d. Once during the shift
29. A clean area:
a. Has no safety hazards
b. Has a reduced number of microbes
c. Has been cleared of clutter
d. Is contaminated with microorganisms
30. If you receive a burn while cooking, what should you do immediately?
a. Apply ointment
b. Pack it with ice
c. Run cold water on it
d. Smear butter on it
31. Bed cradles are used to:
a. Prevent the mattress from sagging
b. Promote plantar flexion
c. Keep the hips abducted
d. Keep the weight of the top liners off the feet
32. Mrs. John is to be transferred from the bed to the wheelchair. She should wear firm
non-skid shoes to:
a. Provide strength on her weak side
b. Prevent slipping or sliding on the floor
c. Make her more steady on the feet
d. Provide a good base of support
33. Which of the following uses poor body mechanics?
a. Placing the feet apart when transferring the resident
b. Bending from the waist when providing client care
c. Holding clean equipment close to the body when walking
d. Flexing the knees when lifting objects from the floor
34The following incorrect regarding the use of a cane:
a. The weak moved forward with the cane
b. The grip of the cane should be level with the hip
c. Four point canes provide more support than a simple tip
d. A cane held on the weak side of the body
35. TO find out the resident's type of isolation, the PSW should ask the:
a. Housekeeping department
b. Nurse in charge
c. Resident's physician
d. Resident
36. Transmission based precautions:
a. Can be used to protect other people from a client's infection
b. Are used in place of standard precautions
c. Are used for client's infected or colonized with certain pathogens
d. Both a and c
37. Adult CPR is being given by two people. Two (2) full breaths are given
a. After every compression
b. Only when positions are changed
c. After every thirty compressions
d. After every sixth compression
38. substances that Will cause poisoning are:
a. Flammable
b. Toxic
c. Reactive
d. Corrosive
39. Which body system has the responsibility to destroy pathogens?
A .immune
b. digestive
c. Respiratory
d. Cardiovascular
40. the use of body in an efficient and careful manner refers to proper body;
a. alignment
b. mechanics
c. segment
d. base of support
41.the muscles of the human body that are protected by using proper body mechanics are located in
the;
a. Thighs
b. Lower back
c. Shoulder
d. Forearms
42. In the female, the muscular canal is called the.
a.vulva
b. Cervix
c. Sacrum and coccyx
d. Vagina
43. Geriatric chairs can be a form of:
a. Freedom
b. Confinement
c. Restraint
d. Both b and c
44. Contractures are serious. A PSW can assist with preventing them
a. Encouraging the client to participate in daily exercises
b. Providing assistance with grooming
c. Providing passive range of motion exercise
d. Forcing daily exercise
45. When applying a transfer belt, it should be:
a. Buckled in the centre of the back
b. Applied loosely over clothing
c. Tightened so that it is snug
d. Applied next to the skin
46. The back-lying position or dorsal recumbent position refers to the:
a. Sim's position
b. Supine position
c. Lateral position
d. Fowler's position
47. Two people should logroll a client when:
a. Positioning any client in bed
b. The client is recovering from hip fractures
c. The client has an arthritic spine or knees
d. Both b and c
48. Mr. Charles has been in bed for several days and is getting up for the first time.
he gets up, he Will be helped to Sit on the Side of the bed and dangle his feet for a few
minutes. The main reason for this is to:
a. Provide time get a chair and pillow in proper position
b. Make him feel afraid to get up
c. Prevent dizziness or fainting
d. Make it easier to put on his robe and slippers
.49. The area on which object rests refers to;
a. Gravitational pull
b. Base of support
c. Alignment.
d. Apex
50. Which of the following Will cause friction shearing?
a. Lifting resident into a wheelchair
b. Using curning sheet
c. Sliding the resident in bed
d. Rolling the resident in bed
51. A lift sheet will extend from the:
a. waist to the ankles
b. head to below the ankles
c. shoulders to below the knees
d. Head to above the knees
52. Personal protective equipment includes:
a. Eye shields, aprons, masks
D. Aprons, booties, gloves
c. Gloves, gowns, masks, goggles
d. All of the above
53. Safety measures are needed to ensure Mrs. Carter, a resident in long-term care facility
does not fall. Which one of the following is unsafe?
a. Non-skid shoes
b. Safety rails in the bathroom
c. One-colour floor coverings
d. Non-glare, waxed floors
54. Which one of the following is not considered a physical restraint?
a. Geri chair
b. Walker
c. Side rails
d. Seat belts
55. What is the first responsibility of the PSW when fire is detected?
a. Extinguish the fire
b. Remove the client
c. Contain the fire
d. Alert the fire department
56. Movement of the body part toward the body refers to:
a. Abduction
b. Adduction
c. Rotation
d. Extension
57. The use of gloves, masks, gowns, and hand washing to reduce the spread of disease is
called:
a. Sterilization
b. Sanitization
c. Disinfection
d. Standard precautions
3. BODY SYSTEM
1.The vitreous and aqueous humor are located in t he
a.Eye
b .ear
c. nose
d. throat
2.The stable state of the body refers to
a. Homogenous
b. Homeostasis
c. Ventilation
d. metabolism
3.The term------are used to measure the bodys basic function
a. Vital signs
b. Scales
c. Thermometers
d. Stethoscopes
4. The throat is the
a. Epiglottis
b. Pharynx
c. Trachea
d. Diaphragm
5.-------is the potentially serious infectious disease that mainly affect your lungs
The bacteria that cause this condition are spread from one person to another
through tiny droplets released into the air via coughs and sneezes
a. SARs
b. Asthma
c. Bronchitis
d. Tuberculosis
6.Blood vessels that carry blood away from the heart are
a. Veins
b. Arteries
c. Capillaries
d. Valves
7.having ------means that your heart beats-very slowly. For most
Having a minute while at rest is considered normal. If your
beats less than 60 times a minute, it iS slower than normal. This slower rate refers
a. Tachycardia
b. Bradycardia
c. Dextrocardia
d. Gastric cardia
8. The liquid part of blood is/are
a. Hemoglobin
b. Red blood cells
c. Alveolus
d.plasma
9. The three ossicles of the ear are
a. Malleus, incus, stapes
b. Cochlear, retina, tympanic nerve
c. Temporal bone, aqueous humor, vitreous humor
d. Eustachian tube, auditory canal, conjunctiva
10. The four vital signs of the body are
a. Height, weight, pulse and blood pressure
b. Temperature, pulse, respiration and blood prssure
c. Height, pulse, body mass and weight
d. Body mass index, height, pulse and blood pressure
11. Skin receives its colour from
a. Dermis
b. Epidermis
c. Subcutaneous
d. Pigment
12. A temporal artery thermometer is reading a temperature at which site
a. Forehead
b. Axilla
c. Oral cavity
d. Tympanic membrane
13.the endocrine glands secreted directly into;
a. blood stream
b. ducts of the body
c. immune system
d. central nervous system
14.-----is a series of wave-like muscle contractions that moves food in the
digestive tract:
a. Peristalsis
b. Villi
c. Chyme
d. Gastric juices
15. Which are usually located in body cavities?
a. Cells
b. Tissues
c. Organs
d. Organisms
16. The type of tissue covers internal and external body surfaces which include cutaneous,
serous and mucous cells:
a. Muscle
b. Nerve
c. Connective
d. Epithelial
17. Which of the following joints allow for movement in all directions?
a. Hinge
b. Ball-and-socket
c. Pivot
d. Ligament
18. An imaginary line that divides the body into right and left sides:
a. Lateral
b. Superficial
c. Inferior
d. Medial
19. The five senses are:
a. Vision, hearing, touch. smell, taste
b. Vision, ambulation, hearing, taste. touch
c. Feeding vision, ambulation, dressing, communication
d. Eves, ears. mouth, nose, stomach
20. The basic functional unity Of the body is the:
a. cell
b. Tissue
c. Organ
d. Organ system
21. Skin receives its colour from:
a. Dermis
b. Epidermis
c. Subcutaneous
d. Pigment
22. Which of the following is not a temperature site?
a. Tympanic membrane
b. Oral cavity
c. Occipital lobe
d. Axilla
23. Short bones:
a. Bear the weight of the body
b. Allow skill and ease in movement
c. Protect the organs
d. Are the vertebrae in the spinal column
24. The middle layer of the heart is the:
a. Pericardium
b. Myocardium
c. Endocardium
d. Bicuspid valve
25. Which of the following type of bone protects the organs:
a. Long bone
b. Short bone
c. Flat bone
d. Irregular bone
26. Which Of the is the control centre of the cell;
a.cell membrane
b.axon
c. Cytoplasm
d. Nucleus
27. How many bones compose the human adult;
a.46
b.173
c. 206
d. over 500
28. The basic working unit of the kidney is the:
a. Bowman's capsule
b. Nephron
c. Glomerulus
d. Villi
29. Which factors are least likely to influence a person's blood pressure reading:
a. Stress, alcohol consumption and sodium consumption
b. Cigarette smoking, diet and exercise
c. Height, water consumption and rest
d. Age, gender and family history
30. The middle layer of the heart is the:
a. Bicuspid valve
b. Endocardium
c. Myocardium
d. Pericardium
31. The male gonads are:
a. Scrotum
b. Vas deferens
c. Testicles
d. Penis
32. Which is false of the mammary glands?
a. They are made of muscles tissue
b. That are fat
c. They secrete milk after childbirth
d. They are organs of reproduction
33.the female gonads are
a. the fallopian tube
b. vagina
c. overies
d .cervics
34.the pancreas secretes
a. epinephrine
b. testosterone
c. insulin
d .growth hormone
35.----- are tiny sacs within our lungs allows oxygen and carbon dioxide to move between the lungs and
blood stream
a. Ureter
b. Alveoli
c. Peristalsis
d. Glomerulus
36. The spinal cord is about:
a. 30 cm
b. 35 cm
c. 40 cm
d. 45 cm
37. The medical term for breast bone is:
a. Femur
b. Sternum
c. Humerous
d. Patella
38. Respiratory tract infection also referred to as the flu, is:
a. Hepatitis
b. Influenza
c. Methicillin-resistant staphylococcus aureus (MRSA)
d. Hypertension
39. Which of the following joins allow for movement in all directions?
a. Ligament
b. Pivot
c. Ball-and-socket
e. Hinge
4. Personal Hygeine
1. Following your client's tub bath, which information would you report immediately to
your team leader?
a. The client shivered at the end Of the bath
b. The client had lotion applied following their bath.
c. The client's hair was washed
d. The client has a small bruised on his knee
2. The inability to control the elimination of urine/feces is called:
a. Flatus
b. Incontinence
c. Diarrhea
d. Retention
3. The nurse in charge asks the PSW to encourage Mr. Jimmy, a frail and elderly gentleman
who has recently had a stroke, to bathe himself more independently. The PSW should:
a. Ask Mr. Jimmy's roommate to keep an eye on him while he is in the bathtub
b. Give Mr. Jimmy his bathing supplies and Stay with him to assist as necessary
c. Help Mr. Jimmy into the bathtub, and leave the room
d. Put supplies beside the bathtub and leave Mr. Jimmy's room
4. Oral hygiene should be given to an unconscious person:
a. Once a day
b. Once each shift
c. When the PSW has time
d. Every two hours
5. You have assisted your client with oral hygiene. Which one of the following observations is normal?
a. Cracked lips
b. Pink gums
c. White patches on the tongue
d. Bleeding gums
6. While washing an extremity, be sure to:
a. Use cool, soapy water
b. Mix the soap with lotion
c. Place a towel under the extremity being washed
d. Start with the nearest extremity
7. When making an occupied bed, you Should:
a. Start at the bottom and work your way to the top of the bottom
b. Take off all the sheets before vou put on new ones
c. Ask the resident to get out Of the bed first
d. Make one side of the bed and then the next
8. A client is on complete bed rest. To prevent a bedsore a caregiver should:
a. use only cotton sheets
b. Apply several thick pads under the top sheet
c. Keep the top sheet tucked in tightly
d. Keep the bottom sheet wrinkle free
9. Bacteria which forms on the enamel surface of a tooth as a soft deposit iS called:
a. Tarter
b. Plaque/biofilm
c. Calculus
d. Chancre
10. Which one of the following is not a purpose of bathing?
a. Exercise body parts
b. Refresh and relax the resident
c. Promote the drying of the skin
d. Increase circulation
11. Where does an obese resident tend to develop skin breakdown?
a. Calves
b. On the abdomen
c. Knees
d. Skin folds
12. Sanitary pads should be changed:
a. Once a day
b. Every 6 hours
c. Every hour
d. Every 3 to 5 hours
13. A client has dry, fragile skin. It is important to:
a. Bathe the client daily
b. Use water below 350C
c. Pat the skin dry and apply lotion as per the care plan
d. Avoid using soap of any kind when bathing
14.Bathing helps:
a. Removes dead skin
b. Exercise body parts
c. Allows you to observe your client and note changes in their health
d. All of the above
15. Hair loss is known as:
a. Dyspnea
b. Vertigo
c. Alopecia
d. Hirutism
16. Brushing is important to keep the hair:
a. Clean
b. Free from pediculosis
c. Soft and shiny
d. All of the above
17. The outer layer of the skin is called the:
a. Myelin
b. Integument
c. Dermis
d. Epidermis
18. When brushing a client's hair (the hair is not matted or tangled) you should start at the•.
a. Back of the neck
b. Scalp
c. Hair ends
d. Forehead
19. The most likely place for a pressure sore to occur is on the:
a. Hips
b. Ears
c. Sacrum and coccyx
d. Knees
20. When making an occupied bed:
a. The lines should be shaken vigorously
b. All top sheets should be tucked under both ends of the mattress
c. Soiled linens should be placed on the floor
d. None of the above
28.before shaving a client face with a safety razor(non electric) what you should do
a. apply a cold wash to face
b. Apply after shave lotion
c. dry the face thoroughly
d. Soften and moisten the skin
29. On Mr. Greg's left arm you notice a scrape with minimal bleeding. You should report
a. A pressure sore
b. A laceration
c. A contusion
d. An abrasion
30. In giving a back massage to an elderly person, you should:
a. Use lotion to reduce friction
b. Place the person comfortably in a supine position
c. Rub vigorously for one minute
d. Warm the rubbing alcohol in your hands
31. A caregiver can do all of the following except:
a. Give perineal care
b. Give back massage
c. Wash a person's hair
d. Cut a diabetic person's toenails
32. When providing mouth care to an unconscious client, the client should be positione
a. On their stomach
b. Sitting up
c. On their side
d. On their back
33. Care of dentures includes:
a. Boiling the dentures to disinfect them
b. Labeling the dentures with the name of the LTC facility
c. Soaking the dentures as directed
d. Cleaning the dentures once each week
34. When dressing a resident who has an IV in place, the PSW should:
a. Keep the IV bag above the needle site
b. Turn the IV pump off
c. Cut the shoulder area of the resident's clothing
d. Discontinue the IV
35. The PSW's best action to take when a resident of a long-term care facility feels weak in
the shower is to:
a. Go and get help
b. Quickly complete the shower
c. Use the call bell to get assistance
d. Turn on cold water to stimulate circulation
36. The main cause of a decubitus ulcer is:
a. Cellular necrosis
b. Dry skin
c. Pressure
d. Gravity
37. When assisting a disabled resident with personal care, the PSW should:
a. Do everything for the person
b. Provide strict guidelines
c. Encourage the person to watch
d. Encourage the person to participate and do as much as they can
5.ABUSE AND NEGLECT
1. A Psw Physically Struggles with a resident who does not want to be showered. The psw could be
accused of
a. Negligence
b. Emotional abuse
c. Battery
d. Slander
2. Neglect can take the form Of
a. Emotional/psychological abuse
b. Physical abuse for managing an elderly person's money and fails
c. Sexual abuse
d. Both a and b
3.A Person Has Accepted Responsibility for Managing an Elderly Persons Money and Fail to Pay Their
Bills Even Though There Are Adequate Funds On hand. This is:
a. Physical abuse
b. Psychological abuse
c. Sexual abuse
d. Financial abuse
4. Dirt in the living space and unattended or unsafe property may be indicators
a. Neglect
b. Physical abuse
c. Defamation
d. Psychological abuse
5. An inadequately clothed, malnourished or dehydrated elder, as well as the appearance
of rashes, sores or lice are indicators of:
a. Neglect
b. Physical abuse
c. Sexual abuse
d. Both a and c
6. Elder abuse can occur
a. In the elderly person's home
b. In the community
c. In active and long-term care facilities
d. All of the above
9_ A child is deprived of clothing and food. This is:
a. Physical neglect
b. Psychological abuse
c. Sexual abuse
d. Financial abuse
10. Unusual or inappropriate activity in bank accounts, including signatures that do not
resemble the account owner's signature, indicate concern of:
a. Physical abuse
b. Psychological abuse
c. Sexual abuse
d. Financial abuse
II. Over-medicating a resident to keep him quiet can be a type of:
a. Negligence
b. Physical abuse
c. Verbal abuse
d. Neglect
12. Jane David's photo is made public without her consent. This is called:
a. Neglect
b. Battery
c. Assault
d. Invasion of privacy
13. Which is the first phase of the "cycle of abuse"?
a. Tension-building phase
b. Irritation phase
c. Abusive phase
d. Honeymoon phase
14.You Suspect A Resident Being Abused. What Should You Do
a. Ask The client directly
b. discusses the situation with trusted friend
c. Report your concerns to your supervisor
d. Call the police
15. The creation of a will, or recent in a will, when the person is incapable of
making such decisions indicates concern of:
a. Sexual abuse
b. Physical abuse
c. Psychological abuse
d. Financial abuse
16. Neglect is defined as:
a. Pushing, shaking, or hitting a person
b. Inappropriate use of financial resources
c. Treating a person like a child
d. Failure to provide basic necessities of life
17. "Failure to thrive" is a term that describes infants, babies, or children (and sometimes
adults) who are below the norms except for which of the following:
a. Cognitive development
b. Growth
c. Food intake
d. Body weight
18. Which is the correct term for physical or mental harm done to another person•.
a. Ageism
b. Abuse
c. Assault
d. Defamation
19. Burns caused by cigarettes, caustics, acids or skin friction may indicate•.
a. Financial abuse
b. Sexual abuse
c. Psychological abuse
d. Physical abuse
20. You suspect a resident is being abused, what should you do?
a. Ask the client directly
b. Call the police
c. Discuss the situation with a trusted friend
d. Report your concerns to your supervisor
21. Elder abuse can occur:
a. In the community
b. In the elderly person's home
c In active and long •term care facility
d, All of the above
6.HOUSE HOLD MANAGEMENT
1.When Obtain A Nutritional History, The Psw ASK QUESTIONS ABOUT
a. favourite soda, pop or gum
b. oral hygiene
c. food allergies, preference and problems
d. their favourite restaurant
2.food is mixed and churned with gastric juices to form
a. fibre
b. carbohydrate
c. protein
d. chyme
3.the process of ingestion, digestion and absorption and the use of food by the body is called;
a. diet
b. nutrition
c. metabolism
d. fluid intake
4.after a meal the resident with swallowing problem, and that need to be fed are
a. encourages to exercise
b. return to bed
c. given a bath
d. kept a person in the semi fowlers position for 20 -30 mts
5.calorie intake is recorded in the
a. medical chart
b. food intake record.
c. fluid output record
d. Kardex
6.in preparing meal for a client with heart condition, you would include
a. pasta,fruit,egg,icecream
b. shellfish, homogenised milk, rice
c. skin milk, lean meat vegetables
d. cottage cheese ,liver, croissant
7. Which foods contain the most fat
a. Fruits
b. 1% milk, 2% yogurt, and low-in-sodium cheese
c. Meat, poultry. fish, eggs, and nuts
d. Breads. cereals, rice. and pasta
8. According to Canada's Food Guide how many servings Of fish per week are
recommended?
a. 1
b. 2
c. 3
d. 4
9. A medical device used to measure fluids is called a:
a. Stethoscope
b. Graduate
c. Spirometer
d. Sphygmomanometer
10. Excessive amounts of salt in the diet:
a. Raise cholesterol levels greatly
b. Are believed to contribute to hypertension
c. Have no relevance to a person's nutritional status
d. Cause cirrhosis of the liver
II. The rhythmic movement of the esophagus that moves the food bolus onward is known
as:
a. Swallowing
b. Peristalsis
c. Digestion
d. Churning
12. To maintain normal fluid balance, how much fluid should a person receive in 24 hours?
a. 1000-1500 ml daily
b. 1500-2000 ml daily
c. 2000-2500 ml daily
d. 2500-3000 ml daily
13.nutrients are essential to the daily diet. Which one of the following is not a key nutrient?
a. proteins
b. Water
c. Lipids and fats
d. Refined sugar
14. when the body does not get the amount of water as required, the major concerned
A. expiration
b. dehydration
c. output
d. oedima
15. Food poisoning include:
a. Joint pain
b. Constipation
c. Edematous feet
d. Abdominal upset and headache
16. When feeding a client that is at risk for aspirating. how would you position the patient?
a. sims
b. High Fowler’s
c. Supine
d. Prone
17. Which one of the following foods is a good source of calcium?
a. Citrus
b. Fish
c. Milk
d. Liver
18. In what order would you clean a bathroom?
a. Sink, bathtub, toilet bowl
b. Sink, toilet bowl, bathtub
c. Bathtub, sink, toilet bowl
d. Toilet bowl, bathtub, sink
19. Good sources of calcium are:
a. Breads and rice
b. Green leafy vegetables
c. Red meat and fish
d. Milk and milk products
20. This condition is common in clients with heart and kidney disease where tissue
with fluid.
a. Assimilation
b. Edema
c. Absorption
d. Attrition
21. you are caring for a client in the home. He has cardiovascular disease and must be on a
low fat diet. Identify which food would be the client's best choice.
a.Homogenized milk
b. Cheddar cheese
c. Caramel glazed carrots
d. Baked fish
22. A well balanced diet can be achieved by:
a. Eating foods that are rich in protein
b. Having a daily caloric intake between 2500— 3000 calories
c. Increasing intake of meats and dairy products
d. None of the above
23. Caloric intake is recorded in a:
a. Kardex
b. Food intake record
c. Medical chart
d. Fluid output record
24. Your resident is anemic and is often pale and tired due to decreased amounts of which
mineral?
a. Calcium
b. Iron
c. Water
d. Sodium
25. Factors influencing nutrition include:
a. Personal choices
b. Finances
c. Culture
d. All the above
26. Nutrients used primarily to build and repair body tissues are:
a. Fats and water
b. Iron and fats
c. Carbohydrates and fats
d. Proteins, vitamins, and minerals
27. A common use for bleach in the home is:
a. Cleaning toilets and laundering coloured towels
b. Whitening and disinfecting
c. Scrubbing floors and windows
d. Bleach is not used in the home
28. Difficulty and/or discomfort in swallowing is referred to
a. Paraplegia
b. Quadriplegia
c. Aphasia
d. Dysphagia
29. Protein is needed for:
a. Protection of organs from injury
b. Fibre to aid bowel elimination
c. Improving the taste of food
d. Tissue growth and repair
30. Carbohydrates provide the body with energy and help provide fibre for bowel
elimination. Carbohydrates are broken down into sugars during digestion and may be
stored in the liver, or as body fat, identify which one of the following are high in
carbohydrates:
a. Shrimp, scallops, and tuna
b. Milk, yogurt, and cereal
c. Rice, celery, and chicken
d. Fruits, breads, and pasta
31. Clear liquid diets include:
a. Milk and orange juice only
b. Only liquid you can see through
c. Broth, milk, tea
d. Milk, coffee, orange juice
32. The diabetic diet controls the amount of:
a. Semi-solid foods that digest easily
b. Caloric intake
c. Sodium, clear fluids, gas forming foods
d. Carbohydrate, protein, and fat
33. When washing dishes in a client's home, you should:
a. Rinse with a mild bleach solution
b. Use lukewarm water and soap
c. Rinse with cool water
d. Wash glasses and silverware first
34. Foods likely to cause constipation are:
a. Whole grains
b. Vegetables
c. Dairy products
d. Fruits
35. Vitamins and minerals are essential:
a. Fibres
b. Fats
c. Proteins
d. Nutrients
36. As a caregiver, you assist Betty, a severe diabetic, to allow her to stay in her own home.
Identify how you would best assist Betty.
a. Adapt cooking methods to accommodate Betty's diabetes
b. Follow Betty's recipes, substituting ingredients where necessary
c. Prepare a well-balanced meal under Betty's direction
d. All of the above
37. Canada's Food Guide recommends eating every day a minimum of:
a. Two dark green and one light green vegetable
b. One dark green and one orange vegetable
c. One red and one orange vegetable
d. One leafy and one red vegetable
7.Care planning
1.a resident has 2 loose foul-smelling stools, the psw should;
a. ignores the situation unless it is continuing for 24 hours
b. take the resident to a community area for a break
c. asks the oncoming shift to observe for the stools
d. report the stools to the nurse in charge immediately
2. Common emotions experienced by a person going through rehabilitation are
a Satisfaction and increased self-esteem
b. Humiliation and despair
c. Frustration and depression
d. optimism and cheerfulness
3. Body fluids include:
a. Blood
b. Semen
c. Vaginal secretions
d. All of the above
4. Mr. Chris ate and drank everything on his dinner tray, which included jello. milk. bread,
meat, peas, coffee and ice cream. Which of the items would be recorded as liquids?
a. Jello, milk, peas and coffee
b. Milk and coffee only
c. Jello, milk, coffee and ice cream
d. All foods and fluids
5.Excessive straightening of a body part is called:
a. Rotation
b. Flexion
c. Dorsiflexion
d. Hyperextension
6. Which one of the following statements is true regarding the care plan?
a. It is the same for all residents
b. It provides for consistency and continuity of care
c. It is written by the physician
d. It is stable and fixed for a period of time
7. Drainage is another term for:
a. An arch in the al cavity
b. A suctioning device
C. An infection of the body
d. A discharge from the body
8. Syncope refers to:
a. Dizziness
b. tension
c. A sudden state Of excitement
d. Loss Of consciousness or fainting
9. Constipation, kidney stones, and pneumonia can be complications of:
a. Limited activity
b. Rehabilitation
c. Range of motion exercises
d. Too much activity
10. Passive range of motion exercises primarily prevent
a. Pressure ulcers
b. Muscle spasms
c. Muscle atrophy
d. Joint contractions
11. Vital signs include:
a. Pulse, respiration, weight, height
b. Temperature, pulse
c. Temperature, pulse, respiration
d. Temperature, pulse, respiration, blood pressure
12. Which one of the following makes an excellent support for the hand while in the sitting
position?
a. Washcloth
b. Sheet
c. Pillow
d. Sling
13. When breathing stops but the heart still pumps blood. It is called
a. Seizure disorder
b. Aspirations
c. Shock
d. Respiratory arrest
14. An artificial replacement of a body part
a. A bandage
b. A dressing
c. An amputation
d. A prosthesis
15. With aging, joints can become:
a. Stronger
b. Unhinged
c. Stiff and painful
d. Mobilized
16. When measuring urine output from a drainage bag, the PSW should:
a. Drain the bag directly into the toilet and flush it immediately
b. Use the markings on the side of the bag to measure the output
c. Empty the drainage bag into a graduate and then measure the output
d. Rest the bag on the floor and remove the clamp
17. A splint is an appliance that:
a. Aligns teeth in the dental arch
b. Holds soft tissues together
c. Measure’s blood pressure
d. Supports injured or wounded body parts
18. Which one of the following things should the PSW show first to a resident who has just
been admitted to the facility?
a. How to adjust the room temperatures
b. How to adjust the bed
c. How to use the call bell
d. Where the bath supplies are kept
19. An input and output record must be:
a. Reported by the family doctor
b. Accurate
c. Measured by the supervisor
d. Documented for the family
20. The first step in effective care planning is:
a. Selecting resources
b. Setting deadlines
c. Identifying needs
d. Determining goals
22. you have just told your client that you will be back in 15 minutes to take them
temperature. Why have you decided to wait?
a. They have just gone to bed
b. They have just finished a cigarette
c. They are having foot care done
d. They are listening to a favorite CD
23. The process of rehabilitation emphasizes the:
a. New activities
b. Abilities
c. Limitations
d. Disability
24. The restoration of a body part to its original position after displacement is called:
a. Immobilization
b. Splinting
c. Reduction
d. Conduction
25. When feeding a client, which one of the following is the correct procedure?
a. Engage the resident in a conversation while eating
b. The resident's food should be mixed together to enhance the taste
c. A spoon is used to feed the dependent resident
d the caregiver should feed the client as rapidly as possible so the food doesn't get
cold
26. A state of illness that comes on suddenly and may be of short duration is:
a. Chronic
b. Congenital
c. Overt
d. Acute
27. The best time to record a resident's respiration is:
a. After a bowel movement
b. After lunch
c. At the end of the day
d. When the resident is completely unaware of what you are doing
8.ASSISTING THE FAMILY, GROWTH AND DEVELOPMENT
1. Adolescence is a time when children
a. Get involved in increased conflicts with their parents
b Become actively hostile and dangerous to others
c. Develop close. warm relationships with their parents
d. Experience unhappy feelings most of the time
2. A nursing mother Should have:
a. At least 3 servings of milk products per day
b. Extra tea and coffee with her meals
c. A low calorie. low fat diet
d. Foods which are high in fat
3. The following are from the top five reasons children miss school except for one:
a. Falls
b. Colds
c. Sore throat
d. Pink eye
4. When bottle feeding a newborn you should:
a. Prop the bottle up with a pillow
b. Tilt the bottle so the formula fills the neck of the bottle and the nipple
c. Save any remaining formula for the next feeding
d. Burp the baby every 5 minutes
5. Signs and symptoms of postpartum complications include:
a. Severe abdominal pain or leg pain
b. Breast engorgement
c. Chills, fatigue and vomiting
d. Both a and c
6. Severe problems with social interaction, parental bonding, attachment, and general lack
of reasoning ability are all associated with:
a. Epilepsy
b. Cerebral palsy
c. Spina bifida
d. Autism
7. Normal hormonal changes during adolescence may cause:
a. Growth delays
b. Mood changes
c. Increased emotional stability
d. Rapid weight loss
8. newborn's circumcision should be cleaned:
a. Three times a day
b. Once a day
c. At every diaper change
d. When the baby has a bowel movement
9. To respect your client's sexuality, you need to do all of the following except one:
a. Allow your client to have privacy
b. Encourage them to refrain from displaying pubic affection
c. Respect your client's clothes and grooming routines
d. Accept the client's sexual relationship
10. A breastfed baby should be burped:
a. After nursing from one breast
b. After nursing from both breasts
c. It is not necessary to burp breastfed babies
d. Every 30 seconds.
11. Diplegia is:
a. A paralysis that affects all four limbs
b. A paralysis that affects corresponding parts on both sides of the body
c. A paralysis that affects just one side of the body
d. A paralysis of a single limb, usually an arm
12. A condition in which the intellectual capacity and every day functioning of a person are
significantly impaired is referred to as:
a. Down's syndrome
b. Intellectual deficit
c. Epilepsy
d Spina bifida
13. Your client, a new mother, has been very sad. She cries every time she holds her baby
and tells you she is a terrible mother. What is she displaying?
a. Apnea
b. Postpartum blues
c. Menopause
d. Menarche
16 Hydrocephalus often
a, autism
b, fetal alcohol syndrome
c Spina bifida
d. Down' syndrome
17. When will a person begin to lose their primary teeth
a. In middle age
b. In old age
c. Primary teeth are only lost through disease
d. At the end of the preschool years
18. A toddler is a child between the ages of:
a. Birth and 2
b. I and 3
c. 1 and 6
d. 3 and 5
19. Three-year-old Gina is having a hard time with her new baby brother. She crises
whenever he is awake, wets the bed every night and insists on having her juice a
bottle like his. These are signs of:
a. Projecting
b. Progressing
c. Regressing
d. Adjusting
20. A nursing mother should have:
a. Foods which are high in fat
b. Extra tea and coffee with her meals
c. A low calorie, low fat diet
d. At least 3 servings of milk products per day
9.ASSISTING THE DYING PERSON
1. Immediately following the death. the PSW Should
a. Clean the room of all the deceased person's belonging•.
b. Perform the PSW's favourite personal ritual to SUPPORT THE FAMILY
c. Position the body in a natural flat lying position. With the head the pillow and
the sheets arranged neatly
d. Never leave the family alone with the deceased
2. Common symptoms experienced by the dying include all of the following except
a. Pain
b. Nausea and vomiting
c. Dyspnea
d. Increased energy
3. When a person is experiencing dyspnea it is not important to assess
a. Respiratory rate and rhythm
b. Cough and/or congestion
c. Fever
d. Appetite
4. A palliative approach should be integrated
a. When death is imminent and the client does not want further acute treatments
b. Early in disease process to offer information, help with advance care planning
and support psychosocial issues
c. When the client and the family are ready to talk about dying
d. When there is a palliative care program
5. Rituals can help create a sacred or special place. It is important to:
a. Provide the rituals that are commonly used in the client's ethnic culture
b. Provide the rituals that the person and family have identified they would like
c. Ask the family ahead of time what rituals they would like following death
d. Both a and c
6. Principles for using medications to mange symptoms in dying patients include which of
the following statements:
a. Medication is the only effective tool for managing symptoms
b. No additional doses are to be given between prescribed dosage times
c. Medication need to be given around the clock and regularly
d. Intravenous administration route is preferred
7. open-ended are elements of good communication because they:
a. Help the client share their story
b. Encourage conversation
c. Help you tell your story
d. Both a and b
8. you help prevent dehydration when you:
a. encourages the person to drink fluids by offering sips regularly
b. Make sure the person's favorite drinks are within reach
c. Encourage the person to drink coffee and black tea and alcohol
d. Both a and b
9. common patterns of dying include:
a. Steady decline
b. Sudden
c. Stuttering or slow decline
d. All of the above
10. The signs of death are:
a. Loss of consciousness and convulsions
convulsions and incontinence
c. The eyes stay open and there are long periods of apnea
d. Absence of pulse, respirations, or blood pressure
11. Once a resident has been pronounced dead, the responsibility of the psw is to:
a. Give spiritual care
b. Leave the room
c. Call the family
d. Provide care to the body as directed by policy
12. Grief is:
a. Something that affects the whole person
b. A natural response to loss
c. The same for all people
d. Both a and b
13. The health care team use the Palliative Performance Scale to:
a. Communicate and rate the client's level of pain
b. Communicate and rate the client's level of difficulty breathing
c. Communicate and describe the client's last bowel movement
d. Communicate the client's level of ambulation, activity, self-care, intake and
of consciousness
14.Comfort strategies to use when a person is experiencing dyspnoea include which of the
Following
a. uses a fan to increase air flow
b. encourages the individual to remain active to increase blood circulation
c. Position the person in the prone position
d. Close the windows to ensure that the air is warm
15. When a client has difficulty breathing:
a. Turn on the fan and distract the person by telling stories and talking
b. Encourage the person to walk outside
c. Close the window, remain calm, reposition. loosen tight clothing
d. Open the window or turn on a fan, remain calm, reposition, loosed tight clothing
16. When you ask someone to rate their pain on a numerical scale:
a. O = NO PAIN and 10 = the WORST imaginable PAIN
b. 1 = NO PAIN and 10 the WORST imaginable PAIN
c. 1 = worst pain management and 10 = the best pain management
d. O = worst pain management and 10 = the best pain management
17. Hospice palliative care is care that:
a. Is holistic
b. Affirms life
c. Regards dying as a normal process
d. All of the above
18. When a dying client is grieving:
a. It is helpful to encourage them and tell them that they will feel better in a few
days
b. It is helpful to empathize, and avoid silence
c. It is helpful to empathize, leave room for silence, individualize care and report
when someone needs extra support
d. It is helpful to empathize, leave room for silence, individualize care and ensure
that the person accepts their losses
19. Offering a compassionate presence may include:
a. Knowing in advance what you should say
b. Asking, "What do I need to know about you to provide the best care possible?"
c. Being with a person who is suffering, and not saying anything to try and fix it
d. Both band c
20.when a person is grieving its is not helpful to tell the person;
a. That all family members will grieve the same way because they are related
b. That grief will just last for a few months
c. That they should attend grief support in order to get over their loss
d. All of the above
The coroner is involved when:
a. The media is involved
b. The death is expected
c. The death is expected but the client was alone at time of death
d. The death is sudden, unexpected or occurs within 24 hours of admission to a
hospital
22. When legal forms are completed and indicate that CPR is NOT to be performed when
the person dies, the PSW' should follow which directions:
a. Talk with the people who are present and ask them what to do
b. Do not call 911, call the supervisor
c. Call 911 and call the supervisor
d. Call the family and ask them what they want you to do
23. An appropriate death is:
a. Is different for different people
b. Determined by the health care team
c. Is individual
d. Both a and c
24. Self-awareness is important because:
a. Personal beliefs may impact the care you provide
b. Being culturally sensitive requires being aware of your own stereotypes
c. You need to tell people what to do based on your experiences
d. Both a and b
25. Signs of approaching death include all of the following except:
a. The person cannot sleep
b. Circulation fails and the body temperature rises
c. Peristalsis and other gastrointestinal functions slow down
d. Muscle tone decreases
26. When death is imminent, it is important to:
a. Offer the family nourishment, space and privacy
b. Know whether or not to call 911
c. Know who to call when death occurs
d. All of the above
27. When an adult child asks you "How much longer does my father have to live?" It is most
supportive to respond:
a. No one can say
b. Only God knows when someone will die
c. That is a really important question, I would like to ask the nurse to talk with you
about that
d. I am a PSVV and I don't answer those types of questions
28. A family member tells you that they are worried that their dying loved one will become
addicted to the pain medication that they are taking every four hours. As a PSW you
should:
a. Use your Medication Problem A.C.T.I.O.N. Plan to describe how the drug works
b. Use your Medication Problem A.C.T.I.O.N. Plan to determine if the patient really
is addicted
c. Look at the patient's chart to explain what medications the patient is taking and
why
d. Acknowledge the family member's concern, encourage the family member to
talk to the nurse, and report the family member's concern to your
supervisor/team leader
29. If your client has dementia, which of the following physical changes would not indicate
that they are approaching death?
a. Increased intake
b. Unhealed skin ulcers
c. Withdrawal from interactions
d. Frequent unresolved infections
30. Palliative care:
a. Hastens death
b. Improves quality of life
c. Results in fewer symptoms
d. Both a and c
31. When communication with a person who is non-responsive, the PSW should'.
a. Have brief conversations
b. Be quiet and use only non-verbal expressions
c. Talk as if the person was still able to hear you and support the family
d. Use non-verbal expression and isolation
32. When caring for a resident who is dying. the psw must:
a. Keep the room dark at all times
b. Allow only one visitor in the room at a time
c. Wear gloves. mask, and shoe covers when giving personal care
d. Record and report any changes in the resident's condition to the
nurse/supervisor
33. When a person is experiencing dyspnea it is not important to assess:
a. Fever
b. Appetite
c. Cough and/or congestion
d. Respiratory rate and rhythm
34. Maintaining therapeutic boundaries is important because:
a. Boundaries help you know where the person lives
b. Boundaries help you remember that while you care deeply about the person,
you are not the family
c. Boundaries help you provide better care for the person and family
d. Both b and c
35. When a client has difficulty breathing:
a. Encourage visitors to help distract the person
b. Encourage exercise
c. Pace morning care, move slowly, and take breaks as needed
d. Finish morning care quickly
36. Cachexia is:
3. Can be reversed
b. A common symptom
c. Can be prevented by eating more food
d. Not a common symptom
37. Which of the following items is necessary for post-mortem care?
a. Valuable’s list
b. Wash basin
c. Gloves
d. All of the above
38. The natural process of expiration of air in the lungs, stomach and intestines of the dead
may cause the body to:
a. Become very light in weight after death
b. Remain very still after death
c. Make sounds with passing of air
d. Remain flat after death
10.ASSISTING WITH MEDICATION
1.When administering eye drops;
a.to the left
b.to the right
c. slightly backward
d. forward
2.what drug classification might cause drowsiness and sleepiness;
a. antacids
b. antibiotics
c. antihypertensive
d. anti anxiety medications
3. Which one of the following should be reported to your supervisor:
a. the client needs, to use a metered dose inhaler as specified on the MAR
b. The client refuses to take the medication
c. The client knows what to ask her doctor about the pills on her next appointment
d the client says that she does not like the taste of her medication but It
anyway
4. When handling a transdermal disc, you should wear gloves to:
a. Keep the disc sterile
b. Keep the disc from sticking to your fingers
c. Keep the medication from absorbing into your skin
d. Prevent catching any disease from the client
5. Your client, Mrs. Fernandez, is nauseated and has been vomiting during the night. She refuses to take
her morning medication as ordered. You should:
a. Give the pills by hiding them in food and milk
b. Skip the morning pills and tell her to take the pills when she feels better
c. Contact your supervisor or the doctor to ask what you should to
d. Force her to take her medication
6. You have been assisting your client with their medications. The doctor has changed
your client's Digoxin dose. What would be the responsibility of the PSW?
a. Wait for approval and further direction before giving the medication again
b. Go ahead and give the medication as the doctor ordered it
c. Go ahead and give the medication as previously ordered, the nurse will alter the
dose when she arrives
d. Call the supervisor and let her know there has been a change
7. Medications suspended in a liquid that should be shaken or stirred before use are:
a. Elixirs
b. Capsules
c. Suspensions
d. Tablets
8. Blister pack is also known as a:
a. OTC
b. Bubble pack
c. Pillbox
d. Prescription
9. A drug allergy releases chemicals in the body called:
a. Anti-emetics
b. Antivirals
C. Antibodies
d. Antigens
10. Drug affect men and women differently, depending on their:
a. Religion
b. Skin color
c. Body size
d. Position
II. Which one of the following is not a 'right' when assisting with medications?
a. Right dose
b. Right drug
c. Right facility
d. Right client
12. Drugs need to be stored in a dry place because:
a. They might undergo a chemical change
b. They might fall on the floor and get lost
c. They get wet and not work
d. None of the above
13. Medication to be given after a meal will use the abbreviation:
a. ac
b. pc
c. od
d. 0b
14. When assisting with oral medication how can you protect the client from ASPIRATING;
a. Crush the medication
b. Offer extra water
c. inspects the client's mouth before swallowing
d. Position the client in the Fowler' S position
15. Your role as a PSW while assisting with medications include:
a. Reading the prescription label to the client
b. Preparing dosettes as recorded in the MAR
c. Reminding the client to take a medication
d. All of the above
16. To stop bleeding and to reduce pain, swelling and heat in tissues, which one of the
following may be ordered?
a. Suppository
b. Cold pack
c. Ligament
d. Hot pack
17. A medication no longer working or producing the desired effect in the body could
mean:
a. It is taken in the wrong quantity
b. It is a sign of drug tolerance
c. It is past it's expiry date
d. None of the above
18. A drug used to relieve pain is called:
a. A diuretic
b. An anticoagulant
c. An antibiotic
d. An analgesic
19. Dry powdered drugs that have been formed into a small disc are called:
a. Capsules
b. Gel caps
c. Ointments
d. Tablets
20. What abbreviation is used when a medication is to be taken at bedtime?
a. p.c.
b. h.s.
c. q.d.
d. b.t.
11.Cognitive and mental health
1. The person is disoriented or unable to keep up to normal conversation and instructions a PSW' would
recognise they are
a. Cognitive
b. Suttering from dysphasia
c. Confused
d. Angry
2. Mrs. Jean washes her hands hundreds of times a day so she does not catch any disease
this is recognized as a:
a. Delusion
b.obsessive compulsive disorder
c. Phobic disorder
d. Depression
3. Which one of the following medical conditions is characterized by a decrease in
spontaneous movement, gait difficulty, postural instability, muscle rigidity, as mask like
expression, and tremors?
a. Cerebral palsy
b. Alzheimer's disease
c. Parkinson's disease
d. Multiple sclerosis
4. When a person is confused, which food substance is thought to increase restlessness,
confusion, and agitation?
a. Fats
b. Caffeine
c. Dairy products
d. Salt
5. An approach to managing responsive behavior in a person with dementia may include:
a. Keeping them active and occupied
b. Distracting them from doing something that may harm them
c. Giving them a list of tasks to do
d. Both a and b
6. The two mental illnesses where ideas of reference and delusions are common are:
a. Bipolar disorder and obsessive-compulsive disorder
b. Dementia and schizophrenia
c. Schizophrenia and bipolar disorder
d. Schizophrenia and depression
7. A person with an eating disorder may:
a. Think that they need to lose weight when they are very thin
b. Pretend that they have eaten when they haven't
c. Cause themselves to vomit after they have eaten
d. All of the above
8. Preventing someone from having power or control over one's life or healthcare,
because of being shunned from main stream refers to:
a. Morality
b. Justice
c. Being marginalized
d. Ethnicity
9. A false belief of being persecuted or of being superior to everyone else is a:
a. Delusion
b. Obsession
c. Hallucination
d. Defense mechanism
10. Insomnia and narcolepsy are which type pf disorder?
a. Sensory
b. Sleep
c. Eating
d. Ambulation
11. An exaggerated belief about one's own importance, wealth, or power is called:
a. A hallucination
b. An allusion
c. A delusion of grandeur
d. A delusion of persecution
12. Persons with acute confusion should be:
a. Distracted
b. Restrained or confined
c. Politely reminded of the correct information
d. Given complex tasks
13. Seeing, smelling, hearing something not real refers to a:
a. Hallucination
b. Remission
c. Delusion
d. Sigma
14. A person in the early stages Of Alzheimer's disease may accuse the psw of stealing an item because
they;
a. like to play jokes
b. Have forgotten what they did with it
c. Don't like caregivers
d. Are paranoid
15. A person Who craves food, consumes the food and then induces vomiting;
a. schizophrenia
b. Bipolar disorder
c. Bulimia
d. Anorexia nervosa
16. The highest intellectual functioning of the brain takes place in the:
a. Brainstem
b. Cerebrum
c. Cerebral cortex
d. Medulla oblongata
17. A mental illness that causes the client to have hallucinations, delusions and bizarre
behavior is called a/an:
a. Neurosis
b. Psychosis
c. Organic brain syndrome
d. Affective disorder
18. Which is treatable/reversible dementia?
a. Multi-infarct dementia
b. No dementia is reversible
c. Alzheimer's disease
d. Brain tumor related dementia
19. A person who experiences a traumatic brain injury to the frontal lobe of the brain will
most likely experience:
a. Loss of inhibitions
b. Difficulty planning
c. Poor impulse control
d. All of the above
20. An inherited disease that causes the progressive breakdown of nerve cells and results
difficulties in movement, thinking (cognitive) and emotional disturbances, refers to:
a. Attention deficit disorder
b. Mufti-infarct dementia
c. Alzheimer's disease
d. Huntington's disease
21. There are two types of strokes caused by:
a. A burst blood vessel
b. A blood clot
c. Hypertension
d. Both a and b
22. The inability to cope and adjust to stress in a manner acceptable to society refers to:
a. Mental illness
b. Acquired brain injury
c. Personality disorder
d. Dementia
23. Warning signs for a client who may be contemplating suicide include:
a. Increased appetite
b. Unusual interest in learning new hobbies
c. Giving away prized possessions
d. Quickly recovering from a loss or crisis
24. A client who keeps insisting that they want to go home should be:
a. Asked why they want to go home and distracted with an appropriate response
b. Told they have to stay here now
c. Reminded that this is their home
d. Told that you will take them later
25. Insomnia and narcolepsy are which type of disorder?
a. Sensory
b. Ambulation
c. Eating
d. Sleep
26. The person is disoriented, or unable to keep up to "normal" conversation and
instructions, a PSW would recognize they are:
a. Confused
b. Angry
c. Cognitive
d. Suffering from dysphasia
27. The earliest symptom of Alzheimer's disease is:
a. Inability to recognize loved ones
b. Wandering
c. Lack of motor control
d. Memory lapses
28. Symptoms of depression:
a. Are the same for everyone
b. May include inability to sleep or eat and anxiety
c. May include sleeping all the time, overeating, not bathing and not going out
d. Both b and c
29.-------- is a serious behavioral and emotional disorder that can occur in children and
A child with this disorder may display a pattern of disruptive and violent behavior
and have problems following rules:
a. Conduct disorder
b. Panic disorder
c. Anxiety disorder
d. Seasonal affective disorder
30. Mrs. James washes her hands hundreds of times a day so she does not catch any
diseases, this is recognized as a:
a. Panic disorder
b. Phobic disorder
c. Depression
d. Delusion
31. A resident has significant short term memory loss and does not remember daily
caregivers. What is the most appropriated response when the resident asks, 'Who are
you?'
a. 'Don't worry, I'm the same person you had yesterday."
b. 'You know me. You see me every day."
c. Say nothing because it would upset him.
d. State your name and say, 'I'm here to take care of you.'
32. A personality disorder:
a. Can be treated solely with medication
b. Is not as serious as an affective disorder
c. Includes many different symptoms that are characterized by maladaptive
behavior
d. Does not interfere with the person forming relationships
33. During the manic phase of Bipolar Disorder, your client Jenny appears:
a. Unhappy
b. Stimulated
c. Sleepy
d. Depressed
34. Preventing and managing aggression includes:
a. Encouraging clients to talk about their feelings
b. Removing potential weapons
c. Removing people from danger
d. All of the above
35. When the elderly feels good about themselves, they are:
a. Cognitively impaired
b. Cognitive
c. Emotionally healthy
d. Demented
36. Conditions that start with physical symptoms but will progress to dementia are:
a. Acquired immunodeficiency syndrome
b. Huntington's disease
c. Parkinson's disease
d. All of the above
37. Psychosis, delusion, hallucination and paranoia are all factors of:
a. Conduct disorder
b. Schizophrenia
c. Antisocial personality disorder
d. Bipolar disorder
38. The inability to cope and adjust to stress in a manner acceptable to society refers to:
a. Acquired brain injury
b. Mental illness
c. Dementia
d. Personality disorder
39. The brain is connected to the spinal cord by the:
a. Cerebral cortex
b. Cerebrum
c. Brainstem
d. Cerebellum
40, A higher rate of suicide occur with
a. Acute Care setting
b. first Nation youth
C. Secondary school settings
d. Hospice residents
4I. A consent for treatment is requited
a. From a substitute decision maker if the client is incapable
b. following a voluntary admission to a mental health facility
c. Following an involuntary admission to a mental health facility
d. All of the above
42. Something that may calm a client who is agitated and is also known to stimulate
awareness is:
a. Ativan
b. Meditation
c. Aricept
d. Music
43. Dementia is a feature of:
a. Rheumatoid arthritis
b. Myocardial infarction
c. Pick's disease
d. Osteoporosis
44. Dopamine is often found in low amounts in which one of the following disorders?
a. Lewy body dementia
b. Pick's disease
c. Huntington's disease
d. Parkinson's disease
45. When a client talks of suicide infant, which is false:
a. Use phrases like "things will work out"
b. Be a good listener
c. Report to your supervisor
d. Always take the person seriously
46. It is important to closely monitor a client with dementia because they:
a. Are not allowed to leave their room
b. Must follow their doctor's orders
c. Shouldn't mix with other residents
d. May be more at risk of accident and injury to self and others
47. An exaggerated belief about one’s own importance, wealth, or power called:
A delusion of grandeur
b. A hallucination
c. a delusion of persecution
d.an allusion
48. A false belief of being persecuted or of being superior to everyone else is a;
a. Defense mechanism
b. Delusion
c. Obsession
d. Hallucination
49. The spinal cord is protected by the:
a. Coccyx
b. Cranium
c. Skull
d. vertebral column
50. A stroke:
a. Only occurs in old age
b. Always results in permanent disability
c. Is a common name for a cerebral vascular accident
d. Isa type of traumatic brain injury
51. A client with Down's syndrome is at increased risk for:
a. Lewy body dementia
b. Alzheimer's disease
c. Multi-infarct dementia
d. Parkinson's disease
52. The regulates smooth muscle movement:
a. Midbrain
b. Thalamus
c. Cerebellum
d. Cerebral cortex
53. The best way to get the attention of a patient with Alzheimer's disease is to:
a. Call the person loudly by name
b. Approach the person from in front of them
c. Make a loud noise as you approach
d. Touch the person's back
60, someone power control over one's life or healthcare,
of shunned stream to:
a. Ethnicity
b. Justice
c. Morality
d, Being marginalized
61. A persistent thought or idea is:
a. A defense mechanism
b. A compulsion
c. A phobia
d.an obsession
62. Mr. Vincent ate and drank everything on his dinner tray, which included jello, milk,
bread, meat, peas, coffee and ice cream. Which of the items would be recorded as
liquids ?
a. Milk and coffee only
b. All foods and fluids
c. Jello, milk, peas and coffee
d. Jello, milk, coffee and ice cream
63. The acquisition of new skills and knowledge refers to
a. Prevention
b. Development
c. Motivation
d. Learning
64. A resident has two loose, foul-smelling stools. The PSW should:
a. Ignore the situation unless it continues for over 24 hours
b. Take the resident to the community area for a break
c. Ask the oncoming shift to observe for further stools
d. Report the stools to the nurse in charge immediately
65. The arms and legs are:
a. Edema
b. Extremities
c. Paralysis
d. Skin appendages
66. A person lying on their abdomen is in which position?
a. Supine
b. Lateral
c. Prone
d. Sim's
67. A state Of illness that comes on suddenly and may be of short duration is
a. Congenital
b.overt
c. Acute
d. Chronic
68. Which one Of the following makes an excellent support for the hand while the sitting position ?
a. sheet
b. sling
c. Pillow
d. Washcloth
69. common emotions experience by a person going through the rehabilitation;
a. Humiliation and despair
b. Satisfaction and increased self-esteem
c. Frustration and depression
d. Optimism and cheerfulness
70. The amount of fluid a resident may have will be recorded over which period of time?
a. 2 hours
b. 6 hours
c. 24 hours
d. 1 week
71. The process of placing a bone, limb, or group of muscles under tension by applying
weights and pulleys refer to:
a. Axis
b. Weighting
c. Splinting
d. Traction
72. Chemotherapy is:
a. IM injections
b. Drug therapy
c. Physical therapy
d. IV fluids
73. Footboards are placed at the foot of the mattress to prevent:
a. Pain
b. Normal alignment
c. Plantar flexion
d. Plantar extension
74. The best time to take a resident's vital sighs is:
a. During their recreation program
b. While the resident is in the bathtub
c. After the resident has returned from a walk
d. When the resident has just rested
75. A pulse that skips every fourth beat is called:
a. Consistent
b. Bounding
c. Irregular
d. Normal
76. When the skin moves one way and the bones and tissues under the skin move another,
it is called:
a. Ecchymosis
b. Irritation
c. Shearing
d. Attrition
77. The pericardium is the-------- of the heart;
a. Inner layer
b. Outer layer
c. Second layer
d. None of the above
78. Which of the following is the control centre of the cell?
a. Cytoplasm
b. Axon
c. Nucleus
d. Cell membrane ISSUES
12.HEALTH CONDITIONS
1. A resident is a quadriplegic as a result Of a spinal cord injury. The resident has paralysis of
a. The legs, arms, and trunk
b. One side Of the body
c. The legs
d. The legs and trunk
2. Excessive outward curvature of the spine causing a hunching of the back refers to
a. Kyphosis
b. Kordosis
c. Scoliosis
d. Tuberculosis
3. Which one of the following attaches bone to bone
a. Ligament
b. Tendon
c. Cartilage
d. Muscle
4. Which of the following is a progressive disease involving the gradual destruction of nerve
cells in the brain and spinal cord:
a. ABI
b. MS
c. Lou Gehrig's disease (AIS)
d. Cancer
5. Your resident is on NPO. You should
a. Provide a variety of fluids
b. Offer fluids in small amounts
c. Remove all liquids from the bedside
d. Prevent the resident from having oral hygiene
6. Long term complications of diabetes can include:
a. Vision losses, hearing losses, and kidney disease
b. Nerve damage, decreased vision and hypoglycemia
c. Hyperglycemia, blindness and hearing loss
d. Kidney disease, nerve damage and circulatory disorders
7. Which one of not a sign of diabetes mellitus?
a. Increased urine production
b. Increased energy
c. Hunger
d. Increased thirst
8, A common sign of multiple sclerosis is:
a. Barrel chest
b. Easy bruising
c. Blurred or double vision
d. Sudden, severe headache
9. What does dysuria mean?
a. Glucose in the blood
b. Voiding at night
c. Difficulty speaking
d. Pain or difficulty urinating
10. The function of insulin is to help the body:
a. Clot blood
b. Fight infection
c. Grow in height
d. Use glucose
II. Angina pectoris is:
a. Chest pain
b. An embolism in the brain
c. Cancer of the chest
d. A painful condition of the dermis
12. The RPN asks you to position your resident in the Sim's position in preparation for an enema.
The proper position is:
a. Supine, arms at side, head and shoulders on pillows
b. Lying on left side, upper leg flexed, pillows under head, bent upper arm and hand
palm down near the head
c. Prone, head turned to one side, arms flexed
d. Lying on right side, lower leg flexed, head and shoulders on pillow
13. Blurred vision caused by clouding in the lens of the eye is called:
a. Hyperopia
b. Myopia
c. Cataract
d. Glaucoma
14. What does the abbreviation NPO mean?
a. Not permitted
b. Whenever necessary
c. no people allowed
d. Nothing by mouth
15. A complication of prolonged bed rest is:
a. Diarrhea
b. Pneumonia
c. Fever
d. Bleeding
16. Which one of the following conditions is characterized by the bone becoming porous and
brittle?
a. Kyphosis
b. Rheumatoid arthritis
c. Ewing's sarcoma
d. Osteoporosis
17. Aphasia is the inability to:
a. Chew
b. Walk
c. Speak
d. Swallow
18. Change in bowel or bladder habits, a sore that doesn't heal, unusual bleeding or discharge,
thickening or lump in the breast or elsewhere, indigestion or difficulty swallowing, obvious
change in aa wart or mole, or a nagging cough or hoarseness are all warning signs of:
a. Angina
b. Cancer
c. Arthritis
d. Cardiac arrest
19. Which of the following joints allows for movement in all directions?
a. Hinge
b. Ball-and-socket
c. Striped
d. Pivot
20. Emphysema is a type of:
a. Pneumonia
b. Liver carcinoma
c. Chronic obstructive pulmonary disease
d. Congestive heart failure
21.Freshly Oxygenated Blood Is Carried Away From The Heart Is;
a, Valves
b, Capillaries
c, Vein.
d.arteries
22. A colostomy is located in the:
a. Colon
b. Ileum
c. Duodenum
23. In normal blood pressure which one of the following numbers would be a diastolic reading?
a. 140
b. 120
c. 100
d. 80
24. The term 'STAT' means:
a. As soon as possible
b. Immediately
c. Within 2 hours
d. Before the end of the shift
25. When providing care to a resident with a nasogastric tube, it is important to understand that
the tube goes in the:
a. Duodenum
b. Trachea
c. Bronchi
d. Stomach
26. When collecting a stool sample for occult blood:
a. Collect all stools passed in a 24-hour period
b. Make sure the stool sample is not contaminated with urine
c. First give the client an enema
d. The stool may e collected directly from the toilet bowl
27. Structures in the respiratory system include:
a. Nose, trachea, and alveoli
b. Larynx, heart, and sinuses
c. Mouth, esophagus, and lungs
d. Heart, lungs, and teeth
28 Good skin care around a stoma Will prevent
A, Excessive bowel movement
b, Skin breakdown
c. Odours
d. Leaking
29 The rhythmic. muscular movement that the food through the 'stomach and
is called
a Swallowing
b. vomiting
c. peristalsis
d. None of t he above
30. A chronic Inflammatory disease which the airways become sensitive to allergen and often take the
form of attack is called;
a. Emphysema
b, Chronis bronchitis
c. pneumonia
d. asthma
31. Greg has lust had rectal surgery A sitz bath assist in his healing How long Should
he be treated?
a. 5 minutes
b 10 minutes
c.15minutes
d 30 minutes
32 Death of tissue on part of the body refers to
a. Reduction
b Amputation
c. gangrene
d. cyanosis
33.Clients who do not perform deep breathing and coughing exercise risk developing;
a Hypoventilation
b. dyspnoea
c. atelectasis
d. Orthopnoea
34. The eye and eat are part of which body system?
a, Digestive system
b Nervous system
C. Cardiovascular system
d Endocrine system
35. COPO is an abbreviation for:
a. Chronic obstructive prickly disease
b. Chronic ocular pressure disease
c. Chronic occlusive parietal disease
d. Chronic obstructive pulmonary disease
36. Mr. Williams has a condom catheter. Elastic tape is applied:
a. Around the testicles
b. Around the penis in an Overlapping, tightly applied fashion
c. Using a spiral wrapping fashion
d. To the abdomen and inner thigh
37. A myocardial infarction is:
a. Stroke
b. Cardiac arrest
c. Angina
d. Heart attack
38. When a circular opening expands (is made Wider) the term used is:
a. Reduction
b. Stenosis
c. Dilation
d. Constriction
39. A newborn requires------- hours of sleep per day
a. 11-12
b. 12-14
c. 14-18
d. None of the above
40. The condition of having small pouches in the colon that bulge outward refers to:
a. Gangrene
b. Fibromyalgia
c. Diverticulosis
d. Tuberculosis
41. Multiple Sclerosis is a progressive neuromuscular disease. Which one of the following
disease affect?
a. Brain
b. Spinal cord
c. Myelin sheath
d. All of the above
42. A respiratory tract infection, also referred to as the flu, is called:
a. Strep throat
b. Influenza
c. Hepatitis
d. Hypertension
43. A complication of prolonged bed rest is:
a. Fever
b. Diarrhea
c. Bleeding
d. Pneumonia
44. The function of insulin is to help the body:
a. Clot blood
b. Grow in height
c. Use a glucose
d. Fight infection
45. A complication of vomiting is:
a. Fluid retention
b. Duodenal ulcer
c. Aspiration
d. Myocardial infarction
46. Coffee and tea act as:
a. Relaxants
b. Antiarhythmics
c. Diuretics
d. Cryogenics
47. Approximately how many muscles form the human body?
a. 200
b. 350
c. 580
d. 650
48. Another name for German Measles is:
a. Scarlet fever
b. Varicella
c. Pertussis
d. Rubella
49. Structures in the respiratory system include:
a. Heart, lungs, and teeth
b. Nose. trachea, and alveoli
c. Mouth, esophagus, and lungs
d. Larynx, heart, and sinuses
50. The type and size of dressing depend on:
a. the type of wound
b. the presence or absence Of infection
c. the decision of the nurse or physician
d. all of the above
51. Which heart chamber receives freshly oxygenated blood from the lungs?
a. Right ventricle
b. Left ventricle
c. Right atrium
d. Left atrium
52. Decreased vision caused by increased pressure within the eye is called:
a. Cataracts
b. Myopia
c. Glaucoma
d. Astigmatism
53. Evisceration is:
a. The suturing of the wound
b. The separation of the wound
c. The inflammatory phase of wound healing
d. Drainage is trapped inside the wound
54. Mrs. Smith has breast cancer which has now spread to her bones and brain. This is called'.
a. Metaphase
b. Mastitis
c. Metastasis
d. Cellulitis
55. Healthy skin of a stoma will appear:
a. Dry and dark pink
b. Dry and light pink
c. Moist and bright red
d. Moist and dark pink
56.who is at greatest risk of burns from heat applications?
a. a young girl
b A fair or Skinned teenager
C. A 40-year-old man
d. A trad elderly person
57. to reduce the possibility of injury during a seizure. the PSW should:
a. Attempt to hold the resident still
Keep the resident's head above their feet
C Place a padded tongue depressor between the resident's teeth
d. Move anything nearby that the person might strike (e.g. furniture or equipmenti
58.What is the abbreviation for the word 'immediately?
a.sos
b, stat
c.prn
d.asap
MISCELLANEOUS
1. A health care facility or community program for individuals dying of a terminal illness is called
Community wellness center
Rehabilitation center
Long-term health care facility
Hospice
2. Critical thinking is best described as
A supervisory role
A management styles
An inventory controls
A creative problem-solving technique
3. The long-term facility has a policy that only small stud earrings may be worn by workers. The main
reason for this policy is that the agency
Has to maintain safety for workers in the workplace
Does not want workers to appear unprofessional
Wants everyone to look more or less the same at work
Cannot replace lost/ broken earrings
4. In general, __________________ includes the patient’s health history, condition and treatment,
including emergency care.
Preservation and evidence
Assault and battery
The public’s right to know
Confidential information
5.Under Provincial Mental Health acts a client can receive services in which one of the following;
Psychiatric hospitals, especially hospitals, general hospital psychiatric units
Community mental health programs, homes for people discharged from psychiatric hospitals
Self help groups run by consumer/ survivors and psychiatrists and family physicians
All of the above
6. A registered nurse with advanced education and who can priscribe medications is a:
Nurse practitioner
Dietician
Registered practical nurse
Registered nurse
7. The PSW’s role when family disputes occur is to:
Taken sides
Remain non- judgmental
Resolve the problem
Report the argument to other family members
8. The person who supervises a multi-disciplinary team and related case treatments in community
health care settings is referred to as the
Charge nurse
Registered practical nurse
Case manager
Medical doctor
9. A burned area to the skin is red but has no blisters or charring. This is an example of a:
1st degree burn
2nd degree burn
3rd degree burn
4th degree burn
10. Falls are most likely to occur:
When family members are present
During the evening
During the daytime
When bedside care is given
11. If a grease fire starts in a pot on the stove, what should you do first?
Turn off the heat
Slide a lid over the pot to contain the fire
Pour water on it
Escape and call the fire department
12. A multipurpose fire extinguisher can be used on:
Class A and B fires
Class B and C fires
Class A and C fires
Class A, B and C fires
13. What is the best action to take when assisting a blind person to walk?
Walk alongside while the person uses a cane
Walk on the side while holding the person’s elbow
Instruct the person to hold onto your arm
Stand behind the person and provide directions
14. When you are moving a resident up in the bed you should ask the resident to:
Grasp your shoulders
Bend his knees
Cross his feet at the anklets
Raise his hands towards the pillow
15. Which one of the following is not considered a physical restraint?
Walker
Seat belts
Side rails
Geri chair
16. An item commonly found in the home that can be substituted for a non- abrasive cleaner is;
Baking powder
Vinegar
Rubbing alcohol
Table salt
17. Which foods contain the fattest?
Breads, cereals, rice and pasta
Fruits
1% milk, 2% yogurt and low-in- sodium cheese
Meat, poultry, fish, dry beans, eggs and nuts
18. When feeding a person, which one of the following would you do/
Feed an adult with a fork
Ensure that food is served at an appropriate and safe temperature
Wait until the meal is over to offer any fluids
Discourage the person from praying as their food will get cold
19. According to Canada’s food guide the bulk of your daily diet should come from:
Grains and cereals
Fruits and vegetables
Meat and meat alternatives
Milk and dairy
20. How many daily fruit and vegetable servings are recommended in Canada’s Food Guide for a normal
healthy 60-year-old female?
6
7
8
9
21. According to Canada’s Food guide one adult serving of milk equals:
250ml
300ml
450ml
500ml
22. Which one of the following cooking methods is recommended by Canada’s Food Guide because it
adds little or no fat to the meal?
Poaching
Roasting
Baking
All of the above
23. An external urinary drainage system should be left on no longer than:
24 hours
8 hours
2 hours
20 minutes
24. The ____________ is the largest network in the world
MSN
Wide Area Network
World Wide Web
Electronic Data Interchange
25. You notice Mr. Smith is frustrated and fatigued while trying to shave himself. You should:
Encourage him to continue until he becomes exhausted
Offer to take over the task and praise him for the effort he made
Stop him from continuing and report this to your supervisor
Recognize that he is no longer able to shave himself
26. Makeup is applied to a consenting female client who cannot apply her own to:
Complete the grooming routine
Promote a positive self-image
Use up the cosmetics on the bedside table
Make the client look better in case visitors come.
27. Dandruffs is often successfully treated by
Applying coal oil
Leaving shampoo on longer when washing hair
Shaving the client’s head
Applying medicated shampoos
28. While performing peri-care on a female resident, you should clean from the:
Buttock to the urethra
Public bone to the urethra
Urethra to the anal area
Anal area to the urethra
29. The safest place for an ill infant is a:
Sofa
Crib
Double bed
Changed table
30. Human growth refers to changes in:
Psychological functioning
Physical size and shape
Emotional function
Social functioning
31. If the mother’s nipples become sore while breast feeding, she should:
Wear a bra at all times
Expose her nipples to air
Feed the infant in a calm environment
Stop breastfeeding
32. A persistent thought or idea is
An obsession
A compulsion
A defense mechanism
A phobia
33.Why are dementia and depression often mistaken for each other?
People with dementia are always depressed
People with depression are suffered from dementia
Dementia and depression may share similar symptoms
Depressed people believe they are demented
34. The part of the personality that deals with thoughts, feelings, goof sense and problem solving is the:
Id
Superego
Ego
Unconscious
35. Which one of the following is true?
Affective disorders relate to feelings only
Bipolar disorder has extreme mood swings
Persons with a paranoid personality disorder trust other
A person with a abusive personality copes with all people and is a trusting friend
36. Reminiscence groups are designed to:
Orient the older adult
Provide opportunities for life review
Validate the younger adult
Increase feelings of self esteem
37.With a confused client, which one of the following methods would reduce their level of confusion?
Excessive noise
Poor lighting
Increased activity
Transitional or familiar objects and or persons
38. All persons, when moved from a personal residence into a nursing home, will experience
Bereavement
Regression
Guilt
Loss
39. Ignoring or refusing to acknowledge some aspect of reality is called
Regression
Rationalization
Projection
Denial
40. To reduce the possibility of injury during a seizure, the PSW should:
Place a padded tongue depressor between the resident’s teeth
Attempt to hold the resident still
Keep the resident’s head above their feet
Move anything nearby that the person might strike- i.e. furniture, equipment
41. Healthy skin of a stoma will appear:
Moist and dark pink
Moist and bright red
Dry and light pink
Dry and dark pink
42. Special devices that can help prevent skin breakdown include:
Cane, walker and wheelchair
Trapeze and a Hoyer
Sheepskin and heel posies
Graduates and emesis basins
43. The reason for enterically coating a tablet is to:
Allow the medication to dissolve slowly
Reduce the incidence of side effects
Prevent the medication from being destroyed by intestinal enzymes
Prevent the medication from irritating the stomach lining
44. When assisting with an inhaler you should:
Have the client hold their breath for at least 30 seconds before inhalation
Have client cough several times prior to using inhaler
Have client exhale as much as possible then take inhaler puffs and hold breath in for a few seconds
afterwards.
Wear gloves and mask to give inhalation
45. Which one of the following situations causes a drug to be absorbed at a faster rate?
Taking the medication prn
Taking the medication pc
Taking the medication on an empty stomach
Taking the medication qid
46. Signs of approaching death include all of the following except:
Circulation fails and the body temperature rises
Pain increases and the person cannot sleep
Movement, muscle tone, and sensation are lost
Peristalsis and other gastrointestinal functions slow down
47. Often if a client has a “do not resuscitate order” they will have:
A living will
A continued power of attorney
A DNR order
A and C
48. When wrapping a body for transport after death you should use a:
Blanket
Several large towels
Clear plastic bag
Shroud
49. A person’s written statement about the use of measures to support or maintain life refers to a:
Continued power of attorney
Last will and testament
Living will
Certificate of life birth
50. When caring for a dying person the PSW should:
Keep the room dark
Remove unnecessary equipment
Isolate the person from the nurse station
Discourage flowers and personal mementos
51. Which one of the following actions would be helpful to the family of a dying person?
Stay in the room with the family and the person as much as possible
Forbid family members to provide care
Give the family opportunities to take a break
Ask the family to leave when visiting hours are over
52.An allegation is a statement that has yet to be:
Proven
Defined
Confirmed
A and C
53. Which one of the following would be an example of supportive housing?
Chronic care
Outreach apartments
Hospice care
LTC facility
54. In general, ___________ includes the patient’s health history, condition and treatment, including
emergency care.
Preservation and evidence
Assault and battery
The public’s right to know
Confidential information
55. A resident’s temperature is taken 3 times daily. The PSW will record the reading on the:
graphic sheet
flow sheet
plan of care
nurses’s notes
56. In the case of an occupational exposure to blood:
use a quick scrub disinfectant
scream for help and call your doctor
wash your hands and fill out an incident report
wash the area and call Occupational Health for immediate treatment
57. Isolation precautions:
destroy pathogens and non pathogens
destroy pathogens
prevent all infections
prevent the spread of communicable diseases
58. When moving a resident in a wheelchair over a doorsill, the PSW should:
push the resident forward
ask the resident to place both hands into their lap
back the wheelchair over the doorsill
both b and c
59. Which one of the following is an example of psychological abuse?
the client hit his leg against the bed during a transfer
the PSW told the client he better cooperate in his care or pay the consequences.
the client fell asleep when the PSW was feeding her and woke up when the PSW gave her a gentle
shake.
the PSW asked the client to cooperate in her care
60. Over- involvement with a client can include:
visits during off time.
a mutually consented appropriate hug (that is not full-frontal)
calling the client’s family directly with a complaint
a and c
61. How many daily servings of breads, cereals, rice and pasta are recommended in Canada’s Food
Guide for a normal, healthy 25 year old male?
7
8
5
6
62. 84. According to Canada’s Food Guide one adult serving of juice equals:
125ml
375ml
500ml
250ml
63. (Symbol is Red) The care given to a garment with the above label would be:
wash your hands before handling
do not hand wash
hand wash in mild bleach
hand wash
64. Health experts generally recommend that North Americans increase the intake of:
lipids
carbohydrates
proteins
all of the above
65. There are basically two types of seizures. They are:
aura and petit mal
small and big
petit mal and grand mal
petit mal and aspiration
66. Which one of the following best helps reduce pressure on bony prominences?
sheepskin
an alternating pressure air mattress
repositioning every six hours
a and b
67. Shearing can be prevented by:
tucking sheets in tightly
encouraging fluids
using a lift sheet
using a safety razor
68. When caring for a new mother at home, you should immediately report to the supervisor if the
mother,
has headaches and is tired
is weeping and feeling blue
has bright red vaginal bleeding
all of the above
69. A resident believes everyone is out to get her. This behaviour is called:
fantasy
anger and hostility
delusion of persecution
loss and separation
70. A technique used to help an acutely confused person remember time, date and place is called:
1/1
life review
validation therapy
reality orientation
reminiscence
71. The degenerative, hereditary disorder which causes uncontrolled movements, loss of intellecutal
faculties and emotional disturbances is called:
Alzhiemer’s disease
Parkinson’s disease
Huntington’s disease
Pica
72. Which one of the following medical conditions is often referred to as “Lou Gehrig’s disease”?
Amyotrophic lateral sclerosis
Multiple sclerosis
Parkinson’s disease
Huntington’s disease
73. You are dealing with a client who has a life threatening condition and refuses your care. What should
you do?
inform the client of their choices and possible outcomes
inform the client they will die of their injuries without help.
document the refusal and interview all witnesses
try to find out why the client is refusing care
74. Osteoarthritis will most often affect:
teenagers
young adults
young children
people over the age of 40
75. When installing ear drops into an infant’s ear pull the auricle of the ear:
down and backward
up and forward
down and forward
up and backward
76. Giving insulin may be a skill that you as a PSW may be delegated to do. Identify the correct
statement:
insulin injections should be left to the nurse in charge
giving an insulin injection is the same for all the clients
once you have learned to give insulin to one client, you may give injections to any client
Giving an insulin injection is a separate skill unique to that client and client specific training is required
77.
According to Elizabeth Kubler Ross, the stage of dying in which a person tries to gain more time is called:
depression
anger
acceptance
bargaining
78. Which one of the following is not one of the “rights” from the dying person’s Bill of Rights?
I have the right to be free of pain
I have the right to lose my individuality
I have the right not to be deceived
I have the right to die alone