END OF CLUSTER EXAMINATION (TOTAL MARKS: 92 MARKS)
COURSE NAME: ALLIED HEALTH LEVEL 2 & 3
COURSE CODE: CSA20112V01
DATE: SUNDAY AUGUST 6, 2023
OPENING TIME: 4:30 PM
CLOSING TIME: 10:59 PM
INSTRUCTIONS:
1. Please read all instructions carefully before attempting any question.
2. This Examination consists of TWO (2) Sections A & B
3. Please complete ALL questions in section A
4. Where questions have multiple parts, all parts must be answered.
5. PLEASE DOWNLOAD AND SAVE THIS FILE WITH YOUR NAME.
6. COMPLETE YOUR ANSWERS IN THE SAVED DOCUMENT.
7. Please ensure that you number your questions correctly
8. Write clearly the number of the question being answered on each of the additional page.
9. PLEASE UPLOAD THE COMPLETED MICROSOFT WORD DOCUMENT
ONLY, BEFORE THE END OF THE ASSESSMENT PERIOD.
SECTION A – MULTIPLE CHOICE QUESTIONS AND ANSWER (50 Marks)
1. The health care worker who is responsible for taking vital signs is the
a.nursing assistant
b.physician.
charge nurse.
d.team leader.
2. A small ° after the temperature value indicates
a.that the temperature was taken orally.
b.that the Celsius scale was used.
c.that the Fahrenheit scale was used.
d.the degrees of temperature.
3. Body temperature is highest
a.in the morning.
b.from 12:00 PM to 3:00 PM.
c.in the evening.
d.during the night.
4.
Body temperature is closest to the core temperature at the
a.mouth.
b.rectum
c.skin.
d.tympanic membrane
5. Body temperature may be affected by
a.mental status.
b.mood.
c.hydration.
d.behavior.
6.
The average oral Fahrenheit temperature is
a.95.8 degrees.
d.103.6 degrees.
c.98.6 degrees.
b.101.4 degrees.
7.
Body temperature is most accurate when measured in the
a.mouth.
b.ear.
c.rectum.
d.armpit.
8. Which method would you select for taking the temperature of an unconscious patient?
a.Oral
b.Axillary
c.Rectal
d.Groin
9. You are assigned to take Mr. Lippincott's temperature orally every four hours. At 8:00
AM it is 99.2°F. At 12:00 PM it is 102.6°F. You should
a.document it on the clipboard or flow sheet at the end of your shift.
b.continue taking temperatures on the other patients you are assigned to.
c.report Mr. Lippincott's temperature to the nurse at once.
d.refill the water pitcher and instruct the patient to drink plenty of ice water.
10. What color is the dot at the end of the stem on a rectal thermometer?
a.Red
b.Yellow
c.Green
d.Blue
11. What is one of the most common complaints about written documentation?
a) Illegible or messy handwriting
b) Recording on incorrect record
c) No signature
d) Failing to record nursing actions
12. Which of the following senses are you least likely to use when gathering objective
assessment data?
a)
b)
c)
d)
e)
Sight
Hearing
Smell
Touch
Taste
13. Subjective data is the information obtained from “what the client said” and/or “what
others said about the client”.
True
or
False
14. In the case of an adverse event, it is important that you document what you think
happened.
True
or
False
15. When documenting the orientation status of a client, which of the following is
inappropriate?
a) Awake and aware of surroundings
b) Oriented to time, person and place
c) “I’m Joe Smith and in the hospital”
d) Alert
16. When describing pain, which of the following types of terms should you use?
a)
b)
c)
d)
Mild
Moderate
Intense
5 out of 10 on the pain scale
17. When documenting food intake at mealtime, use the standard terms of “fair, good or
poor.”
True
or
False
18. When describing wounds or lacerations, and if you don’t have a ruler, use your thumb
nail width as the unit of measurement.
True
or
False
19. Which of the following is the descriptive phrase is inaccurate?
a)
b)
c)
d)
Awake and resting in bed
No complaints of pain
Tolerated procedure well
Awake, resting with no complaints of pain
20. “Client condition satisfactory” should NOT be used as there is no indication that an
assessment was done.
True
or
False
21. If you are busy caring for clients and are having difficulty finding time to document, you
should get a friend to chart your care, or you can record ahead of time.
True
or
False
22. If you find that the above or preceding entry in the progress notes was not signed, what
should you do?
a) Locate the provider to get their signature
b) Leave it as it will get picked up next shift
c) Report it to your supervisor
d) Fill out an incident report
23. It is important that you document relevant complaints from staff, poor care and
accusations in the client’s record.
True
or
False
SECTION B –FIRST AID AND TRAUMA
1. What is your first priority at the scene of an accident or emergency?
Answer_________________________________________ (1 Mark)
2. What is the best initial treatment for a burn?
Answer_________________________________________ (1 Mark)
3. What is the correct procedure for performing CPR on a casualty?
Answer_________________________________________ (1 Mark)
4. How should you best help someone suffering from shock?
Answer_________________________________________ (1 Mark)
5. What should you do if someone's been bitten by a snake?
Answer_________________________________________ (1 Mark)
6. A child is suffering from an asthma attack. What should you do?
Answer_________________________________________ (1 Mark)
7. What is the best way to treat heavy bleeding from a deep laceration?
Answer_________________________________________ (1 Mark)
8. Someone has slipped and twisted their ankle. There is pain and swelling. How couldyou help?
Answer_________________________________________ (1 Mark)
9. How would you treat a casualty with a suspected broken arm?
Answer_________________________________________ (1 Mark)
10. How would you manage a nose bleed?
Answer_________________________________________ (1 Mark)
SECTION C – CASE STUDY ESSAY QUESTION ( Total of 42 Marks)
Patient Scenario
Background of Mrs. Johnson’s hypertension
Mrs. Johnson is a 62-year-old female who was admitted to the hospital with a complaint of
severe headache and dizziness. She has a past medical history of hypertension for the past 5
years, and she has been on antihypertensive medications.
She has a family history of hypertension and heart disease, with her mother and brother both
diagnosed with hypertension. Mrs. Johnson is currently working as a schoolteacher and lives
with her husband. She has a sedentary lifestyle and reports occasional non-adherence to her
medications due to forgetfulness.
Assessment of Mrs. Johnson’s hypertension
Upon admission, Mrs. Johnson's vital signs are as follows: blood pressure (BP) 180/100 mmHg,
heart rate (HR) 88 beats per minute (BPM), respiratory rate (RR) 18 breaths per minute, and
temperature 98.6°F.
She is alert and oriented but complains of a throbbing headache and feeling lightheaded. Her
skin is warm and dry, and there is no visible edema. Her lungs are clear on auscultation, and her
heart sounds are normal with no murmurs. Her abdominal assessment reveals no tenderness or
masses. Mrs. Johnson's laboratory results show an elevated fasting blood glucose level of 135
mg/dL, cholesterol level of 240 mg/dL, and serum creatinine level of 1.2 mg/dL. She has a body
mass index (BMI) of 30, which indicates obesity.
1. What are the risk factors for hypertension in this case study? (1 Mark)
a) Family history of hypertension and heart disease
b) Sedentary lifestyle
c) Non-adherence to medications
Provide a Rationale behind your answer selection (9 Marks)
2. What are the signs and symptoms of hypertension in Mrs. Johnson? (1 Mark)
a) Severe headache
b) Dizziness
c) Elevated blood pressure (180/100 mmHg)
Rationale_________________________________________ (1 Mark)
3. What other assessments should the nurse prioritize for Mrs. Johnson? (1 Mark)
a)
b)
c)
d)
Regular monitoring of blood pressure
Monitoring of blood glucose and cholesterol levels
Assessment of adherence to medications
Assessment of lifestyle factors, such as physical activity and diet
Rationale_________________________________________ (1 Mark)
Provide a Rationale behind your answer selection (9 Marks)
4. What nursing interventions would be appropriate for Mrs. Johnson's hypertension
management? (1 Mark)
a)
b)
c)
d)
e)
f)
Administer antihypertensive medications as ordered
Educate Mrs. Johnson and her husband on the importance of medication adherence
Encourage regular physical activity and a healthy diet
Monitor and manage blood glucose and cholesterol levels
Provide education on stress management techniques
Collaborate with the healthcare provider to adjust medications and treatment plans
as needed
Rationale_________________________________________ (1 Mark)
Provide a Rationale (Expound on your answer) behind your answer selection (9
Marks)
5. What patient education should the nurse provide to Mrs. Johnson regarding hypertension
management? (1 Mark)
a)
b)
c)
d)
e)
Importance of adhering to antihypertensive medications as prescribed
Adoption of a healthy lifestyle, including regular exercise and a well-balanced diet
Monitoring and management of blood glucose and cholesterol levels
Strategies for stress management
Importance of regular follow-up appointments with the healthcare provider for
monitoring and adjustments to the treatment plan
Rationale_________________________________________ (1 Mark)
Provide a Rationale (Expound on your answer) behind your answer selection (9
Marks)
6. What referrals or consultations should the nurse consider for Mrs. Johnson? (1 Mark)
a)
b)
c)
d)
e)
Registered dietitian for nutritional counseling
A social worker for assistance with lifestyle modifications and stress management
Diabetes educator for management of blood glucose levels
Pharmacist for medication review and education
Healthcare provider for possible adjustment of antihypertensive medications or
referral to a specialist, such as a cardiologist or endocrinologist
Rationale________________________________________(1 Mark)