Multiple Choice Questions PDF

Multiple Choice 1. (Question): What does this term mean - false beliefs not based in reality? (A): Misguided (B): Confusion (C): Hallucination (D): Delusion 2. (Question): Which statement about Alzheimer's disease is true? (A): There is no known cure (B): ADD and d...

Multiple Choice 1. (Question): What does this term mean - false beliefs not based in reality? (A): Misguided (B): Confusion (C): Hallucination (D): Delusion 2. (Question): Which statement about Alzheimer's disease is true? (A): There is no known cure (B): ADD and delirium are the same thing (C): Diet and drugs can control it (D): It only occurs in older people 3. (Question): Linda is experiencing things that aren't real. What is this called? (A): Apathy (B): Depression (C): Delusion (D): Hallucination 4. (Question): Which of these can be severely abused? (A): Illegal drugs (B): Alcohol (C): Legal drugs (D): All of the above 5. (Question): What program trains caregivers on handling responsive behaviors safely? (A): Recreation therapy (B): Validation therapy (C): One to one therapy (D): Gentle Persuasive Approach 6. (Question): Which body system meets increased energy demands during exercise through blood flow? (A): Blood vessels (B): Lymphatic system (C): Circulatory system (D): Cardiovascular system 7. (Question): Slow, deep breathing in diabetic acidosis is: (A): Hypoxia (B): Apnea (C): Kussmaul respirations  (D): Bradypnea 8. (Question): Which clients are at risk for skin tears? (A): Clients who are young and active (B): Clients who are obese (C): Clients who are former athletes (D): Clients who are poorly hydrated 9. (Question): What is the term for difficulty swallowing? (A): Dysuria (B): Dyspnea (C): Dysphagia (D): Atrophy 10. (Question): Narcotics affect oxygen needs by: (A): Causing swelling of the upper airway (B): Decreasing heart rate and blood flow (C): Depressing the respiratory center (D): Causing brain damage 11. (Question): A stethoscope is used to: (A): Examine the ears (B): Measure blood pressure (C): Listen to body sounds (D): Measure temperature 12. (Question): A colostomy is an opening between: (A): The rectum and abdomen (B): The ileum and abdomen (C): The colon and abdomen (D): The small intestine and abdomen 13. (Question): A lower normal temperature in older adults means: (A): You cannot measure it orally (B): You need the right thermometer (C): You must report it each time (D): It may be a fever 14. (Question): When taking vital signs on a 75-year-old, you should report: (A): Temperature of 36C (B): Oximeter reading of 90% (C): Pulse rate of 95 bpm (D): BP of 140/90 mm Hg 15. (Question): A guideline for dressing a client is: (A): Remove unaffected clothing first (B): Dress affected side last (C): Support the limb (D): Encourage client participation 16. (Question): When making an occupied bed: (A): Lower the rail nearest you (B): Position opposite the client (C): Raise the bed (D): All of the above 17. (Question): For an elderly confused client's oral hygiene, you should: (A): Review their medical record (B): Ask what they want (C): Check their ID bracelet (D): Follow their care plan 18. (Question): Why bathe a client? (A): Increase circulation (B): Relax the person (C): Prevent odors (D): All of the above 19. (Question): Excessive increased hair growth is: (A): Hair loss (B): Dry white flakes (C): Razor bumps (D): Hirsutism 20. (Question): An ostomy pouch is changed: (A): When feces is present (B): Every 48 hours (C): Every day (D): Every 3-7 days 21. (Question): The coroner is involved when a death is: (A): Expected if alone (B): Unexpected within 24 hours of hospital admission (C): Expected (D): Gets media attention 22. (Question): Nutrition truths at end of life include: (A): Nutritious foods if can swallow (B): Eating continues until death (C): Stopping eating is abnormal (D): Eating decreases as death nears 23. (Question): For difficulty breathing, you should: (A): Loosen clothing, reposition, remain calm (B): Encourage walking outside (C): Close the window (D): Distract with stories 24. (Question): An appropriate death is: (A): Determined by the health care team (B): Different for different people (C): Individual (D): Both b and c 25. (Question): Supporting wellness requires: (A): Following Maslow's hierarchy (B): Having a holistic health care approach (C): Following Erikson's stages (D): Seeking medical care, nutrition, sleep 26. (Question): Protecting privacy involves: (A): Exposing only needed areas (B): Allowing visitors during care (C): Sharing information with friends (D): Using a screen for personal care 27. (Question): When a nurse delegates a task: (A): You are not responsible (B): The nurse has overall responsibility; you also have responsibility (C): You are completely responsible (D): Neither of you are responsible 28. (Question): Laura should get info about the flu shot from: (A): Her clients (B): Not get it since it's unsafe (C): Her employer or doctor (D): Her neighbor 29. (Question): Which professional does assessments, diagnoses, care plans, administers meds, etc.? (A): Pharmacist (B): Spiritual advisor (C): Occupational therapist (D): Registered nurse 30. (Question): Multicultural policy in Canada recognizes diversity in: (A): Languages (B): Customs and religions (C): Religions, customs, languages (D): Religions 31. (Question): To be ethical, Shanti should: (A): Give clients a discount (B): Encourage clients to buy her jewelry (C): Try to sell jewelry to clients (D): Not take advantage of client relationships 32. (Question): c/o stands for: (A): Carbon dioxide (B): Complains of (C): Care of (D): None of the above 33. (Question): Drug withdrawal is: (A): Drug tolerance (B): Drug dependence (C): Remission (D): A reaction when stopping drug use 34. (Question): Multi-infarct dementia is due to: (A): A series of small strokes (B): Chronic reduced blood flow (C): None of the above (D): Both a and b 35. (Question): You should report: (A): Oral temperature of 37.4C (B): Oral temperature of 36.6C (C): Axillary temperature of 36.1C (D): Tympanic temperature of 38.2C 36. (Question): Which is true about bowel movements? (A): Stools are normally black (B): Diarrhea means slow movement (C): Most move daily or every 2-3 days (D): Constipation means rapid movement 37. (Question): The lymphatic system protects from: (A): Stunted growth and fluid loss (B): Low blood sugar (C): Falling and balance (D): Disease and infection 38. (Question): The health team should: (A): Not allow masturbation (B): Discourage sexual expression (C): Expect the same attitudes (D): Allow/promote sexual expression 39. (Question): Hepatitis A transmission is through: (A): Tattoo tools (B): Sharing needles (C): Contact with blood/fluids (D): Traces of feces 40. (Question): A dressing: (A): Prevents oxygen entering (B): Reduces swelling (C): Prevents healing too fast (D): Protects the wound 41. (Question): Digestion begins in the: (A): Colon (B): Small intestine (C): Stomach (D): Mouth 42. (Question): What does the square laundry symbol indicate? (A): if bleach can be used (B): how to dry items (C): if the garment needs to be dry cleaned (D): if the garment can be ironed 43. (Question): What are the three primary categories featured in the 2019 Canada's Food Guide? (A): vegetables and fruits, protein, whole grain foods (B): vegetables and fruits, carbohydrate, whole grain foods (C): vegetables and fruits, meat and alternatives, whole grain foods (D): vegetables and fruits, milk and dairy, whole grain foods 44. (Question): What Statement is true? (A): a restraint is a good tool to make staff's job easier (B): a restraint can be tried whenever you want the client to settle (C): staff cannot use a restraint without a physician's order and consent from client's substitute decision maker (D): if you don't have a manufactured restraint, you can improvise a wrist restraint with a soft cloth 45. (Question): Consequences of falls are: (A): death (B): serious injuries (C): loss of quality of life (D): all of the above 46. (Question): The endocrine glands secrete substances called: (A): hormones (B): mucus (C): Semen (D): Insulin 47. (Question): In older people, arteries lose their elasticity and become narrow. These changes result in: (A): a slower heart rate (B): lower blood pressure (C): poor circulation to many body parts (D): less blood in the body 48. (Question): Which of the following does a dressing do? (A): Protects the wound from injury (B): Reduces swelling (C): Prevents healing too fast (D): Prevents oxygen from entering the wound 49. (Question): The normal pulse range for an adult is: (A): 140-50 beats per minute (B): 60-100 beats per minute  (C): 120-160 beats per minute (D): 90-140 beats per minute 50. (Question): Which of the following must be reported to your supervisor at once? (A): An adult has a pulse rate of 120 beats per minute (B): An infant has a pulse rate of 130 beats per minute (C): An adult has a pulse rate of 80 beats per minute (D): An adult has a pulse rate of 64 beats per minute 51. (Question): The liquid part of blood is (are): (A): Hemoglobin (B): Red blood cells (C): Plasma (D): Alveolus 52. (Question): Respiratory disorders include: (A): Asthma, bronchitis and hypertension (B): Bronchitis, pneumonia and asthma (C): Asthma, eczema and psoriasis (D): Pneumonia, copd and colitis 53. (Question): Which of the following is an autoimmune disorder? (A): multiple sclerosis (B): hypothyroidism (C): osteomyelitis (D): gout 54. (Question): Congestive heart failure would not affect which of the following? (A): The right side of the heart (B): The liver (C): the left side of the heart (D): both sides of the heart 55. (Question): Which of the following areas is a common site for arterial ulcers? (A): on the scalp (B): on top of the nose (C): on the outer side of the ankle (D): behind the knee 56. (Question): Oxygen and carbon dioxide are exchanged: (A): in branch (B): between arteriole and capillaries (C): between lungs and the pleura (D): in the trachea 57. (Question): Older people should avoid fried and fatty foods because of: (A): a decrease in saliva secretion (B): Ill-fitting dentures or loss of teeth (C): decreased amount of digestive juices (D): decreased sense of taste 58. (Question): When a client has difficulty breathing: (A): finish morning care quickly (B): pace morning care, move slowly, and lake breaks as needed (C): Encourage exercise (D): Encourage visitors to help distract the person 59. (Question): When caring for a resident who is dying, the PSW must (A): allow only one visitor in the room at a time (B): keep the room dark at all times (C): record and report any changes in the resident's condition to the nurse/supervisor (D): wear gloves, mask, and shoe covers when giving personal care 60. (Question): Non-verbal behaviours that might indicate that a person is in pain include: (A): resisting care, facul grimacing, and change in behavior (B): Rapid treating and hot dry skin (C): Yelling and screaming (D): Decreased blinking and skin rash 61. (Question): Common physical changes in the last hours include: (A): Irregular breathing and reduced intake (B): Regular breathing and increased intake (C): Irregular breathing, watery eyes (D): Decreased fatigue 62. (Question): Palliative care: (A): Haslens death (B): Improves quality of life (C): Results in fewer symptoms (D): Both b and c 63. (Question): When an adult child asks you "How much longer does my father have to live?" it is most supportive to respond: (A): that is a really important question, I would like to as the nurse to talk with you about that (B): I am a PSW and I don’t answer those types of questions (C): No one can say (D): Only god knows when someone will die 64. (Question): The difference between delirium and dementia: (A): Dementia is sudden onset and is reversible (B): Dementia is sudden onset and not reversible (C): Delirium is sudden onset and may be reversible (D): Delirium is sudden onset and is never reversible 65. (Question): The Substitute Decision Maker (A): is chosen by the client (B): is chosen by the family (C): Makes decisions based on what the Substitute Decision Maker would want for himself or herself (D): only makes financial decisions 66. (Question): When a person is in pain, it is important for the PSW to ask, record and report, which of the following questions? (A): when did it start (B): can you rate your pain on a scale of 0-10 (C): what makes it better or worse (D): all of the above 67. (Question): Cachexia in the dying person is: (A): Involuntary weight loss (B): Voluntary weight loss (C): The feeling of breathlessness (D): A form of cancer 68. (Question): Conversations with the person about their values, beliefs, hopes and plans for care in the event that the person is no longer able to speak for they is called: (A): Continued power of attorney (B): Last will and testament (C): Advance care planning (D): Certificate of life birth 69. (Question): Common symptoms experienced by the dying include all of the following except: (A): Pain (B): Nausea and vomiting (C): dyspnea (D): Increased energy 70. (Question): Which of the following is the correct term for respirations fewer than 12 per minute? (A): Apnoea (B): Bradypnea (C): Orthopnoea (D): Tachypnea 71. (Question): This disorder can impact normal brain development, leaving individuals with symptoms such as communication challenges, decreased interest in various activities, reduced willingness to engage in activities, difficulty with typical social interactions, and a tendency to repeat specific behaviour patterns. It is common developmental disorder that begins in early childhood, between 18 months and 3 years of age. What is it called? (A): Autism spectrum disorder (ASD) (B): Attention-deficit hyperactivity disorder (ADHD) (C): intellectual disability (D): Cerebral palsy 72. (Question): When Mr. Coelho was given his diagnosis, he was told that he has a malignant tumor. This means he has which of the following? (A): cancer (B): metastasis (C): a tumor that grows slowly (D): death of tissue 73. (Question): Mr. Ritchie, a 55-year-old male, has swollen feet and ankles and enlarged neck veins. Which of the follow cardiovascular system disorders does Mr. Ritchie likely have? (A): Myocardial infarction (B): Congestive heart failure (C): Hypotension (D): Arrhythmia 74. (Question): A 52-year-old man fell while taking a shower. His wife found him lying on the floor, fully conscious. She driven him to the ER, where the physician notes paralysis of one side of the man's body and loss of the to speak. Which of the following statements best describes his current diagnosis? (A): the client experienced a cerebrovascular accident (CVA) and now has quadriplegia (B): the client experienced a stroke and now has scleroderma (C): the client experienced a cerebrovascular accident (CVA) and now has paraplegic (D): the client experienced a stroke and now has hemiplegia 75. (Question): Narcotics affect oxygen needs because they do which of the following? (A): A cause brain damage (B): depress the respiratory centre in the brain (C): decrease heart rate and blood flow (D): cause swelling of the mucous membranes in the upper airway 76. (Question): Mr. Smith, 88, has sever circulatory issues. You should do the following: (A): ignore his complaints of discomfort (B): follow the care plan (C): plan physically demanding activities (D): allow him to carry heavy bags 77. (Question): You notice your client massaging his abdomen. After his bowel movement, you observe that the faces are black and tarry. After reporting this observation to your supervisor, you see an order for a stool specimen to be collected from the client. What is the purpose of this procedure? (A): To rule out colon cancer (B): To test the stool for blood (C): To rule out hemorrhoids (D): To rule out ulcers 78. (Question): You have just finished taking the vital signs of Mrs. Santos, who is 75 years old. Her temperature is 36’C, her blood pressure is 140/90 mm Hg, her pulse rate is 95 beats per minute, and the oximeter registered a reading of 90%. Which finding do you need to report to your supervisor? (A): Pulse rate of 95 beats per minute (B): Oximeter madding of 190 (C): Blood pressure of 160/90 mm ng (D): Temperature of 36 C 79. (Question): A normal body temperature range can be much lower in older persons than it is in younger adults. What does this mean for you as a support worker caring for an older person? (A): you need to use the night type of thermometer when measuring the temperature (B): you need to report their temperature each time to make sure there is no issue (C): you cannot measure the temperature orally (D): a client may have a fever when the body temperature seems to be within a normal range 80. (Question): You have been assigned to take care of Mr. Roberts. You observed that he has bowel movements after breakfast, another in the afternoon, and also once before going to bed. How would you describe these bowel movements? (A): Diarrhea (B): Normal bowel movements (C): Aging (D): Fecal incontinence 81. (Question): What does RICE stand for? (A): Rest, isolate, compression, elevate (B): Rest, ice, compression, elevate (C): Rest, ice, compensation, elevate (D): Rice, ice, compression, elevate 82. (Question): One of the main illnesses that cause children to miss school or childcare is: (A): stomach flu (B): Headaches (C): Chicken pox (D): Head lice 83. (Question): Which of the following is a principle of growth and development? (A): The rate of process is even and at a set pace (B): The process proceeds from foot to head (C): The process starts at fertilization and ends in puberty (D): The process proceeds from the moment of fertilization until death 84. (Question): Which statement about developmental disabilities and disorders is false? (A): They begin in adulthood (B): They can affect physical function, mental function, or both (C): They can be mild, moderate, or severe (D): Most clients with developmental disorders and disabilities need lifelong assistance, support, and special 85. (Question): Respiratory changes occur with aging. Which of the following is true? (A): Heavy bed linens prevent normal chest expansion (B): The person should not be turned and repositioned frequently (C): The side-lying position is best for breathing (D): The person should not be physically active 86. (Question): It is important for the PSW to report any of the following signs or symptoms related to umbilical cord, circumcision sites, episiotomy site, Caesarean section site, or breasts: (A): fever and chill  (B): pain and swelling (C): foul odour, drainage, or bleeding (D): all of the above 87. (Question): Which of the following best demonstrates an example of prejudice? (A): a group of popular kids at school ignores Jane completely because she is not part of their group (B): a group of popular kids at school treats Jane well even though she is not a part of their group (C): a group of popular kids at school says unkind things about Jane in front of other students because she is overweight (D): a group of popular kids at school excludes Jane because she was not born in Canada 88. (Question): Gentle Persuasive Approach is important in Dementia care to support people with: (A): Responsive behaviours (B): Aggressive behaviours (C): Assertive behaviours (D): Passive behaviours 89. (Question): What is the term for one of the A's of dementia that is a loss of memory? (A): aphasia (B): amnesia (C): apraxia (D): apathy 90. (Question): When focusing on the person with dementia, it is important to: (A): learn what makes the person happy and provide it (B): concentrate on the person, not the task (C): support a person's emotions and feelings (D): all of the above 91. (Question): Physical restraints are a threat to personhood: (A): They restrict movement (B): They limit access to one's body (C): They are a last resort (D): All of the above 92. (Question): Communication strategies include all of the following except: (A): Introducing ourselves (B): Give clear directions (C): Quiz the person about their past and ask for responses  (D): Make direct eye contact 93. (Question): There are many types of dementia including: (A): Alzheimer's disease (B): vascular dementia (C): frontotemporal dementia (D): all of the above 94. (Question): If you are grabbed you should: (A): Remain calm, stroke the person’s hand gently (B): Stiffen your limbs (C): Use the person's name and ask them to let you go (D): Both a and c 95. (Question): In the SPEED model of information processing which is NOT TRUE? (A): Internal stimuli initiates brain processes and interpretation of the external world (B): Each memory is linked to an emotion (C): Feelings are evaluated and a response is determined (D): Feeling and thought become behaviour 96. (Question): Suggestions to encourage Unconditional Positive Regard are: (A): music (B): pet therapy (C): art (D): all of the above 97. (Question): The client that is experiencing APATHY may exhibit the following except: (A): loss of self-awareness (B): loss of ability to initiate (C): Sitting in a chair all day (D): Not Engaging 98. (Question): When tasks are assigned to a PSW by a nurse, who is responsible for making sure the task is completed correctly? (A): doctor (B): case manager (C): nurse (D): PSW 99. (Question): What type of pain is felt in an area of the body that is separate from where the source of the pain is located? (A): persistent pain (B): referred pain (C): phantom limb pain  (D): radiating limb pain 100. (Question): Where is the heartbeat felt and what structure carries the pulse wave throughout the body? (A): artery, vein (B): axilla, artery (C): aorta, artery (D): artery, artery 101. (Question): In a community setting, another title a supervisor may have is: (A): director (B): case manager (C): administrator (D): supervisor 102. (Question): What training program teaches caregivers techniques to respectfully handle responsive behaviors? (A): Gentle Persuasive Approach (B): One to one therapy (C): Validation therapy (D): Recreation therapy 103. (Question): From which body location are PSWs not allowed to measure a client's temperature? (A): oral (B): rectal (C): tympanic (D): artillery 104. (Question): Another name for a team made up of different health professionals is: (A): inter faceted health care team (B): none of the above (C): multifunctional team (D): interprofessional health care team 105. (Question): What does syncope refer to? (A): hypotension (B): contracture (C): fainting (D): systemic 106. (Question): Which instrument is used to examine the inside of the mouth, teeth and throat? (A): laryngeal mirror  (B): tuning fork (C): reflex hammer (D): speculum 107. (Question): What position is used to examine the rectum and sometimes the vagina? (A): Reverse Trendelenburg (B): Lithotomy (C): Knee-chest (D): Sims 108. (Question): You should not use which finger to locate the radial pulse? (A): ring finger (B): thumb (C): index finger (D): 3 middle fingers 109. (Question): What does the abbreviation Dx stand for? (A): director of nursing (B): diagnosis (C): dead or arrival (D): discontinue 110. (Question): Which regulated professionals have the ability to delegate tasks? (A): RPN (B): LPN (C): RN (D): all of the above 111. (Question): Suggestions that can encourage unconditional positive regard include: (A): art (B): pet therapy (C): music (D): all of the above 112. (Question): To provide good care, what is important for a caregiver to consider about themselves? (A): our beliefs (B): our values (C): our culture (D): all of the above 113. (Question): What symptoms may be seen in people with dementia? (A): inappropriate and reduced social skills  (B): impaired recent memory (C): increasing dependency on others for ad (D): all of the above 114.(Question): According to the SPEED model, which statement is inaccurate? (A): feelings are evaluated and a response is determined (B): internal stimuli initiates brain processes (C): each memory is linked to an emotion (D): feeling and thought become behavior 115. (Question): Gentle Persuasive Approach supports people with what type of behaviors? (A): aggressive behaviors (B): passive behaviors (C): assertive behaviors (D): responsive behaviors 116. (Question): When boosting a client up in bed, what should a PSW avoid doing to prevent injury? (A): bending his knees and facing his load (B): twisting his back towards the head of the bed (C): in the same time with his co-worker, moving his load (D): calling a co-worker for assistance 117. (Question): To protect oneself from injury while lifting, the PSW should: (A): lift with forceful movement (B): avoid lifting whenever possible (C): bend at the knees and hips while lifting (D): work alone 118. (Question): Changes occur in the integumentary system with aging. Regarding personal care for older adults, which statement is true? (A): avoid water-based lotions (B): use scented creams (C): use a good deodorant soap (D): deodorants are not needed 119.(Question): What training program teaches caregivers how to respectfully handle responsive behaviors? (A): Gentle Persuasive Approach (B): One to one therapy (C): Validation therapy (D): Recreation therapy 120. (Question): When duties are assigned to a PSW by a nurse, how should the PSW identify the client? (A): check the client's name, birthdate and room number on the assignment sheet (B): check the ID band on the client's wrist while calling them by name (C): check if the client's name is on the back of their clothing (D): options b and c 121. (Question): What body position requires proper alignment? (A): when lying down (B): when sitting (C): when standing (D): all the time 122. (Question): Gentle Persuasive Approach supports people with what type of behaviors? (A): aggressive behaviors (B): assertive behaviors (C): passive behaviors (D): responsive behaviors 123.(Question): What should not be used to prevent falls in infants and children? (A): baby walkers (B): secure infant seats with straps (C): safety gates at the top and bottom of stairs (D): close supervision 124. (Question): Normal flora are: (A): harmful and beneficial to the body (B): found on the skin and in the respiratory tract and digestive tract (C): made up of the microbes that naturally live and grow in certain body locations (D): all of the above 125.(Question): A 55-year-old male has swollen feet/ankles and enlarged neck veins. What disorder likely applies? (A): arrhythmia (B): myocardial infarction (C): hypotension (D): congestive heart failure 126. (Question): What should nurses do to reduce medication errors? (A): follow the nine rights (B): check everything at least twice (C): take a medication administration course (D): ask the client their name 127. (Question): You identify that Mr. Ritchie, displaying allergy symptoms, needs: (A): nothing, it's not serious (B): an EPI pen (C): deep breaths (D): supervisor notification and close watching 128. (Question): A PSW boosted a client up in bed. To prevent injury, they should avoid: (A): twisting their back towards the head of the bed (B): bending their knees and facing their load (C): calling a co-worker for assistance (D): moving the load with a co-worker at the same time 129. (Question): When is lifting a heavy object easiest? (A): pushing (B): pulling (C): sliding (D): lifting 130. (Question): Dementia and Delirium can cause responsive behaviors like: (A): shouting (B): irritability (C): wandering (D): all of the above 131. (Question): What term refers to unintentional weight loss associated with dying? (A): the feeling of breathlessness (B): involuntary weight loss (C): cachexia (D): a form of cancer 132.(Question): When can proper body alignment cause injury? (A): when lying down (B): when sitting (C): when standing (D): it never causes injury 133. (Question): A client had congestive heart failure. What cardiovascular system disorder applies? (A): hypotension (B): arrhythmia (C): myocardial infarction (D): congestive heart failure 134. (Question): What should be done if a client is grabbed? (A): use their name and ask them to let go (B): remain calm and stroke their hand gently (C): stiffen your limbs (D): options a and c 135. (Question): To be accountable for delegated tasks, who is responsible - the nurse or PSW? (A): PSW (B): doctor (C): case manager (D): nurse 136. (Question): What is the work environment free from for sterile procedures? (A): the process of removing dead skin cells (B): microbes that naturally live in the body (C): all microbes, both pathogens and non-pathogens (D): the place where microbes live and grow 137.(Question): Common symptoms of infection include: (A): fatigue and decrease energy (B): pain, swelling and discharge such as runny nose, vomiting and diarrhea (C): fever and chis (D): all of the above 138. (Question): During a fire alarm, which action is unsafe? (A): closing doors and windows (B): using elevators for a quick exit (C): turning off oxygen (D): moving clients to a safe place 139. (Question): When using a fire extinguisher, what is the first step? (A): spray the contents in a direct line (B): push down the top handle (C): pull the safety pin out (D): direct the extinguisher at the top of the fire 140. (Question): What can be done to prevent pressure sores? (A): keep linens clean, dry and wrinkle free (B): position the client as specified in the care plan (C): you don't put pressure on your resident to get up, let them rest (D): both b and c 141.(Question): What is false regarding a mechanical lift? (A): the support worker must position the sling properly (B): the support worker must make sure the lift works (C): the support worker needs to check the resident's muscle strength (D): the support worker must be trained in its use 142. (Question): If you get a minor burn, you should: (A): putting butter on the burn helps (B): keep the burnt area under cool water; pat dry; secure the dressing; report the burn to the supervisor and seek medical attention if necessary (C): call 911 (D): put gloves on the burned area 143. (Question): Who is at high risk of accidental injury? (A): people of all ages (B): only babies (C): only elderly people (D): all of the above 144. (Question): If a gown is spilled on, it is now: (A): disposable (B): sterile (C): clean (D): contaminated 145. (Question): When duties are assigned to a PSW by a nurse, how should the PSW identify the client? (A): check the client's name, birthdate and room number on the assignment sheet (B): check if the client's name is on the back of their clothing (C): check the ID band on client's wrist while calling them by name (D): options b and c 146. (Question): What is true about bed rails? (A): you raise them only if the care plan indicates you should (B): restrained clients are at no risk of injury (C): small clients are at no risk of injury (D): none of the above 147. (Question): Proper use of PPE involves: (A): wearing gloves when touching contaminated items (B): reusing disposable gloves after your break (C): removing PPE after leaving the work area (D): using waterless hand sanitizer on gloves for reuse 148. (Question): Drug antagonism refers to: (A): a response when the wrong dose was taken (B): a response in addition to the intended response (C): an unusually strong drug effect (D): an unusually weak drug effect 149. (Question): What does PPE stand for? (A): Protective Physical Exercises (B): Personal Physical Effort (C): Personal Protective Exercises (D): Personal Protective Equipment 150. (Question): Regarding medication dose: (A): exceeding it can be dangerous (B): it is on the label and MAR (C): it is prescribed to the client (D): all of the above 151. (Question): A client suspects too much diuretic. You should: (A): do nothing (B): inform your supervisor (C): say the nurse knows best (D): ask what they want to happen 152.(Question): Distal refers to the: (A): nearest to the trunk (B): end of a root word (C): part farthest from attachment (D): closest to the midline 153. (Question): Proximal refers to the: (A): side of the body (B): part farthest from attachment (C): nearest to the trunk (D): middle of the body part 154. (Question): Assisting with medication includes: (A): reminding medication schedule (B): reading labels (C): providing fluids (D): all of the above 155. (Question): Regarding personal care of aging skin, the correct statement is: (A): avoid water-based lotions  (B): use scented creams (C): deodorants are not needed (D): use a good deodorant soap 156. (Question): ASD refers to: (A): cerebral palsy (B): ASD (C): intellectual disability (D): ADHD 157.(Question): Carbohydrates provide: (A): needs but no calories (B): chemical substances from plants/animals (C): tissue growth from meat and fish (D): energy and fiber from plants 158. (Question): Child abuse must be reported to: (A): hospital (B): family (C): emergency services (D): public authority 159. (Question): Mrs. Prince's condition is: (A): juvenile rheumatoid arthritis (B): older adult arthritis (C): rheumatoid arthritis (D): osteoarthritis 160. (Question): Bladder training aims for: (A): stoma healing (B): bathroom independence (C): catheter removal (D): voluntary urination control 161. (Question): A back massage should: (A): warm lotion (B): use firm strokes (C): last 1 minute (D): both a and c 162. (Question): Daily urine output is: (A): 1,200 mL (B): 1,000 mL per shift (C): 1,500 mL  (D): 1,000 mL 163. (Question): Hair loss is called: (A): hirsutism (B): alopecia (C): decubitus (D): pediculosis 164. (Question): Back massage is for: (A): treating osteoporosis (B): relaxing muscles (C): stimulating circulation (D): both a and b 165. (Question): A pressure sore is also known as: (A): circulatory ulcer (B): decubitus ulcer (C): arterial ulcer (D): skin tear 166. (Question): With a bedpan the PSW should: (A): powder the rim (B): rinse before use (C): use a liner (D): all of the above 167. (Question): When death is imminent it's important to: (A): offer family privacy (B): know whether to call 911 (C): know who to call (D): all of the above 168. (Question): The Palliative Performance Scale: (A): rates pain level (B): measures function ability (C): describes last bowel movement (D): rates breathing difficulty 169. (Question): Grief is: (A): affects the whole person (B): the same for all people (C): a natural response to loss (D): both a and c 170. (Question): When grieving encourage: (A): empathy, avoiding silence (B): empathy, leaving room for silence, individualized care, acceptance (C): empathy, silence, individualized care, extra support reporting (D): encouragement to feel better 171. (Question): When caring for a dying resident the PSW must: (A): allow only one visitor (B): report condition changes (C): wear full PPE (D): keep the room dark 172. (Question): SDM is: (A): makes decisions based on self (B): chosen by client (C): chosen by family (D): only does financial decisions 173.(Question): Pain indicators include: (A): yelling, screaming (B): resisting care, grimacing, behavior changes (C): rapid breathing, dry skin (D): blinking, rashes 174. (Question): Regarding worries of addiction with opioids the PSW should: (A): say the nurse/doctor knows best (B): acknowledge concern, encourage talking to nurse, inform supervisor (C): describe how the drug works (D): determine if actually addicted 175.(Question): When providing post-mortem care as a PSW, which of these should you avoid doing? (A): Gather the resident's belongings (B): Brush hair if necessary (C): Discard hearing aids and/or glasses (D): Place a disposable bed protector under the buttocks 176. (Question): Why is self-awareness important? (A): You need to tell people what to do based on your experiences (B): Personal beliefs may impact the care you provide (C): Being culturally sensitive requires being aware of your own stereotypes (D): Both b and c 177.(Question): Which of these relates to cultural beliefs about the causes of illness?  (A): Illness is caused by supernatural forces (B): Ancient rituals are never used to treat illness (C): Traditional healers do not treat illness (D): Illness is caused by folk remedies 178. (Question): As a support worker, what should you promote to advocate for a client’s quality of life? (A): Kindness, honesty, sensitivity, comfort, discretion, respect, and understanding (B): Client-centred care (C): Dignity, independence, individualized care, preferences, privacy, safety (D): Dignity, independence, individualized care, preferences, privacy, security 179. (Question): To respect personal space, how much distance should a support worker keep when talking to a client? (A): 240 cm (10 feet) (B): 90 cm (3 feet) (C): 60 cm (2 feet) (D): 120 cm (5 feet) 180. (Question): Which statement about stress is true? (A): A person experiences stress only when awake (B): Stress occurs most in the morning (C): Stress is not normal (D): Stress affects the whole person 181. (Question): What does increased pulse, breathing, and blood pressure indicate in a stressed person? (A): Acute stress (B): Emotional pressure (C): Eustress (D): Conflict 182. (Question): Mrs. Fleming lives independently but gets support services. Which of these describes her situation? (A): Long-term care (B): Convalescent care (C): Adult day care (D): Assisted living 183. (Question): What can chronic stress lead to? (A): Better digestion (B): Better sleep (C): Stressors (D): Burnout 184. (Question): What is the meaning of the word element arthro-? (A): Head (B): Rib (C): Joint (D): Bone 185. (Question): Which statement about social support systems is true? (A): Having a social support system is not important to wellness (B): A social support system is a formal group (C): Having a social support system is not helpful during a crisis (D): Having a social support system can improve overall health 186. (Question): How is Canada's Medicare system best described? (A): Health care coverage for all, even the unemployed (B): An insurance plan run by a public organization (C): A publicly funded health care system (D): An interlocking set of health insurance plans, with federal and provincial/territorial governments sharing responsibility 187. (Question): What is sexism? (A): Feelings of impatience, intolerance, or prejudice based on age stereotypes (B): Feelings of intolerance/prejudice based on gender (C): The ability to interact effectively with diverse people (D): Feelings of superiority/intolerance toward those with different appearances or practices 188. (Question): Which statement about suffixes in medical terms is true? (A): It is the main part of the word (B): It is a shortened form of a word/phrase (C): It is placed at the beginning of a word (D): It is placed at the end of a word 189. (Question): How is delegation different in community vs. long-term care settings? (A): The support worker is not accountable (B): Written instructions should be provided (C): Only a physician can delegate (D): The support worker's performance is not assessed 190. (Question): When communicating across cultures, what should a support worker consider? (A): Meanings vary across cultures (B): Never use silence (C): Never use eye contact (D): Never use touch 191.(Question): Upon learning that Russ, a resident at a health care centre, wishes to see his religious leader, what should the support worker do? (A): ask why the resident wants to do it (B): take the resident to the chapel (C): check the resident's care plan (D): report the request to the supervising nurse 192. (Question): When Avelina, a support worker, observes Mr. Pereira's son making inappropriate comments about his father's body, and notices that such remarks are a recurring event, this behavior is an example of: (A): sexual harassment (B): bullying (C): cyberbullying (D): ageism 193. (Question): Mrs. Muryama's statement, "I didn't sleep at all last night because of the pain in my back," represents: (A): a nursing diagnosis (B): an intervention (C): objective data (D): subjective data 194. (Question): Which of the following statements is correct? (A): Standard Practices are used for all persons. (B): Standard Practices prevent the spread of pathogens through the air. (C): Standard Practices require gowns, masks, gloves, and protective eyewear (D): Standard Practices involve medical and surgical asepsis. 195. (Question): The Canadian Charter of Rights and Freedoms guarantees our right to: (A): Mobility (B): Life, liberty, and security (C): Vote (D): All of the above 196. (Question): Which statement regarding sleep is correct? (A): Ill and injured persons need as much sleep as healthy persons do. (B): Tissue healing and repair occur during sleep. (C): Napping should always be avoided. (D): Voluntary muscle activity increases during sleep. 197. (Question): When log-rolling a person, what should the support worker do? (A): Lower both bed rails (B): Make sure the bed is in the Fowler’s position  (C): Lower the bed to the lowest position (D): Turn the person as a unit in alignment with one motion 198. (Question): Emergency care of burns includes: (A): Calling for someone to provide basic life support if needed (B): Removing the person from the fi re or burn source (C): Putting butter or oil on the burned skin (D): Leaving the burns open to the air 199. (Question): Which is least effective in preventing or reducing odours? (A): Using room deodorizers (B): Emptying bedpans promptly (C): Placing fresh flowers in the room (D): Ensuring the client’s good personal hygiene 200. (Question): What should you do when taking a blood pressure? (A): Place your stethoscope over the client’s brachial artery (B): Wrap the cuff gently over the client’s clothing (C): Take the blood pressure in the arm with an IV infusion (D): Pump up the cuff as high as it will go and release the air very slowly 201. (Question): Michaela is a support worker and chooses to care only for residents who are the same nationality as her. This is an example of unethical behaviour and her not upholding which principle of health care ethics? (A): Beneficence (B): Autonomy (C): No maleficence (D): Justice 202. (Question): Sexual activity: (A): Involves handholding, touching, and embracing (B): Is not allowed in long-term care facilities (C): Always involves intercourse (D): Is unhealthy for older persons 203. (Question): What is the major focus of home care? (A): To enable people to remain independent in their homes (B): To reduce the number of outpatient procedures (C): To prevent persistent and contagious diseases (D): To prevent people from seeking medical treatment 204. (Question): Which of the following statements about documentation is false? (A): Use a pencil. (B): Document the care provided.  (C): Chart a procedure after it is completed. (D): Record in a logical manner. 205. (Question): What is correct in regard to Mrs. Molinski’s indwelling catheter care? (A): Keep the drainage bag below the bladder. (B): Attach the drainage bag to the bed rail. (C): The tubing should be placed over the bed rail. (D): The catheter should be changed daily. 206. (Question): What is the outer layer of the skin called? (A): Dermis (B): Epidermis (C): Myelin (D): Integument 207. (Question): When a client with dementia keeps repeating the same behaviour, the support worker should: (A): Secure the unit (B): Distract the client from the act (C): Ignore the client (D): Do anything it takes to make the client stop 208. (Question): Mr. Beesla’s rehabilitation begins with preventing: (A): Contractures and pressure ulcers (B): Loss of self-esteem (C): Illness and injury (D): Angry feelings 209. (Question): Events or situations that cause stress are known as: (A): Stressors (B): Life events (C): Changes (D): Negative thoughts 210. (Question): Passive range-of-motion exercises are performed by: (A): The client (B): A health care team member (C): The person with the assistance of another (D): All of the above 211. (Question): Vomiting is dangerous because of the possibility of: (A): Aspiration (B): Fluid retention (C): Cardiac arrest  (D): Stroke 212. (Question): The term for high blood pressure is: (A): Peripheral vascular disease (B): Systolic elevation (C): Hypertension (D): Hypotension 213.(Question): Which is the correct measure to take when caring for a person with a hip fracture? (A): Give good skin care once a day. (B): Keep the operated leg adducted at all times. (C): Perform range-of-motion exercises once a day. (D): Prevent external rotation of the hip. 214. (Question): Which step of the nursing process includes carrying out the actions listed in the care plan? (A): Nursing diagnosis (B): Planning (C): Implementation (D): Evaluation 215.(Question): A restraint attached to the person’s body and a stationary object is a (an): (A): Chemical restraint (B): Full bed rail (C): Physical restraint (D): Environmental restraint 216. (Question): Which is not a developmental task of adolescence? (A): Developing leisure time activities (B): Becoming independent from parents and adults (C): Accepting change in appearance (D): Developing morals, values, and attitudes needed to function in society 217. (Question): Who decides how to style a client’s hair? (A): The client (B): The nurse (C): The support worker (D): The family 218. (Question): Muscle atrophy is: (A): The abnormal shortening of a muscle (B): Bending backward (C): Excessive straightening of a body part  (D): A decrease in the size or a wasting away of the muscle tissue 219. (Question): What is the infestation of the body with lice called? (A): Pediculosis corporis (B): Pediculosis capitis (C): Pediculosis pubis (D): Dandruff 220. (Question): Dietary guidelines for Canadians include all of the following, except: (A): Eat a variety of food (B): Maintain a healthy weight (C): Choose a diet low in fat (D): Choose a high-sodium diet 221. (Question): Which statement about an ileostomy is true? (A): The stool is formed. (B): Good skin care is essential. (C): All pouches are “one size fits all” and fit well. (D): The entire small intestine has been removed. 222. (Question): What are changes in psychological and social functioning called? (A): Growth (B): A stage (C): A reflex (D): Development 223. (Question): Which statement is true about delegation? (A): A support worker can delegate to another support worker. (B): You will be supervised and monitored before doing the task alone. (C): You will always have supervision. (D): You may be delegated a task for an acutely ill patient. 224. (Question): How should the support worker respond when dealing with an agitated person? (A): Stand as close to the person as possible. (B): Talk to the person loudly in a firm manner. (C): Touch the person to calm them. (D): Move close to the door. 225. (Question): As a patient, Mrs. Persaude has the right to: (A): Considerate and respectful care (B): Information about her diagnosis, treatment, and prognosis (C): Refuse treatment (D): All of the above 226. (Question): Which action is correct when bottle-feeding a baby? (A): Hold the baby close to you and relax. (B): Leave the baby alone with the bottle. (C): Prop the bottle and lay the baby down. (D): Burp the baby every 10 minutes. 227. (Question): Which statement about enemas is false? (A): Enema solutions should be 40.5ºC (105ºF). (B): The left Sims’ position is used for an enema. (C): The enema bag is held 30 cm above the anus. (D): The enema solution is administered rapidly. 228. (Question): Which of the following is true about “do not resuscitate” (DNR) orders? (A): If a client is not mentally able to make the decision, the nurse does. (B): They are ordered for clients who are not expected to recover. (C): Family can never make this decision. (D): They can be written by the nurse or doctor. 229. (Question): These statements are about moist heat applications. Which is false? (A): Water is in contact with the skin. (B): Moist heat penetrates deeper than dry heat. (C): The effects of moist heat are less than those of a dry heat application. (D): The temperature of a moist heat application is lower than that of a dry heat application. 230. (Question): Which statement about caring for a client undergoing rehabilitation is true? (A): Sympathy and pity help the person adjust to the disability. (B): A support worker should know how to apply self-care devices. (C): A support worker doesn’t need to know how to use the equipment. (D): An attitude of sympathy must be conveyed to the client. 231.(Question): How should the support worker answer a person’s phone in the hospital? (A): “Good morning. Mrs. Kemp’s room.” (B): “Hello.” (C): “Good morning. Third floor.” (D): “Good morning. Mrs. Kemp’s room. Joan Bates, support worker, speaking.” 232. (Question): What is the goal of bladder training? (A): To allow the person to walk to the bathroom (B): To remove the catheter (C): To gain voluntary control of urination (D): All of the above 233. (Question): An open wound on the lower legs and feet caused by poor return blood flow from veins is called: (A): A pressure ulcer (B): An arterial ulcer (C): A stasis ulcer (D): A thrombus 234. (Question): Which of the following measures will best promote sleep? (A): Following bedtime rituals (B): Drinking alcoholic beverages at bedtime (C): Exercising vigorously just prior to bedtime (D): Doing a leisure activity like playing a video game 235. (Question): Mr. Juarez does not feel that he is making progress with his rehabilitation. He is angry. You should: (A): Tell him that being angry will only make things worse (B): Change the subject and try to cheer him up (C): Try to understand his feelings and offer support (D): Call his doctor 236. (Question): Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her rectum. This is probably: (A): Diarrhea (B): Anal incontinence (C): A fecal impaction (D): Constipation 237. (Question): Heat applications are used for all of the following except to: (A): Relieve pain (B): Decrease joint stiffness (C): Relax muscles (D): Control bleeding 238. (Question): The suffix –itis means: (A): Inflammation (B): A condition (C): Paralysis (D): Pain 239. (Question): Mike has difficulty breathing. This is called: (A): Apnea (B): Orthopnea (C): Dyspnea (D): Eupnea 240. (Question): Hypoxia is: (A): The amount of hemoglobin that contains oxygen (B): A deficiency of oxygen in the blood (C): The lack of carbon dioxide (D): A deficiency of oxygen in the cells 241. (Question): Shortened forms of words or phrases are: (A): Word elements (B): Abbreviations (C): Suffixes (D): Medical terms 242. (Question): Mr. Cole is masturbating in the dining room. The support worker should do all the following except: (A): Cover him and take him quietly to his room (B): Report the behaviour to the nurse (C): Provide privacy and protect his rights (D): Scold him for his bad behaviour 243. (Question): A person has cystitis. This is: (A): A kidney infection (B): An inflammation of the bladder (C): A urinary tract infection (D): Kidney stones 244. (Question): Which statements about recording are true? (A): Save time by charting a procedure before it is completed. (B): Record your opinions about the client and the care received. (C): Skip a line between each written line. (D): Use the client’s exact words when possible. 245. (Question): Which part of the brain is largest and contains the centre of thought and intelligence? (A): Cerebellum (B): Cerebrum (C): Midbrain (D): Brain stem 246. (Question): The person or population that comes in contact with a pathogen is called the: (A): Vector (B): Pathogen (C): Host  (D): Vehicle 247. (Question): Which is correct when handling linens? (A): Shake linens in the air to remove wrinkles. (B): Return unused linens to the linen closet. (C): Collect linens in the order of use. (D): Place dirty linens on the floor. 248. (Question): An infection acquired after admission to a health care agency is a: (A): Communicable disease (B): Hepatitis infection (C): Health care–associated infection (D): Viral infection 249. (Question): The term myocardial infarction describes: (A): An infection of the pericardium (B): A spasm of the heart (C): A heart attack (D): Hardening of the heart 250. (Question): Rehabilitation begins when the person: (A): Leaves the hospital (B): Goes home with home health care (C): Seeks health care (D): Enters a sub-acute care rehabilitation program 251.(Question): A congenital defect of the spinal column is known as: (A): Hydrocephalus (B): Cerebral palsy (C): Spina bifida (D): Epilepsy 252. (Question): The canal that leads to the primary internal female reproductive organs is the: (A): Vagina (B): Perineum (C): Urethra (D): Clitoris 253. (Question): During which stage of Kübler-Ross’s Stages of Grief does the person question why this is happening and have strong feelings of resentment? (A): Denial (B): Anger (C): Bargaining (D): Depression 254. (Question): When assisting Mr. Gomez with shaving, what should the support worker remember to do? (A): Hold the skin taut as necessary (B): Report nicks or cuts to the nurse before the end of his or her shift (C): Shave away from the direction of hair growth (D): Massage the skin before shaving 255. (Question): Reproductive organs begin to function and secondary sex characteristics appear during: (A): Late childhood (B): Puberty (C): Early adulthood (D): Preadolescence 256. (Question): The person’s legal written statement about the use of life-sustaining measures is called: (A): Hospice care (B): A power of attorney (C): A living will (D): A “do not resuscitate” order 257. (Question): A cataract is an eye disorder in which: (A): The optic nerve is damaged (B): The lens becomes cloudy (C): Pressure within the eye is increased (D): Severe eye pain is common 258. (Question): Why is age a factor in safety? (A): Young children have not learned what is safe and what is dangerous. (B): Infants are helpless. (C): Physical changes from aging can affect balance and movements. (D): All of the above. 259. (Question): Identify the measure that supports oxygenation. (A): Allowing the client to rest in the same position for 4 hours (B): Positioning the client in the semi-Fowler’s position (C): Assisting the client to use an incentive spirometer (D): Encouraging coughing and deep-breathing exercises 260. (Question): Which is a true statement about a substitute decision maker? (A): This person overrides the client’s wishes and makes his or her own decisions. (B): Decisions cannot include those that have to do with property. (C): This is also known as power of attorney. (D): This can only be a spouse 261. (Question): A pinkish brown vaginal drainage that lasts for about 10 days after birth is called: (A): Lochia serosa (B): Lochia alba (C): Lochia rubra (D): Cesarean 262. (Question): What is stress? (A): The way one copes with and adjusts to everyday living (B): A mental or emotional response to everyday living (C): The emotional, behavioural, or physical response to an event (D): A vague, uneasy feeling, including a sense of impending danger or harm 263. (Question): The blockage of the blood supply to a portion of the brain causes a: (A): Dizzy spell (B): Blackout (C): Heart attack (D): Stroke 264. (Question): Which statement about ambulation is false? (A): Walking aids may be needed permanently or temporarily. (B): The client should not dangle his or her legs prior to ambulating. (C): A transfer belt is used if the client is weak or unsteady. (D): Crutches, canes, walkers, and braces are common walking aids. 265. (Question): Which of the following would be described as a symptom? (A): Sleeping soundly (B): Pulse rate of 78 (C): Pain (D): Smiling and laughing 266. (Question): Which is the best way to prevent child abuse? (A): Closed-circuit camera monitoring (B): Being an older parent (C): Isolation (D): Providing ongoing support & parenting teachings for parents 267. (Question): Which statement about multiple sclerosis is correct? (A): Blurred vision and double vision occur first.  (B): Symptoms usually start after age 60. (C): Men are affected more than women. (D): The onset is sudden. 268. (Question): The support worker can assist to prevent pressure ulcers by doing all of the following except which action? (A): Providing good skin care (B): Performing range-of-motion exercises with the client as directed (C): Turning and repositioning the client as directed (D): Keeping skin moist 269. (Question): A laceration is: (A): A closed wound caused by a blow to the body (B): A partial-thickness wound caused by the scraping away of skin (C): An open wound with torn tissue and jagged edges (D): The collection of blood under the skin and tissue 270. (Question): To communicate with the speech-impaired person, you should: (A): Listen and give the person your full attention (B): Ask the person to repeat or rephrase if necessary (C): Watch the person’s lips move (D): Do all of the above 271. (Question): The support worker can assist in Mr. Long’s psychological preparation by explaining: (A): What to expect during the preoperative and postoperative periods (B): The procedures the support worker is doing (C): The risks and possible complications of surgery (D): The reason for the surgery 272. (Question): According to Maslow, which of the following best represents our most basic needs? (A): Self-respect (B): Receiving affection (C): Protection from harm (D): Food and shelter 273. (Question): The most common type of dementia is: (A): Multi-infarct dementia (B): Stroke (C): Alzheimer’s disease (D): Syphilis 274. (Question): Which statement about Standard Practices is true? (A): Standard Practices are just for nurses. (B): Standard Practices include wearing long gowns when making beds and giving a bed bath. (C): Standard Practices include wearing gloves when appropriate. (D): Standard Practices involve treating all persons as if they were infected 275. (Question): Good oral hygiene: (A): Prevents mouth odour and infection (B): Is done only once a day (C): Is not important for unconscious persons (D): Allows buildup of tartar and plaque 276. (Question): Paralysis on one side of the body is called: (A): Hemiplegia (B): Paraplegia (C): Coma (D): Quadriplegia 277. (Question): As unregulated health care professionals, support workers are accountable to: (A): Their supervisors (B): Their clients (C): Their employees (D): All the above 278. (Question): The values, language, and beliefs of a group passed from one generation to the next is: (A): Self-actualization (B): Religion (C): Culture (D): Holism 279. (Question): What are the substances your body produces when you are immunized by vaccines? (A): Antibacterial proteins (B): Antitoxic proteins (C): Antibodies (D): Microphages 280. (Question): Which statement about holistic client care is true? (A): A person’s culture rarely influences health and illness practices. (B): Food practices are not related to culture. (C): A person may not follow all of the beliefs and practices of his or her religion or culture.  (D): A person’s religious and cultural practices are not allowed in the health care agency. 281. (Question): Which is correct when recording on a client’s chart? (A): Use abbreviations that you would normally use when texting your friends. (B): Record only what you observed, did, and heard from the client yourself. (C): Use a pencil in case you make a mistake. (D): Record using full sentences. 282. (Question): The over-bed table should not be used for which of the following activities? (A): For eating (B): As a working surface (C): To store the urinal (D): To store shaving articles 283. (Question): A child deprived of food and clothing is an example of which? (A): Physical neglect (B): Physical abuse (C): Emotional neglect (D): Sexual abuse 284. (Question): Which vegetable is not allowed on a 1000 mg sodium diet? (A): Steamed carrots (B): Steamed broccoli (C): Sauerkraut (D): Lettuce 285. (Question): A death of a partner results in the loss of a: (A): Friend (B): Lover (C): Companion (D): All of the above 286. (Question): Fats, oils, and sweets: (A): Should be consumed in moderate amounts (B): Are low in calories (C): Should be consumed sparingly (D): Have great nutritional value 287. (Question): Mrs. Linn has had a stroke. Which is correct? (A): Rehabilitation would occur after the stroke. (B): You are not responsible for providing emotional support. (C): Good skin care is not important for her.  (D): Encourage coughing and deep breathing. 288. (Question): When should hand washing using soap and water be practiced instead of using waterless alcohol-based hand sanitizers? (A): When switching from one client to another (B): When visible soiling is present on the hands (C): After making a bed (D): After feeding a client 289. (Question): Zach’s cord has not yet healed. His diaper should be: (A): Loose over the cord (B): Snug over the cord (C): Below the cord (D): Disposable 290. (Question): The stiffness or rigidity of skeletal muscles that occurs after death is called: (A): Rigor mortis (B): Postmortem (C): Peristalsis (D): Muscle spasms 291. (Question): What is a word that describes a person’s feelings, emotions, and moods and the way the person demonstrates them? (A): Phobia (B): Personality (C): Affect (D): Id 292. (Question): Multivitamins are an example of: (A): Prescription medication (B): Generic medication (C): Over-the-counter medication (D): A metered dose inhaler 293. (Question): Which best describes sudden infant death syndrome (SIDS)? (A): The unexpected death of a 2-year-old (B): The unexpected death of a 6-month-old (C): The sudden death of a 6-month-old with a heart condition (D): The sudden death of a 2-year-old with a heart condition 294. (Question): Pain that is felt in a part of the body that is no longer there is: (A): Acute pain (B): Phantom pain  (C): Radiating pain (D): Chronic pain 295. (Question): A client refuses a bath. What should you do first? (A): Call the client’s family (B): Get help and give the bath (C): Try to determine the cause for the refusal (D): Report the refusal to the nurse 296. (Question): Wrinkling of the skin is caused by which of the following? (A): An increase in subcutaneous fat (B): Loss of elasticity in the skin (C): A decrease in subcutaneous fat (D): An increase in elasticity in the skin 297. (Question): You prepare the room for the client’s return from a weekend visit with family by: (A): Making an open bed (B): Cleaning and organizing the room (C): Lowering the bed to the lowest position (D): Raising the bed rails 298. (Question): Which of the following is not a regulated profession? (A): Support worker (B): Speech-language pathologist (C): Respiratory therapist (D): Dietician 299. (Question): An example of when Miss Drew, a support worker, should call her supervisor is: (A): When the daily routine has gone smoothly (B): When she observes her client acting strangely (C): When she wants to gossip (D): When her clothes get wet from the rain 300. (Question): Sun-downing means that: (A): The client becomes sleepy when the sun sets (B): Behaviours become worse in the late afternoon and evening hours (C): Behaviour improves at night (D): The client is in the third stage of the disease 301. (Question): One of the major functions of vitamin C is: (A): Blood clotting (B): Wound healing  (C): Formation of red blood cells (D): Normal elimination 302. (Question): Mrs. Smith is being bathed and will return to bed after her bath. What type of bed should you make? (A): A closed bed (B): A surgical bed (C): An open bed (D): An occupied bed 303. (Question): Which food groups contain the most fat? (A): Breads, cereal, rice, and pasta (B): Fruits (C): Milk, yogurt, and cheese (D): Meat, poultry, fish, dry beans, eggs, and nuts 304. (Question): Mr. Willard is moving to another province. Which aspect of the Canada Health Act (1984) governs his right to keep his health care coverage? (A): Public administration (B): Universality (C): Accessibility (D): Portability 305. (Question): Mrs. Sanchez has an order for NPO. Which of the following is correct? (A): Fluids are restricted. (B): Records of oral intake are kept. (C): She cannot eat or drink anything (D): She is encouraged to drink a variety of fluids. 306. (Question): A person’s photograph is taken without permission. Which of the following rights has been violated? (A): Right to dignity (B): Right to respect (C): Right to privacy (D): Right to safety 307. (Question): A health care agency or program for persons who have a terminal illness is: (A): Case management (B): Hospice (C): Managed care (D): A preferred provider organization 308. (Question): If a fire occurs, which of these steps should be done first? (A): Use a fire extinguisher to put out the fire.  (B): Close all doors and windows. (C): Sound the nearest fire alarm. (D): Move persons who are in danger to a safe place. 309. (Question): Mrs. Adams is in isolation. Which is incorrect? (A): Say hello from the doorway often. (B): Treat her with respect, kindness, and dignity. (C): Provide hobby materials if possible. (D): Spend as little time in her room as possible. 310. (Question): Each gram of carbohydrates supplies how many calories? (A): 2 (B): 4 (C): 7 (D): 9 311. (Question): According to Eating Well with Canada’s Food Guide, how many servings of vegetables and fruit are recommended daily for adults? (A): 3–6 (B): 4–8 (C): 7–10 (D): 6–11 312.(Question): Salia, a support worker, has been caring for Mr. Clark and is feeling frustrated by his slow progress. What should Salia do? (A): Tell Mr. Clark that she is frustrated (B): Be firm and tell Mr. Clark that he must work harder (C): Discuss her feelings with the nurse (D): Ask a co-worker to care for Mr. Clark 313. (Question): The relaxation technique that involves breathing slowly through your nose and repeating a single syllable is known as: (A): Visualization (B): Mindfulness (C): Meditation (D): Biofeedback 314. (Question): These statements are about HIV (human immunodeficiency virus) and AIDS (acquired immune deficiency syndrome). Which is false? (A): Standard Precautions are practiced. (B): There may be signs and symptoms of central nervous system damage. (C): The person is at risk for infection (D): The person always shows some signs and symptoms. 315. (Question): The following statements relate to basic needs. Which is correct? (A): People cannot meet their own needs. (B): Lower-level needs must be met before higher-level needs. (C): The need for self-actualization is always met. (D): The need for self-esteem is affected by illness. 316. (Question): Bed cradles are used to: (A): Keep the weight of top linens off the feet (B): Keep the hips abducted (C): Prevent plantar flexion (D): Prevent the mattress from sagging 317.(Question): Johan, a support worker, made an error while providing care. When should he report this? (A): At the end of his shift (B): Never, unless a client was injured (C): To the person’s family when they visit (D): Immediately 318. (Question): Which statement about the client’s bill of rights is correct? (A): It represents basic rights for all people receiving care. (B): One bill of rights is used for all provinces and territories. (C): These only apply to older adults. (D): Facilities cannot write their own bill of rights. 319. (Question): When providing emergency care, which is incorrect? (A): Know your limits. Do not do more than you are able. (B): Call for help. (C): Move the person to a more comfortable place. (D): Keep the person warm. 320. (Question): Mr. Dawson has dementia, and today, he is demonstrating sexually aggressive behaviours. The behavior may be: (A): An attempt to prove he is still attractive and able to perform sexually (B): Due to confusion and disorientation (C): Done on purpose (D): All of the above 321.(Question): The client’s unit: (A): Is arranged for staff convenience (B): Should always have dim lighting (C): Should be as personal and homelike as possible (D): Is kept clean by the client 322. (Question): All the following are possible physical symptoms of a panic attack except: (A): Increased heart rate (B): Rapid breathing (C): Feeling light-headed (D): Increased appetite 323. (Question): A wound is red and swollen, and the area around it is warm to the touch. These are signs of: (A): The inflammatory phase of wound healing (B): The proliferative phase of wound healing (C): Healing by primary intention (D): Healing by secondary intention 324. (Question): Deborah, a support worker, is assisting with Mrs. Dillan’s admission. While Deborah is performing vital signs, Mrs. Dillan complains of severe abdominal pain. What should Deborah do first? (A): Call the doctor (B): Finish the admissions process and then report Mrs. Dillan’s complaint of pain to the nurse (C): Call the nurse immediately (D): Tell Mrs. Dillan not to worry because her doctor will see her soon 325. (Question): Which correctly describes how to ensure that 2-month-old Zach sleeps safely? (A): Zach’s bedroom door should be closed at all times to keep out noise. (B): Zach should be positioned on his back for sleep. (C): Zach should have a pillow for sleep. (D): One of Zach’s crib rails should be up at all times. 326. (Question): Mrs. Tremaine has a broken arm. This is an example of a: (A): Persistent illness (B): Disability (C): Illness (D): Acute illness 327. (Question): The basic unit of body structure is: (A): An organ (B): A cell (C): Tissue (D): Mitosis 328. (Question): Mr. Long’s analgesic medication was given to relieve his arthritis pain. Your responsibility includes: (A): Documenting the medication given (B): Giving the medication to Mr. Long (C): Reporting to the nurse if the pain is not relieved after one hour (D): Explaining to Mr. Long how the medication works 329. (Question): Masks prevent the spread of microbes from the client’s: (A): Gastrointestinal tract (B): Skin (C): Respiratory tract (D): All of the above 330. (Question): Which of these is not part of the cycle of abuse? (A): honeymoon phase (B): neglect phase (C): tension-building phase (D): abusive phase 331. (Question): Which of the following is not included in the cleaning guidelines? (A): change cleaning cloths and water frequently (B): work from dirtiest to cleanest (C): work from higher to lower (D): work from dry to wet 332. (Question): How can clock numbers help someone find food on their plate? (A): dysphagia (B): confusion (C): aggressive behavior (D): vision impairment 333. (Question): What type of bed making is appropriate when a bed will not be used for a few hours or days? (A): occupied (B): closed (C): open (D): surgical 334. (Question): What system in the body helps deliver more blood to muscles and organs during exercise? (A): cardiovascular system (B): circulatory system (C): blood vessels  (D): lymphatic system 335. (Question): What is the name of the body’s largest system, which can indicate a person's health through changes in color and texture? (A): integumentary system (B): epidermis (C): appendages (D): oil glands 336. (Question): What challenges might Canadians encounter in getting enough nutrition in their diets? (A): limited access to internet, experiencing mental illness (B): good weather conditions, experiencing mental illness or addictions (C): geographical isolation, experiencing mental illness or addictions, being wealthy (D): limited income, geographical isolation, experiencing mental illness or addictions 337. (Question): Which clients have a higher risk of experiencing skin tears? (A): clients who are obese (B): clients who are poorly hydrated (C): clients who are young and active (D): clients who are former athletes 338. (Question): When recording a client's output, which of the following should a support worker not measure? (A): urine (B): vomitus (C): a normal bowel movement (D): wound drainage 339. (Question): If your client needs to take 2000 mg of Metformin per day in two doses, and each tablet is 500 mg, your client should take: (A): two tablets with breakfast, two tablets with dinner (B): two tablets and a half with breakfast and lunch (C): one tablet and a half with breakfast, lunch and dinner (D): three tablets 340. (Question): What does drug antagonism refer to? (A): an unusually strong drug effect when taking two or more drugs (B): an unusually weak drug effect when taking two or more drugs at the same time (C): a response to a medication that occurs in addition to the intended response (D): a response to a medication that occurs when the wrong dose was ordered 341. (Question): What should you do if a client believes they have been given too much of a diuretic ("water pill")? (A): tell her she is mistaken, since the nurse knows how much medication to give (B): ask her what she would like to happen now (C): call your supervisor and inform them about the client's concerns (D): do nothing because you don't want to get in the middle 342. (Question): What does the term "sterile field" refer to? (A): a work area free of all microbes, both pathogens and non-pathogens (B): the environment in which microbes live and grow (C): a park with no trees (D): the process of removing dead skin cells 343. (Question): What is urticaria? (A): hives (B): eczema (C): impetigo (D): dermatitis 344. (Question): What are the characteristics of skeletal muscles? (A): are under involuntary control (B): appear smooth (C): are always under voluntary control (D): appear striped under a microscope 345. (Question): Which part of the heart is responsible for pumping blood to the rest of the body? (A): right atrium (B): left atrium (C): right ventricle (D): left ventricle 346. (Question): What is the term for acts or verbal comments in the workplace that could mentally "hurt" a person? (A): bullying (B): harassment (C): abuse (D): rudeness 347. (Question): Who must you report to directly if you suspect or witness child abuse? (A): child protection services (B): your co-workers (C): the charge nurse (D): the child's family 348. (Question): What is the purpose of palliative care? (A): results in fewer symptoms (B): hastens death (C): both B and C (D): improves quality of life 349. (Question): Who is the Substitute Decision Maker? (A): is chosen by the family (B): only makes financial decisions (C): makes decisions based on what the Substitute Decision Maker would want for himself or herself (D): is chosen by the client 350. (Question): When selecting a comfort measure to reduce pain, what should you always consider? (A): use warm blankets (B): do the care yourself and not ask the family to help (C): use the same comfort measure that worked last week (D): individualize the care 351. (Question): What should a PSW do immediately following the death of a person? (A): clean the room of all of the deceased person's belongings (B): perform the PSW's favourite personal ritual to support the family (C): never leave the family alone with the deceased (D): position the body in a natural flat lying position, with the head on the pillow and the sheets arranged neatly 352. (Question): What do adjusting to physical changes, having grown-up children, and developing leisure activities represent? (A): developmental stages of middle adulthood (B): developmental tasks of middle adulthood (C): developmental tasks of young adulthood (D): developmental stages of young adulthood 353. (Question): As a caregiver, what should you consider to ensure a good approach? (A): our beliefs (B): our values (C): our culture (D): all of the above 354. (Question): Which of the following is not included in successful verbal redirection? (A): dismissing (B): distraction (C): validate (D): redirection 355. (Question): In a caring relationship, what does personhood involve? (A): disrespect (B): support (C): all except disrespect (D): trust 356. (Question): What actions should be taken to de-escalate a situation? (A): stop the person from expressing their emotions (B): remove the person's food, drinks, photos etc. (C): ensure a calm environment, and offer continued support (D): all of the above 357. (Question): How do narcotics impact oxygen needs by their action on the body? (A): decrease heart rate and blood flow (B): depress the respiratory centre in the brain (C): cause swelling of the mucous membranes in the upper airway (D): cause brain damage 358. (Question): What is the reason for collecting a stool sample from a client if their bowel movement appears black and tarry? (A): to rule out hemorrhoids (B): to test the stool for blood (C): to rule out ulcers (D): to rule out colon cancer 359. (Question): What are the signs of hypoxia? (A): painful, difficult breathing and weak pulse (B): calm, clammy and weak pulse (C): slow, weak respirations and disorientation (D): restlessness, dizziness, and disorientation 360. (Question): What term is used to describe severe effects of medication on a client's body? (A): side-effects (B): severe side-effects (C): life-threatening side-effects (D): adverse effects 361. (Question): What are the common side effects of medication? (A): vomiting (B): constipation (C): nausea (D): all of the above 362. (Question): What does the term polypharmacy mean? (A): a mall that has both Shoppers and Rexall (B): the use of more medications by a client than is medically required (C): a pharmacy with specialized medications (D): all of the above 363. (Question): What action should you take if a resident shows symptoms of an allergy? (A): use an EPI pen (B): tell the client to take deep breaths (C): nothing, this is not a serious concern (D): notify the supervisor and watch the client closely 364. (Question): What is the abbreviation RUQ short for? (A): Right under quadrant (B): Rest under care (C): Left upper quadrant (D): Right upper quadrant 365. (Question): Which of these statements is correct regarding ostomies? (A): deodorants cannot control odours (B): the client does not wear a pouch (C): feces are always liquid (D): good skin care around the stoma is essential 366. (Question): What should you do if an older client has cold feet? (A): soak the client's feet in hot water (B): apply a hot-water bottle (C): apply a heating pad  (D): provide socks 367. (Question): What is the term for the extended retention and buildup of feces in the rectum? (A): diarrhea (B): fecal incontinence (C): constipation (D): fecal impaction 368. (Question): Which type of thermometer is infrequently used in healthcare settings? (A): electronic (B): dot matrix (C): glass (D): digital 369. (Question): Which of the following is not typically a sign of abuse or neglect in children and infants? (A): smiling happily (B): developmental delays (C): sudden behavior changes (D): prolonged diarrhea 370. (Question): What does cyberbullying encompass? (A): social anxiety (B): sending threatening emails (C): both A and B (D): posting embarrassing photos of someone online 371.(Question): What does a palliative approach entail? (A): only for people with cancer (B): not for people with end stage cardiac disease (C): only for people who are dying imminently (D): for people with any life-limiting or life-threatening disease 372. (Question): What is cachexia in the context of a person who is dying? (A): the feeling of breathlessness (B): involuntary weight loss (C): voluntary weight loss (D): a form of cancer 373. (Question): Which of the following are considered as self-care strategies? (A): Developing elf awareness, remembering your boundaries, and developing strong social support network. (B): Eating food that is healthy, exercising regularly, and sleeping well (C): Engaging in learning activities including attending continuing education sessions (D): All of the above 374. (Question): To provide comfort to someone experiencing dyspnea, which of the following strategies could be used? (A): Close the windows to ensure that the air is warm (B): Position of the person in the prone position (C): Encourage the individual to remain active to increase blood circulation (D): Use a fan to increase airflow 375. (Question): What signs or symptoms related to the umbilical cord, circumcision sites, episiotomy site, Caesarean section site, or breasts should a PSW report? (A): fever and chills (B): pain and swelling (C): foul odour, drainage, or bleeding (D): all of the above 376. (Question): What is the advised daily caffeine consumption for a child aged 7 to 9? (A): 100 mg per day (B): 85 mg per day (C): 45 mg per day (D): 62.5 mg per day 377. (Question): What is the function of protein in the body? (A): improving the taste of food (B): tissue growth and repair (C): energy and fibre (D): body heat and the protection of organs from injury 378. (Question): How is a wound that is free of infection classified? (A): a contusion (B): a clean wound (C): an incision (D): an abrasion 379. (Question): What are potential symptoms of a penicillin allergy in a client? (A): itchiness (B): rashes (C): swelling (D): all of the above 380. (Question): What constitutes correct usage of personal protective equipment (PPE)? (A): wearing gloves when touching contaminated items or surfaces (B): removing personal protective equipment after leaving the work area (C): reusing your disposable gloves after your break (D): using waterless hand sanitizer on disposable gloves for reuse 381. (Question): Which statement is incorrect regarding the nature of cancer? (A): cancer can never be cured (B): cancer tumours can be benign (C): metastasis is the spread of cancer to other body parts (D): cancer tumours can be malignant 382. (Question): Who is at the greatest risk for experiencing abuse? (A): those who have a mental health disorder (B): those who belong to a visible minority (C): those who do not speak an official language (D): all of the above 383. (Question): What rights are encompassed by the Canadian Charter of Rights and Freedoms? (A): right to freedom of conscience and religion (B): the right to enter and leave Canada (C): to have life, liberty, and security (D): all of the above 384. (Question): What non-verbal behaviors could suggest that an individual is experiencing pain? (A): yelling and screaming (B): resisting care, facial grimacing, and change in behavior (C): decreased blinking and skin rash (D): rapid breathing and hot dry skin 385. (Question): In the context of selecting a comfort measure to alleviate pain, what is essential to remember? (A): use warm blankets (B): use the same comfort measure that worked last week (C): do the care yourself and not ask the family to help  (D): individualize the care 386. (Question): What does spina bifida entail? (A): seizures (B): abnormalities in the structure of the heart (C): improper closing of the spine before birth (D): changes in the x chromosome 387. (Question): In many Western cultures, what is a prevalent belief regarding parenting? (A): self-reliance is often emphasized in children (B): most adults still live at home with their parents (C): grandparents are always cared for by a family member at home rather than at a long-term care facility (D): parents do everything for their children 388. (Question): When dealing with stains caused by bodily fluids or stool, what is the recommended temperature of water for rinsing? (A): warm water (B): hot water (C): cold water (D): none of the above 389. (Question): When a client requests that you apply Volatren cream to help with her arthritis pain, which of the following should you not do? (A): you help the client with her pain by applying the Voltaren as you are happy to help (B): you tell her that a support worker cannot administer medication (C): you inform your supervisor of the client's request (D): both a and c 390. (Question): What is the objective of giving a bath? (A): preventing odours (B): increasing circulation (C): refreshing and relaxing the person (D): all of the above 391. (Question): What should you keep in mind when selecting a comfort measure to reduce pain? (A): use the same comfort measure that worked last week (B): use warm blankets (C): do the care yourself and not ask the family to help (D): individualize the care 392. (Question): Which of the following is not a developmental task of adolescence?  (A): accepting changes in the body and appearance (B): becoming independent from parents and adults (C): developing morals, attitudes, and values (D): selecting a partner 393. (Question): What is the definition of dysuria? (A): blood in the urine (B): sugar in the urine (C): painful or difficult urination (D): a scant amount of urine 394. (Question): What are some obstacles Canadians may encounter in achieving adequate nutrition in their diets? (A): limited access to the internet, experiencing mental illness (B): good weather conditions, experiencing mental illness or addictions (C): geographical isolation, experiencing mental illness or addictions, being wealthy (D): limited income, geographical isolation, experiencing mental illness or addictions 395. (Question): How much fluid is required daily for maintaining normal fluid balance? (A): 1500 - 1800 ml of fluid (B): 2000 - 2500 ml of fluid (C): 2000 - 2700 ml of fluid (D): 2500 - 3000 ml of fluid 396. (Question): What are the aspirations for individuals with developmental disabilities? (A): to live independently (B): to have control of their lives (C): education and job training (D): financial independence 397. (Question): Which of the following is not a recommended guideline for cleaning? (A): work from dirtiest to cleanest (B): change cleaning cloths and water frequently (C): work from higher to lower (D): work from dry to wet 398. (Question): Which action by a client with an indwelling catheter indicates a need for further teaching to prevent infection? (A): the client carries her urinary drainage bag under her arm like a purse (B): when the client is in bed, she attaches the drainage bag to the bed frame (C): the client, who has female genitalia, secures the catheter drainage tubing to her inner thigh (D): when the client is being transferred to a chair, she attaches the drainage bag to the back of the chair 399. (Question): What does the acronym PICC represent? (A): peripherally inverted central catheters (B): peripheral internal central catheters (C): peripherally inserted central catheters (D): peripheric inferior central catheters 400. (Question): Which of the following does not typically happen in men with aging? (A): an erection occurs more quickly (B): the time between erection and orgasm is shorter (C): erections last longer (D): orgasm is longer and more forceful 401. (Question): When medication has serious consequences on an individual's health, these reactions are known as: (A): side-effects (B): severe side-effects (C): adverse effects (D): life-threatening side-effects 402. (Question): Which statement is accurate? (A): most people have a bowel movement every day or every 2 to 3 days (B): stools are normally black and runny (C): diarrhea occurs when feces move slowly through the intestines (D): constipation results when feces move through the large intestine rapidly 403. (Question): When fastening a dressing with tape, how should the tape be placed? (A): to the top and bottom of the dressing (B): around the entire body part (C): as the client prefers (D): to the top, middle, and bottom of the dressing 404. (Question): What does the treatment involving pinching and pushing a client exemplify? (A): neglect (B): malpractice (C): negligence (D): physical abuse 405. (Question): Why is it important to maintain therapeutic boundaries?  (A): boundaries help you know where the person lives (B): boundaries help you provide better care for the person and family (C): both a and b (D): boundaries help you remember that while you care deeply about the person, you are not the family 406. (Question): What is denial characterized by? (A): limiting the conversation to a certain topic (B): an unwillingness to accept the truth or a certain reality (C): a show of obedience, meekness and compliance in the face of conflict (D): restating someone's message in one's own words 407. (Question): Which action should you NOT take when assisting a client who is experiencing a seizure? (A): keep track of the duration of the seizure and the parts of the body affected (B): hold the client down (C): call emergency medical services if the seizure lasts longer than 5 minutes (D): ensure that there is nothing within reach that could harm the client 408. (Question): The endocrine glands secrete substances known as: (A): insulin (B): semen (C): mucus (D): hormones 409. (Question): Which of the following is a symptom of autism spectrum disorder (ASD)? (A): the individual likes cuddling (B): the individual develops language skills quickly (C): the individual prefers not to be alone (D): the individual repeats body movements 410. (Question): Comfort measures for someone experiencing nausea and vomiting include: (A): increasing any smells associated with cooking food (B): wearing lightly scented vanilla lotion (C): providing mouth care to freshen the mouth (D): providing a meal replacement 411.(Question): Which factors may contribute to responsive behaviors? (A): anger or fear  (B): confusion and frustration (C): none of the above (D): all the above 412. (Question): Chemical restraints refer to medications used for what purpose? (A): treat medical conditions (B): control behavior (C): both a and b (D): restrict freedom of movement 413. (Question): In what ways might one demonstrate compassion or be present with compassion? (A): knowing in advance what you should say (B): being with a person who is suffering, and not saying anything to try and fix it (C): asking yourself, "what information do I need to gather to report to the team?" (D): both options B and C 414. (Question): The three components of food labels are: (A): list of ingredients, nutrition claims, nutrition facts (B): list of ingredients, nutrition claims, daily values (C): list of ingredients, nutrition claims, expiry date (D): list of ingredients, nutrition claims, risk factors 415. (Question): Which statement accurately describes carbohydrates? (A): they provide tissue growth and repair that comes from meat and fish (B): they provide the daily needs for normal function and growth but no calories (C): they provide energy for the body and fiber that comes from plants (D): they provide chemical substances found in both plant and animal foods 416. (Question): Soaps have the following effect: (A): remove pigment (B): moisten the skin (C): remove hair (D): remove dirt and dead skin 417. (Question): Fat-soluble vitamins include: (A): A, B, C and E (B): A, C, E and K (C): A, D, E and K (D): A, D, E and C 418. (Question): Suggestions to encourage Unconditional Positive Regard could include: (A): music (B): pet therapy  (C): art (D): all of the above 419. (Question): Nonverbal indicators that a person may be experiencing pain include: (A): change in usual behavior (B): decreased functioning (C): resisting care (D): all of the above 420. (Question): If a family member is concerned about the risk of addiction to pain medication for their terminally ill loved one, how should a PSW respond? (A): look at the patient's chart to explain what medications the patient is taking and why (B): use your Medication Problem A.C.T.I.O.N. Plan to describe how the drug works (C): 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 (D): use your Medication Problem A.C.T.I.O.N. Plan to determine if the patient really is addicted 421. (Question): Adjusting to physical changes, having grown-up children, and developing leisure activities are typically associated with: (A): developmental stages of young adulthood (B): developmental tasks of young adulthood (C): developmental stages of middle adulthood (D): developmental tasks of middle adulthood 422. (Question): When considering the A's of dementia related to memory loss, which term is accurate? (A): apraxia (B): apathy (C): amnesia (D): aphasia 423. (Question): In selecting a comfort measure to alleviate pain for a dying person, it's essential to: (A): use the same comfort measure that worked previously (B): apply warm blankets (C): personalize the approach to care (D): perform the care independently without involving the family 424. (Question): For a client with an ostomy pouch, what is the typical frequency for  emptying it? (A): every morning (B): when feces are present (C): every 3 to 7 days (D): every 4 to 6 hours 425. (Question): Where does the majority of nutrient absorption occur within the body? (A): large intestine (B): stomach (C): colon (D): small intestine 426. (Question): Which of the following is not a guideline for shaving? (A): shave in the opposite direction of hair growth (B): follow standard practices (C): stretch skin taut as necessa