Safety and Mobility Units 14-17 Student Test PDF

Name: ________________________ Class: ___________________ Date: __________ ID: A Safety and Mobility; Units 14-17 Multiple Choice (Two points each) Identify the choice that best completes the statement or answers the question. ____ 1. Whose responsibility...

Name: ________________________ Class: ___________________ Date: __________ ID: A Safety and Mobility; Units 14-17 Multiple Choice (Two points each) Identify the choice that best completes the statement or answers the question. ____ 1. Whose responsibility is it to keep the patient's room safe and clean? a. The housekeeper's c. The nursing assistant's b. The charge nurse's d. The safety committee's ____ 2. When the nursing assistant has completed care and is ready to leave the room, the patient's bed should be placed in the a. highest horizontal position. c. Fowler's position. b. Trendelenburg position. d. lowest horizontal position. ____ 3. When using the fire extinguisher, always a. aim the extinguisher at the base of the fire. b. point the extinguisher toward the top of the flames. c. hold the extinguisher steady, with as little movement as possible. d. leave the pin in place. ____ 4. The Occupational Safety and Health Administration (OSHA) a. inspects quarterly for fire safety. c. protects patients. b. is responsible for employee safety. d. monitors controlled substances. ____ 5. The purpose of the MSDS is to a. inform employees of the location of hazards in the facility. b. explain how to read chemical labels on hazardous materials. c. identify the source of information for electrical hazards. d. list precautions to take in the presence of a chemical hazard. ____ 6. When lifting a heavy patient or object, a. bend at the waist. c. keep your feet close together. b. use your strong leg muscles. d. avoid close contact. ____ 7. When positioning a patient in bed, you should a. use pillows and props for support if necessary. b. turn the patient from side to side every three hours. c. avoid the supine position whenever possible. d. rest the patient's back on the side rail for support. ____ 8. A patient is receiving tube feeding. The nurse instructs you to position the patient in Fowler's position. This means the a. head of the bed is elevated 20 to 30 degrees. b. patient is on his side with knees flexed. c. head of the bed is elevated 45 to 60 degrees. d. knee rest should be elevated and the head flat. 1 Name: ________________________ ID: A ____ 9. A turning sheet is positioned a. lengthwise on the bed. c. from the shoulders to below the hips. b. under the head and shoulders. d. from the waist to the knees. ____ 10. When assisting a patient to move up to the head of the bed, you should a. keep the head of the bed elevated. b. leave the pillow under the patient's head. c. place the pillow against the headboard. d. raise the knee rest of the bed. ____ 11. Which of the following increases the patient's risk of falls? a. Adequate lighting when the patient is out of bed b. Keeping the bed in a low position c. Sink next to the toilet d. Confused mental status ____ 12. Physical restraints are a. used for safety with all confused patients. b. never appropriate in the acute care setting. c. devices that restrict freedom of movement and access to the body. d. applied immediately if the patient is confused, restless, and upset. ____ 13. Which of the following principles should guide the use of restraints? a. The most restrictive device is used for as long as necessary. b. The least restrictive device is used for the least time possible. c. Restraints are used any time the patient will not cooperate. d. Restraints are used as a means of behavior management. ____ 14. Restraints must be released every a. shift. c. 2 hours. b. 4 hours. d. hour. ____ 15. When preparing to transfer a patient who is paralyzed from the bed to the chair, position the chair a. on the patient's strongest side. b. on the patient's weakest side. c. so that it is facing the side of the bed. d. in vertical alignment at the foot of the bed. ____ 16. When using a mechanical lift, a. two nursing assistants are needed. b. place the chair at right angles to the foot of the bed facing the foot of the bed. c. place the sling under the patient's buttocks and legs. d. leave the door to the room open, in case help is needed. ____ 17. Before beginning a transfer, a. always explain what you are going to do and how the patient can help. b. position the patient so he moves toward the weakest side. c. instruct the patient to put his hands around your neck. d. position the chair so the patient makes a 90-degree turn. 2 Name: ________________________ ID: A ____ 18. If the patient you are transferring can stand but cannot walk, a. teach the patient to pivot to the chair. b. lift the patient into the chair. c. slide the patient from the bed to the chair. d. pull the patient on a sheet. ____ 19. Contraindications to using a transfer belt include a. paresis. b. paralysis in one leg. c. abdominal aneurysm. d. a medication pump that has been implanted for at least one year. ____ 20. Many falls occur a. when patients go to and from the bathroom. b. when two or more assistants use the hydraulic lift. c. when alert patients transfer independently. d. at shift change. ____ 21. You are ambulating a patient who begins to fall to the floor. You should a. grab the patient securely under the arms and lift up. b. keep your back straight and ease the patient to the floor. c. hold the patient up by the waist until another assistant brings a wheelchair. d. stay out of the way so the patient does not fall over you. ____ 22. When transporting a patient in a wheelchair, a. back into elevators. b. push the wheelchair forward down ramps. c. push the chair on the left side of the hallway. d. back around corners and doorways. ____ 23. Assistive devices are used to a. help the staff in ambulating the patient. b. compensate for problems the patient has with walking. c. keep the patient from walking too fast, which may cause a fall. d. prevent back injuries in health care workers. ____ 24. When a patient uses a cane with a three-point gait, the a. weight is distributed evenly between the feet and the cane. b. cane and the strong leg move at the same time. c. patient holds the cane approximately 6 inches away from the body. d. patient holds the cane on the weak side of the body. ____ 25. When a patient uses a cane with a two-point gait, the a. cane and the strong leg move at the same time. b. cane and the weak leg move at the same time. c. strong leg always moves first. d. patient holds the cane in the weak hand. 3 Name: ________________________ ID: A ____ 26. Patients who sit in wheelchairs should be taught to shift their weight every a. 15 minutes. c. hour. b. 30 minutes. d. 2 hours. True/False (Two points each) Indicate whether the statement is true or false. ____ 27. The nursing assistant must know the location of the MSDS in her work area. ____ 28. All chemicals must be kept in their original containers. ____ 29. Side rails are restraints in some circumstances. ____ 30. Serious injuries can occur if the patient climbs over the side rails. ____ 31. Flowers increase the risk for the spread of infection to patients with weakened immune systems. ____ 32. When two nursing assistants are moving a patient, they should designate a signal to use when it is time to lift. ____ 33. Working in awkward positions or confined spaces and bending or reaching with the back flexed, increase the risk of injury. ____ 34. Patients in wheelchairs cannot develop pressure ulcers. ____ 35. Good chair positioning begins with the feet. ____ 36. When the patient is sitting in a chair or wheelchair, the feet must be well supported. 4 Name: ________________________ ID: A Short Answer 37. Short Answer 1. List five things that the nursing assistant can do to prevent falls (Five points) 2. List five actions/precautions to take when a resident is in a restraint (Five points) 3. When using the RACE system, what do the letters stand for (Four points)? 4. State what each letter stands for in the PASS system for using a fire estinguisher (Four points) Completion (Two points each) Complete each statement. 38. Climbing over side rails is a major cause of ____________________ fractures in confused elderly patients. 39. There is a risk of ____________________ between the mattress and side rails if the bed mattress has been replaced with a smaller size than the original. 40. Crutches and canes are examples of ______________________________. 41. If a patient becomes weak or tired during a transfer or ambulation procedure, assist the patient to ____________________. 42. When the patient is sitting in a chair or wheelchair, the lower legs should be at a/an _______________ -degree angle to the thighs. 5