新加坡EN考试 TEST 5-Answer.08.doc

1, It is important to practice standard precautions when a. dressing a patient. h. feeding a patient. c. providing oral hygiene. d. ambulating the patient.2. What position should a patient be in to receive an enema? a. supine sju:pain 仰卧的；懒散的 b. Fowlers c. prone prun 俯卧的；有倾向的 d. left Simsenema enim 灌肠剂 3. Which of the following lists only items that would be included in fluid intake? a. milk, ham sandwich, ice cream bar b. water, mashed potatoes, gelatin c. milk, custard, soup d. orange juice, soft-boiled egg, toastitems aitm 项目；名目lists lists 列表；清单；目录ham sandwich 火腿三明治ham hm . 火腿sandwich snwid4. The EN must use a stethoscope to deter- mine the a. apical pulse rate. h. carotid pulse rate. c. popliteal pulse rate. d. brachial pulse rate.5. Another name for urination is a. defecation. b. voiding. c. wetting the bed. d. flatus. 6, As you bathe Mrs. Sweeney, she complains of an ache or sore spot in her calf. You should a. massage her legs with lotion. b. stop the bath and ask the nurse to check the ache. c. tell Mrs. Sweeney to get up and walk to relieve the cramping. d. continue the bath and report the complaint to the nurse later. 7. An example of contamination through indirect contact is a. bathing the resident. b. touching instruments or linens the resident has used. c. the resident sneezing or coughing on you. d. all of the above 8. As you walk down the hall, you hear a scream and find smoke and flames coming from Mr. Smiths room. You should a. attempt to get the resident out of the room if possible and close the door. b. throw water on the flames. c. take Mr. Smiths cigarettes away. d. run to the telephone and call the fire department. 9. Placing a dient in good alignment means you should a. keep his joints lubricated. b. keep him as straight as possible. c. keep him sitting up during the day, d. make sure he stands at least five hours per day.10. Mr. Chase has had a stroke. He has left-sided weakness. It is important for the EN to begin dressing him a. on the right side. b. on the bed in a prone position. c. on the left side in a sitting position.d. while he is lying on his side.11. Which of the following conditions needs to be reported immediately to the charge nurse?a. rash that appears suddenlyb. warm, dry, and pink skinc. tough skin on the feetd. scarred skin12. A EN is making rounds at 1:00 A.M. She finds a patient lighting a cigarette. What should she do? a. Scold him and tell him never to do it again. b If smoking is allowed in the facility, remain with the patient until he finishes smoking. c. Tell another coworker. d. Call the charge nurse.13. Mr. Brook has a broken hip and needs to have an enema. The best type of bedpan to use would be a a. fracture pan. b. plastic pan. c. child-sized pan. d. metal pan.14. Which of the following is true regarding visually challenged clients? a. Clients use a dock system to locate food. b. Clients usually prefer to eat alone. c. Clients prefer to be fed to prevent spills. d. All of the above are true.15. Before you ambulate a client who has a Foley catheter, the first action would be to a. clamp off the catheter and disconnect it, since the bag would be in the way. b. leave the catheter dangling between the dients legs. c. carry the bag below the level of the bladder. d. hide the bag in a pillowcase so the client will not be embarrassed.16. Mrs. Lamb is walking back and forth in the hall- way. What should the EN do? a. Restrain the resident. b. Walk with the resident. c. Place her in the room and close the door. d. Continue to observe the resident.17. As you are transferring a client, the client becomes weak and starts to fall. Your first action would be to a. hold the dients transfer belt and lean away from the fall. b. call for help. c. grasp the transfer belt and lower the client to the floor along your bent leg. d, hold the client tightly and lean backward.18, Accurate daily weights are measured a. at the same time each day. b. with the client fully clothed. c. in the morning. d. all of the above19. Mrs. Lee is sitting in her room with her dolt in her arm and yelling, My baby is sick? What should you do? a. Tell her not to cry; her baby will be all right. b, Tell her youll call the doctor. c, Ask her if shes upset with her doll. d. Scold her and tell her you know its only a toy.20, The purpose of the cleansing bath is to a. provide deanliness. b. promote circulation. c. observe skin condition. d. all of the above21. A EN is recording the output of a resident who has a Foley catheter. She sees that the urine bag is empty. What should she do first? a. Irrigate the catheter. b. Check for kinks in the tube. c. Replace the drainage bag. d. Replace the catheter.22. During lunch, you find Mrs. Lee dutching her neck and unable to speak. What should you do first? a. Call for help. b. Give her a drink of water. c. Hit her on the back. d. Perform the Heimlich maneuver.23. Mr. Johnson has not had a bowel movement for five days. He might complain of a. abdominal cramping. b. lack of appetite. c. slight nausea. d. all of the above24. Mr. Kull is weak and unsteady. He needs to uri- nate. You could safely leave him alone to use a. a bedside commode. b. the toilet. c. a bedpan. d. a urinal.25. For a client who is classified as wound-and-skin isolation, the soiled linen should be a. placed in the linen hamper. b. discarded. c. bagged before removing from the room. d. taken directly to the laundry.26, If a resident begins to choke while being fed and is unable to speak, the EN should call for help and begin doing a. back blows. b. mouth-to-mouth ventilations. c. a finger sweep. d. abdominal thrusts.27, When you make a bed, you should place the soiled linen a. on the bedside table. b. on fire overbed table. c. in a laundry bag. d. on a chair.28, You have come upon a patient lying on the floor who is not moving. Your first action should be to a. call for help. b. gently shake the victim and ask, Are you all right? c. check to see if the patient is breathing. d. check to see if the patient has a pulse.29, Ira client is receiving forced-fluid treatment, you should a. provide at least 2,000 cc of fluid per shift. b. provide high-protein fluids. c. offer liquids every hour. d. all of the above30, You are taking care of Mrs. Peters, who is hearing impaired. You should do all of the following EXCEPT a. stand or sit facing her. b. speak dearly and slowly. c. raise your voice. d. choose simple words and sentences.31, Security for a clients dentures includes a. keeping them in a tissue in a dresser drawer. b. placing them in a labeled denture cup. c. insisting the client wear the dentures. d. placing an identifying mark on the dentures.32. An exposure incident means that your eyes, mouth or, skin had contact with blood or other potentially infectious material. You should a. ignore it. b. rinse it off immediately with clear H20. c. report this at once to the charge nurse. d. both b and c33. Mr. ones drinks five ounces of juice. You would record this as a. 500 cc. b. 150 cc. c. 6cc. d. 5cc.34, Mr. Smith has just had a cup of hot tea. You need to take his temperature. You should a. take a rectal temperature. b. take an oral temperature immediately. c. wait 15-20 minutes and then take an oral temperature. d. give him some cold water, and then take an oral temperature.35, Which of the following vital signs should be reported immediately? a. T-98.6, P-70, R-14, BP-120/60 b. T-95.4, P-40, R-IO, BP-80/40 c. T-98.8 R, P-60, R-20, BP-132/70 d. T-97.6 ax, P-78, R-16, BP-110/6036, Examples of patient abuse indude a. forcing a residents fingers offthe side rails. b. leaving an alert residents food out of reach. c. turning the lights out before the resident wants them out. d. all of the above37. When giving daily care, you should observe all clients for a. general appearance. b. mental condition. c. skin condition. d. all of the above38. When should you wash your hands? a. after going to the bathroom b. before and after each client contact c. before eating d. all of the above39. While bathing a resident, you notice a rash on both of her legs. You should a. ignore the rash if the resident hasnt corn plained about it. b. scrub the rash to see if it disappears after the bath. c. notifythe charge nurse at once. d. put alcohol on the rash to dry it out.40, It is important to tell the resident a. how to dress daily. b. how to call for assistance. c. that things will get better. d. none of the above41. Mr. Brown starts to jerk and goes into a seizure while you are bathing him. You should a. hold him down so he doesnt fail out of bed. b. shove the washcloth into his mouth. c, protect him from injuring himself. d. run and get help.42, Sputum is best collected a. just before bedtime. b. in the afternoon. c. upon awakening in the morning. d. anytime.43. To change your direction, you should a. turn your whole body by moving your feet. b. twist from the waist. c. move your bodyin sections. d. move very slowly.44 To turn the client toward you, you should a. cross his far leg over the leg nearest you. h. cross his near arm over his chest. c. bend his far arm at the elbow. d. grab his shoulders and pull him toward you.45.To help a client into a wheelchair, the EN should position the chair a. at the side of the bed, facing the head of the bed. b, at the foot of the bed, c, at the head of the bed, d. at the side of the bed, facing the foot of the bed,46. To transfer a resident correctly from the bed to a stretcher, you must a. use good body mechanics. b, use a Hoyer lift. c. have the help of three coworkers. d. raise the side rail on the stretcher first.47. Which statement about dressing residents is correct? ao Dressing is a waste of time for a handicapped res ident. b. Residents are used to dressing in front of others. c. Residents care about what they wear. d. Residents like the EN to dress them.48. A mentally ill resident is likely to a. believe she is someone other than herself. b. be fearful, without good reason. c. live in her own world. d. all of the above49, Reality orientation techniques include a. labeling items in the residents room. b. putting up calendars and clocks. c. using familiar items in the residents room. d. all of the above50, Jane is a 24-year-old resident with muscular dys- trophy. She has a supportive family, but she talks often of her desire to have a boyfriend. This feel- ing is best described as a. normal. b. foolish. c. both a and b d. hopeless.51, Rhonda, an 18-year-old, is a resident admitted for long-term rehabilitation. She tells you she wants to attend the local community college. This seems a. appropriate for her age. b. a waste of time. c. an excuse to leave the facility. d. a waste of money.52, Postmortem care is caring for the body after death. You must a. use good body mechanics. b. ensure that a family member is present. c. wear gloves. d. have another coworker assist you.53, Which statement about bathing for unconscious clients is correct? a. Unconscious clients may be able to hear you speaking to them during the bath. b. Unconscious clients can turn in bed when asked. c. Unconscious clients do not need to be observed for decubiti. d. Unconscious clients have very moist skin. 54, Mr. Dobbs wants to know what kind of surgery his roommate is going to have the next day. The best response by the EN is a. It really should not be any concern of yours. b. Ill speak to the surgeon and find out? c. I cannot share that information with you. d. You can call the OR and ask yourself.55. The care plan includes all of the following EXCEPT a. the nursing diagnosis. b. short- and long-term goals. c. cost of the hospital stay. d. scheduled appointments for the resident.56, A ten-month-old infant cries and pulls at his left ear. You should a. check the babys diaper. b report this to the charge nurse. c. cuddle or rock the baby. d. all of the above57. A client is hard of hearing and repeatedly turns her call light on. The EN should a. take time to listen to her to determine her needs. b. talk loudly to her since she is hard of hearing. c. unplug the call light. d. tell the supervisor that the client is uncooperative. 58, If you are giving a client a tub or shower bath, you should a. ensure the clients privacy. b. check the water temperature. c. gather all supplies before beginning. d. all of the above 59. A client who is eating poorly should be offered a. vitamin pills. b. tube feeding. c. clear broth. d. dietary supplements.60. What are the signs of death? a. convulsions b. loss of consciousness c. no respirations, pulse, or blood pressure d. no response when you call the patient61. On Good Friday, a Catholic client is served chicken and requests a meatless meal. The nurse aide should a. offer to get another meal within the clients diet. b. call the bishop for a dispensation. c. tell him or her that it is all right since he or she is in the hospital. d. tell him or her the aide will check with the dietician for the next days meal.62. A client is observing the Islamic Holy Month of Ramadan by fasting from sunup to sundown. The most appropriate action for the EN would be to a. tell her that all clients have to eat at the same time. b. check with the doctor. c. find out when she may eat or drink, d. both b and c63, An ECF resident tells the EN something in confidence about her family. The EN a. can tell any staff member. h. ethically cannot tell anyone else. c. can tell the charge nurse only. d. can tell anyone who does not know the resident.64, A EN observes a client fall in the hallway. It is important to report a. what she or he thinks happened. b. exactly what was observed. c. nothing if she or he chooses. d. all of the above65, Which of the following behaviors may the client consider caring? a. making the client comfortable b. getting the work done before lunch c, showing interest in answering questions d. a snd c only66. Mrs. Farber is an 88-year-old resident on your floo