Deck 28: Caring for Persons With Common Health Problems

Question 1

A tumor is

A) A lump in a body part
B) A new growth of abnormal cells
C) Cancer
D) Stomatitis

Answer 1

A new growth of abnormal cells

Question 2

A patient has cancer. The person's care plan is likely to include the following except

A) Measures for pain relief or control
B) Rest and exercise
C) Prevention of skin breakdown
D) Cast care and measures to prevent incontinence

Answer 2

Cast care and measures to prevent incontinence

Question 3

Tumors that do not spread to other body parts and usually do not grow back when removed are

A) Cancer
B) Malignant
C) Metastasis
D) Benign

Answer 3

Benign

Question 4

Arthritis means

A) The surgical replacement of a joint
B) Inflammation of joints
C) A disease in which bones become porous and brittle
D) The repair of a fracture

Question 5

Which is not a side effect of radiation therapy?

A) Weight gain
B) Burns at the radiation site
C) Skin breakdown at the radiation site
D) Fatigue

Question 6

Persons receiving chemotherapy are at risk for the following except

A) Stomatitis
B) Nausea, vomiting, and diarrhea
C) Hair loss
D) Hot flashes and blood clots

Question 7

Which statement about osteoarthritis is incorrect?

A) It occurs with aging.
B) Pain occurs with weight-bearing and joint motion.
C) Being underweight is a common cause.
D) Weight-bearing joints are commonly affected.

Question 8

A person has cancer. Surgery is done to

A) Remove the tumor
B) Shrink the tumor
C) Destroy cancer cells in the area
D) Kill cells that break off of the tumor

Question 9

A resident has osteoarthritis. The person is most likely to have joint stiffness with

A) Rest and lack of motion
B) Exercise
C) Weight-bearing
D) Joint motion

Question 10

Stomatitis is inflammation of the

A) Bladder
B) Nose
C) Mouth
D) Anus

Question 11

Which factor does not increase the risk of cancer?

A) Tobacco use
B) A family history of certain types of cancer
C) A healthy diet
D) Exposure to the sun

Question 12

Metastasis is

A) A benign tumor
B) Cancer
C) A malignant tumor
D) The spread of cancer to other body parts

Question 13

A patient has cancer. You find the person crying in his room. What should you do?

A) Close the door after leaving the room. He needs to cry in private.
B) Use touch and listening to show that you care.
C) Tell the nurse at once.
D) Tell his spiritual advisor what you observed.

Question 14

Which is not a sign or symptom of osteoarthritis?

A) Fractures
B) Joint stiffness
C) Joint pain
D) Joint swelling or tenderness

Question 15

A person has a malignant tumor. The person has

A) Cancer
B) Metastasis
C) A tumor that grows slowly
D) Death of tissue

Question 16

Arthroplasty is

A) The surgical replacement of a joint
B) Inflammation of a joint
C) A disease in which bones become porous and brittle
D) The repair of a fracture

Question 17

Cancer occurs in

A) All age-groups
B) Children
C) Young and middle-aged adults
D) Older persons

Question 18

The removal of all or part of an extremity is

A) Excision
B) Incision
C) Ectomy
D) Amputation

Question 19

A malignant tumor

A) Grows slowly and in a localized area
B) Spreads to other parts of the body
C) Invades and destroys nearby tissue
D) Is not cancer

Question 20

Signs and symptoms of cancer include the following except

A) A thickening or lump in a body part
B) Stiff and swollen joints
C) Changes in a mole
D) Changes in bowel or bladder habits

Question 21

A resident has osteoporosis. The person's care plan includes the following. Which should you question?

A) Assist with strength-training exercises as directed.
B) Encourage good posture.
C) Assist with weight-bearing exercises as directed.
D) Promote bedrest. Turn and re-position gently.

Question 22

Which statement about osteoporosis is incorrect?

A) Bones become porous and brittle.
B) Bones are fragile and fracture easily.
C) It is common in older people.
D) It is caused by high calcium in the diet.

Question 23

A fracture is a

A) Broken bone
B) Broken joint
C) Broken hip
D) Cast or traction

Question 24

A patient has rheumatoid arthritis. The person has consented to joint replacement surgery. The damaged joint will be replaced with a

A) Nail or pin
B) Metal plate
C) Screw
D) Prosthesis

Question 25

Which is not a sign or symptom of osteoporosis?

A) Joint stiffness
B) Back pain
C) Gradual loss of height
D) Stooped posture

Question 26

Major risks from osteoporosis are

A) Fractures
B) Burns
C) Infections
D) Constipation and fecal impaction

Question 27

A person has a fracture. The bone is broken but the skin is intact. The person has a(n)

A) Closed fracture
B) Compound fracture
C) Open fracture
D) Spiral fracture

Question 28

Traction is used to immobilize a fracture. This is done by

A) Applying a steady pull in two directions
B) Inserting wires and pins
C) Inserting a prosthesis
D) Applying elastic bandages

Question 29

A compound fracture also is called a(n)

A) Closed fracture
B) Simple fracture
C) Open fracture
D) Hip fracture

Question 30

A person has a fracture. The bone has come through the skin. The person has a

A) Closed fracture
B) Simple fracture
C) Compound fracture
D) Hip fracture

Question 31

You are assisting the nurse with cast care. Which is incorrect?

A) Support the entire cast with pillows.
B) Wash and dry the cast when soiling occurs.
C) Do not let the person insert things into the cast.
D) Position the person as directed.

Question 32

Which statement about rheumatoid arthritis is incorrect?

A) It generally develops between the ages of 20 and 50 years.
B) Joints on both sides of the body are affected.
C) Wrist and finger joints are commonly affected.
D) The disease is more common in men than in women.

Question 33

You are assisting the nurse with cast care. Which is incorrect?

A) Cover the cast for the person's warmth.
B) Use your palms to lift and turn a casted extremity.
C) Turn the person every 2 hours.
D) Elevate the casted part on pillows.

Question 34

Which are not risk factors for osteoporosis?

A) Being thin or having a small frame
B) Exercise and activity
C) Family history of the disease
D) Tobacco use and alcoholism

Question 35

A patient has a fractured wrist. The doctor has scheduled open reduction. This means that

A) Traction is used to bring the bone ends into alignment
B) A cast is used to bring the bone ends into alignment
C) The doctor will move the bone ends back into alignment
D) The doctor will move the bones back into alignment during surgery

Question 36

A patient has rheumatoid arthritis. The following can relieve pain and inflammation except

A) Drugs
B) Heat or cold applications
C) A cast or traction
D) Rest balanced with exercise

Question 37

After reduction, the fractured part is

A) Exercised as directed
B) Immobilized with a cast, traction, or other device
C) Abducted
D) Externally rotated

Question 38

A resident has a cast on her right arm. You note that her fingers are pale and that she cannot move them. What should you do?

A) Remove the cast.
B) Tell the nurse at once.
C) Elevate her arm on pillows.
D) Assist with range-of-motion exercises.

Question 39

A patient has a plaster of paris cast. The cast dries in

A) 2 to 3 hours
B) 4 to 8 hours
C) 12 to 24 hours
D) 24 to 48 hours

Question 40

A resident has osteoarthritis. The person is over-weight. Why is weight loss important for the person?

A) It will improve the person's mental well-being.
B) Weight loss reduces stress on weight-bearing joints.
C) The person is too old to be over-weight.
D) It will be easier to lift and move the person.

Question 41

A resident has a fractured right hip. You must use devices to prevent

A) Abduction
B) Pneumonia
C) External rotation of the hip
D) Aspiration

Question 42

The total or partial loss of the ability to use or understand language is

A) Dysphagia
B) Paralysis
C) Aphasia
D) Dementia

Question 43

Which is a common effect of stroke?

A) Hemiplegia
B) Quadriplegia
C) Mask-like expression
D) Sclerosis

Question 44

A resident's left leg was amputated. The person complains of pain in the left leg. This is

A) Chronic pain
B) Radiating pain
C) Sympathy pain
D) Phantom limb pain

Question 45

Stroke occurs when which one of the following happens?

A) Hypertension or diabetes
B) Infection or accidental injury
C) Bleeding in the brain or a blood clot
D) Aging or poor nutrition

Question 46

Expressive aphasia relates to problems with

A) Thinking and reasoning
B) Understanding language
C) Sending out thoughts
D) Using the muscles needed for speech

Question 47

Quadriplegia is paralysis

A) In the arms
B) In the legs
C) From the waist down
D) In the arms, legs, and trunk

Question 48

Effects from stroke often include the following except

A) Loss of face, hand, arm, leg, or body control
B) Dysphagia and aphasia
C) Urinary incontinence and impaired memory
D) Tremors and stiff muscles

Question 49

Warning signs of stroke last a few minutes. This is called

A) An early warning
B) A transient ischemic attack
C) A cerebrovascular accident
D) A brain attack

Question 50

A resident fell in the shower and fractured his right hip. The person returned to the nursing center after surgery to repair the hip. He is at risk for which of the following post-operative complications?

A) Depression, skin tears, and burns
B) Pressure ulcers, constipation, and confusion
C) Incontinence, hair loss, and stomatitis
D) Diarrhea, bleeding, and infection

Question 51

Another term for quadriplegia is

A) Paraplegia
B) Tetraplegia
C) Biplegia
D) Uniplegia

Question 52

Tissues die and become black, cold, and shriveled. This is

A) Cancer
B) Gangrene
C) Arthritis
D) Metastasis

Question 53

A patient had a stroke. When does rehabilitation begin?

A) When the person leaves the hospital
B) When the person enters a rehabilitation center
C) A few days after the person returns to the nursing center
D) At once

Question 54

Warning signs of stroke include the following except

A) Sudden, severe chest pain and shortness of breath
B) Sudden numbness or weakness on one side of the body
C) Sudden confusion, trouble speaking or understanding
D) Sudden, severe headache

Question 55

A patient is in traction. Which is incorrect?

A) Keep the weights off the floor.
B) Provide a fracture pan for elimination.
C) Remove weights for complaints of pain or numbness.
D) Make the bed from the head of the bed to the foot of the bed.

Question 56

Another term for expressive aphasia is

A) Broca's aphasia
B) Mixed aphasia
C) Wernicke's aphasia
D) Global aphasia

Question 57

Care of a person after a stroke often includes the following except

A) Ostomy care
B) A bowel or bladder training program
C) Elastic stockings to prevent blood clots
D) Measures to prevent pressure ulcers

Question 58

Stroke is

A) A disease that affects the arteries that supply blood to the brain
B) A slow, progressive disorder in which there is degeneration of part of the brain
C) A disease in which the myelin covering the brain and spinal cord is destroyed
D) An injury to the scalp, skull, and brain tissue

Question 59

Paralysis on one side of the body is

A) Uniplegia
B) Biplegia
C) Paraplegia
D) Hemiplegia

Question 60

Paraplegia is paralysis

A) In the arms
B) In the legs and trunk
C) In the arms and legs
D) From the neck down

Question 61

A patient has a hearing loss. To communicate with the person, do the following except

A) State the topic of conversation first
B) Use simple words and short sentences
C) Shout when talking to the person
D) Keep conversations and discussions short

Question 62

Receptive aphasia relates to problems with

A) Sending out thoughts
B) Thinking and reasoning
C) Understanding language
D) Using the muscles needed for speech

Question 63

Not being able to hear normal range of sounds associated with normal hearing is

A) Deafness
B) Hearing loss
C) Hearing aphasia
D) Lip reading

Question 64

The person with Parkinson's disease needs protection from

A) Falls
B) Burns
C) Poisoning
D) Cold, damp weather

Question 65

A resident has ALS. The person's care plan includes the following. Which should you question?

A) Range-of-motion exercises
B) Bedrest with commode privileges
C) Measures to relieve pain
D) Dysphagia diet

Question 66

The following are common with Parkinson's disease except

A) Hemiplegia or quadriplegia
B) Tremors and stiff muscles
C) Slow movement and mask-like expression
D) Stooped posture and impaired balance

Question 67

Which statement about Parkinson's disease is incorrect?

A) It is progressive with no cure.
B) Persons over age 50 years are at risk.
C) Signs and symptoms become worse over time.
D) Expressive-receptive aphasia is common.

Question 68

Which statement about multiple sclerosis (MS) is incorrect?

A) The person may have remissions.
B) Symptoms depend on the area of damage.
C) Blurred or double vision often occurs.
D) Severe disability or death is common early after onset.

Question 69

Persons with Parkinson's disease often have speech problems. Which is common?

A) Receptive aphasia
B) Slurred, monotone speech
C) Loud speech
D) Swearing

Question 70

Which statement about spinal cord injuries is incorrect?

A) Permanent damage can occur.
B) Paraplegia or quadriplegia can result.
C) Rehabilitation is necessary.
D) Thoracic injuries result in greater loss of function than cervical injuries

Question 71

A resident thinks her hearing aid is not working. What should you do first?

A) Ask her simple questions. If she answers correctly, the hearing aid is working.
B) Tell the nurse.
C) Check to see if the hearing aid is on.
D) Put it in your ear to see if it is working.

Question 72

A resident has amyotrophic lateral sclerosis (ALS). Which is correct?

A) ALS attacks the nerve cells that control voluntary muscles.
B) ALS affects more women than men.
C) It usually strikes between 60 and 80 years of age.
D) It usually affects the mind, intelligence, and memory.

Question 73

The most severe form of hearing loss is

A) Deafness
B) Hearing impairment
C) Hearing assistance
D) Lip reading

Question 74

Which statement about vision loss is incorrect?

A) Vision loss occurs at all ages.
B) Blind is the absence of sight.
C) Vision loss is gradual or sudden in onset.
D) Both eyes are always affected.

Question 75

A patient has a hearing loss. To communicate with the person, do the following except

A) Gain the person's attention by approaching the person from behind
B) Face the person when speaking
C) Stand or sit in good light
D) Stand or sit on the side of the better ear

Question 76

During conversations, a resident leans forward toward you. The person's answers seem inappropriate. Sometimes the person seems to control the conversation. The person is showing signs of

A) Hearing loss
B) Suspicious and paranoid behavior
C) Dementia
D) Confusion

Question 77

Symptoms of multiple sclerosis usually begin

A) Between the ages of 20 and 40 years
B) After age 50 years
C) After age 65 years
D) Between the ages of 50 and 65 years

Question 78

A resident has MS. The person's care plan includes the following. Which should you question?

A) Measures to promote bowel and bladder elimination
B) Turning, repositioning, and deep breathing and coughing
C) Performing all Activities of Daily Living (ADL) for the person
D) Skin care and range-of-motion exercises

Question 79

A resident wears a hearing aid. Which is incorrect?

A) The hearing aid corrects the person's hearing problem.
B) Hearing aids are costly.
C) Batteries are removed at night.
D) When not in use, the hearing aid is turned off.

Question 80

Which statement about traumatic brain injuries is incorrect?

A) Spinal cord injuries are likely.
B) Sensory problems may result.
C) Rehabilitation will return the person to normal.
D) Personality changes and speech problems may result.