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NURSING REVIEW
PSYCH TECH 91
| Question | Answer |
|---|---|
| Which of the following data is within the normal range for an adult? | Blood pressure 114/74 |
| A consumer has difficulty swallowing. Which intervention would be most helpful? | Encourage swallowing after each portion of food. |
| Which of the following is an example of a high quality protein source? | Eggs |
| Which of the following would be appropriate for a patient on a sodium restrict diet? | Blends of herbs and spices to season foods |
| The goal of______ diet is to limit food that stimulate the production of gastric acid. | bland |
| What would you instruct a consumer to avoid eating if the consumer is on a low-residue diet? | Whole grain bread and fruits |
| Your male patient is requesting assistance with voiding. The patient is unable to ambulate to the bathroom. Which technique would be most helpful? | Assist the patient to a standing position with the urinal |
| The rational for use hand rolls is: | Prevention of flexion contractures of the hand |
| What is the best way to secure a wheelchair restraint? | A quick release knot on the back of the chair. |
| When a restraint is ordered, the patient will need to be observed at least: | Every 15 minutes |
| When completing active ROM exercises on a patient's elbow, which of the following is the correct motion? | Flexion |
| Which of the flowing reflects a basic principle of body mechanics? | Pushing or pulling is easier than lifting |
| Which position is used for most of the physical examination and can be uncomfortable for a patient with back problems? | Supine |
| The consumer receiving an enema should be placed in the_____ position? | Left Lateral |
| The Psychiatric Technician knows that skin is impenetrable to most organisms if it is: | Unbroken |
| The Psychiatric Technician has been invited to talk at a High School Health day. Which Rh factor incompatibility would the Psychiatric Technician describe as one that would place the fetus risk. | Rh negative blood and the fetus has Rh positive blood. |
| The Psychiatric Technician has just completed the A.M. care for his/her assigned client. What is the safest action the Psychiatric Technician should take before leaving the bedside. | Put both side rails up and place the bed in the low position. |
| The Psychiatric Technician is helping a post-surgical patient keep record of intake and output. The patient consumed 8 ounces of milk and 4 ounces of ice cream. What would be recorded as intake? | 480 ml. |
| The Psychiatric Technician is preparing to give the client a bed bath. The temperature of the water should be between: | 110-115 F. |
| The Psychiatric Technician is required to insert a nasogastric tube. When determining the distance to insert the tube the Psychiatric Technician measures the distance from the patient's nose to the: | Lobe of the ear to the base of the xiphoid process. |
| The Psychiatric Technician is transferring his/her client from the bed to the wheelchair. The Psychiatric Technician should have the chair at the bedside with the | Back of the chair near the head of the bed with the wheels locked. |
| The Psychiatric Technician knows that a low sodium diet: | increases urinary output |
| The Psychiatric Technician knows that anoxia is: | a reduction in the oxygen content of arterial blood |
| The Psychiatric Technician knows that occult means: | Hidden |
| The Psychiatric Technician Knows that scabies is a skin infection that: | Is caused by a burrowing mite |
| The Psychiatric technician knows that tarry stools results from: | Bleeding the small intestines |
| The Psychiatric technician observed that a client is very apprehensive about his hospitalization. The best opening statement for the Psychiatric technician would be: | "you look worried, how can I help you" |
| The Psychiatric Technician Observes the consumer scratching at the anal area during the night. The psychiatric technician suspects that the most likely cause of the problem is? | Pinworm |
| The Psychiatric technician knows that an electrocardiogram: | Measures the electrical activity of the heart |
| The Psychiatric Technician, reinforces the physician's request that his patient with COPD stop smoking. The Psychiatric Technician knows that: | Nicotine reduces airway function and blood vessels |
| The purpose of a trochanter roll is... | To support the hips and legs, preventing the external rotation |
| The purpose of checking for residual prior to administering medication or giving a gastrostomy tube feeding is to.. | See if the patient is absorbing the feeding |
| The treatment of choice for pharyngitis is: | warm gargles, bed rest and increased fluid intake |
| The Psychiatric Technician suspects that a consumer has a pinworms. After securing a physician's orders the Psychiatric Technician will take which of the following actions? | Scotch tape test between 3 a.m. and 6 a.m. |
| Which of the following best describes the "Babinski" sign? | Movement of the great toe upward and fanning of the other toes. |
| The lab results indicate that the client has a fasting blood glucose level of 100 mg/dl. What action by the Psychiatric Technician would be most appropriate? | Notify the physician and take no other action |
| The client receiving Lasix has serum potassium level of 4.9 mEq/L. What action by the Psychiatric Technician would be most appropriate for this client | Notify the physician, if requested: take no other action |
| The client's hematocrit is 39% following a hysterectomy. There is no unusual post op bleeding. Which action by the Psychiatric Technician would be most appropriate for this client ? | Notify the physician: take no other action |
| The Psych Tech is preparing to make a bed occupied by the client. Which of the following is the first action to be taken by the Psych tech? | Place the bed at what ever level it is presently at |
| The Psych tech is preparing the client for elective surgery that will take place in 2 weeks. The client is taking a variety of medications including MAOI. After checking with the physician, Which of the flowing instruction would the Psych Tech offer? | Stop taking the MAOI 2 weeks prior to the surgery |
| The client id receiving tube feeding while recovering from ingestion of Iye. Following is the most likely cause of this? | The feeding was administered too quickly |
| The client depression is being treated for fractured ribs. She has no other medical problems. Which of the following would be the most appropriate diet for this client? | Well balanced diet |
| The Psychiatric Technician is assisting the client with inflammatory bowel disease to complete his hospital menu. Which of the following would be appropriate items to be included in this client's diet | Broiled fish |
| The client with full upper and lower dentures is experiencing a grand mal seizure. Which of the following actions is the most appropriate for the Psychiatric Technician to take at this time? | Do nothing, as the seizure must run it's course |
| The client you are caring for has recently discovered he is allergic to tomatoes. which of the following actions by the Psychiatric Technician would be most appropriate ? | Instruct the client that a " sense of doom" may precede an anaphylactic reaction. |
| Which of the following measure how the Psychiatric Technician will carry out to help the client on bed rest avoid pressure scores in the most common location? | Turn the client from side to side relieving pressure on the ankles. |
| The Psychiatrics Technician is caring for an African- American woman on complete bed rest. In assessing the skin integrity of this client which of the following would be the first indication that a pressure sore may be developing on the client's heel? | The heel feels warm to the touch |
| The Psychiatric Technician weighs the client daily for which of the following reasons? | To check for the presence of fluid retention |
| The client in chronic renal failure has received too much fluid and now has water intoxication. Which of the following would the Psychiatric Technician expect to see in this client? | Confusion |
| The client in chronic renal failure has received too much fluid. Which of the following would be the most effective intervention to restore the normal level hydration for his client? | Restrict fluid intake as ordered |
| Which of the following interventions by the Psychiatric Technician will best address the nutritional needs of the elderly client? | Asses and evaluate the client's dietary habits |
| The Psychiatric Technician is monitoring a group of clients in an acute care inpatient setting during mealtime. Which of the following clients will require use of the Heimlich maneuver by the Psychiatric Technician? | The client who is making high pitched sounds while inhaling |
| The Psychiatric Technician is performing the Heimlich maneuver on a client when the client becomes unconscious. After easing the client to the floor what is the nest step to be taken by the Psychiatric Technician? | Perform finger sweep of the victim's mouth. |
| A woman. 8 month pregnant has her hand around her throat and is unable to speak or cough. The Psychiatric Technician deduces that she is chocking. which if the following is the most appropriate action for the Psychiatric Technician to take? | Perform the Heimlich maneuver by placing the rescuer's hands on her chest. |
| The Psychiatric Technician is caring for the group of the clients who a re recovering from surgery. Which of the following is most in need of pain management? | The client with a pulse of 120, respirations of 22 and BP of 140/92 |
| The client has returned from the ER after having a plaster cast applied to his left leg. He begins to complain of pain in the leg but has already received his pain medication. Which of the following measures should the Psychiatric Technician take next? | Apply an ice pack to affected area. |
| A client is not diabetic, alert, performs her ADL's and does have long toenails. Which of the following interventions would be most appropriate for the Psychiatric Technician to take? | Soak the feet in warm water and clip straight across with a nail clipper |
| Which of the following types of drainage would be considered "normal" drainage from a gastrostomy tube? | Pale, yellow-green liquid |
| The diabetic client who is alert and manages her own ADL independently states that her toenails are long and need to be trimmed. Which of the following actions would be most appropriate for the Psychiatric Technician to take? | Request that a podiatrist visit the client |
| When applying a sterile gown touch only: | The inside of the gown |
| Which statement by the patient would warrant further investigation? | "I should request when I can no longer tolerate the pain" |
| The bedside blood glucose is 110 at 0700. The Psychiatric Technician knows that: | Breakfast may be given immediately |
| The Psychiatric Technician is attending an updated class on medication administration at her work site. She learns that there are now six rights regarding accurate administration of medication. The sixth one would be: | Right Documentation |
| The Psychiatric Technician has several clients that are receiving Tegretol (carbamazepine) He knows to closely monitoring the laboratory values this medication can cause: | Aplastic anemia and agranulocytosis |
| A psychiatric technician is employed at a group home with six mentally ill clients. She is starting to work with a new client of Chinese descent. She's in charge of meal planning and would know that dietary habits if this culture would include: | There is a specific order for food to be eaten at meals. Peanuts/ soybeans are common |
| A client recovering from alcoholism reports that his physician said he was deficient in thiamine. The client asks the psychiatric technician what foods are rich in thiamine. The psychiatric technician responds by stating: | Whole-grain and enriched breads and cereals, liver, beef, peas and beans and nuts |
| An elderly Iranian American male client informs the psychiatric technician during the admission process that he is Muslim. The psychiatric technician would be aware that this client: | May pray five times a day facing eat and may want to wash before prayers |
| The psychiatric technician is assigned to administered medications and treatments. A female client is to receive a topical medication to her face. How would the psychiatric technician apply this medication? | Start with the forehead and spread down each side of the face in one direction. |
| The least accurate body site for taking a temperature would be: | Axillary |
| The psychiatric technician is instructed the oxygen saturation in arterial blood for a client using a pulse oximeter. How would know that the normal range for oxygen saturation would be: | 100-95 |
| The pain scale that would be ideal for children would be: | FACES Pain Rating Scale (0-No pain to 10- worse possible pain) |
| The psychiatric Technician recognizes the values for cholesterol should be less than | 200 |
| A client is suffering from hypotension. The physician writes an order for the client to be placed in a Trendelenburg position. The psychiatric technician would position the bed by: | Lowering the head of the bed while the foot is raised in a straight incline |
| The psychiatric technician is reviewing recent laboratory tests for a client. She sees that the urine specific gravity test had a value of 1.025. Therefore, she knows that this is | Normal |
| An elderly female client asks the psychiatric technician, "What is Lunesta used for and what would be the highest dosage a person can take? The psychiatric technician responds by stating: | Insomnia and 3mg |
| The psychiatric technician notices that one her clients has a laboratory value of 286 for cholesterol. She decides she will provide client education regarding eating healthy because the laboratory value for cholesterol should be less than: | 200 |
| A client has had consistent blood pressure readings of 136/80 and is concerned about the possibility of hypertension in the future and id fearful about taking medication. What dietary should be increased? | Calcium and potassium |
| Which of the following nursing interventions has the highest priority or severe withdrawal from alcohol? | Maintenance of nutrition and hydration |
| Your client has a sprained wrist and the physician has ordered an elastic bandage application. Which of the following techniques in conjunction with the ace wrap is most appropriate ? | Place the extremity on a pillow and wrap the arm from the distal to proximal. |
| One of the most important signs of increased intracranial pressure is: | Increased somnolence |
| The best position to place a consumer in for bed rest would be ? | Resting with the head of his bed elevated at 30 degrees |
| The client is conscious but lethargic. The psychiatric technician checks the client's ability to move all four extremities in an attempt to asses to: | Ability to respond and follow commands |
| A patient who is suspected of a head injury id kept in N.P.O in order to prevent | Vomiting which would increase his intracranial pressure |
| Which explanation to the consumer best explains the cause of pneumonia? | An infection of the lungs |
| The Psychiatric technician caring for a patient will need a closed reduction knows that this is; | An external manipulation to realign fractured bone ends. |
| The client is recovering from an mastectomy. Which of the following ADL is a good exercise for flexion of the shoulder? | Brushing and combing the hair |
| The client is going to self-administer 3 different medications at home. Which of the following factors will most impede his ability to be fully compliant? | The client cannot always recall the side effect of some of the medications. |
| The Psychiatric Technician is instructing the client about the dosage purpose, and side affects about the medication he will be taking at home. Which of the following actions taken by the Psychiatric Technician will be beneficial to the client? | Provide frequent, short teaching sessions |
| The client who is visually impaired will benefit most from which of the following when administering his own medication? | Use a aids such as pillboxes with color-coded compartments. |
| The client is recovering from hip replacement surgery finds it difficult to use the toilet at his home. Which of the following would be most reasonable approach for this client? | Have a raised toilet seat installed in the client's bathroom. |
| The client newly diagnosed with diabetes is learning to administer insulin injections to himself. Which of the following would be important for the psychiatric technician to know as he teaches the client about this task? | The client is able to manipulate a syringe. |
| The client recovering from an accident is paralyzed on the left side. He is otherwise active and has good flexibility. Which of the following would best allow this client to meet his need to dress himself? | Velcro closures. |
| The Psychiatric technician is interviewing the newly admitted client with a historical of cardiac problems. Which of the following questions would be most appropriate to ask of this client? | "Are you able to sleep flat on your back?" |
| Which of the following exercise would be most appropriate for the Psychiatric Technician to assist the inactive client with limited mobility? | Moving the client's limbs through tolerated degrees of movement |
| The elderly client has been on bed rest for 2 days and now has a doctor's order to begin ambulation. Which of the following should be the first action to be taken by the Psychiatric Technician who is assisting this client? | Raise the head od the bed so the client is sitting up. |
| The Psychiatric Technician has been asked to arrange ambulatory services for the discharges of an elderly client needing follow up is considered to be ambulatory services? | Geriatric outpatient clinic. |
| The post-op client is getting out of bed for the first time after surgery. Which of the following actions taken by the Psychiatric Technician will best facilitate this client's ability to complete this activity? | Give prescribed Demerol so it peaks when the client is getting out of bed. |
| The client id recovering from a stroke that has left her with weakness of the right hand. Which of the following actions by the Psychiatric Technician would best allow this client tot end her personal hygiene? | Provide her with a washcloth or sponge mitt. |
| The Psychiatric Technician is teaching the client with a full leg cast bathe himself. This is considered which of the following? | Activities of daily living |
| The client is in terminal phase of her illness. Her ADL should be performed how? | By the client as long as she is able. |
| The client is recovering from a motor vehicle accident and needs to be evaluated for his ability to bathe and dress himself. Which of the following would be an appropriate referral to asses this aspect? | Occupational therapist |
| The 76 year-old female client is receiving instruction in bladder training to minimize her periods of incontinence. Which of the following should be included in that plan? | A regular schedule of voiding is established. |
| The client is preparing to self-administer eye drops. Which of the following would be the first action to be taken by the client? | Wash his hands |
| The 54 year-old clients recovering from a stroke and needs to have his muscles strengthened and exercise designed to allow him to care for himself in the future. Which of the following would be an appropriate referral for this client? | Physical Therapy |
| The client needs to learn to take his own surface temperature. Which of the following sites should the Psychiatric Technician instruct the client to monitor? | Mouth |
| A 72 Year-old client is recovering from a cerebral vascular accident and is now unable to understand what the Psychiatric Technician is saying. The client is said to have which of the following? | Asphasia |
| A 32 year-old woman recovering from a mastectomy that she had 2 days ago states, "How will my husband ever find me attractive?" The best response by the Psychiatric Technician is which of the following? | Say, "It sounds like your concerned about your husbands reaction." |
| The client recovering from abdominal surgery asks when his NG tube will be removed. Which of the following would be the best response by the Psychiatric Technician? | "When you have bowel sounds and pass gas rectally." |
| The client is being prepared for a mastectomy. Which of the following should the Psychiatric Technician do to prepare the client psychologically? | Allow the client to express her concern and answer her questions. |
| The client receiving chemotherapy refuses to eat and says, "Just let me sleep." What would be the best response by the Psychiatric Technician? | Say, "You discouraged" |
| The Psychiatric Technician is instructing the client about the dosage, purpose, and side effects about medications he will be taking at home. Which of the following actions taken by the Psychiatric Technician will be beneficial to the client? | Provide frequent, short teaching sessions |
| The client who is visually impaired will benefit most from which of the following when administering his own medication? | Use aids such as pillboxes with color-coded compartments |
| The client is recovering from hip replacement surgery finds It difficult to use the toilet at his home. Which of the following would be the most reasonable approach for his client? | Have a raised toilet seat installed in the client's bathroom |
| In total parenteral nutrition, ______ is the most reliable indicator of a positive response to therapy. | weight gain |
| It is the most important for the Psychiatric Technician to monitor _____ in a patient receiving total parental nutrition? | Glucose and electrolyte levels |
| A consumer with an ileostomy shouldn't eat_____ because it may obstruct the pouch opening. | Corn |
| Drainage of more than_____ of fluid daily from a nasogastric tube may suggest intestinal obstruction. | 3000 |
| Which intervention in contraindicated for the patient who has ingested poison and is having seizures or in semi-conscious or comatose? | inducing vomiting |
| When assessing a client for bladder distention, The psychiatric technician should check: | The contour of the lower abdomen for a rounded mass above the symphysis pubis. |
| If a total parental nutrition infusion must be interrupted, the psychiatric technician should administer_____ at a similar rate because abrupt session can result in hypoglycemia. | Dextrose 5% in water |
| When conducting client teaching regarding peritoneal dialysis, you would stress... | Strict aseptic care of the catheter site |
| When washing hands, which aspect of the procedure follows the principles of medical asepsis? | Turn off the faucet with a clean dry paper. |
| The minimum time to scrub hands, wrists, and lower forearms during hand washing is: | 10-15 seconds |
| At which angle should the nurse instruct a patient to hold a toothbrush against the gum? | 45 |
| Which technique can be used to prevent pulling of the hair when brushing? | Hold section of hair firmly and leave slack between your hand and the head. |
| Which of the following would be the most appropriate bath for a person who is comatose? | Complete bed bath |
| The Psychiatric Technician should make a (n)______ bed when the patient has generalized weakness. | Occupied |
| Soiled linens should be changed... | Immediately |
| Foot drop may be prevented by the use of a: | Footboard |
| The purpose of a Sitz bath is: | To cleanse and soothe the perineal area |
| Which might be the best action to initiate for a stage 1 decubitus? | Keep pressure off the area. |
| Which statement most accurately describes a stage 2 decubitus ? | There is a blister on the skin. |
| The most accurate pulse for children under 2 years of age is the: | Apical |
| A patient is admitted with the following vital signs: Radial pulse 68, Respirations 14, Oral temperature 98.9, BP 164/92. Which term indicates the abnormal value? | Hypertensive |
| When you are finished measuring a patient's temperature with a glass thermometer, Which action would be most appropriate? | Clean and disinfect the thermometer |
| A temperature of 99.5 Fahrenheit is equivalent to ____ degrees Celsius? | 36.0 |
| In the absence of a fever, you would expect the body temperature to peak: | Afternoon |
| Where is the location to check for bilateral pedal pulse? | On top of each foot |
| The Psychiatric technician is teaching the client to self-administer a transdermal path. Which of the following should be included in the patient instruction? | Rotate sites each time the patch is applied |
| The Psychiatric Technician is following up on the instructions given to a client using crutches. Which of the following instructions should the client be told ? | The client should report and numbness or tingling in the upper torso. |
| To allow him as much independence as possible, Which of the following actions should be taken by the client who uses an ambulation aid (such as a cane or crutch)? | Practice how to use the ambulation aid on various terrains |
| When preparing the client to ambulate, Which of the following should the psychiatric technician do? | Have the client wear shoes with a nonskid sole. |
| The Psychiatric Technician need to log rolls the client. What is the minimum number health care workers needed to accomplish this task? | two |
| The Psychiatric Technician needs to move the client up in bed. Which of the following is the first action the Psychiatric Technician should take | lower the clients head of the bed to lowest position |
| The elderly client is going to self-administering a variety of medications at home. Which of the following is the greatest factor in determining if the client will be compliant with the drug administrating regimen? | The client's vision is impaired |
| The 47 year-old hospitalized client is alert and oriented and reasonably active. Which of the following activities is it reasonable to have this client participate in? | Intake and output measurement |
| The client needs to incorporate ROM (range of motion) exercises into ADL. The exercise prescribed is rotation of the head. Which of the following exercises should the client be taught to do? | Shaking head no |
| The client is recovering from an mastectomy. Which of the following ADL is a good exercise for flexion of the shoulder? | Brushing and combing the hair. |
| The client is going to self-administer 3 different medications at home. Which of the following factors will most impede his ability to be fully compliant? | The client cannot always recall the side effects of some of the medications |
| Ascites is best described as: | An accumulation of fluid in peritoneal cavity. |
| Communicable diseases are: | Diseases that can be transmitted from one person to another |
| Coronary artery is a condition in which there is: | A narrowing a coronary arteries sufficient to prevent adequate blood supply. |
| The Psychiatric Technician is caring for an African-American woman on complete bed rest. In assessing the skin integrity of this client which of the following would be the first indication that a pressure sore may be developing on the client's heel? | The feels warm to touch |
| The Psychiatric Technician weighs the client daily for which of the following reasons? | To check for presence of fluid retention |
| The client in chronic renal failure has received too much fluid and now has water intoxication. Which of the following would be Psychiatric Technician expect to see in this client? | Confusion |
| The client in complete renal failure has received too much fluid. Which of the following would be the most effective intervention to restore the normal level of hydration for his client? | Restrict fluid intake as ordered |
| Which of the following interventions by the Psychiatric Technician will best address the nutritional needs of the elderly client? | Assess and evaluate the client's dietary habits. |
| The Psychiatric Technician is monitoring a group of clients in an acute care impatient setting during mealtime. Which of the following clients will require use of the Heimlich maneuver by the Psychiatric Technician? | The client who is making high pitch sounds while inhaling |
| The Psychiatric Technician is performing the Heimlich maneuver on a client when the client becomes unconscious. After easing the client to the floor what is the next step to be taken by the Psychiatric Technician? | Perform a finger sweep of the victim's mouth. |
| A woman, 8 months pregnant has her hands around her throat and is unable to speak or cough. The Psychiatric Technician deduces that she is choking. Which of the following is the most appropriate action for the psychiatric technician to take? | Perform a Heimlich maneuver by placing the rescuer's hands on her chest. |
| The Psychiatric Technician is caring for a group of clients who are recovering from surgery. Which of the following client is most in need of pain management? | The client with a pulse of 120, respirations of 22 and BP of 140/92 |
| The client has retuned from the ER after having a plaster cast applied to his left leg. He begins to complain of pain in the leg but has already received his pain medication. Which of the following measures should the Psychiatric Technician take next? | Apply an ice pack to the affected area. |
| A client is not diabetic, alert, performs her ADL's and does have long toenails. Which of the following interventions would be most appropriate for the Psychiatric Technician to take? | Soak the feet in warm water and clip straight across with a nail clipper |
| Which of the following types of drainage would be considered "normal" drainage from a gastrostomy tube? | Pale, yellow-green liquid |
| The diabetic client who is alert and manages her own ADL independently states that her toenails are long and need to be trimmed. Which of the following actions would be appropriate for the Psychiatric Technician to take? | Request that a podiatrist visit the client |
| The Psychiatric Technician is caring for an elderly client and is promoting the client's personal hygiene. Which of the following would be the most appropriate action for the Psychiatric Technician to take? | Place a chair in the shower which a hand-held shower head is installed |
| The Psychiatric Technician is encouraging the client to participate in active range of motion involving flexion of the shoulder. Which of the following best addresses this need? | Attach the longer chairs to the sections that supports the upper body. |
| Which of the following interventions by the Psychiatric Technician would be the most helpful in promoting the comfort of the client with a gastrostomy tube? | Have the client rinse his mouth with alcohol- free mouth wash q 2h |
| After tripping in the hall, the client states that her tooth has fallen out. Which of the following actions by the Psychiatric Technician would be most appropriate? | Place the tooth, since there is no hope of fixing it. |
| The client is found to be incontinent of urine. Which of the following responses by the Psychiatric Technician would be the most appropriate? | "Your briefs need to be changed. would you like some help?". |
| Which of following behavior changes of the client is most likely to be seen in a client with a toothache? | Client is selecting foods moderate in temperature. |
| The Psychiatric Technician has been assigned the task of checking the Hoyer lift. Which of the following would be most critical for the Psychiatric Technician to do? | Check that the casters move freely. |
| The 72 year-old client has an unsteady gait and is on slip/fall precautions. Which of the following interventions by the Psychiatric Technician are most urgent? | Wipe up a spill on the floor |
| The 56 year-old client is returning from the OR and needs to be moved from the gurney to the client's bed. Which of the following is the first step to be taken prior tot moving the client? | Asses the client's ability to cooperate |
| The 76 year-old client tells the Psychiatric technician that he is constipated. Which of the following actions would be most appropriate for the Psychiatric Technician to do first? | Ask the client when he last moved his bowels |
| The client is having some impairment of swallowing following a stroke. Which of the following actions will help reduce the likelihood of the client aspirating his food? | Reduce distractions in the room. |
| When assisting the client to transfer from the bed to a chair it would important for the health care worker to do which of the following? | Bend at waist from preventing the feet moving |
| The clients skin ahs become dry and flaky. Which of the following interventions would be the best for the Psychiatric Technician to take? | Apply moisturizing lotion to the skin |
| The client with hemiparesis is to be discharged in the near future. The Psychiatric Technician might suggest which of the following to the client to promote safety regarding showering? | Consider installing grab bars in the shower and tub area. |
| The client is receiving anticoagulant therapy. Which of the following should the Psychiatric Technician instruct the client to do regarding oral hygiene? | Brush the teeth gently do not floss |
| The client is being taught to self-administer an enema. Which of the following should the client be told is a reason to stop administering the enema? | Diaphoresis or shortness of breathe |
| The Psychiatric Technician is teaching the client to take a core temperature. Which of the following sites should the client be taught to monitor? | Rectal |
| The African- American client is being taught to observes for signs and symptoms of cyanosis in his son. Which of the following should he be told to observe for ? | Ashen-gray lips and tongue |
| The Psychiatric Technician is teaching the client to self-administer patch. Which of the following should be included in the patient instructions? | Rotate sites each time the patch is applied. |
| The psychiatric technician is following up on the instructions given to a client using crutches. Which of the following instruction should the client be told? | The client should report and numbness or tingling in the upper torso. |
| The Psychiatric Technician notices that one of her clients has a laboratory value of 286 for cholesterol. She decides she will provide client education regarding healthy because the laboratory value for cholesterol should be less than: | 200 |
| Which of the following nursing interventions has the highest priority for severe withdrawal from alcohol? | Maintenance of nutrition and hydration |
| Your client has a sprained wrist and the physician has ordered and elastic bandage application. Which of the following Techniques in conjunction with the ace wrap is most appropriate? | place the extremity on a pillow and wrap the arm from distal to proximal. |
| You have completed your morning vital signs and the results are as follows: BP 86/42, R24, P126, T 101.4. Which vital sign parameters would be most suggestive of the person who may exhibit shock symptoms? | Blood pressure and pulse. |
| One of your clients has a 10 year history of emphysema. The client tells you he gets short of breathe in the morning. Which instruction would be most helpful for this client? | When exhaling, let your breath out slowly through a small opening in your lips. |
| Your client is a 35 year-old male who has Down syndrome and a diagnosis of chronic bronchitis. Your are assisting this client with more effective breathing techniques. Which techniques is most effective for this client? | Have the client sit at a 90 degree angle to ease breathing. |
| You are performing a bed bath for your client. You are performing the bath by yourself. Which description is best for aseptic technique? | Hint: (When washing the body to avoid dripping water on a clean area) |
| Your co-worker documented giving the client a partial bath to a female client. Which description best describes this type of bath? | The face, hands, axillae, under breast, and genital area |
| When bathing the client, Which is the best technique for cleaning the eyes? | Clean the eyes from the inner to outer canthus. |
| The client has a CVA three years ago that resulted in right-sided hemiparesis. You are assisting the client with getting dressed in the morning. which technique is most appropriate? | Assist the client to putting the shirt on the right arm then have the client put on the left sleeve. |
| Your are assisting your client who has had a stroke. She needs help getting into the wheelchair. Which is the best way to place the wheelchair? | Position the chair by the client's unaffected side with the bed locked. |
| You are assisting your client, who has had a CVA with undressing before bedtime. Which is the best technique to use? | Remove the garment from the least affected extremity first. |
| Your client's oral temperature is 35 degrees Celsius. You will be taking the client to the park for the day. The outdoor temperature is 70 degrees Fahrenheit. Which is the most appropriate intervention for this client? | Dress the client in warm clothing with a hat |
| Your client has a sprained ankle. You had the client rest, applied ice and placed the elastic wrap as ordered. What is your next action? | Elevate the on a pillow or stool. |
| Which foods would a Psychiatric Technician encourage client diagnosed with osteoporosis include in his/her diet. | Liver, milk, egg yolks |
| When making a need at night which height should the bed be ? | At waist level |
| When changing the linen on the bed, the main reason why the linen is rolled is which of the following? | Reduce the transmission of organisms |
| The client taking an MAOI is to undergo surgery for repair of a hernia. Which of the following should he be instructed to do as per doctor's order? | Stop taking this medication 3 days before surgery |
| The Psychiatric Technician is assessing the client's fluid status. Which of the following is the best indication of this in the adult client? | Skin turgor |
| The Psychiatric Technician is caring for a client who is recovering from a fractured fibula but who has no other physical problems. Which of the following diets would be the most appropriate one for this client? | Well balanced diet |
| Which of the following diets would be the most appropriate for a client recovering from severe burns? | High calorie, high protein diet |
| Dietary management of the hypertensive client is accomplished through which of the following interventions? | 2 Gm Na diet |
| Which of the following best describes the function of the Sinoatrial (SA) node? | To act as a primary pacemaker of the heart |
| Which of the following best describes a client's pre-morbid personality? | The client was friendly and outgoing before her surgery. |
| The psychiatric Technician enters a client's room and finds the client unconscious and calls for help. According to the American Heart Association what is the next action the Psychiatric Technician should take? | Open the airway |
| The client is unresponsive, has a pulse, but is no breathing. According to the American Heart Association which of the following actions should the Psychiatric Technician take? | Open the airway and give the client a breath once every 5 seconds |