FINAL EXAM MDC 1, MDC 1 FINAL UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. 1. Fall Prevention
a. In Homes:
Answer:
i. Remove items that could cause the client to trip(throw rugs and loose carpets) ii. Place electrical cords
and extension cords against a wall behind furniture iii. Monitor gait and balance, and provide aids as
needed iv. Make sure that steps and sidewalks are in good repair Place grab bars near the toilet and in the
tub or shower and install a stool riser
Question:
2. Fall Prevention In Hospitals
Answer:
i. Fall bracelets and yellow socks ii. Bed alarm iii. Remove clutter iv. Keep items within reach(call light,
personal items) v. Gait Belts vi. "Call, don't fall"
1. Orient them to the call light and educate them to use call light to get help rather than getting up without
assistance. Nurses should respond to call light in a timely manner vii. Put them in room close to nurses
station viii. Have good lighting (especially at night) ix. BEDS:
1. Put in low position
2. Lock wheels
3. Use side rails appropriately
Question:
3. 1. Home Safety
a. Preschoolers and School Age Children i. Firearms
Answer:
1. Keep firearms unloaded, locked up, and out of reach
2. Teach to never touch a gun or stay at a friend's house where a gun is accessible
3. Store bullets in a different locations from guns
Question:
4. 1. Home Safety
a. Preschoolers and School Age Children i. Poison
Answer:
1. Teach child about the hazards of alcohol, cigarettes, and prescription, non-prescription, and illicit drugs
2. Keep potentially dangerous substances out of reach Have the poison control hotline number available
Question:
5. 1. Home Safety
a. Preschoolers and School Age Children i. Motor Vehicles
,Answer:
1. Use booster seats for children who are less than 4ft 9in tall and weigh less than 40lbs(usually 4 to 8
years old)
2. If the care has a passenger air bag, place children under 12 yrs in the back seat
3. Use seatbelts properly after booster seats are no longer necessary
4. Use protective equipment when participating in sports, riding a bike, or riding as passenger on a bike
5. Supervise and teach safe use of equipment
6. Teach the child to play in safe areas and never run after a ball or toy that goes into a road
7. Teach child safety rules of the road.
a. Look both ways before crossing road
Question:
6. a. Fire Safety i. Elements of Home Safety Plan
Answer:
1. Where the exit plan in
2. Oxygen safety measures
3. Fire extinguishers and everyone knows there location Smoke detectors need batteries checked every 6
mos
Question:
7. 1. Center of Gravity
Answer:
a. should be close to the base of support (below the umbilicus at the top of the pelvis)
b. spread feet, wide base of support
c. hold objects close to you
Question:
8. Bathing
Answer:
a. Bathe clients to cleanse the body, stimulate circulation, provide relaxation, and enhance healing.
b. Bathing clients is often delegated to the assistive personnel. However, the nurse is responsible for data
collection and client care
c. Bathe clients whose health problems have exhausted them or limited their mobility. i. Give a complete
bath to clients who can tolerate it and who hygiene needs warrant it ii. Allow rest periods for clients who
become tired during bathing iii. Partial baths are useful when clients cannot tolerate a complete bath, need
particular, cleansing of odorous or uncomfortable areas, or can perform part of the bath independently. iv.
Therapeutic baths are used to promote comfort and provide treatment (soothing itchy skin)
Question:
9. Bed Bath:
Answer:
i. Ensure privacy ii. Start with face then arms and chest, then go to legs and feet, and then finally perineal.
iii. Encourage patient to participate:
1. Wash their face and perineal area
2. usually set up the washcloth for them and allow them to do what they can and help with what they can't
allowing them the independence they still have. "we'll work together"
3. Brush their own teeth
, Question:
10. Foot Care
Answer:
a. Prevents skin breakdown, pain, and infection
b. Is extremely important for clients with diabetes mellitus and a qualified professional must perform it.
c. Scrub between toes
d. Don't clip nails but file if needed.
e. Check for sores, signs of cyanosis, and skin breakdown
Question:
11. 1. Pain Assessment
Answer:
a.P:provoking/relieving; what makes it worse and better
b. Q: quality; how the pain feels: throbbing, aching, burning
c. R: radiate; does the pain radiate anywhere else
d. S: severity; on a scale of 1 to 10 how much does it hurt T: timing; onset, duration, and frequency
Question:
12. 1. Pain Medication Administration
Answer:
a. Asses before giving pain meds: i. PQRST ii. Possible drug interactions, allergies iii. Correct orders iv.
Correct dosage and medications
Question:
13. 1. Pain Medication Administration (PT.2)
Answer:
a. Analgesics are the mainstay for relieving pain. The three classes of analgesics are non-opioids, opioids
and adjuvants i. Concerns when taking Opioids:
1. Lower BP and HR
a. Orthostatic hypotension (fall risk)
2. Constipation
3. Urinary retention
4. Respiratory depression
a. S&S i. Bradypnea, RR less than 8 per min, and are shallow Low O2 saturation
Question:
14. Pain Medication Administration (PT.3)
Answer:
a. Before giving more pain medications reassess vitals (look at quality of respirations) and another pain
assessment
Question:
15. Pain Medication Administration (PT.4)
QUESTIONS AND CORRECT ANSWERS
Question:
1. 1. Fall Prevention
a. In Homes:
Answer:
i. Remove items that could cause the client to trip(throw rugs and loose carpets) ii. Place electrical cords
and extension cords against a wall behind furniture iii. Monitor gait and balance, and provide aids as
needed iv. Make sure that steps and sidewalks are in good repair Place grab bars near the toilet and in the
tub or shower and install a stool riser
Question:
2. Fall Prevention In Hospitals
Answer:
i. Fall bracelets and yellow socks ii. Bed alarm iii. Remove clutter iv. Keep items within reach(call light,
personal items) v. Gait Belts vi. "Call, don't fall"
1. Orient them to the call light and educate them to use call light to get help rather than getting up without
assistance. Nurses should respond to call light in a timely manner vii. Put them in room close to nurses
station viii. Have good lighting (especially at night) ix. BEDS:
1. Put in low position
2. Lock wheels
3. Use side rails appropriately
Question:
3. 1. Home Safety
a. Preschoolers and School Age Children i. Firearms
Answer:
1. Keep firearms unloaded, locked up, and out of reach
2. Teach to never touch a gun or stay at a friend's house where a gun is accessible
3. Store bullets in a different locations from guns
Question:
4. 1. Home Safety
a. Preschoolers and School Age Children i. Poison
Answer:
1. Teach child about the hazards of alcohol, cigarettes, and prescription, non-prescription, and illicit drugs
2. Keep potentially dangerous substances out of reach Have the poison control hotline number available
Question:
5. 1. Home Safety
a. Preschoolers and School Age Children i. Motor Vehicles
,Answer:
1. Use booster seats for children who are less than 4ft 9in tall and weigh less than 40lbs(usually 4 to 8
years old)
2. If the care has a passenger air bag, place children under 12 yrs in the back seat
3. Use seatbelts properly after booster seats are no longer necessary
4. Use protective equipment when participating in sports, riding a bike, or riding as passenger on a bike
5. Supervise and teach safe use of equipment
6. Teach the child to play in safe areas and never run after a ball or toy that goes into a road
7. Teach child safety rules of the road.
a. Look both ways before crossing road
Question:
6. a. Fire Safety i. Elements of Home Safety Plan
Answer:
1. Where the exit plan in
2. Oxygen safety measures
3. Fire extinguishers and everyone knows there location Smoke detectors need batteries checked every 6
mos
Question:
7. 1. Center of Gravity
Answer:
a. should be close to the base of support (below the umbilicus at the top of the pelvis)
b. spread feet, wide base of support
c. hold objects close to you
Question:
8. Bathing
Answer:
a. Bathe clients to cleanse the body, stimulate circulation, provide relaxation, and enhance healing.
b. Bathing clients is often delegated to the assistive personnel. However, the nurse is responsible for data
collection and client care
c. Bathe clients whose health problems have exhausted them or limited their mobility. i. Give a complete
bath to clients who can tolerate it and who hygiene needs warrant it ii. Allow rest periods for clients who
become tired during bathing iii. Partial baths are useful when clients cannot tolerate a complete bath, need
particular, cleansing of odorous or uncomfortable areas, or can perform part of the bath independently. iv.
Therapeutic baths are used to promote comfort and provide treatment (soothing itchy skin)
Question:
9. Bed Bath:
Answer:
i. Ensure privacy ii. Start with face then arms and chest, then go to legs and feet, and then finally perineal.
iii. Encourage patient to participate:
1. Wash their face and perineal area
2. usually set up the washcloth for them and allow them to do what they can and help with what they can't
allowing them the independence they still have. "we'll work together"
3. Brush their own teeth
, Question:
10. Foot Care
Answer:
a. Prevents skin breakdown, pain, and infection
b. Is extremely important for clients with diabetes mellitus and a qualified professional must perform it.
c. Scrub between toes
d. Don't clip nails but file if needed.
e. Check for sores, signs of cyanosis, and skin breakdown
Question:
11. 1. Pain Assessment
Answer:
a.P:provoking/relieving; what makes it worse and better
b. Q: quality; how the pain feels: throbbing, aching, burning
c. R: radiate; does the pain radiate anywhere else
d. S: severity; on a scale of 1 to 10 how much does it hurt T: timing; onset, duration, and frequency
Question:
12. 1. Pain Medication Administration
Answer:
a. Asses before giving pain meds: i. PQRST ii. Possible drug interactions, allergies iii. Correct orders iv.
Correct dosage and medications
Question:
13. 1. Pain Medication Administration (PT.2)
Answer:
a. Analgesics are the mainstay for relieving pain. The three classes of analgesics are non-opioids, opioids
and adjuvants i. Concerns when taking Opioids:
1. Lower BP and HR
a. Orthostatic hypotension (fall risk)
2. Constipation
3. Urinary retention
4. Respiratory depression
a. S&S i. Bradypnea, RR less than 8 per min, and are shallow Low O2 saturation
Question:
14. Pain Medication Administration (PT.3)
Answer:
a. Before giving more pain medications reassess vitals (look at quality of respirations) and another pain
assessment
Question:
15. Pain Medication Administration (PT.4)
