22.When taking a client’s temperature by mouth (orally), which of the following
temperature readings should be reported to the nursing supervisor?
23.Why is the thumb NOT used for taking a client’s pulse?
A. The flat part of the thumb is less sensitive than the flat parts of other
B. The thumb can place too much pressure on the client’s pulse.
C. The thumb’s pulse may be felt instead of the client’s pulse.
D. The thumb’s tip is in a more awkward position than the other fingertips.
24.Why is it important that a client have good mouth care?
A. Bacteria in the mouth can cause tooth decay and gum infections.
B. The saliva in the mouth is the source of stomach juices.
C. Poor oral hygiene causes more saliva to be made.
D. Poor oral hygiene interferes with the sense of smell.
25.A client’s circulation is generally improved when the client’s:
A. Clothing is kept free of dirt.
B. Liquid intake is increased.
C. Room temperature is kept around 70.0 F. (21.1 C)
D. Activity is increased.
26.The home health aide is helping Mrs. Elden with her bed bath. Mrs. Elden prefers
to wash her genital and rectal areas herself. Which of these measures should the
A. Have Mrs. Elden use cold water only in washing her genitals.
B. Have Mrs. Elden use no soap when washing her rectal area.
C. Remind Mrs. Elden to wash from the vaginal area toward the rectal area.
D. Remind Mrs. Elden not to wash in between the labia of her genitals.
27.When caring for a client who is on bed rest; what should the aide do to prevent
A. Keep the top sheets well tucked in.
B. Keep the bottom sheet free of wrinkles.
C. Use only sheets that are 100% cotton on the client’s bed.
D. Use only woolen blankets to cover the client.
28.A client who has been on bed rest is too weak to get up in a chair. The home
health aide helps the client to sit on the edge of the bed. The client says, “I am
dizzy.” What should the aide do?
A. Rub the client’s feet.
B. Help the client to a standing position and see if the dizziness goes away.
C. Put a cool compress on the client’s head.
D. Support the client in sitting position and wait a minute or so to see if the
dizziness goes away.
29. Pressure ulcers are most likely to develop:
A. as a side effect of medications
B. As a result of the aging process
C. On bony prominences (areas where bones are near the skin)
D. On clients who are ambulatory.
30.Which of these statements about the elderly is true?
A. They cannot change.
B. They can learn new things.
C. They want to become dependent on others.
D. They do not enjoy meeting new people.
31.The ability to make observations is even more important when working with
infants and young children than it is when working with adults. The chief reason
for this is that infants and young children:
A. Do not like to be told what to do.
B. Are usually sicker than adults.
C. Enjoy human contact more than adults do.
D. Cannot explain how they feel.
32.In communicating with a client who is hard of hearing, the aide should
A. Stand directly in front of the client so he/she can hear you speak
B. Speak in higher pitched tones
C. Shout into the client’s ear
33.The telephone numbers of all of the following are important to
a client. Which number must the home health aide have next to the telephone?
A. The client’s clergyman.
B. The drugstore.
C. 9 1 1
D. The next door
34.When working with persons who are disabled, the general goal of care is to:
A. Provide constant supervision.
B. Provide total care.
C. Promote maximum self care and independence within the limits of the
D. Promote the complete return of the person’s abilities.
35.In which of these cases may cold applications cause injury to a client?
A. When the client has poor circulation.
B. When the client has an elevated temperature.
C. When there is swelling present.
D. When there is bleeding present.
36.If a client is to have a fluid intake record kept, the right time to record the client’s
A. When the fluids are served to the client.
B. After they finish drinking the fluids.
C. Every 2 hours.
D. After each meal.
37.An elderly male client occasionally wets his trousers. What should the home
health aide do?
A. Give him fluids with his meals only.
B. Avoid giving him coffee and tea.
C. Tell him that if he urinates on himself he will have to be put in diapers.
D. Encourage him to go to the bathroom at least every two hours.
38.A client’s prescription for heart pills has recently been changed. The home health
aide should notify the agency supervisor immediately if the client makes which of
A. “The pills are very expensive.”
B. “These pills are a different shape from the pills I used to take.”
C. “I have a rash on my stomach since I’ve been taking these pills.”
D. “1 can’t take these pills unless I have really cold water to drink.”
39.Any change in the condition of a client’s skin should be