Module 12 – Health Conditions Test

General Directions:

A. There are a total of 48 questions.

• Questions 1 to 45 - 1 mark each

• Question 46 - 6 marks

• Question 47 - 9 marks

• Question 48 - 15 marks

• Total 75 marks

B. Answer all questions directly on the question paper as indicated.

C. In multiple choice questions, always choose the best answer.

D. A minimum mark of 53 (70%), must be achieved to pass the test.

E. The test will count for 80% of your final mark in Module 12.

Name: NABINA MALLA

Date: 2024-08-11
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 1 | 12
1. Your resident is on NPO (nothing by mouth). You should:
a) Provide a variety of fluids
b) Offer fluids in small amounts
c) Remove all liquids from the bedside
d) Prevent the resident from having oral hygiene

2. Hemorrhage is:
a) Infection
b) Sepsis
c) Severe blood loss
d) Edema

3. A normal stoma should appear:

a) Dry and deep pink in colour
b) Dry and purplish in colour
c) Moist and deep pink in colour
d) Moist and purplish in colour

4. The digestive system is also called the gastrointestinal system (GI System): a)
True
b) False

5. The organ that produces bile which breaks down fatty food is the: a)
Liver
b) Stomach
c) Duodenum
d) Gall bladder

6. The rhythmic, muscular movement that pushes the food through the stomach and
intestines is called:
a) Vomiting
b) Swallowing
c) Peristalsis
d) Contractions
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 2 | 12
7. A diet restricted in sugar and/or calories may be ordered for the resident who: a)
Is a diabetic
b) Has difficulty digesting fats
c) Has difficulty chewing or swallowing
d) Has high blood pressure and/or disease of the cardiovascular system

8. Which foods would be restricted on a low cholesterol diet?

a) Bread
b) Potatoes
c) Ice cream
d) Skim milk

9. The elderly are susceptible to choking because:

a) They are usually confused
b) They have a decreased cough reflex
c) Their esophagus is smaller than a younger person
d) Their salivary glands produce less saliva, making it more difficult to swallow

10. While eating dinner in the dining room, a resident begins to choke. You notice that
they cannot speak and that their skin appears cyanotic around their mouth. The first
thing you would do is:
a) Clear his mouth
b) Call for help
c) Ask him to raise his arms
d) Institute the Heimlich maneuver

11. A resident has arthritis. Care includes all of the following except:
a) Measures to ensure contractures
b) Range of motion exercises
c) Local heat or cold applications
d) Assistance with activities of daily living
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 3 | 12
12. Mr. Day has a cast because of a fracture. The cast needs to dry. All of the following
are correct except:
a) The cast should be covered with plastic until it dries
b) He is assisted to reposition regularly so that the cast dries evenly
c) The entire length of the cast is supported by pillows
d) The cast is supported with the palms of the hands when lifted

13. In caring for a resident with a cast, which of the following should be reported immediately?
a) Pain, numbness, or inability to move the fingers or toes
b) Chills, nausea, vomiting and fever
c) Odour, cyanosis, or temperature changes of the skin
d) All of the above

14. A quadriplegic has paralysis of the:

a) Legs, arms, and trunk
b) Left side of the body
c) Legs
d) Legs and arms

15. The resident with osteoporosis is at risk of:

a) Fractures
b) An amputation
c) Phantom limb pain
d) All of the above

16. Anxiety, stress, and fatigue tend to increase the tremors in the person with Parkinson’s disease:
a) True
b) False

17. The resident with Parkinson’s disease may become depressed and withdrawn:
a) True
b) False
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 4 | 12
18. Multiple sclerosis is characterized by exacerbations and remissions:
a) True
b) False

19. AIDS is the virus that is first diagnosed and treated; HIV is the stage where there is
active disease:
a) True
b) False

20. Medications usually control epileptic seizures if taken regularly:

a) True
b) False

21. People with epileptic disorders have intellectual challenges:

a) True
b) False

22. Epilepsy is a contagious disease:

a) True
b) False

23. Osteoporosis is a disease of the muscles:

a) True
b) False

24. Osteoarthritis affects all the body systems:

a) True
b) False

25. Two types of seizures are partial and generalized:

a) True
b) False

26. As a result of aging, salivary glands produce more saliva:

a) True
b) False
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 5 | 12
27. As a result of aging, taste and smell sensations diminish:
a) True
b) False

28. As a result of aging, elderly people require fewer calories:

a) True
b) False

29. As a result of aging, peristalsis in the bowel is increased:

a) True
b) False

30. A person with left-sided paralysis due to CVA usually experiences difficulty with
speech and swallowing:
a) True
b) False

31. Drooling, pill rolling, and a shuffling gait are all symptoms of Parkinson’s Disease:
a) True
b) False

32. Wax in the ear can cause a hearing impairment:

a) True
b) False

33. Anger, fear, frustration, depression, and withdrawal are emotional responses often
expressed by the individual who has had a stroke:
a) True
b) False

34. Which of the following is used to relax muscles, relieve pain and promote blood flow?
a) Moist cold application
b) Room temperature application
c) Moist heat application
d) Ice pack application
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 6 | 12
35. An ileostomy is an opening into the large intestine:
a) True
b) False

36. Heartburn is caused by a defect in the heart:

a) True
b) False

37. Which choice identifies signs and symptoms of a stroke?

a) Weakness and paralysis on one side, difficulty speaking, confusion, and
severe headache
b) Slurred speech, blurred vision and ambulating without difficulty
c) Paralysis of upper body and slurred speech, no confusion
d) Ambulating and talking with no difficulty but appears very confused

38. Angina is chest pain caused by a decrease in oxygenated blood flow to the heart muscle
caused by coronary artery disease, this can be brought on by physical exertion, and
or extreme weather conditions:
a) True
b) False

39. Hemiplegia is a likely result of which medical event?

a) Myocardial Infarction
b) Cardiac arrest
c) Angina
d) Cerebrovascular Accident

40. A Sexually Transmitted Infection that does not have a known cure is:
a) Genital herpes
b) Syphilis
c) Gonorrhea
d) Venereal warts
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 7 | 12
SCENARIO 1

You are caring for Miss Cassidy, age 50, in her own home. She was diagnosed with colon
cancer four weeks ago. She had colon surgery and a permanent colostomy was created in the
descending colon. She is very thin and has no appetite. She complains of lower back pain, has
little energy and sleeps most of the day. She has a sister who lives several miles away but
visits every second day.
Miss Cassidy is very embarrassed about her colostomy. She says it smells and she can never
predict when it will move. Although she has been taught to change the bags, she needs
constant reinforcement, assistance, and support.

41. In caring for Miss Cassidy’s colostomy for hygiene, you would:
a) Provide privacy, change when stool present, use gloves and deodorizers
b) Change once a day, gloves are not necessary unless there is a spill
c) Let her change it when she wants to and don’t worry about it, give her gloves d)
Only change it once a week or when it’s overflowing, use gloves and deodorizers

42. When assisting with ostomy care, you should:

a) Wash and dry the stoma and call the nurse to put on a new appliance
b) Clean the skin around the stoma with mild soap and warm water, rinse and pat dry
c) It’s not necessary to wash the stoma, just change the bag as needed
d) Wipe with a wet, cool cloth and put on a new appliance

43. Miss Cassidy wonders if her diet is affecting the consistency and frequency of her stools. As her
PSW you would suggest that:
a) She should speak with the team care coordinator about her diet
b) She should keep track of how much meat she is eating daily
c) She shouldn’t worry about her diet; just concentrate on gaining some weight
d) Direct her to helpful on-line resources about colostomies and diet

44. How often should Miss Cassidy remove her appliance and replace it?
a) bid
b) Every 3-7 days or when it leaks
c) od
d) ac breakfast
 © N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 8 | 12
45. Which of the following are potential risk factors for Miss Cassidy developing skin break down?
a) Illness and anorexia
b) Immobility
c) Age
d) All of the above

46. Circle the word that doesn’t fit in the following sets: (6 Marks)
A Calorie Carbohydrate Fiber Lozenge

B Asepsis Germ Paralysis Sterilization

C Caring Dominant Empathetic Sensitive

D Blood Incision Stool Urine

E Breathing Incontinence Lungs Respiration

F Impairment Immobility Paralysis Posture

G Capsules Lozenges Tablets Milliliters

H Bleach Detergent Lotion Soap

I Abrasion Absorption Inflammation Irritation

J CVA MI CSF COPD

K Autism Down Syndrome Hydrocephalus Thrush

L TB TIA HIV Hepatitis B

© N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 9 | 12

47. Please complete the chart on the next page using the following information. (9 Marks)

EQUIVALENTS
Glass 180 ml Dessert Dish 120 ml
Cup 120 ml Bowl 150 ml
TIME ACTIVITY

0730 1 glass of water

0800 Glass of orange juice

Corn flakes with ½ glass of milk
 Coffee, 1 cup
Voided 350 ml

0900 Vomited 250 ml food

0930 Vomited 150 ml of food

1000 ½ glass of water

1 glass of ginger ale

1130 Voided 300 ml

1200 Dessert dish of custard

2 crackers
½ bowl of tomato soup
½ chicken sandwich
½ dessert dish of jello
1 cup of coffee

1330 Voided 225 ml

1430 ½ cup of clear tea

1 glass of ginger ale
Voided 175 ml

© N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 10 | 12

TIME INTAKE OUTPUT

0730 1 glass of water(180ml)

0800 1 glass of orange juice (180ml)

0800 Corn flakes with ½ glass of milk

(90ml)

0800 1 cup of coffee (120ml)

0800 Voided 350 ml

0900 Vomited 250 ml food

0930 Vomited 150 ml of food

1000 ½ glass of water (90ml)

 1000 1 glass of ginger ale(180ml)

1130 Voided 300ml

1200 Dessert dish of custard

2 crackers (120ml)

1200 ½ bowl of tomato soup (75ml)

1200 ½ dessert dish of jello (60ml)

1200 1 cup of coffee(120ml)

1330 Voided 225ml

1430 ½ cup of clear tea (60ml)

1430 1 glass of ginger ale (180ml)

1430 Voided 175 ml

Total Intake : 1455 ml Output : 1450 ml

© N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 11 | 12

48. Record the following on the given chart. Draw a horizontal line to connect the
temperature readings. (15 Marks)

March 2, 2015 March 2, 2015 March 5, 2015

 8 a.m. T-37.5 12 noon T-37 4 p.m. T-36.3
P-88 P-72 P-92
R-16 R-18 R-22

Charting Graphic Record

(Best practice is to write the date out completely like it is above)
Date March 2, 2015 March 5, 2015

Time 8 12 16 20 8 12 16 20 8 12 16 20 8 12 16 20 8 12 16 20

Temp. 41

40.5

40

39.5

39

38.5

38

37.5 X

37 X

36.5 X 36.3

36

35.5

35

34.5

Pulse 88 72 92

Respirations 16 18 22

Initials NM NM NM
© N A C C P S W D E 2 0 2 2 V 2 Section IV. Module 12. Health Conditions Test 12 | 12