Midterm

Question 1

Col and ostomy mean?

Answer 1

colon and create opening

Question 2

Healthy stomas have the usually following appearance?

Answer 2

cherry red

Question 3

Irrigation of the stomach in cases of active bleeding or poisoning is referred to be?

Answer 3

lavage

Question 4

True or False:

Large bore NG tubes are typically used for feeding?

Answer 4

False

Question 5

A procedure to view inside the colon?

Answer 5

colonoscopy

Question 6

Surgically connecting two parts together?

Answer 6

Anastomosis

Question 7

A part of the colon was removed?

Answer 7

partial colectomy

Question 8

A tube is directly inserted in the kidney to drain urine?

Answer 8

nephrostomy

Question 9

An infection in pockets which have formed in the colon?

Answer 9

diverticulitis

Question 10

The PCT can anticipate that a patient with an ileostomy who is hospitalized and confused will need?

Answer 10

The PCT to frequently check and empty the ostomy pouch

Question 11

The PCT is making rounds and notices Mrs. Smith has slid down toward the bottom of the bed and needs repositioned. She has a NG tube running at 12ml/hr to provide nutrition. What is the proper action?

Answer 11

Notify the nurse to stop the tube feeding and request help from the RN while they are there to pull patient up in bed.

Question 12

True or False:

The PCT should clean the peri-ostomy skin with an alcohol pad to disinfect the area before applying a new pouch

Answer 12

True

Question 13

To ensure the ostomy appliance is secure the PCT may do the following except:

Answer 13

Apply an abdominal binder

Question 14

When a patient has an NG tube in place , the head of the bed should be elevated to at least

Answer 14

30 degrees

Question 15

When applying the custom ostomy pouch the PCT should do which of the following?

Answer 15

Cut the backing of the pouch to 1/16” of stoma size

Question 16

When using the two piece ostomy appliance, the PCT will usually change the wafer backing:

Answer 16

Once or twice weekly

Question 17

Which of the following statements about colostomies is false?

Answer 17

stool is liquid and drains constantly

Question 18

You are caring for a patient with a small bowel obstruction. The patient has an NG tube to LCWS. During your shift you should expect to?

Answer 18

Note drainage amount and color when doing ordered output documentation.
Correct Answer

Provide swabs and lip moisturizer for frequent oral care.
Correct Answer

Check that tube is secured to nose and gown each time you enter room.

Question 19

You are the PCT caring for a patient with an ileostomy. You note that there is a lot of liquid stool present in the pouch. Which of the following actions should you take?

Answer 19

This is normal finding for an ileostomy. You would empty the pouch and record the output.

Question 20

Your patient is on an ADA or Consistent Carbohydrate Diet. Which of the following snacks would be appropriate if they asked for something to eat or drink?

Answer 20

ugar free pudding
Correct Answer

Sugar free popsicle
Correct Answer

Sugar free soda/cola

Question 21

Your patient is on fluid restrictions, 1000cc per day and a clear liquid diet. The pt requests some jello. You should

Answer 21

give them jello and mark it as part of their fluid intake

Question 22

A wound where the wound bed in not visable due to the presence of slough and eschar would be described as what stage?

Answer 22

Unstageable

Question 23

Transparent pale yellow watery fluid

Answer 23

Serous

Question 24

Red, bloody fluid

Answer 24

Sanguinous

Question 25

Thick, cloudy white to yellow fluid, may smell foul.

Answer 25

Purulent

Question 26

Sweat, sweaty

Answer 26

Diaphoretic

Question 27

an abnormal connection (pipe/tunnel) between two body parts

Answer 27

Fistula

Question 28

Abnormal parting of wound along surgical incision

Answer 28

Dehiscence

Question 29

Hip replacement surgery

Answer 29

THA

Question 30

A Blood clot

Answer 30

VTE

Question 31

When pt ambulates the injured side can only touch down the weight briefly and lightly

Answer 31

TDWB

Question 32

Its very important to accurately measure RR if patient has one of these pumps

Answer 32

PCA

Question 33

You must document these are on if they are ordered and if the patient is in bed

Answer 33

SCD

Question 34

Check clock face and document when putting it on and taking it off

Answer 34

AFO boot

Question 35

Make sure this knee replacement intervention is not falling off side of bed.

Answer 35

CPM

Question 36

The PCT is ambulating a patient with a right-leg fracture who has an order for partial weight-bearing status. The nurse determines that the patient demonstrates compliance with this restriction if the patient:

Answer 36

The patient places between 30-50% of their weight on their right foot and leg as they ambulate.

Question 37

The PCT is caring for a patient in traction. Which of the following items should the PCT address in helping the patient avoid developing pressure ulcers ?

Answer 37

Encourage use of trapeze to adjust pressure and position on back

Question 38

The PCT role is to prevent skin breakdown, promote healing in comprised skin, and to report any abnormalities in patient care to the nurse. Which one of the interventions below is not within the PCT role?

Answer 38

Apply nystatin (medication) to reddened areas

Question 39

The wound vac alarm in your patients room is beeping. You notice that one of the edges of the wound dressing is not sealed and is rolled up. You should:

Answer 39

notify the nurse to assess the dressing and machine

Question 40

True or False:

Undermining may be described as a cavity below the wound opening.

Answer 40

True

Question 41

When caring for a patient with multiple JP drains to their abdomen, the PCT should:

Answer 41

make sure each drain is clearly labeled with a letter or number.
Correct Answer

document the drainage amount and color if emptying the drain

secure each drain to the gown if getting the pt up to ambulate

Question 42

You are beginning a.m. rounds on your Post-op Orthopedic unit. As you enter each room to get vital signs what other interventions should you do at this time. Choose all that apply

Answer 42

Ensure SCD/Plexi pulse sleeves are on the patient if they are in bed.
Correct Answer

Look around room and see if the Incentive spirometer is within reach of the patient.
Correct Answer

Check the pt name/dob match the arm band and either the computer pt chart or tech sheet you are documenting on.
Correct Answer

See if the urinal, BSC or cath needs emptying and measured/documented.

Question 43

True or False:
You are performing a bed bath when you notice the patient’s wound dressing is soiled with drainage. As long as you save the old dressing, it is fine to perform this dressing change without first informing the nurse.

Answer 43

False

Question 44

You just admitted a patient to your floor who had lumbar spinal fusion surgery 30 minutes ago. You notice the patient has been incontinent in the bed. You should:

Answer 44

Have another CNA assist you in log rolling patient and changing linens beneath him. Check that the surgery dressing is dry and report to RN if it is soiled.

Question 45

Your elderly patient had major surgery yesterday, is ordered bedrest only and in a lot of pain. He has oxygen per nasal cannula and a large dressing on his abdomen and a foley catheter. Choose ALL of the items you would expect to be doing while on your shift.

Answer 45

Check the skin on top of his ears every time you turn this patient.
Correct Answer

Turn and reposition patient every 2 hours
Correct Answer

report dressing that is coming dislodged or saturated with blood or fluid to the nurse immediately

Question 46

Your patient had a total hip arthroplasty (hip replacement). Which of the following would you expect to do?

Answer 46

Keep a pillow or wedge between their legs to keep them from crossing ankles.
Correct Answer

Have a raised toilet seat to prevent them from squatting to far down.

Question 47

Your patient is in skeletal traction. Your care would include all of the following except

Answer 47

Remove the weights if the person is in pain or discomfort.

Question 48

The PCT is responsible for output of both JP drains on a surgical patient. The PCT drained both drains but noticed one of the JP drains (tube #1) was not draining in the morning or afternoon. At 1600 there still was no drainage from tube #1. What should the PCT do?

Answer 48

Check for kinks in tubing and notify RN there has been no drainage during your shift