PCCM1 Test 1 Review (USA) Questions and answers, 2022. Rated A+

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PCCM1 Test 1 Review (USA) Questions and answers, 2022. Rated A+ Microorganisms move from place to place by various means in a cyclical manner. What are the five elements in the cycle of infectio... n? - ✔✔Reservoir, exit, transmission, infection, and susception In applying an alcohol-based hand rub, what is the appropriate step to take after rubbing the product briskly over all surfaces of the hands? - ✔✔Continue to rub until the hands are dry. What are the most common modes of transmission of pathogenic microorganisms? - ✔✔Contact, droplet, airborne What is the most important activity that caregivers should perform before and after contact with a patient to control infection? - ✔✔Hand Hygiene According to standard isolation precautions for airborne transmission, what is the recommended architecture for a patient's room? - ✔✔Private isolation room with a closed door and (-) airflow. Which of the following objects is a potential host site for the survival of pathogens? - ✔✔Bar soap, sink rims, faucet handles What is the recommended length of time for hand washing with ordinary soap and water? - ✔✔15-30 Seconds During which of the following situations would the wearing of gloves be most appropriate? - ✔✔You are cleaning the therapy treatment area at the end of the day in your inpatient rehabilitation unit. When is protective eyewear most important? - ✔✔During times when blood splashes or sprays of other body fluids are likely. For which of the following procedures might it be unnecessary to wear gloves? - ✔✔Measuring blood pressure or temperature To determine how much to inflate the blood pressure cuff, find the occlusion point then inflate the cuff how many mm/Hg? - ✔✔20 What are the normal limits for respiration? - ✔✔12-18 breathes per minute Which of these patients needs immediate medical attention? a. BP 160/90 b. Heart rate 98 c. Respiration 19 d. BP 180/100 - ✔✔D. When fitting a blood pressure cuff, what percentage of the arm should the length of the bladder cover? - ✔✔80% Which of the following is NOT a nonverbal indicator for pain? a. Grimacing b. Blinking c. Rubbing the affected area d. Restlessness - ✔✔B. Which of these patients may need to rest or be on supplemental oxygen- O2 sat= oxygen saturation? a. Pulse 90 bpm, O2 sat 95% b. Pulse 75 bpm, O2 sat 92% c. Pulse 80 bpm, O2 sat 88% d. Pulse 70 bpm, O2 sat 98% - ✔✔C. What factor does NOT affect the pulse oximeter reading? a. Size of blood pressure cuff b. Raynaud's syndrome c. Artificial nails d. Poor circulation - ✔✔A. Which pain scale involves the patient taking the average of 3 ratings over 24 hours? - ✔✔NPRS Orthostatic hypotension (OH) is classified as a decrease in systolic blood pressure of greater than what? - ✔✔20+ What pain scale might you use with a 5 year old child? - ✔✔Faces The difference between a Deep Squat Lift and a Power Lift is? - ✔✔A Deep Squat Lift requires a full squat and a Power Lift requires only a partial squat. All of the following are benefits of proper posture EXCEPT? A. It promotes proper balance and postural control B. It conserves energy C. It promotes effective and safe movements D. It increases stress on your joints - ✔✔D. What is true regarding the 'golfer's lift'? - ✔✔It is used to pick up lighter objects. At what level is the approximate center of gravity (COG) of a standing person? - ✔✔The second sacral segment Which muscle group is most important for movements and lifts that require extra effort? - ✔✔Core Stabilizers What area of the spine is host to most injuries caused by lifting? - ✔✔Lumbar Which posture is recommended for performing activities below the waist, such as removing clothes from a front-loading dryer? - ✔✔Sitting, stooping, or kneeling Through which anatomical structure should a plumb line run during ideal postural alignment? (lateral view) - ✔✔Greater Trochanter In an attempt to lift an object, which two measures are recommended for proper body mechanics? - ✔✔Increasing your base of support, positioning your COG near the object's COG Which areas are especially prone to pressure sores in a patient who is wheelchair dependent? - ✔✔Ischial tuberosities and olecranon processes Following a total knee replacement, in what position is it important to keep the affected extremity at rest? - ✔✔Knee Extension Your patient is a 55-year-old man who just had a transtibial amputation secondary to a work-related accident. You are working with him on functional mobility just after his surgery. Which of the following represents the best positioning for this patient? - ✔✔Have him spend some time in prone each day to encourage extension of the affected hip and knee. Following a total hip replacement, what device is often used for proper positioning? - ✔✔An adduction pillow to prevent excessive hip adduction Which areas of the side-lying patient are at greatest risk for pressure sores? - ✔✔Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing accident. He is unable to move below the level of his umbilicus. You are positioning him in the bed following your treatment. Which of the following describes the most appropriate positioning for this patient? - ✔✔In a three-quarters supine position with pillows behind him and between his legs In general, how frequently should a dependent patient's positioned be changed? - ✔✔At least every 2 hours. Your patient is a 64-year-old man who had a stroke and has severe right upper-extremity weakness as a result. His right hand has become very edematous. Which of the following is the best position for the patient's right arm to aid in the management of his edema? - ✔✔With the hand on a pillow, higher than the heart, while he is supine. Which of the following methods should you use to screen for patient tolerance of pressure on the skin? - ✔✔Press gently with one or two fingers on the skin in question and quickly release. What is a potential adverse effect of the placement of a small bolster behind the knees of a supine patient? - ✔✔Iliopsoas and hamstring contractures During an upward movement transfer of a supine patient, how should the patient's lower extremities be positioned? - ✔✔With the hips and knees flexed and feet flat on the bed What level of assistance is used if a patient requires only verbal cues to perform an activity safely and within an acceptable time frame? - ✔✔Standby Assistance (SBA) When rolling a pt. from supine to prone, towards the patient's left side, the left UE should be positioned? - ✔✔overhead in full shoulder flexion, if the patient has the range When rolling a pt. from prone to supine, towards the patient's left side, how should the right lower extremity be positioned? - ✔✔Crossed over the left leg at the ankles. When a patient is able to do 25% to 49% of a transfer they are considered to require? - ✔✔Maximum Assistance When coordinating a lifting activity with others, how should directions be given? - ✔✔As brief, concise, and action oriented commands The most important action when assisting a patient to move around in bed is? - ✔✔Let the patient help as much as possible when permitted. When performing a dependent transfer with a patient from supine to prone, how should the arm over which the patient will roll be positioned? - ✔✔adducted, externally rotated, elbow straight, and hand tucked under the pelvis, palm up. In general, how frequently should the patient's position be changed when immobile in bed? - ✔✔At least every 2 hours. When assisting a patient using only verbal cues to perform an activity safely and within an acceptable time frame, what level of assistance has been provided? - ✔✔Standby Assistance (SBA) After performing your muscle test, you find that your patient has no strength (0/5) in their legs and 4/5 strength in their arms. You would initially use the? - ✔✔Sliding Board Transfer You are performing a manual muscle test for shoulder flexion and the patient is able to lift their arm 75% through the range of motion while standing. No resistance is given. What muscle grade would you give? - ✔✔3-/5 As a clinician, you decide to complete a standing dependent pivot transfer with a patient. You are expecting to provide ___________ assistance. - ✔✔Maximal Which of the following is true regarding the head/hips relationship? - ✔✔Where the patient swings their head their hips go opposite Which of the following is true regarding transferring a patient status post THR? - ✔✔Instruct them to lead with their hips when coming to stand. It is best practice to give verbal instructions and demonstrate a transfer to the patient prior to starting the transfer. What is the best way to give the verbal instructions. - ✔✔Concise terminology with action oriented verbage. During a standing, assisted pivot transfer, where should a caregiver's left leg be placed if the patient has significant right knee weakness? - ✔✔Anterior to weak knee In standing from a seated position, how should the patient's feet be positioned if one is significantly weaker than the other? - ✔✔With the stronger foot posterior to the weaker foot If a patient is transferring to the right from a wheelchair to bed, where should the buttocks be positioned before the transfer? - ✔✔Toward the front of the wheelchair seat, in front of the drive wheel Proper wheelchair seat depth can be determined by? - ✔✔Placing 2 or 3 fingers between the front edge of the seat and the patient's popliteal fold (your hand parallel to the floor). If there is increased leg length/foot plates are too low. The patient may experience? - ✔✔Increased pressure on the distal posterior aspect of the thigh This wheelchair has a feature of having two hand rims integrated into one drive wheel. The two drive wheels are connected by a linkage bar and allows the user to control both wheels from one side of the chair? - ✔✔One-hand drive wheelchair This type of wheelchair allows the user to go from a vertical position, to a fully horizontal position. - ✔✔Fully reclining wheelchair To establish proper seat width, the measure would include the widest aspect of the user's buttocks, hips, or thighs. To this measurement, one would? - ✔✔Add approximately 1.5 inches When assisting a patient in a wheelchair up the stairs, the assistant at the front of the wheelchair would do best to grasp on to the? - ✔✔Chair Frame The easiest and safest way to assist a patient descending a curb while in a wheelchair is? - ✔✔In the backward position while tiling the chair up on the drive wheels How should a patient using both upper extremities for wheelchair propulsion be taught to navigate up a particularly steep ramp or incline? - ✔✔Facing forward, moving in a zig-zag fashion There are various controls to propel and change directions of a powered wheelchair. One specialized control allows the user to blow air out or draw air in to control the car. This type of control is best described as? - ✔✔Sip and Puff When viewing a wheelchair from a posterior view, you note that wheels are sharply angled, where the top of the drive wheel is more medial and the wheels flair out laterally towards the ground. This feature is called the ________ of the wheel. - ✔✔Camber In which position should a person in shock be placed? - ✔✔Supine with the head slightly lower than the lower extremities Over which body part should your hands be clasped when performing the Heimlich maneuver? - ✔✔Below the diaphragm How should a seizing person be handled? - ✔✔Convulsions should not be restrained or restricted. Which body part is often wrapped in a circular pattern with a "figure of eights"? - ✔✔The forefoot and ankle Which of the following conditions is life threatening and requires prompt emergency care? - ✔✔Heat Stroke Which condition occurs most frequently when a person attempts to stand rapidly from a stooped, kneeling, recumbent, or sitting position? - ✔✔Orthostatic hypotension What is the proper procedure if you suspect a victim has become unresponsive due to asphyxiation (drowning)? - ✔✔Initiate CPR for 2 minutes before calling 911. Which of the following are symptoms of heat exhaustion? - ✔✔Nausea and headache Which of the following are considered severe reactions to an allergy? - ✔✔Abdominal pain and difficulty swallowing Which of the following are signs of hypoglycemia? - ✔✔Excited, agitated behavior Deep squat lift - ✔✔full hip and knee flex and extension Power lift - ✔✔Half squat Straight leg lift - ✔✔slightly bent at knee lifting from hip for objects higher than the floor One Leg stance lift (golfers) - ✔✔one legged lift [Show More]

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