Nursing Skills Prometric Exam ( JAPAN )

1. What is appropriate in changing clothes for physically handicapped user?

a. Wearing on clothes from the good side to the bad side
b. For left hemiplegic user, putting on clothes from right side
c. Taking off clothes from the good side followed by the bad side
d. For right hemiplegic user, taking off clothes from the right side

2. What is the proper way to communicate with the user?

a. Use hand gesture for the user to understand
b. Say it in a very loud voice so he can hear you clearly.
c. Always laugh at the user even if you do not understand.
d. Listen to the user and observe his/her facial expressions.

3. Which of the following conditions refers to the damage of the optic nerve of the eye. It
is often caused by an abnormally high pressure in the eye?
a. Diabetic Retinopathy
b. Dry Eye Syndrome
c. Glaucoma
d. Cataract

4. What is appropriate in bathing assistance?

a. Check the user's vital before taking a bath.
b. Entering the bathtub form the affected side for hemiplegic user.
c. Opening windows and door curtain while taking a bath to let the fresh air in.
d. Asking the user to check the water's temperature first, and at then by the
caregiver.

5. Which of the following is NOT true in Aphasia?

a. Aphasia is a communication disorder.
b. It refers to problems in swallowing certain foods and liquids.
c. A person with aphasia can have trouble speaking, reading, writing, and
understanding language.
d. It is a disorder that results from damage to portions of the brain that are
responsible for language. It interferes with one's verbal communication, written
communication, or both.

6. Which of the following conditions is characterized as a PICA disorder?

a. The bowel movements are tough or happen less often than normal.
b. There is an impaired ability to remember, think or make decisions that interferes
with doing everyday activities.
c. It is a disorder characterized by low eight, food restriction, fear of gaining weight
and a strong desire to be thin.
d. Eating substance that are non-nutritive such as hair or feces, dirt, paper, paint
etc., and swallows or ingests items that do not have any nutritional value.

7. Which of the following statements is NOT correct about CPR?

a. It is recommended to those who are unresponsive without a pulse or heartbeat.
b. It is a procedure used to help a choking person who is conscious and unable to
talk.
c. It is an emergency life-saving procedure performed when the heart stops beating.
d. It is performed by applying 30 chest compressions, opening the person using the
head-tilt, chin-lift maneuver.

8. What is a disease that forms a dense and cloudy are in the lens of the eye which is
common to elderly people?
a. Cataract
b. Dementia
c. Glaucoma
d. Prostatitis
9. What is true about Maslow's Hierarchy of Needs?
a. Self-esteem includes the need for water, food, breathing, and homeostasis.
b. The basic physiological needs include the full use of talents, capabilities, and
potentialities.
c. Love and belonging are needed to avoid problems such as sadness, depression
and anxiety.
d. Financial security, safety against accidents and injury, health and wellness,
finding a job, and having a house that can withstand storm all belongs to self-
actualization.

10. What is the function of the kidney?

a. It breaks down food chemically and mechanically.
b. It serves as the body's temporary storage or tank of urine.
c. It is the muscle that pumps the blood received from the veins into the arteries
throughout the body.
d. It filters unnecessary things in the blood, removes wastes, controls the body's
fluid balance, and passes waste as urine.

11. How can we assist a user or patient with difficulty in swallowing?

a. By allowing them to watch and play during mealtimes.
b. By locating the food with the use of Clock Reference System or clock position
method.
c. By paying attention to the patient's posture, and by standing while assisting
him/her.
d. By pasting or softening the food or by serving the food with thicker gravies or
sauces in order to add moisture and minimize choking.

12. What is the appropriate way of supporting or assisting a right hemiplegic patient
while putting on or changing clothes?
a. Give the patient a full support.
b. Tell the patient to put on clothes by himself or herself.
c. When putting off clothes, put first the right side through the sleeve.
d. When putting on clothes, start with the affected side followed by the unaffected
side.

13. Which of the following can easily cause aspiration to patients with difficulty in
swallowing?
a. Jelly
b. Miso soup
c. Porridge
d. Plain yogurt

14. In assisting the user from bed to wheelchair, which of the following is NOT correct?
a. Confirm the user's physical condition.
b. Place the wheelchair beside the unaffected side of the user and activate the
brake.
c. Adjust the height of the bed so the user can sit on the edge of the bed with legs
down.
d. Make the user hold the wheelchair's armrest on the far side using the hand of the
affected side.

15. Choose the one that is NOT appropriate in bathing assistance.

a. Give liquids to the user after taking a bath.
b. Consider the feeling of embarrassment of the user.
c. Avoid taking a bath one hour before and after meals.
d. Reduce the temperature difference between the dressing room and the
bathroom.

16. Which of the following is NOT correct in assisting user in a wheelchair?

a. Confirm the user's physical condition.
b. Place the user's feet on the footplates.
c. Make sure that the hand of the user should be on the driving wheels.
d. Deactivate the brake and tell the user that the wheelchair will be moving, then
start pushing it.

17. The following are types of abuse EXCEPT

a. Leaving the person in need of nursing care (neglect)
b. Obtaining economic benefits from the user.
c. Administering excessive psychotropic medication.
d. Speaking foul words that will cause psychological trauma to the user.

18. The following are the adverse effects of physical restraint EXCEPT.
a. Discomfort or pain.
b. Decrease in physical function and muscle atrophy.
c. Weakening of the user's muscles due to restriction from walking in order to
prevent falls.
d. An increase in physical abilities and decrease in the user's symptoms of
dementia.

19. Which of the following is NOT correct about oral care?

a. Keeping the mouth clean to eliminate bad breath
b. Removing denture from upper jaw to lower jaw.
c. Preventing aspiration pneumonia through oral hygiene
d. Putting the dentures starting with the upper jaw followed by the lower jaw.

20. Which of the following is not an example of physical restraint?

a. Hurting the user physically.
b. Locking the door to keep the user inside.
c. Administering excessive psychotropic medication.
d. Restricting movements by tying the user's body, hands and feet.

21. Which one is NOT correct in bathing assistance?

a. For right hemiplegic user, enter the bathtub with the left side.
b. Considering the possible embarassment of the user, put towel into his/her private
part.
c. For hemiplegic user, enter the bathtub with the affected side.
d. Let the user drink water before and after taking a bath. Rehydration is important.

22. Which of the following is NOT CORRECT in oral care?

a. It is effective in the prevention of aspiration pneumonia.
b. The caregiver should lift the chin of the user and gently brush all the teeth
surface and tongue.
c. To prevent the spread of germs, the caregiver should use a clean disposable
glove when brushing the user's teeth.
d. To prevent damaging the user's teeth or gum and to avoid exerting grater amount
of force, hold the toothbrush like you are holding a pencil.

23. It is important to maintain the proper body mechanics. Which of the following is
incorrect?
a. Making the user's body small.
b. Avoiding to twist your body by doing a side step by pivoting.
c. Using proper body mechanics that will prevent lower back pain and ensure safety
nursing care.
d. Using small base support since the higher the center of gravity, the more stable
the body will become.

24. In assisting on a moving wheelchair which of the following is NOT correct?

a. Place the user's feet on the footplates.
b. Check the user's physical condition.
c. Tell the user that they will go up before going up on a step
d. Tell the user that you will press the tipping bar with your foot before going down
the slope.

25. Which of the following is not appropriate in grooming assistance?

a. The caregiver choose a comfortable outfit of the user for the day.
b. Assisting the user only when the he/she is unable to do it by herself/himself.
c. For visually impaired, explaining the design of materials to be used in grooming
and letting them touch those materials.
d. Inform the user before helping in bathing, washing etc. They might feel that the
caregiver is invading their privacy. Consider how they feel for them not to feel
embarrassed.

26. Choose the best answer. What is the appropriate in assisting a user in defecation?
a. Use a diaper
b. Assume forward bent position during defecation
c. Open the windows or door during elimination for some fresh air.
d. Cleaning the genital area from back to front and cleaning the area thoroughly

27. Which is NOT an appropriate practice in assisting a user defecation?

a. Use disposable gloves and apron
b. Stick to the user's defecation routine.
c. Stay beside the user to support the user's elimination.
d. Confirm if the user is in a stable sitting position while seated on the toilet bowl
and let him hold the handrail.

28. The following are changes that occur among elderly people EXCEPT
a. Decrease in field of view
b. Decrease in respiratory function
c. Reduction in muscle strength
d. Increase in their hearing ability

29. In descending stairs, while using a cane or assisting device, what is NOT
appropriate
a. Check the physical condition of the user.
b. Follow this order in going down the stairs with cane: cane, foot of the unaffected
side, then the affected side.
c. Make sure to hold your cane with your strong hand and grab the hand rail with
other.
d. The care worker should stand one step lower and in front of the user at the
affected side and should support the upper body of the user.

30. In ascending stairs, while using a cane or assisting device, what is NOT
appropriate?
a. Check the physical condition of the user.
b. In ascending stairs with a cane follow this order: cane, foot of the unaffected
side, then the affected side.
c. Make sure to hold your cane with your strong hand and grab the hand rail with
other.
d. The care worker should stand one step lower and in front of the user at the
unaffected side and should support the upper or lower body of the user if
needed.
31. Based on the image, which of the following is the user most likely to experience?
a. Blood pressure rises
b. Blood pressure drops
c. Systole or the relaxation of the heart muscle
d. Diastole or the contracting and pumping of blood in the chamber of the heart

32. What should be done if an accident nearly happens to the elderly or user?
a. Ignore as if nothing happened because the user looks fine.
b. Simply change the clothes if the pants are too long that caused him/her to trip or
slip.
c. Make a record of the incident that the user almost fell from the wheelchair during
transfer.
d. Do not record the incidents like when a user nearly bumped his head while
stepping on the wet floor because the accident did not actually happen.

33. In self-independence support, which of the following is NOT appropriate?

a. Bathing, eating and other activities are assisted by the caregiver to the fullest, in
order to make the user have comfortable living.
b. Using the remaining functions even with disabilities and also respecting the
user's concept of himself/herself.
c. Promoting self-independence, by letting the user use their remaining ability so
the user can have a sense of accomplishment or achievement.
d. Making the user feel a sense of independence by being in control in some
aspects of their life like choosing what clothes to wear for the day, deciding on
what to do etc.

34. In meal assistance, the following are correct EXCEPT

a. Being careful in every meal by checking if the user has an allergy.
b. Not letting the user drink liquid before meals because he/she might loss appetite.
c. Standing while assisting that will make the user's chin be lifted up and may
increase the risk of aspiration
d. Cooking small bites, paste, or pureed food. It will make it easy for the user,
especially those who have difficulty in swallowing to eat.

35. Which of the following is NOT correct in using the wheelchair?

a. Deactivate the brake when no one is using it.
b. Raise the footplates when entering or existing the chair.
c. Go down the slope with the wheelchair facing backwards.
d. Make sure that all of the parts of the wheelchair are in good condition including
the tire, air pressure and brake.

36. What is true related to rest and sleep?

a. Sleep is essential for the mind and body.
b. The length of sleep is more important than depth.
c. REM sleep is a deep sleep where the brain is sleeping
d. Non-REM sleep is close of being awake where the brain is not sleeping

37. Which of the following is the resulting disorder from brain damage on the portion of
the brain that is responsible for language?
a. Aphasia
b. Apraxia
c. Dysphagia
d. Dysarthria

38. Which of the following is correct in anatomical body positions?

a. Face and upper body facing down known as supine position
b. Face and upper body should be facing up, lying on the back known as prone
position
c. Body is on the left lateral recumbent position where the individual is lying on their
right side
d. Feet on the floor and sitting on the edge of the bed known as end-sitting position

39. What is the stage in the Basic Flow of Care Process where the information about
the user are combined and gathered?
a. Evaluation
b. Assessment
c. Care Plan Development
d. Care Plan Implementation

40. In measuring the user's body temperature, which of the following is NOT correct?
a. Place the tip of the thermometer on the user's armpit.
b. 35°C is the normal body temperature for the elderly.
c. Measure the body temperature in ears, mouth, rectum, armpit.
d. Take the body temperature from the affected side for users with hemiplegia

41. Which of the following is correct about pulse rate?

a. Below 60 beats per minute is called tachycardia
b. Consistently above 100 beats per minute is bradycardia
c. Between 60 and 100 beats per minute is the normal resting heart rate or pulse
rate in most of the adults
d. Between 80 and 120 beats per minute is the normal resting heart rate or pulse
rate in most of the adults

42. What is the correct flow or cycle of the user's care process?
a. Assessment [ Care plan development ) Implementation Evaluation
b. Evaluation [ Care plan development Assessment Implementation
c. Implementation [ Care plan development) Evaluation [ Assessment
d. Care plan development Evaluation L Assessment) Implementation

43. Which of the following is NOT correct in preventing pressure ulcer?

a. Frequently reposition the user.
b. Maintain user's nutrition and fluid intake.
c. Encourage prolonged bedrest for the user to relax.
d. Avoid friction or rubbing of the skin with wrinkled sheets, beddings or tight
pajamas.

44. For the protection of user's information or his/her condition's confidentiality, which of
the following is correct?
a. Sharing information with reliable friends.
b. Sharing records with the care team members.
c. Sharing information outside workplace to know others' opinion.
d. Sharing the user's information through the social media or the internet.

45.The following are effects of Disuse Syndrome EXCEPT

a. Muscle atrophy
b. Decrease in physical function
c. Progression of mental function
d. Reduction of sensory function
46. The following are different types of abuse EXCEPT
a. Breaking bones and inflicting bruises
b. Tying the user's body, hands and feet
c. Getting the user's belongings, money, and possessions
d. Speaking foul words that will cause psychological trauma to the user

47. The following are safety and preventive measures to be applied when disaster or
emergency strikes. Which one is the exception?
a. Implement emergency drills
b. Prepare the disaster supplies kit
c. Save as much material possession as one can
d. Secure the user, and stay away from the glass windows

48. What is the best way to prevent the spread of infection?

a. Use disposable gloves
b. Wash your hands very well
c. Take oral medicine
d. Change clothes

49. Which of the following shows the proper sequence of cleaning the face?
　a. Forehead > Nose > Eyes > Cheeks > Jaw > Mouth
b. Jaw > Mouth > Cheeks > Nose > Forehead > Eyes
c. Eyes > Forehead > Nose > Cheeks > Mouth > Jaw
d. Eyes > Nose > Mouth > Forehead > Cheeks > Jaw

50. In the Basic Flow of Care Process, refers to stage where care is provided to the
user based on the care plan?
a. Evaluation
b. Assessment
c. Care Plan Development
d. Care Plan Implementation