Appendix E: Final Exam, Exams of Nursing

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Appendix E:

Final Exam

Name ______________________________________________________________________________

Multiple Choice. Choose the correct answer.

1. What is one important reason why bed linens should remain wrinkle- free? (A) To help keep the skin healthy and prevent pressure injuries (B) To keep nursing assistants (NAs) from having to change the sheets too often (C) To keep sheets looking new (D) To reduce the amount of dirt on the sheets
2. What is the term for a device that replaces a missing body part? (A) Pronation (B) Prone (C) Personal protective equipment (D) Prosthesis
3. Exercises that put each joint through its full arc of motion are called (A) Weight lifting (B) Range of motion (C) Stretch and relax (D) Rotation
4. Which of the following is the correct way to remove a gown? (A) Unfasten the gown at the neck and the waist and roll the dirty side in while hold- ing the gown away from the body. (B) Unfasten the gown at the neck and the waist and pull the gown over the head. (C) Unfasten the gown at the neck and the waist and pull the gown from the outside of the chest area until it comes off. (D) Unfasten the gown at the neck and the waist and drop it to the floor.
5. How many times can disposable gloves be worn before being discarded? (A) One time (B) Two times (C) Three times (D) Multiple times, as long as they are washed in between uses

Name:

11. Which temperature site is generally consid- ered to be the most accurate? (A) Rectum (rectal) (B) Ear (tympanic) (C) Mouth (oral) (D) Armpit (axilla)
12. Which of the following tasks is outside the scope of practice for an NA? (A) Counting a resident’s pulse rate (B) Cleaning a resident after an episode of incontinence (C) Prescribing a new medication (D) Helping a resident walk with a cane
13. How should the NA respond if a resident tries to give him a gift? (A) The NA should accept the gift if he plans to give the resident a gift too. (B) The NA should refuse the gift but say thank you. (C) The NA should refuse the gift unless the resident agrees to keep it confidential. (D) The NA should accept the gift if he knows that the resident cannot return it.
14. What does the term empathy mean? (A) Empathy means being alert. (B) Empathy means being able to document honestly. (C) Empathy means being able to identify with the feelings of others. (D) Empathy means taking responsibility for one’s own actions.
15. To monitor a resident’s pulse rate, the NA will most commonly check the pulse. (A) Radial (B) Temporal (C) Carotid (D) Brachial
16. Slapping, shoving, and rough handling are all considered to be a type of (A) Neglect (B) Physical abuse (C) Psychological abuse (D) Verbal abuse

17. With which of the following people may an NA share a resident’s medical information? (A) Resident’s doctor (B) NA’s friend (C) Resident’s friend (D) Resident’s priest
18. Which of the following sentences is an exam- ple of a fact? (A) Mr. Gomez ate half of his scrambled egg. (B) Mr. Gomez was not hungry. (C) Mr. Gomez does not like the meals offered at our facility. (D) Mr. Gomez is too sick to eat.
19. Which is/are the most essential nutrient(s) for life? (A) Proteins (B) Carbohydrates (C) Vitamins (D) Water
20. Objective information is (A) Information that cannot be observed (B) Information collected using the senses (C) Information that the resident reported to the NA (D) Information that is untrue
21. Which of the following statements is true of documentation? (A) NAs should document care before it is done if there will not be enough time to do it later. (B) NAs should document care the next day before beginning work again. (C) NAs should document care right after it has been done. (D) NAs should let residents help document their own care.
22. Standard Precautions should be practiced (A) Only on people who look like they have a bloodborne disease (B) On every single person in the NA’s care (C) Only on people who request that the NA follow them (D) Only on residents whose charts indicate they are infectious

(D) Whenever stool is eliminated

Name:

37. How should an NA work when helping a resi- dent with range of motion exercises? (A) Begin at the feet and work up the body (B) Begin at the shoulders and work down the body (C) Begin at the fingertips and work inward (D) Begin at the knees and work up to the shoulders
38. A(n) is the permanent and painful shortening of a muscle or tendon. (A) Abrasion (B) Contracture (C) Pressure injury (D) Fracture
39. Which of the following is generally used when documenting the amount of fluid a resident drinks? (A) Milliliters (B) Cups (C) Feet (D) Inches
40. How should a fracture pan be positioned? (A) With the handle toward the head of the bed (B) With the handle toward the foot of the bed (C) With the handle facing the side the nurs- ing assistant is standing on (D) With the handle facing the window
41. In order to communicate with a resident who has a hearing impairment, the NA should (A) Face the resident directly when speaking (B) Stand behind the resident when speaking (C) Shout and mouth words in an exagger- ated way so that the resident understands (D) Use a high-pitched tone of voice
42. Which of the following is an example of physi- cal abuse? (A) Isolating a resident (B) Pinching a resident (C) Saying something embarrassing about the resident to his friend (D) Stealing 10 dollars from a resident

Name ______________________________________________________________________________

49. Which of the following is an example of a plant-based protein? (A) Fried chicken (B) Poached salmon (C) Roasted turkey (D) Refried beans
50. According to the USDA’s MyPlate, most fruit choices should be (A) Fruit smoothies (B) Fruit juice (C) Whole fruit (D) Fruit-flavored drinks
51. Which of the following statements is true of helping to prevent aspiration during eating? (A) The NA should help the resident into a reclining position before eating. (B) The NA should offer big pieces of food. (C) The NA should place food in the stronger side of the mouth. (D) The NA should place food in the weaker side of the mouth.
52. Which of the following is true of Transmission-Based Precautions? (A) NAs do not need to practice Standard Precautions if they are practicing Transmission- Based Precautions. (B) They are practiced in addition to Standard Precautions. (C) They are exactly the same as Standard Precautions. (D) They are no longer used.
53. An example of a physical restraint is (A) A wheelchair at the head of the bed (B) A bed with the blankets folded down to the foot of the bed (C) Raised side rails on a bed (D) A bedside commode placed beside the bed
54. What does the abbreviation ADLs stand for? (A) As doctor likes (B) Activities of daily living (C) After doctor leaves (D) Active data learning

55. Which kind of care helps residents restore or improve function after an illness or injury? (A) Subacute care (B) Acute care (C) Adult day services (D) Rehabilitation
56. The medical term for chest pain, pressure, or discomfort is (A) Atherosclerosis (B) Nitroglycerin (C) Ketoacidosis (D) Angina pectoris
57. An NA can demonstrate ethical behavior by (A) Protecting a resident’s privacy (B) Changing the care plan if the NA believes it is inappropriate for a resident (C) Performing a task outside the NA’s scope of practice when a resident requests that the NA do so (D) Accepting a gift from a resident for a job well done
58. Which of the following shows the correct con- version of 4:00 p.m. to military time? (A) 1400 hours (B) 1500 hours (C) 1600 hours (D) 1700 hours
59. Barriers to communication include which of the following? (A) NA uses medical terminology with the resident. (B) NA asks the resident to repeat a sentence. (C) NA speaks the same language as the resident. (D) NA speaks clearly using a professional tone of voice.
60. Which of the following is an example of non- verbal communication? (A) A resident yells for a drink. (B) A resident asks for a glass of water. (C) A resident points to a glass. (D) A resident’s daughter requests that a glass of water be brought to her mother.

Name ______________________________________________________________________________

73. How can an NA keep a resident’s health infor- mation confidential? (A) By discussing the information away from care facilities so that residents cannot hear it (B) By bringing friends to the facility to meet residents (C) By storing, filing, or shredding docu- ments according to facility policy (D) By posting updates about favorite resi- dents on her Facebook page to avoid being overheard
74. What are typical duties of an ombudsman? (A) An ombudsman advocates for staff mem- bers involved in disputes with management. (B) An ombudsman advocates for residents and helps settle disputes. (C) An ombudsman teaches nursing assis- tant training classes. (D) An ombudsman organizes activities and outings for residents.
75. Which of the following topics is required by OBRA to be covered during nursing assistant (NA) training? (A) Healthcare coverage for nursing assistants (B) Promoting residents’ independence (C) Meal preparation for residents (D) Hours and days that nursing assistants are available to work
76. Which of the following behaviors promotes Residents’ Rights? (A) Keeping a change in the care plan confi- dential so as not to upset the resident (B) Treating a resident badly if he has made a complaint about an NA (C) Encouraging a resident to participate in care planning (D) Borrowing money from a resident if it helps the NA continue to work
77. Which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care? (A) Neglect (B) Assault (C) Battery (D) Abuse

78. Which of the following terms means to steal, take advantage of, or improperly use the money, property, or other assets of another person? (A) Substance abuse (B) Financial abuse (C) Verbal abuse (D) Sexual abuse
79. OBRA was passed as a response to (A) Lack of funding for long-term care facilities (B) Reports of poor care and abuse in long- term care facilities (C) Nursing assistants being unable to pass competency exams (D) Staff members not reporting accurate work hours
80. Which of the following statements is true of touch? (A) All people like to be touched. (B) Nursing assistants do not need to touch residents. (C) Nursing assistants can softly pat resi- dents’ shoulders to communicate caring. (D) All residents will feel more comfortable when there is little physical contact.
81. Tuberculosis is (A) A bloodborne disease (B) A sexually transmitted disease (C) An airborne disease (D) Completely eradicated (no longer exists)
82. Which of the following statements is true of diabetes? (A) To best conserve energy, people with dia- betes should skip meals when they are not hungry. (B) People with diabetes must follow their diet instructions carefully. (C) People with diabetes must avoid exercise so that they do not burn too much glucose. (D) For people with diabetes, monitoring their intake of protein is more important than monitoring their intake of carbohydrates.

Name ______________________________________________________________________________

95. When should bed sheets be changed? (A) Daily (B) Twice a week (C) Every other day (D) When they are soiled or damp
96. Which of the following is a type of advance directive? (A) Durable Power of Attorney for Health Care (B) Power of Attorney (C) Divorce Decree (D) Last Will and Testament
97. is taking in and eliminating equal amounts of fluid. (A) Dehydration (B) Input (C) Fluid balance (D) Fluid restriction
98. What member of the care team might help a resident learn to use adaptive devices for eat- ing or dressing? (A) Speech-language pathologist (B) Occupational therapist (C) Activities director (D) Registered dietitian
99. When encountering a fire, an NA should first (A) Put the fire out (B) Leave through the closest exit (C) Remove residents from danger (D) Gather her personal belongings
100. Nursing assistants are not allowed to (A) Change sterile dressings (B) Bathe residents (C) Help residents use walkers (D) Assist with elimination needs