CNA FINAL EXAM AND PRACTICE EXAMS WITH ACTUAL CORRECT COMPLETE 400 QUESTIONS WITH VERIFI, Exams of Nursing

Download CNA FINAL EXAM AND PRACTICE EXAMS WITH ACTUAL CORRECT COMPLETE 400 QUESTIONS WITH VERIFI and more Exams Nursing in PDF only on Docsity! 1 | P a g e CNA FINAL EXAM AND PRACTICE EXAMS WITH ACTUAL CORRECT COMPLETE 400 QUESTIONS WITH VERIFIED DETAILED RATIONALES ANSWERS 2024 (NEWEST) ALREADY GRADED A+ he catheter should be secured to a. the bottom sheet b. the bed frame c. the bed rail d. the inner thigh D ostomy pouches are changed a. every 3-7 days b. when full of air c. everyday d. when half full or stool stool a which nutrient is excellent for tissue growth and wound healing? a. carbohydrates b. minerals c. proteins d. vitamins c you are serving.a meal try to mr. smith. you notch coffee, apple juice, beef broth, and jello on his tray. you would check to make sure that he is on what type of diet? a. Regular b. clear liquid c. full liquid d. soft diet b your patient has dysphagia. you know this means that your patient has a. difficulty swallowing b. difficulty speaking 2 | P a g e c. difficulty breathing d. difficulty chewing a T/F the male is considered uncircumcised when foreskin must be retracted during perineal care T your resident is on a full liquid diet. you know that he can have the flooring food/drink items a. only water, broth, jello, coke, and coffee b. only liquids that have been thickened c. catered, milk, ice cream and jello d. all pureed foods or drinks c T/F Your patient is NPO, you know your patient can only have water to drink F T/F when measuring output the CNA can measure the following: urine, vomiting, diarrhea, and wound drainage T your patient drank at of a 6 oz glass of milk. the drank how many milliners of milk a.240 ml b.24ml c.180 ml d. 30 ml c T/F 1 oz = 8 milliliters F `a normal oral temperature range is a.96.6-99.6 b.97.6-99.6 c.98.6-99.0 d.97.0-100.0 b T/F an elderly person with a temperature of 98.6 may signal a fever T when taking a rectal temperature, you will need to use which color thermometer a. red 5 | P a g e Identifying information (name, DOB, address, nearest relative and legal rep, allergies, dx, Dr.) health record (nursing hx)- chief complaint, illness hx, past health hx, meds, allergies, assistive devices what should you record -what you observed -what you did -the person's response lateral away from the midline medial toward the midline proximal Closer to the point of attachment distal away from the point of attachment Posterior toward the back anterior toward the front what are objective signs what are signs seen, heard, felt or smelled (ex: v/s, color of urine, or smell of drainage) what are subjective? Symptoms what are symptoms 6 | P a g e what the person tells you (ex: pain, nauseas or headache) what is the prioritize order of care? -when your shift begins, get report -read over chart or chair plan to find out what has changed -assess what had happened during pervious shift -find out what needs to happen on your shift what is on a person's ID bracelet person's name room bed number birth date age doctor agencys name what should you do if you notice poison in a person's room remove it and tell the nurse after you remove it what does FBAO stand for foreign body airway obstruction what is a MSDS Material Safety Data Sheet what does RACE stand for rescue, alarm, confine, extinguish What does PASS stand for? Pull (the safety pin), Aim (low), Squeeze (the lever), Sweep (back and forth) what is the most common reason for falls? urgency to use the bathroom S/S of infection • fever • chills • increased pulse • increased respirations • fatigue • N/V/D (diarrhea) • redness/swelling 7 | P a g e • heat/warmth at site • headache • aches • confusion • loss of appetite • rash What does HAI stand for? healthcare associated infections What is medical asepsis? Clean technique; remove or destroys pathogens What is surgical asepsis? sterile technique- keeps items free from all microbes, destroys all microbes when do you use soap and water When hands are visibly soiled or contaminated with blood or body fluids -before eating or after using the restroom -if alcohol based hand rub is not available when do you use alcohol based hand rub -before hand after contact with person -after contact (if not visibly soiled) -moving from contaminated body site to clean -after contact with objects -after removing gloves when does one perform hand hygiene before and after every resident contact hand washing tips -friction is key -1st step in preventing the spread of germs and most effective percussion used to control spread -the medical asepsis communicable disease contagious disease types of communicable disease -contact (touch) - droplet (yelling, coughing, or sneezing) (droplets large so they fall) -airborne (in air) (floats in the air) 10 | P a g e surgical bed making lines folded to one side what are 3 important rules for bed making -keep bottom linen wrinkled-free -make as much of one side of bed as possible -roll dirty lines away from you what degree should you brush their teeth at 45 how to help a confused person brush teeth provide step- by- step assistance when to should you assist brush teeth in AM and after each meal unconscious mouth care -prevent aspiration by turning head to side -use a padded tongue blade to hold mouth open -use a sponge tipped applicator to clean mouth (make sure it is tight on the stick) -done every 2 hours What is aspiration? chock and fluid goes into lungs T/f pat the patient dry after bathing T how full should the bath basin be 2/3 what temperature should the bath basin be at 110-115 degrees what order should you wash the patient -start at inner cannula of eye -face/neck far arm and hand then nearest arm and hand -chest then abdomen -far leg then the nearest leg what is the general goal for bathing 11 | P a g e remove pathogens and promote comfort when changing water for perineal care what should the water temperature be at 105-109 T/F massage reddened bony areas F T/F side-lying position for elderly is more comfortable T how should you keep the bath blanket on the resident during perineal care diamond shape T/F drain the tub before the person gets out T what is the true name for lice pediculosis what do lice nits look like tan to grayish-white and about the size of sesame seed What does POW stand for put on weak what does TOSS stand for take off strong side what are bedpans used for used for persons who can't get out of bed what are fracture pan used for casts, traction, limited back motion, hip fx, or surgery what should the male patient do when done with urinal tell the patient to call for assistance where do you put urinal follow the agency policy on where to set urinal after use T?F stay with confused patients when on commode T 12 | P a g e where do you attach bag catheters bed Frame never the rail, coil the tubing on the bed and secure to bottom sheet. secure the catheter to the inner thigh pulse 60-100 bpm Respiration 12-20 Communication: Attributes such as size, color of skin, grooming, posture, expression, dress, etc. may influence the relationship between you and the patient, family, and coworkers. TRUE Phones, text, email, fax & letters are a form of.. Technology communication Non-verbal overpowers verbal communication. If non-verbal cues are not consistent with the verbal message, it will most likely be the non-verbal message that is received. Non-verbal communication is observed through Facial expression, posture, active listening, silence, touch. Be aware of visible tattoos or untraditional piercings. Older generations may find it offensive. Open posture A relaxed stance Closed posture A formal, distant stance Describe assertive communication.. Interaction that takes into account the feelings and needs of the patient, yet honors the nurse's rights as an individual. Describe unassertive communication.. Sacrifice's the nurse's legitimate personal rights to meet the needs of the patient at the expense of feeling resentful. Describe aggressive communication.. 15 | P a g e Vitamin C: (Ascorbic acid) Readily destroyed by cooking temperatures. Benefits of Vit C: Healthy bones, teeth, gums, proper tissue and bone healing. What food contains vit C? Citrus fruits& juices, tomatoes, berries, cabbage & green vegetables, potatoes. Vitamin D: (Calciferol) Relatively stable with refrigeration. Benefits of vitamin D? Absorption of calcium & phosphorus, prevention of Rickets ( a condition characterized by weak bones). What food contains vit D? Fish liver oils, salmon, tuna, milk, egg yolks, butter.. Vitamin B complex & vitamin C are water soluble vitamins. TRUE, they are eliminated with body fluids & so require daily replacement. What measurement is recording for the amount of food that a patient ate? In % What is the measurement form to liquids consumed? mL Common hospital diets: Regular Light Soft Mechanical soft Regular: Allows unrestricted food selections. Light: Differ from regular diet in preparation method. Usually omits fried, fatty, gas-forming & raw foods and rich pastries. Soft: 16 | P a g e Contains foods soft in texture, usually low in residue & readily digestible. Mechanical soft: Resembles a light diet but used for clients with chewing difficulties Dysphagia Difficulty swallowing What assistance must be provided for clients with visual impairment or dementia? Describe where food is located. What is common in older adults? Diminished senses of smell & taste; require fewer calories; nutritional supplements should be evaluated. Teach benefits of exercise. Give examples of standard precautions: Hand hygiene, gloves, mask, eye protection, face shield, gowns, etc. Standard of Care is.. What a person should do, developed by state in which you practice. Scope of practice.. What you can & cannot do. The CNA is not immune from legal responsibility . TRUE, CNA's must know & stay within standard of care. Negligence Failure to provide care that a reasonable, prudent CNA would do that leads to patient harm or injury. Commission- doing Omission- Not doing Malpractice Professional negligence (licensed). Theft Taking anything that doesn't belong to you is considered theft. Defamation Making statements about another verbally or in writing, when the character of that person is injured. Libel Malicious or untrue writing about another brought to the attention of others. 17 | P a g e Slander Malicious or untrue spoken words about another. False imprisonment Restraining a patient's movements or actions without proper authorization. Physical restraints Manual or physical device, material or equipment attached to or near to the patient's body that. Assault An act in which bodily harm is threatened or attempted (may be physical intimidation, remarks or gestures). Battery Intentional touching without permission or informed consent. Neglect Failing to provide services, care & treatments necessary to avoid physical harm, mental anguish or mental illness. Invasion of privacy Person's right to be left alone& go unnoticed if he or she chooses. Steps to take to avoid being charged with battery: Tell the patient what you plan to do Make sure that understands Ask if they have questions or concerns If they refuse do not push NEVER carry out refused treatment Abuse Doing harm to a patient (Ethically & morally wrong) Physical Handling patient roughly. Verbal Swearing when dealing with patient Sexual Using physical means & verbal threats to force patient to perform sexual acts. Examples of emotional & psychological abuse 20 | P a g e Exercise & activity Emotions & pain Miscellaneous factors If brachial or radial measurements for blood pressure is not allowed due to certain or unusual circumstances, what is an alternative to taking the B/P? Blood pressure is measured over the popliteal artery behind the knee. Normal blood pressure ranges: Systolic (mm Hg) <120 Diastolic (mm Hg) <80 What are the normal shell temperature ranges? 96.6 to 99.3 F Calculating intake & outtake in what measurement? mL 30ml= 1oz NPO Nothing Passing Orally PO Pass Orally HS At bed time BID Twice a day TID Three times a day QID Four times a day Lithotomy position is used for delivering a baby & gyno check up. 21 | P a g e Supine position the person lies on his or her back Foot Drop a permanent dysfunctional position caused by a shortening of the calf muscles & a lengthening of the opposing muscles on the anterior leg. Lateral position a side-lying position. Lateral oblique position laying half on the side but also the back. Prone position one in which the client lies on the abdomen. 22 | P a g e Sim's position a semi-prone position (the client lies on the left side with the right knee drawn up toward the chest). High Fowler's position a semi-sitting position (Ideal position for patient to eat, talk & look around). (60-90 degree angle) The knees may not be elevated, but doing so may relieve strain on the lower spine. Low Fowler's position a semi-sitting position (Ideal position for patient to eat, talk & look around).The head & torso are elevated to 30 degrees. The knees may not be elevated, but doing so may relieve strain on the lower spine. Trochanter rolls Prevents legs from turning outwards Hand rolls Devices that preserve the patient's functional ability to grasp & pick up objects. Hand rolls prevent contractures (permanently shortened muscles that resist stretching) of the fingers. 25 | P a g e Observations to make during a bath include which of the following? redness and rashes Which of the following are physical signs and symptoms of death? -heart stops beating, no pulse -breathing stops -the eyes may remain open and pupils are fixed and dilated The process of checking a person into a health care facility is which of the following? admission Staff members from various departments who work together to plan and implement care are known as which of the following? interdisciplinary team Process of filtering and removing waste products from the blood used when the kidneys are not functioning properly is known as which of the following? dialysis High blood pressure, condition in which systolic BP is above 150 mm HG and diastolic is above 90 mm Hg is known as which of the following/ hypertension Any drug used for discipline or convenience and not required to treat medical symptoms is known as which of the following? chemical restraint Language difficulty due to brain damage, which can affect listening, speaking, reading and writing skills, loss of ability to use or understand language is known as which of the following? aphasia On the pain number scale of a score of 8 would indicate what level of pain? severe Always being on the lookout for anything unusual or significant regarding the resident is known as which of the following? observation skill A 1996 Federal law that restricts access to individuals' private medical information. It protects personal healthcare information of patients and prohibits care providers from disclosing that information without the express written permission of the patient. This describes which of the following? HIPPA 26 | P a g e Shaving should be performed in which of the following places? resident's room or bathroom A resident who breathes primarily through their mouth would need which of the following types of oxygen administration simple face mask When performing oral core on a comatose resident the head should be in which of the following preventions to prevent choking? to the side A charge nurse asks you to transfer a resident with a device you have not used before and are uncomfortable with. What is your best response? Explain you haven't used it and will need guidance before carrying out the order. Which of the following are potential signs of infection in a surgical site? -redness -odor -swelling Which of the following is considered the 5th vital sign? pain Severe impairment of cognitive functions such as thinking, memory, and personality comes on slowly and worsens over time; usually irreversible, depending on the cause is a condition known as which of the following? dementia Any point on the body where the bone is immediately below the skin surface is known as which of the following? bony prominence A sterile tube inserted through the urethra into the bladder to drain urine; held in place by a small inflated balloon is which of the following? indwelling urinary catheter (foley) The first task in organizing your work is which of the following? identify priorities This transmission-based precaution is intended to prevent transmission of infections that are spread by direct (e.g., person-to-person) or indirect contact with the resident or environment, and require the use of appropriate PPE, including a gown and gloves upon entering (i.e., before making contact with the 27 | P a g e resident or resident's environment) the room or cubicle. Prior to leaving the resident's room or cubicle, the PPE is removed, and hand hygiene is performed. contact precautions Residents with incontinence may be at risk for which of the following? -falls -skin breakdown -pressure ulcers BSC bedside commode cap capsule amb ambulate Abd abdomen AP apical AM morning cath catheter B/P or BP blood pressure ASAP as soon as possible a.c. before meals ad lib at will, as desired A 30 | P a g e sx symptoms SOB short of breath tab tablet RX prescription, treatment qh every hour qid four times a day qod every other day spec specimen TPR temperature, pulse, respiration sc/sq subcutaneous A pelvic floor exercise that may help with incontinence involves contracting pelvic floor muscles and releasing is known as which of the following? Kegel Exercise Lying the resident/patients' back is said to be in which of the following positions? supine The mental needs that motivate a person to achieve goals and perform certain activities are known as which of the following? psychosocial needs Postmortem care refers to care at what point? 31 | P a g e after death Which of the following may contribute to incontinence? -medications -diet -bowel irregularities A hydraulic lift, usually attached to a ceiling or a mobile base, used to move patients who cannot bear weight, who are unpredictable or unreliable, or who have a medical condition that does not allow them to stand or assist with moving. Which of the following does this describe? mechanical lift Basic tasks that must be accomplished every day for an individual to thrive include bathing, eating, dressing, etc. are known as which of the following? activities of daily living (ADLs) A measurement of heat within the body is known as which of the following? temperature Sensory perceptions that seem real to the person experiencing them but are not perceived by others is known as which of the following? hallucination Symptoms include watery diarrhea, fever, nausea, and abdominal pain. It makes up about 20% of cases of antibiotic-associated diarrhea. This describes which of the following? CDI or Clostridioides difficile infection To move from one area to another is known as which of the following? transfer Barriers are used between the skin and heat or cold application for which of the following reasons? prevent skin injury Handwashing should occur before which of the following? -resident/patient contact -handling food -starting your shift Covering the mouth and nose with a tissue when coughing or sneezing and disposing of the used tissue in the nearest waste receptacle are examples of which of the following? respiratory hygiene or etiquette Legal, social, or ethical principles of freedom or entitlement; that is, things we are entitled to by law, norms of society, etc. These things are known as which of the following? 32 | P a g e rights TPR and BP are collectively known as what? vital signs Sore area but are not open wounds. The skin may be painful, but it has no breaks or tears. The skin appears reddened and does not blanch (lose color briefly when you press your finger on it and then remove your finger). In a dark-skinned person, the area may appear to be a different color than the surrounding skin, but it may not look red. Skin temperature is often warmer. Which of the following Stage of Pressure Ulcer does this statement describe? Stage I Normal urine output for a resident is which of the following? about 1500 cc per 24 hours If a resident falls the first action that you should take includes which of the following? Stay with the resident, call for help but do not move the resident until fully assessed by the nurse How often should a resident who is comatose, NPO or receiving oxygen have oral care? every two hours Care that focuses on providing comfort and improving quality of life by relieving pain and other symptoms particularly at end of life is known as which of the following? palliative care Mary, a CNA tells you that Mrs. Jones fell last night and needs her vital signs taken and pain assessed today. IN the case of communication Mary is which of the following? sender Which of the following terms describes moving away from the midline of the body? abduction In healthcare which of the following is a vehicle for communication? documentation Which of the following provides the means by which we describe, record, and communicate data, information, knowledge, and wisdom about a patient/resident; the care provided; the effect of care and the continuity of care? documentation When should a door alarm be silenced if it goes off (alarms that it was opened without authorization or code)? Only after all residents have been accounted for 35 | P a g e prn as needed OS left eye OOB out of bed PM noc night How resident uses the toilet room, commode, bedpan, or urinal; transfers on/off toilet; cleans self after elimination; changes pad, manages ostomy or catheter; and adjusts cloths. Do not include emptying of bedpan, urinal, bedside commode, catheter bag or ostomy bag. This is an assessment of which of the following? toileting The convention of time keeping in which the day runs from midnight to midnight and is divided into 24 hours, indicated by the hours passed since midnight, from 0 to 23 is known as which of the following? 24-hour clock Hard stool that cannot pass from the rectum normally is known as which of the following? impaction Wavelike movements of the digestive tract that move food through the intestinal tract is known as which of the following? peristalsis Which is the most common device used to administer oxygen? nasal cannula Which of the following promotes the principles/goals of restorative care? -treat the whole person -emphasize abilities not disabilities -encouraging independence whenever possible The water for a bath tub should be at which of the following temperatures? 105 degrees F Oral care should be provided how often for all residents? 36 | P a g e twice per day Within the nursing home industry an awareness twenty-four hours a day of the location of a resident, the ability to intervene on behalf of the resident, the supervision of nutrition, medication, or actual provisions of care, and the responsibility for the welfare of the resident, except where the resident is on voluntary leave is known as which of the following? protective oversight Frequent oral care should be given to the resident receiving oxygen therapy for which of the following reasons? oxygen is drying and can dry the oral mucus membranes out Seating and positioning devices accomplish which of the following: -improve body stability -provide trunk and head support -reduce pressure on skin Using correct techniques in performing certain functions in a manner that does not add undue strain to the body is known as which of the following? body mechanics iii 3 H & P history and physical ICP intradisciplinary care plan iv 4 hs hour of sleep (bedtime) ii 2 l or lt left MD 37 | P a g e medical doctor IDDM insulin dependent diabetes mellitus HOH hard of hearing IV intravenous IM intramuscular I & O intake and output H2O water HR heart rate HA headache v 5 kg kilogram (2.2 kg = 1 lb.) ht height i 1 A formal complain of a wrong, injury or injustice is known as which of the following? grievance Signs and symptoms of hypoxia or other respiratory distress include which of the following? 40 | P a g e A legal document communicating a person's wishes in regard to heath care decisions in the event he or she becomes unable to make those decisions? advanced directive Which of the following would be normal fluid intake for an adult older resident? between 1500 and 2000 cc per 24 hours When you measure the pulse rate by listening over the heart it is known as obtaining which of the following pulses? apical The resident goes to another facility such as a hospital or other long-term care facility, home or to another person's home, or if the resident dies describes which of the following? discharge DON director of nursing CO2 carbon dioxide CVA cerebrovascular accident (stroke) F Fahrenheit CPR cardiopulmonary resuscitation c/o complains of Drsg or dsg dressing ER emergency room CXR chest x-ray vs 41 | P a g e vital signs EBL estimated blood loss ECG or EKG electrocardiogram ft. foot fb foreign body cc cubic centimeter d/c discontinue or discharge UA urinalysis w/c wheelchair dx diagnosis FF force fluids A sudden feeling of physical discomfort and distress and is usually the result of an accident, injury or sudden illness (heart attack, appendicitis) describes which of the following? acute pain The ability to walk and move from location to location by walking is known as which of the following? ambulate or ambulation When should gloves be used when providing direct patient care? when there is potential contact with blood, body fluids, secretion or excretion In a mass external evacuation which resident group would be evacuated first? 42 | P a g e ambulatory residents Relating to a set of moral principles and values refers to which of the following terms? ethical Seating and mobility devices are devices that do which of the following? -support mobility -improve mobility After the State survey agency completes its survey, it sends the entity surveyed a statement of deficiencies which is a document that communicates to the provider or supplier (Facility) surveyed what is wrong and forms the basis for the plan of correction that the entity surveyed provides to the State survey agency. This is known as which of the following? statement of deficiencies Which of the following are characteristics of a person-centered approach to care? -respecting and valuing the individual as a member of society -understanding the perspective of the person in all care and activities -providing supportive opportunities for social engagement to help people live their life and experience well-being The ability to understand and share the feelings or perspective of another person is known as which of the following? empathy Bright lights, loud noises, disagreement with a roommate, overstimulation, having an unmet need etc. are all examples of which of the following? potential triggers for behavior What measures might the CNA be asked to assure for the resident following surgery? -take, record and report changes in vital signs -monitor for signs and symptoms of infection -encourage movement and ambulation er doctors' orders A pattern of breathing in which respirations gradually increase in rate and depth and then become shallow and slow, breathing may stop for 10 to 20 seconds is known as which of the following? Cheyne-stoke A measure/device or condition that keeps someone or something under control or within limits is known as which of the following? restraint The beat of the heart felt at an artery as a wave of blood passes through the artery is known as which of the following? 45 | P a g e Difficulty breathing except when in an upright position. This is known as which of the following conditions? orthopnea Any manual method or physical or mechanical device, material, or equipment attached to or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body is which of the following? physical restraint In the RACE acronym what does the letter R stand for? rescue A mood disorder that causes a persistent feeling of sadness and loss of interest is known as which of the following? depression How the resident moves to and from lying position, turns from side to side, and positions body while in bed or alternative sleep furniture is an assessment of which of the following? bed mobility The most successful method of communication is which of the following? verbal communication The term used for persons living in long-term care facilities is: A. Senior Citizen B. Elder Adult C. Retiree D. Patient/Resident D. Patient/Resident The successful Nurse Assistant should be: A. Honest B. Dependable C. Organized D. All of the above D. All of the above The responsibilities of a Nurse Assistant are listed in a: A. Job Description B.Procedure C.Job Title D. Resume A. Job Description 46 | P a g e As a Nurse Assistant, your scope of practice includes: A. Bathing and dressing patients/residents B. Taking telephone orders from the doctor C. Assigning patient care D. Giving medications A. Bathing and dressing patients/residents What should the Nurse Assistant do if asked to do something he or she doesn't know how to do? A. Ask another Nurse Assistant to do the task B. Tell the nurse he or she is uncertain and ask for help C. Refrain from doing the task D. Do the task anyway B. Tell the nurse he or she is uncertain and ask for help Which member of the long term health care team provides the most hands on care to the resident? A. Physician B. Charge Nurse C. Nurse Assistant D. Nursing Supervisor C. Nurse Assistant The direct supervisor of the Nurse Assistant is the: A. Physician B. Charge Nurse C. Administrator D. Director of Nursing B. Charge Nurse California code of regulations, Title 22 establishes: A. Salary for certified Nurse Assistant's B. Minimum standards for patient care C. The certified Nurse Assistant's work schedule D. Maximum standards of patient care B. Minimum standards for patient care Which of the following describes the minimum number of theory and clinical hours in a Nurse Assistant program approved by the California Department of Health Services? A. 54 Hours theory, 180 hours supervised clinical training B. 48 Hours theory, 150 hours supervised clinical training C. 40 Hours theory, 60 hours supervised clinical training D. 60 Hours theory, 100 hours supervised clinical training 47 | P a g e D. 60 Hours theory, 100 hours supervised clinical training A California Nurse Assistant s renewing his/her certification. How many inservice/continuing education hours must an individual take in a two-year period in order to renew Nurse Assistant certification? A. 28 Hours B. 30 Hours C. 48 Hours D. 58 Hours C. 48 Hours How many hours must a Nurse Assistant work for pay in each renewal period? A. 48 Hours B. 8 Hours C. 24 Hours D. 50 Hours B.8 Hours Which best defines medicare? A. State medical welfare funding B. Medical funding for persons under 65 years of age C. Medical funding for children only D. Medical benefits for persons age 65 and over D. Medical benefits for persons age 65 and over Which of the following situations should the Nurse Assistant report to the Director of Nursing? A. A patient/resident has fallen B. The nurse in charge is suspected of abusing a patient/resident C. The physician has asked for the Nurse Assistant's help D. A patient/resident refuses to cooperate with treatment B. The nurse in charge is suspected of abusing a patient/resident The role of the Ombudsman is to: A. Drive the buses for special outings B. Listen to and resolve patient/resident problems C. Serve snacks D. Bring newspapers and magazines B. Listen to and resolve patient/resident problems HIPPA refers to: A. Hepatitis A B. Confidentiality C. Standard precautions D. Nutrition B. Confidentiality 50 | P a g e B. Refuse to pay their bill C. Select the Nurse Assistant they want to care for them D. Have visitors any hour of the day or night A. Receive respectful and considerate care Documents that provide instructions about the patient's/resident's wishes for treatment when the patient/resident is unable to communicate their wishes are called: A. Medical records B. Advanced Directives C. Resident Bill of Rights D. Policies and Procedures B. Advanced Directives Informed consent means that the: A. Physician makes all health care decisions for the patient/resident B. The nurse makes some decisions for the patient/resident C. The patient/resident makes decisions based on full disclosure of procedures, benefits, and risks D. The patient/resident is old enough to sign for treatment C. The patient/resident makes decisions based on full disclosure of procedures, benefits, and risks A grievance is: A. A form the patient/resident fills out when they have a complaint B. Denial of services or treatment due to insurance C. Patient/resident refusing to pay a bill D. All of the above D. All of the above Healthcare workers: A. Do not need to know the patient's bill of rights B. Should refer questions about the "rights" to the admissions coordinator C. Must not discuss patient/resident rights because of the confidentiality concerns D. Must be familiar with the Patient's Bill of Rights D. Must be familiar with the Patient's Bill of Rights When an elderly person is admitted to the long-term care facility, they have the right to: A. Have relatives stay overnight in their room B. Have personal items in their room C. Have the kitchen prepare food for them on their request D. Bring their pet with them B. Have personal items in their room The rights of patients/residents in long-term care facilities: A. Were legislated by OBRA in 1987 B. Include the right to make independent medical choices 51 | P a g e C. Are more restrictive than rights in other healthcare settings D. Do not include informed consent B. Include the right to make independent medical choices The purpose of a long term care facility is to: A. Provide care for persons who cannot care for themselves at home B. Provide emergency care for the elderly C. Provide surgical care for the elderly D. Keep elderly people together and away from other age groups A. Provide care for persons who cannot care for themselves at home A resident has been at home with his family all day. The nurse assistant notices new bruises on the residents back when he returns. The nurse assistant should: A. Report the bruises to a licensed nurse B. Ask family members the next time they visit C. Say nothing to the patient/resident about the bruises D. Wait to see if it happens again A. Report the bruises to a licensed nurse The Nurse Assistant does not need to be familiar with the Patient's Bill of Rights. A. True B. False B. False The patient/resident has the right to be free from restraints. A. True B. False A. True The patient/resident has the right to know about his or her diagnosis and prognosis. A. true B. false A. True A complaint is also a grievance A.True B. False A. true Confidentiality is the permission for care after the procedures have been explained A. true B. false B. False 52 | P a g e The document that guarantees the rights of the consumer in a long term care facility is called Patient/Resident Rights A. true B. false A. true A patient/resident is confused. It is time for the person's shower. What should you do? A. Explain what you are going to do and why B. As the person to undress C. Ask if the person wants to tub bath or shower D. Let the confusion pass before you assist with the person's shower A. Explain what you are going to do and why Which is not an early warning sign of dementia? A. Getting lost in familiar places B. Personality changes C. Poor or decreased judgement D. Not recognizing self or family members D. Not recognizing self or family members What is the highest level of anxiety? A. Panic B. Phobia C. Obsession D. Compulsion A. Panic Which of the following is a physiological need? A. Employment B. Friendship C. Water D. Love C. Water Which of the following would be a barrier to effective communication? A. Listening to a patient/resident tell stories about his or her past B. Letting a patient/resident express his or her fears and concerns about dying C. Changing the subject each time a patient/resident brings up an uncomfortable topic D. Allowing a patient/resident to talk freely about his or her health problems C. Changing the subject each time a patient/resident brings up an uncomfortable topic Avoiding eye contact when talking to another person is an example of which type of communication? A. verbal B. Non-verbal 55 | P a g e B. As soon as possible C. During the patient/resident care conferences. D. During the end-of-shift report A. Right away When charting, it is essential to record: A. Safety measures performed B. What co-workers observed C. What co-workers did D. Comments of the family and guests A. Safety measures performed A patient/resident was moved out of her home and into a long term care facility. She is angry about being moved. How will the Nurse Assistant be most helpful for this patient/resident? A. Ignore her behavior B. Sit with her and let her express her feelings C. Tell her that she will get used to the facility D. Ask another patient/resident to talk with the new patient/resident B. Sit with her and let her express her feelings Which action is best to do before transferring a telephone call? A. Explain that the call is going to be transferred and where B. Set the phone down and find out where to transfer the call C. Take a message D. Find out the reason for the call A. Explain that the call is going to be transferred and where Stress is best defined as: A. A vague feeling of apprehension B. A response to any demand made on an individual C. The main cause of illness D. Blaming another for one's problems B. A response to any demand made on an individual The Nurse Assistant is assigned to the care of a newly admitted patient/resident who does not speak English. What is the best approach for the Nurse Assistant when beginning care? A. Use pictures and gestures to communicate with the patient/resident B. Ask the charge nurse to get an interpreter C. Delay care until the family can come in to interpret. D. Find a television station in the language the patient/resident understands B. Ask the charge nurse to get an interpreter Mrs. S, the charge nurse, wants blood work results on Mr.Jones immediately. Which of the following terms would indicate "immediately" to the lab? 56 | P a g e A. ASAP B. STAT C. PRN D. AD LIB B. STAT The Nurse Assistant finds a burning in a wastebasket in a patient's/resident's room. What should the Nurse Assistant do first? A. Go out into the hall and call out "fire" B. Remove the patient from the area of the fire C. Run out of the room to find a dire extinguisher D. Keep the patient's/resident's room dark to keep him in bed B. Remove the patient from the area of the fire Falls are a common cause of injury. Which of the following might help prevent the patient/resident from becoming injured from falls? A. Keep the patient's/resident's bed in the low position B. Place a small rug or towel on the floor by the bed to prevent slipping C. Have the patient/resident wear only socks when ambulating D. Keep the patient's/resident's room dark at night to keep him in bed A. Keep the patient's/resident's bed in the low position Mr.B is receiving oxygen therapy. Which of the following is a rule that should be followed with oxygen therapy? A. Use nylon blankets so there will be static electricity B. Do no allow smoking when oxygen is in use C. use oil-based lotions to lubricate the skin D. Use electric razors for shaving the face B. Do no allow smoking when oxygen is in use Mrs.A is being placed in a vest device to keep her from falling from her wheelchair. What should the Nurse Assistant do? A. Keep Mrs.A in her room out of sight of other patients/residents B. Apply the restraint to help control the patient's/resident's behavior C. Explain kindly to Mrs.A that the postural supports are being used to help prevent her from falling D. Keep the patient's/resident's room dark to keep her in bed C. Explain kindly to Mrs.A that the postural supports are being used to help prevent her from falling When applying postural supports (restraints) the Nurse Assistant should keep in mind that: A. Careful use of restraints can decrease the need for direct patient care B. Patient's/residents frequently become more calm, docile and compliant when restraints are used C. registered nurses are allowed to order the use of restraints in long-term care facilities D. Unauthorized (unordered) use of restraints can result in accusation of "false imprisonment" 57 | P a g e D. Unauthorized (unordered) use of restraints can result in accusation of "false imprisonment" The Nurse Assistant enters a patient's/resident's room and sees the bed is at its highest level. The Nurse Assistant should know that: A. The patient/resident wants to get closer to the television set B. The patient/resident is very independent and will not be injured C. Nurse Assistant's do not deal with safety issues D. The bed should be placed in the lowest position D. The bed should be placed in the lowest position RACE is a term representing activities to be carried out in the vent of a fire. The "R" stands for which of the following? A. Run for help B. Remain at the fire site C. Reduce the fire risk D. Remove the patient/resident D. Remove the patient/resident To help prevent fires, the Nurse Assistant should: A. Remove the grounding prong from electrical cords B. Report frayed electrical cords immediately C. Empty ashtrays immediately into the wastebasket (trash) D. Encourage patients/residents to smoke only in their beds B. Report frayed electrical cords immediately The Nurse Assistant finds a frayed electrical cord on a fan in a patient's/resident's room. Which of the following actions is correct? A. Obtain electrical tape and cover the broken wire B. Report the situation to the nurse C. Activate the fire alarm and remove the patient/resident D. Check the fan by turning it on B. Report the situation to the nurse You are injured while transferring a person to a wheelchair. Which is true? A. This is workplace violence B. You need to complete an incident report C. This is negligence D. This is patient/resident abuse B. You need to complete an incident report Mr.B is receiving oxygen therapy and requests assistance with shaving. What should the Nurse Assistant do? A. use alcohol to soften the patient's/resident's beard B. Shave with soap and a safety razor 60 | P a g e C. Walk in front of the patient/resident's hands placed on the assistant's shoulders for support D. Walk slightly behind and to one side of patient/resident providing support with the gait belt D. Walk slightly behind and to one side of patient/resident providing support with the gait belt The Nurse assistant are encouraged to use a gait belt when assisting with patient transfers. The purpose of a gait belt is to: A. Hold the patient's/resident's clothing in place B. Support the patient/resident when seated and protect the patient/resident from falling out of the chair C. Assist in transferring a dependent patient/resident and protect both patient/resident and protect both the patient/resident and Nurse Assistant from injury D. Provide a safety handle for the patient/resident C. Assist in transferring a dependent patient/resident and protect both patient/resident and protect both the patient/resident and Nurse Assistant from injury Once an object has been lifted, the Nurse Assistant should keep the object: A. Under your arm B. Held to the side of the body C. As close to the body as possible D. In front of the body at shoulder height C. As close to the body as possible When the nurse assistant is moving a resident toward the head of the bed, they should remove: A. The foot cradle from the bed and place on floor B. The pillow from under the patient's/resident's head and place it against the headboard C. The bed covers from the patient/resident and fold at the end of the bed D. Any traction equipment that may be attached to the bed B. The pillow from under the patient's/resident's head and place it against the headboard When assisting patient/resident with left sided weakness to transfer from the bed to chair, the chair should be located: A. At the head of the bed, on patient's/resident's right side B. At the foot of the bed, on patient/residents left side C. At the middle of the bed directly across from where the patient/resident sits in the bed D. Across the room to encourage the patient/resident to get up and walk A. At the head of the bed, on patient's/resident's right side When positioning the patient in a side lying position, the Nurse Assistant must first: A. Log roll the patient/resident toward the nearest rail B. Move the patient/resident toward the foot of the bed C. Move the patient/resident to the side of the bed where the Nurse Assistant is standing D. Log roll the patient/resident toward the opposition side rail by yourself C. Move the patient/resident to the side of the bed where the Nurse Assistant is standing 61 | P a g e When a patient/resident is in good body alignment it means that the patient's/resident': A. Head is in a straight line with the spine B. Arms and legs are positioned in a flexed position C. Body is used in careful and efficient manner D. Performing exercises to provide movement for the joint A. Head is in a straight line with the spine Before performing any task at the bedside, the Nurse Assistant should: A. Elevate the bed to a comfortable position to help B. Lower the bed to the lowest position to prevent the patient from falling out of bed C. Move surrounding furniture away from the bed so the Nurse Assistant won't bump into it D. Elevate the head of the bed so that the patient/resident can observe what you are doing A. Elevate the bed to a comfortable position to help Which of the following describe prone position? A. Lying on the left side with the upper leg flexed B. Lying on the back with toes pointed toward the foot of the bed C. Lying on the abdomen with the head turned to one side D. A semi-sitting position with knees flexed C. Lying on the abdomen with the head turned to one side A patient/resident is being transferred bad to bed after being up in the wheelchair for a long period of time. As the Nurse Assistant you can best protect your back by: A. Using the stronger muscles of your lower arms and back B. Keeping a wide based support and keeping the patient/resident as close as possible to you as you perform the transfer C. Pulling the patient/resident with sudden jerky movements so that you are able to move the patient/resident alone D. Providing a lot of space between you and the patient/resident so that you have room for movement B. Keeping a wide based support and keeping the patient/resident as close as possible to you as you perform the transfer Miss Polly walker has the head of her bed elevated 60° this position is referred to as A. Supine position B. Fowler's position C. Sim's position D. Prone Position B. Fowler's position Your patient/resident is paralyzed from the waist down (paraplegia) and has maintained good upper body strength. The patient/resident wants to be able to move himself in bed, somewhat, without assistance. Which of the following pieces of equipment might be used for this purpose? A. Gurney B. Gait belt 62 | P a g e C. Trapeze D. Pillow C. Trapeze Two surfaces rub together. This is called. A. Friction B. Shearing C. Pressure D. Ergonomics A. Friction Good body alignment is needed A. When standing B. When sitting C. When lifting D. All the time D. All the time When giving bedside care. the bed should be A. At it's highest horizontal level B. At its lowest horizontal level C. Level with your waist D. In Fowler's position C. Level with your waist Before moving Mr.G up in bed, you need to: A. Put nonskid footwear on him B. Lock the bed wheels C. Apply a transfer belt D. Raise the head of the bed B. Lock the bed wheels You need to transfer Mr.H with a transfer belt. The belt is applied: A.After the transfer B. Under his clothing C. Over his clothing D. on his legs C. Over his clothing The process by which all microorganisms are destroyed is called: A. Isolation B. Sterilization C. disinfection D. Asepsis 65 | P a g e B. Surgical asepsis C. Medical asepsis D. Normal flora C. Medical asepsis A person has protection against a certain disease. The person has: A. Immunity B. Personal protective equipment C. A vaccine D. A germicide A. Immunity A vaccine is: A. A suspension containing weakened or killed microorganisms B. Used to disinfect supplies and equipment C. Used to treat infection D. Normal flora A. A suspension containing weakened or killed microorganisms Who can develop nosocomial or Healthcare Associated Infection(HAI) A. patients/residents B. Nursing team C. Transmission-Based precautions D. The Blood borne Pathogen Standard A. patients/residents Which is the easiest and most important way to prevent infections from spreading? A. Standard precautions B. Wearing gloves at all times C. Transmission-Based Precautions D. The Blood borne pathogen Standard A. Standard precautions When cleaning the perineal area of the female body, you need to clean: A. From bottom to top B. Away from your body C. from front to back D. As fast as possible C. from front to back Standard precautions apply to: A. All persons B. All patients/residents 66 | P a g e C. The health team D. Persons with infections A. All persons How many ounce in 30 mL? A. 1 ounce B. 3 ounces C. 5 ounces D. 2 ounces A. 1 ounce The equivalent of 500 mL is A. A liter B. A gallon C. 1 pint D. 3 inches C. 1 pint Which unit of measurement is the equivalent of 1000 milliliters? A. 1 fl ounce B. 1 Quart C. 3 pounds D. 2 pint B. 1 Quart Choose which one is the correct equivalent equivalent of 30 cm A. 2 inches B. 3 feet C. 1 yard D. 1 foot D. 1 foot What would be the correct military time if the clock reads 3:00 pm in Greenwich time: A. 1200 B.1500 C. 1600 D. 0300 B.1500 When measuring liquid volume with a graduated cylinder, the Nurse Assistant should do all of the following except: A. Pour liquid into the graduated cylinder B. Place graduated cylinder on a flat surface 67 | P a g e C. read at eye level D. Read measurement at highest level of liquid surface D. Read measurement at highest level of liquid surface A patient/resident weighing 165 pounds is on a reduced calorie diet. The goal is to lose 2 pounds every week. Which of the following weights would meet the goal after one week? A. 167 pounds B. 165 pounds C. 164 pounds D. 163 pounds D. 163 pounds If a person on I&O drinks 12 ounces of milk, the Nurse Assistant should mark on the client's record an intake of: A. 30 mL B. 90 mL C. 240 mL D. 360 mL D. 360 mL The Nurse Assistant is measuring intake and output for a patient/resident who drank 8 ounces of milk. What should the Nurse Assistant record? A. 500 mL B. 120 mL C. 240 mL D. 250 mL C. 240 mL A patient/resident is to be repositioned at 6:00 pm. Using military time, the Nurse Assistant repositions the patient/resident at: A. 0600 B.1200 C. 1800 D. 2100 C. 1800 Your patient/resident ate the following items for lunch: 1/2 cup string beans, 3 oz. fish, 6oz. milk, 2 oz Jello. What was his fluid intake? A. 120 mL B. 240 mL C. 300 mL D. 330 mL B. 240 mL 70 | P a g e C. Brush only the teeth portion of the dentures D. Brush all surfaces of the dentures D. Brush all surfaces of the dentures when giving oral hygiene to an unconscious patient/resident, it is important for the Nurse Assistant to: A. Prevent the patient/resident from aspirating (breathing in) any fluid B. hold on the patient's/resident's mouth open with your fingers C. Use large amounts of mouthwash for rinsing the patient's/rinsing's mouth D. Wait at least 5 hours between each cleaning A. Prevent the patient/resident from aspirating (breathing in) any fluid As you brush Mrs.K's teeth, you notice that her gums are bleeding. The Nurse Assistant should: A. brush harder to toughen up the gums B. Notify the charge nurse C. Stop brushing the teeth D. increase fluids, because of the loss B. Notify the charge nurse A patient/resident asks a Nurse Assistant to cut his toenails because they are very thick and hurt when he wears shoes. The Nurse Assistant should: A. Soak his feet and then cut the nails using nail clippers B. Report his request to the nurse C. Give the patient/resident a nail clipper so that he may cut his nails himself D. Use a sharp scissor to trim the excess nail after a bath B. Report his request to the nurse To clean under the fingernails of the patient/resident, the Nurse Assistant should: A. Use an orange stick B. use the blunt blade of a bandage scissors C. Use the point of fingernail scissors D. Trim and file the nails first A. Use an orange stick When performing hair care for a patient/resident, the Nurse Assistant should: A. Comb it into a new style each day B. Style it according to the patient's/resident's wishes C. Apply hair oil to reduce static D. Wait until family comes in B. Style it according to the patient's/resident's wishes When bathing a patient/resident, the Nurse Assistant sees a swelling around the knee that is tender to touch. The Nurse Assistant should: A. Avoid washing the sensitive area during the bath B. Apply a warm wet washcloth to the knee 71 | P a g e C. Report this observation to the nurse D. Remind the patient/resident not to ambulate without assistance C. Report this observation to the nurse In preparing the bath for the dependent resident, the nurse assistant should: A. Fill the tub with n more than two inches of water B. make sure that the water temperature is at least 120F C. Adjust the water temperature to 105 F D. Position the patient/resident in the tub before adding water C. Adjust the water temperature to 105 F When bathing a dependent patient/resident, the Nurse Assistant should: A. Leave the room at intervals to encourage the patient/resident to bathe on his own B. Rinse off all soap completely and dry the skin thoroughly C. Rub the skin vigorously to stimulate circulation D. Apply soap to all areas before rinsing with fresh water B. Rinse off all soap completely and dry the skin thoroughly When washing the face of a dependent resident, the nurse assistant should: A. Use a separate washcloth for washing each eye B. wipe the eyes from the outer edge to the center C. Use different corners of the washcloth when washing each eye D. Rinse the eyes by pouring a small amount of water on the forehead C. Use different corners of the washcloth when washing each eye In a complete bed bath, the water is changed: A. At the completion of the bath B. After each body area is washed C. After the front surfaces of the body are washed D. Whenever the water becomes soapy or cool D. Whenever the water becomes soapy or cool To assist Mrs.B a patient/resident, into a bathtub, the Nurse Assistant should: A. Stand at the side of the tub and have the patient/resident hold on to your shoulder as she steps into the tub B. Place a chair next to the tub and have the patient/resident hold on to the chair as she steps into the tub C. Have the patient/resident hold on to the grab bar in the tub enclosure as she steps into the tub D. Have the patient/resident sit on the side of the tub, pick up both legs and pivot them over the side and into the tub C. Have the patient/resident hold on to the grab bar in the tub enclosure as she steps into the tub Before combing or brushing a patient's/resident's hair, the Nurse Assistant should: A. put on gloves 72 | P a g e B. Wet the hair with a spray bottle C. Place a towel over the patient/s/resident's shoulders D. Soak the patient's/resident's comb and brush in a disinfectant solution C. Place a towel over the patient/s/resident's shoulders The purpose of shampooing the hair of patients/residents is too: A. Remove tangles B.Lower body temperature C. Maintain cleanliness and well-being D. Be part of daily care of patient/resident C. Maintain cleanliness and well-being A bed shampoo will require: A. Shampoo tray, plastic sheet or bag, pitcher and basin B. Extra sheet, pillow, and pitcher C. Thermometer, graduate, bath basin, and several towels D. Spray bottle, emesis basin and washcloth A. Shampoo tray, plastic sheet or bag, pitcher and basin A medical shampoo generally requires: A. that the shampoo is left in the hair for a period of time before rinsing it out B. That the medicinal solution is left in the hair without rinsing it out C. Rinsing the hair with disinfectant solution D. That the nurse perform the procedure rather than a Nurse Assistant A. that the shampoo is left in the hair for a period of time before rinsing it out To safely shave a patient/resident with a safety razor, the Nurse Assistant should: A. Apply an alcohol pre-shave solution B. keep the skin taut in the area being shave C. Move the razor in the opposite direction as the hair growth D. Report the action to the charge nurse B. keep the skin taut in the area being shave After shaving a patient/resident with his own electric razor, the Nurse Assistant should: A. apply an oil based lotion to the skin B. Clean the blades of the razor with a cleaning brush C. Soak the razor in a disinfectant solution D. Report the action to the charge nurse B. Clean the blades of the razor with a cleaning brush A patient/resident asks the Nurse Assistant to help her to the bathroom. The Nurse Assistant responds, "OK, but I'm really busy today. Bring your things with you so you can brush your teeth and fix your hair, too." By making these requests, the Nurse Assistant was: A. Lessening the number of decisions the patient/resident must make 75 | P a g e After shaving a patient/resident with his own electric razor, the Nurse Assistant should: A. Apply an oil based lotion to the skin B. Clean the blades of the razor with a cleaning brush C. Soak the razor in a disinfectant solution D. Report the action to the charge nurse B. Clean the blades of the razor with a cleaning brush A general rule for dressing a patient/resident who is paralyzed or injured is: A. Dress the affected side first and undress it last B. Dress the affected side last and undress it first C. Have clothing split and snaps applied for easy dressing D. Avoid dressing the affected side A. Dress the affected side first and undress it last The Nurse Assistant is putting a pair of pants on a patient/resident who cannot sit up because of weakness. The Nurse Assistant should slip both feet into the legs of the pants and then: A. Ask the patient/resident to bend his knees and raise his buttocks as the Nurse Assistant pulls the pants up to his waist B. Attempt to sit the patient/resident on the side of the bed and pull pants up toward the waist C. Pull the top of the pants under the buttocks up the waist with the patient/resident flat on his back D. Assist the patient/resident to roll from side to side as the Nurse Assistant pulls the pants up to the waist D. Assist the patient/resident to roll from side to side as the Nurse Assistant pulls the pants up to the waist A patient/resident was admitted to the nursing unit several days after surgery. To prevent problems, the Nurse Assistant should: A. Leave the patient/resident in bed at all times B. Tell the patient/resident to remain in the same position at all times C. Tell the patient/resident to cough and deep breathe every two hours D. Leave the patient/resident alone to rest all day C. Tell the patient/resident to cough and deep breathe every two hours The Nurse Assistant is caring for a patient/resident who wants to shave with a safety razor. The patient/resident should not use the razor if the patient/resident is: A. Receiving oxygen B. Confused and disoriented C. Unable to ambulate to the bathroom D. Visiting with family B. Confused and disoriented The Nurse Assistant is collecting supplies for colostomy care. Which of the following is NOT needed? A. A bedpan B. Toilet tissue 76 | P a g e C. Alcohol wipes D. Gloves C. Alcohol wipes When changing a colostomy bag, the nurse assistant should know: A. The colostomy bag must be changed every two hours B. All colostomy patients/residents have liquid stools C. the colostomy bag needs to be changes when the bag is leaking D. A skin barrier will hold the bag in place without a belt C. the colostomy bag needs to be changes when the bag is leaking The Nurse Assistant is caring for a confused patient/resident who does not like to bathe. The Nurse Assistant should NOT: A. Prepare the patient/resident before bathing B. Give a sponge bath if the patient/resident resists tub or shower C. Force the patient/resident into the shower or tub D. Schedule bathing when patient/resident is agitated C. Force the patient/resident into the shower or tub A patient/resident is to be weighed daily. The Nurse Assistant should: A. Weigh the patient/resident at the same time of day B. Hold the patient/resident on the scale, if unable to stand C. Not weigh the patient/resident who is unable to stand on scale D. Not allow the patient/resident to urinate before being weighed A. Weigh the patient/resident at the same time of day When preparing to bathe a patient/resident, the Nurse Assistant should provide privacy curtains: A. Immediately after entering the room B. Before beginning the bath C. After washing the patient's/resident's face D. After completing the bath B. Before beginning the bath The Nurse Assistant is checking the patient's/resident's body for signs of pressure sores. Which of the following areas are more likely to be affected? A. Bony areas such as shoulder blades, elbows, heels, and knees B. Thicker areas such as thighs and upper arms C. The abdomen and breasts D. The genital area A. Bony areas such as shoulder blades, elbows, heels, and knees Which of the following foot care procedures is required for the patient/resident who is paralyzed from the waist down? A. Soak the feet in hot water after bathing 77 | P a g e B. Wrap the feet in hot towels, trim toenails if needed, and lubricate signs C. Wash and dry feet carefully and thoroughly, and check for any pressure signs D. Wash feet carefully, trim toenails and apply lubricate to keep area between toes moist C. Wash and dry feet carefully and thoroughly, and check for any pressure signs The Nurse Assistant should know that incontinent patients/residents: A. Cannot control their bladder or bowels B. Are lazy C. Are able to control the ladder or bowels D. Are confused A. Cannot control their bladder or bowels Oral care before collecting a sputum specimen involves A. brushing the teeth B. Using mouthwash C. Flossing D. Rinsing with clear water D. Rinsing with clear water The nurse asks you to collect a stool specimen from a patient/resident. Which is INCORRECT? A. Explain what the person needs to do B. Explain what you will do C. Ask if the person understands what to do D. Stay with the person until the person has a bowel movement D. Stay with the person until the person has a bowel movement When collecting a sputum specimen, the person coughs up sputum from the A. Mouth B. Throat C. Upper airway D. Bronchi and trachea D. Bronchi and trachea Normal urine has A. A faint odor B. A strong odor C. A sweet odor D. An ammonia odor A. A faint odor Which of the following is a characteristic of normal urine? A. Pale-yellow urine B. Straw-colored urine 80 | P a g e The nurse asks you to strain a person's urine. To do this, you need A. A midstream urine specimen B. A 24-hour urine specimen C. A strainer or gauze D. Elastic tape C. A strainer or gauze Mucus from the respiratory system that is expelled through the mouth is A. Phlegm B. Saliva C. Sputum D. Ketone C. Sputum You brought 2 pillowcases into a patient's/resident's room. The person uses 1 pillow. What should you do with the other pillowcase? A. Return it to the linen supply B. Leave it in the person's room for another time C. Take it to another patient's/resident's room D. Put it with the dirty laundry D. Put it with the dirty laundry The Nurse Assistant is taking routine vital signs on a patient/resident who is known to have an irregular pulse. The Nurse Assistant should take a: A. Radial pulse for 15 seconds and multiply by 4 B. Radial pulse for 30 seconds and multiply by 2 C. Radial pulse for one full minute D. Carotid pulse for 30 seconds and multiply by 2 C. Radial pulse for one full minute The radial pulse is the most common site used for routine vital signs. the radial pulse is located on the: A. Internal side of the arm just below the elbow B. External side of the arm just below the elbow C. Thumb side of the wrist D. Little finger (pinkie) side of the wrist C. Thumb side of the wrist When taking a patient's/resident's temperature, pulse, respirations (TPR), the respiration should be counted after the: A. Temperature has been taken B. Pulse has been taken, while the fingers remain on the pulse site C. Pulse has been taken and written down D. Nurse Assistant informs the patient/resident that the respirations will be counted 81 | P a g e B. Pulse has been taken, while the fingers remain on the pulse site A respiration is defined as: A. One deep inhalation B. One full inhalation and exhalation cycle C. One deep exhalation D. A breath counted with each heartbeat B. One full inhalation and exhalation cycle A patient/resident has a temperature of 102. What can the Nurse Assistant do to assist in lowering the fever without a physician's order? A. Give the patient/resident an alcohol bath B. Apply an ice cap to the patient's/resident's forehead C. Place the patient on a hypothermia blanket D. Encourage the patient/resident to drink cool fluids, if allowed to have oral intake D. Encourage the patient/resident to drink cool fluids, if allowed to have oral intake Which of the following pulse rates and blood pressure readings are within normal range for adult. A. Pulse 100, BP 200/100 B. Pulse 110, BP 140/90 C. Pulse 72, BP 130/84 D. Pulse 40, BP 90/60 C. Pulse 72, BP 130/84 Which of the following signs is not associated with a fever? A. Flushed face B. Thirst C. Skin dry and hot to touch D. Decreased pulse D. Decreased pulse When a patient/resident experiences difficult, painful or labored breathing, it is known as: A. Tachypnea B. Apnea C. Dyspnea D. Bradypnea C. Dyspnea Which one of the following statements about blood pressure is true: A. The cuff can be placed over clothing B. Blood pressure can be measured on an injured arm or one that has an IV inserted C. The cuff is inflated 20mm-30mm above the point where the radial pulse was palpated in the two step procedure D. blood pressure cuffs should be the same size for all patients/residents 82 | P a g e C. The cuff is inflated 20mm-30mm above the point where the radial pulse was palpated in the two step procedure Which of the following pulses is located at the inner side of the elbow A. Carotid B. Apical C. Popliteal D. Brachial D. Brachial When taking a blood pressure reading, the higher number represents the pressure in the artery at the peak of cardiac contraction. This is called the: A. Apical pressure B. Diastolic pressure C. Systolic pressure D. Pulse pressure C. Systolic pressure The amount of force exerted against the walls of the artery by the blood is commonly referred to as: A. Blood pressure B. Pulse C. Metabolism D. Hypertension A. Blood pressure The normal oral temperature of an adult patient/resident is: A. 96.2 F B. 98.6 F C. 101.0 F D. 99.6 F B. 98.6 F The Nurse Assistant enters Mr.S's room to take his oral temperature and observes that he is drinking a glass of water. The Nurse Assistant should: A. proceed with the oral temperature as planned B. Take a rectal temperature instead because the ice water will affect an oral reading C. Place a plastic sheath over the oral thermometer so the reading won't be affected D. Request that the patient not eat or drink anything else for 15 minutes and then return to take his temperature D. Request that the patient not eat or drink anything else for 15 minutes and then return to take his temperature Which of the steps mentioned below should the nurse assistant not do as part of taking a rectal temperature for an adult? 85 | P a g e A patient/resident has a gastrostomy tube. The Nurse Assistant knows that this is: A. A tube inserted through the nose to the stomach for feeding B. The same as total parenteral nutrition (TPN) C. A tube inserted through the abdominal wall into the stomach for feeding D. A tube that introduces high-density nutrients into a large vein C. A tube inserted through the abdominal wall into the stomach for feeding When caring for a patient/resident who receives tube feedings the Nurse Assistant must always: A. elevate the head while the feeding is infusing B. Change the bag at the end of the shift C. Check the placement of the tube D. Position the patient/resident in the orthopedic position for each feeding A. elevate the head while the feeding is infusing Which of the following is included in a clear liquid diet? A. Chicken noodle soup B. Liquid nutritional supplement C. Plain gelatin D. Milk C. Plain gelatin Why is accurate recording of the food consumption of a patient/resident with diabetes important? A. Diet and insulin must balance to maintain a healthy protein level B. A diabetic patient/resident should not consume more than 2,600 calories per C. The diabetic diet may be balanced by insulin or diabetic medications D. Diabetics must consume an adequate amount of sugar at each meal C. The diabetic diet may be balanced by insulin or diabetic medications A sign that states NPO is posted on the door of a patient/resident. This means that the patient/resident should: A. Not be fed B. not have physical and occupational therapies C. Have intake only through a nasogastric tube D. have nothing by mouth D. have nothing by mouth A patient/resident has an order 'Force Fluids." What is the best way to follow this order? A. Force the patient/resident to drink a glass of water every hour B. Encourage the patient/resident to take in as much fluid as possible C. Force the patient/resident to drink 8-10 glassed of water every day D. Encourage the patient/resident to drink only water B. Encourage the patient/resident to take in as much fluid as possible 86 | P a g e What action is essential before serving a meal tray to a patient/resident? A. Check the diet card and patient/resident identification B. Wash hands and put on a hairnet C. Have the patient/resident go to the bathroom and wash hands D. Put on a pair of gloves A. Check the diet card and patient/resident identification Hot liquids are best tested by: A. Inserting a thermometer into the center of the liquid B. Placing a few drops of liquid on the patient's/resident's wrist C. Placing a few drops of liquid on the Nurse Assistant's wrist D. Touching the outside of the dish or cup C. Placing a few drops of liquid on the nurse assistants wrist When feeding a patient/resident who has had a stroke the Nurse Assistant will most correctly: A. Place food as far back on the tongue as possible B. Place food in the unaffected side of the mouth C. Place food in the affected side of the mouth D. Place food on the center of the tongue B. Place food in the unaffected side of the mouth A sign of dysphagia is: A. Shallow respirations B. Difficulty breathing C. Difficulty swallowing liquids D. Difficulty speaking C. Difficulty swallowing liquids Food thickeners are designed to: A. Slow food intake into the mouth B. Slow the movement of fluids through the esophagus C. Provide a thicker mass for swallowing to help prevent choking D. Increase the number of calories the patient/resident consumes C. Provide a thicker mass for swallowing to help prevent choking While feeding a patient/resident, a Nurse Assistant is observed doing all the following actions. Which of the following is not correct? A. Standing at eye level B. Alternating liquid and solid food C. Only using a spoon for solids D. Feeding the patient/resident in his room A. Standing at eye level 87 | P a g e The Omnibus Budget Reconciliation Act (OBRA) includes all of the following requirements for food served in long-term care facilities except: A. Food must smell and taste good B. A patient/resident must receive at least three meals a day C. Hot food must be served hot, and cold food must be served cold D. Special eating equipment and utensils must be provided by the patient/resident or family D. Special eating equipment and utensils must be provided by the patient/resident or family A patient/resident with a feeding tube is usually: A. On a regular liquid diet B. In a terminal condition C. Not allowed food or liquids by mouth (NPO) D. Receiving an intravenous infusion (IV) C. Not allowed food or liquids by mouth (NPO) Most communities have a common emergency telephone number that notifies the emergency medical service (EMS). Which of the following numbers is the emergency number? A. 911 B. 484 C. 411 D. 916 A. 911 Mr.Johnson has cut his hand on a broken piece of glass and is bleeding heavily. The Nurse Assistant should: A. Apply a circular strap around the wrist to act as a tourniquet B. Call 911, STAT (immediately) C. Have Mr.Johnson lower his hand below his heart to slow circulation on the site D. Apply direct pressure (with a gloved hand) using a pad, raising the hand above the level of the heart D. Apply direct pressure (with a gloved hand) using a pad, raising the hand above the level of the heart A patient/resident has epilepsy. In the event of a seizure, the Nurse Assistant should: A. Leave the patient/resident to summon help B. Protect the patient/resident from injury C. Force the patient's/resident's mouth open D. Call for help in order to restrain the patient's/resident's movements B. Protect the patient/resident from injury Which of the following best describes the "universal choking sign" given by the victim: A. Both hands clasped around his/her neck B. His/Her arms waving up and down C. Pointing to his mouth with on hand D. The victim coughs and calls for help 90 | P a g e B. Take Mrs.S's vital signs C. Assist mrs.S to the floor D. Get Mrs.S a glass of water C. Assist mrs.S to the floor Which of the following are signs and symptoms of internal bleeding? A. Bleeding in spurts B. Coffee ground vomit C. Normal appearance of urine D. Slow oozing of blood B. Coffee ground vomit What is the Nurse Assistant's role in caring for a patient/resident in shock? A. keep patient/resident calm and warm B. Give water and ROM C. Maintain open airway and keep cool D. Keep active and fed A. keep patient/resident calm and warm DNR, living will and durable power of attorney are examples of: A. Boundaries of Care B. Scope of Practice C. Advanced Directives D. Nursing plan C. Advanced Directives CAB in reference to emergency care mean: A. Sequence of assessment B. Caring, Ambulation, bathing C. Cycle, Airway, Bleeding D. Compressions, Airway, Breathing D. Compressions, Airway, Breathing 1.1 Your patient was fine this morning and was able to get out of bed and walk around his room. After lunch, you notice that the patient is lying very quietly in bed, does not answer when you talk to him, and his face is very red. You should: Select one: a. yell at the patient to wake him. b. pay no attention to the situation; the nurse will see the patient for herself when she makes her afternoon rounds. c. call the visitors in to see the patient. d. report this to the head nurse immediately as this is a change in the patient condition. e. call the doctor. 91 | P a g e D. report this to the head nurse immediately as this a change in the patient condition. The following is OBJECTIVE data: Mrs. Smith says she has pain in her right shoulder. Select one: a. True b. False False Write the time using the 24 hour clock: 5:30pm 1730 The following is SUBJECTIVE data: Blue Colored Lips Select one: a. False b. True False Write the time using the 24 hour clock: 9:15pm 2115 Write the time using the 24 hour clock: 11:55pm 2355 1.1 When a patient tells you about pains or problems you cannot observe through your senses, they are called symptoms or _______________ data. Select one: a .Legal b. Personal c. Subjective d .Objective C. Objective Your patient has been admitted to your unit because of a diabetic condition. The doctor ordered a special diabetic diet for her, which includes no concentrated sugars. You notice the patient eating a candy bar when she believes she is alone. You should: Select one: a. report this incident to your charge nurse immediately. b .scold the patient, telling her that she should know better. c. ignore the whole thing. d .take your break and eat a candy bar with the patient. e. let her eat it; she really does not want to get well. a. report this incident to your charge nurse immediately. 92 | P a g e The following is OBJECTIVE data: Mr. Green ate all of his breakfast. Select one: a. False b. True True When you obtain information about a person with your senses, it is called signs or _______________ data. Select one: a. Objective b. Personal c. Legal d. Subjective a. objective You have raised the bedside rails on the bed of a newly admitted woman who is 70 years old. She says, "What are you trying to do, put me in a crib?" The nursing assistant's best response to this statement is: Select one: a ."It may seem like a crib to you but it is really because we are concerned for your safety. Our beds are high and may be narrower than what you are used to at home." b. "I'm just doing what the head nurse told me to do." c. "Does it seem like a crib to you?" d ."It is the hospital's policy to have the bedside rails up for all confused patients." e. "Don't you want them up?" a ."It may seem like a crib to you but it is really because we are concerned for your safety. Our beds are high and may be narrower than what you are used to at home." A patient complains to you that his "I.V. hurts." You look at that area on the patient's arm around the needle, and it appears red and swollen. You should: Select one: a. tell another nursing assistant. b. call and tell the doctor. c.do nothing; as a nursing assistant, this is not your job. d. tell the patient to mention it to the nurse next time she comes in. e. report this immediately to your head nurse. e. report this immediately to your head nurse. Your patient has just been admitted to your unit. The doctor ordered oxygen by face mask for this patient. You notice that as soon as the charge nurse leaves the room, the patient takes the mask off. In response, you: Select one: a. tell the family. b. tell another nursing assistant. c. report this to the charge nurse. 95 | P a g e a. True b. False true The following is OBJECTIVE data: Your patient's temperature is 99.6 F, pulse 72, and respiration 16. Select one: a. False b. True true A patient signals by ringing the call bell every 15 to 20 minutes. The nursing assistant responds and notices that the patient is making a lot of small requests such as, "Please raise the window shade," "Please lower the window shade," "Please turn on the radio," "Please turn my pillow." The nursing assistant should be respond by: Select one: a. deliberately delaying in answering the call signal or ignoring it. b. explaining to the patient that she has other work to do. c. reporting the patient's behavior to the charge nurse, asking what to do, how to handle the situation, and asking the charge nurse to visit the patient. d .asking another nursing assistant to answer the patient's call signals. e .telling the patient politely not to ring so often. reporting the patient's behavior to the charge nurse, asking what to do, how to handle the situation, and asking the charge nurse to visit the patient. The head nurse has give you instructions to report exactly what the patient eats at mealtimes and not to give the patient anything between meals. However, during visiting hours, you notice that the patient is eating a hot dog that was brought in by a visitor. You should: Select one: a. yell at the patient and take away the food. b. call the doctor and tell him. c. ignore the situation and continue with other care. d .call the visitor outside the room and yell at him. e .report this to the head nurse immediately. e .report this to the head nurse immediately. When your patient appears to be very irritable, you should: Select one: a. reassure him that you are here to assist him. b .be responsive to the patient's needs. c. try to be an attentive, empathetic listener. d. report the excessive irritability to your charge nurse. e. all of these answers are correct. e. all of these answers are correct 96 | P a g e The following is OBJECTIVE data: Ms. Foster says she is anxious about her surgery. Select one: a. True b. False false The entire hand washing process should take: Select one: a.30 seconds b.1 to 2 minutes c.6 minutes d.4 minutes e.10 minutes b. 1.to 2. minutes After drying your hands, you should: Select one: a. clean the sink out with paper towels b.re-apply your eye makeup c .turn off the faucet d .wipe off the counter or area around the sink e. turn off the faucet with a clean, dry paper towel e. turn of the faucet with a clean, dry paper towel A microorganism that can cause an infection is commonly called a(n): Select one: a. oxygen cell b. cell c. zygote d. pathogen e. non-pathogen d. pathogen Hand washing is an example of: Select one: a. chemical disinfection b. sterilization c. none of the above d. medical asepsis e .contamination d. medical asepsis You are going to wash your hands. You should stand: Select one: 97 | P a g e a. any of these answers is acceptable b. right up against the sink to get closer to the faucet c. 6 inches away from the sink d. 2 feet away from the sink e. far enough away so that your uniform does not touch the sink e. far enough away so that your uniform does not touch the sink Standard precautions are used for: Select one: a. only residents with suspected Hepatitis B b. only residents with blood disorders c. only patients with AIDS d. all patients e. only residents with infections d all patients Hepatitis A is contracted by: Select one: a. eating too fast Hepatitis A is contracted by: Select one: a. eating too fast b. fecal-oral route (infected food) c. heredity d. drinking urine e. needle infection b.fecal-oral route (infected food) Items that are contaminated with the resident's blood or body fluids are referred to as: Select one: a. normal waste b .none of above c. biodegradable waste d .normal trash e. bio-hazardous waste e.bio-hazardous waste