Hartman's Nursing Assistant Care Chapters 1-3 Exam Questions and Answers, Exams of Nursing

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Hartman's Nursing Assistant Care Chapter's 1- 3

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Chap. 1: Which of the following healthcare settings is generally for people who will die in six months or less? (A) Hospice care (B) Long-term care (C) Outpatient care (D) Acute Care - Correct Answer-(A) Hospice Care Chap. 1: Which of the following statements is true of long-term care? (A) People with terminal illnesses do not live in long-term care facilities. (B) Most conditions seen in long-term care facilities are chronic. (C) People who live in long-term care facilities are never able to return home. (D) Long-term care takes place in a person's home. - Correct Answer-(B) Most conditions seen in long-term care facilities are chronic. Chap. 1: A resident has purchased a special gift for her nursing assistant (NA). What would be the best response by the nursing assistant? (A) The NA should refuse the gift but thank the resident for thinking of her. (B) The NA should accept the gift because she is unsure about her facility's policy on gifts. (C) The NA should accept the gift if the resident agrees to keep it confidential. (D) The NA should refuse the gift and explain that her employer is very unfair about employees accepting gifts from residents. - Correct Answer-(A) The NA should refuse the gift but thank the resident for thinking of her. Chap. 1: A __________ is a method or way of doing something. (A) Policy (B) Procedure (C) Survey (D) Cite - Correct Answer-(B) Procedure Chap. 1: Medicare will pay for

(A) All care requested by the resident (B) All care requested by the doctor (C) All care requested by the long-term care facility (D) Only care that it determines to be medically necessary - Correct Answer-(D) Only care that it determines to be medically necessary Chap. 1: Which of the following is a core value associated with culture change? (A) Doing everything for residents (B) Treating all residents the same way (C) Promoting self-determination and personal choice (D) Making sure all residents participate in the same activities - Correct Answer-(C) Promoting self-determination and personal choice Chap. 1: Which member of the care team diagnoses disease and prescribes treatment? (A) Nursing assistant (NA) (B) Medical social worker (MSW) (C) Physician (MD) (D) Dietitian (RDN) - Correct Answer-(C) Physician (MD) Chap. 1: Which of the following care team members are licensed professionals who assign jobs to nursing assistants? (A) Nursing assistants, nurses (B) Dietitian, resident's family (C) Nurses, physical therapists (D) Nursing assistants, physicians - Correct Answer-(C) Nurses, physical therapists Chap. 1: Which of the following statements is true of residents as a part of the care team? (A) Residents cannot make their own decisions (B) Residents are not care team members (C) Residents should not try to make choices about the care they want to receive (D) The care team revolves around the resident and her condition, treatment, and progress - Correct Answer-(D) The care team revolves around the resident and her condition, treatment, and progress

(A) Giving a resident a bath (B) Inserting a tube into a resident's body (C) Helping a resident eat dinner (D) Transferring a resident from the bed to a chair - Correct Answer-(B) Inserting a tube into a resident's body Chap. 1: A professional relationship between an NA and a resident includes (A) Telling the resident about problems with the supervisor (B) Calling the resident Dearie and Sweetie (C) Letting a resident know if the NA is in a bad mood (D) Keeping resident information confidential - Correct Answer-(D) Keeping resident information confidential Chap. 1: Which of the following is an example of an NA having a professional relationship with an employer? (A) Documenting carefully (B) Never bothering the nurses with questions (C) Trying not to be late more than twice a week (D) Talking about management behind their backs - Correct Answer-(A) Documenting carefully Chap. 1: What is one function of the chain of command? (A) It determines which residents go in which rooms (B) It determines which shift an NA works (C) It describes the care plan for each resident (D) It helps protect nursing assistants and their employers from liability - Correct Answer-(D) It helps protect nursing assistants and their employers from liability Chap. 1: What is required of a nursing assistant if he suspects that a resident is being abused? (A) The NA should call the police to report that the resident is being abused (B) The NA should discuss the issue with the resident to find out if it is okay for him to report what he suspects (C) The NA should report it to the charge nurse immediately (D) The NA should immediately confront the abuser about what he suspects - Correct Answer-(C) The NA should report it to the charge nurse immediately

Chap. 1: Ombudsmen are in facilities to assist and support (A) Administrators (B) Directors of nursing (C) Residents (D) Nursing assistants - Correct Answer-(C) Residents Chap. 1: When a nursing assistant is performing a procedure on a resident, he should (A) Try to distract the resident so she will not know what the NA is doing (B) Explain the procedure fully before performing it (C) Wait until the resident is sleeping before the NA starts the procedure (D) Talk to the resident's roommate so the resident does not become self- conscious - Correct Answer-(B) Explain the procedure fully before performing it Chap. 1: The Omnibus Budget Reconciliation Act (OBRA) sets minimum standards for (A) Facility cleanliness (B) Resident rehabilitation (C) Nursing assistant training (D) Facility spending - Correct Answer-(C) Nursing assistant training Chap. 1: How many hours of in-service education does OBRA require for nursing assistants every year? (A) At least 34 hours (B) At least 28 hours (C) At least 18 hours (D) At least 12 hours - Correct Answer-(D) At least 12 hours Chap. 1: For nursing assistants, confidentiality means (A) Not telling the nurse about possible abuse of a resident (B) Not documenting resident problems (C) Keeping resident information private (D) Sharing information with the NA's family - Correct Answer-(C) Keeping resident information private Chap. 1: One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to (A) Help keep health information private and secure (B) Help ombudsmen monitor care in facilities

Chap. 1: Which of the following is an example of physical abuse? (A) Stealing from a resident (B) Showing a resident pornographic material (C) Shoving a resident (D) Threatening a resident - Correct Answer-(C) Shoving a resident Chap. 1: What is the term for the person assigned by law to be the legal advocate for residents? (A) Activities director (B) Ombudsman (C) Medical social worker (D) Administrator - Correct Answer-(B) Ombudsman Chap. 1: Which of the following shows the correct conversion of 9:00 p.m. to military time? (A) 2300 hours (B) 2100 hours (C) 2400 hours (D) 2000 hours - Correct Answer-(B) 2100 hours Chap. 1: Which of the following occurrences is considered an incident and requires a report to be completed? (A) A resident uses the call light frequently (B) A resident yells at a family member (C) A resident accuses an NA of abusing her (D) An NA arrives late to work - Correct Answer-(C) A resident accuses an NA of abusing her Chap. 1: Which of the following shows the correct conversion of 0530 to regular time? (A) 12:30 a.m. (B) 12:30 p.m. (C) 5:30 a.m. (D) 5:30 p.m. - Correct Answer-(C) 5:30 a.m. Chap. 1: When should documentation be recorded? (A) Immediately after care is given (B) At the end of the shift (C) Whenever there is time

(D) Before the care is given - Correct Answer-(A) Immediately after care is given Chap. 1: Which of the following shows the correct conversion of 2:35 p.m. to military time? (A) 2435 hours (B) 1435 hours (C) 2235 hours (D) 1235 hours - Correct Answer-(B) 1435 hours Chap. 1: Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse? (A) Physical abuse (B) Psychological abuse (C) Financial abuse (D) Substance abuse - Correct Answer-(B) Psychological abuse Chap. 1: Which of the following statements is true of electronic/computer documentation? (A) When documenting on a computer, HIPAA guidelines do not apply (B) The NA should not have someone else enter the information for her, even if it is more convenient (C) Once documentation is complete, the NA should leave the resident's chart open in case other team members also want to document care (D) Once documentation is complete, the NA may access personal social media accounts - Correct Answer-(B) The NA should not have someone else enter the information for her, even if it is more convenient Chap. 2: When should unsafe conditions be reported? (A) When it looks likely that the facility will be involved in a lawsuit (B) Before accidents occur (C) Only is a resident wants to complain about something (D) Whenever the nursing assistant has some extra time - Correct Answer- (B) Before accidents occur Chap. 2: Which of the following is an example of objective information? (A) "Mrs. Johnson says she has a rash on her torso." (B) "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." (C) "Mrs. Johnson must have a rash because she said that she's itchy."

Chap. 2: Which of the following senses is not used in making observations? (A) Sight (B) Touch (C) Smell (D) Taste - Correct Answer-(D) Taste Chap. 2: With whom should nursing assistants use medical terms and abbreviations? (A) Residents (B) Nurses (C) Residents' friends (D) Visitors - Correct Answer-(B) Nurses Chap. 2: Which of the following should an NA report about a resident to the nurse immediately? (A) Family fighting (B) Chest pain (C) Watching too much TV (D) Acting lonely - Correct Answer-(B) Chest pain Chap. 2: The part of the word that is added to the end of a root to form a new word is called a(n) (A) Root (B) Prefix (C) Suffix (D) Abbreviation - Correct Answer-(C) Suffix Chap. 2: If a resident has a hearing impairment, the NA should (A) Face away from the resident when speaking (B) Face the resident with the light on the NA's face (C) Shout so that the resident can hear the NA (D) Exaggerate the words so that the resident can read the NA's lips - Correct Answer-(B) Face the resident with the light on the NA's face Chap. 2: One way that an NA can help a resident who is visually impaired is to (A) Move the furniture to make it easier for the resident to get around (B) Keep the lights very low (C) Use the face of an imaginary clock to explain the position of objects

(D) Walk behind the resident, lightly pushing the resident forward - Correct Answer-(C) Use the face of an imaginary clock to explain the position of objects Chap. 2: The first two steps to take when approaching an emergency are (A) Perform first aid and assess the situation (B) Call the victim's family and call 911 (C) Assess the situation and assess the victim (D) Get assistance and perform CPR - Correct Answer-(C) Assess the situation and assess the victim Chap. 2: What is the best way a nursing assistant can respond to a combative resident? (A) The NA should let the resident know that he will be discharged from the facility if he does not stop what he is doing (B) The NA should tell the resident that other NAs will refuse to care for him if he continues the behavior (C) The NA should remain calm and lower the tone of her voice (D) The NA should stand as close as possible to the resident - Correct Answer-(C) The NA should remain calm and lower the tone of her voice Chap. 2: A sign of the onset of diabetic ketoacidosis is breath that smells (A) Sour (B) Sweet (C) Garlicky (D) Bitter - Correct Answer-(B) Sweet Chap. 2: Why is it important for a nursing assistant not to overreact when a resident behaves inappropriately? (A) It may actually reinforce the behavior (B) Other residents may then copy the behavior (C) The NA's supervisor will be angry with him (D) The NA might surprise the resident - Correct Answer-(A) It may actually reinforce the behavior Chap. 2: With whom should an NA use Standard Precautions? (A) With residents who have infectious diseases (B) With residents he suspects might have infectious diseases (C) With every resident in his care

(A) Dyspnea (B) Syncope (C) Hemiplegia (D) Cyanosis - Correct Answer-(A) Dyspnea Chap. 2: A nursing assistant will come into contact with microorganisms (A) Only in high-traffic areas of the facility (B) Only during direct contact with residents (C) Only during personal care procedures (D) Every time the NA touches something - Correct Answer-(D) Every time the NA touches something Chap. 2: Which of the following is true of Transmission-Based Precautions? (A) An NA does not need to practice Standard Precautions if he practices Transmission-Based Precautions? (B) They are exactly the same as Standard Precautions (C) They are practiced in addition to Standard Precautions (D) They will not be listed in the care plan so as not to alarm anyone - Correct Answer-(D) They will not be listed in the care plan so as not to alarm anyone Chap. 2: When a resident is suspected of having a heart attack, a nursing assistant should (A) Loosen clothing around the neck (B) Give the resident some water (C) Put medication directly into the resident's mouth (D) Wait and see if the episode subsides before doing anything - Correct Answer-(A) Loosen clothing around the neck Chap. 2: What is one way that bloodborne pathogens can be transmitted? (A) By hugging an infected person (B) By infected blood entering the bloodstream (C) By standing too close to an infected person when he coughs (D) By touching something an infected person has touched - Correct Answer-(B) By infected blood entering the bloodstream Chap. 2: Insulin reaction can be caused by (A) Too little food (B) Physical or emotional stress (C) Too much food

(D) A cerebrovascular accident - Correct Answer-(C) Too much food Chap. 2: Which of the following statements is true of preventing falls? (A) Clear walkways of clutter (B) Keep lights low (C) Leave spills for housekeeping to clean (D) Move call lights further away from residents - Correct Answer-(A) Clear walkways of clutter Chap. 2: When should a nursing assistant identify a resident? (A) After giving care (B) When collecting meal trays (C) When shifts change (D) Before helping with feeding - Correct Answer-(D) Before helping with feeding Chap. 2: In which position should a resident be placed for eating? (A) Lying flat on his back (B) Reclining at a 45-degree angle (C) Sitting as upright as possible (D) Lying on his side with his arm propping up his head - Correct Answer- (C) Sitting as upright as possible Chap. 2: Hand hygiene is (A) Washing hands with soap and water or using alcohol-based hand rubs (B) Washing hands with soap and water only (C) Using alcohol-based hand rubs only (D) Wearing gloves when performing care procedures - Correct Answer-(A) Washing hands with soap and water or using alcohol-based hand rubs Chap. 2: Which of the following statements is true of body mechanics? (A) Body mechanics help save energy and prevent injury (B) The narrower a person's base of support, the more stable the person is (C) Proper alignment of the body means that the two sides of the body should not line up (D) Twisting at the waist is the best way to maintain body alignment - Correct Answer-(A) Body mechanics help save energy and prevent injury Chap. 2: When helping a resident sit up, stand up, or walk, the NA should (A) Keep her feet together

(C) A fall does not need to be reported unless the resident complains of pain (D) The resident can decide if the NA needs to report the fall - Correct Answer-(A) An incident report will need to be completed for all falls Chap. 2: To control bleeding, a nursing assistant should (A) Lower the wound below the heart (B) Use a topical antibiotic cream on the wound (C) Hold a thick pad against the wound and press down hard (D) Apply light pressure with a bandage - Correct Answer-(C) Hold a thick pad against the wound and press down hard Chap. 2: How is methicillin-resistant Staphylococcus aureus (MRSA) most often spread? (A) By direct physical contact (B) By indirect contact (C) By being in enclosed spaces (D) Through the air - Correct Answer-(A) By direct physical contact Chap. 2: What is the best way to control the spread of MRSA? (A) By taking medication (B) Through proper hand washing (C) By using masks (D) By taking doses of the antibiotic vancomycin - Correct Answer-(B) Through proper hand washing Chap. 2: Which of the following is an NA responsibility related to infection prevention? (A) Deciding which residents need Transmission-Based Precautions (B) Telling all visitors which patients have bloodborne diseases (C) Following Standard Precautions in caring for all residents (D) Capping needles and other sharps before disposing of them in the trash

• Correct Answer-(C) Following Standard Precautions in caring for all residents Chap. 2: Which of the following is a correct response is a resident is having a seizure? (A) Hold the resident down if he is shaking severely (B) Give the resident a hard piece of candy to prevent choking (C) Move furniture away to prevent injury to the resident

(D) Open the resident's mouth to move the tongue to the side to prevent choking - Correct Answer-(C) Move furniture away to prevent injury to the resident Chap. 2: A sign that a stroke is occurring is (A) Abdominal pain (B) Gasping for air (C) Low blood pressure (D) The inability to speak or to speak clearly - Correct Answer-(D) The inability to speak or to speak clearly Chap. 2: To serve hot liquids to residents, a nursing assistant should (A) Pour hot drinks away from residents (B) Place hot drinks on the edge of tables so that they will be easier to reach (C) Take lids off of hot drinks just before serving them (D) Make sure residents are standing up before serving hot drinks - Correct Answer-(A) Pour hot drinks away from residentsChap Chap. 2: What information does a Safety Data Sheet (SDS) contain? (A) Cost of the chemicals (B) Comparisons with other chemicals (C) Names of other facilities using the chemical (D) Description of emergency response actions - Correct Answer-(D) Description of emergency response actions Chap. 1: Tuberculosis may be transmitted (A) Through a protective mask (B) By dancing (C) By wearing gloves (D) By coughing - Correct Answer-(D) By coughing Chap. 2: What is the best way to control the spread of C. difficile? (A) By limiting contact of the infected person with others (B) By using more powerful antibiotics (C) By giving more enemas to clean out the GI tract (D) Through proper hand washing with soap and water - Correct Answer- (D) Through proper hand washing with soap and water

(D) Brushing teeth - Correct Answer-(D) Brushing teeth Chap. 3: Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended. Gene does not believe in God. Gene's best response is to (A) Listen quietly to Mrs. Goldman (B) Tell Mrs. Goldman that he does not believe in God and would prefer not to discuss it (C) Tell Mrs. Goldman that her beliefs are wrong (D) Ask Mrs. Goldman what makes her think that there is a God - Correct Answer-(A) Listen quietly to Mrs. Goldman Chap. 3: If a nursing assistant encounters a consenting adult resident in a sexual situation, she should (A) Provide privacy and leave the room (B) Tell him that what he is doing is wrong (C) Ask him to stop what he is doing (D) Discuss the incident with the resident's family - Correct Answer-(A) Provide privacy and leave the room Chap. 3: How can regular activity promote health? (A) It decreases the appetite (B) It increases energy (C) It increases the risk of heart disease (D) It raises the risk of falls - Correct Answer-(B) It increases energy Chap. 3: Families help residents by (A) Creating the care plan for them (B) Telling them what to do (C) Diagnosing residents' illnesses (D) Communicating with the care team - Correct Answer-(D) Communicating with the care team Chap. 3: Which of the following statements is true of the normal aging process? (A) Most elderly people are entirely dependent on others (B) Most elderly people are disabled and cannot walk (C) Most elderly people are active and engaged in activities (D) Most elderly people cannot manage their own money - Correct Answer- (C) Most elderly people are active and engaged in activities

Chap. 3: Normal changes of aging include (A) Depression (B) Thinner, drier skin (C) Significant weight loss (D) Incontinence - Correct Answer-(B) Thinner, drier skin Chap. 3: Which of the following is true of developmental disabilities? (A) Developmental disabilities are temporary (B) Developmental disabilities restrict physical and/or mental ability (C) Developmental disabilities are a form of mental health disorders (D) People with developmental disabilities can never live or work independently - Correct Answer-(B) Developmental disabilities restrict physical and/or mental ability Chap. 3: A _________ is an intense, irrational fear of or anxiety about an object, place, or situation. (A) Phobia (B) Coping mechanism (C) Fallacy (D) Situation response - Correct Answer-(A) Phobia Chap. 3: Signs and symptoms of clinical depression include (A) Apathy (B) Intense hunger (C) Sudden chest pain (D) Breath that smells fruity - Correct Answer-(A) Apathy Chap. 3: Development in children from 6 to 10 years old centers on cognitive development. (A) Developing touching and feeling skills (B) Learning right from wrong (C) Developing thinking and learning skills (D) Developing social relationship skills - Correct Answer-(C) Developing thinking and learning skills Chap. 3: Which of the following is an appropriate way for a nursing assistant to care for a resident with a mental health disorder? (A) The NA should do everything for the resident (B) The NA should administer the resident's medication