Nurc 1001 final exam Question & Answers 2024, Exams of Nursing

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What does a nurse aide do? - Correct Answers ✅Spends the most time with residents, works under the delegation and supervision of a licensed nurse, informs the nurse of any changes in the residents condition. follows a plan of care developed by the interdisciplinary team for each resident. Tasks and responsibilities of a nurse aide? - Correct Answers ✅Assures each resident receives correct diet, assist the resident with meals, fill the resident's water pitcher or assist resident to obtain water and fluids, calculate and record meal percentage on dietary record sheet, assist residents to and from the dining room. Records weight of resident, records I and Os Assist in admission, transfer and discharge of residents. Documents care on flow charts, reviews assignment sheets, completes assignment or worksheets and reports on and off duty for breaks, provides input to assessment and care plan. What work ethics and proper behaviors do nurse aides have at work? - Correct Answers ✅accountability, accuracy, competency, cooperation, courtesy, delegation, interpersonal skills, hygeine, time management, goal setting, stress, keeping promises and doing what you should with regard to the rules, responsibility,dependability, What is meant by empathy? - Correct Answers ✅Put someone else in your shoes

What is meant by sympathy? - Correct Answers ✅Feelings of sadness for someone else's misfortune What is meant by delegation? - Correct Answers ✅The nurse athorizes the NA to perform certain tasks, The nurse is legally accountable for the task. The delgated task must be within legal limits of what a NA can do. Plus, promotes the safety. Who does the nurse aide report to? - Correct Answers ✅The Nurse What attitude, appearance and behaviors should a nurse aide resemble? - Correct Answers ✅Should have dependability, Accuracy, Should have good personal hygeine and professional uniform with proper fit, clean and pressed and approprite underclothing fit, style and color. Fingernails are to be short,neat and clean according to facility policy, no artificial nails or nail jewelry, name tag placed correctly, long hair pulled up, comfortable non permeable shoes. What is OBRA and what does it do? - Correct Answers ✅Omnibus Budget Reconciliation Act and it sets training and competency evaluation requirements for nursing assistants and assesses written and skills.

What are the nurse practice acts? - Correct Answers ✅They regulate nursing practice in that state and defines Rn and LPN and LVn and proect the public from person practicing nursing without a license. Which law addresses the training of nurse aides to work in long term care? - Correct Answers ✅OBRA What is the minimum number of hours for a nurse aide class? - Correct Answers ✅75 hours What is meant by continuing education for nurse aides and what requirement applies to nurse aides who are working in a long term care environment? - Correct Answers ✅Each Nurse aide is expected to attend in-service s required by their employer in long term care facility, current requirement is 12 hours. What is meant by state testing? - Correct Answers ✅Test knowledge written exam and through the skills learned in class. What do you bring to state test? - Correct Answers ✅Drivers license and original copy of social security card. How many times can the nurse aide take the state test? - Correct Answers ✅ 3

What is the nurse registry and its purpose? - Correct Answers ✅Tracks individuals who have successfully state tested for employment in LTCFS and maintatins record of those NAs who had finding of abuse, neglect, or misappropriation of funds. How long does a nurse aides name stay active on the registry? - Correct Answers ✅2 years and then renews. What is a survey and who surveys? - Correct Answers ✅research method used for collecting data from people to gain information, state health department. Why is a survey completed? - Correct Answers ✅To know how things are going in that facility and how to make it better. What is the role of the nurse aide during a survey? - Correct Answers ✅do your tasks the way you know them provide correct patient care skills, hygeine, infection control and keep yourself safe and your resident. What is an ombudsman? - Correct Answers ✅A residents advocate. what are resident rights? - Correct Answers ✅

How does the nurse aide assist a resident to be more independent? - Correct Answers ✅Encouraging them to do things What does slander mean? - Correct Answers ✅Words falsely spoken that damage the reputation. What does libel mean? - Correct Answers ✅Written untruths that are harmful to someone's reputation. What does neglect mean? - Correct Answers ✅Failure to provide the resident with the goods or services needed to avoid physical harm, mental anguish, or mental illness. What does negligence mean? - Correct Answers ✅An unintentional wrong. The person did not act in a reasonable and careful manner. As a result a resident or resident's property was harmed. What is a malpractice? - Correct Answers ✅Negligence by a professional person as a doctor, nurse, or dentists. What is a acute illness? - Correct Answers ✅a disease with an abrupt onset and usually a short cause.

What is a chronic illness? - Correct Answers ✅Disease that cant be cured by medication, last more then 3 months and cant be prevented by vaccines or anything. What is a terminal illness? - Correct Answers ✅A disease that cant be treated and commonly causes someone to die. What is the role of a long-term care facility? - Correct Answers ✅to assist residents that have a hard time doing activities of daily living such as bathing and getting up on their own and using the bathroom and stuff with help. What is the goal of rehabilitation? - Correct Answers ✅To be able to do as many as possible activities of daily living and or get them back to themselves. Why do residents fall? - Correct Answers ✅age, mobility, elimination,mental status and medications and not answering the call light quick enough when needing help. How do we prevent falling? - Correct Answers ✅shoes or slippers with non- skid shoes, tie shoes laces, avoid long gowns or robes, avoid the use of throw rugs, wipe up all liquid spills immediately, encourage the use of hand rails, Non- skid tips of canes, walkers and chair legs.

What are complications of falling? - Correct Answers ✅can lead to many health problems such as pneumonia, pressure ulcers, hypothermia, dehydration and even death usually get hospitalized. What is postural hypotension? - Correct Answers ✅reduction in systolic blood pressure after standing for at least one minute. When are residents likely to fall? - Correct Answers ✅call lights not answered for their needs. What is verbal and nonverbal communication? - Correct Answers ✅Verbal: Communicated that uses written or spoken words. Nonverbal: Does not use words, uses gestures, postures, touch, eye contact, facial expressions, body movements and apperance How do you communicate with vision impaired residents? - Correct Answers ✅Keep eyeglasses clean, have them wearing correct eyeglasses, store eyeglasses properly, keep environment clear and free of clutter. put everything away where it was found do not rearrange room, introduce self and offer explanation of what you are about to do when entering the room. Always tell the residents what you are doing while caring for them.

How do you communicate with hearing impaired residents? - Correct Answers ✅Get the residents attention first make sure the resident can see you, touch the resident lightly to indicate that you wish to speak, keep the light behind the resident, so your face can be clearly seen. A resident may read lips or interpret facial expressions. Speak in a normal voice, speak slowly, distinctly and naturally. Do not shout words spoken clearly are easier to hear then ones screamed. How do you communicate with speech and physically impaired residents? - Correct Answers ✅Ask the resident questions you know the answer to so you can become familiar with the sound of their voice, Watch the resident's lip movement, Ask the resident to write down their messages if possible, ask the resident to repeat if needed, repeat what you think the message is for clarity. How do you communicate with depressed residents? - Correct Answers ✅Be a good listener, spend quality, goal oriented time with resident, be patient allow resident time to speak, return on schedule to give care, focus on activities such as reading, solving a puzzle, report any complaint to nurse for evaluation, provide a safe environment. How do you communicate with confused residents? - Correct Answers ✅begin conversation by identifying yourself and calling the resident by name, use short, common words and short simple sentences, communicate at eye level, maintain a pleasant and calm facial expression.

How do you communicate with non english speaking residents? - Correct Answers ✅identify residents primary language, role of translators, seek the assistance of family members, friends, staff, other residents who speak the language, speak slowly and clearly, keep messages short and simple, be alert for words the residents may understand, use gestures, pictures, photos, be patient and calm, avoid medical terms, abbreviations and slang, alert nurse if communication is not effective. How do you communicate with agitated residents? - Correct Answers ✅speak calmly, show a positive attitude, stay flexible, be patient, listen to resident's concerns, demonstrate understanding of resident's anger/fears, protect yourself with a pillow incase of any blows. What is aphasia? - Correct Answers ✅Total or partial loss of the ability to use or understand language. How do you address residents? - Correct Answers ✅You say who you are and your role there and what you are going to do. How do you care for a hearing aid? - Correct Answers ✅Replace batteries, clean according to instructions, notify the charge nurse if hearing aid is not functioning properly, store according to instructions, when not in use remove batteries and turn hearing aid off.

How does a hearing aid work? - Correct Answers ✅Receives sound through the microphone, which converts the sound waves to electrical signals and sends them to an amplifier where it increases the power of the signals and sends them to the ear through a speaker. What are the rules for charting? - Correct Answers ✅Report your actions and observations to the nurse, document findings promptly, complete flow sheets or work sheets, a medical record is the property of the facility, Residents who wish to see their chart should do so with the nurse's permission. Always use ink, use military time, write legibly and neat, use agency approved abbreviations, record safety measures, never erase or white out, do not skip lines and many more. What is a care conference? - Correct Answers ✅conferences discusses how to better help someone with the people involved in the care plan. What is a care plan? - Correct Answers ✅resident care problems and strengths are addressed by the healthcare team and approaches are made to help the resident. What is meant by standard precautions? - Correct Answers ✅Handwashing, use of gloves, gowns and masks, proper disposal of sharps, proper handling of contaminated lines and wastes.

What are bloodborne pathogens? - Correct Answers ✅infectious microorganisms in human blood that can cause disease in humans. What is a infection? - Correct Answers ✅disease resulting from the invasion and growth of microorganisms. Systemetic: the body, local the specific area. What are the signs and symptoms of a infection? - Correct Answers ✅increase in body temperature, redness, warmth and pain in affected area, swelling, loss of function or movement of affected part, sores in mucous membranes, increase in amount, change in color or odor of drainage, change in bowel movement or urine. What is the chain of infection? - Correct Answers ✅infectious agent, reservoir, portal of exit, mode of transmission, portal of entrance, host. What is hand hygiene? - Correct Answers ✅proper use of washihang hands such as washing them before and after contact with resident, using enough soap to produce lather, rub soap vigorously over all surfaces of hands, hold hands lower than elbows, rinse hands thoroughly, dry hands with clean paper towel, using clean towel to turn off faucet.

How can we prevent infections? - Correct Answers ✅handwashing well, cleaning unit, handling linen properly, disposing of contaminated articles, cleaning equipment, personal hygiene, resident hygiene. What is HBV? - Correct Answers ✅inflammation of liver, present in blood and body fluids of infected person, spread through contaminated blood, iv drug use, sexual contact, hbv vaccine, can become chronic. What is HCV? - Correct Answers ✅inflammation of the liver spread by contaminated blood, iv drug use, high-risk sexual activity, no vaccine. What is Aids? - Correct Answers ✅bloodborne pathogen that attacks the immune system spreads through body fluids and is life threatening no vaccine. What is Tuberculosis? - Correct Answers ✅potentially serious infectious bacterial disease that mainly affects the lungs and is highly contagious by airborne droplets. What is a pathogen? - Correct Answers ✅bacteria, virus or other microorganism that can cause disease.

What is scabies? - Correct Answers ✅skin disorder caused by a female mite small spider like organisms burrows into skin and lays eggs rash with intense itching highly contagious via direct contact. What is C-Diff? - Correct Answers ✅spore forming anaerobic bacteria, produces toxin, watery diarrhea, fever, nausea, anorexia, abdominal pain, spreads to inanimate objects via unwashed hands of infections person toilets, sinks, personal items and then to others touching items. What is isolation? - Correct Answers ✅voluntary or compulsory separation and confinement of those known or suspected to be infected with a contagious disease agent. What is contact isolation? - Correct Answers ✅used for infections, diseases, or germs that are spread by touching the patient or items in the room. Healthcare workers should wear a gown and gloves while in the patients room. What is airborne isolation or droplet? - Correct Answers ✅used for diseases or germs that are spread in tiny droplets caused by coughing and sneezing healthcare workers will wear gloves, gown and a surgical mask.

What is RACE? - Correct Answers ✅R: rescue residents, A: Activate alarm, C: Confine fire, E: Extinguish or evacuate. What is PASS? - Correct Answers ✅P: Pull the pin, A: Aim toward the base of the fire, S: Squeeze the handle, S: sweep the base of the fire. What is the proper job for the use of oxygen? - Correct Answers ✅Nurse adjusts settings for liters flow, NA observes settings for accuracy, Be aware of 02 tubing, keep 02 tubing off floor report repair needs to nurse, report any 02 problems to nurse, keep kink free. What is the Heimlich Maneuver? - Correct Answers ✅used to get out whatever someone may be choking on use hands find belly button go down a little bit do it three times and ask if still choking. How do you know if the resident is choking? - Correct Answers ✅not speaking or coughing and grabbing their neck with their hands. What are the rules for ambulation? - Correct Answers ✅should have resident wearing skid- proof shoes, follow plan of care to determine which device resident uses, use resident's personal walker, cane, crutches.

What are the rules for a gait belt? - Correct Answers ✅apply around waist leave enough room for two finger widths. What are the rules for vest restraint or any restraints? - Correct Answers ✅restraint can only be applied by direction of nurse per physicians order, always follow manufactures instructions, the resident should be allowed as much movement as possible, observe every 15 minutes, release and exercise limb and provide skin care, ambulate or reposition the resident, offer toileting or change, offer fluids or nourishment, reinforce the safety reason for the restraint. What are the rules for Mechanical Lifts? - Correct Answers ✅make sure lift works, check weight limit and that it works with residents weight, make sure sling, straps, hooks, and chains are in good repair, never operate it alone need two people for safety reasons, lock all brakes after positioning, position sling pad with back of residents knee, secure the resident in the straps or slings, ask resident to place arms across chest. What is the different pressure areas? - Correct Answers ✅shoulder blades, elbows, knees, heels, ankles, backbone, hips, coccyx, ears, any part of the body may have skin breakdown. How can we prevent the pressure, and what are signs and symptoms of too much pressure? - Correct Answers ✅turn resident every two hours, reposition resident in chair every one hour if resident unable to

move self, remove ben pan promptly, keep bed linens or residents clothing free from wrinkles, and excessive padding, apply pressure relieving devices per plan of care. What is a skin tear and how do we prevent it? - Correct Answers ✅break or rip in the skin, epidermis separates from the underlying tissue, usually occurs during adls. What is TPR and BP? - Correct Answers ✅temperature, pulse and respirations. Blood pressure What are the normal ranges? - Correct Answers ✅resp: 12-20, pulse 60-100,120/ What is Hypo and hypertension? - Correct Answers ✅hyper: remain above 140mm or diastolic of 90, hyper remain below 90 systolic, diastolic below 60 mm. What is nutrition? - Correct Answers ✅obtaining and providing the correct amount of food for health and growth. What diets may be ordered? - Correct Answers ✅puree, house or regular, mechanical soft, clear liquid, full liquid.

What is dysphagia and the signs and symptoms? - Correct Answers ✅difficulty and discomfort during swallowing, coughing during or after meals, choking during meals, dribbling saliva, or fluid from mouth, hoarseness or gurgly voice quality during or after meal, pocketing of food, food coming out of nose. What is I and 0 and how do we calculate it? - Correct Answers ✅intake and output, 30ml=1 ounce What is diabetes? - Correct Answers ✅body cannot produce or use insulin which is needed for sugar use. sugar builds up in blood. What are the symptoms of hypo and hyperglycemia? - Correct Answers ✅hypo: feeling shaky, blurry or double vision, sweating, cool clammy skin, rapid heart rate and breathing, headache, hunger, insulin shock. hyper:excessive urination, thirst, hunger, unplanned weight loss, fatigue, blurry or double vision, headahce, irrtability, dry, flushed skin, sweet breath, dehydration seizures and coma. What are some of the common feeding tubes used? - Correct Answers ✅peg tube, nasograstric, nasoenteral, gastrostomy. How does a nurse aide care for a resident with a feeding tube? - Correct Answers ✅know whether resident is nothing by mouth or

not keep head of bed elevated to a 30-45 degree angle to prevent vomiting and aspiration, do oral care every two hours. What are some of the common health problems and symptoms? - Correct Answers ✅copd, pneumonia inflammation and infection of lung tissue, tuberculosis: bacterial infection that may affect lungs. What can a nurse aid do to help a resident with hip repair? - Correct Answers ✅turn and reposition, use abduction wedge/pillow, physical therapy, transfer to w/c elevated toilet seat, avoid bending hip more then 90 degrees, remind resident not to cross legs, elastic stockings. What can a nurse aide do to help a resident with a stroke? - Correct Answers ✅provide for safety of resident, prevent injury to paralyzed parts, consider the resident first the disease second. What steps would be helpful in caring for someone that is confused? - Correct Answers ✅follow resident's normal schedule, follow safety guidelines, face the resident to speak clearly and slowly, state your name show your name tag, repeat date and time as needed explain what you plan to do with resident. What is normal urinary elimination? - Correct Answers ✅straw or yellow color, clear

What is normal bowel elimination? - Correct Answers ✅brown in color, formed, frequently may vary and other things change color of pool. How do we promote normal elimination? - Correct Answers ✅be alert to residents cues, establish a regular schedule for toileting follow resident's care plan, toileting resident promptly when requested. What is incontinence? - Correct Answers ✅having no voluntary control over urinary or defecation. How do we care for the incontinent resident? - Correct Answers ✅check at least every two hour, change clothes and linens if needed, wash and dry affected skin, use adult disposable protective undergarments, use protective pads on residents bed, treat resident with respect. What is catheter care? - Correct Answers ✅provided every two hours cleaning perineum, catheter and emptying it out every two hours and checking the amount. What is a UTI? - Correct Answers ✅urinary tract infection caused by bacteria that causes burning and to pee a lot.

What is meant by ROM? - Correct Answers ✅range of motion exercising all joints through their full motion, to prevent contractures and muscle atrophy. What is trap? - Correct Answers ✅T: Tremors R: ridgid movements A:akinsea moving slowly P:postural instability impaired balance and coordination. What is atrophy? - Correct Answers ✅when muscles waste away What is a contracture? - Correct Answers ✅result of stiffness or constriction in the connective tissues of your body. How are these conditions prevented? - Correct Answers ✅by exercising the muscles as much as you can or are able to. What are the developmental tasks associated with aging? - Correct Answers ✅adjusting to decreased strength and loss of health, adjusting to retirement and reduced income, coping with partners death, developing new friends and relationships, preparing for ones death, maintaining satisfactory living arrangements realigning

relationships with adult children, finding meaning in life, developing sense of spirituality. What physical changes occur with aging? - Correct Answers ✅sensory loss vision and hearing, changes in sleep patterns, slower sexual responses, prone to certain chronic conditions, postural changes, less efficient elimination, less tolerance for glucose, gray hair and dry skin. What is the difference between sex and sexuality? - Correct Answers ✅sex: physical activities involving the reproductive organs done for pleasure or to have children. sexuality: the physical, psychological, social, cultural, and spiritual factors that affect a person's feelings and attitudes about his or her sex. How can the nurse aide assist the resident to promote his/her sexuality? - Correct Answers ✅encourage grooming routines, assist women with makeup application, nail polish, lotion. Assist men to shave and wear cologne hair care is important for men and women. Encourage choice of clothing, protect the resident's privacy while caring for them, knock before entering room. What are the stages of death and dying? - Correct Answers ✅denial, anger, bargaining, depression, acceptance.

What is the role of a nurse aide during death? - Correct Answers ✅provide for keeping the resident warm, consider the wishes of the resident, resident wishes come first but if the resident is unable to communicate involve the family, provide for skin cleanliness due to perspiration and possibly to incontinence, change position to prevent skin breakdown, give special attention to mouth care and take measures to moisten the mouth to promote comfort, provide spiritual support. What are the signs of death? - Correct Answers ✅blood circulation slows, causing cold feet and hands, pale skin, eye movement is reduced or absent, falling, perspiration even though the body is cold, loss of muscle tone, rattling. What may influence your feelings about death? - Correct Answers ✅personal experience, culture, religion, age. What is a hippoviolation? - Correct Answers ✅posting something from work on social media without permission.