Nursing Assistant Knowledge Assessment, Exams of Nursing

Download Nursing Assistant Knowledge Assessment and more Exams Nursing in PDF only on Docsity! Nursing Fundamentals Final Exam2024-2025. Questions and Correct Answers. Graded A+ A document about personal choices regarding life support when death is likely is a. a durable healthcare power of attorney b. a Do Not Resuscitate Order c. a living will d. Hospice Care - ANSC A federal insurance plan providing benefits for older persons and some younger persons with disabilities is called: a. Medicaid b. Medicare c. Blue Cross/ Blue Shield d. Coventry - ANSB A microbe that is harmful and causes infection is called: a. reservoir b.pathogen c. a non- pathogen d. host - ANSB A resident continues to ask you the same question over and over again each time you come into the room. You should: a. Tell the person you are tired of answering the same question b. Yell at the resident c. Report the behavior d. Be patient - ANSD A resident uses crutches to walk. Which does not promote safety? a. a physical therapist measures and fits the person with crutches b. comfortable bedroom slippers won c. clothes fit well d. crutch tips are attached to the end of crutches - ANSB A rule of conduct made by the government body is called: a. A law b. Libel c. Tort d. Informed Consent - ANSA A safety device used to transfer a dependent resident from the bed to chair is called: a. posey vest b. hand roll c. transfer/gait belt d. foot board - ANSC A tube inserted into the stomach through a surgically create opening is called: a. a gastrostomy tube b. a jejunostomy tube c. a PEG tube d. a nasogastric tube - ANSC After urinating, the resident is assisted to: a. Wash their hands b. Get back in bed c. GIven something to drink d. Put in a diaper - ANSA An assisted living facility provides all of the following except: a. Housing b. Personal care c. Social activities d. 24 hour skilled nursing care - ANSD An infection of the bladder is called: a. cystitis b. pyelonephritis c. renal calculi d. dialysis - ANSA An official record of persons who have completed a Nursing Assistant training and competency evaluation programs. a. OBRA b. Civil law c. Protected nursing assistants records d. Nursing Assistant Registry - ANSD An older persons ability to sense pain is: a. Decreased b. Increased c. The same as every other adult d. the same as a baby - ANSA An uncircumcised male resident needs perineal care. Which of the following statements is true? a. the foreskin should be retracted. After cleaning, the foreskin is returned to its natural position. b. you should perform the procedures as if the resident were circumcised c. the labia are separated Downward strokes from front to back are used the area d. there is no difference - ANSA Anxiety is a. false belief b. feelings and emotions c. a persistent thought or idea d. a vague, uneasy feeling in response to stress - ANSD Bath water temperature should be at what temperature: a. 110- 115 degrees F b. 110- 120 degrees F c. 105 degrees F d. 105- 109 degrees F - ANSA Before leaving on for lunch, you need to: a. Use the bathroom and wash your hands b. Turn off the computer c. Call home and check on your children d. Tell the nurse - ANSD Before putting your patients feet on the floor for ambulation, you want to ensure: a. They wear whatever they want b. Slippers c. Cowboy boots d. Non skid footwear - ANSD Blood vessels that carry blow away from the heart are called: a. arteries b. veins c. venulee d. capillaries - ANSA Catastrophic reactions involve a. false beliefs b. restless behavior c. seeing something that is not there d. extreme responses - ANSD Communication that uses written/spoken word is: a. nonverbal b. focusing c. body language d. verbal communication - ANSD Development is a. an involuntary movement b. a skill that must be completed c. changes in mental, emotional, and straightening of a body part - ANSC Name on major contraindication to shaving a male resident with a straight razor ___________________. - ANSBlood Thinner Oral hygiene: a. is only done once daily b. is not important for the unconscious person c. causes pyorrhea d. prevents mouth odor and infection - ANSD Padding side rails on a bed serves a purpose. The purpose is: a. Restrain the patient b. Have somewhere to put the call button c. Keep the client warm d. Protect your client from possible injury - ANSD Painful or difficult urination is called a. dysuria b. micturition c. urinary urgency d. oliguria - ANSA Phantom pain is a. suddenly felt b. constant and severe c. felt at the site of tissue damage and in nearby areas d. is felt in the body part which is no longer there - ANSD Rectal temperatures are taken: a. a person has a diarrhea b. a person has had rectal surgery c. the person has trauma to their face d. the person has a heart problem - ANSC Retirement usually results in: a. Physical changes from aging b. Financial security c. Less Free Time d. Typically a lower income - ANSd Spreading rumors or talking about the private matters of others is: a. Harassment b. Gossip c. Loads of fun d. Confidentiality - ANSB Standard Precautions apply to: a. the health care team b. everyone c. nursing center residents d. persons only with infections - ANSB Stiffness or rigidity of skeletal muscles that occurs after death is called: a. DNR b. peristalsis c. postmortem d. rigor mortis - ANSD The absence of breathing is called? a. apnea b. hypoxia c. orthopnea d. dyspnea - ANSA The apical pulse is located? Choose One. a. in the neck b. at the wrist c. in the second finger d. below the left nipple - ANSD The beginning sign of a pressure sore is: a. Coolness b. Discoloration c. Swelling d. Numbness - ANSB The BEST time to prepare for a disaster is: a. During your lunch b. When everyone has gone to bed c. During a tornado or hurricane d. Before it happens - ANSD The call bell or signal light should ALWAYS be: a. on the bedrail b. attached to the pillow c. within the patients reach d. on the arm of the chair - ANSC The following are risk factors for coronary artery disease. Which risk factor can not be changed a. lack of exercise b. smoking c. being overweight d. your mother and father both had heart attacks at 40 and 48 - ANSD The following statements are about restraint use. Which is false? a. the least restrictive method is used b. restraints require a doctors order c. restraints can cause serious harm d. restraints are used to discipline a person who is uncooperative with care - ANSD The goal of the healthcare team is to: a. Carry out the MDs orders b. Develop plans of care for residents c. Provide quality care d. Complain about the workload - ANSC The largest art of the brain and the center of thought and intelligence is: a. midbrain b. brainstem c. cerebellum d. cerebellum - ANSD The loss of urine in response to a sudden, urgent need to void is called: a. mixed incontinence b. functional incontience c. overflow incontinence d. urge incontinence - ANSB The most common cause of COPD/emphysema is: a. Pollution b. Family History c. Asthma d. Smoking - ANSD The most common mental health problem is a. delirium b. alcoholism c. depression d. anxiety - ANSD The normal body temperature range for the rectal site is: a. 98.6 to 100.6 degrees F b. 96.6 to 98.6 degrees F c. 97.6 to 99.6 degrees F d. 99.6 to 101 degrees F - ANSA The nurse asks you to give Mrs. Jones a milk and molasses enema. Should you give the enema? - ANSNo The nurse tells you to perform a procedure. Which is not true? a. The nurse must be available to answer questions and supervise b. Do whatever the nurse tells you to do c. The procedure must be in your job description d. Your state must allow nursing assistants to perform the procedure - ANSB The period of heart muscle relaxation is called a. diastole b. systole c. blood pressure d. mean arterial pressure - ANSA The process of becoming "unclean" is called: a. asepsis b. disinfection c. contamination d. immunity - ANSC The role of the ombudsman is: a. Work with the nursing home to protect the clients rights b. Control the nursing home budget c. Prepare classes that nurses aides take to learn hygiene d. Run a group of nursing homes - ANSA The spread of cancer to other body parts is called: a. gangrene b. Benign tumor c. metastasis d. malignant tumor - ANSC The surgical replacement of a joint is called: a. open reduction b. healing fracture c. osteoporosis d. arthroplasty - ANSD The type of bone that bears weight of the body is called: a. long bone b. flat bone c. irregular bone d. short bone - ANSA The word ACUTE when used to define illness means: a. an illness for which there is no reasonable expectation of recovery b. an ongoing illness for which there is no cure c. a sudden onset to an illness d. an illness that is gradual - ANSC Those persons who provide basic nursing care under the supervision of a registered nurse or a licensed practical nurse are: a. Licensed practical nurse b. Case managers c. Assistive personnel d. The "health care team" - ANSC To prevent aspiration when providing oral care to the unconscious person, you should a. place a kidney basin under the persons chin b. clean the mouth using sponge swabs moistened with a cleaning agent c. explain the procedure to the persons and provide for privacy d. position the resident in a side-lying position with the head turned to the side. - ANSD To prevent shampoo from getting into your residents eyes, you should: a. Use a hand held nozzle b. Use dry shampoo c. Rinse the hair throughly d. Use a washcloth to cover the eyes - ANSD To residents share a room. One family wants to take pictures of the two residents together. A persons picture taken without permission is called: a. Assault b. Malpractice c. Negligence d. Invasion of Privacy - ANSD To use reagent strips correctly, you should: a. ask the nurse b. check the plan of care c. check your ANSFalse True or False A back massage is safe for everyone - ANSFalse True or False A malignant tumor grows slowly and does not invade healthy tissue - ANSFalse True or False Acute confusion is usually permanent - ANSFalse True or False All colostomies are permanent - ANSFalse True or False As a nursing assistant it is your responsibility to check IV flow rates - ANSFalse True or False Battery is threatening to touch a person's body without their consent - ANSFalse True or False Before using your stethoscope on a resident you should wipe the earpieces and diaphragm with antiseptic wipes. - ANSTrue True or False Dementia is a normal part of aging - ANSFalse True or False Even with residents of nursing facilities, use of condoms will prevent STDs. - ANSTrue True or False Everyone has a bowel movement everyday - ANSFalse True or False Everyone who works at an agency as the right to read the patient.residents records - ANSFalse True or False Follow Standard Precautions and the Bloodborne Pathogen Standard when giving oral care - ANSTrue True or False Hematuria means blood in the stool - ANSFalse True or False I will document appropriately, date, time, event and not leave anything out! - ANSTrue True or False If you call the resident by name and the respond. You know it is them. - ANSFalse True or False In healthy adults, respirations should be between 24-30 - ANSFalse True or False Inappropriate sexual behaviors by the resident are always on purpose - ANSFalse True or False Listen and use silence when dealing with an angry person - ANSTrue True or False Most residents enjoy enemas - ANSFalse True or False Nursing Assistants are responsible for starting oxygen therapy - ANSFalse True or False Pain that is described as "chronic" means it is sudden onset - ANSFalse True or False Reporting and recording are done before you give the patient care - ANSFalse True or False Sodium causes the body to retain water - ANSTrue True or False Stroke is leading cause of disability in adults - ANSFalse True or False Taking an apical pulse requires a stethoscope and some sort of clock - ANSTrue True or False The blood pressure cuff works best if applied over clothing - ANSFalse True or False The enema tubing is usually inserted 6 inches into the adult rectum - ANSTrue True or False Trochanter rolls prevent the hips from turning inward - ANSTrue True or False Urinary urgency is the loss of bladder control - ANSFalse True or False When residents are sick they are hungrier - ANSFalse True or False Women in nursing homes are not interested in shaving their underarms and legs - ANSFalse True or False You should always make yourself at home and sit on the resident bed while feeding - ANSFalse True or False You should pick your residents daily activities and make them go - ANSFalse What Act did Congress pass in 1987, to protect the quality of life, health and safety of nursing home residents? a. MedicareAct of 1987 b. Patients Bill of Rights c. EMTALA d. Omnibus Budget Reconciliation Act - ANSD What are the most obvious indications of hearing impairment? a. resident speaks loudly b. resident leans forward to hear c. resident turns or cups their better ear toward the speaker - ANSD What can happen is constipation is not relieved? a. Enema b. Diarrhea c. Incontinence d. Fecal Impaction - ANSD What does not promote effective listening? a. sitting back in the chair with your arms crossed b. making eye contact c. facing the person d. asking appropriate questions - ANSA What is the besy way to promote the resident independence in bathing a resident who has had a stroke? a. Limit the client to washing her hands b. Leave the client alone and assume the client will do as much as she can c. Encourage the client to do as much as possible and assist as needed d. Give the client a complete bed bath only if requested - ANSC What is the term for a device used to take the place of a missing body part? a. Pronation b. External rotation c. Amputation d. Prosthesis - ANSD What type of specimen is collected for a basic routine urinalysis: a. random urine specimen b. 24 hour urine specimen c. a clean cath urine specimen d. a midstream specimen - ANSD When changing an unsterile dressing, the nurse aide should wash hands: a. before the procedure b. after the procedure c. before and after the procedure d. before, after the removal of the soiled dressing, and after the procedure - ANSD When logrolling a resident, you must: a. make sure the bed is in Fowlers position b. make sure the bed is in the lowest position c. make sure that both bed rails are up d. turn the person as a unit, in alignment, with one motion - ANSD When making an occupied bed, the nursing assistant should: a. raise the side rail on the unattended side b. lower both side rails before changing the bed c. help the client to sit in a chair while the bed is made d. put the dirty sheets on the floor - ANSA When performing perineal care, you should clean the: a. labia b. urethra to the anal area c. anal area to the urethra d. buttocks to the urethra - ANSB When removing soiled linens, you must wear: a. A gown b. Face Mask c. Eye Protection d. Gloves - ANSD When taking an oral temperature with a glass thermometer. The thermometer must be left in place: a. 15 seconds b. 3 minutes c. 45 seconds d. 8 minutes - ANSB When transferring a resident to a wheelchair: a. The brakes must be locked b. Hold the handgrips c. Put your foot on the back of the wheels to hold in place d. Stand on the footplates - ANSA When you assist a person to ambulate/walk, what should would do first: a. Apply braces to the legs b. Get crutches, cane or walker c. Apply a gait belt d. Get the patients glasses - ANSC Where does digestion begin? a. stomach b. esophagus c. mouth d. intestines - ANSC Which is more correct measure of urinary output? a. 30 oz b. 300ml or cc c. 2 cups d. 1 gallon - ANSB Which is not a rule for collecting specimen? a. use a clean vital sign that is changed from a prior reading c. when you took the measurement d. vital signs within the normal range - ANSB You are unsure of a vital sign measurement taken by you. You must: a. promptly ask the nurse to take it again b. ask another nursing assistant to check it for you c. report what you think d. wait an hour and then try again - ANSA You come into a room and find a patient having a seizure. You should: a. leave and find help b. remove any object the patient may hit c. restrain the patient's movements d. raise the foot of the bed - ANSB You enter a patients room and the resident states they are in pain. What should you do? a. ignore the clients statements b. tell the clients to suck it up the pain will go away c. report it to the nurse d. tell the client they will feel better if they just get out the bed - ANSC You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse. Where would you opt to have this discussion? a. In the patients room b. In the hallway with the family c. In private d. At the local bar - ANSC You go to check on a resident and the gown is soiled. The next action should be: a. clean the patient and put the soiled gown back on b. leave the patient dirty and change the gown c. clean the patient and put on a clean gown d. walk out of the room - ANSC You go to check on Mrs. Jones, she is very agitated. Your task is to give her a bed bath, When you walk in the room, she tells you "Get out of here. I do not want a bed bath". What should you do? a. Speak loudly because maybe Mrs. Jones didn't hear or understand you. b. Run c. Tell the client they have no choice, shut up and lets get cleaned up d. Talk calmly, slowly, reassure the client. Do not force them. Report the refusal to the nurse. - ANSD You must check the MSDS a. before using a hazardous substance b. after cleaning up a leak or spill c. at the beginning of the shift d. at the end of the shift - ANSA You promote quality of life by: a. Delegating tasks to your coworkers b. Making sure you bring your resident chocolate and Starbucks c. Doing everything for the patient, they don't need to lift a finger d. Speaking to individuals in a respectful manner - ANSD You walk into check on your resident. They are in the bed, sweaty, seem really "out of sorts", and clutching their chest. You suspect: a. Stroke b. Heart attack c. TIA d. COPD - ANSB Your patient has left sided weakness, how do you put on their shirt? a. Clients choice b. Right sleeve c. Left sleeve d. Both sleeve together - ANSC Your patient's roommate has just died, how can you BEST help the client with the loss? a. Discourage individual activity b. Encourage the client talk c. Convince the client its no big loss. The roommate was a complainer d. Leave the client alone - ANSB Your personal feelings about death a. affect the care you give b. are shared with the dying person c. do not matter while you are working d. are shared with the resident and their family - ANSC Your resident has a history of a stroke with residual weakness, you are asked to ambulate them. You should: a. Assist on weak side b. Assist on strong side c. Put them in a wheelchair d. Stand in front of them like you are a walker - ANSA Your resident has an ileostomy. Which statement is fake? a. the ostomy pouch must fit well b. food skin care is needed c. the entire large intestine has been removed d. the stool is formed - ANSD Your resident is "comatose" you should assume: a. They can hear b. They can see c. They can touch d. They can speak - ANSA Your resident is in back lying position. This is called: a. prone b. supine c. High Fowlers d. dorsal recumbent position - ANSB Your resident is wealthy. He offers you a "little gift" in the form of cash for providing expert care. You should: a. Accept and say nothing b. Accept like a tip and share it with your coworkers c. Refuse graciously d. Look to see if anyone is listening or watching - ANSC Your resident wears dentures. What should you check the dentures for when providing oral care? a. bleeding gums b. irritation or watch patches in the mouth c. dryness and cracks in the oral mucousa d. rough, sharp or chipped areas - ANSD Your task is to help Mrs. Morris to eat lunch. Which statement below is incorrect? a. use a spoon for safety b. serve solid foods first and then liquids c. serve the foods in order she prefers d. tell her what food and fluids are on the tray - ANSA