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Hartman's Nursing Assistant Care
Chapter's 1-3 Exam Questions &
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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 - 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. - 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. - 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 - 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 - 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 - 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) - 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 - 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 - ANSWER-(D) The care team revolves around the resident and her condition, treatment, and progress Chap. 1: Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? (A) The NA should not perform the activity if it is not listed in the care plan (B) The NA should perform the activity if he believes it is best for the resident (C) The NA should only perform the activity if the resident says he wants it performed (D) The NA should consult other NAs to see if they would perform the activity - ANSWER-(A) The NA should not perform the activity if it is not listed in the care plan Chap. 1: A nursing assistant tells a resident that her grandchildren are noisy and disrupt the facility and suggests that next time her daughter visits, she should leave the kids at home. Which Residents' right might this behavior violate? (A) The right to voice complaints without fear of punishment (B) The right to refuse medication and treatment (C) The right to have visitors (D) The right to confidentiality - ANSWER-(C) The right to have visitors
(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 - 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 - 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 - 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 - 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 - 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 - 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 (C) Give nursing assistants proper health insurance coverage
(D) Prevent abuse and neglect of residents - ANSWER-(A) Help keep health information private and secure Chap. 1: Which of the following is an example of sexual abuse? (A) Rubbing up against a resident inappropriately (B) Confining a resident in a separate physical space without the resident's consent (C) Using alcohol in a harmful way (D) Failing to provide needed care for a resident - ANSWER-(A) Rubbing up against a resident inappropriately Chap. 1: An NA is caring for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them turns to the NA and says in a loud voice, "She looks so dumb with half of her face drooping down like that. Isn't there something you can do to fix that?" What kind of abuse is that? (A) Physical Abuse (B) Psychological Abuse (C) Sexual Abuse (D) Involuntary Selection - ANSWER-(B) Psychological Abuse Chap. 1: If an NA makes a mistake in handwritten documentation, how should she correct it? (A) By erasing it and writing in the correct information (B) By drawing a single line through it, then writing the correct information (C) By using correction fluid to cover the error, then writing the correct information (D) By discarding the chart and starting a new one - ANSWER-(B) By drawing a single line through it, then writing the correct information Chap. 1: A resident's protected health information (PHI) may be shared with (A) The resident's friends who live in the facility (B) Those who need the information for care or processing of records (C) The nursing assistant's family and friends as long as they agree not to share it (D) Anyone who works at the facility - ANSWER-(B) Those who need the information for care or processing of records 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 - 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 - ANSWER-(B) Ombudsman
(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 - 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 - 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." (D) "Mrs. Johnson needs some lotion." - ANSWER-(B) "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." Chap. 2: What is a proper way for a nursing assistant (NA) to respond if a resident does not hear her or does not understand her? (A) The NA should speak more quickly (B) The NA should speak more softly or whisper (C) The NA should speak slowly and clearly (D) The NA should shout - ANSWER-(C) The NA should speak slowly and clearly Chap. 2: Which of the following is an example of a barrier to communication? (A) NA uses medical terminology with a resident (B) NA asks the resident to repeat a sentence (C) NA speaks the same language as the resident (D) NA speaks clearly using a professional tone of voice - ANSWER-(A) NA uses medical terminology with a resident Chap. 2: Which of the following are ways for NAs to avoid barriers to communication? (A) The NA should use slang so that the resident understands more easily (B) The NA should respond "Why?" when the resident makes a statement (C) The NA should use medical terms when talking with the resident so the resident will more easily understand his condition (D) The NA should ask open-ended questions that require more than "yes" or "no" responses - ANSWER-(D) The NA should ask open-ended questions that require more than "yes" or "no" responses Chap. 2: Why is it important for an NA to consider a resident's cultural background when communicating with him? (A) It is not important to consider cultural background
(B) Because the resident will certainly want to tell stories about his culture (C) Because the NA might know somebody with the same background and she can tell the resident about that person (D) Because cultural background helps determine how people communicate and can help the NA communicate better with the resident - ANSWER-(D) Because cultural background helps determine how people communicate and can help the NA communicate better with the resident Chap. 2: Which of the following senses is not used in making observations? (A) Sight (B) Touch (C) Smell (D) Taste - ANSWER-(D) Taste Chap. 2: With whom should nursing assistants use medical terms and abbreviations? (A) Residents (B) Nurses (C) Residents' friends (D) Visitors - 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 - 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 - 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 - 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
Chap. 2: Which of the following is true of wearing gloves? (A) Disposable gloves can be washed and reused (B) Gloves should be changed before contact with mucous membranes (C) After giving care, gloves are not contaminated (D) Gloves can continue to be worn if they are torn as long as the hole is covered - ANSWER-(B) Gloves should be changed before contact with mucous membranes Chap. 2: In which of the following situations should an NA give abdominal thrusts to a resident? (A) The resident is coughing (B) The resident cannot speak, breathe, or cough (C) The resident is breathing very rapidly (D) The resident tells the NA that she feels short of breath - ANSWER-(B) The resident cannot speak, breathe, or cough Chap. 2: When washing hands, an NA should use friction for (A) At least 25 seconds (B) At least 20 seconds (C) At least 15 seconds (D) At least 5 seconds - ANSWER-(B) At least 20 seconds Chap. 2: Which of the following is the proper order to don personal protective equipment (PPE)? (A) Put on mask and goggles, gown, and gloves (B) Put on gloves, gown, and mask and goggles (C) Put on mask and goggles, gloves, and gown (D) Put on gown, mask and goggles, and gloves - ANSWER-(D) Put on gown, mask and goggles, and gloves Chap. 2: What is the medical term for difficulty breathing? (A) Dyspnea (B) Syncope (C) Hemiplegia (D) Cyanosis - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - ANSWER-(C) Sitting as upright as possible Chap. 2: Hand hygiene is
(D) Give the resident a type of strong liquor if it is available, like brandy - ANSWER-(C) Elevate the legs unless the resident has a head or abdominal injury Chap. 2: Which of the following is true of resident falls? (A) An incident report will need to be completed for all falls (B) If the resident can get up after the fall, the NA should not notify the nurse (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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - ANSWER-(D) Through proper hand washing with soap and water Chap. 2: If an NA needs to clean up a spill, what is the first step that she should take? (A) Put the waste directly into the nearest trash can (B) Spray bleach solution on the spill (C) Put on gloves (D) Vacuum the spill - ANSWER-(C) Put on gloves Chap. 3: Holistic care focuses on (A) The person's physical, mental, and social well-being (B) Disease and disability (C) How sick a person is (D) The absence of disease and illness - ANSWER-(A) The person's physical, mental, and social well-being
(D) It raises the risk of falls - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 (C) The NA should support the resident and his family and friends (D) The NA should encourage the resident to stop being ill and just get better - ANSWER-(C) The NA should support the resident and his family and friends Chap. 3: The fear of being in a confined space is called (A) Post traumatic stress disorder (B) Obsessive compulsive disorder (C) Claustrophobia (D) Schizophrenia - ANSWER-(C) Claustrophobia Chap. 3: If a nursing assistant notices abusive behavior from a family member towards a resident, she should (A) Report it to the nurse immediately (B) Ask the family member to explain what he did before she reports the incident (C) Ask the resident for her permission to report the incident to the nurse (D) Not get involved because it is a private family matter - ANSWER-(A) Report it to the nurse immediately Chap. 3: When caring for a dying resident with diminished senses, a nursing assistant should (A) Ask many questions to see what is comfortable for the resident (B) Turn on as many lights as possible (C) Observe body language (D) Encourage all visitors to remain silent - ANSWER-(C) Observe body language Chap. 3: How can an NA give emotional support to a resident who is dying? (A) By leaving the resident alone as mush as possible (B) By listening more (C) By sharing her religious beliefs with the resident (D) By letting the resident know that it will all be over soon - ANSWER-(B) By listening more Chap. 3: One way that an NA can respect the rights of a resident who is dying is to (A) Keep visitors away from the resident (B) Let the family know if the NA does not agree with the resident's medical decisions (C) Promise the resident that he will get better (D) Promote privacy for the resident - ANSWER-(D) Promote privacy for the resident
(A) The resident's recovery (B) Pain relief and comfort (C) Teaching the resident to care for himself (D) Curing the resident's illness - ANSWER-(B) Pain relief and comfort Chap. 3: The last sense to leave the body is usually the sense of (A) Hearing (B) Sight (C) Taste (D) Touch - ANSWER-(A) Hearing Chap. 3: Which of the following is a sign of approaching death? (A) Decreasing blood pressure (B) Sharper vision (C) Warm, dry skin (D) Heightened sense of touch - ANSWER-(A) Decreasing blood pressure Chap. 3: Children in their _________ years develop language skills, learn to play cooperatively in groups, and begin to learn right from wrong (A) School-age (ages 6 to 10) (B) Toddler (ages 1 to 3) (C) Adolescent (ages 12 to 19) (D) Preschool (ages 3 to 6) - ANSWER-(D) Preschool (ages 3 to 6) Chap. 3: An attitude that is helpful in hospice work is (A) Being sensitive to individual needs (B) Pushing residents to talk about their feelings (C) Joining in the conversation during personal visits (D) Helping the resident embrace the NA's faith before death - ANSWER-(A) Being sensitive to individual needs
