basic nursing skills questions

Mrs. Allen has a gastrostomy and the nurse just put Ensure through the feeding tube. The CNA needs to put her in which position for the next 1-2 hours?

Fowler's position

a resident with ileostomy evacuates feces through the

Ileum

you notice that a patient has passed a black tarry stool. This is called

Melena

Mrs.Sparks is an 83-year-old female patient who suffers from late effects of a CVA. she has (L) sided hemiplegia. This is

Paralysis on the left side of the body

an apical pulse is counted for _________.

1 full minute

For most residents, normal respiration ranges between

12 to 20 inspirations per minute

Mr.Burns just smoked a cigarette. How long should you wait to take his oral temperature?

15-20 minutes

a patient has just finished taking a cold beverage. How long should you wait before taking an oral temperature?

15-20 minutes

in Long Term Care Facilities, which shift usually gets the residents ready for their appointments. X-rays, etc?

7 A.M.- 3:30 P.M.

what is an embolism?

A blood clot that moves through the bloodstream, and causes obstruction

Hypothermia is a ________

A very low body temperature

the medical abbreviation for "before meals" is

Ac

Drainage bags from urinary catheters should always

Be kept below the level of the bladder

the proper way to identify a patient is to

Check the patient's wristband

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

Clean up the spill

Mrs. Shumways nursing care plan list CHF(Congestive Heart Failure) as her primary dx (diagnosis). You would except her ADL routine to include

Daily am weight measurement

Wrinkles in the bed linens can lead to problems for residents. Which is the most serious problem that they can cause?

Decubitus Ulcer

What type of isolation precautions are necessary for a patient with a gastrointestinal infection?

Enteric precautions

The RN, LPN, and CNA are members of the

Nursing team

what is the first thing a nurse aide should do when finding an unresponsive client?

call for help

if your patient is in traction you should NOT

change the position of the weight

Meal trays have arrived. Before serving each tray the nurse aide should

check each armband,even on familiar patients

when caring for a resident with an indwelling Foley catheter it is important to

check the bag and tubing frequently for adequate urinary flow

the nursing care plan states ,"Transfer with mechanical lift." however the client, the nurse aide should

get assistance to move the client

one of the differences between and RN and CNA is that only the RN can

give medication

a patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. it would be helpful to find out whether the patient

had breakfast

NPO means

nothing by mouth

who supervises the work of a nurse aide

the nurse

a slipknot is used when securing a restraint so that _________

the restraint can be removed quickly when needed

What is the purpose of using the chain-of-command in a long term care facility

to keep communication about a problem flowing smoothly

When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's

wrist

Normal urine color is

yellow

the nutrient used to build and repair tissue is

Protein

the goal of the health care team is to

Provide quality care

The first sign of a decubitis ulcer is

Redness and warmth

The definition of scope of practice is?

Skills which the health care worker is legally able to perform

strokes are seen in the elderly. Strokes are best described as

When the brain is deprived of oxygen

the Heimlich maneuver (abdominal thrusts) is used for a client who has

a blocked airway

the surgical creation of an artificial opening of the large intestine is called ____

a colostomy

Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is

acute

a patient appears more pale than usual. The nurse aide should

ask the patient how he feels and take his vital signs immediately

Wasting or a decrease in the size of a muscle is called

atrophy

Mrs.Andrews has an indwelling urinary catheter. Which is INCORRECT?

attach the drainage bag to the bed rail

a restraint should always be tied to the

bed frame

to lift an object using good body mechanics, the nurse aide SHOULD

bend knees and keep back straight

a resident has a slow heart rate; less than 60 beats per minute. The nurse tells you she is having

bradycardia

Why should heat NOT be applied to a diabetic resident's feet?

diabetics have decreased sensitivity to heat

when heat is applied to the skin, the blood vessels _________.

dilate

the physician ordered Mrs. Jones "to receive physical therapy QOD." That means she will go _______

every other day

various factors will change pulse rate. increased pulse rates can be caused by

exercise

Continual oozing or diarrhea may be a symptom of

fecal incontinence

a client who requires a high fiber diet should eat

fruits, vegetables, whole grains

the circulatory system consists of the

heart, arteries, veins, capillaries

Paralysis on one side of the body is called

hemiplegia

While taking a rectal temperature the nurse aide should insert the thermometer and

hold onto the thermometer until it can be removed

a major risk for a stroke is

hypertension

a patient with a persistent blood pressure measurement above 140/90 has

hypertension

the exchange of oxygen and carbon dioxide takes place

in the lungs

To help prevent resident falls, the nurse aide should

leave residents' beds at the lowest level when care is complete

on what side should the patient lie for an enema?

left

A hepatitis B vaccination protects the person receiving it against a disease that affects

liver

supine position

lying on the back

when lifting a heavy object, which muscle groups should be utilized

muscles of legs

what body system provides framework for the body and allows the body to move?

musculoskeletal

what can the nurse aide give the resident who has an order for NPO?

no food or liquids

a nurse aide notices in a patient's IV tubing. The aide should...

notify the IV nurse

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

on the clients weak side

A client is paralyzed on the right side. The nurse aide should place the signaling device

on the left side of the bed near the clients hand

Signs of poor circulation

paleness, cold skin, edema

what type of fire can be put out with water?

paper

a sodium-restricted diet for heart disease does NOT include

pickles and olives

For safety, when leaving a client alone in a room, the nurse aide SHOULD

place signaling device within clients reach.

which does NOT prevent or reduce odors?

placing fresh flowers in the room

what is the most accurate way to measure a resident's temperature?

rectal

a client who is on a low cholesterol diet should not eat

red meat

the nurse aide enters a clients room,and the client states that he has pain. What should the nurse aide do?

report it to the nurse in charge.

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

report the broken side rail immediately

the nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should

report this to the charge nurse

you are measuring Mrs. Clark's resting pulse and it is 106 beats per minute, which is significantly higher than her normal pulse. You should

report this to the charge nurse

in the Nursing Care Plan you note it is written;"O2 per N/C @3L, Orthopnea pos. as needed". As a CNA you know this means

resident has oxygen with a nasal cannula on three letters, assist to sit in flowers

the nurse aide is going to help the client walk from bed to a chair. what should the nurse aide put on the client's feet?

rubber-soled slippers or shoes

What basic need is most essential?

safety and security

the nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. the FIRST thing the nurse aide should do is

see if any changes can be made so that the radio can be plugged in safely

A resident has diabetes. What is a common sign of a low blood sugar?

shakiness

When muscles atrophy, they become

smaller

you are instructed to strain Mr. Powers' urine. You know that straining the urine is done to find ______________

stones

a patient is nearing death. What should nurse aide focus on?

supporting the patient and keeping them comfortable

headaches, nausea and pain would be called

symptoms

the period of heart muscle contraction is called

systole

in report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should

take away the water pitcher at midnight

the RN assigns you a task that is in your job description. Which statement is False?

the Rn should delegate every non-RN task to you

who is responsible for the entire nursing staff and the activities involved in providing safe care?

the director of nursing

a nursing aide has four patients to assist. Who should she address first?

the patient who needs to be taken to the bathroom

a nurse assistant notices red marks on a residents back and buttocks. The aide acts in the knowledge that

the skin can break down if nothing is done

when giving an enema to a person you ask the person to lie on

their left side

a Foley catheter is used

to drain urine from the bladder

Physical restraints are used MOST often....

to prevent client injury

The normal heart rate/pulsed rate for an adult human is 60-100 bpm. An elevated heart rate can be excepted with

uncontrolled bleeding

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients

upper thigh

what is the condition when patients are unable to control their bladder?

urinary incontinence