NA 1 Refresher
As it relates to a patient, what is subjective data?
"What the patient tells you "
Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care?
"You seem upset. Would you like to talk about it?"
When ambulating the client, the nurse aide SHOULD:
be sure the client is wearing non-skid footwear
When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide's hands :
before, during, and after the procedure
When lifting a heavy box, the nurse aide should:
bend knees, squat and lift box
Articles contaminated with blood or body fluids SHOULD be disposed of in the:
biohazard container
The first time a candidate takes the National Nurse Aide Assessment Program (NNAAP) Examination, the candidate must complete:
both a written (or oral) exam and a skills evaluation
A client wakes up during the night and asks for something to eat. The nurse aide SHOULD:
check client's diet before offering nourishment
When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client:
discard the first voided urine
Before accepting a delegated task, the nurse aide must ask self:
do I believe I can do the task and have the necessary skills to do the task?
If a resident is about to fall, the nurse aide should:
ease the resident to the floor
What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke ?
encourage the client to do as much as possible and assist as needed
The only purpose for using a restraint is to:
ensure the safety of the client or others
When a client has memory loss or confusion, the nurse aide SHOULD:
give the client simple step-by-step instructions.
OBRA, the (Omnibus Reconciliation Act) of 1987
helps to define requirements for nurse aide training and competency evaluation
On the day of testing, the candidate must not wear:
high heels, long nails, piercings
The nurse aide SHOULD place the client's soiled bedsheets:
in the soiled linen container.
When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD:
keep the information private
When transferring a client, MOST of the client's weight should be supported by the nurse aide's
legs
When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client:
lying down in bed
Once a client has been pronounced dead, the responsibility of the nurse aide is to:
make sure the body is clean
When making a bed that is occupied by a client, the nurse aide SHOULD:
make the toe pleat
The process of removing or destroying microorganisms and the prevention of their spreading is known as:
medical asepsis
On the date of the National Nurse Aide Assessment Program (NNAAP) Examination, the candidate must not bring:
money
A nurse aide reports that a resident is pale, is having shortness of breath, and is more unsteady today than yesterday, This data would be considered:
objective ( what you see, hear, touch and smell)
What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet?
observe the client for non-verbal cues
The health care team member who assists the client with the performance of activities of daily living is the:
occupational therapist
To prevent dehydration of the client, the nurse aide SHOULD:
offer fluids frequently while the client is awake
To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check:
on the client's room bulletin board
When helping a client who is recovering from a stroke to walk, the nurse aide should assist
on the client's weak side
When caring for a client who is dying, the nurse aide SHOULD:
pay special attention to fluid intake and mouth care
When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD:
place the signaling device within the client's reach
The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD:
point to the date on a calendar and say the date
Frequent turning and repositioning of the client helps prevent:
pressure injuries
Droplet precautions:
prevents spread of harmful germs that travel by droplets in the air
The nurse aide SHOULD understand that a back massage:
promotes circulation
The nurse aide MUST wear gloves when:
providing mouth care
If a nurse aide discovers a small fire in a client's room, the nurse aide should FIRST
remove the client from any danger
When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client's:
right side
After resident care, the gloves worn by the nurse aide:
should never be worn outside of the patient care area
A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT?
stay with the client and call for help
The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD:
suggest that this is not the place to discuss the client.
What is diaphoretic breathing?
sweating heavily
A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD:
tell the client that the nurse aide will inform the nurse of the client's request.
Systemic infection means an infection:
that has spread throughout the body
The term that refers to behavior in the workplace that would include appearance, communication skills, treatment of others, choices, judgement and teamwork is:
work ethic
To BEST communicate with a client who has total hearing loss, the nurse aide should:
write out the information
When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse aide to take?
Check that the client's name is displayed on the tray card
How does the nurse aide communicate with a resident who speaks a different language ?
Allow silence
When should a nurse aide use alcohol based hand rub ?
Between patients
What do you wear around patients with Contact illnesses?
Gown & gloves
How would a nurse aide decrease or prevent falls ?
Keep hallways free of clutter
A group of items or things utilized to prevent harmful germs from getting on skin or clothing is known as:
PPE
In regards to body mechanics, the point where most weight is concentrated for an object or body:
center of gravity
When providing care for a client receiving oxygen therapy, the nurse aide SHOULD:
check ears for pressure points
The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST?
close the door and windows
The nurse aide can help prevent pressure injuries in the client by:
keeping linens clean, dry, and wrinkle-free
Before entering a client's room, the nurse aide should FIRST:
knock on the door
Which of the following actions by the nurse aide can BEST demonstrate active listening skills
responding when appropriate
A Negative effect of using restraints is:
risk of suffocation
Which of the following methods is the correct way to remove a dirty isolation gown?
roll the gown dirty side in and away from the body
Personal space, personal items, furniture, and call systems are known as a resident's:
unit
To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's:
upper thigh
The client's signaling device SHOULD be placed:
within the client's reach
When getting ready to make a bed, the nurse aide SHOULD place the clean lines on:
A chair or beside the bed
Which should the nurse aide report to the supervisor immediately ?
A change in the resident's ability to respond
Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray?
A face shield
What does the abbreviation ADL mean?
Activities of Daily Living
A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client's independence in eating ?
Assist the client in cutting the food and encourage the client to use the special eating utensils
Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client ?
Assisting the client to read the client's religious materials
What is a physical barrier to successful communication?
Blindness
The resident has a restraint in place. The nurse aide should check the resident how often?
Every 15 minutes (release every 2 hours for 5 minutes )
What is the FIRST area of a client's body that the nurse aide should wash when providing a bed bath ?
Face
Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss?
Face the client when speaking
Which of the following is not an example of a microorganism ?
Fomite (nonliving )
Proper communication between a nurse aide and resident should include which of the following ?
Greet the resident respectfully
While obtaining vital signs on a resident, the nurse aide notes that the resident's temperature is not within normal range. When should the nurse aide report the finding to the supervisor?
Immediately report vital signs that are not within normal limits to the supervisor
Where do most resident falls occur in long term care ?
In bathrooms
Which of the following is not a type of transmission based precautions?
Infection
The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client?
Introduce the client to other clients and staff members
When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on FIRST ?
Left sleeve
The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT?
Lower the bed, and place the call light within reach
When trying to maintain a restraint-free environment, nurse aides know that their role is to:
Make sure call lights are within the residents reach and answered immediately
What do you wear around patients with Droplet illnesses?
Mask (respirator N95), gown & gloves
What do you wear around patients with airborne illnesses?
Mask (respirator N95), gown & gloves
What are the four components of successfully getting and receiving messages ?
Message, sender, receiver, feedback
What federal law enacted in 1987 defined requirements for nurse aide training?
OBRA
Which of the following is MOST important for the prevention of skin breakdown in the client?
Repositioning the client every 2 hours
A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT?
Talk to the client in a calm voice about familiar things
What does "ambulate with assistance" mean?
The client can walk with the nurse aide providing help
Which of the following equipment should the nurse aide have available when caring for a client's beard?
Towel, gloves, razor and shaving cream
When traveling to the test site to take the National Nurse Aide Assessment Program (NNAAP) Examination, each candidate must bring the following a:
US Social security card and a current signed photo ID
In caring for a resident, the nurse aide should report the following change immediately to the supervisor:
a change in mobility or inability to move a limb or part of body
The National Nurse Aide Assessment Program (NNAAP) Examination is:
an evaluation of nurse aide related knowledge, skills, and abilities
While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to:
ask the client about the client's favorite memories of the client's child.
Mouth care for a client who is unconscious MUST be done every:
2 hours
BEFORE taking the oral temperature of the client who has just finished a cold drink, the nurse aide should wait:
20 minutes
The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has?
4
A client drinks 20 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is:
450 mL
What does 2130 in military time equal in conventional time?
9:30 PM
