NAA-100...Module 2 Exam
Which of these is NOT a health hazard cause by chemicals? (A) A burn from an explosion (B) Damage to the kidneys, nervous system, lungs, skin, eyes, or mucous membranes (C) Blood cell formation and function affected by chemicals (D) Birth defects, miscarriages, and fertility problems
(A) A burn from an explosion
A transfer belt is: (A) Always applied over clothing (B) Applied with the buckle over the spine (C) Applied very loosely (D) Always applied next to the skin
(A) Always applied over clothing
A vest restraint: (A) Always crosses in the front (B) Is applied next to the skin under clothing (C) Must be secured very tightly to be safe (D) Crosses in the back
(A) Always crosses in the front
Which of these would help to prevent falls? (A) Answer the call light promptly (B) Take the person to the bathroom once per shift (C) Always keep bed rails up (D) Have the person wear socks to walk in the room
(A) Answer the call light promptly
In the chain of infection, one portal of exit is: (A) Blood (B) Human and animals (C) A pathogen (D) A carrier
(A) Blood
If a resident is receiving oxygen, he is at special risk for: (A) Burns (B) Suffocation (C) Poisoning (D) Electrical shock
(A) Burns
Clean under your fingernails by rubbing your fingers and nails against your palms: (A) Each time you wash your hands (B) If you have long fingernails (C) Only the first time you wash your hands that day (D) For at least 10 seconds
(A) Each time you wash your hands
Hands are washed or decontaminated: (A) Even if you wore gloves (B) For 5 minutes between residents (C) Only when moving between residents (D) Only if gloves were not worn
(A) Even if you wore gloves
Unnecessary restraint is: (A) False imprisonment (B) Needed to give good care (C) Acceptable if the person does not resist (D) Acceptable if used for short periods of time
(A) False impisonment
When removing gloves: (A) Grasp the first glove on the outside and pull it off inside out (B) Pull off the gloves by the fingers (C) Reach inside one glove with the other hand to pull it off (D) Hold the discarded gloves tightly in your hands
(A) Grasp the first glove on the outside and pull it off inside out
When you apply mitt restraints: (A) Make sure the person's hand is clean and dry (B) Pad the mitt with soft material (C) Make sure the mitt is securely tied so that the hand cannot move (D) Make sure that you can slide 3 or 4 fingers between the wrist and the restraint
(A) Make sure the person's hand is clean and dry
People with dementia are at risk of injury because they: (A) No longer know what is safe and what is dangerous (B) Are in a coma (C) Have problems sensing heat and cold (D) Have poor vision
(A) No longer know what is safe and what is dangerous
You can make a person in isolation feel more comfortable is you: (A) Organize your work so you can stay to visit with the person (B) Avoid going to the room to allow the person to rest (C) Keep the room dark and quiet (D) Make sure no visitors enter the room
(A) Organize your work so that you can stay to visit with the person
If a fire occurs, what should you do first? (A) Rescue people in immediate danger (B) Sound the nearest fire alarm and call the switchboard operator (C) Close the doors and windows to confine the fire (D) Use a fire extinguisher on a small fire that has not spread to a larger area
(A) Rescue people in immediate danger
When moving a person on a stretcher, all of these practices are correct EXCEPT: (A) Safety straps or side rails are used only when the person is confused (B) Lock the stretcher before transferring the person (C) Don't leave the person alone (D) Stand at the head of the stretcher. Your co-worker stands at the foot.
(A) Safety straps and side rails are used only when the person is confused
When donning a gown, what is tied first? (A) Strings at the back of the neck (B) The waist strings at the back (C) Mask ties (D) It does not matter
(A) Strings at the back of the neck
If you are shocked by electrical equipment you should: (A) Take the item to the nurse (B) Try to see what is wrong with the equipment (C) Make sure it has a ground prong (D) Test the equipment in a different outlet
(A) Take it to the nurse
What should be done if a label is missing from a hazardous substance? (A) Take the container to the nurse (B) Return the container to the cupboard or shelf (C) Use the substance as usual (D) Leave the container where you found it and go for help
(A) Take the container to the nurse
When using a vest restraint in bed: (A) The straps are secured underneath the chair seat or to the moveable part of the bed frame (B) The straps are secured to the bed rail (C) The vest crosses in the back (D) The person can turn over
(A) The straps are secured underneath the chair seat or to the moveable part of the bed frame
When cleaning dirty equipment: (A) Wear personal protective equipment (PPE) (B) Rinse in hot water first (C) Use the clean utility room (D) Remove any organic materials with a paper towel
(A) Wear personal protective equipment (PPE)
Identifying the person is most important because: (A) You must give the right care to the right person (B) Visitors may ask your help to find someone (C) You need to call the person by the right name (D) You will have to give care to two people if you give it to the wrong person first
(A) You must give the right care to the right person
The person that is being restrained MUST be observed at least every: (A) 5 minutes (B) 15 minutes (C) Hour (D) 2 hours
(B) 15 minutes
In order to live and grow, ALL microbes need: (A) Oxygen (B) A reservoir (C) A hot environment (D) Plenty of light
(B) A reservoir
Belt restraints: (A) Are more restrictive than other restraints (B) Allow the person to turn from side to side (C) Must be released by the staff (D) Can only be used in bed
(B) Allow the person to turn from side to side
Bed Rails: (A) Are used for all older persons (B) Are considered restraints by OBRA (C) Prevent falls (D) Are never used when giving care
(B) Are considered restraints by OBRA
Research shows that restraints: (A) Prevent falls (B) Cause falls (C) Are used whenever the nurse decides (D) Are necessary protective devices
(B) Cause falls
How are re-usable items such as wheelchair or commodes disinfected? (A) Sterilized using surgical asepsis (B) Cleaned with germicides (C) Boiling water or steam is used (D) Dusted with a dry cloth
(B) Cleaned with germicides
The most serious risk from restraints is: (A) Cuts, bruises, and fractures (B) Death from strangulation (C) Falls (D) Depression, anger, and agitation
(B) Death from strangulation
After receiving instructions about the correct use of a restraint you should: (A) Ask for help to apply it to the person (B) Demonstrate proper application before using it on a person (C) Watch someone else apply it to a person (D) Apply it to the person indepoendantly
(B) Demonstrate proper application before using it on a person
Restraints are NOT used to: (A) Prevent harm to the person (B) Discipline or punish the person (C) Prevent a person from pulling at a wound or dressing (D) Treat a medical symptom
(B) Discipline or punish the person
Falls are more likely to occur: (A) After midnight (B) During shift changes (C) At meal time (D) In the morning after breakfast
(B) During shift changes
All of these things are needed for a fire EXCEPT: (A) Spark or Flame (B) Electrical equipment (C) Materials that will burn (D) Oxygen
(B) Electrical equipment
To protect the person from harm you need to: (A) Use restraints (B) Follow the person's care plan (C) Limit mobility (D) Lock all doors
(B) Follow the person's care plan
Restraints may be used: (A) Whenever the nurse feels they are necessary (B) For the immediate physical safety of the person or others (C) To make sure the person does not fall (D) To decrease work for the staff
(B) For the immediate physical safety of the person and others
Healthcare-associated infections often occur when: (A) Insects are present (B) Hand washing is poor (C) Medical asepsis is used correctly (D) A person is in isolation
(B) Hand washing is poor
If a person has a "staph" infection, this means the person: (A) Has normal flora and is not infectious (B) Has methacillian-resistant staphylococcus aureus or MRSA (C) Has vancomyacin-resistant enterococcus or VRE (D) Can be easily cured with antibiotics
(B) Has methacillian-resistant staphylococcus eureus or MRSA
In order to use a restraint, the nurse must: (A) Get permission from the family (B) Have a written doctor's order (C) Get permission from the healthcare team (D) Receive OBRA permission
(B) Have a written doctor's order
Risk Management involves: (A) Training staff to understand MSDS (B) Identifying and controlling risks and safety hazards (C) Firing employees who have accidents (D) Hiring security staff to prevent injuries
(B) Identifying and controlling risks and safety hazards
Most falls occur: (A) In hallways (B) In resident rooms and bathrooms (C) Outside (D) In dining areas
(B) In resident rooms and bathrooms
When washing your hands you should: (A) Use hot water (B) Keep hands lower than elbows (C) Turn off faucets after lathering (D) Keep hands higher than elbows
(B) Keep hands lower than elbows
When giving care, the bed wheels are: (A) Unlocked (B) Locked (C) Unlocked on the side of the bed that you are working (D) Locked when moving the bed
(B) Locked
Which of these could NOT be used as a weapon by an aggressive person? (A) Your jewelry or scarf (B) Long hair that is worn up and off the collar (C) Keys, scissors, or other items (D) Tools or items left by maintenance staff
(B) Long hair that is worn up and off the collar
If there is a disaster you: (A) Are expected to go to your nursing center immediately (B) May be called into work if you are off duty (C) Should stay away or leave to get out of the way (D) May go home to check on your family
(B) May be called into work if you are off duty
When you don personal protective equipment (PPE), you: (A) May go in and out of the room to get supplies (B) Must remove it before leaving the room (C) May take it off and keep it in the room to don later (D) Hang it up to dry if it becomes wet while giving care
(B) Must remove it before leaving the room
_____ requires a hazard communication program so that employees know how to handle hazardous substances. (A) Omnibus Budget Reconciliation Act of 1987 (OBRA) (B) Occupational Safety and Health Administration (OSHA) (C) The Joint Commission (TJC) (D) Material Safety Data Sheet (MSDS)
(B) Occupational Safety and Health Administration (OSHA)
When a severe foreign-body airway obstruction occurs and the person is conscious, you should first: (A) Place the person in bed and go for help (B) Perform abdominal thrusts until the object is expelled (C) Do a finger sweep to remove the object (D) Ask the person to cough and expel the object
(B) Perform abdominal thrusts until the object is expelled
When using a fire extinguisher, the "P" in the word PASS means: (A) Pull the fire alarm (B) Pull the safety pin (C) Rescue person in immediate danger (D) Push the handle or lever down
(B) Pull the safety pin
When removing protective apparel which of these is done first? (A) Remove the goggles and face shield (B) Remove the gloves (C) Remove the gown (D) Untie the gown
(B) Remove the gloves
Burns can be prevented if: (A) Smoking is allowed when the person is in bed (B) Residents are allowed to smoke only in the designated smoking areas (C) No smoking is allowed (D) Smoking materials are kept at each person's bedside
(B) Residents are allowed to smoke only in designated smoking areas
OBRA requires informed consent. This consent is obtained by: (A) The person's legal representative (B) The doctor or nurse (C) The person (D) The nursing assistant
(B) The doctor or nurse
You are restricted from the room when the person has measles or chicken pox IF: (A) They have skin lesions (B) You are susceptible to the disease (C) They are sneezing or coughing (D) The skin lesions are not covered
(B) You are susceptible to the disease
When you are filling out a valuables list or envelope, which of these would be the best description? (A) "A diamond in a gold setting" (B) "A one-carat diamond in a 14k gold setting" (C) ":A white stone in a yellow setting" (D) "A white diamond-like stone in a gold-like setting"
(C) "A white stone in a yellow setting"
Which of these can be a physical restraint? (A) A soft chair with a foot stool to elevate the feet (B) A bed without rails (C) A chair with a tray attached (Geri-Chair) (D) A drug that helps the person function at his or her highest level
(C) A chair with a tray attached (Geri-Chair)
Which of these is NOT a physical restraint? (A) A vest restraint (B) A chair with an attached tray (C) A drug that affects the person's mental function (D) Sheets tucked in so tightly that they restrict movement
(C) A drug that affects the person's mental function
Wheelchair brakes are locked when: (A) Transporting the person (B) Taking a wheelchair up or down stairs (C) A Person is transferring to or from the wheelchair (D) Storing the wheelchair
(C) A person is transferring to or from the wheelchair
An electrical shock is especially dangerous because it can: (A) Start a fire (B) Damage equipment (C) Affect the heart and cause death (D) Violate OBRA regulations
(C) Affect the heart and cause death
Which of these would NOT be reported as an accident or an error? (A) Forgetting to give care (B) Giving the wrong care (C) Assisting a co-worker to give care (D) Losing a resident's dentures
(C) Assisting a co-worker to give care
Normal flora: (A) Are always pathogens (B) Are always non-pathogens (C) Become pathogens when transmitted from their natural site to another site (D) Cause signs and symptoms of an infection
(C) Become pathogens when transmitted from their natural site to another site
Multidrug-resistant organisms: (A) Are easily killed by antibiotics (B) Are normal flora (C) Can resist the effects of antibiotics (D) Are not a serious problem
(C) Can resist the effects of antibiotics
Drugs can be a risk factor for accidents because side effects can: (A) Affect hearing (B) Reduce ability to sense heat and cold (C) Cause loss of balance or lack of coordination (D) Cause hemiplegia
(C) Cause loss of balance or lack of coordination
If evacuation is necessary, residents who are: (A) Closest to the outside door are rescued first (B) Able to walk are rescued last (C) Closest to the fire are taken out first (D) Helpless are rescued last
(C) Closest to the fire are taken out first
Which of these is NOT a sign or symptom of infection? (A) Rash (B) Fatigue and loss of energy (C) Constipation (D) Sores on mucous membranes
(C) Constipation
If a person begins to fall, you should: (A) Try to prevent the fall (B) Call for help and hold the person up (C) Ease the person to the floor (D) Stand back and let the person fall
(C) Ease the person to the floor
Suffocation can be caused by: (A) Cutting food into small, bite-sized pieces (B) Making sure dentures fit properly and are in place (C) Giving oral foods and liquids to a person with a feeding tube (D) Checking the care plan for swallowing problems
(C) Giving oral foods and liquids to a person with a feeding tube
All of this information is found in the material safety data sheet (MSDS) EXCEPT: (A) How to clean up a spill or leak (B) Conditions that could cause a chemical reaction (C) How to use the substance (D) Explosion information and fire-fighting measures
(C) How to use the substance
Where would you find the material safety data sheets (MSDS's) for hazardous substances? (A) Attached to the substance (B) In the administrator's office (C) In a binder at a certain place on each nursing unit (D) On the internet
(C) In a binder at a certain place on each nursing unit
Rickettsiae are transmitted to humans by: (A) Plants (B) Other humans (C) Insect bites (D) One-celled animals
(C) Insect bites
An electrical appliance cannot be used if: (A) It has a three-pronged plug (B) It is connected directly to a wall outlet (C) It has not been checked for safety by the maintenance staff (D) The cord is in good repair
(C) It has not been checked for safety by the maintenance staff
What should be done with non-disposable equipment when a resident leaves a facility? (A) Send it home with the family (B) Discard the equipment (C) It is cleaned, disinfected, and sterilized (D) Give it to another resident
(C) It is cleaned, disinfected, and sterilized
Wrist restraints are used on a person when they: (A) Try to get out of bed (B) Move their wheelchair without permission (C) Pull at tubes being used in medical treatments (IV's, etc.) (D) Slides out of their chair easily
(C) Pull at tubes being used in medical treatments (IV's, etc.)
If you are allergic to latex gloves, you should: (A) Wash your hands each time you remove the gloves (B) Make sure the gloves have powder inside (C) Report the allergy to the nurse (D) Never wear any gloves
(C) Report the allergy to the nurser
If a person clutches the throat and is unable to speak, he or she has a: (A) Sore throat (B) Dangerous level of carbon monoxide (C) Severe airway obstruction (D) Mild airway obstruction
(C) Severe airway obstruction
Gloves during standard precautions: (A) Do not need to be changed when performing several tasks for the same person (B) Do not need to be changed as you care for different persons (C) Should be changed as you care for different persons (D) Are worn only when the person has an infection
(C) Should be changed as you care for different persons
Which of these would NOT be effective to prevent or control workplace violence? (A) Stand away from the person (B) Know where to find panic buttons, call bells. and alarms (C) Sit quietly with the person in his room. Hold his hand to calm him (D) Tell the person you will get a nurse to speak to him or her
(C) Sit quietly with the person in his room. Hold his hand to calm him
The decision to find ways to meet the person's safety needs is made by: (A) Th doctor (B) The nurse and family (C) The health team at a resident care conference (D) The nursing assistants giving care
(C) The health team at a resident care conference
Isolation precautions are used: (A) For all residents (B) During a sterile procedure (C) To prevent the spread of communicable or contagious diseases or illnesses (D) When cleaning a room after a resident is discharged
(C) To prevent the spread of communicable or contagious diseases or illnesses
To avoid contaminating your hands, turn the faucets off: (A) After soap is applied (B) Before drying hands (C) With clean paper towels (one towel for each handle) (D) With your elbows
(C) With clean paper towels (one towel for each handle)
When restraining a combative or agitated person, it should be done: (A) Slowly by only one person (B) By the nurse (C) With enough help to protect the person and the staff from injury (D) In a public area so that the person is distracted
(C) With enough help to protect the person and the staff from injury
Which of these statements about wearing gloves is TRUE? (A) The inside of the glove is contaminated (B) Slightly used gloves can be saved and re-used (C) You may need more than one pair of gloves for a task (D) Gloves are easier to put on when hands are damp
(C) You may need more than one pair of gloves for a task
The source of an infection is: (A) A break in the skin (B) A human or animal (C) Poor nutritional status (D) A pathogen
(D) A pathogen
A person's harmful behaviors may be caused by: (A) Being afraid of a new setting (B) Being too hot or too cold (C) Being hungry or thirsty (D) All of the above
(D) All of the above
Guidelines about using restraints are part of: (A) FDA regulations (B) State agencies (C) OBRA and CMS regulations (D) All of the above
(D) All of the above
How can you improve the quality of life for a person with restraints? (A) Provide water or other fluids frequently (B) Check often to make sure breathing and circulation are normal (C) Treat the person with kindness, caring, respect, and dignity (D) All of the above
(D) All of the above
Residents with dementia rely on the health team to prevent the spread of infection because: (A) They do not understand aseptic practices (B) They must rely on others to protect them from infection (C) They may not or cannot tell you when soiling occurs (D) All of the above
(D) All of the above
When you are cleaning up a hazardous substance, you should: (A) Work form clean areas to dirty areas using circular motions (B) Wear personal protective equipment (PPE) listed on the msds (C) Dispose of hazardous waste in sealed bags or containers (D) All of the above
(D) All of the above
Which of these personal care items can cause poisoning? (A) Soap (B) Mouthwash (C) Lotion and deodorant (D) All of the above
(D) All of the above
Which of these physical problems can cause falls to occur? (A) Low blood pressure (B) Joint pain and stiffness (C) Incontinence (D) All of the above
(D) All of the above
Why is workplace violence a big concern in health care? (A) Nurses and nursing assistants have the most contact with residents and families (B) Acutely disturbed and violent persons may seek health care (C) Agency pharmacies are a source of drugs, and therefore a target for robberies (D) All of the above statements are true
(D) All of the above statements are true
Germs are a type of microbes called: (A) Protozoa (B) Fungi (C) Viruses (D) Bacteria
(D) Bacteria
Standard precautions are used: (A) For a person with a respiratory infection (B) For a person with a wound infection (C) For a person with tuberculosis (D) In the care of all residents
(D) In the care of all residents
Which of these is NOT a reliable way to identify the person? (A) Check identification bracelet (B) Use the person's picture to compare with the person (C) If the person is alert and oriented, follow the center's policy to identify (D) Just call the person by name
(D) Just call the person by name
A person placed on airborne precautions may have: (A) Meningitis, pneumonia, or influenza (B) A wound infection (C) Mumps, rubella. or pertussis (D) Measles, chicken pox, or tuberculosis
(D) Measles, chicken pox, or tuberculosis
When applying wrist restraints: (A) Tie the straps to the bed rail (B) Tie firm knots in the straps (C) Place the restraints over clothing (D) Place the soft part toward the skin
(D) Place the soft part toward the skin
What is the easiest and most important way to prevent the spread of infection? (A) Sterilize all equipment (B) Use disposable equipment (C) Keep all residents in isolation (D) Practice good hand washing (hand hygiene)
(D) Practice good hand washing (hand hygiene)
The practice that keeps equipment and supplies free of all microbes is: (A) Medical asepsis (B) Clean technique (C) Contamination (D) Surgical asepsis
(D) Surgical aspepsis
Age can increase a person's risk of accidents because of all of these EXCEPT: (A) Balance is affected and they fall easily (B) They may have poor vision or hearing problems (C) They are less sensitive to heat and cold (D) They are more sensitive to hazardous materials
(D) They are more sensitive to hazardous materials
When a person has contact precautions, a gown should be worn: (A) At all times (B) When making a safety check on the person (C) When you are delivering a food tray (D) When you will have direct contact with the person
(D) When you will have direct contact with the person
A _____ is a device that serves as a guard or barrier along the side of the bed.
Bed rail
Another name for a transfer belt is a _____.
Gait belt
A device used to support a person who is unsteady or disabled is a _____.
Transfer belt
