PRN Midterm Study Guide

What is the difference between constipation and fecal impaction?

Constipation- hard dry stool Fecal Impaction- prolonged retention & build up of feces in the rectum from unrelieved constipation

Clean bed linen placed in a resident's room but not used has to go where?

Dirty clothes

What is the difference between disinfection and sterilization?

Disinfection- reduces until it's not infectious Sterilization- kills pathogens & non pathogens

What can prevent sleep?

Exercise 1 hour before bed

What is a personal factor for increasing the risk of falls?

Foot problems

How does the gait belt have to be applied?

Near belly button, buckle at side, one flat hand between belt and resident

As a NA will you ever have a license?

No

Do we ever put anything on the floor?

No

Can you ever touch the faucets with a glove?

No, you use a paper towel

What does dysuria mean?

Painful/difficult urination

What is normal urine color/odor?

Pale yellow, straw color, or amber with a faint smell

Give one example of a time that it is acceptable for a nurse aid to use alcohol gel instead of hand washing?

Passing meal trays

What is the most common cause of choking

Poorly chewed meat

What nutrient is needed for tissue growth and repair?

Protein

What does PASS stand for

Pull, Aim, Squeeze, Sweep

How often do we reposition a resident?

Q 2 hours

How often is mouth care given to an unconscious person?

Q 2 hours

When is the best time to prepare for a disaster?

before it happens

The risk of falling increases at what age?

65

What does cyanosis mean?

Blue skin

What is the best source of information about the resident?

Care plan

What would tell a NA how to feed a resident what has dysphasia?

Care plan

Who can we share information about a resident?

Care team

Which artery is used to check for a pulse before starting CPR?

Carotid

Adult fluid requirements for normal fluid balance are?

2000-2500 mL

What are the steps we take if a resident says their hearing aid is not working?

1. Check to see if it's on 2. Check volume 3. Check battery 4. Tell nurse

1. What is your goal during a seizure? 2. What do you not do?

1. Make sure the resident is safe 2. Never stick anything in their mouth

1. Do we ever lock a resident's wheelchair and leave the resident? 2. Why is that?

1. No 2. It's considered restraint

List 3 reasons to wear gloves

1. Open sores 2. Mucous membranes 3. Visibly soiled areas

How many times does state allow you you to take the state exams?

3

An Ostomy pouch is usually changed how often?

3-7 days

If you get a doctors order to increase fluids when does the majority have to be given by?

1700 or 5pm

What is the difference between assault and battery?

Assault is a threat; battery is physical

If a resident tells you that they are having trouble falling or staying asleep what will help them?

Back massage

When giving first aid what do you have to remember?

Be aware of limits

When should a nursing assistant wash their hands?

Before and after everything

When the airway is blocked during cardiac arrest, the proper way to open the airway is?

Head tilt/ chin lift maneuver

How do you destroy a microbe?

Heat and light

What position do we feed a resident that has dysphasia?

High Fowler's 60-90 degree angle

All the facilities must follow OBRA guidelines except whom?

Hospitals

What is the PASS acronym used for?

How to use a fire extinguisher

What is the RACE acronym used for?

If you see a fire

Diabetes is a chronic disease from a lack of what?

Insulin

What does RACE stand for?

Remove, Activate, Contain, Extinguish

Standard precautions involve doing what?

Washing hands and wearing gloves

What does normal stool look like?

Soft, formed, and moist

What type of precautions are used in the care of all residents?

Standard precautions

What is the best way to communicate with a client who is totally deaf?

Write it down

Do residents in nursing homes have the same rights as you?

Yes

Dressing a resident with a weak side, we dress starting with which side?

The weak side

Following standard precautions means?

Treating everyone and everything as if it's infected

The Heimlich maneuver is used for?

Unblocking the airway

To avoid pulling the catheter when turning a resident, the catheter tube must be strapped to the residents?

Upper thigh

When first arriving at work the nursing aide knows they have to do what after signing in?

Walking rounds

What does cognitive mean?

knowledge