CNA final

7) At which time would a nurse assistant learn about the protocols for emergencies and disaster responses? A) Interview B) Probationary period C) Orientation D) Pre-placement health evaluation

C) Orientation

1) The highest level of discomfort a person is willing to experience before seeking help to relieve it is called: A) Addiction. B) Pain threshold. C) Pain tolerance. D) Dependence.

C) Pain tolerance.

11) Which of the following measures can a nurse assistant take to promote adequate rest and sleep for a person? A) Make sure the linens are clean and free of wrinkles. B) Limit noise on the unit. C) Help the person meet his or her elimination needs before bed. D) All of the above

D) All of the above

6) Mr. Owens' doctor has prescribed a new pain medication for Mr. Owens following knee replacement surgery on his left leg. Which of the following observations should the nurse assistant report to the nurse? A) Mr. Owens does not seem to wince as much when he places weight on his left leg today. B) Mr. Owens says the medication is making him feel dizzy. C) Mr. Owens seems less alert than usual today. D) All of the above

D) All of the above

11) Mr. Simons has had a stroke. For Mr. Simons, the doctor may order: A) A carbohydrate-controlled diet. B) A full liquid diet. C) NPO status D) Thickened liquids.

D) Thickened liquids.

40. A nurse assistant is preparing to help a child take a bath. The child weighs about 45 pounds and needs help getting in the tub. The nurse assistant should: a. Bend at the kneed to squat while lifting the child into the bath. b. Hold the child's hand as the child climbs into the tub. c. Hold the child under the arms to gently lower him into the tub. d. Use an assistive device to life the child into the tub.

d. Use an assistive device to life the child into the tub.

18. A person with Alzheimer's disease paces up and down the hall for no reason. The nurse assistant can help by: a. Making sure to keep the person's routine as much as possible. b. Having the person rest in the afternoon. c. Getting the person to watch television or listen to the radio. d. Walking with the person until the behavior stops.

d. Walking with the person until the behavior stops.

30. Mrs. Jacobson is dying. To comfort her, the nurse assistant should: a. Be sure to leave Mrs. Jacobson alone with her thoughts. b. Avoid talking with her about her feelings to prevent her becoming depressed. c. Hold her hand so she is aware of the nurse assistant's presence. d. Keep her involved in activities and with visitors to keep her mind busy.

c. Hold her hand so she is aware of the nurse assistant's presence.

24. The most common and most feared symptom that occurs when someone is dying is: a. Vomiting b. Nausea c. Pain d. Shortness of breath

c. Pain

13. Short-term memory loss associated with dementia is due to damaged to the: a. Nerve cells b. Spinal cord c. Skull d. Hippocampus

d. Hippocampus

33. A 3 year old child who is toilet-trained is admitted to the hospital with an acute infection. The child had been wetting the bed since admission. This behavior reflects: a. Magical thinking b. Separation anxiety c. Atraumatic care d. Regression

d. Regression

31. Mrs. Brown tells the nurse assistant, "I'm afraid I'm going to die." A good way to help her would be to: a. Tell her not to worry about what might happen. b. Tell her everything will be okay. c. Change the subject to something more pleasant. d. Sit quietly and let her express these feelings.

d. Sit quietly and let her express these feelings.

7. When communicating with a person with dementia, the nurse assistant should: a. Speak in a clinical manner b. Touch the person first before talking c. Keep the area brightly lit d. Turn down the TV/Radio

d. Turn down the TV/Radio

15) Failure to do what a reasonable and careful person would be expected to do in a given situation is called: A) Larceny. B) Irresponsibility. C) Negligence. D) Fraud.

C) Negligence.

2) While providing personal care to a resident, the resident tells the nurse assistant that he is experiencing a dull, achy pain. The resident is describing the pain's: A) Intensity. B) Characteristics. C) Location. D) Frequency.

B) Characteristics.

22) A grease fire has started in a pan on the stove. What is the first thing the home health aide should do? A) Move the client to safety B) Extinguish the fire by pouring water into the pan. C) Extinguish the fire using a type B or an ABC fire extinguisher D) Call the fire department.

A) Move the client to safety

15) Before using any piece of electrical equipment, the nurse assistant should: A) Stand up straight B) Check to make sure it is working properly C) Unplug it D) File an incident report.

B) Check to make sure it is working properly

20) The foods on a mechanical diet are: A) Soft or mashed B) Chopped very small. C) Thickened to a pudding-like consistency D) Pureed to a milkshake-like consistency

B) Chopped very small.

29) What document describes what family members should do if members are away from home or apart from each other when a disaster occurs? A) Emergency response plan B) Home disaster preparedness plan C) Fire and disaster response plan D) Incident report

B) Home disaster preparedness plan

31) Disease can cause changes in the musculoskeletal system. Which of the following statements is NOT true? A) Bones can become brittle and can break easily. B) Bed rest is usually ordered to lower the person's risk for injury. C) Joints can become stiff and painful. D) Range-of-motion exercises can help to slow down the rate of musculoskeletal changes

B) Bed rest is usually ordered to lower the person's risk for injury.

20) The member of the health care team who identifies the person's ongoing care needs and makes arrangements to have those needs met after the person leaves the health care facility is called: A) An admissions officer. B) A discharge planner. C) A nurse assistant. D) A nurse.

B) A discharge planner.

39) One respiration is counted: A) Each time the person inhales B) After one rise and one fall of the chest. C) Each time the chest falls D) Each time the person exhales

B) After one rise and one fall of the chest.

8) What are the ABCs of good body mechanics? A) Alignment, balance, co-worker B) Alignment, balance, coordination C) Alignment, balance, communication D) Alignment, balance, count

B) Alignment, balance, coordination

8) Which information should be included on a resume? A) Marital status B) Job objective C) Age D) Religion

B) Job objective

3) A nurse assistant is preparing to perform a warm soak for a person's foot. The nurse assistant helps the person into a A) 98° F. B) 90° F. C) 110° F. D) 102° F.

C) 110° F.

3) Restraints, when applied, must be released every: A) Day. B) Hour. C) 2 hours D) 15 minutes.

C) 2 hours

6) A nurse assistant is going on a job interview that is scheduled for 10:00 a.m. The nurse assistant should arrive at the facility for the interview at: A) 9:30 a.m. B) 9:00 a.m. C) 9:45 a.m. D) 10:00 a.m.

C) 9:45 a.m.

37) A urine drainage bag is emptied into: A) A commode hat. B) The toilet. C) A graduate D) A bedpan

C) A graduate

2) Which of the following actions is an example of a nurse assistant meeting a person's self-esteem needs? A) The nurse assistant sees that the person is lonely and offers to play a card game with the person. B) A nurse assistant helps a person get ready to attend a group activity. C) A nurse assistant encourages a retired veteran to talk about the medals he received for his military service. D) A nurse assistant feeds a person who cannot feed himself.

C) A nurse assistant encourages a retired veteran to talk about the medals he received for his military service.

41) A harmful microbe that causes disease is: A) An antibody. B) A hormone. C) A pathogen. D) A white blood cell.

C) A pathogen.

24) Pressure ulcers can easily develop on areas of the body that: A) Are left uncovered. B) Are covered. C) Are protected only by thin layers of fat and muscle under the skin. D) Are not put through range-of-motion exercises.

C) Are protected only by thin layers of fat and muscle under the skin.

32. A nurse assistant provides postmortem care: a. After rigor mortis sets in. b. When the funeral director arrives for the body. c. After respecting the family's need to have time with the person. d. After the doctor pronounces the person dead.

c. After respecting the family's need to have time with the person.

28. A male resident of the facility has died. Which action by the nurse assistant would be best? a. Refraining from showing emotion about his death around other residents. b. Telling the other resident's so they don't wonder what happened to him. c. Not informing other residents because it might upset them. d. Sealing off the resident's room and not allowing anyone to enter it.

a. Refraining from showing emotion about his death around other residents.

42. An infant typically receives which solid food first: a. Strained vegetables b. Strained fruit c. Cereal d. Strained meat

c. Cereal

31) Mr. DeLong is using the bedpan. It is safe to leave him alone. The nurse assistant should check on Mr. DeLong at least every: A) 5 minutes. B) 10 minutes. C) 20 minutes. D) minute.

A) 5 minutes.

23) A person is to be positioned in a chair. Which of the following statements is NOT true? A) A paralyzed arm should rest on the person's lap. B) The person's hips should be level with the knees. C) The person's back and buttocks should be against the back of the chair. D) The person's feet should be flat on the floor or on the wheelchair footrests.

A) A paralyzed arm should rest on the person's lap.

23) When a person has multiple sclerosis, that person is experiencing: A) A problem involving nerves unable to communicate with each other or the brain. B) A rise in blood glucose levels due to the body's cells being unable to respond to insulin. C) An interruption in the blood flow to a part of the brain leading to brain cell death. D) A lack of adequate amounts of the brain chemical called dopamine being produced.

A) A problem involving nerves unable to communicate with each other or the brain.

26) Which of the following could be an early sign of a pressure ulcer? (choose more than one option) A) A reddened area on the skin B) Bleeding C) A fever D) An open sore

A) A reddened area on the skin

21) As a nurse assistant, you help people with walking, eating, bathing and dressing when they cannot complete these activities themselves. These activities are called: A) Activities of daily living B) Principles of care C) Physical activities D) Routine activities

A) Activities of daily living

4) You are providing care for a preschool-age girl. Which action takes into account the girl's developmental stage? A) Allowing the child to handle your stethoscope before listening to her heart beat. B) Leaving the child alone in the bathroom to protect her privacy. C) Giving the child a pacifier to calm and soothe her. D) Telling the child "she won't feel a thing" while receiving an injection, to avoid upsetting her.

A) Allowing the child to handle your stethoscope before listening to her heart beat.

29) Which of the following actions can a nurse assistant take to help promote normal elimination? A) Answer requests for help with elimination promptly. B) Give the person an enema. C) Make sure the person is wearing incontinence briefs D) Avoid giving the person too many beverages.

A) Answer requests for help with elimination promptly.

27) All of the following foods count toward a person's fluid intake EXCEPT: A) Apple. B) Ice cream C) Gelatin. D) Soup.

A) Apple.

14) Which type of communication involves expressing one's needs and feelings in a direct way, while still respecting the needs and feelings of others? A) Assertive B) Passive-aggressive C) Aggressive D) Confident

A) Assertive

29) The nurse asks you to position Mrs. Geary in the supine position. This means that Mrs. Geary should be positioned on her: A) Back. B) Left side. C) Right side. D) Stomach.

A) Back.

38) How is an apical pulse measured? A) By placing a stethoscope over the apex of the heart B) By placing the first, second and third fingers over the brachial artery C) By placing the thumb over the radial artery D) By placing a stethoscope over the brachial artery

A) By placing a stethoscope over the apex of the heart

24) Mrs. Simmons begins to choke while eating. She cannot speak and is making a high-pitched wheezing sound. What should the nurse assistant do? A) Call for help immediately and then begin the procedure for giving first aid to a conscious choking adult. B) Stay with Mrs. Simmons and encourage her to keep coughing. C) Help Mrs. Simmons to lie flat on the floor and begin the procedure for giving first aid to an unconscious choking adult. D) Give back blows and abdominal thrusts and then call for help.

A) Call for help immediately and then begin the procedure for giving first aid to a conscious choking adult.

26) A resident has a sensory impairment. The nurse assistant would focus care on: A) Communication. B) Personal care. C) Mobility. D) Retraining to regain function.

A) Communication.

11) If a person does not move his or her joints regularly, the joints may become permanently bent. This condition is known as: A) Contracture. B) Stiffness C) Atrophy D) Arthritis.

A) Contracture.

22) Which of the following could be a sign of dehydration? A) Dark urine B) Profuse sweating C) Frequent passing of large amounts of urine D) Weight gain

A) Dark urine

4) Giving another person the authority and responsibility to complete a task on one's behalf is called: A) Delegating. B) Reporting. C) Tasking. D) Assigning

A) Delegating.

5) A nurse assistant who works the night shift notices that a resident is awake and having trouble sleeping. The resident tells the nurse assistant that he is having trouble sleeping because of pain. After reporting the resident's pain to the nurse, the nurse assistant picks up a photo album on the bedside table, sits down next to the resident, and begins to ask him questions about some of the photos in the album. To help take the resident's mind off his pain, the nurse assistant is using the technique of: A) Distraction. B) Procrastination. C) Remediation. D) Validation therapy.

A) Distraction.

20) Which statement about HIV/AIDS is true? A) Donating blood does not put a person at risk for infection with HIV. B) Homosexuals are the only group at risk for HIV infection. C) HIV is spread through casual contact, such as shaking hands. D) Medications are now available for curing HIV/AIDS .

A) Donating blood does not put a person at risk for infection with HIV.

25) On which areas of the body can pressure ulcers develop? A) Ears, elbows and ankles B) Hands and wrists C) Coccyx and stomach D) Eyes, ears, nose and throat

A) Ears, elbows and ankles

13) You report to the nurse that Mrs. Jones has expressed an interest in writing a living will. To ensure good communication, what should you do after giving the nurse this information? A) Ensure that the nurse received your message by seeking confirmation. B) Document the information in Mrs. Jones' medical record. C) Watch the nurse to make sure that she goes into Mrs. Jones' room right away to follow up on this request. D) Tell Mrs. Jones that if she does not hear from the nurse within the next few hours, she should let you know so you can follow up.

A) Ensure that the nurse received your message by seeking confirmation.

4) When applying an aquathermia pad to a resident's lower leg, the nurse assistant should be sure to: A) Ensure the pad is covered with flannel or a dry towel. B) Adjust the temperature of the pad periodically during the treatment. C) Pin the pad in place to secure it. D) Check the resident's skin every 10 minutes.

A) Ensure the pad is covered with flannel or a dry towel.

20) A temporary loss of consciousness caused by a lack of blood flow to the brain is known as: A) Fainting. B) A seizure C) A coma. D) A stroke.

A) Fainting.

38) When changing the bed linens, the nurse assistant should: A) Gather the soiled linens into a ball, containing the soiled areas on the inside. B) Shake out the clean linens before placing them on the bed. C) Place the soiled linens on the floor after removing them from the bed. D) All of the above

A) Gather the soiled linens into a ball, containing the soiled areas on the inside.

18) Mrs. McNulty is re-learning how to perform activities of daily living (ADLs), such as dressing herself, following a stroke. Which communication technique can the nurse assistant use to help Mrs. McNulty master the new skills she is learning? A) Giving Mrs. McNulty a clue about the next step if she seems to get stuck. B) Reviewing the entire procedure for accomplishing the task. C) Telling Mrs. McNulty what to do next if she seems to get stuck. D) Telling Mrs. McNulty when she makes a mistake.

A) Giving Mrs. McNulty a clue about the next step if she seems to get stuck.

45) A CNA is removing multiple articles of personal protective equipment (PPE). In what order should the articles be removed? A) Gloves, protective eyewear, gown, mask B) Gloves, protective eyewear, mask, gown C) Protective eyewear, mask, gown, gloves D) Gown, mask, protective eyewear, gloves

A) Gloves, protective eyewear, gown, mask

20) Which legislation defines who can look at and receive information about a person's health status and care and sets rules related to how information that is communicated in writing, verbally, or electronically should be handled? A) Health Insurance Portability and Accountability Act (HIPAA) B) Confidentiality and Privacy Act C) Patient Self-Determination Act D) Omnibus Budget Reconciliation Act (OBRA)

A) Health Insurance Portability and Accountability Act (HIPAA)

17) What is entrapment? A) Injury when a person's head or other body part becomes trapped between, under, or on the side rails, or between the mattress and the side rail B) An injury that occurs when the wheels on a wheelchair are not locked properly C) The act of making sure all exits are secure to prevent a person with dementia from wandering away from the unit D) The application of physical restraints to a person's body to restrict movement

A) Injury when a person's head or other body part becomes trapped between, under, or on the side rails, or between the mattress and the side rail

3) Medicare will only pay for home health care services if the client: A) Is homebound. B) Requires the use of a wheelchair. C) Needs personal care assistance D) Lives alone.

A) Is homebound.

40) Which is NOT a method of preventing infection? A) Keeping a clean pair of gloves in your pocket at all times B) Keeping the people in your care clean C) Keeping the environment clean D) Keeping yourself clean

A) Keeping a clean pair of gloves in your pocket at all times

7) The inability of the kidneys to filter the blood of waste products is called: A) Kidney (renal) failure B) Dialysis. C) Urinary tract infection D) Diabetes.

A) Kidney (renal) failure

13) When assisting a person who uses a cane for walking, the nurse assistant should encourage the person to: A) Look straight ahead while walking B) Avoid putting weight on the cane. C) Hold the cane on her weak side D) Keep her elbow straight.

A) Look straight ahead while walking

8) What is the proper order for putting linens on the bed? A) Mattress pad, bottom sheet, draw sheet, bed protector, top sheet, blanket, bedspread B) Bed protector, bottom sheet, draw sheet, top sheet, blanket, bedspread C) Mattress pad, bottom sheet, top sheet, draw sheet, bedspread, blanket D) Bottom sheet, mattress pad, draw sheet, top sheet, blanket, bedspread

A) Mattress pad, bottom sheet, draw sheet, bed protector, top sheet, blanket, bedspread

9) When caring for a person with a neurological condition, it is important for the nurse assistant to encourage the person to: A) Move as much as he or she is able. B) Take his medications as ordered. C) Relax and breathe slowly and deeply. D) Use the toilet frequently.

A) Move as much as he or she is able.

14) Which of the following is an example of a subjective observation? A) Mr. Wohl is nauseous. B) Mr. O'Neill's toenails need to be trimmed. C) Mrs. Yardley's urine is dark yellow. D) Mrs. Portnoy was able to walk 3 feet further today than she was yesterday.

A) Mr. Wohl is nauseous.

6) Mrs. Lyons is unconscious. Which of the following statements is true regarding mouth care for Mrs. Lyons? A) Mrs. Lyons may be aware that someone is providing mouth care for her. B) Mrs. Lyons does not require mouth care because she is not taking food or fluids through her mouth. C) Mrs. Lyons should be provided with mouth care once per shift. D) Mrs. Lyons should be positioned on her back during mouth care.

A) Mrs. Lyons may be aware that someone is providing mouth care for her.

8) Mrs. Goldstein's religion prevents her from eating certain foods on certain days. Today, Mrs. Goldstein's lunch tray contained foods that she is not allowed to eat. What should the nurse assistant do? A) Offer to obtain a replacement meal for Mrs. Goldstein right away. B) Tell Mrs. Goldstein that she does not have to eat the foods she is not allowed to have and encourage her to eat the other items on the tray. C) Avoid talking about religion and serve Mrs. Goldstein her meal without saying anything. D) Encourage Mrs. Goldstein to eat what she has been served because good nutrition is important to help her maintain her health.

A) Offer to obtain a replacement meal for Mrs. Goldstein right away.

39) Which of the following statements about infection control is NOT true? A) Pathogens can be brushed off linens and clothing. B) Pathogens can be spread through direct contact with body fluids. C) Pathogens can be spread through indirect contact with contaminated items, such as soiled linens. D) Pathogens can be transferred from a person's hands to another surface.

A) Pathogens can be brushed off linens and clothing.

24) The "Captain" of the health care team is the: A) Person receiving care B) Registered Nurse C) Doctor D) Administrator

A) Person receiving care

5) According to Abraham Maslow, the five basic needs are: A) Physical, safety and security, social, self-esteem and self-fulfillment needs. B) Food, shelter, money, friendship and religion needs. C) Proper diet, exercise, sleep, self-awareness and social needs. D) Happiness, money, mental, social and physical needs.

A) Physical, safety and security, social, self-esteem and self-fulfillment needs.

14) When applying a hot or cold treatment, the nurse assistant should: A) Place the heating pad or ice bag in a cloth cover or wrap it in a towel before applying it to the person's skin. B) Leave the heating pad or ice bag in place for at least 45 minutes. C) Wrap the heating pad or ice bag in a damp towel before applying it to the person's skin. D) Apply the heating pad or ice bag directly to the person's skin.

A) Place the heating pad or ice bag in a cloth cover or wrap it in a towel before applying it to the person's skin.

36) What are transmission-based precautions? A) Precautions that are taken when a person's primary care provider suspects or confirms that the person has an infection. B) Precautions that are taken when a patient, resident or client is transferred from one health care facility to another C) Precautions that are taken with every patient, resident or client D) Precautions that are taken when a person has an infection caused by a blood borne pathogen

A) Precautions that are taken when a person's primary care provider suspects or confirms that the person has an infection.

27) While caring for a person with arthritis, the nurse assistant would focus the care on: A) Promoting pain relief. B) Maintaining bladder and bowel control. C) Limiting the person's participation in care. D) Ensuring a regular routine.

A) Promoting pain relief.

12) Mrs. Jenkins is receiving oxygen therapy through a nasal cannula. When caring for Mrs. Jenkins, the nurse assistant should: A) Provide good skin care around Mrs. Jenkins' nose, cheeks and ears. B) Assist Mrs. Jenkins to find the oxygen flow rate that gives her the most relief. C) Remove Mrs. Jenkins' nasal cannula to help her brush her teeth. D) All of the above

A) Provide good skin care around Mrs. Jenkins' nose, cheeks and ears.

30) Which of the following are employers required to do to protect employees from on-the-job exposure to bloodborne pathogens? A) Provide personal protective equipment (PPE) for employee use. B) Screen all employees for tuberculosis exposure regularly. C) Require employees to sign a waiver that relieves the employer of responsibility if the employee develops a bloodborne illness. D) Fine employees who do not use personal protective equipment (PPE) properly.

A) Provide personal protective equipment (PPE) for employee use.

35) What qualities are noted when evaluating a person's pulse? A) Rate, rhythm and force B) Rate, rhythm and depth C) Rhythm and rate D) Rate and force

A) Rate, rhythm and force

33) Mr. Lyons normally has a bowel movement each morning after breakfast. The nurse assistant who cares for Mr. Lyons notices that today he did not have a bowel movement after breakfast. What should the nurse assistant do? A) Report this observation to the nurse. B) Encourage Mr. Lyons to get some exercise and eat more fiber-rich foods. C) Wait another day and see if Mr. Lyons has a bowel movement tomorrow. D) Offer Mr. Lyons a laxative.

A) Report this observation to the nurse.

22) When providing care for someone with a spinal cord injury, the nurse assistant would focus care-giving on promoting: A) Safety B) Dependence. C) Movement D) Satisfaction.

A) Safety

12) What are the four elements that must be present for effective communication? A) Sender, message, receiver and confirmation B) Message, encoder, receive, and decoder C) Sender, transmitter, message and receiver D) Sender, transmitter, receiver and decoder

A) Sender, message, receiver and confirmation

3) Which of the following statements about spirituality is true? A) Spirituality is a belief in something greater than oneself that helps a person assign meaning and purpose to life. B) In order to support a person's spirituality, the nurse assistant must share the person's spiritual beliefs. C) How often a person attends religious services is a measure of a person's spirituality. D) Nurse assistants are not responsible for supporting the spiritual needs of the people in their care.

A) Spirituality is a belief in something greater than oneself that helps a person assign meaning and purpose to life.

8) Which type of health care setting provides care for people who are no longer ill enough to require the services of a hospital, but who still require complex care that can only be delivered by health care professionals? A) Sub-acute care B) Hospice care C) Palliative care D) Acute care

A) Sub-acute care

12) Fat in the diet is needed for: A) Supplying energy. B) Building muscle and body tissue C) Improving bowel elimination. D) Supplying glucose.

A) Supplying energy.

17) Which one of the following actions taken by a nurse assistant supports the rights of a person receiving health care? A) The nurse assistant encourages the person to do as much for himself or herself as possible, offering assistance as needed. B) The nurse assistant shares information about the person's condition with anyone who asks for it. C) The nurse assistant makes decisions about the person's care on behalf of the person. D) The nurse assistant provides a high level of service, doing everything for the person so that the person can rest.

A) The nurse assistant encourages the person to do as much for himself or herself as possible, offering assistance as needed.

15) A nurse assistant asks a co-worker to help her by answering one of her resident's call lights while she is busy with another resident. The co-worker agrees to answer the resident's call light, but then fails to do so. How should the nurse assistant handle this situation? A) The nurse assistant should ask to speak to her co-worker privately about her concerns. B) The nurse assistant should avoid asking this co-worker for help in the future. C) The nurse assistant should warn the other nurse assistants on the unit not to ask this co-worker for help, because she is not reliable. D) The nurse assistant should report her co-worker's negligence to the nurse

A) The nurse assistant should ask to speak to her co-worker privately about her concerns.

21) A fire alarm has sounded in the building. How should the nurse assistant respond? A) The nurse assistant should stop what he or she is doing and remove anyone in immediate danger from the fire to a safe area. B) The nurse assistant should find the source of the fire and extinguish it with a fire extinguisher. C) The nurse assistant should use the elevator to evacuate people from the building quickly. D) The nurse assistant should move people out of their rooms and into the hallway.

A) The nurse assistant should stop what he or she is doing and remove anyone in immediate danger from the fire to a safe area.

2) A restraint that is applied too tightly can result in: A) Tissue damage. B) Entrapment. C) Pressure ulcers. D) Impaired hearing and sight.

A) Tissue damage.

42) What is the single most important step a nurse assistant can take to prevent the spread of infection? A) Washing the hands before and after providing care B) Disinfecting hard surfaces with a bleach and water solution C) Wearing a gown and gloves while providing care D) Avoiding contact with people who have symptoms of a contagious illness

A) Washing the hands before and after providing care

34) When should a nurse assistant practice Standard Precautions? A) With every person in his or her care B) When a person has signs of a contagious illness, such as vomiting, diarrhea, a runny nose or a fever C) When a person is known to be infected with HIV or HBV D) When isolation precautions are in effect

A) With every person in his or her care

11) When other co-workers ask for assistance, the nurse assistant should: A) Work this request into his or her schedule as best as possible. B) Report the request to the supervising nurse. C) Stop whatever he or she is doing and provide assistance. D) Refuse to help if his or her schedule doesn't allow time for such an interruption.

A) Work this request into his or her schedule as best as possible.

10) A nurse assistant is applying a heating pad to a resident's painful joint. The nurse assistant should: A) Wrap the heating pad in a cover or towel before applying it to the person's skin. B) Allow the person to adjust the temperature setting for his own comfort. C) Soak the heating pad in warm water before applying it to the person's skin. D) Use pins to secure the heating pad in place over the joint.

A) Wrap the heating pad in a cover or towel before applying it to the person's skin.

31) What unit of measure is used to indicate a person's blood pressure reading? A) mm Hg B) mL C) cc D) cc/mL

A) mm Hg

12) Which of the following statements concerning the rights of patients, residents and clients is true? A) The wishes of the family take priority over the patient's, resident's or client's wishes. B) All patients, residents and clients are entitled to the same basic rights. C) A facility may limit the rights of a patient, resident or client if this benefits the facility. D) The rights of a patient, resident or client are negotiable with the staff.

B) All patients, residents and clients are entitled to the same basic rights.

10) Mrs. Quinn has been identified as being at high risk for falling. What strategy would be most effective for reducing Mrs. Quinn's risk of injury due to falling? A) Administering medications to make Mrs. Quinn drowsy so that she will stay in bed B) Anticipating what might motivate Mrs. Quinn to get out of bed without assistance, and taking steps to meet those needs in advance C) Instructing Mrs. Quinn not to get out of bed without assistance D) Applying restraints so that Mrs. Quinn cannot get out of bed without assistance

B) Anticipating what might motivate Mrs. Quinn to get out of bed without assistance, and taking steps to meet those needs in advance

28) A nurse assistant is assisting a resident with personal care. The resident has diabetes mellitus. Which of the following should the nurse assistant report to the nurse because it suggests hypoglycemia? A) Sweet-smelling breath B) Clammy skin C) Increased thirst D) Increased urination

B) Clammy skin

23) The process of giving and receiving information is known as: A) Listening. B) Communication. C) Bargaining D) Documentation.

B) Communication.

17) Someone with arthritis should be encouraged to: A) Limit the amount of weight put on the joints. B) Do active or passive range-of-motion exercises regularly. C) Take cold showers to reduce swelling of joints. D) Avoid the pain by not moving.

B) Do active or passive range-of-motion exercises regularly.

19) Threatening to hurt a person or withdraw care if the person does not do what you want her to do is a form of: * 1/1 A) Physical abuse. B) Emotional abuse. C) Proper discipline. D) Inactive abuse.

B) Emotional abuse.

16) A rule for using crutches is: A) Avoid placing weight on the handgrips. B) Grip the crutches between the chest and the inside of the upper arms. C) Keep the elbows straight. D) Move the left foot and crutch, then the right foot and crutch.

B) Grip the crutches between the chest and the inside of the upper arms.

25) A person who is a professional is one who: A) Has a superior attitude B) Has certain training, credentials or qualifications to perform a specific role. C) Has advanced education D) Tells others what to do

B) Has certain training, credentials or qualifications to perform a specific role.

16) While providing morning care to a resident, the nurse assistant observes that the resident becomes anxious and short of breath when lying down. The CNA reports this information to the nurse because the resident may be experiencing early signs of: A) Angina B) Heart failure. C) Stroke. D) COPD.

B) Heart failure.

6) A resident of a nursing home speaks with pride about the large family she has raised and the accomplishments of her various children. Which need of this resident has been met? A) Her safety and security needs B) Her self-fulfillment needs C) Her social needs D) Her physical needs

B) Her self-fulfillment needs

12) Mr. Klein has poor blood flow and sensation in his legs and feet because of diabetes. To keep Mr. Klein safe, the nurse assistant should: A) Massage Mr. Klein's lower legs and feet to promote blood flow and improve sensation. B) Inspect Mr. Klein's feet and lower legs daily for signs of small injuries. C) Avoid transporting Mr. Klein in a wheelchair because this may cause injury to his lower legs or feet. D) Elevate Mr. Klein's legs to promote blood flow and improve sensation.

B) Inspect Mr. Klein's feet and lower legs daily for signs of small injuries.

21) Mr. Fulmer is receiving enteral nutrition. The nurse assistant should: A) Use cotton balls moistened with alcohol to clean around Mr. Fulmer's mouth and nose. B) Keep the head of Mr. Fulmer's bed elevated for 30 minutes after a tube feeding. C) Keep Mr. Fulmer lying flat for 30 minutes after a tube feeding. D) Give Mr. Fulmer water by mouth.

B) Keep the head of Mr. Fulmer's bed elevated for 30 minutes after a tube feeding.

8) Mrs. Neely tells the nurse assistant that she is experiencing pain. What should the nurse assistant do? A) Disregard Mrs. Neely's complaint because she is probably exaggerating the amount of discomfort she is feeling. B) Listen to what Mrs. Neely says about her pain and accept it as the truth. C) Offer to apply heat to the painful area. D) Give Mrs. Neely aspirin.

B) Listen to what Mrs. Neely says about her pain and accept it as the truth.

1) What does Maslow's theory about needs say? A) All needs have the same priority. B) Lower level needs must be met before more advanced needs can be met. C) Each person has individual needs. D) A person's self-fulfillment needs must be met before other needs can be met.

B) Lower level needs must be met before more advanced needs can be met.

16) Mrs. Watkins has chronic heart failure. As a result, her body has difficulty ridding itself of excess water. The doctor has ordered fluid restriction for Mrs. Watkins. What should the nurse assistant do? A) Ensure that Mrs. Watkins' meal tray does not contain any fluid-rich foods, such as fruits, soups or ice cream. B) Measure and record Mrs. Watkins' fluid intake and output carefully. C) Ensure that Mrs. Watkins' water pitcher and drinking glass are always within easy reach. D) Allow Mrs. Watkins one glass of water per day.

B) Measure and record Mrs. Watkins' fluid intake and output carefully.

4) Mrs. Lewis has Parkinson's disease. When caring for Mrs. Lewis, the nurse assistant should: A) Take droplet precautions. B) Offer small, frequent meals and snacks because eating a large meal can cause Mrs. Lewis to become fatigued. C) Remind the Mrs. Lewis to take small, short steps. D) Encourage Mrs. Lewis to move quickly because this helps to reduce tremors

B) Offer small, frequent meals and snacks because eating a large meal can cause Mrs. Lewis to become fatigued.

9) Mr. Truman is a 97 year old male that has entered the "old-old" stage of growth & development. Which statement about Mr. Truman is true? * 1/1 A) Mr. Truman's intellectual abilities will probably start to decline. B) One of Mr. Truman's developmental tasks will be to look back on his life and begin thinking about and planning for his own death. C) Mr. Truman no longer can make meaningful contributions to society. D) Mr. Truman should give up his desire to be independent and accept that he is old.

B) One of Mr. Truman's developmental tasks will be to look back on his life and begin thinking about and planning for his own death.

4) A bed with the top linens folded back is called a(n): A) Surgical bed. B) Open bed C) Closed bed D) Fan-folded bed.

B) Open bed

3) Mrs. O'Neill has chronic heart failure. When caring for Mrs. O'Neill, the nurse assistant should: A) Encourage Mrs. O'Neill to cough deeply to keep the airways free of mucus. B) Provide frequent rest periods when helping Mrs. O'Neill with daily care activities. C) Keep Mrs. O'Neill's legs and feet lower than her heart to reduce swelling in the ankles. D) Administer oxygen per Mrs. O'Neill's care plan to make breathing easier.

B) Provide frequent rest periods when helping Mrs. O'Neill with daily care activities.

19) Mrs. Osgood is being transferred to a different unit in the nursing home. To assist with the transfer, the nurse assistant who is caring for Mrs. Osgood should: A) Lock Mrs. Osgood's personal belongings in the facility safe. B) Provide the nurse assistant who will be caring for Mrs. Osgood on the receiving unit with information about Mrs. Osgood's preferences and care needs. C) Complete a personal belongings inventory sheet. D) Obtain Mrs. Osgood's vital sign measurements.

B) Provide the nurse assistant who will be caring for Mrs. Osgood on the receiving unit with information about Mrs. Osgood's preferences and care needs.

25) Mrs. Zinner, the wife of a home health client, accidentally cut herself while chopping vegetables in the kitchen. What should the home health aide do? A) Apply a pressure bandage. B) Put on gloves, cover the wound with a sterile dressing and apply direct pressure. C) Call 9-1-1 immediately. D) Rinse the wound under cold running water.

B) Put on gloves, cover the wound with a sterile dressing and apply direct pressure.

14) There is a new mechanical lift on the unit. This is the first time the nurse assistant will be using this piece of equipment. What should the nurse assistant do? A) Assume that this lift works the same way the old lift did. B) Read the manufacturer's instructions for use that are attached to the lift. C) Consult the facility's policy and procedure manual to find the correct procedure for using the lift. D) Ask another nurse assistant if he or she knows how to use the new lift.

B) Read the manufacturer's instructions for use that are attached to the lift.

2) The home health care process starts with a: A) Check of the client's insurance coverage B) Referral to an agency C) Telephone call to the client D) Home visit by the RN

B) Referral to an agency

34) The doctor has requested a routine urine sample from Mrs. Osprey. Mrs. Osprey uses the toilet for elimination. The nurse assistant should: A) Provide Mrs. Osprey with a bedpan the next time she feels the urge to void. B) Remind Mrs. Osprey not to have a bowel movement or place toilet paper in the commode hat. C) Leave Mrs. Osprey with a specimen container so that she has it available the next time she needs to urinate. D) Have Mrs. Osprey clean the perineal area with soap and water before urinating.

B) Remind Mrs. Osprey not to have a bowel movement or place toilet paper in the commode hat.

9) Mrs. Ratchet is a resident in a nursing home. The doctor has prescribed a therapeutic, heart- healthy diet for Mrs. Ratchet, but she does not like it and has not been eating well. What should the nurse assistant do? A) Not worry about it; when Mrs. Ratchet gets hungry enough, she will eat. B) Report his or her observations about Mrs. Ratchet's dislike of the diet to the nurse. C) Bring Mrs. Ratchet treats to make up for the calories she is losing by not eating her meals. D) Tell Mrs. Ratchet that she must eat the diet the doctor has prescribed, whether she likes it or not.

B) Report his or her observations about Mrs. Ratchet's dislike of the diet to the nurse.

30) Which of the following can be a complication of immobility? A) Increased blood pressure B) Respiratory complications C) Paralysis D) Nerve damage

B) Respiratory complications

13) A new nurse assistant is employed at a nursing home. To help manage time and care the nurse assistant creates a written plan or: A) Care plan. B) Schedule. C) Check-off list. D) Resident log.

B) Schedule.

36) Incontinence puts a person at risk for: A) Immobility. B) Skin breakdown. C) Fecal impaction. D) Contractures.

B) Skin breakdown.

32) The instrument used to measure blood pressure is called a: A) Manometer B) Sphygmomanometer C) Mercury aneroid D) Stethoscope.

B) Sphygmomanometer

18) A nurse assistant is responsible for assisting with discharging Mrs. Ruiz from a sub-acute care facility. The nurse assistant should: A) Arrange for transportation home for Mrs. Ruiz. B) Stay with Mrs. Ruiz until she is safely in an ambulance or family car. C) Obtain baseline vital sign, height and weight measurements from Mrs. Ruiz. D) Obtain payment for services provided from Mrs. Ruiz's family.

B) Stay with Mrs. Ruiz until she is safely in an ambulance or family car.

28) The doctor has ordered a clear liquid diet for Mrs. Steele. Which item can Mrs. Steele have? A) Cream of broccoli soup B) Tea with lemon C) Ice cream D) Coffee with cream

B) Tea with lemon

18) A person in your care says he does not understand the medical procedure he is supposed to have tomorrow. You should: A) Tell him not to worry about it. B) Tell the nurse about his concerns. C) Tell him it will be painless. D) Tell the nurse that the person does not want to have the procedure done.

B) Tell the nurse about his concerns.

41) Which of the following statements is true about taking and recording vital signs? A) The thumb and index finger are placed on the inside of the person's wrist to measure a person's pulse. B) The probe of an electronic thermometer should not be inserted into the rectum more than 1 inch in an adult. C) Normal respiration may be noisy if the person has just woken up. D) All people who are older than 85 years should have a blood pressure of at least 140/90 mm Hg.

B) The probe of an electronic thermometer should not be inserted into the rectum more than 1 inch in an adult.

27) A nurse assistant is removing personal protective equipment (PPE). Which areas are NOT considered contaminated? A) The outside of the gloves B) The strings of the mask C) The outside front of the gown D) All of the above

B) The strings of the mask

30) What adjective is used to describe a very weak pulse? A) Lost B) Thready C) Absent D) Bounding

B) Thready

35) What is one time when a nurse assistant must wear a gown? A) When changing the linens on an occupied bed B) When there is a possibility that blood or body fluids will splash or spray C) When disinfecting an over-bed table D) When standard precautions are in effect

B) When there is a possibility that blood or body fluids will splash or spray

16) When should an incident be reported to the nurse? A) When the incident causes bleeding B) Whenever an incident occurs C) When the incident caused injury to a patient, resident or client D) When the patient, resident or client requests you to do so

B) Whenever an incident occurs

8) Mr. Islip has a weak right arm due to a stroke. To help Mr. Islip put on a shirt, the nurse assistant should: A) Work with Mr. Islip's strong arm first. B) Work with Mr. Islip's weak arm first. C) Have Mr. Islip wear sleeveless shirts. D) Select a shirt that can be pulled over Mr. Islip's head.

B) Work with Mr. Islip's weak arm first.

19) Mr Underwood is recovering from a serious burn. To aid with healing and tissue repair, the doctor might order a diet high in: A) fats. B) protein. C) Carbohydrates. D) liquid.

B) protein.

11) The doctor has requested a sputum sample from Mrs. Powers, who has pneumonia. To obtain the sputum sample the nurse assistant should: A) Ask Mrs. Powers to cough sputum into a tissue. B) Ask Mrs. Powers to spit into a specimen cup. C) Ask Mrs. Powers to cough up sputum from deep within the lungs. D) Ask Mrs. Powers to gargle with mouthwash and spit the solution into specimen cup.

C) Ask Mrs. Powers to cough up sputum from deep within the lungs.

19) A person who is receiving nutrition through a feeding tube is at high risk for developing: A) Influenza. B) Parkinson's disease. C) Aspiration pneumonia. D) Chronic heart failure.

C) Aspiration pneumonia.

19) Flexion involves: A) Straightening the body part. B) Moving the body part away from the body. C) Bending the body part. D) Moving the body part toward the body.

C) Bending the body part.

2) A nurse assistant is assigned to change the linens on four residents' beds. How can the nurse assistant work most efficiently? A) By gathering all of the linens needed to make all of the assigned beds at once B) By leaving the soiled linens on the floor and placing them in the linen hamper only after all of the beds are made C) By gathering and stacking the linens in the order in which they will be used D) By crossing over to the other side of the bed to secure each linen before placing the next

C) By gathering and stacking the linens in the order in which they will be used

1) When working as a home health care aide, the nurse assistant understands that the center of the team is the: A) Primary care provider. B) Client's family C) Client D) Home health care nurse.

C) Client

25) A nurse assistant is providing care to a person who engages in rituals to calm his unwanted thoughts. The nurse assistant identifies these rituals as: A) Triggers. B) Panic attacks. C) Compulsions. D) Obsessions.

C) Compulsions.

11) A nurse assistant answers the telephone on the unit. The caller is asking questions about a resident. Which of the following rules should the nurse assistant follow? A) Confidential information can be given to the resident's family. B) Confidential information can be given to the resident's religious leader. C) Confidential information cannot be given to any caller without the resident's knowledge and permission. D) Confidential information can be given to the resident's lawyer.

C) Confidential information cannot be given to any caller without the resident's knowledge and permission.

17) Mr. Ingalls is blind. When assisting Mr. Ingalls with a meal, the nurse assistant should: A) Feed Mr. Ingalls so he does not spill food on himself. B) Ensure that Mr. Ingalls wear a clothing protector. C) Describe the items on the meal tray, using a clock face as a reference. D) Provide Mr. Ingalls with an assistive device that will make it easier for him to grasp the utensils.

C) Describe the items on the meal tray, using a clock face as a reference.

42) Difficult, painful or labored breathing is known as: A) Tachypnea B) Bradypnea C) Dyspnea. D) Apnea.

C) Dyspnea.

33) A tympanic thermometer is inserted in the: A) Armpit B) Rectum C) Ear D) Mouth.

C) Ear

7) A nurse assistant observes that two residents at the nursing home have become romantically involved. The nurse assistant should: A) Tell the residents' family members so that they can intervene. B) Arrange to have one of the residents transferred to a different unit. C) Ensure privacy for the couple. D) Report the relationship to the nurse because it is inappropriate.

C) Ensure privacy for the couple.

26) A person who is having a heart attack may show which of the following signs and symptoms? A) Clutching at the throat and wheezing B) Confusion and a severe, sudden headache C) Extreme fatigue, nausea, and breaking out in a cold sweat D) Restlessness, irritability and extreme thirst

C) Extreme fatigue, nausea, and breaking out in a cold sweat

43) A person's blood pressure is measured four times a day. Where should the information be recorded? A) Admission sheet B) Discharge notes C) Flow sheet D) Graphic sheet

C) Flow sheet

5) Mr. Linkins has lost sensation and movement on the left side of his body following a stroke. When caring for Mr. Linkins, the nurse assistant should: A) Put food on the left side of Mr. Linkins' mouth when he is eating. B) Avoid giving Mr. Linkins thickened liquids. C) Follow measures on Mr. Linkins' care plan that are designed to prevent pressure ulcers. D) Position Mr. Linkins in the left lateral position most of the time.

C) Follow measures on Mr. Linkins' care plan that are designed to prevent pressure ulcers.

18) The National Weather Service has issued a hurricane warning for the area and an evacuation order is in effect. What should the nurse assistants on duty at the nursing home do? A) Implement the RACE plan. B) Leave work immediately C) Follow the facility's disaster preparedness plan for evacuating the residents to another facility. D) Begin moving residents to interior rooms and hallways.

C) Follow the facility's disaster preparedness plan for evacuating the residents to another facility.

28) When you help a person sit up in bed with the head of the bed raised, that person is in a: A) Reverse Trendelenberg's position. B) Reading position. C) Fowler's position. D) Trendelenberg's position.

C) Fowler's position.

30) Mrs. Evans is able to bear her own weight, but she is not able to walk more than a few feet. When assisting Mrs. Evans with elimination, the nurse assistant should: A) Place Mrs. Evans on a bedpan. B) Have Mrs. Evans use a commode hat. C) Have Mrs. Evans use a bedside commode D) Assist Mrs. Evans to walk to the toilet.

C) Have Mrs. Evans use a bedside commode

16) Which of the following is an important responsibility of the nurse assistant when assisting a person who is being admitted to a health care facility? A) Arranging for the person's belongings to be moved from the person's home. B) Cleaning the room in preparation for the new admission. C) Helping to orient the person to her new surroundings. D) Helping the person fill out forms for billing.

C) Helping to orient the person to her new surroundings.

21) A person who has had a stroke has weakness on the left side of his body. The correct term for this is: A) Hemiplegia. B) Paraplegia. C) Hemiparesis. D) Quadriplegic

C) Hemiparesis.

5) A facility that provides short-term care for people who become ill or injured suddenly is called a(n): A) Inpatient clinic. B) Sub-acute care clinic. C) Hospital D) Assisted-living facility.

C) Hospital

40) Mr. Timmons' blood pressure measurement is 100/60 mm Hg. Mr. Timmons has: A) Hypoglycemia B) Hypothermia C) Hypotension D) Hypertension.

C) Hypotension

43) Actions taken to control the spread of microbes that can cause disease are called: A) Termination. B) Contamination. C) Infection control. D) Hazard management.

C) Infection control.

5) Which one of the following is a responsibility of the home health aide? A) Making arrangements for needed services and equipment B) Home maintenance tasks, such as making repairs and shoveling snow C) Light housekeeping tasks in accordance with the person's care plan. D) Administering medications in accordance with the person's care plan.n 4

C) Light housekeeping tasks in accordance with the person's care plan.

13) Mrs. Morganti winces when she puts weight on her left leg. This is a: A) Subjective expression of pain. B) Complaint of pain. C) Nonverbal expression of pain. D) Verbal expression of pain.

C) Nonverbal expression of pain.

7) A facility that provides care for people who do not need to stay in a hospital but who require a high level of nursing care and assistance is called a: A) Hospice unit. B) Sub-acute care facility. C) Nursing home. D) Dementia unit.

C) Nursing home.

10) Which government agency is charged with keeping workers safe on the job? A) National Institutes of Health (NIH) B) Omnibus Budget Reconciliation Act (OBRA) C) Occupational Safety and Health Administration (OSHA) D) Centers for Disease Control and Prevention (CDC)

C) Occupational Safety and Health Administration (OSHA)

29) A nurse assistant brings extra linens into a patient's room but does not put them on the bed. What should the nurse assistant do with the extra linens? A) Use them to make the bed of the patient in the next room. B) Leave them in the person's room until it is time to change the linens again C) Place them in the laundry hamper for laundering. D) Return them to the linen cart.

C) Place them in the laundry hamper for laundering.

23) Mrs. Jenkins is on NPO status. The nurse assistant should: A) Measure Mrs. Jenkins' intake and output. B) Urge Mrs. Jenkins to drink as much fluid as possible. C) Prevent Mrs. Jenkins from taking any food or fluids by mouth. D) Weigh Mrs. Jenkins daily or according to her care plan.

C) Prevent Mrs. Jenkins from taking any food or fluids by mouth.

10) Some employers use the first few months to closely evaluate the job performance and potential of a new employee. Sometimes benefits are not offered until after this initial review. This time period is known as a(n): A) Contract period. B) Initiation phase of employment. C) Probationary period D) Employee orientation.

C) Probationary period

24) Which of the following should a nurse assistant do when serving a meal to a person who is receiving health care to make meal time as pleasant as possible? A) Put a clothing protector on the person before the meal B) Encourage the person to eat privately in his room. C) Pull up a chair and sit with the person during the meal D) Feed a person who is eating slowly.

C) Pull up a chair and sit with the person during the meal

24) A nurse assistant is providing care to a resident with renal failure who is receiving dialysis. The nurse assistant understands that this treatment: A) Identifies the level of oxygen in the person's blood. B) Reduces the risk for the development of opportunistic infections. C) Removes waste products and excess fluid from the body. D) Introduces drugs into the body to stop the growth of malignant cells.

C) Removes waste products and excess fluid from the body.

11) The resident asks to have her minister visit. The nurse assistant should: A) Explain the visiting hours. B) Tell the resident's family. C) Report the request to the nurse. D) Check for a doctor's order.

C) Report the request to the nurse.

9) What is the most useful action a nurse assistant should take after an interview? A) Call and ask if the interviewer has made a decision yet. B) Call and ask how many people are being interviewed for the job. C) Send a written thank-you note or email to the interviewer and state why you think you are a good fit for the job. D) Do some additional research on the facility and think about if you would like to work there.

C) Send a written thank-you note or email to the interviewer and state why you think you are a good fit for the job.

7) Which statement concerning the handling of soiled linens is correct? A) Soiled linens should be placed on the floor. B) Soiled linens should be held close to the nurse assistant's body to prevent contamination of other surfaces. C) Soiled linens should be placed in the linen hamper. D) Soiled linens should be placed on the over bed table.

C) Soiled linens should be placed in the linen hamper.

6) Mr. Johnson has been admitted to the hospice unit because he is dying from acquired immunodeficiency syndrome (AIDS). The nurse assistant caring for Mr. Johnson should: A) Put on gloves before holding his hand or giving him a hug. B) Ensure that Mr. Johnson is placed in an isolation room. C) Take standard precautions. D) Take airborne precautions, including wearing a mask.

C) Take standard precautions.

20) Which of the following is a good coping method you can use if you feel upset or frustrated when a person in your care does something undesirable? A) Tell the person that you are going to report his behavior to the nurse. B) Tell the person that you will no longer care for him. C) Talk to someone about what happened. D) Resign from your job.

C) Talk to someone about what happened.

9) The law passed by Congress that ensures that residents of nursing homes that receive government funding receive a certain standard of care is known as: A) The Medicare/Medicaid Act. B) The Quality of Care Act. C) The Omnibus Budget Reconciliation Act (OBRA). D) The Patient Self-Determination Act.

C) The Omnibus Budget Reconciliation Act (OBRA).

15) Mr. Lowe is undergoing physical therapy as part of his rehabilitation from hip replacement therapy. How can the nurse assistant help Mr. Lowe achieve his goal of returning home and living independently? A) The nurse assistant can advise Mr. Lowe to "work through the pain." B) The nurse assistant can remind Mr. Lowe to avoid activity to promote healing. C) The nurse assistant can ensure that Mr. Lowe gets enough sleep so that he is refreshed and fully able to participate in his therapy sessions during the day. D) The nurse assistant can tell Mr. Lowe about other residents who have successfully recovered from hip replacement surgery to inspire him.

C) The nurse assistant can ensure that Mr. Lowe gets enough sleep so that he is refreshed and fully able to participate in his therapy sessions during the day.

27) Mr. Sheirich, a resident of a nursing home, smokes. What precautions should the nurse assistant take to ensure his safety and the safety of others? A) The nurse assistant should ensure that Mr. Sheirich's oxygen is turned on before he begins smoking. B) The nurse assistant should allow Mr. Sheirich to smoke only around other people who smoke. C) The nurse assistant should make sure that Mr. Sheirich safely extinguishes his smoking materials. D) The nurse assistant should not allow Mr. Sheirich to smoke.

C) The nurse assistant should make sure that Mr. Sheirich safely extinguishes his smoking materials.

21) A resident throws his lunch on the floor and says, "This is garbage." How should the nurse assistant respond? A) The nurse assistant should say nothing and bring the person a replacement meal. B) The nurse assistant should report the person's behavior to his family so that they can manage the situation. C) The nurse assistant should try to find out why the person is angry. D) The nurse assistant should say "We don't throw food on the floor here" and call housekeeping to clean up the spilled food

C) The nurse assistant should try to find out why the person is angry.

17) Which of the following is an example of an objective observation? A) The person feels dizzy. B) The person has a tingling sensation in his leg. C) The person has a cough. D) The person has a headache.

C) The person has a cough.

22) Which of the following is a right that all people receive health care are entitled to? * 1/1 A) The right to administer their own treatments B) The right to have their own room C) The right to privacy D) The right to receive free health care

C) The right to privacy

15) A nurse assistant is giving care to a person receiving radiation therapy as treatment for his cancer. Which of the following would be most important? A) Providing weekly foot care B) Promoting exercise twice a week C) Using infection control measures D) Encouraging use of assistive devices

C) Using infection control measures

31) Airborne droplet precautions are in effect for Mrs. Smith. What should the nurse assistant do? A) Wear a surgical mask while providing care for Mrs. Smith. B) Wash her hands frequently while providing care for Mrs. Smith. C) Wear a high-efficiency particulate air filter (HEPA) mask while providing care for Mrs. Smith. D) Avoid entering Mrs. Smith's room.

C) Wear a high-efficiency particulate air filter (HEPA) mask while providing care for Mrs. Smith.

28) A nurse assistant has a cut on her hands. What should the nurse assistant do to lower her risk of infection? A) Wash the hands frequently. B) Apply antiseptic to the cut. C) Wear gloves when providing care. D) Call out sick from work until the cut is healed.

C) Wear gloves when providing care.

37) When should a nurse assistant wear protective eyewear? A) When assisting the nurse with advanced procedures, such as changing a wound dressing or inserting a urinary catheter B) When the possibility exists that something sharp could enter the eye C) When the possibility exists that blood or other body fluids could splash or spray into the eyes D) When it is necessary to see clearly

C) When the possibility exists that blood or other body fluids could splash or spray into the eyes

22) What are two regular times when you must report the care you give? A) When you give the person a bath and when you help the person to the activity room B) When you begin to provide care for a person and when you complete it C) When you report for your shift and before you leave your shift D) After lunch and before dinner

C) When you report for your shift and before you leave your shift

28) When should a nurse assistant supervise a person who smokes? A) When the person is confused B) When the person is smoking in his room and oxygen is in use C) Whenever the person smokes D) When the person smokes in bed

C) Whenever the person smokes

16) Three documents that health care workers use to communicate about the people in their care are the: A) Observation sheet, flow sheet and nurse assistant's notes. B) Care plan, flow sheet and nursing notes. C) Admissions sheet, medication form and release sheet. D) Inventory form, doctor's recommendations and observation sheet.

Care plan, flow sheet and nursing notes.

34) Which one of the following vital sign measurements is outside the range of normal for an adult? A) 75 beats/min B) 18 breaths/min C) 99.2° F (O) D) 140/90 mm Hg

D) 140/90 mm Hg

8) What is multiple sclerosis? A) A disorder that occurs with injury or trauma to the spinal cord B) A chronic disease that occurs when a brain chemical called dopamine is not produced in adequate amounts C) A disorder that occurs when blood flow to a part of the brain is interrupted, resulting in the death of brain cells D) A chronic disease that gradually destroys the protective coating on the nerves in the brain and spinal cord

D) A chronic disease that gradually destroys the protective coating on the nerves in the brain and spinal cord

26) What is a nutritious diet? A) A diet that is recommended by the government B) A diet that limits calories C) A diet that meets the person's individual tastes D) A diet that contains a wide variety of nutrients

D) A diet that contains a wide variety of nutrients

13) Which of the following is a possible complication of restraint use? A) Bowel and bladder elimination problems B) Depression C) Strangulation D) A, B & C

D) A, B & C

35) Signs and symptoms of fecal impaction include: A) Burning on urination and an increased frequency to void. B) Excessive thirst and nausea. C) Passage of hard, dry stool and blood in the urine. D) Abdominal pain and a diarrhea-like discharge from the anus.

D) Abdominal pain and a diarrhea-like discharge from the anus.

6) Correct positioning to keep the spine straight is called: A) Back position. B) Body mechanics. C) Fowler's position. D) Alignment.

D) Alignment.

26) All of the following statements about infections are true EXCEPT: A) The body's natural defense mechanisms that help to protect against infections include intact skin and mucous membranes and the coughing and sneezing reflexes. B) A vaccine exists that can protect against infection with the hepatitis B virus (HBV). C) People who are receiving health care are at high risk for infections. D) All infections can be treated with antibiotics.

D) All infections can be treated with antibiotics.

10) Which of the following can cause a person who is receiving health care to have a reduced appetite? A) Medication side effects B) Feeling lonely or sad C) Pain D) All of the above

D) All of the above

12) Pain relief is very important because: A) Unrelieved pain can negatively affect a person's appetite. B) Unrelieved pain causes physical and emotional stress. C) Unrelieved pain can make it hard for the person to engage in activities he or she enjoys. D) All of the above

D) All of the above

14) Fluids are lost from the body in the form of: A) Respiration B) Sweat. C) Urine and bowel movements D) All of the above

D) All of the above

15) Which of the following people should receive restorative care? A) A resident of a nursing home who has many chronic health conditions B) A patient in a sub-acute care facility who is recovering from hip replacement surgery C) A resident of a nursing home who is in the middle stage of dementia D) All of the above

D) All of the above

15) Why is it important to encourage adequate fluid intake in older people? A) Adequate fluid intake helps to prevent problems with elimination, such as urinary tract infections and constipation. B) Older people have a reduced sense of thirst and may not drink enough on their own. C) Dehydration can be life-threatening in an older person. D) All of the above

D) All of the above

44) Which of the following could be a sign or symptom of infection in an older person: A) Fatigue or lethargy. B) The sudden onset of confusion. C) A body temperature that is slightly higher or lower than normal. D) All of the above

D) All of the above

7) Which of the following factors can affect how a person responds to pain? A) The person's culture B) The person's previous experience with pain C) The person's pain tolerance D) All of the above

D) All of the above

9) When reporting a person's complaint of pain to the nurse, it is useful for the nurse assistant to gather more information about: A) The frequency of the pain. B) The intensity of the pain. C) Factors that make the pain better or worse. D) All of the above

D) All of the above

11) What general action can a nurse assistant take to reduce a person's risk of falling? A) Using a mechanical lift during transfers B) Performing a fall risk assessment C) Raising the bed to a comfortable working height D) Allowing the person to sit on the edge of the bed for several minutes before standing up

D) Allowing the person to sit on the edge of the bed for several minutes before standing up

10) The medical term for walking is: A) Horizontal movement B) Leg extension. C) Contraction D) Ambulation

D) Ambulation

6) A facility that provides care for people who require some assistance with tasks such as activities of daily living (ADLs) or reminders to take medications, but are otherwise fairly independent is a(n): A) Nursing home. B) Retirement community. C) Long-term care facility D) Assisted-living facility.

D) Assisted-living facility.

9) Decreased muscle mass that occurs with a lack of use is called: A) Rigor mortis. B) Paralysis C) Contracture D) Atrophy

D) Atrophy

15) The occupational therapist is teaching Mrs. Ryan how to use assistive devices to feed herself. How can the nurse assistant support this teaching? A) By offering Mrs. Ryan a clothing protector to prevent her from getting food on her clothes as she learns to use the assistive device B) By encouraging Mrs. Ryan to switch to regular utensils halfway through the meal C) By using the assistive devices to feed Mrs. Ryan D) By watching Mrs. Ryan use the assistive devices and correcting her technique as needed

D) By watching Mrs. Ryan use the assistive devices and correcting her technique as needed

19) The name of the technique used to sustain breathing and circulation for a person who has gone into cardiac arrest is: A) Respiration initiation. B) Cardio-respiration C) Mouth-to-mouth resuscitation D) Cardiopulmonary resuscitation

D) Cardiopulmonary resuscitation

23) Having skills that have been tested and approved means that a nurse assistant or home health aide is: A) Intelligent B) Qualified C) Employable D) Certified

D) Certified

14) A person in the nurse assistant's care is receiving treatment with several drugs to stop the cancer cells from multiplying. The person is most likely receiving: A) Radiation. B) Hospice C) Palliative care D) Chemotherapy.

D) Chemotherapy.

27) To help reposition a person in bed, use a: A) Restraint. B) Mechanical lift C) Bottom sheet. D) Draw sheet.

D) Draw sheet.

16) When you make decisions guided by your knowledge of what is right, meaning what is good or moral, you are acting: A) Independently. B) Legally. C) Inappropriately. D) Ethically.

D) Ethically.

2) What is the order used for cleaning the parts of the body when assisting a person to bathe? A) Chest and abdomen, perineal area, legs and feet, back and buttocks, arms and hands, face B) Face, chest and abdomen, arms and hands, legs and feet, back and buttocks, perineal area C) Legs and feet, perineal area, back and buttocks, arms and hands, chest and abdomen, face D) Face, arms and hands, chest and abdomen, legs and feet, back and buttocks, perineal area

D) Face, arms and hands, chest and abdomen, legs and feet, back and buttocks, perineal area

4) The CNA is required to complete a written incident report about a resident who fell out of bed. The CNA would include: A) The person who is to blame for the incident. B) Suggestions to prevent future incidents. C) Staff opinions about the cause of the incident. D) Factual account of what happened.

D) Factual account of what happened.

37) An elevation of body temperature is called: A) Hypertension B) Cyanosis C) Hypotension D) Fever.

D) Fever.

19) Which one of the following is an example of negative body language? A) Pulling up a chair and sitting down while a person talks to you B) Leaning toward the person as she talks to you C) Gently squeezing a person's hand as she talks to you D) Glancing frequently at your watch while a person talks to you

D) Glancing frequently at your watch while a person talks to you

3) A nurse assistant is making a Mrs. Lipkin's bed. Mrs. Lipkin is able to get out of the bed while the linens are being changed. The nurse assistant should: A) Arrange her schedule so that she can change the linens while Mrs. Lipkin is attending a group activity. B) Assist Mrs. Lipkin to sit on the side of the bed where the nurse assistant is not working. C) Ask Mrs. Lipkin to wait outside until the linens are changed. D) Help Mrs. Lipkin transfer to a chair in the room and talk with Mrs. Lipkin while he or she changes the linens.

D) Help Mrs. Lipkin transfer to a chair in the room and talk with Mrs. Lipkin while he or she changes the linens.

18) As a result of Parkinson's disease, Mrs. Orson has trouble eating and swallowing. The nurse assistant should: A) Feed Mrs. Orson to ensure that she receives enough nutrition. B) Ask the nurse to look into having the doctor order enteral nutrition for Mrs. Orson. C) Use hand-over-hand cueing to help Mrs. Orson remember how to eat. D) Help Mrs. Orson practice the swallowing techniques the speech therapist has taught her.

D) Help Mrs. Orson practice the swallowing techniques the speech therapist has taught her.

17) One of the most important roles of nurse assistants is to: A) Answer call lights quickly. B) Keep the facility neat and clean to prevent the spread of infection. C) Complete tasks efficiently. D) Help those in their care to achieve or maintain their best level of function.

D) Help those in their care to achieve or maintain their best level of function.

12) When providing restorative care, nurse assistants are responsible for: A) Administering medications that help the person feel more comfortable. B) Determining what therapy the person needs. C) Providing therapy that helps the person re-learn skills needed for daily living. D) Helping the person practice the skills he is learning in therapy.

D) Helping the person practice the skills he is learning in therapy.

2) Mrs. Yardley is recovering from a broken hip. When Mrs. Yardley is seated in a chair: A) Her legs should extend straight out in front of her. B) Her knees should be higher than her hips. C) An abduction pillow should be placed between her legs to keep her hip joints in the proper position. D) Her feet should be flat on the floor and her hips should be flexed no more than 90 degrees.

D) Her feet should be flat on the floor and her hips should be flexed no more than 90 degrees.

3) When shaving a man's face with a safety razor, the nurse assistant should: A) Apply pre-shave lotion to soften the whiskers. B) Place the guard back on the razor before returning it to the person's drawer. C) Shave the neck moving from the chin toward the chest. D) Hold the skin on the cheek tight and shave downward.

D) Hold the skin on the cheek tight and shave downward.

18) Which one of the following is an example of an open-ended question? A) Was breakfast good this morning, Mr. Williams? B) Don't you like scrambled eggs, Mr. Williams? C) Aren't you hungry for breakfast this morning, Mr. Williams? D) How do you like your eggs prepared, Mr. Williams?

D) How do you like your eggs prepared, Mr. Williams?

10) Which of the following statements about hypertension is true? A) A person who has hypertension will have symptoms, such as a red face and headache. B) Hypertension means that the heart is doing a good job of pumping blood through the body. C) A person who is not experiencing symptoms of hypertension can stop taking the medications used to treat it. D) Hypertension can cause serious health problems.

D) Hypertension can cause serious health problems.

17) A nurse assistant is helping to admit a new resident. The nurse assistant should: A) Avoid asking the resident questions about himself or herself. B) Make sure the resident understands the facility's policies regarding resident behavior. C) Request that family members wait in the lobby until the resident is settled in his or her room. D) Include family members in the process as much as possible.

D) Include family members in the process as much as possible.

5) A nurse assistant must assist Mr. Barrett with mouth care. Mr. Barrett has dentures. The nurse assistant should: A) Use mouth sponges to clean Mr. Barrett's dentures after removing them from Mr. Barrett's mouth. B) Brush and floss Mr. Barrett's dentures. C) Use a stiff toothbrush to brush Mr. Barrett's dentures while they are in place. D) Line the sink with paper towels or a wash cloth before using a denture brush to clean the dentures.

D) Line the sink with paper towels or a wash cloth before using a denture brush to clean the dentures.

20) To transfer a person from the bed to a wheelchair, the nurse assistant should first: A) Place the bed in the low position. B) Raise the side rails on the bed. C) Raise the head of the bed. D) Lock the brakes on the bed and wheelchair.

D) Lock the brakes on the bed and wheelchair.

25) Which of the following statements about microbes is true? A) Microbes grow best in a dry, cold environment. B) Washing with soap and water kills microbes. C) All microbes are potentially harmful to humans. D) Microbes grow best in a moist, warm environment.

D) Microbes grow best in a moist, warm environment.

4) Mrs. Timmons has a paralyzed arm. When helping Mrs. Timmons to change clothes, the nurse assistant should remove clothing from which side first? A) Both sides, by pulling the garment over the head B) Mrs. Timmons' most comfortable side C) Mrs. Timmons' paralyzed side D) Mrs. Timmons' stronger side

D) Mrs. Timmons' stronger side

14) When someone fails to meet a dependent person's needs, it is called: A) Emotional abuse. B) Negligence. C) Elder abuse. D) Neglect.

D) Neglect.

25) How does normal aging affect food needs and eating habits? A) An older person's body absorbs nutrients better. B) Older people will usually take less time to eat because they do not eat much. C) An older person's appetite will be greatest in the morning. D) Older people need fewer calories because they are less active.

D) Older people need fewer calories because they are less active.

1) Restraints are classified as: A) Human and inhumane. B) Personal and social. C) Emotional and physical. D) Physical and chemical.

D) Physical and chemical.

22) When placing a person in the supine position, the nurse assistant would: A) Raise the head of the bed and lower the foot of the bed. B) Raise the foot of the bed and lower the head of the bed. C) Help the person sit on the side of the bed. D) Place the person flat on the back.

D) Place the person flat on the back.

5) Mr. Garfield has had a bowel movement in the bed. After removing the soiled linens from the bed, the nurse assistant should place the contaminated linens in a: A) Laundry chute. B) Double-bagged biohazard bag C) Facility-approved waste container D) Plastic linen bag.

D) Plastic linen bag.

13) An infection in the lungs causing a buildup of fluids is knows as: A) Respiratory arrest. B) Bronchitis. C) Angina. D) Pneumonia.

D) Pneumonia.

32) Mrs. Jones has an indwelling urinary catheter. When caring for Mrs. Jones, the nurse assistant should: A) Remove the indwelling urinary catheter to provide perineal care. B) Make sure the urine drainage bag is kept higher than the bladder. C) Ensure that the urine drainage bag is attached to the side rail of the bed. D) Provide catheter care whenever the perineal area becomes soiled and according to employer policy.

D) Provide catheter care whenever the perineal area becomes soiled and according to employer policy.

13) Mr. Yount is on NPO status. To promote Mr. Yount's comfort while these orders are in effect, the nurse assistant should: A) Offer small amounts of food frequently throughout the day. B) Encourage visitors to enjoy their own snacks and beverages while they are visiting with Mr. Yount. C) Provide a variety of fluids. D) Provide frequent mouth care.

D) Provide frequent mouth care.

14) When assisting a person with range-of-motion exercises, tilting the wrist toward the thumb side is called: A) Thumb opposition. B) Adduction. C) Abduction. D) Radial deviation.

D) Radial deviation.

23) What are basic steps that guide a CNA's actions in an emergency, ensuring their safety and the safety of others? A) Call the person's family. Wait with the person. Give medication. B) Recognize that an emergency exists. Check the scene. Call for help. Wait with the person. Report and record. C) Recognize that an emergency exists. Call for help. Check the person's identification. Provide care according to the situation and level of training. Report and record. D) Recognize that an emergency exists. Check the scene. Call for help. Provide care according to the situation and level of training. Report and record.

D) Recognize that an emergency exists. Check the scene. Call for help. Provide care according to the situation and level of training. Report and record.

32) Providing tissues and a waste container for a person with a respiratory infection is an example of practicing: A) Droplet precautions B) Contact precautions C) Airborne precautions D) Respiratory hygiene and cough etiquette

D) Respiratory hygiene and cough etiquette

13) Which of the following statements about restraints is true? A) Restraints should be applied so that they are tightly secured B) Restraints remain in place until they are allowed to be removed. C) Restraint of a person appropriately is still a form of battery D) Restraints are used only to prevent client from harming themselves.

D) Restraints are used only to prevent client from harming themselves.

18) A person with chronic heart failure generally is most comfortable when: A) Lying on the abdomen. B) Lying flat. C) Lying on the right side. D) Sitting up.

D) Sitting up.

12) A CNA's assignments for the day seem impossible to complete because they are extremely time-consuming. She/he should: A) Do the best he or she can and not worry about it. B) Become angry, leaving at the end of the shift even if the work is not done. C) Demand additional assistance from co-workers. D) Speak to his or her supervising nurse immediately.

D) Speak to his or her supervising nurse immediately.

1) When caring for a person with HIV/AIDS, the nurse assistant would use: A) Droplet precautions B) Contact precautions. C) Airborne precautions D) Standard precautions

D) Standard precautions

1) Mrs. Jenkins has diabetes. When providing foot care for Mrs. Jenkins, the nurse assistant should: A) Use a pumice stone to remove rough skin on the bottom of Mrs. Jenkins' feet. B) Apply nail polish to improve Mrs. Jenkins' self esteem. C) Trim Mrs. Jenkins' toenails. D) Take the opportunity to check Mrs. Jenkins' feet for signs of injury.

D) Take the opportunity to check Mrs. Jenkins' feet for signs of injury.

10) Which of the following is a way that a nurse assistant can help a resident of a nursing home meet her self-esteem needs? * 1/1 A) Prepare a daily schedule for the resident. B) Allow the resident to break the facility rules from time to time. C) Bring the resident a special gift once a week. D) Talk with the resident about his life before he came to live at the nursing home.

D) Talk with the resident about his life before he came to live at the nursing home.

5) Which member of the health care team is allowed to order the application of physical or chemical restraints? A) The person's family member B) The nurse C) The nurse assistant D) The doctor

D) The doctor

7) What is the goal of "no lift" or "safe patient handling" programs? A) To remind health care workers that residents/clients should stay in bed as much as possible to reduce their risk of injuries B) To limit patient, resident or client involvement during repositioning or transferring maneuvers C) To alert health care workers to patients, residents and clients who are at risk for falling D) To limit on-the-job injuries by providing equipment, training & resources to make lifting & repositioning people easier and safer

D) To limit on-the-job injuries by providing equipment, training & resources to make lifting & repositioning people easier and safer

21) The nurse assistant is preparing to transfer a person who cannot bear any weight at all. The nurse assistant should: A) Lift the person using a draw sheet. B) Get help from another staff member. C) Use a transfer belt to support the person. D) Use a mechanical lift to move the person.

D) Use a mechanical lift to move the person.

9) Safe lifting technique includes: A) Bending over at the waist to pick the object up. B) Keeping the feet close together. C) Twisting at the waist. D) Using the leg muscles to power the move.

D) Using the leg muscles to power the move.

36) Temperature, pulse, respiration's and blood pressure usually are measured together and are referred to as: A) Life measurements B) Routine measurements C) Monitoring D) Vital signs

D) Vital signs

33) Why is it important for health care workers to be vaccinated against the influenza virus? A) The influenza virus can affect the bones, brain, kidneys, and other organs. B) Health care workers who refuse the vaccination when their employer offers it are not eligible to get the vaccination later if they change their minds. C) The influenza virus can cause irreversible liver damage. D) When health care workers get vaccinated they break a link in the chain of infection, helping to protect the people in their care.

D) When health care workers get vaccinated they break a link in the chain of infection, helping to protect the people in their care.

7) When is it preferable to use an electric razor to shave a person? A) When the person is receiving oxygen therapy B) When the person's beard is thick C) When shaving must be accomplished quickly D) When the person has a condition or is taking medications that may affect the blood's ability to clot

D) When the person has a condition or is taking medications that may affect the blood's ability to clot

1) When might a bed cradle be used for a person? A) When the person is at risk for developing contractures B) When the person is at risk for falling out of bed C) When the person is a child D) When the person is at risk for developing pressure ulcers

D) When the person is at risk for developing pressure ulcers

6) The linens on a person's bed should be changed (choose more than one option) : A) In the morning after the person wakes up B) Once a month. C) Only according to facility policy. D) Whenever they become wet or soiled.

D) Whenever they become wet or soiled.

4) Mrs. Puck is a home health client. She is hard of hearing. What could the home health aide do to help Mrs. Puck take her medications safely? A) Make sure a family member is present to supervise Mrs. Puck while she takes her medications. B) Have the pharmacist call and review each medication, the dosage and when to take it with Mrs. Puck. C) Administer the medications to Mrs. Puck. D) Write down the name of each medication, the dosage, and when to take it in large letters using dark ink on white paper.

D) Write down the name of each medication, the dosage, and when to take it in large letters using dark ink on white paper.

24) Which of the following is an example of verbal communication? A) Patting a chair to encourage a resident to sit beside you B) Frowning while receiving an assignment from the nurse C) Stepping back from an angry person and raising your hand to tell the person to "stop" D) Writing down a telephone message

D) Writing down a telephone message

14. A nurse assistant is caring for a resident who is unable to remember the names of her sisters and husband who have come to visit her. The resident also does not remember who they are. Which statement by the nurse assistant would be most appropriate: a. "Your sister Mary and her husband Jim are here to visit." b. "Oh sure, you don't remember your sister?" c. Don't you know who these two people are?" d. "Just try to remember who these people are; you can do it."

a. "Your sister Mary and her husband Jim are here to visit."

12. Which statement about dementia is true? a. A person often has more than one form of dementia. b. The majority of persons with dementia are middle-aged. c. Medications are available to cure dementia. d. Dementia refers to many different forms of a specific disease.

a. A person often has more than one form of dementia.

27. When a dying person is very sad, the nurse assistant should: a. Acknowledge the person's feelings, allowing them to talk. b. Arrange for the person's friends to visit. c. Plan a party to cheer up the person. d. Allow the person special privileges.

a. Acknowledge the person's feelings, allowing them to talk.

4. A person with Alzheimer's disease has difficulty identifying a ring placed in her hand. This is an example of: a. Agnosia b. Apraxia c. Amnesia d. Aphasia

a. Agnosia

16. Age-related memory impairment differ from mild cognitive impairment in that the changes related to normal aging: a. Do not interfere with the ability to carry out activities of daily living, (ADLs). b. Place the person at risk for developing dementia. c. Are more noticeable to others. d. Indicate a progressive decline in memory and thinking.

a. Do not interfere with the ability to carry out activities of daily living, (ADLs).

41. A nurse assistant is providing care for a girl. The nurse assistant would first clean: a. Groin skin folds b. Urethral area c. Labia d. Anal area

a. Groin skin folds

10. Mr Lawrence has Alzheimer's disease. Each evening, between 5-9 p.m. he paces the halls and rips at his clothes. He empties his dresser drawers, screams if anyone tries to confine him and begs visitors to take him home. Which action would be LEAST helpful in managing his behavior? a. Have him sit in a reclining chair in a dimly lit, quiet room after dinner. b. Keep Mr. Lawrence active in the mornings and encourage him to rest after lunch to minimize fatigue. c. Give him something to hold or keep his hands occupied so that he won't pull at his clothes. d. Take him for a walk after dinner.

a. Have him sit in a reclining chair in a dimly lit, quiet room after dinner.

1) Which of the following is on of the five principles of care? a. Promoting dignity b. Feeling c. Cariing d. Helping

a. Promoting dignity

19. While caring for a person with dementia, the nurse assistant notices that the person cannot follow directions given to him. However, the person is able to follow the nurse assistant's gestures. The person is most likely experiencing: a. Receptive aphasia b. Agnosia c. Short-term memory loss d. Expressive aphasia

a. Receptive aphasia

29. A nurse assistant sees that a family member of a dying resident is very upset. The nurse assistant should: a. Take the time to listen to the family member if the family member feels like talking. b. Leave the family member alone with her loved one and continue with other responsibilities. c. Tell the family member that her loved one's passing will be blessed because then the person's suffering will be over. d. Avoid coming into contact with the family member when he or she visits.

a. Take the time to listen to the family member if the family member feels like talking.

34. A nurse assistant measures the tympanic temperature of a 4 yr. old child. Which measurement should the nurse assistant report to the nurse as abnormal? a. 98.4° F b. 101.2° F c. 99.2° F d. 97.0° F

b. 101.2° F

37. A nurse assistant is measuring the pulse of an adolescent. Which rate should the nurse assistant report promptly to the nurse? a. 78 beats/min b. 97 beats/min c. 85 beats/min d. 60 beats/min

b. 97 beats/min

2. The most common type of dementia is: a. Lew Body b. Alzheimer's disease c. Vascular dementia d. Frontotemporal dementia

b. Alzheimer's disease

17. A person with Alzheimer's disease in the early stage may often: a. Need a great deal of attention to ensure his or her safety. b. Be able to cover up the symptoms with their social skills. c. Show changes in his or her personality. d. Become physically dependent on others for all care.

b. Be able to cover up the symptoms with their social skills.

15. When communicating with a person who has dementia, which action would be most appropriate? a. Giving instructions all at once, then one step at a time. b. Being aware of own tone of voice and body language. c. Encouraging the person to do things quickly to prevent problems. d. Establishing a clinical connection with personal care first.

b. Being aware of own tone of voice and body language.

35. A nurse assistant is caring for a school aged child. Which fear would the nurse assistant expect to find in this age group? a. Fear of being alone. b. Fear of injury and pain. c. Fear of the dark and nighttime. d. Fear of body mutilation.

b. Fear of injury and pain.

3. Delirium differs from dementia in that delirium: a. Is unrelated to chemical changes b. Is rapid in onset c. Is usually irreversable d. Frontotemporal dementia.

b. Is rapid in onset

21. Mr. Barton, who has dementia tries to hit you while you are helping him with his bath. All of the following could be explanations for his behavior EXCEPT: a. Mr. Barton is afraid of the running water and shiny surfaces of the tub room. b. Mr. Barton is unappreciative of the care he is receiving. c. Mr. Barton feels exposed because he is naked. d. Mr. Barton is experiencing pain.

b. Mr. Barton is unappreciative of the care he is receiving.

26. Bereavement care is care provided for: a. People who die in long-term care faciliites. b. People grieving after a person dies. c. People diagnosed with a terminal illness. d. Parents of a child who is ill.

b. People grieving after a person dies.

22. A nurse assistant is providing care for a person's body after death. This is called: a. Intensive care b. Postmortem care c. Hospice d. Terminal care

b. Postmortem care

23. When handling the body of a person who has died, the nurse assistant should handle he body with care and: a.Bereavement b. Respect c. Grief d. Privacy

b. Respect

9. Mr. Green becomes increasingly confused, agitated and irritable as the afternoon wears on into early evening. He is most likely experiencing: a. Pacing b. Sundowning c. Hoarding d. Catastrophic reaction

b. Sundowning

20. Mr. Howe has dementia, he use to be a small business owner. He still believes that is he running his business and refers to the nurses as his employees. Today Mr. Howe tells you that he has scheduled you to work Tuesday, Thursday and Saturday. How should you respond to Mr. Howe? a. Disregard Mr. Howe's comments because he has dementia and nothing he says makes sense. b. Tell him how interesting it must be to run his company, and ask him questions about how he got into his line of work. c. Remind Mr. Howe that he is retired and he does not have responsibility for scheduling employees anymore. d. Change the subject by asking him what he would like to do today.

b. Tell him how interesting it must be to run his company, and ask him questions about how he got into his line of work.

11. The only way to identify which type of dementia that a person has is by having: 0/1 a. The person undergo a computed tomography (CT) scan. b. The person's brain examined during an autopsy. c. A biopsy done on the person's brain. d. The person receive a psychiatric evaluation.

b. The person's brain examined during an autopsy.

38. The nurse assistant measures a child's temperature orally beginning at what age? a. 6 years b. 5 Years c. 4 years d. 7 years

c. 4 years

1. The term used to describe thinking process is: a. Judgment b. Reasoning c. Cognition d. Memory

c. Cognition

2) A nurse assistant's responsibilities include helping to meet the person's physical and emotional needs, communicating with other members of the health care team about changes in the person's condition and: a. Determining the person's plan of care. b. Choosing team members. c. Promoting the five principles of care. d. Making decisions for the health care team.

c. Promoting the five principles of care.

39. A nurse assistant measures an apical pulse rate for which child? a. 3 yr. old b. 12 yr. old c. 5 yr. old d. 18-month old

d. 18-month old

43. A nurse assistant who is working in a family clinic would measure a child's blood pressure beginning at about what age? a. 5 yrs. old b. 4 yrs. old c. 2 yrs. old d. 3 yrs. old

d. 3 yrs. old

3) Which of the following tasks is usually within the nurse assistant's scope of practice? a. Inserting and removing indwelling urinary catheters. b. Developing the person's care plan. c. Administering the person's medications and treatment. d. Assisting with personal care activities, such as bathing & grooming.

d. Assisting with personal care activities, such as bathing & grooming.

6. A person in the middle stage of dementia starts throwing things around the room and shouting obscenities over not being able to find his drinking glass. The nurse assistant believes the person is demonstrating: a. Sundowning b. Hoarding c. Wandering d. Catastrophic reaction

d. Catastrophic reaction

25. The nurse assistant suspects that a resident who is dying is approaching death because of which signs and symptoms? a. Highly elevated blood pressure. b. Rapid, deep, increased respiration's. c. Strong, regular pulse. d. Cool, mottled hands and feet.

d. Cool, mottled hands and feet.

8. A person with dementia struggles to find the right word, often using the wrong words or jumbles words together that do not make sense. This behavior is called: a. Receptive aphasia b. Agnosia c. Apraxia d. Expressive aphasia

d. Expressive aphasia

5. A person with Alzheimer's disease tells the nurse assistant that there are spiders crawling in his bed and chair. The nurse assistant checks both areas and finds nothing. The nurse assistant identifies the person(s) statement as a(n): a. Anxiety b. Paranoia c. Delusion d. Hallucination

d. Hallucination

44. The adolescent age group is striving for: a. Independence b. Creativity c. Trust d. Identity

d. Identity

36. Magical thinking is a characteristic of: a. Adolescents b. School-age children c. Toddlers d. Preschoolers

d. Preschoolers