Final Exam
What is OBRA (Omnibus Budget Reconciliation Act)?
(Omnibus Budget Reconciliation Act) A law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents.
What is the Trendelenburg position?
- entire bed is tilted with *head of bed lower* than foot of the bed; - facilitates venous return; can help increase low BP; used for postural drainage
What PPE is required for *droplet* precautions?
-FACEMARK, such as a PROCEDURE or SURGICAL MASK, for close contact with the patient; and possible-gloves-gown-goggles (or faceshild in place of goggles)
BEFORE taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait:
10 to 20 minutes
What is a normal respiratory range?
12-20 breaths/min
What is normal blood pressure?
120/80 mmHg
What is abnormal blood pressure?
140/90
What is 6p in military time?
1800
Which of the following is a correct measurement of urinary output?
300 ml
To convert four ounces of juice to milliliters (ml), the nurse aide should multiply:
4 x 30 ml
The normal pulse rate for an adult is?
60-100 beats per minute
After a total hip replacement, the hip cannot be bent or flexed more than ______ degrees.
90
Which of the following stages of dying usually is the final stage?
Acceptance
Tuberculosis requires which type of precautions?
Airborne precaution
What is an auxiliary temperature?
Armpit
Weakening, wasting away, and decrease in size of a muscle is called
Atrophy
Which of the following is helpful when providing skin care for a resident with cancer?
Avoid applying lotion to areas receiving radiation therapy.
What is CRE?
Carbapenem-resistant Enterobacteriaceae- bacteria that have developed resistance to multiple antibiotics, including carbapenem. CRE infections usually happen to patients in healthcare settings, and lead to serious complications and high mortality rates.
What does palliative care involve?
Comfort and managing symptoms
The painful and permanent stiffening of a muscle is called _______.
Contracture
What are potential complications of immobilizations?
Contractures, Blood clots, pressure injuries
What would the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke?
Encourage the client to do as much as possible and assist as needed
How can the nurse aide BEST help a client who is not accepting loss?
Encourage the client to talk
Which of the following is a sign or symptom of the beginning stages of HIV infection?
Flu like symptoms
What is Semi-Fowler's position?
Head elevated 30-45%
What is HIPPA?
Health Insurance Portability and Accountability Act of 1996
Hypertension
High blood pressure, higher than 140/90
Rheumatoid arthritis is an autoimmune illness. With an autoimmune illness, the body's ________ system attacks normal tissue.
Immune
A normal age-related change for the immune and lymphatic systems is the
Immune system weakens
What is Sims position?
It is performed by having a patient lie on their left side, left hip and lower extremity straight, and right hip and knee bent. Laying forward on a pillow tuck arm under her pull arm out on the other side put pillow under arm pillow between legs
When a client has left-sided weakness, what is the recommended part of the sweater to put on first?
Left sleeve
If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond?
Listen quietly
Normal age-related changes for the musculoskeletal system include ________.
Muscles weaken and lose tone
Which of the following statements is true of osteoarthritis?
Pain and stiffness increase in cold or damp weather.
the loss of function of the lower body and legs
Paraplegia
With _______ immunity, a person is given the antibodies needed to defend against an antigen.
Passive
What is the term for a device used to take the place of a missing body part?
Prosthesis
To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed?
Put them in the dirty linen container
is a method of treatment for cancer that uses high-energy waves to attempt to destroy cancer cells in a specific area
Radiation Therapy
A way for a nursing assistant to respond to hallucinations is to
Reassure a resident who is upset and worried
What is the process of restoring a disabled client to the highest level of functioning possible?
Rehabilitation
If a resident with AD shows violent behavior, the nursing assistant should
Remove triggers
Which of the following methods is the CORRECT way to remove a dirty isolation gown?
Roll it dirty side in and away from the body
Which of the following statements is true of Alzheimer's disease (AD)?
Skills a person has used over a lifetime are usually kept longer.
A resident who has AIDS and has an infection of the mouth may need to eat food that is
Soft or pureed
Normal age-related changes for the nervous system include the following:
Some memory loss occurs
Which of the following is a guideline for safe foot care for a resident who has diabetes?
The CNA should inspect and clean residents feet every day
Which of the following is a care guideline for residents recovering from a CVA?
The NA should assist with ambulation to prevent falls.
Which of the following is a nursing assistant's responsibility regarding traction?
The nursing assistant should report to the nurse if the weights move
A full weight-bearing order for a resident with a total hip replacement means that ________.
The resident can bear full weight on both legs.
Which of the following issues regarding rehabilitation and restorative care should be reported to the nurse
The resident show signs of depression
After an amputation, a resident may experience phantom sensation. Phantom sensation is _______.
Tingling or itching in the area where the limb was amputated/ Sensation where the limb existed
Fluids are encouraged for residents who have had a total knee replacement to help prevent
UTI
If a resident with AD has lost most of his verbal skills, the NA should
Use touch, smiles, and laughter
Therapy that allows residents with AD to believe that they live in the past or in imaginary circumstances is
Validation therapy
When is a resident with cancer most likely to suffer from nausea, vomiting, diarrhea, hair loss, and decreased resistance to infection
When undergoing chemotherapy
A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should:
ask another nurse aide to help
If a nurse aide finds a client who is sad and crying, the nurse aide should:
ask the client if something is wrong
To be sure that a client's weight is measured accurately, the client should be weighed:
at the same time of day
When changing an unsterile dressing, the nurse aide should wash hands:
before, after removal of the soiled dressing, and after the procedure
The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is:
call for assistance from the nurse in charge
A client wakes up during the night and asks for something to eat. The nurse aide SHOULD:
check the client's diet before offering nourishment
Define verbal communication and give an example
communication involving the use of spoken or written words or sounds; also called oral communication. Example: sounding irritated when saying "let me know if you need anything."
Define nonverbal communication and give an example
communication without using words, such as through gestures and facial expressions. Example: posture, body movements, and facial expressions.
What are different transmission-based precautions?
contact precautions (for diseases spread by direct or indirect contact), droplet precautions (for diseases spread by large particles in the air), and airborne precautions (for diseases spread by small particles in the air).
The BRAT diet is helpful for
diarrhea
A nurse aide MUST wear gloves when:
doing peri-care
When getting ready to dress a client, the nurse aide SHOULD:
give the client a choice of what to wear
A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD:
give the client the unopened mail and offer help as needed
Clients have the right to:
have access to a telephone
If a client is confused, the nurse aide should:
help the client to recognize familiar things and people
What is objective information?
is is information that is observable, measurable and verifiable
If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD:
leave the client alone and provide privacy
When transferring a client, MOST of the client's weight should be supported by the nurse aide's:
legs
In order to communicate clearly with a client who has hearing loss, the nurse aide should:
look directly at the client when speaking
hypotension
low blood pressure persistently lower than 90/60 mm Hg
What is the supine position?
lying down, face up
The normal aging proces is BEST defined as the time when:
normal body functions and senses decline
To prevent dehydration of the client, the nurse aide SHOULD:
offer fluids frequently while the client is awake
The nurse aide is asked by a confused client what day it is. The nurse aide should:
point to the date on the calendar and say the date
In giving care according to the client's Bill of Rights, the nurse aide SHOULD:
provide privacy during the client's personal care
When making an occupied bed, the nurse aide SHOULD:
raise side rail on unattended side
Exercises that move each muscle and joint are called:
range of motion
If the nurse aide discovers fire in a client's room, the FIRST thing to do is:
remove the client
All of the following situations are examples of abuse or neglect EXCEPT:
restraining a client according to a physician's order
What is Resident Rights?
rights identified in the omnibus Budget Act that relate to how residents must be treated while living in a long term care facility; they provide an ethical code of conduct for healthcare workers.
The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD:
suggest that this is not the place to discuss the client
If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST:
take the gown off before leaving the client's room
When helping a client who is recovering from a stroke to walk, the nurse aide should assist:
talk in a slow, calm, reassuring manner
What are the different pulse locations?
temporal, facial, carotid, brachial, radial, femoral, popliteal, posterior tibial, dorsalis
It is appropriate for a nurse aide to share the information regarding a client's status with:
the staff on the next shift
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients:
upper Thigh
The role of the ombudsman is to:
work with the nursing home to protect the clients' rights
To BEST communicate with a client who is totally deaf, the nurse aide should:
write out information
What is OSHA?
•The Occupational Safety and Health Administration •requires chemical manufacturers and suppliers to provide a Material Safe Data Sheet (MSDS) for each hazardous chemical they sell
