UNIT 19-25 QUESTION BANK

Pressure ulcers can occur where skin has contact with skin. What can you use to prevent such contact? A. Pillows B. Bed cradle C. Egg crate-like mattress D. Flotation pad

A. Pillows

The nurse asks you to discontinue a peripheral IV. This task is not in your job description. What should you do? A. Politely refuse. B. Report the nurse to the director of nursing. C. Discontinue the IV only if a nurse can supervise you. D. Ask another nursing assistant to help you.

A. Politely refuse.

Common Causes of Pressure ulcers include which of the following? A. Pressure B. Use of pillows for positioning C. A good blood supply D. Burns

A. Pressure

To complete a job application, you need to: A. Read and follow the directions. B. Prove that you are qualified for the job. C. Schedule an interview D. Prepare answers to the questions

A. Read and follow the directions.

You are in the waiting area before your interview. What should you do? A. Sit quietly. B. Eat your lunch. C. Talk to the receptionist. D. Look at things on the receptionist's desk.

A. Sit quietly.

The alarm is sounding on an IV infusion pump. Which action is correct? A. Tell the nurse at once. B. Turn off the pump. C. Change the controls on the pump. D. Unplug the pump.

A. Tell the nurse at once.

You note bleeding from an IV insertion site. Which action is correct? A. Tell the nurse at once. B. Apply a dressing over the needle or catheter. C. Clamp the IV tubing. D. Discontinue the IV.

A. Tell the nurse at once.

Persons who are bedfast are repositioned at least every: A. Hour B. 1 to 2 hours C. 3 to 4 hours D. Shift

B. 1 to 2 hours

A delusion is: A. A false disorder of the mind B. A false belief C. A state of temporary but acute mental confusion D. Seeing, hearing, smelling, or feeling something that is not real

B. A false belief

These statements are about transfers. Which is correct? A. Only a doctor can request a transfer. B. A transfer may be needed if the person's condition changes. C. The person is transported by stretcher only. D. Transfers will cost the person more money.

B. A transfer may be needed if the person's condition changes.

Mild cognitive impairment (MCI) is: A. A type of AD B. A type of memory change affecting the person's memory, language, and other mental functions C. Dementia caused by drug and alcohol abuse D. A type of pseudodementia

B. A type of memory change affecting the person's memory, language, and other mental functions

Confused and demented behaviors are often hard to deal with. Therefore persons who are confused or have AD are at risk for: A. Falls and other injures B. Abuse, mistreatment, and neglect C. Infection D. Behavior changes

B. Abuse, mistreatment, and neglect

A resident has dry skin. What should you do? A. Use soap during the person's bath. B. Apply moisturizer as directed by the nurse. C. Apply cornstarch to dry areas. D. Apply powder to dry areas.

B. Apply moisturizer as directed by the nurse.

Aspiration is... A. The loss of appetite B. Breathing fluid, food, vomitus, or an object into the lungs C. The backward flow of stomach contents into the mouth D. The swelling of body tissues with water

B. Breathing fluid, food, vomitus, or an object into the lungs

Which answers are best during an interview? A. "Yes" and "no" answers B. Brief explanations C. Long explanations D. Written responses

B. Brief explanations

Persons receiving tube feedings are at risk for aspiration. You need to report which of the following to the nurse at once? A. Complaints of headache B. Coughing C. Dry mouth D. Pulse rate of 72

B. Coughing

When heat is applied too long, blood flow: A. Increases B. Decreases C. Changes direction D. Stops

B. Decreases

The doctor ordered a trapeze for a patient. The person can use the trapeze: A. For exercises to prevent hip contractures B. For exercises to strengthen arm muscles C. To prevent contractures of the thumb, wrist, and fingers D. For ambulation

B. For exercises to strengthen arm muscles

A person has not had a job in 4 years. The person should: A. Write N/A in the blanks for those four years B. Give information regarding the employment gap on the application stating the reason C. Do nothing; the interviewer will ask if they desire to know D. Write employed

B. Give information regarding the employment gap on the application stating the reason

A resident with AD experiences sundowning every day. The person's care plan should include which of the following? A. Complete treatments and activities later on in the day. B. Meet food, fluid, and elimination needs. C. Ask the person what the problem is. D. Provide low lighting.

B. Meet food, fluid, and elimination needs.

A resident has AD. Sometimes the person is agitated and combative. The person is pacing and trying to hit others. Which of the following measures will be helpful? A. Telling the person to have a seat B. Providing a calm, quiet setting C. Restraining the person D. Sending the person to his room

B. Providing a calm, quiet setting

In order to work in home care, which of the following qualities are required? A. An ability to work in groups as a team B. Self-discipline C. The ability to drive fast so that you stay on schedule D. The ability to drive the person to all of his appointments

B. Self-discipline

During an interview, it is correct to do which of the following? A. Ask for a beverage. B. Shake the interviewer's hand. C. Take things off the interviewer's desk. D. Try not to look at the interviewer.

B. Shake the interviewer's hand.

You are getting ready for an interview. You should do which of the following? A. Make sure your clothes are brightly colored so that they display your personality. B. Take a bath and brush your teeth. C. Style your hair as if you are going to a party. D. Wear a heavy perfume.

B. Take a bath and brush your teeth.

A cool application is: A. 93° F to 98° F B. 80° F to 93° F C. 65° F to 80° F D. 50° F to 65° F

C. 65° F to 80° F

Atrophy is: A. The lack of joint mobility caused by abnormal shortening of a muscle B. A drop in blood pressure when the person stands C. A decrease in size or wasting away of tissue D. The loss of muscle strength as a result of inactivity

C. A decrease in size or wasting away of tissue

A feeding tube inserted through the nose and into the small bowel is: A. A naso-gastric tube B. A PEG tube C. A naso-enteral tube D. A TPN tube

C. A naso-enteral tube

A new nursing center resident is going to arrive by stretcher. What type of bed should you make? A. An open bed B. A closed bed C. A surgical bed D. An occupied bed

C. A surgical bed

A gastrostomy tube is: A. An opening in the stomach B. An opening into the middle part of the small intestine C. A tube inserted through a surgically created opening in the stomach D. A tube inserted through the nose and into the stomach

C. A tube inserted through a surgically created opening in the stomach

You are helping a new resident unpack. Which is correct? A. The care plan states where to put things. B. You decide where to put things. C. Allow the family to help decide where to put things. D. The nurse decides where to put things.

C. Allow the family to help decide where to put things.

You are admitting a new patient. To find out the person's name, you should: A. Ask the person B. Ask the family C. Check the admission form D. Check the care plan

C. Check the admission form

You are going to measure a resident's height. The nurse tells you: A. How to measure height B. What the person's height should be C. If you should use a standing scale or tape measure D. If the person should wear shoes

C. If you should use a standing scale or tape measure

You have finished admitting a new patient. Before leaving the person's room, you need to do which of the following? A. Change the bed from closed to open. B. Have the person verify that all of the equipment is in working order. C. Lower or raise the bed rails according to the care plan. D. Raise the bed.

C. Lower or raise the bed rails according to the care plan.

Persons with feeding tubes need frequent: A. Perineal care B. Catheter care C. Oral hygiene D. Oral fluids

C. Oral hygiene

You are admitting a new resident. You will do which of the following? A. Discuss the person's diagnoses and medical history. B. Complete a medication list. C. Orient the person to the room. D. Teach the person how to perform her own wound care.

C. Orient the person to the room.

You are admitting a new resident. The person's niece is in the room. You ask the niece to leave the room. Which is correct? A. The niece must leave the room. B. You have no right to ask the niece to leave. C. The resident can ask the niece to stay. D. The niece needs to stay. She needs to give identifying information.

C. The resident can ask the niece to stay.

When ambulating a person, you stand: A. In back of the person B. In front of the person C. To the side and slightly behind the person D. Where the person chooses

C. To the side and slightly behind the person

The nurse asks you to assist in admitting a new resident. When should you complete your part of the admission process? A. As soon as the person gets to the room B. After the person changes into a gown C. When the person is comfortable D. After the person is weighed and measured

C. When the person is comfortable

The recommended position for preventing and treating pressure ulcers is the: A. Supine position B. Prone position C. Fowler's position D. 30-degree lateral position

D. 30-degree lateral position

A nasogastric tube is: A. An opening in the stomach B. An opening into the middle part of the small intestine C. A feeding tube inserted through the nose and into the small intestine D. A feeding tube inserted through the nose and into the stomach

D. A feeding tube inserted through the nose and into the stomach

The act of walking is: A. Trochanter B. Range of motion C. Orthosis D. Ambulation

D. Ambulation

Which is a dry heat application? A. Hot compress B. Hot soak C. Sitz bath D. Aquathermia pad

D. Aquathermia pad

You have a job interview scheduled. Which shows that you are dependable? A. Being clean B. Dressing professionally C. Giving the receptionist your name D. Being on time

D. Being on time

A person is receiving hyperalimentation through an IV. The alarm sounds on the pump. What should you do? A. Shut off the alarm. B. Check the system to find out what is causing the problem. C. Shut off the pump. D. Call for the nurse.

D. Call for the nurse.

A resident has AD. The person's care plan should include which of the following measures to promote sleep? A. Keep the resident's overhead light on during the night so he or she does not become frightened. B. Encourage the person to nap during the day. C. Encourage caffeine during the day. D. Follow the person's bedtime rituals.

D. Follow the person's bedtime rituals.

A resident has AD. The person's communication is impaired. When talking to the person, you need to do which of the following? A. Speak quickly, before he forgets what you said. B. Explain why the person's answer is wrong. C. Use a loud voice so that he hears you. D. Give the person time to respond.

D. Give the person time to respond.

A patient is going to be discharged. You can: A. Give the person prescriptions written by the doctor B. Provide discharge instructions C. Have the person sign the personal belongings list D. Help the person into the car

D. Help the person into the car

A resident is in the last stage of AD. Which of the following would you anticipate being in the person's plan of care? A. Measures to ensure safe driving B. Provide for all ADLs C. Daily field trips D. Incontinence care

D. Incontinence care

Persons with AD are at risk for: A. Heart attack B. Diarrhea C. Stroke D. Infection

D. Infection

A resident is being transferred to another unit. Which will help reassure the person? A. Telling the person that everything will be OK. B. Avoid discussing the transfer with the person. C. Suggesting that the person wait until the following day to meet new residents so that they can adjust to the new surroundings. D. Introducing the person to the new roommate and other residents.

D. Introducing the person to the new roommate and other residents.

Pressure ulcers usually occur: A. On arms and legs B. On the hands and feet C. On the buttocks D. Over bony prominences

D. Over bony prominences

OBRA requires activity programs for residents. Which is correct? A. You are not responsible for assisting residents to activity programs. B. You do not assist with activities. C. The activity director decides which activities each person attends. D. Participating in activities of personal choice promotes the person's well-being.

D. Participating in activities of personal choice promotes the person's well-being.

A person has AD. Sometimes the person has repetitive behaviors. This means that the person: A. Does everything twice B. Does things that are harmful C. Repeats things the person said and did during childhood D. Repeats the same motions over and over again

D. Repeats the same motions over and over again

Which is a guideline for measuring weight and height? A. Footwear is worn. B. The person voids after being weighed. C. Weigh the person at different times of day. D. Use the same scale for daily, weekly, and monthly weights.

D. Use the same scale for daily, weekly, and monthly weights.

Which walking aids allow attachments? A. Braces B. Canes C. Crutches D. Walkers

D. Walkers

During a video interview, it is appropriate and expected that your children will be loud and playing in the background. True False

False

During an in-person interview, it is appropriate to address the person by her first name so that you initiate a casual conversation. True False

False

You explain the reason for transfer or discharge to the person. True False

False

You introduce yourself to a new resident by name and title. True False

True

A resident is transferring to a different room. The nurse asks you to transfer the person. You can do which of the following? A. Help the person pack. B. Transport the person to the new room. C. Discontinue all tubes and drains. D. Bring the person's chart, care plan, and drugs.

A. Help the person pack.

You are completing a job application. You must be: A. Honest B. Enthusiastic C. Courteous D. Cheerful

A. Honest

Before applying moist heat or cold applications, you need to: A. Measure water temperature B. Measure water depth C. Measure and record the amount of water as intake D. Show the person how to change the temperature

A. Measure water temperature

Pressure ulcer prevention involves which of the following? A. Identifying persons at risk B. Limiting the times perineal care is done each day C. Taking a picture of changes noted in a pressure ulcer D. Applying heat to any area that appears reddened

A. Identifying persons at risk

To prevent pressure ulcers, you must: A. Keep the person's skin clean and dry B. Massage pressure points C. Use soap to clean the skin D. Scrub and rub the skin during bathing

A. Keep the person's skin clean and dry

You are admitting a new resident. You will do which of the following? A. Measure the person's vital signs. B. Measure the person's urinary output. C. Bathe the person before allowing her in her room. D. Tell the person about treatments and the care plan.

A. Measure the person's vital signs.

When a person is using a walker, he should place the walker how far in front of the feet with each step? A. 6-8 inches B. 4-6 inches C. 8-10 inches D. 12 inches, or one foot

A. 6-8 inches

A person has AD. Which can offer the person's daughter support and encouragement? A. An AD support group B. The American Dementia Association C. OBRA D. The sandwich generation

A. An AD support group

Which health team member checks tube placement before a tube feeding is given? A. An RN B. A physical therapist C. A dietitian D. A nursing assistant

A. An RN

How far should you walk a person? A. As far as directed by the nurse and the care plan B. Down the hall and back to the room C. As far as the person can tolerate D. As far as the person chooses

A. As far as directed by the nurse and the care plan

Which complications can occur from applications that are very cold? A. Blisters and burns B. Fever C. Confusion D. Vomiting

A. Blisters and burns

When cold is applied for a long time, blood vessels: A. Dilate B. Constrict C. Collapse D. Become less elastic

A. Dilate

Which of the following is a sign or symptom of orthostatic hypotension? A. Dizziness B. Increased awareness of your surroundings C. Pressure ulcers D. A rise in blood pressure

A. Dizziness

The nurse asks you to assist with the admission of a new resident. What can the nurse delegate to you? A. Escorting the person to his or her room B. Having the person sign admitting papers C. Having the person sign a general consent for treatment D. Explaining resident rights to the person

A. Escorting the person to his or her room

Dilate means to: A. Expand or open wider B. Narrow C. Reduce blood flow D. Increase blood flow

A. Expand or open wider

A disposable sitz bath: A. Fits on the toilet seat B. Is put in the tub C. Is put on the floor D. Is put on the overbed table

A. Fits on the toilet seat

A resident is unsteady. When assisting the person with ambulation, you need to apply a: A. Gait belt B. Supportive device C. Walking aid D. Brace

A. Gait belt

A resident is going to be discharged. You can do which of the following? A. Help the person dress as needed. B. Get valuables from the safe. C. Give the person his remaining medications. D. Return the person's valuables to the person's family.

A. Help the person dress as needed.

A patient is going to be discharged. Before the person can leave: A. The doctor must give a discharge order B. The person must be transported to the exit area by wheelchair or stretcher C. The person must pay the bill D. The person must sign a consent form

A. The doctor must give a discharge order

Some nursing centers have special care units for persons with AD and other dementias. Which is correct? A. The person's rights are always protected. B. The health team reviews the person's need for the unit at least twice a year. C. These units have no other licensing or accreditation standards for such units. D. There is no additional staff training required to work on these units.

A. The person's rights are always protected.

Which statement about permanent dementia is correct? A. There is no cure. B. The person has signs and symptoms of anxiety. C. Disease progression is the same for everyone affected. D. Loss of cognitive function declines suddenly.

A. There is no cure.

You care for several persons with AD. Why must you report behavior changes to the nurse? A. They may signal other illnesses or injuries. B. It is your responsibility to report signs and symptoms. C. Persons with AD depend on others for care. D. Persons with AD cannot report such changes.

A. They may signal other illnesses or injuries.

You are admitting a new resident. The person's niece is in the room. You ask the niece to leave the room. Why did you ask her to leave? A. To provide for privacy. B. To see how the new resident reacts. C. So you can ask if the niece is abusive. D. To provide for personal choice.

A. To provide for privacy.

Which statement about moist heat applications is correct? A. Water is in contact with the skin. B. Dry heat has faster effects than moist heat. C. Dry heat penetrates deeper than moist heat does. D. Moist heat stays at the desired temperature longer than dry heat.

A. Water is in contact with the skin.

You should write a thank-you note: A. Within 24 hours after the interview B. The week after the interview C. Two weeks after the interview D. When you have the time

A. Within 24 hours after the interview

These statements are about job interviews. Which is correct? A. You can ask questions about pay rate and work hours. B. You can ask questions about who you will be working with. C. You can ask about how soon you will get a raise. D. You can ask for a vacation in advance.

A. You can ask questions about pay rate and work hours.

These statements are about canes. Which is correct? A. The cane is moved behind first. B. The cane tip is about 6 to 10 inches to the side of the foot. C. The cane is held on the weak side. D. The grip is level with the chest.

B. The cane tip is about 6 to 10 inches to the side of the foot.

You are going to prepare a room for a new patient. How do you know what equipment is needed? A. You check the care plan. B. The nurse tells you. C. You follow hospital policy. Every patient needs the same equipment. D. The person's family tells you.

B. The nurse tells you.

A new resident has dementia. You should expect which of the following? A. The person's confusion will decrease in the new setting. B. The person may show signs of fear and agitation. C. The admission will not have any effect on the person. D. The person will die within the first few months.

B. The person may show signs of fear and agitation.

A person uses a walker. Which is correct? A. The walker is moved about 8 to 12 inches in front of the person. B. The walker is moved first. C. The walker is held on the strong side. D. The person moves the feet first.

B. The walker is moved first.

Early signs of pressure ulcers include which of the following? A. Black eschar B. Tingling in the area C. An open blister D. Cracked and peeling skin

B. Tingling in the area

A person has continuous enteral nutrition. The nurse asks you to add ice chips around the container. This is done: A. So formula is given chilled B. To prevent the growth of microbes C. To prevent aspiration D. To prevent regurgitation

B. To prevent the growth of microbes

What measurements are needed when a cooling blanket or warming blanket is used? A. Body temperature and pulse B. Vital signs C. Pulse and respirations D. Pulse and blood pressure

B. Vital signs

Before you weigh a person, you need to have the person: A. Drink a glass of water B. Void C. Have a bowel movement D. Put on a robe and footwear

B. Void

A person has a nasogastric tube. To prevent the tube from irritating the nose, the tube is secured to the: Nose Face Mouth Ear

Nose

You are never responsible for inserting feeding tubes or checking their placement. True False

True

A nursing center resident objects to a transfer or a discharge. An ombudsman makes sure the person's best interests are considered. True False

True

A person can develop a pressure ulcer within 2 to 6 hours after the onset of pressure. True False

True

The nurse asks you to check an IV flow rate. You need to tell the nurse at once if no fluid is dripping or if the rate is too fast or too slow. True False

True