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When recording data on a legal form, it is considered correct to write with which of the following? A. A black or a blue pen. B. A blue pen. C. A black pen. D. A red pen.

A. A black or a blue pen.

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following? A. Accountability B. Flexibility C. Dependability D. Respectability

A. Accountability

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported? A. Emesis. B. Refusal to eat dessert. C. A cough. D. A bowel movement.

A. Emesis.

The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways? A. IV drug use. B. Dirty toilet seat. C. Dirty eating utensils. D. Going barefoot.

A. IV drug use.

During a bath, the three most important things for the resident are: A. Safety, security, and privacy. B. Safety, warmth, and cleanliness. C. Comfort, rest, and security. D. Privacy, rest, and warmth.

A. Safety, security, and privacy.

It would be inappropriate to utilize an alcohol-based hand rub in which of the following situations A. The nursing assistant's hands are visibly soiled. B. The nursing assistant has just left the patient's room. C. The nursing assistant is about to enter the patient's room. D. The nursing assistant helps a patient to the bathroom while wearing gloves.

A. The nursing assistant's hands are visibly soiled.

During a nursing assistant's orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except: A. Use terms with many meanings. B. Be brief and concise. C. Present information logically and in sequence. D. Give facts and be specific.

A. Use terms with many meanings.

Choose the observation that should be reported to the nurse STAT. A. Temperature of 98.9 degrees F. B. A pulse of 72. C. 32 respirations per minute. D. Blood pressure of 102 over 75.

C. 32 respirations per minute.

Which of the following best describes the concept of empathy? A. A nursing assistant asks a patient whether they would like to take a walk or watch a movie. B. A nursing assistant speaks with a dietician about alterations to the patient's meal tray. C. A nursing assistant speaks with a patient about their recent diagnosis of cancer. D. A nursing assistant asks the nurse when she may take a meal break.

C. A nursing assistant speaks with a patient about their recent diagnosis of cancer.

Range-of-motion (rom) exercises are most important for which type of patient to perform? A. A patient with a pulled leg muscle. B. A patient who has hypertension. C. A patient with hemiplegia. D. A patient with depression.

C. A patient with hemiplegia.

Which of the following disorders are said to be irreversible? A. Chicken pox. B. Asthma. C. Emphysema. D. Hypertension.

C. Emphysema.

Diabetes is a disease of which primary body system? A. Respiratory. B. Musculoskeletal. C. Endocrine. D. Cardiac.

C. Endocrine.

The nursing assistant cares for a client who is depressed. One day, the client states "I can't go on any longer. I have made a plan to kill myself. I don't know if I would follow through with it, but it seems much better than living this life any longer." Which of the following is the correct action? A. Report the situation to the physician. B. Ask the patient, "Can you tell me more about your feelings?" C. Report the situation to the nurse in charge. D. Reassure the patient by saying, "It's not that bad. You'll feel better tomorrow."

C. Report the situation to the nurse in charge.

The nursing assistant takes the blood pressure of a patient known for "running low." To her surprise, the reading was 155 over 85. Which of the following factors might be directly responsible? A. The patient denies skipping any medication. B. The patient is stressed. C. The blood pressure cuff is too tight. D. The patient is lying in bed.

C. The blood pressure cuff is too tight.

Which of the following is an example of a nursing assistant's desired characteristic of reliability? A. The nursing assistant lets the nurse know when a patient states he is in pain. B. The nursing assistant monitors a patient's vital signs. C. The nursing assistant completes a task designated by the nurse in a timely manner. D. The nursing assistant clocks in fifteen minutes after her shift began.

C. The nursing assistant completes a task designated by the nurse in a timely manner.

A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should: A. speak loudly and slowly. B. stand close to the client and speak slowly. C. use an interpreter to speak to the client. D. speak to the client and family together to increase the chances that the topic will be understood.

C. use an interpreter to speak to the client.

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D? A. Some pretzels. B. A cookie. C. An apple. D. A warm glass of milk.

D. A warm glass of milk.

All of the following factors may interfere with elimination EXCEPT: A. Infection. B. Aging. C. Medications. D. Family stress.

D. Family stress.

What is the difference between Sims position and left lateral position? A. In Sims position, a pillow is placed between the patient's knees to prevent them from touching. B. In lateral position, the patient's head is elevated to 15 degrees on two pillows. C. In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back. D. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

D. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

The term grievance refers to which aspect included in the Patient Bill of Rights? A. There is no lifetime monetary limit on essential care. B. Patients are not allowed to call doctors at home. C. Patients have access to their health information at all times. D. Patients have the right to file a complaint without fear or penalty.

D. Patients have the right to file a complaint without fear or penalty.

It's a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Terramycin ointment and gives you instructions to apply it to a patient's eyes. How would you respond to this? A. Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure. B. As assistant to the nurse, follow the nurse's request and apply the ointment to the patient's eyes. C. Ask the nurse to be with you during the application of the ointment. D. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

D. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

A patient who is immobile may experience which of the following feelings? A. Confusion. B. Laziness. C. Happiness. D. Sadness.

D. Sadness.

A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer? A. Ask the caller what telephone number he is trying to reach. B. Ask the caller to "Please hold, an operator will get to you shortly", then go back to unfinished tasks. C. Refer the call to the nurse on duty. The nurse will transfer the call herself. D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation? A. "The patient tripped over bed sheets because housekeeping left them on the floor all day." B. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum." C. "The patient fell because they ignored me when I told them to stay in bed." D. "The patient fell because the nurse forgot to lock the wheels of the bed again."

B. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record? A. "It is most likely that the client attempted to climb over the side rails and fell." B. "Upon entering the room, the client was found lying on the floor." C. "The client had been restless all evening and was trying to get out of bed." D. "The presence of a bed alarm could have prevented the fall."

B. "Upon entering the room, the client was found lying on the floor."

The abbreviation Rx indicates: A. A type of wound. B. A treatment. C. An acute illness. D. A disease.

B. A treatment.

When applying a jacket restraint to a patient, it is most important to: A. Check that the patient is not able to hit any other patients nearby. B. Check that the patient can fully expand their chest for breathing. C. Use a half-bow knot to secure each tie around the bed frame. D. Use a square knot to fasten the vest ties together behind the chair.

B. Check that the patient can fully expand their chest for breathing.

A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to: A. Immediately walk out of the client's room and answer the phone call. B. Cover the client, place the call light within reach, and answer the phone call. C. Finish the bed bath before answering the phone call. D. Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

B. Cover the client, place the call light within reach, and answer the phone call.

When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT: A. Assist the resident to put on a robe and non skid slippers. B. Encourage the resident to pivot themselves with minimal assistance. C. Place the chair on the resident's strong side. D. Place the bed in the lowest position and lock the wheels.

B. Encourage the resident to pivot themselves with minimal assistance.

Which of the following actions is correct when giving a client a bath? A. Clean the perineal area by gently wiping with the washcloth from back to front. B. Ensure any areas not being currently washed are covered by a sheet or towel. C. Make the client give themselves their own bath, even if they perform it poorly. D. Lotion the client's feet after bathing and be sure to get in between the toes.

B. Ensure any areas not being currently washed are covered by a sheet or towel.

Which of the following is the leading cause of accidental death in those 85 years of age and older? A. Poisoning. B. Falls. C. Car accidents. D. Drowning.

B. Falls.

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients? A. Help residents write wills and choose power of attorneys. B. Help residents reach their highest level of psychological and mental functioning. C. Help residents perform ADLs and avoid neglect. D. Help residents to transfer to other nursing homes if they want.

B. Help residents reach their highest level of psychological and mental functioning.

Which of the following procedures cannot be performed by a nursing assistant? A. Reporting a soiled dressing to the nurse. B. Inserting a Foley catheter. C. Performing oral care on an unconscious patient. D. Assisting the client to the bathroom.

B. Inserting a Foley catheter.

The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the: A. Flow sheet B. Kardex C. Progress notes D. Nursing discharge summary

B. Kardex

Which of the following diseases does not require airborne precautions? A. Measles. B. MRSA. C. Tuberculosis. D. Chickenpox.

B. MRSA.

A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to: A. Continue working, but wear a mask. B. Report herself to the nursing supervisor and be dismissed home. C. Continue working, but wash hands every fifteen minutes. D. Leave immediately for home.

B. Report herself to the nursing supervisor and be dismissed home.

Another term that is similar to the word convulsion is: A. Tremors. B. Seizure. C. Fever. D. Hypertension.

B. Seizure.

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? A. Log out and sign off all computer screens before leaving a terminal. B. Share passwords for computer access with colleagues who have forgotten their own passwords. C. Periodically change computer access passwords. D. Prevent an unidentified healthcare worker from viewing computer records.

B. Share passwords for computer access with colleagues who have forgotten their own passwords.

Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again? A. Enroll in a refresher course. B. Undergo a retraining and a new competency evaluation. C. Competency evaluation only. D. No other requirements are required. Just present a letter of intent to the Board to go back to work.

B. Undergo a retraining and a new competency evaluation.

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means: A. that the client is confused. B. that the client is unable to void. C. that the client is unable to understand and process language. D. that the client is unable to speak.

D. that the client is unable to speak.


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