CNA Exams
A resident says: "I'm tired of waiting for my lunch. I want it now!" To paraphrase, you say
"You want your lunch now"
After a tube feeding, the person is positioned in semi-Fowler's position for
1 to 2 hours
You measured a resident's blood pressure. His diastolic pressure was 78 mm Hg. His systolic pressure was 144 mm Hg. How do you record these measurements?
144/78 mm Hg
How many workers are needed for safe stretcher transfers?
2 or 3
How many workers are needed to safely log-roll a person?
2 or 3
To give hair care, you begin by parting the hair into
2 sections
Hands are washed for at least
25 seconds
How many testing attempts does OBRA allow?
3 times
A back massage should last _____ minutes.
3-5
A radial pulse is counted for how many seconds?
30 seconds
One gram of carbohydrate provides how many calories
4
One gram of protein provides how many calories?
4
You are taking an axillary temperature with a glass thermometer. How long do you leave the thermometer in place?
5 to 10 minutes
An apical pulse is usually counted for __________________seconds.
60
When taking an apical-radial pulse, the pulses are counted for _____ seconds.
60
How many hours of instruction does OBRA require?
75
The USDA recommends
75 minutes of each week of vigorous physical activity
One gram of fat provides how many calories?
9
Of the following persons, the one most vulnerable and at risk of abuse would be a
9-month-old baby girl.
Melena is
A black, tarry stool
A local infection occurs in
A body part
A fracture is
A broken bone
To turn off the faucets, use
A clean paper towel for each faucet
A new resident is ambulatory. What type of bed should you make?
A closed bed
A disease caused by pathogens that spread easily is
A communicable disease
Atrophy is
A decrease in size or wasting away of tissue
A hospice is
A health care agency or program for persons who are dying
A person develops an infection after being admitted to a health care agency. The person has
A healthcare-associated infection
Which is an advance directive?
A living will
Tinnitus is
A ringing, roaring, hissing, or buzzing in the ears or head
The nurse asks you to position a patient in the lateral position. This position is
A side-lying position
Coma
A state of being unaware of one's settings
A new nursing center resident is going to arrive by stretcher. What type of bed should you make?
A surgical bed
Braille is
A touch reading and writing system that uses raised dots
Moving the person from one place to another is
A transfer
What exercises are done to the thumb?
abduction, adduction, opposition to the little finger, flexion, extension
After a resident's bath, the nurse wants you to apply powder under the person's breasts. The powder is used to do what
absorb moisture to prevent friction.
The willful infliction of injury that results in physical harm is
abuse
Which is a common response to illness and disability?
anger
What are the major complications of coronary artery disease?
angina, myocardial infarction, irregular heartbeat, and sudden death
Linens are held
away from your boy and uniform
Signs and symptoms of osteoporosis
back pain
A resident is on bedrest. Before the person gets out of bed, you need to measure
blood pressure, pulse, respirations
You brought extra linen into a resident's room. The extra linen is
considered contaminated
David is a resident who lives in a local nursing home. He recently has become upset with the staffing, feeling that he must wait a very long time for someone to answer his call light and he isn't able to go to bed until late at night. He has spoken to the facility's director of nurses, but he is still unhappy with his care. The next step that David should take is to
contact the volunteer ombudsman.
A resident's bowel movement has a strong odor. You should
control your body language
Good personal hygiene involves
daily bathing
For an accurate measurement, the axillary site needs to be
dry
As death nears, hearing is one of the first functions lost t or f
false
High calcium in the diet causes osteoporosis t or f
false
The flow rate on an IV can change if there is a kinked tube, if the resident is lying on the tube, or position changes. If this occur, change the position of the clamp or adjust any controls on infusion pumps .t or f
false
Use tablespoons to feed the resident t or f
false
The Omnibus Budget Reconciliation Act of 1987 is a
federal law
A stretcher is moved
feet first
Emergency care given to an ill or injured person before medical help arrives is
first aid
Rehabilitation starts when the person
first seeks health care
A person uses a walker. The walker is moved
first, then walk
Temperature-sensitive tape is usually applied to the
forehead
To measure a temporal artery temperature, gently stroke the device across the
forehead
The greatest risk(s) from osteoporosis
fractures
What will prevent complications of bedrest?
frequent position changes, good alignment, ROM exercises
A resident has rheumatoid arthritis. What can relieve pain and inflammation?
heat or cold applications, drugs, rest balanced with exercise
A resident wants to brush his teeth before lunch. What should you do
help him as needed.
A resident is set up to give herself a partial bath. Before leaving the room, you must make sure that
her signal light is within reach
A clean, neat, wrinkle-free bed does what
increases the person's comfort Helps prevent skin breakdown Helps prevent pressure ulcers
Older residents may be at risk of abuse because they
may fear losing their caregiver.
A resident has glaucoma. The ____________________ is damaged.
optic nerve
A person has a convulsive disorder. When measuring temperature, you cannot use the ______ site.
oral
A person is paralyzed on the right side. When measuring temperature, you cannot use the _________ site.
oral
A person is receiving oxygen. When measuring temperature, you cannot use the _______ site.
oral
A person is unconscious. When measuring temperature, you cannot use the ________ site.
oral
RNs do all of the following except:
prescribe treatments for the person
You are giving first aid. Your goal(s) is (are) to
prevent death and prevent injuries from becoming worse
Perineal care does what?
prevent infection, prevent odors, and promote comfort.
What exercises are done to the forearm?
pronation, supination
The beat of the heart felt at an artery as a wave of blood passes through the artery is the
pulse
The difference between the apical and radial pulses is the
pulse deficit
The number of pulses felt in 1 minute is the
pulse rate
You can push, pull, slide, or lift an object. Which movement is easier?
pushing
Which is the most common site for taking a pulse?
radial
You are going to make a bed. For good body mechanics, the bed is
raised
What is used to measure blood pressure?
sphygmomanometer
Who helps patients, residents, and families with social, emotional, and environmental issues affecting illness and recovery?
the social worker
You are going to assist a resident with his bath. Before doing so, you need to know what?
the type of bath to give, what skin care products to use, activity and position limits.
Supination is turning a joint
upward
When giving perineal care, you start at the ________________.
urethra
What is stressed during rehabilitation?
what the person can do
You are bathing a resident. Bath water is changed when?
whenever it is cool or soapy
A resident wants his meatloaf prepared a certain way. To clarify what the resident is saying, you say
"Can you tell me that again"
A resident did not get her meal served on time. How should you respond to the nurse?
"I'm sorry. Can you help me plan better?"
To balance a scale, you must move the weights to
0
How much sputum is needed for a specimen?
1 to 2 teaspoons
A resident just finished his daily exercise program. You need to measure his blood pressure. How long does he need to rest before the measurement?
10-20 minutes
Water temperature for perineal care is usually:
105*-109*F
Water temperature for a tub bath is usually what?
105*F
The healthy adult has _____ respirations per minute.
12-20
Which of these blood pressure measurements indicate hypertension? a. 150/100 mm Hg and 110/60 mm Hg b. 120/70 mm Hg and 140/90 mm c. Hg 138/90 mm Hg and 120/80 mm d. Hg 148/90 mm Hg and 160/100 mm Hg
148/90 mm Hg and 160/100 mm Hg
A resident has wrist restraints. You need to check the person at least every
15 minutes
A resident smokes. The person just had a cigarette. How long do you need to wait before taking the person's temperature orally?
15-20 minutes
The healthy adult produces
1500 mL of urine a day
How many staff members are needed to take an apical-radial pulse?
2
You are taking a rectal temperature with a glass thermometer. How long do you typically leave the thermometer in place?
2 minutes
You are measuring blood pressure. How fast should you deflate the cuff?
2 to 4 millimeters per second
A tub bath lasts no longer than ____ minutes.
20
You are taking temperature using a temporal artery thermometer. How long would you anticipate this thermometer taking to obtain a temperature?
3-4 seconds
Post-mortem means
After death
A stressor is
An event or factor that causes stress
Which type of lift sling is used for a person with extra large thighs?
An extended length sling
You need to change a urostomy pouch
Anytime it leaks
A patient has dysphagia. The person is at risk for
Aspiration
A resident is on aspiration precautions. You position the person in semi- Fowler's position after eating. How long should the person remain in this position?
At least 1 hour
How many workers are needed to safely transfer a person using a mechanical lift?
At least 2
A gown is needed for Isolation Precautions. The gown is removed
Before leaving the room
The hepatitis B vaccination is given
Before or after exposure HBV
You need to arrive for work
Before your shift starts
Work ethics means
Behavior in the workplace
Bath water temperature for complete baths should be maintained at what temperature?
Between 110° F and 115°F
Messages sent through facial expressions, gestures, posture, and body movements is
Body language
Using the body in an efficient and careful way is
Body mechanics
A heart rate less than 60 beats per minute is
Bradycardia
When collecting a sputum specimen, the person coughs up sputum from the
Bronchi and trachea
You finish brushing a resident's teeth. What should you do next?
Brush his tongue.
Which mineral is needed for the formation of teeth and bones?
Calcium
Which is not a courtesy?
Calling a patient by his first name
Which is correct? a. Calling a resident by his or her first name shows respect. b. Calling a resident "sweetheart" promotes the person's dignity. c. Calling patients and residents by their titles (Mr., Mrs., Ms., or Dr.) promotes dignity and shows respect. d. Calling a male resident "grandpa" shows respect and caring.
Calling patients and residents by their titles (Mr., Mrs., Ms., or Dr.) promotes dignity and shows respect.
A carrier
Can transmit pathogens to others
The person with apraxia of speech
Cannot use speech muscles to produce understandable speech
To clean the tip of the penis, you use
Circular motions
Major risk factors for accidental poisoning in adults are
Confusion and poor vision
A high-fiber diet is ordered for
Constipation and GI disorders
Hepatitis B, C, and D are spread by
Contaminated blood
You are measuring blood pressure. How far should you inflate the cuff beyond the point where you last felt the person's pulse?
30 mm Hg
Which prevents matting and tangling?
Daily brushing and combing
Patient and resident safety involves
Decreasing the risk of accidents and injuries
The heart muscle relaxes during
Diastole
Vertigo means
Dizziness
LPNs/LVNs are supervised by
Doctors, dentists, and RNs
You need to call your children. When should you make the call?
During meal or break times
Falls are likely to occur
During shift changes
You are assisting a resident to the bathroom. The person starts to fall. What should you do?
Ease the person to the floor.
The systolic pressure is the
First sound you hear
You are ill and cannot work as scheduled. What should you do?
Follow the agency's attendance policy.
A patient is in bed. To measure height with the person in bed, you need to
Get a co-worker to help you
To keep personal matters out of the workplace, you should
Have your son meet you over your lunch break
A concept that considers the whole person is called
Holism
The nurse asks you to transfer a resident to a wheelchair. Before transferring the person, the nurse and care plan tell you the following except a. What procedure to use b. Areas of weakness c. What equipment is needed d. How to protect the person's privacy
How to protect the person's privacy
Friction and shearing can lead to
Infection and pressure ulcers
Hepatitis is
Inflammation of the liver
A person's 24-hour intake was 1500 mL. You know that this amount
Is below normal requirements
Freedom from restraint
Is every person's right protected by CMS
The nurse asks you to test a stool specimen for occult blood. You know that occult blood
Is hidden or unseen
These statements are about carbon monoxide. Which is incorrect? a. It is a colorless, odorless, tasteless gas. b. It is produced by the burning of fuel. c. It is a harmless gas. d. It can cause death.
It is a harmless gas.
The diastolic pressure is the
Last sound you hear
Contaminated items are placed in
Leak-proof plastic bags with the BIOHAZARD symbol
A person's religion is different from yours. What should you do?
Learn about the person's culture.
Persons needing Transmission-Based Precautions often experience
Loss of self-esteem
Family and friends usually help meet the person's
Love and belonging needs
Does a nurse have to delegate a task to you?
No. The nurse makes delegation decisions that are best for the person.
A person with hemiplegia is paralyzed
On one side of the body
Which part of the specimen container can you touch?
Only the outside of the container
In medical asepsis, an item is contaminated if:
Pathogens are present
A resident is dying. The person is incontinent of urine and feces. The person needs
Perineal care as needed
Care of a person after a stroke often includes the following except a. A bowel or bladder training program b. Placing objects on the affected side c. Catheter care d. ROM to prevent contractures
Placing objects on the affected side
A nursing assistant also is an EMT who works for the fire department. In her EMT role, she is allowed to start IVs. On the weekend, she works as a nursing assistant at a nursing center. The RN asks her to start an IV on a resident. What should the nursing assistant do?
Politely refuse to do the task and explain why.
Before rigor mortis sets in, the body is
Positioned in normal alignment
Which mineral is needed for heart function?
Potassium
Purpose of wound dressing
Promote comfort. Prevent microbes from entering the wound and Cover wounds
You are performing passive range-of-motion exercises.
Providing for privacy. Supporting the part being exercised. Exposing only the part being exercised
You need to move a resident up in bed. To reduce bending and reaching
Raise the bed for body mechanics
Chain of Survival actions for adults are
Recognizing cardiac arrest and activating the EMS system at once, early CPR, early defibrillation, and early advanced care
The purpose of cleaning is to
Reduce the number of microbes present
A nursing center resident asks you to make out a will. What should you do?
Refuse, but explain why. Then tell the nurse about the person's request
As a nursing assistant, you can
Report changes in the person's condition to the nurse
An example of a resident's right is:
Right to information
Which does not signal internal bleeding?
Rising blood pressure
You are removing dirty linens from a person's bed.
Roll each piece away from you.
You can reduce friction and shearing by
Rolling the person
Hazardous substances include the following except a. Oxygen b. Drugs used in cancer therapy c. Cleaning agents d. Soaps and shampoos
Soaps and shampoos
Infection starts with a
Source or pathogen
You are warming your lunch in a microwave. While the lunch is warming, you
Stay by the microwave
Healthcare-associated infections can be spread by the following except a. Personal care items and eating and drinking utensils b. Poor hand hygiene c. Coughing, sneezing, talking, laughing, and singing d. Sterile technique
Sterile technique
What will keep beds neat and clean?
Straighten linens when loose or wrinkled, Change linens when they become wet, soiled, or damp.Straighten loose or wrinkled linens at bedtime.
Which statement about stress is incorrect?
Stress only occurs while awake.
Burns are described as
Superficial
After straining a person's urine, you find some particles. What should you do?
Take the specimen and requisition slip to the laboratory or storage area.
A person is heavier than the weight limit of the mechanical lift. What should you do?
Tell the nurse.
A resident is being transferred to another unit. Which will not help reassure the person?
Telling the person that everything will be OK
Sterile means
The absence of all microbes
You need to empty a person's ashtray. Which is correct? a. The ashtray is emptied into a wastebasket. b. The ashtray is emptied into a plastic container. c. The ashtray is emptied into a metal container with sand or water. d. The ashtray is emptied when the person is done smoking.
The ashtray is emptied into a metal container with sand or water.
The bottom sheet is placed on the bed correctly if
The hem-stitching is down
To use a transfer belt safely, you need to follow
The manufacturer's instructions
You are going to prepare a room for a new patient. How do you know what equipment is needed?
The nurse tells you.
Which is not a source for standards of care?
The nurse's directions
Which statement displays a bad attitude?
The nursing assistant who says, "I can't I'm too busy."
You are a part of
The nursing team
When transferring a person
The person's strong side moves first
Nutrition is
The processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body
Which position is not tolerated by most older persons?
The prone position
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?
The resident can ask the niece to stay.
When moving a person in segments, what do you move first?
The upper part of the body
A person is on a high-calorie diet.
There are dietary increases in all foods.
Large rings and bracelets are dangerous because:
They can scratch patients and residents
These statements are about microbes. Which is incorrect? a. They grow best without oxygen. b. The need water and nourishment. c. They grow best in a warm and dark environment. d. They need to host to live and grow.
They grow best without oxygen.
What is the purpose of hand rails?
They provide support when walking
Disposable items are used
To prevent infection
Restraints are used
To protect persons from harming themselves or others
Bedrest is ordered for what reasons?
To reduce pain and promote healing and reduce physical activity
The blood pressure cuff is applied
To the bare arm
You are securing a dressing with tape. Where do you apply the tape?
To the top, sides, and bottom of the dressing
Warning signs of stroke last a few minutes. This is called a(n)
Transient Ichemic Attack
A stool specimen must not be contaminated with urine.
True
You need to brush a person's teeth. When brushing the unconscious person's teeth, you
Turn the person's head well to the side
Older persons usually need a complete bath
Twice a week
What type of diabetes presents a risk to adults over 45?
Type 2
When the urinary bladder is removed, a new pathway is needed for urine to exit the body. The new pathway is called a
Urinary diversion
To safely position a person, you need to
Use pillows as directed for support and alignment
To identify a patient or a resident
Use the ID bracelet
When there is a fire, do the following except a. Use the elevator b. Move persons in immediate danger to a safe place c. Sound the nearest alarm d. Close doors and windows to confine the fire
Use the elevator
You hear a nurse telling a patient that they will never see their family again. This is:
Verbal abuse
Which vitamin is needed for resistance to infection?
Vitamin C
Which vitamin is needed for healthy bones?
Vitamin D
Which foods are allowed on a clear liquid diet?
Water, tea, and coffee
To prevent a person from falling, the person
Wears non-skid footwear
Food labels contain the following information except
Weight of the item
Suffocation is
When breathing stops from lack of oxygen
A nursing assistant decides to go home sick after she has accepted her assignment. She Decides to go ahead and leave the agency without telling anyone. This is known as:
Abandonment
A nursing assistant decides to go home sick after she has accepted her assignment. She decides to go ahead and leave the agency without telling anyone. This is known as:
Abandonment
A person in the prone position lies on his or her
Abdomen
A resident is choking. The person is clutching at the throat. The person cannot speak or Breathe. Which action is needed?
Abdominal thrusts
A nursing assistant pinches and pushes a patient. This is
Abuse
A person is terminally ill. She has given pieces of jewelry to each child. She also has selected songs for her funeral. What stage of dying is she in?
Acceptance
These statements are about a safe setting. Which is incorrect? a. Accidents and injuries never occur. b. The person has little risk of illness or injury. c. The person is not afraid. d. The person feels safe and secure.
Accidents and injuries never occur.
Bed rails are used
According to the person's care plan
HIV causes
Acquired immunodeficiency syndrome (AIDS)
Usually, the admission process starts in the
Admitting office
The nurse asks you to assist with a sterile procedure. You will need to put on sterile gloves. When do you put them on?
After setting up the sterile field
You are transferring a patient from the bed to a stretcher. When should you apply the safety straps?
After the person is transferred to the stretcher
Warning signs of stroke include the following except a. Sudden trouble seeing out of one or both eyes b. Sudden dizziness or loss of balance or coordination c. Sudden trouble walking d. Agitation and joint pain
Agitation and joint pain
What are the basic parts of CPR?
Airway, breathing, chest compressions, and defibrillation
You are helping a new resident unpack
Allow the family to help decide where to put things.
A resident has aphasia. Which will help the person feel a sense of control?
Allowing personal choices whenever possible
Protecting the right to privacy involves the following except a. Keeping information about the person confidential b. Allowing visitors to remain in the room when care is given c. Exposing only the body part involved in the treatment procedure d. Screening the person when giving care
Allowing visitors to remain in the room when care is given
The removal of all or part of an extremity is
Amputation
A dressing is secured with tape. When the tape is removed, some skin is removed. This causes
An abrasion
A prosthesis is
An artificial replacement for a missing body part
Items are sterilized in
An autoclave
A patient's care is assigned to Sally Jones. The patient needs to use the bathroom. Sally Jones is on a meal break. Who will help the patient?
Any staff member on the unit will help.
Older persons are at risk for choking; common causes include the following except a. Poorly fitting dentures b. Dysphagia c. Aphasia d. Chronic illness
Aphasia
Persons with Dysphagia
Are fed according to the care plan
Short-term nursing center residents
Are recovering from fractures, acute illness, or surgery
After making a bed, you feel pain in your lower back. When should you report this?
As soon as possible
A nurse asks you to inspect a person's closet and drawers. To protect yourself, you should:
Ask a co-worker to be present with you during the inspection
A person does not use bed rails. You need to make an occupied bed. For the person's safety you should
Ask a co-worker to help you
You want to make sure that a patient understands what you said. You should
Ask questions to see if the person understands
The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do?
Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin.
Effective communication involves the following except a. Considering the whole person b. Respecting the person's rights c. Respecting the person religion and culture d. Asking all the questions
Asking all the questions
A nursing center resident wants to attend religious services in the center's chapel. What should you do?
Assist the person to the chapel.
After the person finishes eliminating, you need to
Assist with wiping, perineal care, flushing, and hand washing
A resident is 80 years old. He weighs 195 pounds and is weak. How many workers are needed to move him up in bed?
At least 2 and a friction-reducing device
A resident is in bed. How often is the person repositioned?
At least every 2 hours
Always check the MSDS at the following times except a. At the beginning of your shift b. Before using a hazardous substance c. Before cleaning up a leak or spill d. Before disposing of a hazardous substance
At the beginning of your shift
Intake and output are totaled
At the end of the shift
When cleaning, you need to clean
Away from your body
You just finished a resident's bath. You note that the person is incontinent of urine. What should you do?
Bathe affected skin areas again.
To prevent falls during transfers, wheelchair, bed, shower chair, and stretcher wheels must
Be locked
Some underpads are used as assist devices. For a safe lift, the under-pad must
Be strong enough to support the person's weight
To use good body mechanics, you should do the following except
Bend at the waist
To protect yourself from injury, it is best to
Bend while lifting
When transferring persons, you should use good body mechanics. This includes all of the following except: a. Stand with good posture b. Face the person c. Bend your back, not your legs d. Use your legs to do the work
Bend your back, not your legs
You need to lift a heavy object. You should
Bend your knees and squat
Dorsiflexion is
Bending the toes and foot up at the ankle
Tumors that do not spread to other body parts and usually do not grow back when removed are
Benign
Stroke occurs when
Bleeding in the brain or a blood clot
The amount of force exerted against the walls of an artery by the blood is the
Blood Pressure
The human immunodeficiency virus (HIV) is spread by
Blood, semen, vaginal secretions, and breast milk
Which statement about body language is incorrect? A. You send messages with your body language. B. Patients and residents send messages through body language. C. Body language is only expressed by the patient or resident. D. Body language involves body movements, gait, and facial expressions.
Body language is only expressed by the patient or resident.
The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is
Body temperature
The blood pressure cuff is applied over the
Brachial artery
When flossing the person's teeth, you need to
Break off an 18-inch piece of dental floss from the dispenser
Aspiration is
Breathing fluid, food, vomitus, or an object into the lungs
A resident is transferring to a different room. The nurse asks you to transfer the person. You can do the following except a.Help the person pack b.Transport the person to the new room c. Introduce the person to the staff d.Bring the person's chart, care plan, and drugs
Bring the person's chart, care plan, and drugs
Another term for expressive aphasia is
Broca's aphasia
When checking the person's ID bracelet, you should
Call the person by name
A patient is NPO. This means that the person
Cannot eat or drink anything
Which nutrient provides energy and fiber?
Carbohydrate
A person is choking. If the obstruction is not relieved
Cardiac arrest will occur
A person is in respiratory arrest. What will happen if breathing is not restored?
Cardiac arrest will occur.
Persons with complications from coronary artery disease may need
Cardiac rehabilitation
Commons sites for healthcare-associated infections include all of the following except: a. Urinary system b. Respiratory system c. Wounds d. Cardiac system
Cardiac system
Restorative nursing care is
Care that helps persons regain health, strength, and independence
A ground
Carries leaking electricity to the earth
A person with cystitis may have the following signs and symptoms except a. Changes in skin color and dry, itchy skin b. Hematuria and pyuria c. Urinary frequency with small amounts of urine d. Dysuria and urinary urgency
Changes in skin color and dry, itchy skin
To correctly identify the person before giving care
Check identifying information on the assignment sheet with that on the ID bracelet.
You did not serve a resident's tray promptly. What should you do?
Check the food temperature.
You spilled a hazardous substance. Before cleaning up the spill, you should
Check the material safety data sheet (MSDS)
Which measure will help prevent burns?
Checking bath water temperature before the person gets into the tub
Remember the following when selecting foods from the meat and beans group:
Choose lean or low-fat meat and poultry.
After transferring a person to the toilet, you should
Close the bathroom door and stay in the person's room
Preservative from a 24-hour urine collection container splashed on your hand. You should do the following
Complete an incident report.Flush your hand with a large amount of water. Tell the nurse what happened and check the MSDS
The long lines of a centigrade thermometer are marked in
Consecutive numbers
Diabetes meal planning involves
Consistency in what is eaten and when
Which is not a sign or symptom of dysphagia? Coughing, Choking, Constipation, Hoarseness
Constipation
According to the Bloodborne Pathogen Standard, potentially infectious materials are
Contaminated with a body fluid that may contain blood
The process of becoming unclean is
Contamination
Healthcare-associated infections are prevented by the following except a. Medical asepsis b. Surgical asepsis c. Standard Precautions d. Contamination precautions
Contamination precautions
A person is receiving oxygen therapy. Which of the following is allowed? a. Lit candles b. Cotton pajamas c. Nail polish remover d. Smoking materials
Cotton pajamas
How do you flex the toes?
Curl them
The loss of cognitive and social function caused by changes in the brain is
Dementia
According Dr. Elisabeth Kübler-Ross, the five stages of dying are
Denial, anger, bargaining, depression, and acceptance
A resident got a new bracelet for her birthday. It needs to go into her valuables envelopes. What should you do?
Describe it as a yellow, 7-inch-long bracelet that is 1⁄2 inch wide with no stones.
Dentures may be used in people who have lost their teeth due to all of the following except
Diabetes
The pressure in the arteries when the heart is at rest is
Diastolic pressure
Receptive aphasia relates to
Difficulty understanding language
A resident has finished defecating. You need to do
Dispose of stools promptly Assist with perineal care as necessary Assist the person with hand washing
An ethical person
Does not cause another person harm
Good planning before moving or lifting a person in bed involves the following except a. Deciding how you will move the person b. Asking a co-worker to help you c. Planning how to protect drainage tubes d. Doing necessary recording before you complete the task
Doing necessary recording before you complete the task
Your clothing is on fire. Which action should you do?
Drop to the floor and roll to smother the fire.
A person is in shock. Activate
EMS
Diabetes meal planning involves having the person
Eat the same amount of carbohydrates, proteins, and fat each day
Electrical current passes through the body. This is
Electrical shock
You find a person lying on his right side. He is breathing and has a pulse. However, he is bleeding from his right leg. How should you position him?
Elevate his leg.
Your lips are chapped. You can apply lip balm in the
Employee restroom
A patient is choking. The person is conscious and can cough. Which action is needed
Encourage the patient to cough forcefully.
The greatest risk from bed rail use is
Entrapment
The science of designing the job to fit the worker is
Ergonomics
The nurse asks you to assist with the admission of a new resident. What can the nurse delegate to you?
Escorting the person to his or her room
When do patients and residents need fresh drinking water?
Every shift and whenever the pitcher is empty
During lunch, your co-workers are talking about other staff members. What should you do?
Excuse yourself and leave the table.
Which is not a risk factor for osteoporosis?
Exercise and activity
Before moving, positioning, or transferring a person, you need to
Explain to the person what you are going to do
You can protect yourself from a charge of assault and battery by
Explaining to the person what you are going to do and getting consent
You can protect yourself from a charge of assault and battery by:
Explaining to the person what you are going to do and getting consent
A resident's son is visiting. Which will not protect the resident's privacy? a. Allowing them to visit without interrupting b. Asking the resident's son to leave while you give care c. Exposing the resident's body in front of her son d. Allowing the resident's son to read her mail to her in private
Exposing the resident's body in front of her son
When a person can bear some weight, can sit up with help, and may be able to pivot to transfer, this is known as what level of dependence
Extensive
Which is not a cause of back disorders? a. Reaching while lifting b. Staying in one position too long c. Bending or twisting while lifting d. Facing the direction of your work
Facing the direction of your work
Which is not a cause of back disorders? a. Reaching while lifting b. Staying in one position too long c. Bending or twisting while lifting d. Facing the direction of your work
Facing the direction of your work
To move the person in segments, move the person away from you. T or F
False
A resident has a closed bed. How can you make an open bed for the person?
Fan-fold back the top linen
When drying your hands, start at the
Fingertips and work up to your forearms
When relieving choking in an infant, which is incorrect? a. Sit with the infant in your lap. b. Hold the infant face down over your forearm. c. The infant's head is lower than the chest. d. Five up to 3 forceful back slaps.
Five up to 3 forceful back slaps.
The following are common with Parkinson's disease except a. Pill-rolling movements b. Flare-ups or relapses c. Shuffling gait d. A fixed stare
Flare-ups or relapses
Paraphrasing does the following except a. Shows you are listening b. Lets the person see if you understand what he or she said c. Promotes further communication d. Focuses on specific information
Focuses on specific information
Listening involves
Focusing on the person's verbal and nonverbal communication
Rules for collecting specimens include
Follow Standard Precautions and the Bloodborne Pathogen Standard Follow the rules for medical asepsis Label the container accurately
A resident is in her wheelchair. The wheelchair is not moving. Which is correct?
Follow her care plan for locking wheels.
To look professional at work
Follow the agency's dress code
What is the best way to look professional at work?
Follow the agency's dress code.
When assisting with rehabilitation, you need to
Follow the care plan
You need to reposition a person in the chair. Which is correct? a. Follow the nurse's directions and the care plan. b. Pull the person up from behind. c. Use a transfer belt. d. Ask the person what to do.
Follow the nurse's directions and the care plan.
A resident cannot speak or read. To communicate with the person
Follow the person's care plan
To protect the person from harm, you need to
Follow the person's care plan
To use touch correctly, you should
Follow the person's care plan
A resident needs bowel and bladder training. What should you do?
Follow the person's care plan.
A person has the right to be free from involuntary seclusion. An example of involuntary seclusion would be:
Forcing the person to remain in their room during breakfast
A resident is on aspiration precautions. The person eats in bed. To provide for safety during meals, you should position the person in _____________________position.
Fowler's
A resident is on bedrest. Before the person gets out of bed, you need to position her in ____________position.
Fowler's
A resident wants a partial bath. How should you position the person?
Fowler's or sitting
Persons with heart and respiratory disorders usually breathe easier in which position?
Fowler's position
Which is a semi-sitting position?
Fowler's position
A person is receiving oxygen therapy. Connecting tubing must be
Free of kinks
A person is on a mechanical soft diet. The person can have the following except
Fresh vegetables
Two surfaces rub together. This is
Friction
A person is on a high-protein diet. Which foods are not high in protein?
Fruits
A resident has control of her bladder. She cannot get to the bathroom in time because her signal light was not answered promptly. She is incontinent of urine. This is
Functional incontinence
A patient has a hearing loss. To communicate with the person, you need to do the following except a. Face the person when speaking b.Gain the person's attention by approaching the person from behind c. Stand or sit in good light d. Stand or sit on the side of the better ear
Gain the person's attention by approaching the person from behind
This is a disease in which stomach contents flow back from the stomach into the esophagus.
Gastro-esophageal reflux disease (GERD)
You have planned your work. Which is not a good part of your plan?
Gather needed supplies once you go in the person's room to complete the task
A resident is going to be discharged. You can do the following except
Get valuables from the safe
A resident needs Transmission-Based Precautions. Which will not meet the person's basic needs?
Getting out of the person's room as quickly as possible
A person is in cardiac arrest. After opening the airway, you need to
Give 2 rescue breaths
A 2-year-old is showing signs of airway obstruction. The child has a fever, a rash, and hoarseness. You should
Give rescue breathing if not breathing and activate the EMS system
You ask a patient a question. You should
Give the person time to process what you asked
To prevent a person from suffocating, you should do the following except a. Make sure the person's dentures are in place b. Check for loose teeth or dentures c. Report swallowing problems to the nurse d. Give the person who has a feeding tube fluids only
Give the person who has a feeding tube fluids only
A vaccine is
Given to produce immunity
A resident is dying. Which of the following measures promote comfort?
Good body alignment
What may prevent contractures and pressure ulcers?
Good skin care. Range-of-motion exercises. and Turning and re-positioning
A resident has the following items on her meal tray. Which is not counted as fluid intake?
Gravy
Soiled linen is
Handled according to the agency's policies
A person on a sodium-controlled diet can
Have fruits and vegetables
A resident uses a wheelchair. To promote the person's safety, you should do the following except a. Check for flat or loose tires b. See if the brakes lock and unlock c. Check for damaged, broken, or loose wheel spokes d. Have the casters point backward
Have the casters point backward
A patient has crutches. You need to
Have the person wear street shoes with non-skid soles, Check the crutch tips to see if they are worn down or wet, and Make sure the bolts are tight
Which shows that you are listening to a person?
Having good eye contact with the person
Regular position changes
Help prevent pressure ulcers and contracture
A patient is going to be discharged. You can
Help the person into the car
A patient needs a postural support when sitting in a chair. The postural support
Helps keep the person in good alignment
Paralysis on one side of the body is
Hemiplegia
The following are common with Parkinson's disease except a. Hemiplegia or quadriplegia b. Stooped posture and impaired balance c. Tremors and stiff muscles d. Slow movement and mask-like expression
Hemiplegia or quadriplegia
Bloody sputum is
Hemoptysis
High-risk sexual activity is associated with the following types of hepatitis except a. Hepatitis D b. Hepatitis E c.Hepatitis B d. Hepatitis C
Hepatitis E
Which is not a sign of anaphylaxis?
High blood pressure
To sit in a chair, a person must be able to
Hold the upper body and head erect
A patient had abdominal surgery. You are assisting the person with deep-breathing and coughing exercises. Which will promote the person's comfort during coughing?
Holding a pillow over the person's incision
Before moving a person in bed, you need the following information from the nurse and the care plan except a. How to use body mechanics b. What procedure to use c. Position limits or restrictions d. If the person uses bed rails
How to use body mechanics
The nurse asks you to dangle a resident. Before you do so, you need the following information except a. Which side is strong and which side is weak b. How long the person needs to dangle c. How to use good body mechanics d. What observations to report and record
How to use good body mechanics
A systolic blood pressure that is 140 mm Hg or a diastolic pressure that is 90 mm Hg is or higher is:
Hypertension
A systolic blood pressure below 90 mm Hg and a diastolic pressure below 60 mm Hg is
Hypotension
To make sure you give the right care to the right person, you need to
Identify the person before giving care
For safe patient and resident moving and transfers, the nurse and health team determine the following except a. The person's dependence level b. What procedure to use c. The equipment needed d. If family is available to help
If family is available to help
You are going to measure a resident's height. The nurse tells you
If you should use a standing scale or tape measure
Which system protects the body from disease and infection?
Immune System
A person has protection against a certain disease. The person has
Immunity
Body temperature is usually lower
In the morning
A person's cultural beliefs and practices are
Included in the person's care plan
Safety measures must not
Interfere with the person's rights
How can you help a new resident know the names of other residents?
Introduce the person to other residents.
You need to talk to the nurse about a patient or resident. Where should you do this?
Invade the person's privacy
A malignant tumor
Invades and destroys nearby tissue
A resident did not get the bathroom in time. She urinated and had a bowel movement in her clothing. To prevent an accident in the dining room, the nurse makes the person stay in her room. This is:
Involuntary seclusion
A resident did not get to the bathroom in time. She urinated and had a bowel movement in her clothing. To prevent an accident in the dining room, the nurse makes the person stay in her room. This is:
Involuntary seclusion
Which mineral is needed for growth and metabolism?
Iodine
Which mineral allows red blood cells to carry oxygen?
Iron
A resident is terminally ill. The person's care plan includes the following. Which should you question?
Keep the room dark.
Which of the following will help prevent suffocation in infants and children?
Keeping plastic bags away from children
The safe use of electrical equipment involves
Keeping the item away from water, Wiping up spills at once, Keeping work areas clean and dry
Before entering a person's room, you should
Knock on the door and wait to be asked in
You are beginning to make an occupied bed. You should position the person in
Lateral position
A person's cultural beliefs and practices are different from yours. What should you do?
Learn about the person's culture.
You are caring for a person who is comatose. You should do the following except a. Knock before entering the person's room b. Tell the person your name, the time, and the place every time you enter the room c. Explain what you are going to do d. Leave the room quietly without telling the person
Leave the room quietly without telling the person
Which will not prevent suffocation? a. Using bed rails correctly b. Leaving a person unattended in the bathtub c. Reporting loose teeth d. Positioning the person in bed properly
Leaving a person unattended in the bathtub
Safe stretcher use involves the following except a. Locking the wheels b. Fastening safety straps c. Raising side rails d. Leaving the person alone to provide for privacy
Leaving the person alone to provide for privacy
You need to put on a face mask. You should
Let the person see your face first
You are cleaning a resident's lower denture. What do you do
Line the sink with a towel
A person is on a full-liquid diet. Foods on this diet are
Liquid at room temperature or melt at body temperature
What is the danger of liquid oxygen systems?
Liquid oxygen can freeze the skin.
You can help a new resident feel safe and secure by
Listening to the person's concerns
Before moving a person up in bed, you need to
Lock the bed wheels
A person is turned as a unit, in alignment, with one motion. This is
Logrolling
A resident is recovering from spinal surgery. You need to reposition the person onto her right side. What procedure should you use?
Logrolling
Post-mortem care is done to
Maintain a good appearance of the body
You are responsible for the care you give. To provide quality care:
Maintain good work ethics.
Before using a sponge swab, you need to
Make sure the foam pad is tight on the stick
Which of the following is a good example of keeping personal matters out of the workplace?
Making a doctor's appointment for your day off
To prevent work-related injuries, OSHA recommends
Manual lifting be eliminated whenever possible
Before handling a disinfectant, you need to check the
Material safety data sheet
Certain practices remove or destroy pathogens. They also prevent them from spreading form one person or place to another person or place. These practices are
Medical asepsis
When handling clean linens, you must practice
Medical asepsis
As a nursing assistant, you are responsible for
Meeting the persons hygiene needs
A dressing becomes dislodged. What can happen?
Microbes can enter the wound.
A child is 7 years old. Which is not a sign of child abuse?
Missing teeth
A person needs frequent dressing changes. You would expect the nurse to secure the dressings with
Montgomery ties
A person infected with HIV may be symptom-free for
More than 10 years
Older persons have fragile bones and joints. To prevent injury when moving these persons, do the following except a. Move the person as quickly as possible b. Always have help c. Move the person carefully d. Keep the person in good alignment
Move the person as quickly as possible
You find a fire in a person's room. What should you do first?
Move the person to a safe area.
When flossing, you should
Move to a new section of floss after every second tooth
When a person is log-rolled, the person is
Moved with the spine straight
Abduction is
Moving a body part away from the midline of the body
Adduction is
Moving a body part toward the midline of the body
A resident is recovering from spinal surgery. You need to move the person to the side of the bed. Which procedure is the best to use?
Moving the person in segments
Henry Parks is a nursing center resident. Which is the proper way to address him?
Mr. Parks
Microbes that can resist the effects of antibiotics are
Multidrug-resistant organisms
Residents who have bed rails
Must be checked often
A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair?
Next to the bed on her right side
For a bed to wheelchair transfer, the person needs to wear
Non-skid footwear
Microbes that live and grow in a certain area are
Normal flora
Calorie counts are ordered for a resident. What should you do?
Note what the person ate and how much.
Which statement about MSDs is incorrect? a. They can develop slowly over time. b. They can occur from one event. c. Nursing assistants are at low risk for developing MSDs. d. The arms and back are often affected.
Nursing assistants are at low risk for developing MSDs.
You are not responsible for oxygen therapy because
Nursing assistants do not give drugs
The Bloodborne Pathogen Standard is a regulation of
OSHA
Which member of the health team designs adaptive equipment for daily living?
Occupational Therapist Registered
You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair?
On the person's strong side
In nursing centers, a complete linen change is usually done
Once or twice per week, on the person's bath day
These statements are about transfers. Which is incorrect? 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 wheelchair, stretcher, or the bed. d.Transfers may be necessary if roommates do not get along.
Only a doctor can request a transfer.
A new hospital patient is ambulatory. Which is incorrect? a.Open the bed. b Lower the bed to its lowest position. c. Raise the bed rails. d. Attach the signal light to the bed linens.
Open the bed.
You are going to give a resident a bath. Which will not protect the person's privacy? a. Opening window shades so that the person can see outside b. Closing the door to the person's room c. Closing the privacy curtain d. Draping the person to avoid exposure
Opening window shades so that the person can see outside
Which is an infection of the middle ear?
Otitis media
Paralysis in the legs and lower trunk is
Paraplegia
Hypertension can lead to the following except a. Parkinson's disease and multiple sclerosis b. Heart failure and kidney failure c. Stroke and heart attack d. Blindness
Parkinson's disease and multiple sclerosis
A resident had a stroke. The person's left side is affected. The person's care plan includes the following. Which should you question? a. Encourage deep breathing and coughing. b. Turn and re-position every 2 hours. c. Assist with range-of-motion exercises. d. Perform all ADL for the person.
Perform all ADL for the person
A resident has MS. The person's care plan includes the following. Which should you question? a. Measures to promote bowel and bladder elimination b. Perform all ADL for the person c. Turning, re-positioning, and deep breathing and coughing d. Skin care and range-of-motion exercises
Perform all ADL for the person
Apical pulses are taken on the following persons except a.Persons who have dementia. b.Persons who have heart disease. c.Persons who have irregular heart rhythms. d.Persons who take drugs that affect the heart
Persons who have dementia
According to Maslow, which basic needs must be met first? a. Physical needs b. Safety and security needs c. Love and belonging needs d. Self-esteem and self-actualization needs
Physical needs
A resident needs her hair brushed. You just changed her pillowcase. What should you do?
Place a towel across her pillow.
The nurse hands you a used disposable syringe with the needle attached. You should
Place the needle and syringe in a puncture-resistant container
After making an occupied bed, you must
Place the signal light within the person's reach
A person's linens are soiled with urine and feces. What should you do with the linens?
Place them in a leak-proof plastic bag.
A transfer belt is notneeded to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person?
Place your hands under the person's arms and around her shoulder blades.
After collecting a sputum specimen, the container is
Placed in a bag
Which is not a common cause of burns in nursing centers?
Playing with matches
A resident is on aspiration precautions. When the person is done eating, you need to check his/her mouth for
Pocketing
Which is the easiest and most important way to prevent infections from spreading?
Practicing hand hygiene
A resident is dying. He and his family have the right to:
Privacy
An ombudsman
Promotes the resident's needs and interests
Which will improve a person's quality of life? a. Encouraging the sick role b. Changing the person's cultural beliefs and practices c. Promoting the person's optimal level of functioning d. Focusing on the person's disabilities
Promoting the person's optimal level of functioning
An ombudsman does the following except a. Provide a person's care b. Protect a person's health and safety c. Protect a person's rights d. Investigate a person's complaints
Provide a person's care
A patient is terminally ill. The person's pastor comes for a visit. What should you do?
Provide privacy.
Which is not a role of risk management? a. Providing malpractice insurance b. Identifying and controlling safety hazards c. Dealing with resident and patient abuse and workplace violence d. Studying incident reports for patterns and trends
Providing malpractice insurance
You smell a smoke odor. What should you do?
Pull the fire alarm.
Older persons are at risk for shearing. Which measure will notprotect the person from pain and injury?
Pull the person quickly toward you.
To use a fire extinguisher, you must first
Pull the safety pin
You are putting on the first sterile glove. Some fingers get caught in the glove. What should you do?
Put on the other glove.
You are assisting with post-mortem care. Dentures are not inserted. What should you do with them?
Put them in a denture container labeled with the person's name.
A resident has paralysis in the arms, legs, and trunk. This is
Quadriplegia
The director of nursing (DON) is a
RN
Who assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care?
RNs
When giving bedside care, the bed should be
Raised so it is close to your waist
A person is on a fiber- and residue-restricted diet. The person can have the following except
Raw fruits and vegetables
A mechanical lift is used to transfer a patient to the wheelchair. Before using the lift, you need to
Read the manufacturer's instructions
A nurse asks you to do a urinary catheterization. This involves sterile technique and inserting a tube into the person's bladder. The nurse gives you very clear instructions. What should you do?
Refuse the task. It is beyond the legal limits of your role.
Backflow of stomach contents into the mouth is
Regurgitation
Whose role is it to assess the person's home setting for any necessary changes needed prior to receiving rehabilitation?
Rehabilitation team
A person's radio has a frayed cord. You should
Remove it from the room and tag it for repair
Your gloves are contaminated. You need to touch a clean surface. You should
Remove the gloves and wash your hands
You tear a glove while performing a task. You should
Remove the gloves, practice hand hygiene, and put on a new pair
A person has an NG tube. To prevent nasal irritation do all the following Secure the tube to the person's gown Clean the nose and nostrils every 4-8 hours. Loop a rubber band around the tube. Then pin the rubber band to the garment with a safety pin except. Remove the tube every 4 hours and re-tape
Remove the tube every 4 hours and re-tape
Before removing a gown, you must
Remove your gloves and goggles
To prevent skin tears, you need to
Reposition every 2 hrs
Who can develop healthcare-associated infections?
Residents and patients
A male resident is not circumcised. When giving perineal care, you need to
Retract the foreskin
A male resident is uncircumcised. After cleaning his penis, you must
Return the foreskin to its natural position
A resident's right wrist is affected by a disability. You would expect the person to need
Self-help devices
A resident is dying. The person has trouble breathing. Which position will the person most likely prefer?
Semi-Fowlers
Which statement about multiple sclerosis (MS) is incorrect? a. Blurred or double vision often occurs. b. Severe disability or death is common early after onset. c. the person may have remissions. d. Symptoms may last for a few weeks or a few months.
Severe disability or death is common early after onset.
A resident has slid down in bed. Her skin sticks to the bed while her muscles move down. This is
Shearing
Being dependable means
Showing up for work on time, every day
Children between the ages of 6 months and 6 years are at risk for lead poisoning. Which is incorrect? a. Lead enters the body through ingestion and inhalation. b. Signs and symptoms are sudden in onset. c. Lead can affect almost any body system. d. Lead can lower intelligence and cause learning problems.
Signs and symptoms are sudden in onset.
To dangle means to
Sit on the side of the bed
Vital signs are normally taken with the person
Sitting or lying down
A person is on a low-cholesterol diet. Which food is allowed?
Skim milk
Which oxygen sources are used when the person is ambulatory or uses a wheelchair?
Small oxygen tank or portable liquid oxygen unit
A patient is receiving continuous oxygen. The person wants to smoke.
Smoking is not allowed where oxygen is being used.
Which mineral is needed for fluid balance?
Sodium
A person is in a wheelchair. When communicating with the person, you should
Speak directly to the person
A patient is unconscious. To give the person mouth care, you need to use
Sponge swabs
A resident has a lower denture. The person needs the following except a. A denture brush b.A denture cleaner c.A denture cup d.Sponge swabs
Sponge swabs
Mucus from the respiratory system that is expelled through the mouth is
Sputum
Wounds can affect basic needs. Infection is always a threat, follow
Standard Precautions and Bloodborne Pathogen Standard
You are assisting with post-mortem care. You must follow
Standard Precautions and the Bloodborne Pathogen Standard
Good body mechanics involves the following except a. Good posture and balance b. Using your strongest and largest muscles for work c. Standing with your feet together for a narrow base of support d. Good body alignment
Standing with your feet together for a narrow base of support
A person is agitated. You should do the following except a. Stand away from the person and near the door b. Keep your hand free c. Talk to the person in a calm manner d. Stay with the person until the nurse arrives
Stay with the person until the nurse arrives
These statements are about surgical asepsis. Which is incorrect? a. A sterile package is torn and wet. The package is contaminated. b. The date on a sterile package has expired. The package is contaminated. c. Sterile items are handled with sterile gloves or sterile forceps. d. Sterile gloved hands are kept below your waist.
Sterile gloved hands are kept below your waist.
These statements are about surgical asepsis. Which is incorrect? a. A sterile item can touch another sterile item. b Sterile items are always kept within your vision. c. Sterile items are always kept below your waist. d. Airborne microbes can contaminate a sterile field.
Sterile items are always kept below your waist.
A glass thermometer for rectal temperatures has a
Stubby tip
Persons who need more time to recover than hospital care allows need
Subacute care or rehabilitation
Warning signs of stroke include the following except a.Sudden, severe chest pain and shortness of breath b. Sudden confusion, trouble speaking, or understanding c. Sudden numbness or weakness on one side of the body d. Sudden, severe headache
Sudden, severe chest pain and shortness of breath
Accident risk factors include the following except a. Coma, confusion and decreased awareness of surroundings, and age b. Impaired vision, hearing, smell, and touch c. Paralysis, impaired mobility, and drugs d. Suffocation, electrical shock, disasters
Suffocation, electrical shock, disasters
You are assisting the nurse with cast care. You should
Support the entire cast with pillows. Position the person as directed. Do not let the person insert things into the cast.
Binders do the following
Support wounds and hold dressing in place Promote comfort and Prevent injury
Cardiopulmonary resuscitation
Supports breathing and circulation
Which statement about child abuse is correct? a. Suspected child abuse must be reported. b. Only child sexual abuse must be reported. c. The victim must report the abuse. d. Only parents can report abuse.
Suspected child abuse must be reported.
The goal for a prosthesis is to be like the missing body part in function and appearance. t or f
TRUE
A hazardous substance container does not have a warning label. What should you do?
Take the container to the nurse.
A warning label on a hazardous substance container is damaged. What should you do?
Take the container to the nurse.
Vital signs do the following
Tell about treatment responses. Detect changes in body function. Signal life-threatening events
You see a nursing assistant hitting a resident. What should you do?
Tell the administrator.
A co-worker often comes to work with bruises and other injuries. She also borrows lunch money from you right after payday. What should you do?
Tell the nurse
You suspect that a nursing center resident is being abused. What should you do?
Tell the nurse
You are about to give care to a person who you realize goes to your church. What should you do?
Tell the nurse that you know the person.
A 14-year-old child is a hospital patient. You find bruises on the child's face after her brother leaves. What should you do
Tell the nurse.
A person has diabetes. All food served is not eaten. What should you do?
Tell the nurse.
A resident wants to leave the nursing center. The doctor has not written a discharge order. What should you do?
Tell the nurse.
You are admitting a new resident. You will do the following except a.Measure the person's vital signs b.Measure the person's weight and height c.Complete a personal belongings list d. Tell the person about treatments and the care plan
Tell the person about treatments and the care plan
Older persons are at risk for dehydration because
The amount of body water decreases with age
An apical-radial pulse means that
The apical and radial pulses are taken at the same time.
Base of support is
The area on which an object rests
Binders are applied to the following areas except
The arms and legs
A resident is positioned in a chair. Which will not provide good alignment? a. The person holds the upper body and head erect. b. The person's back and buttocks are against the back of the chair. c. The person's feet are flat on the floor. d. The backs of the person's knees are against the edge of the seat.
The backs of the person's knees are against the edge of the seat.
What parts of sterile gloves are not sterile?
The cuffs and inside
A patient is going to be discharged. Before the person can leave
The doctor must give a discharge order
Hyperextension is
The extensive straightening of a body part
Hepatitis A is spread by
The fecal-oral route
The nurse asks you to collect a 24-hour urine specimen
The first voiding is discarded.
Who is responsible for preventing infections from spreading?
The health team
The top sheet is placed on the bed correctly if
The hem-stitching faces outward
A microbe normally lives and grows in the respiratory system. Which is correct? a. The microbe will cause a respiratory infection. b. The microbe is a pathogen in the respiratory system. c. The microbe can cause an infection in another part of the body. d. The same microbe is found on the skin.
The microbe can cause an infection in another part of the body.
When combing curly hair, you start at
The neckline
While performing a task, a nursing assistant harmed a person. Which is incorrect? a. The nursing assistant was negligent. b. The nursing assistant is responsible for the harm. The supervising nurse is responsible. c. The nursing assistant will be held to the standard of care of other nurses. d. Harm can occur from what a person does or fails to do.
The nursing assistant will be held to the standard of care of other nurses.
Double bagging is needed when
The outside of the bag is soiled
These statements are about the whole person. Which is incorrect? a. The whole person has physical, social, psychological, and spiritual parts. b. the parts can be separated c. each part relates to the others d. each part depends on the others
The parts can be separated.
The nurse asks you to collect a midstream specimen.
The perineal area is cleaned before collecting the specimen.
A resident has glaucoma. What do you know about the person's sight?
The person cannot see to the side.
A person infected with HIV is symptom-free. Can the person be a carrier and infect others?
The person is a carrier and can infect others.
A stand-pivot transfer is used if
The person is strong enough, cooperative, and can assist
A person has a terminal illness. This means that
The person will not likely recover
A resident is on aspiration precautions. Where will you find instructions about special feeding needs?
The person's care plan
A new resident has dementia. You should expect the following except
The person's confusion will decrease in the new setting
Rehabilitation is
The process of restoring the person to his or her highest possible level or function
Stress is
The response or change in the body caused by any emotional, physical, social, or economic factor
The five rights of delegation involve
The right task, the right circumstances, the right person, the right directions and communication, and the right supervision
Portals of exit are
The same as portals of entry
Metastasis is
The spread of cancer to other body parts
Rigor mortis means
The stiffness of skeletal muscles that occurs after death
Edema is
The swelling of body tissues with water
You can refuse to perform a delegated task if
The task is not in your job description
What is a common cause of airway obstruction during cardiac arrest?
The tongue falling toward the back of the throat
Body alignment is
The way the head, trunk, arms, and legs are aligned with one another
You are going to transfer a patient from the wheelchair to the toilet. Which statement is incorrect? a. The person needs a raised toilet seat. b. The person uses the grab bars by the toilet for support. c. The wheelchair is positioned in front of the toilet. d. The wheelchair brakes are locked.
The wheelchair is positioned in front of the toilet.
When transferring a person to or from the wheelchair
The wheels must be locked
Persons with AIDS develop other diseases because
Their immune systems are affected
What is the purpose of grab bars? a. They prevent a person from falling out of bed b. They provide support when walking. c. They provide support when sitting down or getting up from the toilet. d. They are used to propel a wheelchair
They provide support when walking and They provide support when sitting down or getting up from the toilet.
Which is safe?
Three pronged plug
The nurse weighs dressings before and after applying them. Why are they weighed?
To measure the amount of drainage
Effects from stroke often include the following except a. Urinary incontinence and impaired memory b. Dysphagia and aphasia c. Tremors and stiff muscles d. Urinary incontinence and impaired memory
Tremors and stiff muscles
A resident had a stroke. The person cries easily, sometimes for no reason. Changing emotions are common effects of stroke.
True
Some people need both rehabilitation and restorative care. t of f
True
The person may need help getting to and taking part in activities.
True
The person with speech impairments willingness and ability to learn affect the amount of improvement possible.
True
When using an assist device to move a person to the side of the bed, you need at least 1 co-worker to help you. T or F
True
When using equipment, always do the following except a. Follow the manufacturer's instruction b. Use the item only for its intended purpose c. Make sure it works before you begin d. Try to fix a broken item
Try to fix a broken item
A person has ear drainage. When measuring temperature, you cannot use the
Tympanic membrane site
In the prone position, pillows are placed
Under the head, abdomen, and lower legs
Sputum specimen collection is easier
Upon awakening in the morning
The involuntary loss of urine is
Urinary incontinence
A resident cannot hear and has poor vision. You need to write messages to the person. You should
Use a black felt pen and white paper
When speaking to a person who is disabled, you should do the following except a. Protect the person's privacy b. Use the person's first name c. Allow the person time to answer you d. Maintain eye contact
Use the person's first name
When you have to turn, reposition, or transfer a person, you must
Use your body correctly
According to OSHA, the following activities are related to back injuries in nursing centers except a. Moving a person who is combative b. Repositioning a person in bed or chair c. Bending to bathe a person or to change linens d. Using a mechanical lift following the manufacturer's instructions
Using a mechanical lift following the manufacturer's instructions
Which is not a cause of back disorders? a. Poor physical condition b. Maintaining a bent posture c. Slippery floors d. Using smooth, even movements
Using smooth, even movements
These statements are about domestic abuse. Which is incorrect? a. It can happen in nursing centers. b. Usually just one type of abuse is present. c. The abuser has power and control over the victim. d. Fear and harm occur.
Usually just one type of abuse is present.
When using chemical disinfectants, you need to wear
Utility gloves
Diabetes can affect
Veins and vessels
Abdominal thrusts are not used for
Very obese persons
Temperature, pulse, respirations, and blood pressure are
Vital signs
Which vitamin is needed for vision?
Vitamin A
Which vitamin is needed for nerve function?
Vitamin B1
Which vitamin is needed for blood clotting?
Vitamin K
Before you weigh a person, you need to have the person
Void
Signs and symptoms of AIDS include the following except a. Warts and blisters on the genitals, discharge from the vagina or penis, and intense itching b.Loss of appetite, weight loss, night sweats, and diarrhea c. Extreme fatigue, sores or white patches on the mouth or tongue, and confusion d. Skin rashes, swollen glands, cough, and purple blotches on the skin
Warts and blisters on the genitals, discharge from the vagina or penis, and intense itching
You are going to decontaminate your hands with an alcohol-based rub. Which is incorrect? a. Wash your hands before applying the hand rub. b. Rub your hands together c. Cover all surfaces of your hands and fingers d. Rub your hands together until they are dry.
Wash your hands before applying the hand rub.
You are delegated tasks that involve Transmission-Based Precautions. The nurse needs to tell you
What personal protective equipment to use
The nurse asks you to assist in admitting a new resident. When should you complete the admission?
When the person is comfortable
High-iron diets are ordered
When there is blood loss
Before repositioning a person, you need the following information from the nurse and the care plan except a. Where to place pillows b. What positioning devices to use c. When to change or straighten linens d. What observations to report and record
When to change or straighten linens
Before repositioning a person, you need the following information from the nurse and the care plan except a. Position limits ordered by the doctor b. How often to turn and reposition the person c. When to wash your hands d. What skin care measures and exercises to perform
When to wash your hands
A nurse asks you to perform a task that is beyond the legal limits of your role. What should you do?
With respect, firmly refuse the task.
Food must be served
Within 15 minutes of arriving on the nursing unit
Verbal communication uses
Written or spoken words
The competency evaluation required by OBRA involves a
Written test and a skills test
A resident is dying. The doctor wrote a "Do Not Resuscitate" order. You do not agree with the order. Which statement is correct?
You must follow the order
The nursing center has a new mechanical lift. Which statement is correct? a. If you used the old model, you know how to use the new one. b. All mechanical lifts are the same. c. You need to be trained in its use. d. The new one is safer to use.
You need to be trained in its use.
You break a person's eyeglasses.
You need to complete an incident report.
You are going to clean a bedpan.
You need to wear gloves. You rinse the item in hot water first. You wash the item with soap and hot water
A resident has slid down in the wheelchair. The person can follow directions and assist with repositioning. Which action is unsafe?
You stand behind the wheelchair.
Which statement about body language is correct? a. Your appearance sends messages. b. Facial expressions mean the same thing in all cultures. c. Maintaining eye contact is important in all cultures d. Controlling your body language is not an issue in the health care setting
Your appearance sends messages.
Which tells you what your employer expects?
Your job description
Cystitis means
a bladder infection
An act or behavior that meets your needs, not the patient's or resident's, is
a boundary violation
Care of a person after a stroke often includes
a bowel and bladder training program
Shock is
a condition that results when organs and tissues do not get enough blood
A lost, absent, or impaired physical or mental function is
a disability
Which health team member determines that death has occurred?
a doctor
Orthostatic hypotension is
a drop in blood pressure when the person suddenly stands
You need to remove a resident's lower denture. What should you use
a guaze square because dentures are slippery when wet
The doctor ordered passive range-of-motion exercises for a resident. These exercises are done by
a health team member
When giving a complete bed bath, you need to use what?
a mitted washcloth
A resident is unconscious. To keep the person's mouth open during oral hygiene, you need to use what
a padded tongue blade
A susceptible host is
a person likely to get an infection or disease, usually because body defenses are weak
When taking an apical pulse, you need to use
a stethoscope
Shingles is caused by
a virus
Seizures are caused by
abnormality in the brain
The willful infliction of injury that results in physical harm is:
abuse
Family & Visitors
affect the person's quality of life
Which is not a physical need? a. Oxygen b. Food c. Water d. Affection
affection
Flossing is usually done when
after brushing teeth.
Respirations usually are counted
after taking the pulse
You have activated the EMS system. When should you hang up the phone?
after the operator hangs up
A resident is done taking a tub bath. When should you assist the person out of the tub?
after the tub drains
Logrolling is used to turn the following except
all children
Which measure will not help prevent the spread of microbes in the home? a. Flushing the toilet after each use. b. Wiping out the tub daily c.Using a disinfectant to d. clean toilet surfaces Wiping up spills right away e. all of the above
all of the above
Resident information that needs to be documented includes a. urinary output. b. all of the above. c. refusing activities. d. signs of depression
all of the above.
Good body alignment is needed a. When standing b. When sitting c. When lying down d. all the above
all the above
You can perform range-of-motion exercises to the neck only if
allowed by your center and the nurse instructs you to do so
Older persons usually fear dying
alone
The act of walking is
ambulation
A life-threatening sensitivity to an antigen is
anaphylaxis
During which stage of dying does the person sometimes envy and resent those with life and health?
anger
Nursing assistants may report to the following except
another nursing assistant
What should you use to clean a stethoscope?
antiseptic wipes
A resident has ________________following a stroke. Speech therapy and communication devices may be helpful.
aphasia
Which pulse site is used for children under 2 years old?
apical
Which pulse site requires the use of a stethoscope?
apical
A person is hemorrhaging. Direct pressure does not stop the bleeding. What should you do?
apply pressure to the artery above the bleeding site
Perfumes, colognes, and after-shave lotions
are not worn
Functions lost as a result of stroke depend on the
area of brain damage
You will use soap for a resident's bath. Soap is not used to wash what?
around the eyes
How far should you walk a person?
as far as directed by the nurse and the care plan
A resident is dying. His family is allowed to stay with him:
as long as they wish.
A resident is dying. The person's room is arranged:
as the person wishes.
You need to give a resident oral hygiene. Because the person is unconscious, she is at risk for what
aspiration
Threatening to touch a person's body without that person's consent is
assault
A resident wants a partial bath today. What should you do?
assist as needed
To protect yourself and others from HIV, you must follow Standard Precautions and the Bloodborne Pathogen Standard
at all times
Disabilities are acquired
at any time
A resident is on aspiration precautions. You position the person in semi-Fowler's position after eating. How long should the person remain in this position?
at least 1 hour
The nurse asks you to perform three tasks for a resident. Assume that contact with blood, body fluids, secretions, or excretions is likely. How many pairs of gloves do you need?
at least 3 pairs
A resident is unconscious. The person needs mouth care how often
at least every 2 hours
Bedrest places the person at risk for which for
atrophy, contractures, decreased energy, blood clots, pneumonia, constipation
The nurse asks you to set up for oxygen administration. What can you do?
attach the administration device and connecting tubing to the humidifier, secure connecting tubing in place.
Your _________________ is important when communicating with persons who are disabled
attitude
A person is terminally ill. He is very quiet. You often find him reading his Bible. One day he says, "I just want to see my grandson graduate from high school." What stage of dying is the person in?
bargaining
Which skin care products help keep the skin soft?
bath oils
Touching a person without that person's consent is
battery
A resident asks the same question many times. What should you do?
be patient
What are risk factors for osteoporosis
being thin or having a small frame
Flexion is
bending a body part
Symptoms of multiple sclerosis (MS) usually begin
between ages 20 and 40
A hip abduction wedge is positioned
between the person's legs
The amount of force exerted against the walls of an artery by the blood is
blood pressure
An act or behavior of being over involved with a person is known as:
boundary crossing
You discuss last night's date with your patient. This is
boundary violation
Which provides support for weak body parts?
brace
Residents who take tub baths and showers are at risk for
burns and falls
Active range-of-motion exercises are done by
by the person
The doctor ordered active-assistive range-of-motion exercises for a resident. These exercises are done by
by the person with your help
The EMS system is activated by
calling 911
Hypertension is dangerous because it
can damage other organs
A resident is dying. He gave "durable power of attorney" to his daughter. This means that his daughter:
can make his health care decisions when he cannot
A person has a malignant tumor. The person has
cancer
A person is in a coma. This means that the person
cannot respond to others
Having concern for a person is
caring
You come upon a car accident. What should you do?
check the victims for breathing, a pulse and bleeding
A resident thinks that her hearing aid is not working. What should you do first?
check to see if the hearing aid is on
A resident has a heart disease. Before giving the person a back massage, you need to
check with the nurse and the person's care plan.
Angina is _________________pain(s).
chest
When applying lotion to bony areas, you use __________ motions
circular
You want to make sure that you understand a message. You should use
clarifying
Uniforms, stockings, socks, and shoes must be
clean
To prevent the spread of infection when the person takes a shower, you should
clean and disinfect the shower before and after use
A person wears a brace. You must keep the skin under the brace
clean and dry
Underclothes must
clean and fit well
A shower room has two stalls. To protect the person's privacy, what do you do?
close the doors and privacy curtain
A resident takes a long time getting dressed. Give the person time to
complete the task
You have a tattoo. You should
cover it
When removing clothing in an emergency,
cut or tear at the seams
A person is terminally ill. Her doctor wants to talk to her about a "Do Not Resuscitate" order. The person tells the doctor to "go away" and turns her back. What stage of dying is she in?
denial
A person was told that she has cancer and that it cannot be treated. The person insists that the reports are wrong. What stage of dying is the person in?
denial
A person is terminally ill. He often talks about not being able to see his grandchildren grow up. He talks about never being a great-grandfather. What stage of dying is he in?
depression
A person is terminally ill. She seems sad, and you see tears in her eyes. What stage of dying is she in?
depression
Expressive aphasia relates to
difficulty sending out thoughts
"What do you want for lunch?" is a
direct question
Which communication technique will give "yes" or "no" answers?
direct questions
Single-use items are
discarded after use
You are feeling frustrated because a resident's progress is slow. You feel like the person is not trying. What should you do?
discuss your feelings with a nurse
What are signs and symptoms of orthostatic hypotension?
dizziness, weakness, Spots before the eyes, A drop in blood pressure
The nursing team involves the following except
doctors
What exercises are done to the ankle?
dorsiflexion, plantar flexion,
Pronation is turning a joint
downward
Which type of tape allows movement of a body part?
elastic
A patient turns her eyes away from you. Her face is flushed. These facial expressions most likely mean that she is
embarrassed
A brain disorder in which clusters of brain cells sometimes signal abnormally is
epilepsy
Apical-radial pulses should be
equal
Knowledge of right conduct and wrong conduct is
ethics
The doctor ordered strict bedrest for a resident. ____________is done for the person.
everything
Microbes are found
everywhere
A resident has a fractured right hip. You must use devices to prevent
external rotation of the hip
When giving a complete bed bath, you start with the person's what?
face
The partial bath involves washing what?
face, hands, underarms, back, buttocks, and peri area
What shows a lack of interest and caring?
failure to listen
Syncope is
fainting
A student wants to observe a treatment. The person's consent is not needed because the observer is a student. T or F
false
Are contractures signs and symptoms of postural hypotension? t or f
false
Arthritis and osteoporosis are a risk factor for stroke t or f
false
Hydration is the processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body. t or f
false
If evacuation is necessary, patients and residents farthest from the fire are taken out first. T or F
false
Intake is measured in millimeters t or f
false
It is a resident's right to be seen by the facility's main doctor even if the resident prefers someone else. T or F
false
It is a resident's right to have their privacy and confidentiality maintained of written communications only. T or F
false
Movements are controlled during a seizure t or f
false
Restorative nursing promote bedrest t or f
false
Restraints may be used for disciplining a person who has been using the call light excessively T or F
false
Standard Precautions do not prevent the spread of infection from blood T or F
false
The MyPlate food guidance system encourages smart and healthy food choices and weekly activity. t or f
false
Wash and dry the cast when soiling occurs. t or f
false
You explain the reason for transfer or discharge to the person . t or f
false
You should never self-administer abdominal thrusts. T or F
false
Unlawful restraint or restriction of a person's movement is
false imprisonment
Unnecessary restraint is
false imprisonment
Mr. Peterson often leaves the dining table after only eating a few bites of food. One of your coworkers decides to put his wheelchair between the wall and the table so he stays and eats. This is an example of
false imprisonment.
Rehabilitation starts when the person is discharged from the hospital T or F
false, it starts when the person seeks medical help
Which will not promote physical and mental health?
fatigue
A resident's eyes are wide open and the eyebrows are raised. The person's mouth is tense with the lips turned back. These facial expressions most likely mean
fear
What exercises are done to the elbow?
flexion, extension
What exercise is done to the shoulder?
flexion, extension, abduction, adduction, internal and external rotation
What exercises are done to the hip?
flexion, extension, adduction, abduction, internal and external rotation
What exercises are done to the wrist?
flexion, extension, hyperextension, ulnar and radial flexion
What exercises are done to the knee?
flexion, extention
Which is useful when a person is rambling?
focusing
A resident uses a cleaning agent for his denture. When using the cleaning agent, you should do what
follow the manufacturer's instructions
When using a portable tub, whirlpool equipment, or shower chair, what do you do?
follow the manufactures instructions
Another name for permanent plantar flexion is
foot drop
You need a wide base of support
for balance
The doctor ordered a trapeze for a resident. The person can use the trapeze
for exercises to strengthen arm muscles
The amount of physical effort needed to perform a task is
force
A resident is unsteady. When assisting the person with ambulation, you need to apply a
gait belt
Contact Precautions always require the use of
gloves
When collecting a specimen, you always need to wear
gloves
When giving oral hygiene, you need to wear what
gloves
You see two health team members talking quietly to each other. You tell your co-workers what you overheard. This is
gossip
You say things that offend another person. This is
harassment
What oral hygiene equipment should you report to the nurse
hard-bristled toothbrush
With coronary artery disease, the coronary arteries are
hardened and narrow
In order to count pulse and respirations accurately, you should wear a wristwatch that
has a sweep hand
OSHA regulations help protect the
healthcare worker.
You should always assume that a person who is comatose can
hear
A resident is unconscious. You need to assume that the person can
hear you
Hyperglycemia means
high blood sugar
Bed rails can be used
if they are needed to treat a person's medical symptoms
Powder is applied how
in a thin, even layer.
To take a rectal temperature, the person needs to be
in sims' position
Quadriplegia is paralysis and loss of sensory function
in the arms, legs, trunk
Paraplegia is paralysis and loss of sensory function
in the legs
Before placing the stethoscope on the person, you need to warm the diaphragm
in your hand
A visitor to your facility becomes angry and starts yelling, using foul language, and upsetting the residents. After making sure that you and your residents are safe, you should fill out a(n) a. disturbance document. b. incident report. c. accident report. d. accident recording sheet.
incident report.
In diabetes, the body lacks or is unable to use
insulin
The tympanic membrane thermometer is inserted
into the ear
When you eavesdrop, you
invade the person's privacy
Internal rotation is turning a joint
inward
You are taking a resident's pulse. The beats are not spaced evenly. How would you describe the person's pulse when reporting to the nurse?
irregular
You are walking with Mrs. Stewart when she begins limping and grimacing in pain. She refuses to walk any further and states that she thinks she hurt her foot this morning. The subjective data to report to the nurse is that Mrs. Stewart
is experiencing foot pain.
Nail polish
is not worn
What is the purpose of the recovery position?
it helps keep the airway open and prevents aspiration
Why is privacy important during rehabilitation?
it protects the person's dignity and promotes self respect
Rotation is turning a
joint
Arthritis is
joint inflammation
The apical pulse is found
just below the left nipple
The doctor ordered a bed cradle for a resident. The bed cradle
keeps top linens off the feet
You are caring for a person who is comatose. You should ________ before entering the room.
knock
You discover some chocolate candies in your resident's room. You know that she is on a diabetic diet and should not be eating the candies. You should
leave the candy in the room and report it to the nurse.
Normal Systolic pressure
less than 120
Normal Diastolic pressure
less than 80
You give wrong information on a job application. This is
libel
A resident is complaining about the food. The person comments on the taste, amount, and preparation. Which will promote communication with the person?
listening
Which is used to give a back massage?
lotion
Hypoglycemia means
low blood sugar
When giving a back massage, you start at the _________________
lower back
Before inserting a rectal thermometer, you need to
lubricate it
A patient's signal light goes unanswered. The person's son finds the patient lying on sheets soaked with urine. This is:
neglect
When can you leave a person on a stretcher unattended?
never
When ambulating, a person needs to wear
non skid footwear
A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. 98.6 measurement is
normal
In nursing centers, who decides to activate the EMS system?
nurses
These individuals give basic nursing care under the supervision of a licensed nurse:
nursing assistants
Which nursing team members cannot delegate?
nursing assistants
Rehabilitation often takes longer for
older persons
Clean linens are placed
on a clean surface
A person is not feeling well. The person will spend most of the day in bed. What kind of bed should you make the person's bed
open bed
Which communication technique allows the person to decide what to talk about?
open-ended questions
In _____________bones become porous.
osteoporosis
External rotation is turning a joint
outward
What are signs or symptoms of angina?
pain in the jaw, neck, and down one or both arms
Hospice care focuses on:
pain relief and comfort.
In domestic abuse, the abuser is a
partner
When drying a person, what is correct?
pat dry
Disinfection destroys
pathogens
Necklaces and earrings are dangerous because
patients and residents can pull them off
The doctor ordered bedrest for a resident. The person can
perform some ADLs
You are bathing a resident. Gloves are always worn to wash the person's
perineal area
The term "battery" refers to
physically touching another person without their permission.
You are assisting the nurse with cast care. Support the entire cast with
pillows
The doctor ordered a foot-board for a resident. The foot-board prevents
plantar flexion
Turning the foot down at the ankle is
plantar flexion
After a resident's bath, the nurse wants you to apply lotion to the person's elbows, knees, and heels. Lotion does what
prevents skin break down and keep the skin soft.
An RN is responsible for the person's total care. This is
primary nursing
A resident's son is visiting. Allowing them to visit without interrupting will protect the resident's
privacy
During rehabilitation, persons need to be reminded of their
progress
Abdominals thrusts can be performed in the following positions except
prone
A resident has rheumatoid arthritis. The person has consented to joint replacement surgery. The affected joint will be replaced with a
prosthesis
Which nutrient is needed for tissue growth and repair?
protein
OBRA requires that nursing centers
provide rehabilitation services
A person has diarrhea. When measuring temperature, you will need to avoid the _______ site.
rectal
A person has heart disease. When measuring temperature, you should avoid using the ______ site.
rectal
Body temperature is measured at what sites?
rectum, mouth, forehead, ear, axilla
A person has electrical burns. The person is still in contact with the electrical source. What should you do?
remove the electrical source with a piece of wood
You are bathing a resident. You note a reddened area on the person's left shoulder. What should you do
report the observation to the nurse
You think that a visitor is tiring a resident. What should you do?
report your observations to the nurse
Being honest as a nursing assistant means
reporting accurately, reporting errors, reporting observations
You can help prevent workplace violence by
reporting safety and security concerns
Persons living in long-term care centers are called
residents
Family and visitors are treated with
respect
Treating the person with dignity is
respectfulness
The act of inhalation and exhalation is
respiration
Breathing stops but heart action continues for several minutes. This is
respiratory arrest
Angina is usually relieved by
rest and nitroglycerin
You are counting a resident's respirations, both sides of the persons chest should
rise and fall equally
A resident's denture cup must be labeled with the person's what
room and bed number
Another term for convulsion is
seizure
Understanding your feelings, strengths, and weaknesses is
self-awareness
_________________ linens spreads microorganisms.
shaking
An 85-year-old resident has arthritis. You are going to give the person a back massage. Which position will probably be most comfortable for the person?
side lying
The recovery position is ________________position.
side lying
A resident is unconscious. How should you position the person for oral hygiene
side lying position
A resident is very upset about her lunch. Which communication technique can help the person gain control?
silence
Orthostatic hypotension is prevented by
slowly changing positions
You are delegated range-of-motion exercises. How do you move the joint?
slowly, smoothly, gently
A person has severe hearing loss. Which is incorrect?a. Awareness of surroundings requires hearing. b. Safety is affected by hearing loss. c. Speech is not affected by hearing loss. d. Responding to others requires hearing.
speech is not affected by hearing loss.
You are scheduled to work from 3:00 PM to 11:30 PM. Which statement is correct?
stay the entire time
__________________is used to listen to sounds produced by the body.
stethoscope
Urine is strained to check for
stones
A resident does not wear her lower denture for sleep. What should you do with the lower denture?
store it in a denture cup filled with cool water
Extension is
straightening a body part
Hypertension can lead to
stroke and heart attack
To obtain the pulse deficit,
subtract the radial pulse rate from the apical pulse rate
One of your residents is not doing well. He received a very upsetting diagnosis from his doctor this morning. His daughter comes in to visit and asks you why her father seems so sad today. The best response is to
suggest that the daughter discuss it with the resident.
What exercises are done to the foot?
supination, pronation
A resident has a cataract in the left eye. The person's treatment is likely to be
surgery
A resident is on bedrest with bathroom privileges. When the person moves from a lying to a sitting or standing position, he or she is at risk for
syncope, dizziness, and Orthostatic hypotension
The period of heart muscle contraction is
systole
A heart rate over 100 beats per minute is
tachycardia
A nurse can delegate
tasks
A resident is making slow progress in therapy. You see another nursing assistant laughing at the person. What should you do?
tell the nurse
Before leaving the unit for a break, you need to
tell the nurse
One example of assault might be
telling a resident he may lie down only after he eats lunch.
Another term for quadriplegia is
tetraplegia
Who makes policies for health care agencies?
the board of trustees
During a partial seizure
the body part may jerk
Who assesses and plans for the nutritional needs of patients and resident?
the dietitian
Who is responsible for diagnosing and treating diseases and injuries?
the doctor
The following determine the tasks you can do except
the doctor's order
Hemorrhage is
the excessive loss of blood in a short time
You are bathing a resident. You are ready to wash the person's arms, chest, and abdomen. Which do you wash first?
the far arm
A resident is in traction. Make the bead from
the head of the bed to the foot of the bed
What happens with sudden cardiac arrest?
the heart and breathing stop without warning
Angina occurs when
the heart needs more oxygen
The doctor ordered trochanter rolls for a resident. Trochanter rolls prevent
the hips and legs from external rotation
A contracture is
the lack of joint mobility caused by abnormal shortening of a muscle
Deconditioning is
the loss of muscle strength from inactivity
You are taking an apical pulse. The _______________ is counted as one beat.
the lub-dub
The term "proximal" means
the nearer of two points on the body.
You can share information about a patient or resident with
the nurse
When assisting with rehabilitation, you must always protect
the person's rights
Your center uses electronic blood pressure equipment. Why do you still need to feel pulses?
the rate is given but not the force or rythm
Fainting is
the sudden loss of consciousness from an inadequate blood supply to the brain
Restorative nursing care focuses on
the whole person
Hand grips prevent contractures of the
thumb, fingers, wrist
The goal of rehabilitation is
to return persons to the highest possible level of physical and mental functioning
Which conveys comfort, caring, and reassurance?
touch
Which baths do not require rinsing the skin?
towel bath and bag bath
You are collecting a stool specimen. Use a tongue blade to transfer
transfer 2 tablespoons of feces to the specimen container
A nursing center resident objects to a transfer or a discharge. An ombudsman makes sure the person's best interests are considered. t or f
true
A resident wants a bath in the evening, not in the morning. The person has the right to make this choice. T or F
true
A skin tear is a rip or break in the outer layer of the skin t or f
true
An abrasion is a partial-thickness wound caused by the scraping away or rubbing of the skin t or f
true
An infected wound appears inflamed (reddened) and has drainage t or f
true
Back slaps and chest thrusts are used to relieve foreign body airway obstruction in infants. T or F
true
Bathing procedures can threaten persons with dementia. t or f
true
Bed rails are considered restraints if the person cannot lower them without help. T or F
true
Every person has the right to refuse treatment regardless of what the doctor suggests. T or F
true
For a lateral transfer, you should make sure the bed rails are down. T or F
true
For an adult, pulse rate of 110 is reported to the nurse at once.
true
For an adult, pulse rate of 50 is reported to the nurse at once.
true
Glaucoma has no cure t or f
true
Hearing, speech, and vision are important for safety and security. t of f
true
In order to provide effective, you must consider the whole person. T or F
true
Informed consent is needed for restraint use. T or F
true
Older persons are at risk for orthostatic hypotension. t or f
true
Stress can cause life-threatening problems. T or F
true
Stress in your personal life can affect your work and the care you give. T or F
true
The Dietary Guidelines for Americans 2010 is for persons 2 years of age and older. t or f
true
The amount of fluid intake and the amount of output must be equal? t or f
true
The amount of fluid taken in (intake) and the amount of fluid lost (output) must be equal.t or f
true
The nurse asks you to check the IV flow rate. You need to tell the nurse at once, if no fluid is dripping, the rate is too fast or too slow Or the bag is empty/close to being empty t or f
true
The person with pre-hypertension will likely develop hypertension in the future. t or f
true
The resident can visit with family and friends in private. T or F
true
When you agree to perform a delegated task, you are responsible for your own actions. T or F
true
Wound drainage is considered output t or f
true
You are responsible for protecting the resident's rights. T or F
true
A person has dementia. Which site should you use to measure temperature?
tympanic membrane
Which type of diabetes is most common in children and young adults?
type 1
Persons with disabilities often feel
unclean. unattractive, unwhole
When someone changes the subject, it usually means that the person is
uncomfortable with the topic
When giving a back massage, you what?
use firm strokes, keep your hands in contact with the person's skin, knead the person's skin.
You raise the bed to give care. Bed rails are
used according to the care plan
A defibrillator is
used to deliver a shock to the heart when a person is in ventricular fibrillation
Professional speech and language includes the following except:
using slang
You hear a nurse telling a patient that he/she will never see his/her family again. This is:
verbal abuse
A seizure is
violent and sudden contractions or tremors of muscle groups
ALS attacks the nerve cells that control
voluntary muscles
Which walking aids allow attachments?
walkers
You have multiple earrings piercings. You should
wear only one set
Risk factors for hypertension that a person can change would be:
weight
OBRA requires activity programs for residents. Participating in activities of personal choice promotes the person's ________
well-being
Footdrop is
when the foot falls down to the ankle
Perineal care is given when?
whenever the area is soiled with urine or feces and as scheduled.
A disability affects the
whole person
A transfer belt is snug but not too tight if
you can slide an open flat hand under the belt
When taking a radial pulse, you need to use
your first 2 or 3 fingers
Stroke is
A disease that affects the arteries that supply blood to the brain
An advance directive is
A document stating a person's wishes about health care when that person cannot make such decisions
Persons with difficulty swallowing usually require
A dysphagia diet
All of the following would be considered susceptible hosts with the exception of: a. Very young persons b. Very old persons c. A healthy middle-aged adult d. A person who is ill
A healthy middle-aged adult
What is the most common cause of obstructed airway?
A large, poorly chewed piece of meat.
A patient has slid down in the wheelchair. The person cannot assist with repositioning. To safely reposition the person
A mechanical lift is used
A feeding tube inserted through the nose into the small bowel is
A naso-enteral tube
A microbe usually does not cause an infection. The microbe is
A non-pathogen
Which is not counted as output?
A normal bowel movement
A microbe that is harmful and can cause an infection is
A pathogen
A nutrient is
A substance that is ingested, digested, absorbed, and used by the body
An infection involving the whole body is
A systemic infection
A gastrostomy tube is
A tube inserted through a surgically created opening in the stomach
A surgically created opening between the ureter and the abdomen is
A urostomy
A resident is paralyzed from the waist down. You would expect the person to learn to use
A wheelchair
Which is not a risk factor for work-related musculo-skeletal disorders (MSDs)?
A wide base of support
A sterile field is
A work area free of all pathogens and non-pathogens
