CNA quiz
The normal pulse rate for an adult is 60-100 beats per minute. The normal pulse rate for children is ____. 70-120 beats per minute 40-60 beats per minute 55-105 beats per minute 60-100 beats per minute
70-120 beats per minute Explanation: A range of 70-120 is normal for young children. Babies up to 1 year old can have even higher pulse rates. The other options could apply to adults or conditioned athletes but are incorrect for children.
Which of the following would be considered an example of battery toward a patient? A The nursing assistant cleans the resident's glasses. B The nursing assistant asks for permission before touching the resident to assist them to the bathroom. The nursing assistant bathes the resident without his or her permission. The nursing assistant keeps a resident isolated from others as a form of punishment.
Bathing a resident without his or her permission is an example of battery. Keeping a resident isolated from others as a form of punishment is an example of involuntary seclusion.
Which of the following terms expresses the ethical principle of doing good for the patient or others? Confidentiality Beneficence Veracity (truthfulness) Nonmaleficence 非恶意
Beneficence
A resident is choosing items for breakfast. Which of the following items contains the most amount of potassium (the chemical element of atomic number 19, a soft silvery-white reactive metal of the alkali metal group)? A. Eggs. B. Cantaloupe. C. Toast. D. Strawberries.
Cantaloupe is a melon that contains massive amounts of potassium. Other foods that contain high potassium include bananas and dark leafy greens.
Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition? A Prunes B Cauliflower ***** C Colas and sodas D Protein-rich foods
Cauliflower is gas-forming. Other examples of gas-forming foods are beans, cabbage, radishes, and cucumbers.
A has a history of chronic respiratory issues. B is unconscious. C.is recovering from an asthma attack. D. is close to death.
Cheyne-Stokes respirations are a breathing pattern marked by increased respirations, labored breathing, and periods of apnea (no breathing). It is important to report these signs if discovered in a resident who is not expected to show them.
An asthmatic client can be relieved from dyspnea (dispˈnēə 呼吸困难) when he is placed in orthopneic position. This can done by: A placing the head of bed in 90° angle. B *sitting up and leaning over a table with a pillow. (C hyper-extending the neck while on high back rest. D placing the client on a high back rest using a pillow.)
Clients with difficulty breathing often prefer sitting up and leaning over a table to breathe. This is called orthopneic position. Place a pillow on the table to increase the client's comfort.
Which of these treatments would be best to decrease swelling? cold compression dry bandage pressure heat compression moist bandages
Cold packs are applied to reduce swelling. Heat compressions are common treatments for back pain. Dry bandage pressure is used to stop bleeding and moist bandages are used on burns
Which is a type of brain injury caused by oxygen deprivation(ˌdeprəˈvāSH(ə)n 剥夺), which can cause cerebral palsy? ,脑瘫 Periventricular leukomalacia 脑室周围白细胞减少症 Cerebral dysgenesis 脑发育不全 Hypoxic-ischemic encephalopathy Intraventricular hemorrhage 脑室内出血
Hypoxic-ischemic encephalopathy 缺氧缺血性脑病
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen: A At bedtime B 30 minutes after meals and at bedtime **30 minutes before meals and at bedtime D Before breakfast
In diabetes, some sugar appears in the urine (glucosuria or glycosuria). The diabetic person may also have acetone (ketone bodies, ketones) in the urine. To determine the presence of these substances in the urine, these tests are usually done four times a day - 30 minutes before meals and at bedtime. The doctor uses the test to make drug and diet decisions. Double-voided specimens are best for these tests.
Of the following symptoms, which one is most likely due to an infection in a resident? A Pale skin. Tented skin. Sudden onset confusion. D Aphasia.
Infection, especially in older clients, tends to cause sudden onset confusion. Tented skin may be normal for an older client, as could pale skin. Aphasia could indicate the onset of a stoke.
Which action is incorrect when flossing the client's teeth? A Hold the floss between the middle fingers of each hand. B Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth. C Move the floss gently up and down between the teeth. D Use a new piece of floss for each tooth
It is unnecessary to use a new piece of floss for each tooth. Break off an 18-inch piece of floss from the dispenser; this will do for all the teeth. Just move to a new section of floss after every second tooth is flossed. The other choices are correct steps in flossing.
Which of the following would be a primary indication of hepatitis? A Hypertension. B Hyperglycemia. C. Jaundice.
Jaundice, also known as yellowing of the skin, occurs frequently in cases of hepatitis (liver disease).
A CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine value would warrant a report to the nurse? 1400 cc 1900 cc 800 cc 600 cc
600 cc The normal 24-hour urine output for a patient should between 800 and 2000 cc. 600 cc of urine in 24 hours could indicate a complication and should be reported.
how many times a day does the oral care for a patient who is comatose?
Oral care for the unconscious patient should be performed at least every four hours. Lipstick, chap stick, or vaseline may be applied to the lips to keep them from drying out.
Which of the following residents is demonstrating orthopneic 骨科的 position? A. A resident sits in a chair with their back straight. B. A resident sits on the side of the bed and leans forward over a bedside table. C. A resident walks using a cane. D. A resident lays on their stomach with their face to the side.
Orthopneic position is meant to assist in breathing. Leaning forward makes it easier to get air into the lungs.
You observe a low respiration rate less than 12 breaths per minute in a patient. What could be the cause? The patient is in respiratory distress The patient has an infection The patient is in pain or under stress The patient is taking narcotics 毒品
Use of narcotics can depress the respiratory drive and rate. A low rate (less than 12 breaths per minute) also can occur when at rest or lying on one's back. The other choices (as well as a heart attack and fluid overload) all generally result in an elevated respiratory rate.
Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately? A Zippered clothing. B Tied shoes to promote stability. (C *Velcro clothing, slip-on shoes, and rubber grippers. D Buttoned clothing, slip-on shoes, and rubber grippers.)
Velcro clothing, slip-on shoes, and rubber grippers make it easier for the client to dress and grip objects. Zippers, ties, and buttons may be difficult for the client to use.
The levels of the Hierarchy of Needs are, Maslow a. Physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization b. need for freedom, need for resources, needs of self and needs of others. (c.subjective needs, objective needs, data analysis and needs for resolution d. integumentary system, respiratory system, nervous system and cardiac system)
__________________.a. physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization
Which of the following should NOT be done when caring for a patient with an indwelling catheter? The patient should be positioned on his/her side The urethra should be cleansed using a downward circular motion The bag should be hung below the level of the bladder, but not touching the floor The tubing should be fixed firmly to the person's inner thigh
The patient should be in a supine position with the head of the bed lowered, not on his/her side. All of the other choices given should be part of the procedure. The aide should also wash his/her hands and use gloves, place a waterproof pad under the hips, and dry the perineal area when finished.
Cheyne-Stokes respirations
a breathing pattern marked by increased respirations, labored breathing, and periods of apnea (no breathing). It is important to report these signs if discovered in a resident who is not expected to show them.
Restorative Nursing
a defined area of nursing that goes beyond rehabilitation. Some normal function may never be recoverable and the patient may need behavioral or cognitive activities that help him or her learn how to deal with an issue that is unrecoverable.
Convulsions are associated with ____. a spasm: a sudden involuntary muscular contraction or convulsive (抽搐 Chōuchùmovement. a tear a sprain a seizure
a seizure Explanation: Convulsion is a term often used interchangeably with seizures. The other options are all incorrect.
Which is considered a "normal" or "healthy" type of grief? a. Anticipatory grief 预期的悲伤 b. Complicated grief 预 复杂的悲伤 c. Unresolved grief 未解决的悲伤 d. Inhibited grief 抑制悲伤
a. Anticipatory grief (Anticipatory grief is grief that is experienced before the loss or death. There are multiple stages in the grieving process and anticipatory grief is considered normal and healthy.Unhealthy/abnormal types of grief include complicated grief, unresolved grief and inhibited grief. Complicated grief may occur if another tragedy happens at the same time for the person. )Unresolved grief is grief that does not resolve over a set period of time, based on what would be expected. Inhibited grief may be a sign that the person has not accepted the tragedy, and may cause complications later on.
A resident with venous stasis ( a condition of slow blood flow in the veins, usually of the legs.静脉淤滞Jìngmài yūzhì)has developed pressure sores under elastic stockings. What is the most likely cause? The elastic stockings are the wrong treatment and should be removed. There are wrinkles in the elastic stockings. The resident is allergic to the elastic. The resident has been scratching his or her legs.
There are wrinkles in the elastic stockings. Wrinkles in stockings or bed sheets are a common cause of pressure sores. While the other options may cause different symptoms, pressure sores develop when there is an article pressing against the body for a period of time.
Which of these is not true about condom catheters?(inary catheters that are worn like a condom. They collect urine as it drains out of your bladder and send it to a ...)? They are internal catheters and not as effective as external catheters. They are more effectively used if pubic hair is removed around the area. They are a treatment used to avoid urinary tract infections. They should be changed frequently.
They are internal catheters and not as effective as external catheters. Condom catheters are external catheters and often described as more convenient than internal catheters. All of the other options are facts about their use. (** Indwelling catheter are use for urinary incontinence (leakage), urinary retention (not able to urinate) surgery that made this catheter necessary. ** A Foley catheter is a common type of indwelling catheter， soft, plastic or rubber tube that is inserted into the bladder to drain the urine)
a patient who is in traction
Traction means pulling on part of the body. Most often, traction uses devices such as weights and pulleys to put tension on a displaced bone or joint, such as a dislocated shoulder. The tension helps put the joint back in position and keep it still.
When monitoring a client's temperature, which thermometer will provide the least accurate reading? oral axillary rectal tympanic
axillary Axillary and skin thermometer readings are the least accurate among temperature devices. The most accurate thermometer reading will come from a rectal thermometer. This is followed closely by oral, tympanic, and temporal (artery) thermometers(use an infrared (of electromagnetic radiation) scanner to measure the temperature of the temporal artery in the forehead).
Which of the following hospital floors would you most likely expect to see Reverse Isolation Precautions? (The practice of healthcare workers and visitors wearing barries) a. Surgical b. Oncology 肿瘤科 c. Obstetrics 产科 d.Alzheimer's
b. Oncology You would most likely expect to see Reverse Isolation Precautions on a floor of patients with decreased immune systems, such as cancer patients. It is appropriate to wear a gown, glove, and a mask to prevent the spread of infection to these patients.( A surgical floor would be more likely to have Contact Precautions or Standard Precautions. An Obstetrics floor and Alzheimer's unit would not usually have Reverse Isolation Precautions.)
Hospital policy states that patients on the medical floor should have vital signs taken every 4 hours. Which of the following is an appropriate abbreviation for this order? a. V. Signs QID b. VS q4 hrs c. Vital signs QOD d. Vitals QD x 4
b. VS q4 hrs Vital Signs QID indicates take vital signs four times a day but does not specify the time interval. QOD indicates to take vital signs every other day. QOD is also not recommended as an abbreviation. Vitals QD x 4 indicates take vital signs every day for four days, not every 4 hours.
The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now ____________. a. evacuate the patients laterally. b. evacuate the patients vertically. c. close the patient doors. d. open the patient doors.
c. (close the patient doors.. You should close the patient doors to prevent smoke from entering the rooms. You do not evacuate patients until you are instructed to do so. The RACE procedure states that the first thing you must do in the case of a fire is R, or rescue patients in immediate danger. There are no patients on your unit in danger. The next thing you do is A, or pull the alarm. The alarm was already pulled because you hear the alarms ringing. So, the next step, C, or contain the fire控制火 is done. You close the doors to contain the fire and smoke, not open them. )Vertical evacuation with a stairway is the preferred method to exit a building. Horizontal Evacuation means moving away from the area of danger to a safe place on the same floor where the individual is at the time of the alarm or emergency.
Which of the following would not be considered a fall risk intervention? 跌倒风险干预 a. Fall Mats b. Bed Alarm c. Non-skid Socks d. Restraints
d. Restraints Restraints are placed to prevent the patient from harming himself or others around him. They would not normally be considered a fall-risk intervention. Fall mats, bed or chair alarms, and non-skid socks are all commonly used as fall risk interventions.
What senses do nursing assistants use to observe patients and residents? a. Sight, hearing and touch b. Sight and hearing only c. Sight and common sense only d. Taste and hearing only
a. Sight, hearing and touch
Bad breath, tooth decay, and skin breakdown in the mouth are all symptoms of ___. inadequate amounts of toothpaste used when brushing the teeth dry mucous membrane in the mouth overly moist mouth dehydration
dry mucous membrane(干黏膜 Gàn niánmó) in the mouth. These symptoms could occur because of dehydration, but the primary reason is dry mucous membranes in the mouth. (An overly moist mouth is incorrect. A resident can have dry mucous membranes without being actually dehydrated. Inadequate toothpaste could lead to tooth decay, which in turn can cause bad breath, but the best answer is a dry mucous membrane.)
What is the correct medical term for muscle wasting? anorexia 厌食症 shrivel 萎缩 缺氧 hypoxia 厌食症 萎缩 缺氧 atrophy (atrəfē萎缩)
atrophy While muscles that waste away do shrivel, the correct medical term is "atrophy." Anorexia is an abnormal loss of appetite and hypoxia is a deficiency of oxygen reaching the tissues.
Whose signature should be added last to the discharge summary 出院总结? attending physician the patient the nurse that wrote the summary the primary care physician
attending physician
After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg: A every 15 minutes. every hour. every 2 hours.
every hour
Which medical term is often used for "burping, belching and passing gas"? flatus familial flank fascia
flatus The medical term for intestinal gas is flatus. Familial refers to a condition more common in certain families than in the general population. Fascia is the medical term for a tissue lining under the skin. Flank is used for a side of the back.
coercion ( kōˈərZHən强迫)
forcing a patient to do something against his or her will
Which of the following options is NOT a sign or symptom of extreme blood sugar levels in a hypoglycemia patient?
hypoglycemia patients would have the following signs or symptoms: shallow respiration(shallow breathing_ drawing of minimal breath into the lungs)99 rapid and weak pulse; no change in speech; and clammy 湿冷, cold, and pale skin. A hyperglycemia ((high blood sugar) patient would have the following signs or symptoms: sluggish and/or confused mood; deep (sweet odor) respiration; slow or normal pulse; slurred speech; and hot, flushed, and dry skin.)
The charge nurse has administered a prescribed medication to the wrong patient. This is an example of ____. malpractice assault neglect battery
malpractice (wrongdoing) Nursing malpractice is when a nurse fails to perform medical duties and that failure results in harm to the patient. The other options are legal terms, but do not apply to this situation.
When administering CPR while waiting for trained rescue personnel to arrive at the scene, how quickly should you perform chest compressions? 25 a minute 100 a minute 50 a minute 10 a minute
minute ?
Which of these describes stage 4 of a decubitus ulcer? open area with redness open area with damage reaching to the bone, joint, or tendons redness on the skin superficial ulcer that looks blackened or like a deep crater
open area with damage reaching to the bone, joint, or tendons. Damage to the bone, joint, or tendons signals stage 4. Stage 1 is redness, stage 2 is both redness and an open sore, and stage 3 may indicate a blackened or crater-like appearance. 发黑或类似陨石坑的外观。
The medical term tetraplegia—meaning paralysis of all four extremities—is often used interchangeably with the term ____. paraplegia cardioplegia quadriplegia hemiplegia
quadriplegia Quadriplegia is another word used for tetraplegia—both of which mean paralysis of all four extremities. Hemiplegia is paralysis of one side, cardioplegia is paralysis of the heart, and paraplegia is paralysis of just the legs. ** Suffix plegia: paralysis or a stroke.
When cleansing the genital area during perineal care, the nurse aide should
replace the foreskin after it has been pushed back to cleanse an uncircumcised penis. It is important to retract(withdraw) the foreskin of uncircumcised male patients in order to remove the smegma that collects under the foreskin.( This smegma (smeɡmə 包皮垢) can lead to bacterial growth and infection. (The foreskin is then replaced after the penis is cleaned.The penis should be cleaned away from the tip to prevent infection, not towards it. The genital area should be cleaned prior to the rectal area to prevent infection. A new washcloth area should be used with every washing stroke to prevent infection.)
A restraint attached to a patient's body and to a stationary object is: a passive physical restraint an active physical restraint---------------* an illegal restraint a chemical restraint
restraint is a way of limiting a patient's movement or freedom. It protects the patient's safety or the safety of others. An active restraint is attached to the patient's body and to a secure object. Example: a vest that ties to a wheelchair.
five senses
sight, hearing, touch, taste, smell
You hear a charge nurse telling a resident that the LPN is not performing as well as she should be. The legal term for this is ____. gossip discrimination slander insubordination
slander Saying something malicious that destroys someone's reputation is considered slander. Discrimination is unfair treatment of someone because of prejudice. Insubordination is refusal to obey orders. While the charge nurse is engaging in gossip, it is not considered a legal term.
"To turn upward" defines which of these terms? extension eversion supination lateral
supination Supination is the proper term for turning upward. Lateral is incorrect because it means "to the side." Extension is defined as straightening and eversion (turn, reversal, overturn, retroflexion, eversion, upturn) is turning outward.
To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patient's ____. outer thigh bed frame knee upper thigh
upper thigh Taping the catheter to the upper thigh can help prevent inadvertent(inədˈvərtnt 非故意的) removal and physical trauma. Taping it to the outer thigh, bed frame, or knee can cause pulling and removal when you are turning a patient.
A Hoyer Lift is primarily used for
used to help move an immobile resident from a bed to a chair and back.
Which of these could cause a nursing assistant to be charged with battery? using restraints on a resident without a physician's order ignoring or delaying a response to a resident's call for help raising a hand to threaten a slap administering medications
using restraints on a resident without a physician's order. Restraining a resident without a physician's order is battery. Raising a hand in a threat is considered assault. Ignoring a resident's call for help is negligence, and administering medications as a nursing assistant is considered malpractice.
Which of these is not a liable有责任act? invasion of privacy voluntary seclusion theft abuse
voluntary seclusion Liable acts include all of the following: abuse, aiding and abetting, assault, battery, false imprisonment 非法监禁, invasion of privacy, neglect, negligence, theft, and involuntary (not voluntary) seclusion 非自愿（非自愿）隔离. (Involuntary seclusion is when you keep a resident isolated from others as a form of punishment while voluntary seclusion is a resident's choice.)
Which of the following options is the correct sequence for donning (don: put on) the required personal protective equipment for isolation procedures?
wash hands; put on disposable gown; +mask; +goggles,+gloves. The correct sequence for removing the required personal protective equipment for isolation procedures is: remove gloves; - goggles; -disposable gown;- mask; and wash hands. (The guidelines for donning and removing personal protective equipment are enforced to reduce the spread of disease.)
When you walk in to begin your shift, a resident is being put in restraints by the charge nurse. This means ____. you need to leave all of this resident's care in the hands of the charge nurse until the restraints have been removed ( You need to check the resident at least every two hours to assess basic needs, circulation, and bathroom necessities you need to avoid the patient so as not to escalate his or her agitation you need to call the family and notify them at once that restraints are being used)
you need to check the resident at least every two hours to assess basic needs, circulation, and bathroom necessities. It is important that restraints are recognized as a way to keep a resident from harming themselves and not as a form of punishment. Nursing assistants can still care for a resident in restraints.
The family members of a resident ask you to check what the resident's record says about resuscitation wishes in the event the resident was to expire. Upon looking at the records, you see that the resident has given permission to share all medical information with these family members. (You also see the initials DNR in the resident's advance directive. You tell the family)* ____. "The resident's file has a notation indicating, 'Do necessary resuscitation'." "The resident's file has a notation indicating, 'Do not record' so that the decision is left up to the family." "The resident's file has a notation indicating, 'Decision not recorded' which means no decision has been made." "The resident's file has a notation indicating, 'Do not resuscitate'."
"The resident's file has a notation indicating, 'Do not resuscitate'." DNR is an universal term abbreviation for "DO NOT RESUSCITATE". Note: You would not release any information to the family unless permission to do so was found in the resident's files. To do so would be in violation of HIPAA regulations, which should be known, understood, and followed at all times.
Which of these is an important fact that is easily overlooked or forgotten by caregivers and facilities in reference to resident bathing needs? The resident should be rinsed and dried thoroughly.
(The water needs to be at a safe temperature for bathing.The caregiver needs to use proper body mechanics to avoid injury when bathing a resident. Beliefs about bathing frequency differs among culture. *****Beliefs about bathing frequency differs among cultures.) answer: Cultural differences in the frequency and types of bathing should be taken into consideration although it is not often thought of when setting a resident's care schedule. All of the other answers are part of standard operating procedures for bathing.
When taking a patient's blood pressure, where should you place the bell of the stethoscope diaphragm?
(When taking a patient's blood pressure, )you should place the bell of the stethoscope over the brachial artery. When doing this, you should use your non-dominant hand and avoid touching the bell of the stethoscope to the patient's clothing or the blood pressure cuff. (If the dial is located on the blood pressure cuff,you will need to position the dial so that you can easily see it. The brachial artery is the major blood vessel of the (upper) arm. Your answer of Over the fibular artery was incorrect. he fibular artery, also known as the peroneal artery, is a branch of the posterior tibial artery that supplies the posterior and lateral compartments of the leg.)
Which of these is an incorrect procedure for shaving a resident? a. Use a towel around the resident's chest when shaving his face. b Before shaving a resident, check on his/her records and with the nurse to be sure the resident does not have a bleeding problem.
(c. When shaving the face, start from the chin and shave upward toward the sideburns. d. Shave upward on the neck. *****c. When shaving the face, start from the chin and shave upward toward the sideburns. Remember, the question asks for the incorrect procedure.) Shaving the face from the chin upward to the sideburns is an incorrect technique for shaving a resident. You need to start at the sideburns and shave downward. All of the other options are correct procedures when shaving a resident. (Sideburns, sideboards, or side whiskers are facial hair grown on the sides of the face, extending from the hairline to run parallel to or beyond the ears.)
Which of these is not a common mealtime and eating challenge that residents often face? loss of ability to manipulate eating utensils decreased recognition of hunger or thirst chewing or swallowing problems not being reminded when it is time to eat
(not being reminded when it is time to eat.) If a care facility is doing its job, residents will be reminded of when it is time to eat, will feed the resident using caregivers or have nourishment given intravenously. This is the only option that should not be a problem for proper care of residents. (The other answers are frequent and common challenges residents face.)
Psychoactive drugs that increase the production of the neurotransmitter GABA are called cannabis,hallucinogens,narcotics, stimulants, depressants (可以增加神经递质GABA产生的精神活性药物称为 大麻，hallucinogens，麻醉剂，兴奋剂，抑制剂)
depressants
What type of transfer is to be used only in emergencies? A. Mechanical lift B. Two Person lift C. Transfer to stretcher 担架/shower bed D. Transfer to shower chair
A Two‐Person lift should be used in emergencies only.
deep vein thrombosis (DVT)
A blood clot in a deep vein, most often an extremity
A client is receiving oxygen therapy via face mask. Which of the following is contraindicated (禁忌的)for this client? A Eating his lunch. B Use of cotton bedclothes. C *Shaving using an electric razor. D Talking with visitors.
A client who is in oxygen therapy should have safety measures implemented in order to prevent explosion. Use of electric razors or hair dryers while the oxygen is running is not allowed. Combing a client's hair can also create a spark of electricity from his hair that could set off an explosion. The face mask can be removed if the client wishes to eat and converse with visitors. Use of cotton bedclothes is also encouraged to decrease static electricity.
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose? A Trochanter rolls B *Rubber sheet C Bed cradle D Flotation pads
A rubber sheet protects the client from soiled linens and excess drainage. It can even predispose (make) the client to develop skin breakdown and pressure ulcers because it creates moisture and friction to the skin. Trochanter rolls are applied to prevent the hips and legs from turning outward and aids in proper positioning of the client. A bed cradle is placed on bed and over the person. Top linens are brought over the cradle to prevent pressure on the legs and feet.
How do you correctly perform the first part of the Heimlich maneuver? Administer one hard blow with the back of your hand to the chest. Administer three blows to the lower back with the back of your hand. (Administer five back blows with the heel of your hand, between the shoulder blades (after bending the person at the waist). Provide two blows to the lower back with the heel of your hand.)
Administer five back blows with the heel of your hand, between the shoulder blades (after bending the person at the waist).
A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a: A. superficial burn (the least serious type of burn.a first degree burn) B. partial thickness burn. C. total thickness burn (third-degree burns. With this type of burn, all layers of the skin — epidermis and dermis, have a dense white, waxy or even charred appearance. ) D. serious burn.
B. partial thickness burn. (Second-degree burns ,involve the epidermis and part of the dermis layer of skin,appears red, blistered, and may be swollen and painful.)
What can cause sensory overload? All answers are correct Large group gatherings Strong aromas 强烈的香气 Bright, fluorescent lighting 明亮的荧光灯
All answers are correct
One of your terminally ill patients has just had her analgesics increased. Which of the following options BEST describes what you should do?
An analgesic is a strong pain medication, which can cause the patient to become confused or to experience constipation. Therefore, the best thing that you can do is watch the patient for a change in alertness, as this could be a sign of confusion. (If the patient becomes confused, he or she is more apt to fall. If you should notice a change in the patient's alertness, or if the patient is experiencing constipation, you should then alert the patient's nurse.)
Asepsis (āˈsepsəs无菌的) is defined as ________________. a. the absence of all microorganisms b. the absence of disease causing germs -----answer c. a urinary infection d. a pathogenic infection
Asepsis is defined as the absence of disease causing germs. Aseptic techniques should be used to interrupt the chain of infection. It is surgical asepsis that is defined as the absence of all microorganisms, including spores 孢子. (A pathogenic infection is an invasion of the body by a pathogen, or disease or germ, and a urinary infection is only one type of infection.)
A nursing assistant threatens to slap a resident if he doesn't stop yelling. This is classified as ____. libel assault slander battery
Assault (attack, offensive, assault, onslaught, onset, swoop) Assault is a threat of harm, whereas battery is actual infliction (inˈflikSHən 施加) of harm. Libel and slander are verbal assaults against someone's character.
BKA
BKA means below the knee amputation. A BKA would be missing a lower limb below the knee.
When collecting a stool specimen from a resident, the nurse assistant must take stool from: A.the top layer of bowel movement. B.the center of the bowel movement. C.two different locations in the bowel movement. D.four different locations in the bowel movement.
C .two different locations in the bowel movement.
Which of the following emergency treatments could be utilized by a nurse assistant to help bring down a high fever in a resident? A.Provide an Epsom salt enema B.Submerge the entire resident's body in an ice water bath
C. Give the resident aspirin at a rate of 10 grams per pound of body weight D. Sponge the resident's skin with cool water, allowing the water to evaporate ***********D. Sponge the resident's skin with cool water, allowing the water to evaporate
When the nurse assistant applies an ankle foot orthosis (AFO) on a resident, the nurse assistant first positions the AFO: A.around the resident's leg and calf area. B.on the weak side of the resident's ankle.
C. on the inside of the resident's shoe. (R Answer) C.on the inside of the resident's shoe. D. around the weak side of the ankle.
The nursing assistant notes that the resident consumed 6 oz of ice cream, 4 oz of coffee, 3 oz of chicken, 120 ml orange juice, 7 1/2 oz of water and 4 oz of tea. What was the resident's total fluid intake? A.585 ml B.675 ml C.765 ml C.765 ml
C.765 ml
Mr. Michaels has a respiratory disorder and his doctor has asked for a sputum specimen. Prior to collecting a sputum specimen from Mr. Michaels, the nurse assistant may ask the resident to: CORRECT A. rinse his mouth out with clear water. B. rinse his mouth out with mouth wash.
C.expectorate onto a sterile pad. D.expectorate into a tissue.
A nurse assistant has been assigned to assist an incontinent resident with bladder training. During the bladder training period the nurse assistant should: A.limit the amount of fluids the resident consumes. B.restrict the resident's activities. C.encourage the resident to remain close to a bathroom at all times. D.offer fluids frequently and ensure that the resident eats a well-balanced diet.
CORRECT D. offer fluids frequently and ensure that the resident eats a well-balanced diet.
A nurse assistant is preparing to empty Mr. Johnson's urinary drainage bag. After putting on gloves, the nurse assistant must: A. raise the drainage bag above the level of the resident's bladder. B. remove the catheter tubing from the resident's bladder.
CORRECT C.open drainage port 排尿口. D.apply a clamp directly on the drainage bag tubing.
CPR (Cardiopulmonary resuscitation) should be performed when: A a client is unconscious. B. a client is choking. C. a client has no pulse and is not breathing. D. a client has a pulse but is not breathing.
CPR is performed on a client that has no pulse and is not breathing.
When a nurse assistant provides a backrub to a resident, kneading refers to: A.the tapping of the nurse assistant's fingers up and down on the resident's skin. WRONG B.the use of circular motion with the palm of the nurse assistant's hand on the resident's skin. C.lightly striking the resident's skin with the sides of the nurse assistant's hand. D.gently grasping the resident's skin between the thumb and fingers of the nurse assistant's hand.
D. gently grasping the resident's skin between the thumb and fingers of the nurse assistant's hand.
Which of the following hydrating agents contains both a sugar and electrolyte? (电解质, ) Dextrose in saline Lactated Ringer's 乳酸林格氏症 D5W (Dextrose 5% in water is injected into a vein through an IV to replace lost fluids and provide carbohydrates to the body) Half-normal saline
Dextrose in saline 盐水中的葡萄糖
A client in the day room is having a panic attack. The nursing assistant should: ** Tell the client to breathe as slowly and deeply as possible. B. have the client talk about the panic attack. (C. encourage the client to verbalize their feelings. D. ask the client about the cause of the panic attack.)
During a panic attack, the nursing assistant should make the client comfortable and encourage them to breathe slowly and deeply. Asking them to count backwards slowly from 100 can also be helpful. During an attack, (the client is unable to talk about anxious situations and isn't able to address uncomfortable feelings and frustrations. While having a panic attack, the client is also unable to focus on anything other than the symptoms, so the client won't be able to discuss the cause of the attack.)
Which of the following best helps reduce pressure on the bony prominences? Several pillows Repositioning every shift Sheepskin Flotation mattress
Flotation mattress A bedridden client can quickly develop pressure sores if he or she is allowed to remain in one position. To prevent the skin from breaking down, reposition the client at least once every two hours. Use pillows to support the client and relieve places where skin can rub, such as between the legs or at the tailbone. Always keep the skin clean and dry. A sheepskin on the bed or wheelchair provides extra padding but does not replace repositioning. Observe the skin for reddened areas and report them to the nurse. Special beds and flotation mattresses are helpful in preventing pressure sores.
Which medical position can be described as, "The patient's head is elevated with legs either bent or straight"? Rose's position Trendelenberg's position ( head is lower than feet) Sims' position (one side) Fowler's position
Fowler's position In Fowler's position the head is elevated. In Trendelenberg's position the head is lower than the feet. In Sims' position the resident is lying on one side. In Rose's position the head is over the end of a table.
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: A Breathing comfortably only when sitting. B *Restlessness, dizziness, and disorientation. C Cyanosis and increased pulse rate. D Increased temperature and decreased respiratory rate.
Hypoxia means that the cells do not have enough oxygen. It is a life-threatening condition. The brain is very sensitive to inadequate oxygen. Restlessness is an early sign, as are dizziness and disorientation. Hypoxia will have increased respiratory rate, increased pulse rate, but not increased temperature. Cyanosis, or bluish discoloration of the skin, is a late sign of hypoxia.
Which domain does learning based on motor skills and the practical and physical application of theoretical knowledge fall into? Cognitive External Psychomotor Affective Internal
Psychomotor 心理运动
A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from ____. psychosis (sīˈkōsəs 精神病) dementia Alzheimer's disease Sundowner's Syndrome
Sundowner's Syndrome Explanation: Sundowner's Syndrome is a term used when disorientation occurs primarily at night. The other options indicate disorientation, but are not specifically consistent to a certain time of day.
Which of the following statements is correct pertaining to binders application? A A breast binder can be applied for breastfeeding mothers to relieve discomfort. B Straight abdominal binders are applied when the client is sitting on a chair. C **The double T-binder is specifically used for male clients. D When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins.
T-binders secure dressings in place after rectal and perennial surgeries. The double T-binder is for men, while the single T-binder is for women. A breast binder is specifically used to support the breasts after breast surgery; not by breastfeeding mothers. Straight abdominal binders are applied with the person supine. It is secured in front of the body by safety pins, Velcro, zippers, hooks, or other closures. The top part is at the person's waist. The lower part is over the hips.
To minimize the spread of bacteria, further infection and contamination, which procedure should be used for washing the perineum of a resident with a catheter? Wash from the rectum to the meatus (the opening of urethra(yo͝oˈrēTHrə 尿道).). Wash from the meatus out. Wash from the rectum to the scrotum (ˈskrōdəm/ a pouch of skin containing the testicles..) Wash with peroxide.
The correct answer is: Wash from the meatus out. Washing from the meatus out is correct because it avoids further spread of contamination. Peroxide is not a cleanser and the other two options are in the opposite direction they should be in.
Your patient has a low pulse, seems slightly confused, and has sweet, fruity-smelling breath. You suspect ____. hypoglycemia: Feeling shaky.Being nervous or anxious.Sweating, chills and clamminess.Irritability or impatience.Confusion.Fast heartbeat. Feeling lightheaded or dizzy. Hunger. hyperglycemia hypotension: Dizziness or lightheadedness. Fainting. Blurred or fading vision.Nausea.Fatigue. Lack of concentration. hypertension: Severe headaches.Nosebleed.Fatigue or confusion. Vision problems. Chest pain. Difficulty breathing. Irregular heartbeat. Blood in the urine.
The correct answer is: hyperglycemia Hyperglycemia, or high blood sugar, is marked by slurred speech, low pulse, warm skin, sluggish or confused demeanor 困惑的举止, deep respirations, and fruity or sweet-smelling breath.
You are caring for a patient with a strict dysphagia diet. Which item on the patient's tray would you question? applesauce mashed potatoes and gravy peanut butter chocolate pudding
The correct answer is: peanut butter Those with a strict dysphagia diet have difficult swallowing, so the foods they eat must be pureed and of thin consistency. Peanut butter, jell-o, and fruited yogurt would all be considered too textured for someone on a strict dysphagia diet.
Behaviors that may signal pain in the elderly may include all of these
The elderly may have an increased pain tolerance (it doesn't affect their activities or rest) or the inability to perceive(/pərˈsēv/ rec·og·nize) pain. They may deny pain but demonstrate behaviors that indicate discomfort, such as insomnia (/inˈsämnēə/), decreased appetite, or withdrawal from recreational or social activities.(Physical signs of pain include tachycardia (ˌtakəˈkärdēə increased pulse), tachypnea ( takə(p)ˈnēə increased respirations), dyspnea (difficulty breathing), and hypertension (high blood pressure).)
__________ may result when patients or residents ignore the urge to defecate. a. Constipation b. Diarrhea c. Incontinence d. Hemorrhoids
a. Constipation Habitually ignoring the urge to defecate can lead to constipation and the accumulation of feces. Diarrhea would be caused by a disease process or infection, not by ignoring the urge to defecate. (Incontinence and hemorrhoids may develop over time from the patient pushing too hard to defecate.)
Qid
acceptable abbreviation for four times per day
Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair? a.On the patient's weak side b. At the foot of the bed c. At the head of the bed d.On the patient's strong side
d.On the patient's strong side The wheelchair should be placed as close to the patient's strong side as possible to minimize the distance they need to travel to get positioned into the wheelchair.If placed on the patient's weak side, (this will create more difficulty as the patient will need to manipulate their weak side further to get into the chair. The chair should be placed on the patient's strongest side, regardless of whether that is the head or foot of the bed once the patient is sitting up.)
Your fellow nursing assistant is angry at you and lies to the charge nurse. He claims you stole money from a resident's purse. This is an example of ____. assault defamation (defəˈmāSH(ə)n) malpractice accolades (akəˌlādz approbation, commendation)
defamation Making false, offensive statements about someone is considered defamation. Accolades are giving praise and compliments to someone. Assault is threatening harm to someone else. Malpractice is illegal or unethical behavior resulting in a failure to fulfill the duties and responsibilities of your position.
Which of these is included in the "Resident's Bill of Rights"? the right to have your family determine your plan of care (The right to be informed about the facility's services and charges) the right to have transportation to and from the facility whenever it is necessary the right to have the social and recreational activities of your choice
the right to be informed about the facility's services and charges
