NAC AES Final

What does OBRA do?

1) sets legal & ethical standards 2) creates an atmosphere of open communication 3) protects residents

At what temperature should bath water be?

105°F

Which of the following respiration rates is normal for a six-year-old girl?

20

During CPR, what is the ratio of chest compressions to rescue breaths in adults?

30 compressions, 2 breaths

How many milliliters are equal to 1 ounce?

30 mL

What is an orthotic device?

A device that is applied externally to a body part to support or control movement

Which of the following is true?

A less-effective gag reflex in older persons increases their risk for choking.

Which of the following patients needs abdominal thrusts?

A patient who cannot talk and is frantically grabbing at the neck

Which of the following is true of chair positioning?

A transfer belt should be used in the two-person method.

A draw sheet should span what area of the bed?

Above a patient's shoulders to below the hips

Which is the correct way to greet a visually-impaired patient?

Address the patient by name and touch the patient's arm

Which patients should be considered infectious?

All patients should be considered infectious

What is the best way to handle wandering patients?

Allow patients to wander in a safe environment

Which of the following is NOT true?

An enteral feeding should be given straight from the refrigerator to ensure it is fresh.

As a result of a brain injury, a patient cannot speak or understand language. What is the term for this impairment?

Aphasia

What is a nurse assistant's most important tasks?

Collect and reporting information through observing the patient's condition

If a patient shows signs of weakness during a tub or whirlpool bath, what should the assistant do?

Drain the water and allow the patient to rest in the tub.

In the logrolling procedure, what piece of equipment is needed to turn the patient in one swift motion?

Draw sheet

How is a used sharp disposed of?

Drop the entire sharp into a sharps container.

How long can a single pair of gloves be used?

During care for one patient

Which of the following is a purpose of HIPAA?

Ensure that a patient's medical information is private

In what position is a patient when sitting up at a 45 degree angle?

Fowler's

Which step of CPR is the most critical?

Give chest compressions.

Hand washing and routine cleaning are examples of what type of practice?

Medical asepsis

Which of the following is information that is shared within a protected relationship?

Privileged communication

Which of the following is TRUE of the Residents' Bill of Rights?

Promotes independence and self-determination

Which of the following is true of the Residents' Bill of Rights?

Promotes independence and self-determination

What is the purpose of the Centers for Disease Control and Prevention?

Protect people from infectious, occupational, environmental, and terrorist threats

Which of the following is a way to help patients be as independent as possible?

Help a patient with a task only if assistance is needed.

Which of the following is true about dressing a patient?

Help all patients with shoes, socks, and stockings.

what should a health care worker do if the patient begins to fall?

Help patients safely to the floor

What should the health care worker do if a patient shows signs of orthostatic hypotension while sitting in the dangling position?

Help the patient to lie down

Which of the following can help prevent the use of restraints?

Immediately report physical and mental changes

What is the term that means a person is unable to predict and control elimination?

Incontinent

What type of catheter is left in the bladder, held in place by an inflated balloon?

Indwelling

How does defibrillation work?

It stuns the heart to stop ventricular fibrillation.

Which of the following is true of nursing team members?

RNs and LPNs have more training than a nurse assistant.

Which of the following describes correct technique for measuring height and weight?

Read the weight when the balance bar is centered between the upper and lower guides.

What is the first link in the Chain of Survival?

Recognition of the emergency and activation of EMS

A patient's gums appear swollen and there is a small amount of bleeding. What should you do?

Report your observations to the nurse

Worker compensation laws do which of the following?

Require employers to insure employees in case they are injured at work

The Omnibus Budget Reconciliation Act (OBRA) included which of the following regulations?

Residents' Bill of Rights

Which of the following is the correct technique for handling soiled linens?

Roll soiled linens into themselves, with soiled areas on the inside.

While counting pulse, what must you also be aware of?

The volume and rhythm of the pulse

Which of the following is true of height and weight measurements?

They can be used to monitor growth, dose medication, and order lab tests.

How many health care workers are needed for most bed and stretcher transfers?

Three

How does a pathogen get spread from one person to another person?

Through a mode of transmission

Which of the following is NOT a method of preventing pressure ulcers?

Turning bed-ridden patients every 8 hours

Which of the following is true of pressure ulcers?

Ulcers are likely to develop wherever skin touches other skin and at pressure points

Where should the thermometer be located in the patient's mouth for an oral reading?

Under the tongue, toward the side of the mouth

What can a health care worker do to ensure that a patient understands medical information?

Use appropriate lay terms.

Which of the following describes the correct use of a tympanic thermometer?

Use plastic covers to prevent the spread of infection.

Which of the following is the most important indicator of health of the body?

Vital signs

What is cardiac arrest?

When the heart stops beating

When should a patient be put into the recovery position?

When the patient begins to breathe normally

What must you do if the connection end of the catheter accidentally touches the bed?

Wipe the tube with an antiseptic wipe and then plug the tube.

What type of tool do patients use to do activities of daily living (ADLs) they otherwise would have trouble doing?

assistive devices

What should a rescuer do if a patient becomes unconscious during abdominal thrusts?

begin CPR

In order to bathe as independently as possible, what assistive device(s) may patients use?

grab bars

Mrs. Smith is recovering from a stroke and needs minimal physical assistance with ambulation. This level of assistance is called:

limited

Which one of the following overrides the others?

living will

Which level of range of motion assistance is the most assistive?

passive ROM exercises

How should health care workers behave during interactions with patients and co-workers?

professionally

When speaking with a hearing-impaired patient, it is best to ____.

speak naturally

In which stage does the pressure ulcer open into a deep crater and reveal underlying tissue?

stage 3

After lowering a falling patient to the floor, what should you do?

stay with the patient and call a nurse

Which of the following is NOT considered a sharp?

tongue depressor

Mr. Peterson has dementia and needs simple directions as prompts to do ADLs. This type of ADL training is called:

verbal cues

What is the best way to prevent the spread of infection?

wash your hands

At the end of breakfast, you notice that Rhonda did not drink any of her milk. She says she does not like milk because it upsets her stomach. What should you do?

Ask Rhonda if she would like a different beverage, and then check with the dietary department.

Which step of the nursing process involves collecting information and communicating with other team members?

Assessment

Which method is used to clear an obstructed airway in an infant?

Back blows and chest thrusts

How should a health care worker respond to an angry and frustrated patient?

Be understanding and helpful

In adult CPR, when should EMS be activated?

Before administering CPR

When should health care workers wash their hands?

Before providing care and between patients

Which of the following describes correct technique for male perineal care?

Begin at the tip of the penis, and wipe in circular and downward motions.

For which type of training is it important for assistants to urge patients to eat foods high in fiber?

Bowel training

Your patient is having difficulty breathing and has a respiration rate of 5 breaths per minute. Which of the following describes your patient?

Bradypnea

Mr. Smith, a patient with terminal cancer, angrily upsets his dinner tray onto the floor. How should you respond?

Call housekeeping and gently ask Mr. Smith if there is anything that you can do for him.

What affect can rescuer fatigue have on chest compressions?

Compressions become shallow and ineffective

What is the most important way to provide patients with privacy while bathing?

Cover the patient as much as possible

What is the philosophy behind hospice care?

Death is a natural process that should not be rushed or delayed.

In which stage of grief will a person reject the idea that he or she is dying, or insist that the doctor has made a mistake?

Denial

An average normal range of less than 80 mm Hg is the standard for which blood pressure measurement?

Diastolic

Which of the following is NOT included in the Fair Labor Standards Act?

Dictates employers pay overtime pay for weekend hours.

What are rules of proper conduct among a group of people, such as a profession?

Ethics

What must a health care worker do before transferring a patient to a wheelchair?

Make sure both wheels are locked

What is professional negligence called?

Malpractice

Which of the following laws requires rehabilitation and restorative care be available for patients?

OBRA

Which of the following is true of foot care?

Observe the feet for abnormalities, such as corns or calluses.

What does OBRA stand for?

Omnibus Budget Reconciliation Act of 1987

Where is radial pulse measured?

On the underside of the patient's wrist

What causes infectious disease?

Pathogens

What is the risk in trimming the nails, especially the toenails, of diabetic patients?

Poor circulation in the extremities makes the patient prone to infection.

What is the best way to dispose of confidential information in a health care facility?

Shred it

What should be used to clean a patient's glasses?

Soft cleaning tissues

For what reason may an employer legally NOT hire an applicant?

The applicant is not a legal U.S. resident.

Which of the following is true of an Intake and Output chart?

The daily intake should be almost the same as the daily output.

What is one purpose of the lateral position?

To keep the airway open in unconscious and semi-conscious patients

Why is it important to use clocks and calendars in a dementia patient's room?

To keep the patient oriented with reality

What is a case in which a person is harmed because of another person's actions or failure to act called?

Tort