Nya CNA
If a client had 4 oz of juice and 6 oz of coffee, how many cc would you add to the Intake log? A. 300 B. 360 C. 100 D. 30
A. 300
At which angle should residents be positioned for eating? A. 90 degrees B. 120 degrees C. 45 degrees D. 60 degrees
A. 90 degrees
The nurse aide is caring for a client who is receiving oxygen. What gift given by a visitor of this client would cause some concern? A. A Candle B. Silk Flowers C. Fruit Basket D. Box of Candy
A. A Candle
Indirect contact is a way to transmit infection in which A. A person touches an object contaminated by an infected person B. A person touches a carrier C. A person touches an infected person's mucous membranes D. A person touches an infected person
A. A person touches an object contaminated by an infected person
Which of the following statements is true of using validation therapy? A. An NA makes no attempt to reorient the resident to actual circumstances. B. An NA reminds the resident that he is not living in the past. C. An NA reminds the resident about what is real and what is not real. D. An NA tells the resident he is having delusions.
A. An NA makes no attempt to reorient the resident to actual circumstances.
When a resident with AD perseverates, the nursing assistant should ____. A. Answer questions each time they are asked Try to silence the resident by letting him know he just asked that question Use a thesaurus to find new ways to say things Ignore the resident until he stops
A. Answer questions each time they are asked
How often should bedbound residents be repositioned? A. At least every two hours B. Once per shift C. Twice a day D. At least every three hours
A. At least every two hours
Tuberculosis may be transmitted _____. A. By coughing B.Through a protective mask C.By dancing D. By wearing gloves
A. By coughing
Which of the following is a typical task that an nursing assistant (NA) performs? A. Helping residents with ADL's B. Changing a sterile dressing on an open wound C. Prescribing treatments and billing health insurance company D. Administering medication and performing treatments
A. Helping residents with ADL's
One way that a nursing assistant can help a resident who is visually impaired is to _______. A. Keep the lights very low B. Use the face of an imaginary clock to explain the position of objects C. Move the furniture out of the way as the resident is walking D. Walk behind the resident, lightly pushing the resident forward
A. Keep the lights very low
Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended. Gene does not believe in God. Gene's best response is to _____. A. Listen quietly to Mrs. Goldman B. Tell Mrs. Goldman that he does not believe in God and would prefer not to discuss it C. Ask Mrs. Goldman what makes her think that there is a God D. Tell Mrs. Goldman that her beliefs are wrong
A. Listen quietly to Mrs. Goldman
Due to poor care and abuse, The Omnibus Budget Reconciliation Act (OBRA) was passed in 1987 to protect residents in a LTC's. All of these are part of OBRA EXCEPT: A. MD's ability to change the plan of care without informing the resident /family The right to be treated with dignity and respect A minimum standard for nurse aide training The right to quality care and privacy
A. MD's ability to change the plan of care without informing the resident /family
Which of the following care team members are licensed professionals who assign jobs to nursing assistants? A. Nurses, physical therapists B.Nursing assistants, nurses C.Nursing assistants, physicians D. Dietitian, resident's family
A. Nurses, physical therapists
What is the term for the person assigned by law to be the legal advocate for residents? A. Ombudsman B. Administrator C. Activities director D. Medical social worker
A. Ombudsman
When transferring a resident from a bed into a wheelchair, where should the wheelchair be placed? A. On the stronger side B. On the weaker side C. On the left side D. On the affected side
A. On the stronger side
One way that nursing assistant's can respect the rights of residents who are dying is to ____. A. Promote privacy for residents B. Keep visitors away from residents C. Let the family know if the NA does not agree with residents medical decisions D. Promise residents that they will get better
A. Promote privacy for residents
When a resident with AD shows memory loss, the NA should ____. A. Repeat herself using the same words B. Tell the resident that she already answered that question C. Remind the resident every time she forgets something D. Give the resident a long list of instructions to review
A. Repeat herself using the same words
If a nursing assistant notices abusive behavior from a family member towards a resident, she should ___. A. Report it to the nurse immediately B. Ask the resident for her permission to report the incident to the nurse C. Ask the family member to explain what he did before she reports the incident D. Not get involved because it is a private family matter
A. Report it to the nurse immediately
Which of the following statements is true of Alzheimer s disease (AD)? A. Skills a person has used over a lifetime are usually kept longer. B. Residents with AD will show the same signs at the same times. C. NAs should do everything for residents with AD. D. Alzheimer s disease is a normal part of aging.
A. Skills a person has used over a lifetime are usually kept longer.
Where should the nurse assistant (NA) be when helping a visually-impaired resident walk? A. The NA should be beside and slightly in front of the resident. B. The NA should be beside and slightly behind the resident. C. The NA should be about three feet away from the resident. D. It does not matter where the NA stands when helping the resident.
A. The NA should be beside and slightly in front of the resident.
Ways to prevent aspiration during oral care of unconscious residents include ____. A. Using as little liquid as possible when giving oral care B. Turning residents on their stomachs when giving oral care C. Not giving frequent mouth care D. Pouring water slowly into the resident's mouth
A. Using as little liquid as possible when giving oral care
When cleaning the perineal area, the nursing assistant should: A. Work from front to back B.Work from back to front C.Work from side to side D. Work from dirtiest to cleanest
A. Work from front to back
When ambulating a client who has had a CVA, the nurse aide should walk: A. to the weak side and slightly behind the client B. backwards and guide the client C.directly behind the client D. to the strong side and slightly behind the client
A. to the weak side and slightly behind the client
Which of the following blood pressures falls within the normal range? A.118/76 B.134/90 C.90/70 D. 140/80
A.118/76
o convert ounces to milliliters, the nursing assistant (NA) should multiply by ___. A.30 B.20 C.60 D.15
A.30
What is one function of the chain of command? A.It describes the line of authority and helps make sure residents get proper health care. B. It describes the care plan for each resident. C. It determines which residents go in which rooms. D. It determines which shift an NA works.
A.It describes the line of authority and helps make sure residents get proper health care.
When cleaning the urinary meatus during catheter care, the nursing assistant should A. Move in one direction, away from the urinary meatus B. Make sure the catheter has only a maximum of two kinks in the tubing C. Move toward the meatus, making circular motions D. Use an incontinent brief to pad the area during care
A.Move in one direction, away from the urinary meatus
Which member of the care team diagnoses disease and prescribes treatment? A.Physician (MD) B.Medical social worker (MSW) C.Nursing assistant (NA) D.Dietitian (RDT)
A.Physician (MD)
Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse? A.Psychological abuse B.Financial abuse C.Substance abuse D. Physical abuse
A.Psychological abuse
Which type of residents may have an order for thickened liquids? A.Residents who have swallowing problems B. Residents who refuse to drink water C. Residents who do not eat meat D. Residents who have certain religious beliefs
A.Residents who have swallowing problems
Devices such as a long-handled hairbrush or a spoon with a curved handle are known as: A. Disability Implements B. Adaptive Equipment C. Special Helpers D. Unique Tools
B. Adaptive Equipment
Which of the following is an example of a prosthesis? A. Special shoes to help residents with flat feet B. An artificial eye to replace an eye that has been lost C. Handrolls to keep residents' fingers from curling too tightly D. An adaptive device to assist residents with dressing
B. An artificial eye to replace an eye that has been lost
Under Standard Precautions, when should hand hygiene be performed? A.Only when visibly soiled after caring for the resident B. Before and after resident contact C.Before entering the resident's room D. Before starting your shift and when leaving your shift
B. Before and after resident contact
What is one way that bloodborne pathogens can be transmitted? A. By standing too close to an infected person when he coughs B. By contact with blood or body fluids C. By touching something an infected person has touched D. By hugging an infected person
B. By contact with blood or body fluids
When a resident with AD is frightened, the NA should ____. A. Speak in a room where the television is on B. Check her body language to make sure she is not tense or hurried C. Use longer sentences and explain everything clearly D. Not tell the resident what she is going to do
B. Check her body language to make sure she is not tense or hurried
Which of the following statements is true of dentures? A. Dentures should be cleaned with hot water to remove bacteria. B. Clean dentures should be returned to the resident or stored in a denture cup. C. Dentures are not expensive. D. Wearing gloves is not required for cleaning dentures.
B. Clean dentures should be returned to the resident or stored in a denture cup.
When is using reality orientation a good idea for residents with AD? A. Late stages of AD B. Early stages of AD C. When residents are totally disoriented D. Never
B. Early stages of AD
Which of the following is an example of an activity of daily living (ADL)? A. Praying B. Eating C. Reading D. Talking to a family member
B. Eating
Which of the following is true of helping a resident dress? A. An NA should choose the resident's clothing for the day. B. If a resident has weakness on one side, the NA should start with the weaker side when dressing. C. If a resident has weakness on one side, the NA should start with the stronger side when dressing. D. Residents should dress in nightclothes during the day because it promotes comfort.
B. If a resident has weakness on one side, the NA should start with the weaker side when dressing.
Which of the following best describes a nursing assistant's responsibilities regarding critical thinking? A. Seeking the resident's opinion about a potential problem B. Immediately reporting a potential problem to the nurse C. Making changes in the resident's care plan due to a potential problem D. Asking the doctor to consider a medication change for a potential problem
B. Immediately reporting a potential problem to the nurse
A nursing assistant's duties regarding tube feedings include: A. Inserting tubes B. Observing the feeding and reporting problems C. Cleaning the tubes D. Doing the feedings
B. Observing the feeding and reporting problems
Which of the following should be washed every day? A. Hair B. Perineum C. Chest D. Knees
B. Perineum
To serve hot liquids to residents, a nursing assistant should ________. A.Place hot drinks on the edges of tables so that they will be easier to reach B. Pour hot drinks away from residents C.Make sure residents are standing up before serving hot drinks D. Take lids off of hot drinks
B. Pour hot drinks away from residents
Which of the following is a core value associated with culture change? A.Making sure all residents participate in the same activities B. Promoting self-determination and personal choice C. Doing everything for residents D. Treating all residents the same way
B. Promoting self-determination and personal choice
One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to: A. Give nursing assistants health insurance coverage B. Protect the privacy of health information C. Prevent abuse and neglect of residents D. Help ombudsmen monitor care in facilities
B. Protect privacy of health information
If a nursing assistant (NA) encounters a consenting adult resident in a sexual situation, she should: A. Ask him to stop what he is doing B. Provide privacy and leave the room C. Discuss the incident with the resident's family D. Tell him that what he is doing is wrong
B. Provide privacy and leave the room
RACE is an acronym for a safety rule, and means ____. A/Remove window, Access outside, Call for help, Elderly residents first B. Remove residents, Activate alarm or call 911, Contain fire, Extinguish C.Restore power, Activate alarm or call 911, Collect residents, Exit D.Run to A Close Exit
B. Remove residents, Activate alarm or call 911, Contain fire, Extinguish
A nursing assistant can respond to sundowning by: A. Adding more caffeine to the resident's diet B. Setting a bedtime routine and keeping it C. Restricting exercise during the day D. Scheduling activities during this time
B. Setting a bedtime routine and keeping it
How does the skin appear when it first begins to break down? A.Skin looks like a deep crater. B. Skin turns pale, white, red, or purple. C. Skin is covered with bruises. D. Skin has raised blisters.
B. Skin turns pale, white, red, or purple.
A diet that consists of foods that are chopped to help people who have trouble chewing and swallowing is called a A. Low-cholesterol diet B. Soft diet C. Low-protein diet D.Low-sodium diet
B. Soft diet
Which of the following should a nursing assistant do if a resident is confused? A. Not mention the date or the location, as it will further confuse the resident B. Stay calm and provide a quiet environment C. Leave the resident alone until he is acting normally D. Avoid explaining care, as it will only agitate the resident
B. Stay calm and provide a quiet environment
A client has dysphagia. This means the client has difficulty: A. Urinating B. Swallowing C. Breathing D. Speaking
B. Swallowing
What should a nursing assistant (NA) do if a resident's walker seems too short for the resident to use properly? A. The NA should adjust the height of the walker for the resident. B. The NA should inform the nurse. C. The NA should see if the resident can adjust the height of the walker. D. The NA should suggest to the resident that she needs a new one.
B. The NA should inform the nurse.
Which of the following is true of non-sterile dressings? A.They cover open wounds. B. They are applied to dry/non draining wounds. C.They cover draining wounds. D. Nursing assistants are never allowed to handle them.
B. They are applied to dry/non draining wounds.
What should be done with soiled bed linens? A. They should be shaken out to be sure none of the residents personal belongings are put in the wash. B. They should be rolled up with the dirty side in. C.They should be rolled up with the clean side in. D.They should be left in a pile outside the resident s door for housekeeping to pick up.
B. They should be rolled up with the dirty side in.
What position should the nurse aide place a client after at the conclusion of a meal if the client is on aspiration precautions? A. lying on the right side for 30 minutes after the meal B. sitting up in a chair or bed for one hour after the meal C. lying on the left side for 15 minutes after the meal D. prone for 45 minutes after the meal
B. sitting up in a chair or bed for one hour after the meal
AROM stands for ____? A. Ambulate during Range of Motion B.Active Range of Motion C. All Range of Motion D. Active Repeat of Motion
B.Active Range of Motion
The normal respiration rate for adults ranges from: A.18-30 breaths per minute B15-25 breaths per minute C. 12-20 breaths per minute D.8-10 breaths per minute
C. 12-20 breaths per minute
Signs and symptoms of clinical depression include: A. Breath that smells fruity B. Sudden chest pain C. Apathy D. Intense hunger
C. Apathy
Residents who are unconscious may still be able to ___. A. Speak B. Gesture C. Hear D. See
C. Hear
When should documentation be recorded? A. At the end of the shift B. Before the care is given C. Immediately after care is given D. Whenever there is time
C. Immediately after care is given
Abduction is ________. A. Bending a body part backward B. Turning a joint using a rotating motion C. Moving a body part away from the midline of the body D. Moving a body part toward the midline of the body
C. Moving a body part away from the midline of the body
The medical term for Heart Attack is ___. A.Cardiac Arrest B. CVA C. Myocardial Infarction D. Hypertension
C. Myocardial Infarction
What can an overbed table be used for? A. Placement of dirty linens B. Placement of bedpans C. Placement of meals D. Placement of urinals
C. Placement of meals
Which of the following is a type of therapy that involves having residents with Alzheimer s disease remember and talk about the past? A. Reality orientation B. Validation therapy C. Reminiscence therapy D. Activity therapy
C. Reminiscence therapy
If a resident refuses to wear a clothing protector when eating a meal, the nursing assistant should A.Refuse to serve the resident until she puts it on B. Insist that the resident wear it 8. Respect the resident's refusal D. Point out to the resident that she is making her work more difficult
C. Respect the resident's refusal
What is a good way for a nursing assistant to promote respect, dignity, and privacy when helping a resident with care? A. If a resident takes too long to choose a shirt for the day, the NA should choose one for her. B. The NA should knock on the door while a resident is in the bathroom to see if the resident can finish quickly. C. The NA should encourage the resident to do as much as possible for herself. D. The NA should ask the resident to move faster if she is not moving quickly enough.
C. The NA should encourage the resident to do as much as possible for herself.
What is the best way a nursing assistant (NA) can respond to a combative resident? A. The NA should tell the resident that other NAs will refuse to care for him if he continues the behavior. B. The NA should let the resident know that he will be discharged from the facility if he does not stop what he is doing. C. The NA should remain calm and lower the tone of her voice. D. The NA should stand as close as possible to the resident.
C. The NA should remain calm and lower the tone of her voice.
What is one reason why reporting a resident's changes and problems to the nurse is a very important role of the nursing assistant? A.The NA can decide what medication to prescribe for the resident's current condition. B.Reporting changes is not a task that the NA performs. C.The care plan must be updated as the resident's condition changes. D. Depending on the resident's changes, the NA can decide if she wants to work that day or not.
C. The care plan must be updated as the resident's condition changes.
How can a nursing assistant best help residents with eating? A. The nursing assistant should make the choice about which foods residents eat first. B. The nursing assistant should review her documentation paperwork while residents are eating since residents will be busy. C. The nursing assistant should identify the food and fluids in front of residents. D. The nursing assistant should do everything for residents during mealtime so residents will not be anxious.
C. The nursing assistant should identify the food and fluids in front of residents.
What is the best way to control the spread of clostridBy giving more enemas to clean out the gastrointestinal tract B.By limiting contact of the infected person with others C. Through proper hand washing and handling of contaminated wastes D.By using more powerful antibiotics
C. Through proper hand washing and handling of contaminated wastes
Passive range of motion exercises are done: A. By a doctor or physical therapist only B. By the resident with some help and support C. When a resident cannot move on her own D. By the resident herself, without help
C. When a resident cannot move on her own
The inability to express or understand spoken or written language is called: A.disorientation B. paranoia C. aphasia D. body language
C. aphasia
The nurse aide is taking vital signs of a client when he asks the nurse aide to stop because he needs to pray. The nurse should: A. hurry up and finish the vital signs so the client can pray B. stand at the door and count respirations C. return when the client has finished praying D. tell the client that it is important for vital signs to be taken on time
C. return when the client has finished praying
To prevent orthostatic hypotension, the nurse aide should tell the client to: A. sit quietly in a wheelchair B. roll over carefully in bed C. rise slowly from lying to sitting to standing D. maintain strict bedrest
C. rise slowly from lying to sitting to standing
The nurse aide is aware that signs and symptoms of a stroke include: A. pain and swelling in the feet and hands B. swelling in the legs and feet C. sudden loss of feeling and function on one side D. loss of thirst and appetite
C. sudden loss of feeling and function on one side
The first two steps to take when approaching an emergency are ____ and _____. A.Get assistance and perform Cardiopulmonary Resuscitation (CPR) B. Perform first aid and assess the situation C.Assess the situation and assess the victim D.Call the victim s family and activate the emergency response system
C.Assess the situation and assess the victim
When a nursing assistant is performing a procedure on a resident, he should: A.Try to distract the resident so she will not know what the NA is doing B.Talk to the resident's roommate so the resident does not become self-conscious C.Explain the procedure fully before performing it D. Wait until the resident is sleeping before the NA starts the procedure
C.Explain the procedure fully before performing it
Which of the following is at a higher risk of skin breakdown? A.Front of neck B.Face C.Tailbone (sacrum) D.Hands
C.Tailbone (sacrum)
Where should the call light be placed when a nursing assistant leaves a resident s room? A.On the bedside table beside the telephone B.Next to the television remote C.Within the resident's reach D.On a chair next to the resident's bed
C.Within the resident's reach
Dorsiflexsion of the foot means A. moving the foot away from the body B. moving the foot and leg towards the body C. Bending the foot and toes downward D. Bending the foot and toes upward
D. Bending the foot and toes upward
What information does a Material Safety Data Sheet (MSDS) contain? A. Costs of the chemical listed from highest to lowest B. Comparisons with other chemicals and suppliers list C. Names of other facilities using the chemical D. Description of chemicals used in the facility
D. Description of chemicals used in facility
Which of the following is an appropriate way for an NA to refer to a resident s weakened side when assisting with dressing? A. Broken side B. Stiff side C. Limp side D. Involved side
D. Involved side
Why is it important for nursing assistants (NAs) to observe plates and meal trays when residents have finished eating? A. It helps the NA decide what to feed residents first. B.Residents who are trying to lose weight will want the NA to keep a record of how much they have eaten. C.It helps the NA write a new diet order if the current one is not working. D. It is used to document the amount of food consumed by the resident at that meal.
D. It is used to document the amount of food consumed by the resident at that meal.
When bathing a resident, a nursing assistant should ____. A. Leave the resident alone to promote self-care B. Get each item needed as the resident asks for it C. Use bath oil to moisturize the resident's skin D. Make sure the room is warm enough before beginning
D. Make sure the room is warm enough before beginning
Which is true of nursing assistants and catheters? A. NAs remove but do not insert catheters. B. NAs insert but do not remove catheters. C. NAs irrigate catheters only when the nurse tells them to do so. D. NAs observe and report regarding catheters.
D. NAs observe and report regarding catheters.
Which of the following is a guideline for assisting with bladder or bowel retraining? A. NAs do not need to wear gloves when handling body wastes. B. NAs should let residents know when they are taking too long to have a bowel movement. C. NAs do not need to provide privacy during elimination if residents are in bed. D. NAs should encourage residents to drink plenty of fluids.
D. NAs should encourage residents to drink plenty of fluids.
What does the abbreviation NPO mean? A.Nothing pureed only C.Not prepared on-site B.Note preferences only D. Nothing by mouth
D. Nothing by mouth
When using a transfer belt, the nursing assistant (NA) should ___. A.Place it underneath the resident's clothing B.Place it around the resident's shoulders C.Place it around a resident's chest D. Place it over the resident's clothing
D. Place it over the resident's clothing
How should a resident use a cane to aid ambulation? A.Allow the cane to drag about six inches behind him. B. Place the cane about six inches in front of his weaker leg. C. Take the cane along in case he gets tired. D. Place the cane about six inches in front of his stronger leg.
D. Place the cane about six inches in front of his stronger leg.
Which of the following statements is true about pressure ulcers? A. Pressure ulcers are usually caused by exercising too much. B. Pressure ulcers are difficult to heal but do not hurt much. C. Pressure ulcers are impossible to prevent. D. Pressure ulcers can lead to life-threatening infections.
D. Pressure ulcers can lead to life-threatening infections.
When a resident with AD pillages and hoards, the nursing assistant should ____. A. Warn the family that the resident is stealing things B. Try to confine the resident to his room C. Tell the resident that he needs to return the stolen items D. Provide a rummage drawer
D. Provide a rummage drawer
Under which of the following conditions should a nursing assistant not take an oral temperature on a person? A. The person has influenza. B. The person almost certainly has a fever. C. The person is over six years old. D. The person is confused or disoriented.
D. The person is confused or disoriented.
What would be an appropriate approach to help keep a client with dementia from attempting to get out of bed? A. Have someone sit with the client at all times B. Put all four side rails up C. Put restraints on the client D. Use a bed alarm
D. Use a bed alarm
All of these are steps to perform when giving a resident a bedpan EXCEPT: A. toilet tissue is within reach B. avoids overexposure of client C. places bedpan correctly under client's buttocks D. before placing bedpan raises the head of the bed
D. before placing bedpan, raises head of bed
A symptom of fluid overload is _________________ of the extremities A. dehydration B. contracture C.apiration D. edema
D. edema
What type of PPE (personal protective equipment) should the nurse aid use when changing the bed linens of a client who has a draining wound? A. mask, gloves, and shoe covers B. mask and gown C. gloves and hair cover D. gown and gloves
D. gown and gloves
To control bleeding, a nursing assistant should _____. A.Apply light pressure with a bandage or bandaid B.Lower the wound below the heart C.Use a tourniquet over the wound in the field D.Apply pressure with a thick pad on the wound
D.Apply pressure with a thick pad on the wound
What is a proper way for a nursing assistant (NA) to respond if a resident does not hear or does not understand him/her? A. The NA should speak more softly or whisper. B.The NA should shout so the resident can understand. C.The NA should speak more quickly. D.The NA should speak slowly and clearly.
D.The NA should speak slowly and clearly.
The single most important thing the nursing assistant (NA) can do to prevent the spread of disease is to ____. A.Wash and dry disposable gloves before reusing them B.Carry dirty linen close to uniform so as not to spread contaminants C.Remove gloves before cleaning spills D.Wash hands
D.Wash hands
