***SEE ANSWERS for CH08 BELOW CARDS!!!!

8`Resident at highest risk for aspiration is the:

1) 5 year-old with a fractured shoulder; 2) 27 year-old delivering a second child; 3) 42 year-old admitted for kidney stones; 4) 93 year-old having difficulty eating

42`Eight ounces is equal to ______ milliliters.

1)180; 2)240; 3)210; 4)120

40`To convert ounces to milliliters multiply by

1)30; 2)29; 3)60; 4)15

49`Resident at highest risk for aspiration is the:

1)5 year-old with a fractured shoulder; 2)27 year-old delivering a second child; 3)42 year-old admitted for kidney stones; 4)93 year-old having difficulty eating

37`After eating, residents should remain upright or with head elevated for at least ____.

1)5min; 2)10min; 3)20min; 4)45 min

26`At which degree angle should residents be positioned for eating?

1)90; 2)120; 3)180; 4)30

47`Which are examples of illnesses that may cause swalowing problems requiring thickening of all liquids consumed?

1)CVA; 2)Parkinson's; 3)malignancy of the esophagus; 4)all of these

46`A person has hypertension. Treatment will likely include the following EXCEPT:

1)No smoking and regular exercise; 2)A high-sodium diet; 3)A low-calorie diet if the person is obese; 4)Drugs to lower blood pressure.

38`Individuals with heart or kidney disease are prone to fluid overload. All the following are signs and symptoms of fluid overload EXCEPT:

1)weight gain; 2)dry, wrinkled skin; 3)shortness of breath; edema

31`Which of the following is a reason a resident might be placed on a special diet?

1.Because the NA thinks the resident is too heavy; 2.Because the dietary department is testing out new recipes; 3.Because the resident doesn't care for eggs; 4.Because the resident has food allergies

45`Which of the following statements is true of IVs and tube feedings?

1.CNAs insert IVs and feeding tubes; 2.CNAs will observe the IV site and feeding tubes for problems; 3.CNAs will remove IV lines and feeding tubes; 4.CNAs will start new IV fluid bags and initiate fube feedings.

50`Appropriate guidelines for feeding a resident with Dysphagia are to

1.Check for food left in the mouth; 2.Offer dry goods; 3.Do not observe resident while they are eating; 4.Position resident lying back

9`Appropriate guidelines for feeding a resident with Dysphagia are to

1.Check for food left in the mouth; 2.Offer dry goods; 3.Do not observe resident while they are eating; 4.Position resident lying back

23`Which of the following are signs of potential unintended weight loss that should be reported to the nurse?

1.Eating lean cuts of meat; 2.Eating dessert before dinner; 3.Avoiding fried foods and sweets; 4.Coughing or choking while eating

22`Which of the following is an effective way for a nursing assistant help prevent dehydration?

1.Encourage a resident to drink every time she sees him; 2.Insist that the resident drink juice; 3.Withhold fluids if a resident is incontinent; 4.Leave a carton of milk with the resident each time she leaves the room

14`The condition that when a person does not have enough fluid in the body is called:

1.Fluid balance; 2.Edema; 3.Dehydration; 4.Aspiration

6`Inhaling food or drink into the lungs is called:

1.Gastrostomy; 2.Hyperalimentation; 3.Nasogastric; 4.Aspiration

16`A nursing assistant's duties regarding tube feedings include:

1.Inserting tubes; 2.Doing the feedings; 3.Observing the feeding and reporting problems; 4.Cleaning the tubes;

35`Why is it important to observe plates and meal trays when residents have finished eating?

1.It helps NA decide what to feed residents 1st; 2.Residents who are trying to lose weight will want you to keep a record of how much they've eaten; 3.It is not important to observe what & how much is eaten; 4.It helps to identify a change in food preferences

39`How should residents be positioned while they eat?

1.Lying flat on their backs; 2.Reclining at a 45-degree angle; 3.Sitting as upright as possible; 4.Lying on their sides

29`Which of the following statements shows how a nursing assistant can promote dignity and independence during mealtime?

1.NA should make the choice about which food resident should eat 1st; 2.NA should talk to other staff members while feeding; 3.If resident requests a different food from what is being served, NA should honor this; 4.NA should mix foods without asking resident

13`The abbreviation "NPO" stands for:

1.Nothing by mouth; 2.No protein ordered; 3.No permanent opening; 4.Nothing within reach

48`What is one good way a nursing assistant can assist residents with normal changes of aging related to the urinary system?

1.Offer frequent trips to the bathroom; 2.Withhold fluids; 3.Scold residents who are incontinent; 4.Make sure every resident wears incontinence briefs

12`The smallest band in the USDA's MyPyramid is the ____ band

1.Oils; 2.Milk; 3.Fruit; 4.Grains

7`Which of the following statements is true of helping to prevent aspiration?

1.Place food in the non-paralyzed side of the mouth; 2.Offer big pieces of food; 3.Position the resident lying flat on his back; 4.Feed the resident quickly

36`When assisting residents who have had a stroke, the nursing assistant should

1.Place food in the stronger side of the resident's mouth; 2.Place food in the weaker side of the resident's mouth; 3.Offer another bite of food before the resident has swallowed the last bite; 4.Encourage the resident to take large bites

41`To serve hot liquids to residents, a nursing assistant should:

1.Pour hot drinks away from residents; 2.Put hot liquids on the edges of tables; 3.Make sure residents are standing up before serving hot liquids; 4.Never use a lid

24`Which of the following can be an effective way to prevent unintended weight loss?

1.Promoting independence by insisting residents feed themselves without help; 2.Honoring food likes and dislikes; 3.Telling the resident how unappetizing their meals look; 4.Insisting that residents eat everything on their trays no matter what

27`If a resident refuses to wear a clothing protector, the nursing assistant should:

1.Refuse to serve the resident until she puts it on; 2.Insist that the resident wear it; 3.Respect the resident's refusal; 4.Point out to the resident that she's making your work more difficult

21`Which of the following is true about food preferences?

1.Residents are old enough that their preferences will not change; 2.It is not important to honor residents' food preferences; 3.Education is never a factor in determining food preference; 4.Religion might influence food preferences

34`Which type of residents may have an order for thickened liquids?

1.Residents who have swallowing problems; 2.Residents who refuse to drink water; 3.Residents who do not eat meat; 4.Residents who have certain religious beliefs

25`Which of the following statements about mealtime is true?

1.Social interaction is an important part of mealtime; 2.Mealtime is only about getting proper nourishment; 3.Mealtime is a good time for NAs to chat with co-workers since the residents are busy eating; 4.If you think a meal looks awful you should say so

28`Residents who need some assistance with eating may benefit from?

1.The NA doing everything for the resident; 2.The NA insisting the resident eat alone so he can be independent; 3.The NA using the hand-over-hand approach; 4.The NA telling his family they need to come help

51`How can a nursing assistant best help a resident with eating?

1.The nursing assistant should never look at the resident; 2.The nursing assistant should choose which foods the resident eats first; 3.The nursing assistant should rush the meal; 4.The nursing assistant should give the resident his or her full attention

33`Which statement best describes a pureed diet?

1.This diet is often used for people who have trouble chewing or swallowing; 2.This diet is only clear liquids, cream soups, milk, ice cream; 3.This diet consists of only clear juices, broth, gelatin, popsicles; 4.This is for people who are tired of chewing

15`To help prevent aspiration, residents should be in the ________position when eating.

1.Upright; 2.Lying down; 3.Prone; 4.Lateral

18`Grains are found in which of the following foods?

1.bananas; 2.cheese; 3.pasta; 4.nuts

20`Which of the following is a good source of protein?

1.corn oil; 2.an orange; 3.fish; 4.grape jelly

17`Which of the following foods supplies a significant amount of calcium?

1.cream cheese; 2.butter; 3.unfortified rice; 4.yogurt

30`Which of the following is a symptom of dysphagia, difficulty swallowing?

1.eating everything on the tray at every meal; 2.sweating during meals; 3.fever at meals; 4.watering eyes during meals

5`Which of the following foods supplies the most Vitamin C?

1.grains; 2.nuts; 3.oranges; 4.ground beef

11`Which of the following foods supplies the most calcium?

1.grains; 2.nuts; 3.yogurt; 4.ground beef

43`Mr. Russell keeps getting up from his wheelchair. Instead of using a restraint you should ask him if :

1.he needs to go to the toilet; 2.he is hungry again after just having eaten; 3.a new long term care home would suit him better; 4.he is just being difficult

32`What is the first food to be restricted in a low-sodium diet?

1.milk; 2.salt; 3.red meat; 4.foods high in fat

10`Signs of Dysphagia include:

1.obesity; 2.sweating; 3.coughing; 4.fatigue

44`The following are all meal-time adaptive equipment EXCEPT:

1.plate food guards; 2)doughnut cushion; 3)thick-handled eating utensils; 4)curved fork-spoons

2`Ways to promote a resident's dignity while feeding include:

1.telling him, "Hurry up. I've got three other people to feed."; 2.asking him, "What would you like to try first?"; 3.Looking around the room while he is eating; 4.Doing everything for him, even if he can do tasks himself

3`A resident who has had a stroke may benefit from:

1.the CNA doing everything for the resident; 2.physical cues; 3.no help from the CNA; 4.the CNA not identifying the resident before feeding

3`How should you test the temperature of food?

1.touch it with your fingers; 2.blow on it first, then touch it; 3.put your hand over the dish to sense the heat; 4.eat some of the food to test it

19`Which is the most essential nutrient for life?

1.vegetables; 2.water; 3.grains; 4.protein

1`When assisting residents with eating, a CNA should:

1.verify that she has the right resident by checking the diet card against the resident's identification; 2.rush the resident through his meal; 3.mix all the resident's foods together; 4.blow on the hot food to cool it off