CNA exam

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Normally, stool should be

Brown and soft

How are bloodborne diseases transmitted?

By contact with blood or body fluids

Orthotic devices are used to

Keep joints in correct position and improve function

Nursing assistants can help a resident's family and friends deal with the resident's death by

Listening to them if they want to talk

Psychosocial needs include the following:

Love and affection

Normal age-related changes for the respiratory system include

Lung strength decreases

The anxiety disorder that is characterized by repetitive thoughts or behavior is

Obsessive-compulsive disorder

Hidden, or ______, blood is found inside stool with a microscope or a special chemical test.

Occult

With ______ immunity, a person is given the antibodies needed to defend against an antigen.

Passive

The muscular contractions that push food toward the stomach are called

Peristalsis

The difference between the apical and radial pulse is called the

Pulse deficit

The largest organ in the human body is the

Skin

Blood pressure is measured using a

Sphygmomanometer

Another word for fainting is

Syncope

The circadian rhythm is

The 24-hour, day-night cycle

Which of the following conditions makes a person more likely to have diabetes?

The person is obese.

The most important member of the care team is

The resident

Passive range of motion exercises are done

When a resident cannot move on her own

When must a unit be completely cleaned and disinfected?

When a resident is transferred, discharged, or dies

The ______ is the outer layer of the skin which is composed of dead cells.

Epidermis

To maintain proper body mechanics while lifting or carrying an object, a nursing assistant should

Face the object or person she is moving

A sign that a stroke is occurring is

Facial droop

Bending a body part is called

Flexion

Care guidelines for dialysis include

Following instructions for intake and output measurement carefully

An example of a restraint alternative is

Giving frequent help with toileting

Diabetic ketoacidosis may be caused by

Having too little insulin in the body

What is a possible benefit of using an incentive spirometer?

Helping clear the lungs

How far into the ear should a tympanic thermometer be inserted?

¼ to ½ inch

One component of cardiac rehabilitation is

A stress management program will be initiated

The best type of jewelry for an NA to wear to work is

A watch

A nursing assistant can make bathing safer for residents by

Asking for help if she cannot safely handle the task alone

One way for a nursing assistant to make a positive first impression at a job interview is to

Bathe, use deodorant, and brush her teeth before the interview

The part of the body that should be washed last is the

Buttocks

Which of the following statements is true of urination?

A lack of privacy can affect urination, as can stress.

Rounds are

A method of reporting in which staff move from room to room

Which of the following behaviors violates Residents' Rights?

A nursing assistant tells stories about her favorite residents to her family.

Which of the following is true of the MDS?

A nursing assistant's report may trigger a needed assessment for a resident.

A causative agent is

A pathogen or microorganism that causes disease

Fluid balance occurs when

A person consumes and eliminates equal amounts of fluid

Prehypertension means

A person does not have high blood pressure now but is likely to have it in the future

Portable commodes are used when

A resident can get out of bed but has difficulty walking to the bathroom

Which of the following is an example of aggressive, rather than assertive, behavior?

A resident tells a nursing assistant that she is clumsy and is moving too slowly.

Which of the following is associated with person-centered care?

A resident's personal preferences and individual choices are promoted.

One thing that would make a positive impression on a family visiting a facility is

A safe and homelike atmosphere

Infection prevention is

A set of methods used to prevent the spread of disease

Parkinson's disease typically causes

A shuffling gait

One way to manage stress is to

Develop new hobbies

An example of disposable equipment is

Gloves

Symptoms of hypothyroidism include

Intolerance to cold

One way to prevent aspiration is to

Make sure food is swallowed before offering another bite

Which of the following is a proper guideline for hearing aids?

Make sure residents with hearing aids have them turned on.

If a resident is hearing impaired, a nursing assistant should

Make sure the light is on the nursing assistant's face, not the resident's

A tumor that is cancerous is called a(n) ______ tumor.

Malignant

Which of the following is a function of the female reproductive system?

Manufacturing ova, estrogen, and progesterone

If a resident with AD is incontinent, the nursing assistant should

Mark the bathroom with a sign or picture

If the nursing assistant notices redness around bony areas during a massage, she should

Massage around these areas

When is it appropriate for a nursing assistant to hit a resident?

Never

Which of the following guidelines is true of working around oxygen equipment?

Nursing assistants should not allow open flames around oxygen.

How many pages long should a résumé be?

One page

A fracture in which the skin is open and the bone may come through the skin is a(n)

Open fracture

Skin that is not intact is considered a(n)

Open wound

A disposable thermometer can be used to measure a(n) _________ temperature.

Oral

Which of the following is true about oral care?

Oral care is not just care of the teeth, but also the mouth, tongue, and gums.

A stool sample that is to be tested for ______ must be delivered to the lab immediately.

Ova and parasites

Sleep disorders are called

Parasomnias

Ms. Martin is an elderly resident with very dry skin. What kind of bath would be appropriate for her?

Partial bath

Which of the following statements is true of ostomies?

People with ostomies need to receive regular skin care and proper hygiene.

Which of the following conditions may mean a person needs emergency medical help?

Person is unconscious.

______ is the study of how body parts function.

Physiology

What is one of the nursing assistant's responsibilities for tube feedings?

Positioning the resident

Ageism is

Prejudice toward or discrimination against the elderly

Observing residents' skin during personal care and bathing is especially important in the prevention of

Pressure ulcers

Draw sheets are used to

Prevent damage to a resident's skin caused by shearing

Guidelines for caring for a resident with multiple sclerosis include

Preventing falls

Which of the following is a function of the integumentary system?

Prevents the loss of too much water

One reason that the Health Insurance Portability and Accountability Act (HIPAA) was passed was to

Protect privacy of health information

Which of the following is a function of the immune system?

Protects against the invasion of foreign substances and pathogens

_____ help(s) the body grow new tissue and enable(s) tissue repair.

Proteins

If a nursing assistant encounters any sexual situation between two consenting adult residents, she should

Provide privacy and leave the area

_________ is the period of human development in which a person develops secondary sex characteristics.

Puberty

How does regular activity and exercise benefit the integumentary system?

Quality and health of the skin is improved.

Both the _____ and _____ pulses are used in taking blood pressure.

Radial and brachial

______ is a method of treatment for cancer that uses high-energy waves to attempt to destroy cancer cells in a specific area.

Radiation therapy

While distributing meal trays, Brenda gives the wrong meal to a resident who has diabetes. She says that the resident distracted her by complaining about the food. Which defense mechanism is she using?

Rationalization

A good way for a nursing assistant to respond to hallucinations is to

Reassure a resident who is upset and worried

Which of the following is one of the nutritional problems of the elderly?

Reduced physical activity affects appetite.

If a resident with AD shows violent behavior, the nursing assistant should

Remove triggers

The Omnibus Budget Reconciliation Act (OBRA) was passed as a response to

Reports of abuse and poor care in long-term care facilities

RACE is an acronym for a safety rule, and means

Rescue residents, Activate alarm, Contain fire, Extinguish

A warning sign of dehydration is

Resident has trouble swallowing liquids

Which of the following is true of residents who have angina?

Residents need to reduce emotional distress as much as possible.

The process of breathing in and out is called

Respiration

Restraint-free care means that

Restraints are not kept or used at the facility for any reason

A ______ lists the tasks that nursing assistants are permitted to perform, as allowed by state or federal law.

Scope of practice

Which of the following needs to be disposed of in a biohazard container?

Sharps

During which of the following procedures must a nursing assistant always wear gloves?

Shaving a resident

When assisting with ROM exercises, the nursing assistant should begin at the ______ and work her way ______ the body.

Shoulders, down

During an enema, the resident should be in the ______ position.

Sims'

In which position is a resident if he is on his left side with his lower arm behind his back and his upper knee flexed?

Sims'

How should a resident be positioned for eating?

Sitting as upright as possible

Dangling means

Sitting up with legs hanging over the side of the bed

How should a resident with COPD be positioned?

Sitting upright

One way for a person to keep hypertension under control and prevent complications is to

Stop smoking

The bedside stand is used for

Storing equipment

What should a resident who has asthma avoid?

Strong smells

Making an area or object free of all microorganisms is called

Surgical asepsis

Residents who have difficulty ______ may require thickened liquids.

Swallowing

Which of the following is true of scabies?

Symptoms include rash, intense itching, and sores that may become infected.

When pathogens enter the bloodstream and move throughout the body, a _____ has occurred.

Systemic infection

If a nursing assistant suspects that a resident has a fever, he should

Take the resident's temperature

If a nursing assistant is not sure what information to share at the care conference, she should

Talk to the nurse before the meeting

Which of the following would be the best response by the nursing assistant if a resident is having a seizure?

The NA should move furniture away to prevent injury to the resident.

Which of the following would be the best way for a nursing assistant to respond to a resident with AD who is exhibiting inappropriate sexual behavior?

The NA should take the resident to a private area.

Which of the following is the best way for a nursing assistant to respond to a resident who is angry?

The NA should try to find out what is causing the resident's anger.

Which of the following is true of combative behavior?

The behavior may be caused by disease or medication.

One change that might occur in the body after death is

The body will not have a pulse, respiration, or blood pressure

When a resident has one weaker leg,

The cane should be held on the stronger side

The decision on which bath to give a resident is made by

The doctor and the resident

Which of the following is true of most elderly people?

They have many interests.

A good way for a nursing assistant to help a new resident adjust to life in the facility is to

Think about how it would feel to have to move into a facility

The first thing a nursing assistant should do when reacting to a conflict with another nursing assistant is to

Think about the possible reasons why a person is behaving in an undesirable way

HIV can be transmitted

To a healthcare worker who comes into contact with a contaminated needle

What is the purpose of the Patient Self-Determination Act (PSDA)?

To encourage people to make decisions about advance directives

A cane is used

To help a person with balance

A man with benign prostatic hypertrophy may have difficulty with

Urinating

Under Standard Precautions, the term body fluids includes

Urine

If a resident with AD has lost most of his verbal skills, the NA should

Use touch, smiles, and laughter

Ways to prevent aspiration during oral care of unconscious residents include

Using as little liquid as possible when giving oral care

Therapy that allows residents with AD to believe that they live in the past or in imaginary circumstances is

Validation therapy

The most essential nutrient for life is ______

Water

Which of the following is a symptom of dysphagia (difficulty swallowing)?

Watering eyes during meals

When handling dirty linen, a nursing assistant should

Wear gloves

Which of the following is considered a sign of neglect?

Weight loss

When is hospice care usually ordered by a doctor?

When a person has six months or less to live

When should staff members become involved in family matters?

When there is concern about the resident's safety around family members

When beginning to weigh a resident, the scale should be balanced at

Zero

Osteoporosis is caused by a lack of _______ in the diet.

Calcium

Postmortem care is

Care of the body after death

Medicare will pay for

Care that it determines to be medically necessary

Which of the following increases the risk of infection in older adults?

Catheter use

A transient ischemic attack is a warning sign of

Cerebrovascular accident

Pre-diabetes can be delayed or prevented by

Change in diet and daily exercise

Which of the following can help reduce pain?

Change of position

What is the first thing a nursing assistant should do after getting a work assignment?

Check if any of his assigned residents requires immediate help or care

One way to prevent burns and scalds is to

Check water temperature before giving a bath or shower

Choose the resident condition that the NA should report immediately to the nurse:

Chest pain

Shingles is a viral infection caused by the same virus that causes _______ and can occur in anyone who has had it.

Chickenpox

Which type of urine specimen does not include the first and last urine in the sample?

Clean-catch

Normal qualities of urine include

Clear or transparent color and a faint smell

Which of the following is the best way that a nursing assistant can help prevent falls?

Clear walkways of clutter

Which of the following statements is true of a resident on a ventilator?

Clipboards, pads, and communication boards can help with communication.

Which of the following terms describes a bed that is completely made with the bedspread and blankets in place?

Closed bed

When assisting a resident who has one weak side with dressing,

Clothing should be put on the weak side first

The ability to think logically is called

Cognition

What does palliative care involve?

Comfort and managing symptoms

Ms. Reid is unable to get out of bed due to recent surgery. She is very concerned with cleanliness and wants to bathe every day. Which kind of bath is most appropriate for her?

Complete bed bath

Employee evaluations include ______, which involves giving opinions about the work of others and includes helpful suggestions for change.

Constructive feedback

Sexually-transmitted infections are caused by sexual contact with an infected person. Sexual contact includes which of the following?

Contact of the mouth with the genitals

The painful and permanent stiffening of a muscle is called

Contracture

The permanent and painful shortening of a muscle, tendon, or ligament is called a(n)

Contracture

Which of the following is the proper temperature for rinsing and storing dentures?

Cool

If a resident has a minor burn, a nursing assistant should use _____ to decrease the temperature of the skin.

Cool water

Which of the following is a sign of unintended weight loss that should be reported to the nurse?

Coughing or choking while eating

Infection prevention for the portal of exit link in the chain of infection could include

Covering the mouth when sneezing

An ileostomy or colostomy may be needed for a resident who has

Crohn's disease

Which of the following is helpful when providing skin care for a resident with cancer?

Avoid applying lotion to areas receiving radiation therapy.

Which of the following is another word for armpit?

Axilla

Long-term care is offered in

skilled nursing facilities

Normal age-related changes for the endocrine system include the following:

Decrease in levels of hormones signal the onset of menopause in women

A disorder in which a person has a serious loss of mental abilities, including the ability to think, remember, and reason, is known as

Dementia

Which of the following terms means "a serious loss of mental abilities"?

Dementia

Mr. Parker has always been cheerful and optimistic, but since his diagnosis of Alzheimer's disease, he has been quiet and withdrawn. He does not seem to enjoy any of his favorite activities and rarely talks to anyone. In which stage of grief is Mr. Parker?

Depression

Complications of immobility for the nervous system include

Depression or insomnia

What information does a Safety Data Sheet (SDS) contain?

Description of emergency response actions

Which of the following is true of developmental disabilities?

Developmental disabilities restrict physical and/or mental ability.

The BRAT diet is helpful for

Diarrhea

Which of the following statements is true of linen?

Dirty linen should be removed by rolling it away from the nursing assistant.

_____ destroys pathogens but not all pathogens, while _____ destroys all microorganisms, including those that form spores.

Disinfection, sterilization

Laura's supervisor reprimands her for being late to work. Later that day, Laura yells at a resident for being incontinent. Which defense mechanism is she using?

Displacement

After an emergency, the nursing assistant will need to

Document the incident

Accurate documentation is important because

Documentation provides an up-to-date record of a resident's status and care

Which of the following is an example of professional and ethical behavior by a nursing assistant?

Documenting care accurately and promptly

In which position is the resident placed for examination of the breasts, chest, and abdomen?

Dorsal recumbent

One sign of a localized infection is

Drainage from a wound or cavity

One way for women to prevent UTIs is to

Drink juices with vitamin C to acidify urine

Before applying a prosthesis, the area must be

Dry

Non-sterile dressings are applied to

Dry wounds that have less chance of infection

Why are women more likely than men to have urinary tract infections?

Due to having a shorter urethra

Which of the following is an example of an advance directive?

Durable Power of Attorney for Health Care

The medical term for difficulty breathing is

Dyspnea

The best time to collect a sputum specimen is

Early in the morning

A resident with AIDS who has nausea and is vomiting should

Eat small, frequent meals

Which of the following is a reason that people are at greater risk for infection as they get older?

Elderly people are hospitalized more often.

Which of the following statements is true of cast care?

Elevate an extremity that is in a cast.

What does the term empathetic mean?

Empathetic means identifying with and understanding the feelings of others.

What is the function of the larynx?

Enables speech

A good way for a nursing assistant to promote normal elimination for residents is to

Encourage Kegel exercises

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

Encourage a resident to drink every time she sees him.

A good way for a nursing assistant to promote normal elimination for residents is to

Encourage fluid intake and nutritious meals

One way to promote dignity and independence with personal care is to

Encourage residents to perform tasks independently even if it takes longer

The _______ acts like a lid to shut off the larynx during the swallowing process.

Epiglottis

Which of the following statements is true of ethics?

Ethics are the knowledge of what is right and wrong.

A resident who has hemorrhoids should avoid

Excessive cleaning and wiping of the area

Each time a nursing assistant greets a resident, he should

Explain the procedure to be performed

Which of the following symptoms is more often experienced by women during a heart attack?

Extreme fatigue

One sign that a person is in shock is

Extreme thirst

Why is it important for a resident with TB to take all of the prescribed medication?

Failure to finish the medication makes the person more likely to spread the disease to others.

Most of the accidents in a facility are related to

Falls

If a nursing assistant feels it is not safe to move a resident by himself, he should

Find a coworker to help

What should a candidate for a nursing assistant job be sure to do when going for an interview?

Find someone to care for her children so she does not have to take them along

A burn that affects the epidermis and causes redness and pain is a

First-degree (superficial) burn

Which of the following is a sign or symptom of the beginning stages of HIV infection?

Flu-like symptoms

What information is found on a diet card?

Food allergies and likes and dislikes

A nursing assistant's responsibility with a resident's medical chart is to

Gather information and note observations and care

A person with ______ cannot be treated with antibiotics or cured, and may have repeated outbreaks of the disease for the rest of his or her life.

Genital herpes

In which of the following parts of the body are mucous membranes found?

Genitals

A resident who is ambulatory can

Get out of bed and walk

If a nursing assistant is in an emergency situation but has not been trained to perform CPR, she should

Give basic first aid until the emergency medical team arrives

During code team procedures, a nursing assistant might be asked to

Give chest compressions during CPR

When communicating with a resident who has a functional barrier, the nursing assistant should

Give the resident time to speak

Which of the following statements is true of gloves?

Gloves should be worn when performing care on a resident who has broken skin.

The male and female sexual reproductive glands are called

Gonads

Which of the following is an example of unprofessional behavior by a nursing assistant?

Graciously accepting a gift from a favorite resident

An oral thermometer is usually color-coded

Green or blue

Symptoms of respiratory distress include

Gurgling

If a resident feels faint, a nursing assistant should

Have the resident lean forward and place her head between her knees

Which of the following statements is true of HIV and AIDS?

Having unprotected sex puts a person at a high risk for HIV/AIDS.

What is the difference between health and wellness?

Health is a state of physical, mental, and social well-being; wellness has to do with balancing one's life.

A person in a coma may still be able to

Hear

Which is the last sense to leave a person?

Hearing

What is a common symptom of gastroesophageal reflux disease (GERD)?

Heartburn

One benefit of applying heat to the body is that

Heat increases movement of oxygen and nutrients into the tissues

A geriatric chair is used to

Help residents who are mostly bedbound avoid the need to stay in bed all day

Hypertension is

High blood pressure

A resident who is taking diuretics or blood pressure medication may be on a ______ diet.

High-potassium

To control bleeding, a nursing assistant should

Hold a thick pad or clean cloth against the wound and press down hard

Which of the following types of health care is generally for people who will die in six months or less?

Hospice care

Professionalism is related to

How a person behaves at work

The medical term for high blood pressure is

Hypertension

Another term for insulin reaction is

Hypoglycemia

Which of the following is part of The Dying Person's Bill of Rights?

I have the right to have my questions answered honestly.

When a nursing assistant is serving meals to residents, she must always

Identify the resident

A mask and goggles should be worn

If contact with splashing or spraying blood or body fluids is likely

When should documentation be recorded?

Immediately after care is given

What should a nursing assistant do if he spills a substance on his body?

Immediately wash the area using the proper cleaning agent

Rheumatoid arthritis is an autoimmune illness. With an autoimmune illness, the body's ______ system attacks normal tissue.

Immune

A normal age-related change for the immune and lymphatic systems is the

Immune system weakens

Where is the best place to dispose of sharps?

In a puncture-proof biohazard container

When should anti-embolic stockings be applied?

In the morning

Which of the following statements is true of a high-Fowler's position?

In this position, a resident is sitting nearly straight up.

A sitz bath is used to

Increase blood flow to pelvic area

Lack of sleep can cause

Increased irritability

Benefits of regular activity and exercise for the endocrine system include

Increased metabolism

In a healthcare facility, codes are used to

Inform staff of emergencies without alarming residents and visitors

A cover letter should include

Information on why you are seeking the job and why you are qualified for it

Which of the following is a task that nursing assistants do not perform?

Inserting tubes into a resident's body

The method used to insert an artificial airway is called

Intubation

Which of the following is an ombudsman's responsibility?

Investigating and resolving resident complaints

The most common form of anemia is

Iron-deficiency anemia

Signs of constipation include

Irritability

An object can be called clean if

It has not been contaminated with pathogens

Why is disposable equipment used in healthcare facilities?

It prevents the spread of microorganisms.

How does moisture affect warm and cold applications?

It strengthens their effects.

Elastic bandages are commonly used to

Keep dressings in place

When caring for residents who have IVs, a nursing assistant should

Keep the IV site dry

An example of ethical behavior by a nursing assistant is

Keeping a resident's information confidential

One example of professional behavior by nursing assistants when working with residents is

Keeping all resident information confidential

Which of the following is part of proper personal grooming by a nursing assistant?

Keeping hair neatly tied back away from the face

Guidelines for the nursing assistant to give proper catheter care include

Keeping the genital area clean to prevent infection

People who have diabetes may have ______, chemical substance(s) produced when the body burns fat for energy or fuel, in their urine.

Ketones

______ is an artificial means of removing the body's waste products.

Kidney dialysis

Which of the following is true of sexual needs in the elderly?

Lack of privacy in a facility can affect sexual activity.

Which of the following is true of sleep?

Lack of sleep can cause decreased mental function.

A resident who is edentulous

Lacks teeth

A person with ______ TB infection does not show symptoms and cannot infect others; a person with TB ______ shows symptoms of the illness and can spread it to others.

Latent, disease

If a resident with AD has problems with dressing, the nursing assistant should

Lay out clothes in the order they should be put on

Which of the following is an example of positive nonverbal communication by a nursing assistant?

Leaning forward to listen as a resident talks about her day

When leaving a resident's room, a nursing assistant should

Leave the unit tidy

Which of the following is a function of the bones?

Lending support to body structures

One dietary habit that a nursing assistant can encourage to help residents sleep better is

Limiting caffeine intake

One way for nursing assistants to help meet the psychosocial and spiritual needs of a dying resident is to

Listen more, talk less

Which of the following is an example of appropriate behavior by a nursing assistant with a resident's family?

Listening to the family's concerns and fears and responding with a meaningful message

When using the computer at work, a nursing assistant should

Log off the computer when she is finished using it

Which of the following can a nursing assistant do if poisoning is suspected?

Look for a container that will help him find out what the resident took or ate.

Which of the following is a sign of approaching death?

Low blood pressure

Which of the following is a function of the endocrine system?

Maintains blood sugar levels

Which of the following is true of mechanical lifts?

Mechanical lifts help prevent injury to the body.

_____ is a medical assistance program for people who have low income or disabilities.

Medicaid

_____ is a federal health insurance program for people who are 65 years of age or older or people of any age with permanent kidney failure or certain disabilities.

Medicare

Which of the following is a common set of treatments for anxiety disorders?

Medication and psychotherapy

Treatment for seizures includes

Medication or surgery

Hygiene is

Methods of keeping the body clean

Which of the following is considered a sign of abuse?

Missing teeth or hair

A person who has a body mass index (BMI) of 40 or higher is considered

Morbidly obese

Abduction is

Moving a body part away from the body

Which of the following would be considered an incident?

Ms. Martin falls in the bathroom but seems uninjured.

Common symptoms of a fever include

Muscle aches

Normal age-related changes for the musculoskeletal system include

Muscles weaken and lose tone

A resident who has a restrict fluids order

Must limit the daily amount of fluids consumed to a level set by the doctor

An example of active listening is

NA focusing on the resident and providing feedback

Which of the following statements is true of positioning?

NAs should check residents' skin each time they are repositioned.

Which of the following is a guideline for assisting with bowel retraining?

NAs should encourage residents to drink plenty of fluids.

Residents with the abbreviation _____ on their diet cards cannot have anything to eat or drink by mouth.

NPO

Which of the following is a flammable liquid?

Nail polish remover

A tube that is inserted into the nose, through the esophagus, and into the stomach for feeding is called a(n)

Nasogastric tube

Jenna knows that Mr. Warren, one of her residents, is very excited about an upcoming visit from his daughter. She takes a little extra time to help him get ready and tells him how good he looks. Which kind of need is Jenna helping her resident to meet?

Need for self-esteem

Subacute care is for residents who

Need more care than most long-term care facilities provide

Residents with congestive heart failure may

Need to do range of motion exercises to improve muscle tone

The basic working unit of the nervous system is the

Neuron

Immunity that protects the body from disease in general and is the first line of defense against invading bacteria or organisms is called:

Nonspecific immunity

When a resident is suspected of having a heart attack, a nursing assistant should

Not give the resident food or fluids

Which of the following is a normal age-related change for the male reproductive system?

Number and capability of sperm decreases.

How many links in the chain of infection must be broken to prevent infection?

One

Strategies for better communication with residents who have AD include

Only talking about one subject at a time, using simple, short sentences

Restraints may be used

Only with a doctor's order

The heart is an example of a(n) ______.

Organ

The tiny bones within the middle ear that pick up vibrations and send impulses to the brain are the

Ossicles

With whom may a nursing assistant share a resident's health information?

Other care team members

A nursing assistant can share information about residents with

Other members of the care team

Why does working with oxygen require special safety precautions?

Oxygen is a dangerous fire hazard.

Which of the following statements is true of osteoarthritis?

Pain and stiffness increase in cold or damp weather.

Which of the following statements is true of pain?

Pain is a different experience for each person.

The first sign of skin breakdown is

Pale, white, reddened, or purple skin

______ is the loss of function of the lower body and legs.

Paraplegia

Why is respiration rate usually counted directly after taking the pulse rate, while the fingers are still on the wrist?

People may breathe more quickly if they know they are being observed.

Which of the following statements is true of restraints?

People tend to respond better to restraint alternatives than to restraints.

A person who is mentally healthy

Performs well in professional settings

Which of the following should be washed every day?

Perineum

The most common type of peripheral vascular disease (PVD) is

Peripheral arterial disease (PAD)

The ______ gland is known as the master gland because it controls the hormone production of other glands.

Pituitary

When using a transfer belt, the nursing assistant should

Place it around a resident's waist

What can an overbed table be used for?

Placement of meals

About 55% of blood is made up of _______.

Plasma

One way for a nursing assistant to make a positive first impression on a new resident is to

Prepare his room before his arrival so that he feels expected and welcome

Which of the following statements is true of pressure ulcers?

Pressure ulcers can lead to life-threatening infections.

In which type of nursing care does the registered nurse give much of the daily care to the residents?

Primary nursing

Diabetes can lead to which of the following complications?

Problems with circulation

When a resident is confused, the nursing assistant should

Provide a quiet environment

When a resident with AD pillages and hoards, the nursing assistant should

Provide a rummage drawer

If a nursing assistant encounters a resident in a sexual situation, she should

Provide privacy and leave the room

What might a nursing assistant do for a resident with a tracheostomy?

Provide skin care to the site around the tube

Guidelines for the NA for rehabilitation and restorative care include

Providing plenty of privacy to avoid distractions and embarrassment

Which of the following behaviors promotes Residents' Rights?

Providing privacy during all care procedures

Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse?

Psychological abuse

The ______ is the circular opening which dilates and constricts to adjust the amount of light coming into the eye.

Pupil

Which of the following is part of using proper body mechanics?

Pushing when possible, rather than lifting

Which of the following is the proper order to don personal protective equipment (PPE)?

Put on gown, mask, goggles, and gloves

The most common site that is used for measuring pulse rate is the

Radial pulse

A diabetic resident should

Receive careful foot care

Which method of taking temperature is considered to be the most accurate?

Rectal

The function of insulin is to

Regulate the amount of glucose available to the cells for metabolism

If a nursing assistant sees a resident being sexually abused, she should

Remove the resident from the situation immediately and report it to the nurse

If a nursing assistant sees or suspects that a resident is being abused, he must

Report it at once to his supervisor

One of the nursing assistant's responsibilities regarding eczema is

Reporting signs of infection

Which of the following is true of a resident who is dying?

Residents should be fed slowly to help prevent choking and aspiration.

The residents with the longest average stay in long-term care facilities are

Residents who are developmentally disabled

Which of the following statements is true of spiritual needs?

Residents will have different spiritual needs and beliefs.

Which of the following statements is true?

Residents' hair should be handled gently because hair can be pulled out when combing or brushing it.

If a resident's religious beliefs are different from a nursing assistant's beliefs, the nursing assistant should

Respect the resident's beliefs

When a person's breathing stops, it is called

Respiratory arrest

One way for an NA to have a positive relationship with a resident's family and friends is to

Respond immediately when the resident calls for help

If a resident is difficult to understand, a nursing assistant should

Restate what the resident is saying in her own words to find out if she has understood

Which of the following is a condition that increases the risk of pressure ulcers?

Restricted mobility

Which of the following is the best way for a nursing assistant to keep residents' health information confidential?

Return charts to their proper place after use

The main part of a word that gives it meaning is the

Root

A _______ urine specimen can be collected any time the resident voids.

Routine

Which of the following is the highest priority for nursing assistants when bathing residents?

Safety

Guidelines for serving meal trays include

Saying positive things about the food being served

If a resident with AD has problems with bathing, the nursing assistant should

Schedule bathing when the resident is least agitated

After an amputation, a resident may experience phantom sensation. Phantom sensation is

Sensation where the limb existed

Which of the following is a function of the nervous system?

Senses and interprets information from outside the body

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

Serving favorite foods

A nursing assistant can respond to sundowning by

Setting a bedtime routine and keeping it

Droplets normally do not travel more than

Six feet

Which of the following types of muscle is a voluntary muscle?

Skeletal muscle

Which of the following statements is true of Alzheimer's disease (AD)?

Skills a person has used over a lifetime are usually kept longer.

Which of the following is a normal age-related change of the integumentary system?

Skin becomes thinner and more fragile.

A symptom of fluid overload is

Skin that appears tight, smooth, and shiny

Which of the following is an example of nonverbal communication by a nursing assistant?

Smiling at a new resident

Which of the following statements about mealtime is true?

Social interaction is an important part of mealtime.

If a nursing assistant encourages a resident to play cards with friends, what kind of wellness is she promoting?

Social wellness

A ________ diet restricts or eliminates foods that are hard to chew and swallow.

Soft or mechanical soft

A resident with AIDS who has an infection of the mouth may need to eat food that is

Soft or pureed

Normal age-related changes for the nervous system include the following:

Some memory loss occurs

The ______ is/are part of the peripheral nervous system.

Spinal nerves

The best position for bowel elimination is

Squatting and leaning forward

What is one possible negative result of the functional nursing style of care?

Staff may overlook changes in a resident's condition.

The best position for men to urinate is

Standing

When helping a visually-impaired resident walk, where should the nursing assistant be?

Standing slightly in front of the resident

When a resident uses a cane, walker, or crutches, the nursing assistant should

Stay on the resident's weaker side

If a resident with AD becomes violent, the NA should

Step out of the way and remove triggers if possible

A(n) ______ catheter is inserted to drain urine present in the bladder and is removed immediately after urine is drained.

Straight

In which position is a resident if he is lying flat on his back with his head and shoulders supported by a pillow?

Supine position

Which of the following is a function of the respiratory system?

Supplies oxygen to body cells

The key treatment for malignant tumors of the skin, breast, and colon is

Surgery

A(n) _____ bed is made so that it can easily accept residents who must return to bed on stretchers or gurneys.

Surgical

The _____ blood pressure is the top number in a blood pressure reading, while the _____ is the bottom number.

Systolic, diastolic

Which of the following senses is not used in making observations?

Taste

If a nursing assistant is unable to obtain a proper reading of a resident's vital signs, she should

Tell the nurse

What is a nursing assistant's responsibility during an in-house transfer of a resident?

The NA packs all of the resident's belongings.

What would be the best response by a nursing assistant if a surveyor asks her a question?

The NA should answer honestly and to the best of her ability.

Which of the following is a care guideline for residents recovering from a CVA?

The NA should assist with ambulation to prevent falls.

Which of the following is a guideline for safely using a wheelchair?

The NA should check that the resident's hips are positioned at the very back of the chair.

Which of the following would be the best response by a nursing assistant if a resident is demonstrating inappropriate sexual behavior?

The NA should distract the resident or direct her to a private area.

Which of the following is true of bladder retraining?

The NA should encourage the resident to drink plenty of fluids even if incontinence is a problem.

Which of the following is the best example of how a nursing assistant should communicate with an anxious resident?

The NA should gently ask the resident what is bothering him.

Which of the following is a guideline for safe diabetic foot care?

The NA should inspect and clean the resident's feet every day.

Which of the following is a good idea for a nursing assistant who is communicating with a resident who has cancer?

The NA should listen to the resident if he feels like talking.

Which of the following guidelines is true of working around oxygen equipment?

The NA should not allow open flames around oxygen.

Which of the following statements is true of how a nursing assistant should care for a resident with a telemetry pack?

The NA should not get the unit, pads, or electrodes wet.

A resident has purchased a special gift for her nursing assistant (NA). Which of the following would be the best response by the nursing assistant?

The NA should refuse the gift but thank the resident for thinking of her.

A resident has been acting a little strangely lately. She gets upset very easily, and her eyes are always red. She does not eat much, and sometimes the nursing assistant can smell alcohol on her breath, even in the morning. What should the nursing assistant do?

The NA should report her observations to the nurse.

Which of the following would be the best response by the nursing assistant if a resident wants to leave a facility against medical advice (AMA)?

The NA should report to the charge nurse.

Which of the following would be the best response by a nursing assistant if he forgets how to perform a procedure?

The NA should review the steps of the procedure in the procedure manual.

Which of the following is a good way for a nursing assistant to care for a mentally ill resident?

The NA should support the resident and his or her family and friends.

Which of the following is the best way for a nursing assistant to communicate with a resident who is depressed?

The NA should use body language that shows interest.

How will a nursing assistant measure the height of a resident who cannot get out of bed?

The NA will use a tape measure.

Which of the following statements is true of job applications?

The applicant should write N/A for questions that do not apply to him.

Which of the following statements is true of chest tubes?

The chest drainage must be observed for amount and color.

In which part of the body do fungal infections often occur?

The groin

A normal age-related change for the circulatory system is

The heart pumps less efficiently

Why must an employer perform a criminal background check on new aides hired?

The law requires it for the protection of residents.

The chain of command is

The line of authority in a facility

Which of the following is a physical need?

The need to be free from pain

Which member of the care team assesses residents, monitors progress, and gives treatments and medication?

The nurse

Which member of the care team has the most direct contact with the residents?

The nursing assistant

Which of the following is the best example of how a nursing assistant is demonstrating that she is dependable?

The nursing assistant avoids excessive absences from work.

How can a nursing assistant help a resident who has a developmental disability?

The nursing assistant can break tasks into smaller steps.

Which of the following is a step taken when a nursing assistant is suspected of abuse?

The nursing assistant is suspended immediately and an investigation is completed.

Which of the following statements is true of taking rectal temperatures?

The nursing assistant must hold on to the thermometer at all times while taking a rectal temperature.

What is the nursing assistant's role in care planning?

The nursing assistant shares observations that may affect the care plan.

Which of the following is a guideline for dealing with urinary incontinence?

The nursing assistant should change wet or soiled linens or incontinence briefs immediately.

Which of the following is true of giving a complete bed bath?

The nursing assistant should place a towel or bed pad under the part of the body that is being washed.

Which of the following statements is true of a nursing assistant's role in restorative care?

The nursing assistant should recognize that setbacks occur and be reassuring.

Which of the following is a nursing assistant's responsibility regarding traction?

The nursing assistant should report to the nurse if the weights move.

In which of the following situations should a nursing assistant give abdominal thrusts to someone?

The person cannot speak, cough, or breathe.

Under which of the following conditions should a nursing assistant not take an oral temperature on a person?

The person is confused or disoriented.

A full weight-bearing order for a resident with a total hip replacement means that

The resident can bear full weight on both legs

Why might a resident need emotional support during a physical exam?

The resident may fear what the examiner will find.

Which of the following issues regarding rehabilitation and restorative care should be reported to the nurse?

The resident shows signs of depression

The amount that Medicare and Medicaid will pay long-term care facilities for services is based on

The resident's need upon admission and throughout his stay

When transferring a resident who has a weak side

The stronger side moves first

What is transcultural nursing?

The study of various cultures with the goal of providing care specific to each

What does a resident's code status indicate?

The type of care that should be provided in the event of a cardiac arrest or other catastrophic failure

Which of the following statements is true of hepatitis B (HBV)?

The vaccine for HBV helps prevent the disease.

Holistic care focuses on

The whole person, including physical, mental, and social well-being

Cultural diversity has to do with

The wide variety of people throughout the world

How should a standard bedpan be positioned?

The wider end should be aligned with the resident's buttocks.

Which of the following is true of Transmission-Based Precautions?

They are practiced in addition to Standard Precautions.

Which of the following is a reason that new residents may have trouble adjusting to life in a healthcare facility?

They have had to leave their home.

Which of the following statements is true of criminal laws?

They protect society from harmful people or organizations.

How should residents in isolation be treated?

They should be listened to and encouraged to share their feelings and concerns.

What is the best way to control methicillin-resistant Staphylococcus aureus (MRSA)?

Through proper handwashing

What is the function of an artificial airway?

To keep the airway open for the lungs to perform air exchange

What is one responsibility of the Occupational Safety and Health Administration (OSHA)?

To make rules to protect workers from hazards on the job

Which of the following is an example of a plant-based protein?

Tofu

Which of the following is one of the functions that the circulatory system performs?

Transports oxygen, nutrients, and hormones to cells

Standard Precautions means

Treating all blood, body fluids, and mucous membranes as if they were infected

If a resident becomes combative, a nursing assistant should

Try to find out what triggered the behavior

Mr. Reynosa has a doctor's order for Epsom salts additives during bathing. What kind of bath would be most appropriate for him?

Tub bath

How much notice should a nursing assistant give when changing jobs?

Two weeks

Which of the following thermometers is used to measure temperature in the ear?

Tympanic thermometer

The most common form of diabetes is

Type 2 diabetes

Fluids are encouraged for residents who have had a total knee replacement to help prevent

Urinary tract infections

If a resident's native language is different from the nursing assistant's, the nursing assistant should

Use an interpreter to translate the message

One way for a nursing assistant to help a resident with AD with eating is to

Use dishes without a pattern and a simple place setting

One way that an NA can promote independence for a resident with special needs is to

Use physical and verbal cues

Which of the following is a care guideline for visual impairments?

Use the face of an imaginary clock as a guide to explain position of objects in the room.

One-way for a nursing assistant to communicate effectively with a visually-impaired resident is to

Use the face of an imaginary clock to explain the position of objects

Alternate communication methods for a resident with an artificial airway include

Using communication boards

Which of the following is a normal age-related change for the female reproductive system?

Vaginal walls become drier and thinner.

A code of ethics revolves around

Valuing residents and giving ethical care

Which type of vegetarian diet eliminates all poultry, meats, fish, eggs, and dairy products, along with foods that contain these products?

Vegan diet

According to the USDA's MyPlate icon, which food groups should make up at least half of a person's plate?

Vegetables and fruits

What is another term for urinating?

Voiding

A general rule for bathing a person is

Wash from cleanest to dirtiest

Before a nursing assistant leaves a dirty utility room, what must she do to avoid transferring pathogens to other areas of the facility?

Wash her hands

The most important thing a nursing assistant can do to prevent the spread of disease is to

Wash her hands

Hand hygiene is

Washing hands with either plain or antiseptic soap and water or using alcohol-based hand rubs

When is it appropriate for nursing assistants to use medical terminology?

When communicating with the care team

A nursing assistant should give nail care

When she is bathing a resident

A nursing assistant's responsibility for the resident during discharge ends

When the vehicle's doors are closed

When is a resident with cancer most likely to suffer from nausea, vomiting, diarrhea, hair loss, and decreased resistance to infection?

When undergoing chemotherapy

Which of the following examples demonstrates a holistic approach to care?

While Claire is giving Ms. Potter a bath, she asks her how her day has been and listens carefully.

According to MyPlate, what should half of the grains a person consumes be?

Whole

When providing perineal care for a female resident, the nursing assistant should

Wipe from front to back

With whom should a nursing assistant use Standard Precautions?

With every resident in his care

How should an artificial eye be cleaned?

With water

Where should the call light be placed when a nursing assistant leaves a resident's room?

Within the resident's reach

Mrs. Levine, a resident, prays about her terminal illness. She promises God that she will make peace with her sister, whom she has not seen in 20 years, if she is allowed to live. Which stage of grief is Mrs. Levine going through?

Bargaining

The branch of medicine that deals with the prevention and treatment of obesity is

Bariatrics

Which of the following is a typical task that nursing assistants perform?

Bathing a resident

How can a nursing assistant help make discharge easier for a resident?

Be positive and reassuring about the change

Why is it important to consider a resident's cultural background when communicating with him or her?

Because cultural background helps determine how people communicate and can help the NA communicate better with the resident.

Why must a nursing assistant be concerned about privacy if documentation is done on a computer?

Because the information is confidential and someone who is not part of the care team might see the screen.

Why would a resident be in isolation?

Because the resident requires Transmission-Based Precautions

When should a nursing assistant identify a resident?

Before helping with feeding

One way to use proper body mechanics on the job is to

Bend at the knees to lift something

A pulse oximeter measures

Blood oxygen level

Which of the following is considered a vital sign?

Body temperature

Residents with COPD have trouble with

Breathing

Which of the following needs to be reported to the nurse?

Burning or pressure when urinating

What is one way that the human immunodeficiency virus (HIV) is spread?

By contact with an infected person's blood

Which of the following is an example of a correct way to write a blood pressure reading?

120/75

Which of the following shows the correct conversion of 7:45 p.m. to military time?

1945 hours

A policy is

A course of action that should be taken every time a certain situation occurs

To hold oneself accountable means to

Admit mistakes and apologize for them

The first two steps in approaching an emergency are

Assess the situation and the victim

If a resident drinks four ounces of water with a meal, how many milliliters (mL) has he consumed?

120

Which of the following shows the correct conversion of 1330 to regular time?

1:30 p.m.

A pressure ulcer with partial-thickness skin loss that looks like a blister or shallow crater is a stage ______ pressure ulcer.

2

At least every _____ hours, a restraint must be removed and care must be provided.

2

Warm or cold applications should generally be applied for

20 minutes

A nursing assistant must usually take the state test within ______ months after training.

24

A resident should be offered a bedpan, urinal, or trip to the bathroom about ______ minutes after fluids are consumed.

30

To convert ounces to milliliters, the nursing assistant should multiply by

30

How many feet does a quad cane have?

4

If a person's breathing and heartbeat stop, brain damage can occur within ______ minutes.

4-6

The normal pulse rate for adults is

60 to 100 beats per minute

A healthy person needs to consume at least _____ ounces of fluid each day.

64

What is the minimum number of hours of nursing assistant training that is required by OBRA?

75 hours

After a total hip replacement, the hip cannot be bent or flexed more than ______ degrees.

90

At which angle should residents be positioned for eating?

90 degrees

Which of the following is the normal temperature range for the oral method?

97.6 - 99.6 degrees F

Which of the following is the best example of using proper telephone etiquette at work?

"Good afternoon, Hartman Skilled Care Facility, Brenda Johnson speaking."

Which of the following is an example of objective information?

"Mr. Castillo's blood pressure is 115/68."

Which of the following is an example of subjective information?

"Mrs. Parker says she is dizzy."

Which of these statements is an example of constructive feedback?

"You really need to remember to speak kindly to the residents, even when you're having a hard day."

According to MyPlate, a person should choose dairy products that contain

1% fat

Which of the following blood pressure readings falls within the normal range?

119/75

The federal government requires ______ hours of continuing education for nursing assistants each year.

12

There are _____ inches in a foot.

12

When does menopause occur in females?

12 months after a woman's last menstrual period

The normal respiration rate for adults is

12-20 breaths per minute

The medical term for chest pain, pressure, or discomfort is

Angina pectoris

How often must oral care be provided for residents?

At least twice a day

Weakening, wasting away, and decrease in size of a muscle is called

Atrophy

If a nursing assistant sees a call light for a resident who is not assigned to her, she should

Answer the call light

Under what conditions should a nursing assistant complete an incident report if he is injured on the job?

Any time he is injured on the job

Oxygen-rich blood is pumped from the left ventricle via the

Aorta

Signs and symptoms of clinical depression include

Apathy

Which of the following is a correct response to a nosebleed?

Apply pressure near the bridge of the nose

The primary risk for unconscious residents is

Aspiration

Which of the following is the first step in the nursing process?

Assessment

One way to make dining enjoyable for residents is to

Assist residents with toileting before meals

Residents in _____ are usually more independent and do not need skilled care.

Assisted living facilities

When washing hands, a nursing assistant should use friction for

At least 20 seconds

How many hours of training does OBRA require for nursing assistants?

At least 75 hours

Problems affecting nutritional intake among the elderly and chronically ill include

Ability to smell and taste food and drink decreases as people age

__________ means purposefully causing physical, mental, emotional, or financial pain or injury to someone.

Abuse

A terminally ill resident, John Castillo, visits with his family. He discusses his funeral arrangements with them. He lets them know that he is concerned about their well-being after he is gone. He says he wants to spend as much time as possible with them before he dies. Mr. Castillo is going through the ________ stage of grief.

Acceptance

Negligence is

Actions or the failure to act or give care to a person, resulting in unintended injury

A legal document that allows a person to decide what kind of medical care he wishes to have if he is unable to make those decisions himself is called a(n)

Advance directive

One way for a nursing assistant to be respectful to a resident in his room is to

Always knock and wait for permission before entering the room

Which of the following statements about observing mentally ill residents is true?

An NA needs to report changes in mood.

A resident who is at risk for pressure ulcers may have

An alternating pressure mattress

Which of the following is an example of a prosthesis?

An artificial arm to replace an arm that has been lost

A sentinel event is

An occurrence involving death or serious injury

A susceptible host is

An uninfected person who could get sick

Ms. Fleming, a resident who has recently been diagnosed with terminal cancer, has accused the nursing assistants in her unit of taking poor care of her and causing her disease. In which stage of grief is Ms. Fleming?

Anger


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FIN 3603 Mid Term - CONCEPTIUAL QUESTIONS

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