CNA Final
A client is being admitted to a long-term care facility from the assisted-living facility where he lived for several years. Which greeting is most appropriate from the nursing assistant?
"Hello. I'm Amanda, and I'm a nursing assistant here."
The nursing assistant is helping the resident sit up for breakfast and notes that the resident is grimacing and groaning during movement. What question would be MOST appropriate at this time?
"How did you feel when I helped you sit up"
The resident has terminal cancer and has stated she does not wish to pursue aggressive treatment because she has suffered enough. The best response by the nursing assistant is:
"I respect your decision completely. I will be here to help you in any way that you need."
The nursing assistant is assisting a new resident with unpacking and completes the inventory sheet in the process. Which action should the nursing assistant prioritize while listing each item?
Describe each item objectively on the inventory sheet.
When the myocardium relaxes, allowing the chambers of the heart to fill with blood, this is called:
Diastole
A nursing assistant student on clinical notes one of the Registered Nurses has "DON" on her name tag. When questioned by her instructor, the student correctly explains the "DON" represents what?
Director of Nursing
The Term DNR stands for:
Do Not Resuscitate
The client has a wound infection and has been placed on Contact Precautions. The nursing assistant is allergic to latex. When providing care to this client, which action should the nursing assistant prioritize?
Don a gown when entering the room
You have been assigned to measure the vital signs of 10 patients in your unit. Mrs. Jones is found to have an irregular pulse after listing to her Apical heartrate. What is the term for an irregular heart rate?
Dysrhythmia
The nursing assistant instructor has explained the use of diagnosis related groups (DRG) The instructor determines the session is successful when the class correctly chooses which outcome from the increased use of DRGs?
Earlier discharge from the hospital
What is known to improve a person's chance of surviving cancer ?
Early detection and treatment of disease
Mrs. Jefferson is 93 years old and her sense of taste and smell is decreased. For which does this put Mrs. Jefferson at risk?
Eating spoiled food and getting food poisoning
Some nursing assistant students are practicing some of the skills they recently learned in class. What concept are they practicing as they focus on proper body mechanics?
Efficient movement and safe use of the body
What is an acceptable nursing assistant action when caring for a person infected with HIV/AIDS
Encourage the person to remain independent with activities of daily living (ADL) for as long as possible.
A resident who is hard of hearing frequently watches television with the volume up high. What is the best action of the nursing assistant in response to multiple complaints from neighboring residents?
Encourage the resident to use earphones or headphones when watching television.
The nursing assistant is caring for a client who has dementia. It has not been a good day. During a conversation, the client calls the assistant several foul names in a very mean tone of voice. Which way of dealing with this situation will be most effective?
Make sure that the client is safe and then walk away from the situation.
What should not be done when applying a restrain to a resident?
Make sure the resident is asleep
The nurse notes an 83-year-old female resident appears flushed and requests the nursing assistant check vital signs. Which conclusion would best explain an oral temperature of 99.8°F?
May be fighting an infection.
The nursing assistant is explaining about long-term care insurance to the son of an elderly client. Which factor should the nursing assistant point out to this son concerning this type of insurance?
May not be obtainable if the person has existing chronic medical conditions.
Mrs. Jones has breast cancer which has spread to her skeletal system. The term for this condition is______________________________.
Metastasis
A resident who has Clostridium difficileassociated diarrhea has been incontinent of stool since becoming infected. The nursing assistant is being particularly vigilant about handling the resident's soiled sheets and bedding, knowing the sheets and bedding constitute what component of the chain of infection?
Method of transmission
When questioned about the level of pain, a client responds "6." How should the nursing assistant interpret this response?
Moderate pain
The nursing assistant caring for Mr. Astle, who has heart failure with edema and skin breakdown, can expect to include in his daily cares, which nursing assistant action?
Monitoring intake and output
Bacteria may enter the body through which portals of entry?
Mouth Nose Cuts in the skin
The nursing assistant is preparing to lift a heavy object. Which action should be prioritized to create a solid base of support?
Move the feet apart, either by widening the stance or by placing one foot in front of the other.
The nursing assistant notes the wheels on a bed are unlocked. Which activity would the nursing assistant predict is about to happen?
Moving the bed to clean under it.
Droplet precautions are used when caring for people with diseases caused by pathogens that are transmitted by direct exposure to droplets released from the mouth or nose. Diseases caused by pathogens that can be transmitted in droplets include?
Mumps
The nursing assistant remains alert for signs that could indicate a resident is developing a problem. Which sign would the nursing assistant interpret that the resident's general health is good?
Nail beds are pink.
The nursing assistants are preparing for their first day at clinical. Which item(s) should the students prioritize to best demonstrate a professional appearance?
Name badge or photo ID visible
The nursing assistant is caring for a client who asks what the difference between aerobic and anaerobic bacteria is. Which response would be best for the nursing assistant to give?
Need for oxygen
Because a nursing assistant failed to reposition a client frequently, the client developed pressure ulcers. What violation of criminal law has the nursing assistant committed?
Neglect
A nursing assistant is conscious of residents' needs to maintain a sense of identity while under care. Which action by the nursing assistant will best illustrate this action?
Never referring to the person just as an illness, condition, or as a room number.
The nursing assistant has received instructions to prepare one of the clients for transfer to a subacute care unit. Which client would the nursing assistant predict is to be transferred?
Not well enough to go home, but not sick enough to be in a hospital room.
To promote understanding for a patient or resident who appears to be experiencing difficulty understanding, the nursing assistant should:
Noticing and reporting observations of changes in a client's or resident's condition
What observations made while assisting with mouth care would you report to the nurse?
Lips that are dry, cracked, swollen, or blistered Irritations, sores, or white patches in the mouth or on the tongue bleeding swelling, or redness of the gum
Hepatitis B is a viral disease of the:
Liver
The nursing assistant works hard to help each new resident adjust to moving into the long-term care facility. Which change can the nursing assistant point out that creates the most stress for these individuals?
Loss of independence
What does the word pulmonary refer to?
Lungs
The resident is to be positioned every 2 hours. The next scheduled position is the dorsal recumbent position. The resident will be positioned:
Lying on their back
The nursing assistant works in an emergency department at a hospital. What situation would increase the risk for workplace violence the most?
Parking lot with burned out light bulbs
The nursing assistant is caring for a hospital patient with liver disease. The patient's sclera is yellow. Which part of the patient's eye is affected?
Tough outer layer of the eye, made of connective tissue
30-year-old resident of a long-term facility lives with a spinal cord injury. Recently, the resident has been making unreasonable demands on the nursing assistant and berating her when she does not follow through quickly. What reasoning should the nursing assistant point out as most likely contributing to this behavior?
Trying to gain a sense of control over one's life
To promote understanding for a patient or resident who appears to be experiencing difficulty understanding, the nursing assistant should
Turn off the TV, check the person's hearing aid, and put his cleaned glasses in place
A new ambulatory client is scheduled for admission during the nursing assistant's shift. Which task should the nursing assistant complete before the client's arrival?
Turn the sheets back, lowers the bed to the lowest position, and locks the bed wheels.
The nursing assistant works mainly night shift and is diligent in maintaining an environment which will encourage proper sleeping for the residents. Which activity by the nursing assistant will best accomplish this goal?
Turning off lights in common areas, provided it is safe to do so.
During a busy shift, the nursing assistant accidentally left a resident's bed in an elevated position after performing morning care, an act that led to a fall and injury of the resident. What act ha this nursing assistant committed?
Unintentional Tort
The nursing assistant students are practicing their communication skills in the classroom. What question best demonstrates an open-ended question?
"Mr. Jones, when you were growing up, what was your favorite food?"
Mrs. Fisher has expressed frustration at frequently forgetting the nursing assistant's name. How should the nursing assistant respond to this unprecedented event?
"That's okay, Mrs. Fisher - we all forget sometimes. My name's Karen."
The nursing assistant is reporting a client's pain to the nurse. Which statement is most appropriate?
"The client in Room 400 is having throbbing pain in his knee that he rates at 8/10"
The nursing assistant is responsible for obtaining some of the data collected for the Minimum Data Set (MDS). What information will the nursing assistant most likely collect?
Resident's weight measurements
What factors may play a role in whether or not a person develops cancer?
-Inheritance ( Genes) -Lifestyle Choices; such as diet or exercise -Environment
You are measuring vital signs for all of the residents on your unit. What changes would you inform the nurse about?
Respirations 36, and labored
What is within the range of appropriate temperatures for bath water?
105 degrees Fahrenheit
A resident's medical chart contains information that the resident had a fall in his room at 2330 hours. According to the 12 -hour clock, when did this resident fall?
11:30pm
Hot foods must be kept at or above what temperature to avoid pathogen growth?
140 degrees Fahrenheit
A nurse asks you to place a patient i the semi-Fowler's position while his tube feeding is running. You know the head of the bed should be elevated:
30 Degrees
How many pairs of nerves are connected to the spinal cord?
31pairs
When providing catheter care, the catheter tubing is cleaned starting at the body and moving outward. The nursing assistant cleans how many inches of the catheter tubing?
4 inches
The normal value of an heart rate is:
60-100 beats per minute
Mr. Scott is on intake and output. The nursing assistant needs to calculate the fluid he has consumed for this meal. He drank and 8 ounce of coffee, 4 ounces of juice, 12 ounces of a milkshake. How many ml of fluid did he drink?
720 ml
Mrs. Song has consumed 3/4 of her meal, and drank 120 ml of apple juice, 240 ml of coffee, 90 ml of prune juice, and 236 ml of a carton of milk. What is the total percentage of food consumed, and total ounces of fluid consumed?
75% food consumed, 23 ounces fluid
Miss Lee drank one third of an 8-oz glass of iced tea. How many millimeters of fluid did Miss lee drink?
80ml
A bed that has the top linens fan-folded to the side has be prepared for what type of patients?
A patient who will be arriving by stretcher
A family is concerned about the care being provided to a family member who has been admitted to the local hospital following a broken hip. Which guidelines should the nursing assistant point out the hospital follows to protect all clients?
A Patient Care Partnership
A sheet of wood that is placed under the mattress for extra support is called:
A bed board
The nursing assistant assists several different residents at the facility. Which individual would the nursing assistant choose if asked which resident had a chronic disease?
A client who has diabetes
What is it called when a joint is held in one position for too long and the tendons shorten?
A contracture
One of your patients, Mrs. Smith, is leaving the hospital, and her son is going to pick her up. Before Mrs. Smith can be permitted to leave the premises, she must have:
A doctor's order for discharge
A group of nursing assistant students are contrasting the various names of medical professionals over the years. The group discovered that a "Family Doctor" of their grandparent's generation will most likely now be referred to as which name?
A general practitioner
What is a draw sheet?
A half-sized sheet that is placed over the middle of the bottom sheet and has varied used, including repositioning and lifting a person
Human immunodeficiency virus (HIV) can be transmitted through all of the following means except
A mosquito Bite
A nursing assistant is providing care for a resident who has dementia and has become incontinent of urine in recent weeks, although he remains independently mobile. Why should the nursing assistant promptly clean up any puddles of urine on the floor?
A puddle of urine on the floor is a falls risk.
Which one of the following must be present in order for infection to spread?
A susceptible host
You are caring for Mrs. Kane at her home, she has been diagnosed with Stage 3 Bowel Cancer. She is talking about her daughter's wedding, and states, " If I can just live until the wedding, then things will be ok." What stage of grief is she displaying?
Bargaining
The nursing assistant student is making the bed of a client. Which item should the student ensure is removed when finished?
Bath Blanket
Who likely has the greatest increased risk for becoming infected with human immunodeficiency virus (HIV)? A.) Sharon, an 18-year-old community college student, who has sex with her boyfriend without using a condom. B.) Roberta, a 36-year-old heroin user, who uses needles that she gets from a clean needle exchange program. C.) Daniel, a 46-year-old homosexual man, who uses condoms with his partner of 20 years, James. D.) Wanda, a nursing assistant who works in an inner-city hospital
A.) Sharon, an 18-year-old community college student, who has sex with her boyfriend without using a condom.
Routine tasks of daily life, such as bathing, eating and grooming is known as :
ADL's
Your patient has been diagnosed with Lung Cancer, and only has a few months to live. He has decided to look at his "Bucket List" and decides to schedule a trip with his good friends. What stage of grief is he experiencing?
Acceptance
The nursing assistant students are role-playing various behaviors common with dementia and how to address them. Which action would be most appropriate to role-play validation therapy?
Acknowledge the person's reality.
Which condition is caused by the secretion of too much growth hormone after a person has reached adulthood and results in excessive growth of the bones of the hands, feet, and face?
Acromegaly
Which endocrine gland secretes epinephrine? Fight Flight
Adrenal
A nursing assistant student is creating a poster illustrating proper body mechanics. How best will the nursing assistant depict the ABCs of Good Body Mechanics?
Alignment, balance, and coordinated movement
A client has middle-stage dementia and has begun wandering around the long-term care facility. How should the nursing assistant accommodate the client's behavior?
Allow her to wander, provided her safety and other residents' privacy can be ensured.
The Nursing Assistant is providing personal care the resident, Mrs. Jones. Mrs. Jones would like her hair washed. The nursing assistant notices the resident is wearing a wig due to hair loss and baldness. What condition does the resident have?
Alopecia
This is a disorder in which there is a loss of hair.
Alopecia
The nursing assistant is welcoming a new resident into a long-term care facility who is a little anxious about this move. When should the nursing assistant conclude this new environment is home for this individual?
Always
The nursing assistant instructor is wrapping up a lively discussion on the various aspects of dementia. The instructor determines the session is successful after the students correctly identify which as the most common type?
Alzheimer's disease
The blood clot in Mrs. Tom's leg has moved to her lungs. The nursing assistant knows that this blood clot that has moved from one place to another is referred to as:
An embolus
What is a bed that has a person in it called?
An occupied bed
Which person may need assistance moving and turning in bed?
An unconscious person
The nursing assistant assists residents in their daily activities. Which action should the nursing assistant prioritize to assist with controlling noise?
Answering phones and signal lights promptly
A new patient's Kardex indicates that she has a history of dysrhythmias. When assessing this patient's vital signs, which vital sign should the nursing assistant prioritize?
Apical Heart rate
Standardized form that is also a legal document used when applying for a job?
Application
The health care facility has a policy of prohibiting false nails, acrylics, and nail wraps when providing direct care for clients or residents. The nursing assistant can point out this policy is related to which primary reason?
Are breeding grounds for microbes
Why do the walls of the arteries contain more smooth muscle than those of the veins?
Arteries receive blood that is being pumped from the heart under great force and pressure
In the long term care setting, how should a resident's room look?
As home like as possible
Which step of the nursing process involves gathering information about a patient or resident?
Assessment
The Nursing Assistant threatens to slap the resident. The legal term for this action would be?
Assualt
When moving and positioning residents, you should:
Avoid friction and shearing Use good body mechanics Use pillows and rolled towels to maintain the position
The nursing assistant cares for an elderly female resident who uses various electrical appliances. Which action should the nursing assistant prioritize to ensure the resident's safety?
Avoid operating the equipment around water.
Which of the following could cause a decreased pulse rate?
Certain medications
The nursing assistant provides care for residents at the assisted-living facility where she works. The nursing assistant is diligent in her efforts to prevent which most common cause of infection?
Bacteria
Which statement about tumors is true? A.) "Tumor" is another word for cancer B.) A tumor is an abnormal growth of tissue C.) All tumors grow quickly D.) a benign tumor occurs when cancer cells spread from their original location in the body to a new location.
B.) A tumor is an abnormal growth of tissue
The nursing assistant instructor is constantly emphasizing the need to perform the lifts correctly. Which most common type of injury is the instructor trying to prevent?
Back injuries
This is a piece of equipment that is placed between the mattress and top sheet, to keep the linens from resting on a person's legs or feet.
Bed Cradle
The nursing assistant needs to lift a resident from the bed to a chair. Which actions should the nursing assistant do to avoid injury to oneself and the resident?
Bend at the knees and hold the person close to the center of your body.
A nursing assistant checked the client's identification prior to providing care, Which ethical concept is the nursing assistant prioritizing?
Beneficence
At what age does amyotrophic lateral sclerosis (ALS, Lou Gehrig's disease) usually strike?
Between the ages of 40 and 60 years
What may be a warning sign of colon cancer?
Blood in the stool
Miss Jane is recovering from the Norovirus. Her physician has ordered a full-liquid diet. What food would be expected on her lunch tray?
Bowl of beef broth, vegetable juice, egg custard, frozen yogurt.
How does the heart receive the oxygen and nutrients it needs to function?
By way of the coronary circulation
Mrs. Jones has just been diagnosed with Endometrial Cancer. Her response is "That's just impossible, they made a mistake in the lab." What stage of grief is Mrs. Jones displaying?
Denial
The nursing assistant enters a resident's room and notes the resident is on the floor in an awkward position. Which action will the nursing assistant prioritize?
Calling a nurse for help
Which condition is characterized by a gradual yellowing and hardening of the lens of the eye, and decreased vision.
Cataract
The nursing assistant just told a client, one of the residents with dementia, that it is time to go to bed, and the assistant is going to help her get into her pajamas. The client begins to scream and cry and cannot be consoled. What is the client experiencing?
Catastrophic reaction
The nursing assistant is conscious of the various regulations and standards which must be met to be complaint with federal regulations. Which agency would the nursing assistant point out is responsible for monitoring and ensuring the facility is meeting the required standards?
Centers for Medicare and Medicaid Services (CMS)
Which of the following list of food s that are good sources of carbohydrates?
Cereal, fruit, bread
Which component of the brain helps to coordinate the brain's commands to the muscles so that the muscles move smoothly and in an orderly fashion?
Cerebellum
A stroke is also known as:
Cerebrovascular Accident (CVA)
An elderly male is unable to make decisions for himself and is being placed in a nursing home. The daughter is out of the country for the next 6 months and will be returning to a different part of the country. The daughter has requested that when she returns, the elderly male be moved to a nursing home where she lives. She has also expressed concerns about the many changes her father would experience with the changes in living environments. Which facility should the nursing assistant point out will be the best for this elderly man?
Chain with a facility in the daughter's home town
Mrs. Cromwell is having chemotherapy as part of her cancer treatment, and her hair has started to fall out in large clumps. What is true about Mrs. Cromwell's hair loss?
Chemotherapy works by killing cells that divide rapidly, such as hair follicles
A group of nursing assistant students are studying for an exam on legal issues. Which difference between civil and criminal laws should these students be prepared to point out?
Civil laws deal with relationships between individuals, whereas criminal laws relate to someone's relationship with society.
The perineum area is cleansed with a special cleansing wipe before collecting a
Clean Catch Urine Specimen
The nursing assistant is gathering the supplies to provide hand care for a resident. What is the best response from the nursing assistant when questioned by the resident why there is an orange stick?
Clean under the resident's nails.
The nurse notes the nursing assistant left a bed with the bedspread fully covering the bed. Which type of bed has the nursing assistant most likely prepared?
Closed
While in the hospital cafeteria two nursing assistants are overheard discussing a resident's recent health problems. Which ethical standard are these nursing assistants guilty of disregarding?
Confidentiality
What is it called when people have differences and they are unable to come to an agreement?
Conflict
A nursing assistant struggled while trying to transfer a resident to the bathroom and the resident almost fell down. The next time the resident needed to transfer, the nursing assistant made sure to ask for help from a colleague. The nursing assistant is demonstrating what quality?
Conscientiousness
Mr. Cooper is in the advanced stages of cancer and is in a great deal of pain. What side effect may be caused by the pain medication he is receiving?
Constipation
The nursing assistant is working in a nursing facility when the Director of Nursing announces a disaster has occurred in the area surrounding the facility and more information will be forthcoming. Which action should the nursing assistant prioritize at this time?
Continue to provide safe care to the residents.
Tuberculosis (TB) is caused by an airborne pathogen. THe pathogen that causes TB is spread when an infected person
Coughs Sneezes Speaks/Sings
Vest restraints are applied so the flaps:
Cross in the front
Mrs. Rowlings has developed facial hair, and pockets of fat have accumulated in her abdomen, on her back, and in her face. Which endocrine disorder does she most likely have?
Cushing's Syndrome
In this stage of grief, the patient feels an overwhelming sadness, want to be left alone, and have periods of crying. What stage of grief are they experiencing?
Depression
The resident who is hearing impaired turns on the call light system. What is the best response by the nursing assistant?
Responding to the call bell by going to the resident's room
Which one of the following can be used to treat and control pain? A.) Medications, such as aspirin, and morphine B.) Back Massage C.) Heat and cold compresses D.) All of the Above
D.) All of the Above
Which event can cause brain damage? A.)Near-Drowning B.)Drug Overdose C.)Choking D.)All of the above
D.) All of the above
The nursing team includes
DON, ADON, RN, LPN, CNA
The nursing assistant provides routine hair grooming for residents on a daily basis. Which actions will the nursing assistant prioritize in this process?
Daily brushing, combing, and styling
Sitting a person on the side of the bed is called:
Dangling
The nursing assistant will soon be caring for residents at a local long term care facility.What item should the nursing assistant avoid wearing while on duty?
Dangling earrings
The daughter of a new resident at the long-term care facility has been coming to the facility every day from morning until night, stating, "I just don't want her to be lonely." The daughter also takes the initiative to perform most of the resident's personal care. Some staff members are becoming exasperated by the daughter's behavior, but the nursing assistant should recognize which factor as probably motivating the daughter?
Daughter might feel guilty about putting her mother in long-term care.
The nursing assistant has provided care for numerous residents with Alzheimer's disease and has watched them move through the various stages. Which result would the nursing assistant expect of the late stage?
Death
Which age-related condition decreases the body's ability to control blood pressure and flow?
Decreased elasticity of the arteries and veins
Which phenomenon is considered an age-related change in vision?
Decreased tear production and a tendency toward dry eyes
The nursing assistant is preparing a resident for a cold pack to assist with pain relief. Which is the best response from the nursing assistant when questioned by the resident as to why a cold pack is being used?
Decreases the blood flow to the painful area
Which step of the nursing process involves checking the effectiveness of a nursing plan?
Evaluation
When assisting a person to move to the head of the bed, you should,
Face the head of the bed
What is the leading cause of accidental death among elderly people?
Falls
What can be harmful if too much is consumed?
Fat-Soluble Vitamins (Vitamins A,D,E,K
The resident has a fever of 102. The term used to describe the elevated temperature would be :
Febrile
Which of the following describes good standing posture when helping to reposition or transfer a person?
Feet 12 inches apart
What sign or symptom is likely to be seen in a person who has just been infected with human immunodeficiency virus (HIV)?
Fever
The most comfortable position for using a bedpan is
Fowler's Position
The nursing assistant is providing care for an elderly patient who was admitted to the hospital earlier this week due to a stroke that resulted in severe hemiplegia. Which intervention is the nursing assistant's highest priority in the care of this patient?
Frequent repositioning to prevent skin breakdown.
This occurs when two surfaces, such as a sheet and the person's skin, rub against each other. The rubbing action can cause injury and contribute to skin breakdown
Friction
In the course of a shift, one nurse is administering all the clients' medications while another nurse is conduction all of the necessary assessments. What does this best represent?
Functional nursing
Which component of the sensory system is responsible for the sense of touch, position, and pain?
General Sense
What is a good example of nonverbal communication?
Gently touching a patient on the shoulder to reassure her
A resident with dementia is undressing in the common room in front of other residents. Which response should the nursing assistant prioritize?
Gently, but firmly, lead the client back to her room and redirect her attention by introducing another activity.
The medical term used to describe inflammation of the gums, caused by poor oral hygiene.
Gingivitis
To delegate means to
Give another person permission to perform a task on your behalf
The nursing assistant is assisting a new resident settle into the room as the transition from living alone at home to now living in a long-term care facility takes place. What action should the nursing assistant prioritize with this resident to best establish a smooth transition?
Give the resident as much flexibility as possible around routines and schedules.
The nursing assistant is preparing heat packs for several clients. For which client should the nursing assistant exercise extra caution when applying the heat pack?
Has a decreased level of consciousness.
A new resident of the long-term care facility has been labeled as being grumpy by some staff members. Which factor should the nursing assistant recognize as most likely the cause for this behavior?
Has given up independence.
The nursing assistant notes one of the clients has been ordered to be placed in the Trendelenburg position. Which client would the nursing assistant predict to need this change?
Has low blood pressure and recently fainted.
The nursing assistant notes that an 82-year-old resident, who was recently admitted to the facility, is experiencing difficulty sleeping. Which factor would the nursing assistant predict is the main reason for this difficulty?
Has similar sleep needs to younger adults, but often has difficulty achieving sufficient sleep.
A resident has limited use of the fingers. Which type of clothes should the resident wear to help manage dressing and toileting with little or no assistance?
Have a Velcro fastener
A resident of a long-term care facility has arthritis, which greatly affects mobility. Which factor should the nursing assistant keep in mind while providing care?
Have good days and bad days
The nursing assistant student is investigating the various organizations in the community which might provide future employment. The student anticipates the organization will be in compliance with Occupational Safety and Health Administration (OSHA) standards which provide protection to which group?
Health Care Professionals, from on -the- job injuries
What is the significance of taking vital signs?
Heart rate Body Temperature Respiratory rate
Mrs. Wellington is blind. What should she have during meal time?
Help identifying the location of the food on the plate
The nursing assistant assists new residents as they are admitted to the unit. Which action should the nursing assistant prioritize during this process?
Help put the client at ease, unpack, and settle in.
The ultimate goal of discharge planning is to:
Help the person who is being discharged achieve his or her best level of health
A young resident of a long-term care facility admits feelings of isolation from family and peers. What option would be the best for the nursing assistant to utilize?
Help the resident stay involved in activities outside the facility whenever possible.
The nursing assistant is emptying the foley catheter bag, and notices the urine to have a presence of blood in the urine, This abnormal finding would be called:
Hematuria
A vaccination against which of the following bloodborne diseases is available?
Hepatitis B
What factor can affect a person's risk for developing cancer?
Heredity
One of your patients is being transferred to another unit in the hospital. What would you pack for him to take along?
His Personal Belongings
A nursing assistant was helping a colleague boost a resident up in bed and failed to raise the height of the bed to a comfortable level. The nursing assistant has now suffered a lower back injury due to bending at the waist to perform the action. What factor did the nursing assistant fail to properly consider
His or her awkward posture
When you are handling linens, always remember to:
Hold the linens away from your uniform and body
The Nursing Assistant is learning that health care should focus on the entire individual and not just the person's physical condition or disease. What approach will the nursing assistant prioritize when providing care?
Holistic
Throughout the grieving process, what is the one thing that usually persists?
Hope
A health care provider has informed the family of a resident that there is nothing more that can be done and recommends a transfer to a different health care organization. What organization will best suit this situation?
Hospice
An organization that cares only for people who are dying is a:
Hospice Organization
The nursing assistant observes the signs of early Alzheimer's disease in a person she is caring for. What sign most suggests approaching dementia?
Keeps losing common objects.
The nursing assistant is caring for a resident who has had a stroke. Which can cause a stroke?
Lack of blood flow to the brain that results in infarction
When caring for a person who is blind, which nursing assistant action is most appropriate?
Leave the door to the room either completely open or completely closed.
What danger is associated with a benign tumor?
Left untreated, it can enlarge and press on vital organs
A young client arrives on the unit and the nursing assistant obtains a blood pressure of 68/48 mm Hg. Which disorder will the nursing assistant predict this client has?
Hypotension
Body temperature, fluid balance, appetite, sleep cycles, and some of the emotions are controlled by which part of the brain?
Hypothalamus
The nursing assistant student is preparing a poster illustrating the Omnibus Budget Reconciliation Act (OBRA) of 1987. What goal should the student prioritize in the presentation when explaining the passage of this act?
Improve conditions for people in long-term facilities
A client, one of the residents, has just told the nursing assistant that he is the Secretary of Defense. How should the nursing assistant respond?
Let's go sit over here and you can tell me about what it was like to serve in the Army during World War II
When transferring a person from a bed to a stretcher, you should position the bed:
Level with the stretcher
The family of a new resident is questioning eligibility for Medicaid Assistance. What factor would the nursing assistant point out is the most important to determine eligibility?
Income
This tube is inserted into the bladder to provide continuous urinary drainage. The tube has a small balloon at the tip which is inflated to secure the tube into the bladder. What is the name of this catheter?
Indwelling Catheter
What do people who have AIDS usually die from?
Infections that their body can no longer fight off
What is otitis media?
Inflammation of the middle ear that is common in young children
A resident on bed rest has called for the nursing assistant to assist with using the bedpan. Where is the best place for the nursing assistant to locate the bedpan?
Inside the bedside table
The nurse tells the nursing assistant the client has an opportunistic microbe. Which factor will the nursing assistant use to best describe this microbe?
Is normal flora in one part of the body but can cause infection in another part of the body.
What statement best describes a malignant tumor?
It consist of abnormal cells that divide rapidly and are capable of spreading to nearby tissues and distant organs.
A resident in a long-term care facility needs toenails trimmed. Which health care worker is usually restricted from performing this task?
Nursing Assistant
Which regulations state that a resident's unit must be clean, safe, orderly and free of obstacles in the pathway?
OBRA Regulations
The resident is in a skilled nursing facility to recuperate following hip surgery. Which action by the nursing assistant will best help promote this resident's independence?
Obtaining a long-sleeved shoehorn to have the resident put on his or her own socks and shoes
The nursing assistant is employed in a hospital unit in which many of the clients have communicable infections. Which action should the nursing assistant prioritize to help ensure a strong and healthy immune system?
Obtains proper nutrition, adequate rest, and regular exercise.
Mrs. Worthington is receiving chemotherapy following surgery to remove a malignant tumor. Following each treatment, she is nauseous, and often vomits. What could you do to help Mrs. Worthington feel better?
Offer her ice chips, and report her nausea to the nurse
A client worked for five decades as a construction worker before retiring, but he has recently been diagnosed with Alzheimer's disease and moved to a care facility. The nursing assistant has entered his room to find him searching his bedside table and closet for his electric drill. What is the best response from the nursing assistant?
Offer to help the client find his drill even though it is not present
The nursing assistant works in a nursing home and attends the required in-service programs which provide information about resident care and any recent legislative changes. The nursing assistant can point out attending these programs are required by which legislation?
Omnibus Budget Reconciliation Act (OBRA)
The nursing assistant brings clean linens into the client's room and notes the over-bed tray has items on it. Where is the best place for the nursing assistant to place the clean linens?
On the back of a chair located in the room
When the pathogen E-Coli finds its way out of the intestines and into another part of the body where is it not normal flora, such as the bladder, it can cause an infection. These types of microbes are called________________________________.
Opportunistic Microbes
This type of urinary incontinence involves urinary retention, in which the bladder is too full of urine, and the bladder is unable to empty either completely during urination, or at all.
Overflow Incontinence
Mr.Wright has lung cancer, which has spread to his bones. The doctors have told Mr. Wright that his cancer is terminal and he has less than 6 months to live. What type of treatment will Mr. Wright receive until the end of his life?
Palliative
This is the treatment done with the goal of reducing pain and discomfort , not curing the disease
Palliative Care
Mr. Jones walks with a shuffling, leaning gait, and it is hard for him to stop suddenly once he has begun walking. He speaks very slowly, in a voice that does not vary in tone. He is losing the ability to move the small muscles of the face that are responsible for facial expression, giving his face a "mask-like" appearance. Which nervous disorder is Mr. Jones likely suffering from?
Parkinson's disease
Microbes which cause illness are commonly known as________________.
Pathogen
Mrs. James has been excessively scratching her scalp, and you notice on the shafts of her hair small nits, and visualize lice on her scalp at the base of the neck. What is the medical term for this condition?
Pediculosis Capitis
A long-term care facility has increased the number of beds that are dedicated to short-term admissions. What factor has led to an increased demand for these types of services?
People are often discharged from the hospital earlier than in the past.
The nursing assistant is beginning a new position on an Alzheimer's special care unit. Which main factor should the nursing assistant prioritize when providing care?
People with Alzheimer's disease should be approached in a calm, quiet manner.
The nursing assistant instructor is quizzing some nursing assistant students about the various signs one may observe in individuals with dementia. Which term will the students use to describe when an individual keeps doing the same thing over and over again?
Perseveration
An older person's heart is less strong than a younger person's heart. What effect does this have on an older person?
Person tires more easily
A group of nursing assistant students are reviewing the admission process as they prepare for a clinical rotation. Which health care team member should the students point out is responsible for initiating the process?
Physician
The nursing assistant is caring for a client who has been diagnosed with a parasitic infection. When questioned by the client about what type of infection, what example of a parasite would be correct?
Pinworm
The nursing assistant is helping the resident change a gown. Which action by the nursing assistant would be most appropriate to accommodate the resident's weak and stiff right arm?
Place the clean gown on the right arm first.
A person who cannot reposition himself independently is at risk for developing
Pressure ulcers Blood clots Pneumonia
A person with experience and skill in a specified role who is engaged in a specific occupation for pay or as a means of livelihood is referred to as a(n):
Professional
One of the daily challenges for a nursing assistant is controlling odors in the client or resident environment. Which action should the nursing assistant prioritize to best accomplish this?
Promptly removing and cleaning dirty emesis basins, urinals, bedpans, briefs, and linens
The nursing assistant is preparing to care for a resident and closes the privacy curtain. Which need is the nursing assistant most likely involved in
Providing personal care for the resident.
The nursing assistant is preparing to care for a resident and closes the privacy curtain. Which need is the nursing assistant most likely involved in?
Providing personal care for the resident.
As part of a resident's morning routine, the nursing assistant helps her apply anti-embolism (TED) stockings after morning care. These stocking are a preventative measure against which health problem?
Pulmonary Emboli
What is the primary role of the left ventricle of the heart?
Pumping oxygenated blood to the body
An injury to the spinal cord in the C-2 Cervical Spine can result in:
Quadraplegia
The nursing assistant instructor is preparing for a class session which will cover the various legislative acts. Which factor will the instructor point out as the main focus of OBRA?
Quality of life
The most common site for counting a pulse is
Radial Artery
Which term is used to describe the condition of a person who is no longer able to understand the meaning of words, following a stroke?
Receptive aphasia
What might a person who is HIV positive experience?
Recurrent Infections
Nursing Assistant graduates are beginning their new careers in a long-term care facility. These nursing assistants are expecting to be supervised by which individual?
Registered Nurse
Mrs. Diamond, who is notably hard of hearing, requests that the nursing assistant style her hair. Which should the nursing assistant do before performing this task?
Remove her hearing aid
The nursing assistant has just inserted Mrs. Moritz's in-the-ear hearing aid, and it is clear that she still cannot hear. Which should the nursing assistant do?
Remove the hearing aid and replace the batteries.
Restraints need a physician order. If a resident was ordered a restraint the nursing assistant would be responsible to do the following:
Remove the restraint at least every 2 hours
A client who has lower back pain is receiving a dry heat application in the form of an electric heating pad. When checking the client's skin, the nursing assistant notes that it is bright red. Which action should the nursing assistant prioritize in response?
Removing the heating pad and informing the nurse
The nursing assistant has been charged with abuse of a client. What action is the nursing assistant most likely being accused of?
Repetitively and consciously causing injury to another person
While assisting the resident to the bathroom, the nursing assistant notices that the resident is wheezing and that the resident's breathing is much faster than normal. What action should the nursing assistant prioritize at the time?
Report this observation to the nurse
The hospital patient has experienced increased pain over the past several hours. In the health care team's efforts to meet this patient's needs, which actions should the nursing assistant be prepared to complete?
Reposition the patient in bed to a more comfortable position
The nursing assistant is careful when providing foot care to the residents. Which resident will the nursing assistant be extremely cautious with when providing foot care?
Resident who has type 1 diabetes
The head of the mattress is raised so the person's head is higher than their feet, useful for people recovering from spinal cord injury, back surgery or who are in traction. This correct term for this position is?
Reverse Trendelenburg's Position
When you wash your hands you should
Rinse with your finger pointed down
The normal changes in the function of the nervous system that accompany aging can contribute to which problem?
Risk for falls
The nursing assistant is always diligent to respond promptly to a call light. Which need is the nursing assistant prioritizing by this action?
Safety
A long term care facility has been experiencing staff shortages and the supervisor is concerned for the staff. What action should the supervisor encourage the staff to take to prevent emotional burnout?
Schedule time for themselves
Mary is helping Mrs.Watkins to get out of bed when she becomes dizzy , loses balance, and falls. How should Mary report this accident?
She should tell the nurse about it and fill and fill out an incident report
This condition is caused by the nursing assistant pulling a person across a sheet or other surface that offers resistance during transfer or repositioning. The skin is dragged in a direction opposite that of the underlying tissues and muscles injuring the blood vessels and skin, starting the process of skin breakdown, this is known as:
Shearing
When recording information on a Medical Chart, what should you remember to do?
Sign or initial and date and time your entry, per facility policy
One of the residents, Mrs. Quimby, has just been diagnosed with cancer, and she is not taking the news well. She cries frequently and seems to have given up any hope of surviving. What can the nursing assistant do to help Mrs. Quimby?
Sit with Mrs. Quimby, hold her hand, and listen to her fears and concerns
The nursing assistant was on the elevator speaking untrue statements about a resident, The legal term for this action is?
Slander
While working a night shift, the nursing assistant notes that an obese client snores loudly and breathing occasionally stops for a few seconds at a time. Which condition might this client most likely be experiencing?
Sleep Apnea
A nursing assistant can promote his or her own physical health by doing all of the following except:
Smoking and drinking socially
Mr. Smith has been short of breath, ankle edema, and an elevated blood pressure. He has been ordered a special diet. What diet would his physician order for Mr. Smith's heart condition?
Sodium Restricted Diet
Why is a restraint used?
To protect the resident from harm, when all other alternatives have failed
What is the main function of the nervous system?
To receive, process, and respond to information
An elderly person with Alzheimer's disease is known to wander. Which long-term care unit would best suit this individual?
Special care unit for dementia
The nursing assistant is walking a client, suddenly loses balance, and begins to fall. What should the nursing assistant do first?
Stand behind the client and place arms around the client's torso, pulling the client close to his/her body.
A nursing assistant takes precautions with every patient to protect themselves from pathogens that are transmitted in blood and body fluids. This precaution is known as__________.
Standard Precautions
Which one of the following lists foods that are good sources of protein?
Steak, Chicken, fish
What is the artificial opening for a colostomy called?
Stoma
This condition causes inflammation of the mouth.
Stomatitis
This medication helps to keep fluid in the feces and are used to prevent constipation. Unlike laxatives, it does not chemically stimulate the intestines to cause a bowel movement.
Stool Softeners
This is the most common type of urinary incontinence, in which the patient experiences urine leaks from the bladder when the person coughs, sneezes, or exerts themselves. The medical term for this condition is:
Stress Incontinence
The nursing assistant cares for a client with middle-stage Alzheimer's disease. The nurse notices that the client becomes more agitated, restless, and confused in the late afternoon and evening. Which condition is the client demonstrating?
Sundowning
Hepatitis B virus (HBV), a bloodborne pathogen, can be found in all of the following body fluids except:
Sweat
It is a winter day with the air temperature below freezing. The elderly resident is having difficulty selecting clothes to wear for the day. Which is the best way for the nursing assistant to assist this resident in this process?
Sweater to place over any top
People diagnosed with epilepsy may not be allowed to engage in which activity?
Swimming and driving
his is a medical device which uses electrical impulses to help block the pain signals in the body:
TENS Unit ( Transcutaneous Electrical Nerve Stimulation)
If you do not know how to do a task assigned, the Nursing Assistant should:
Tell the charge nurse she is not familiar with the task and ask for assistance
A family member notices an "Oxygen in Use" sign on the resident's door and asks the nursing assistant why this is posted. What is the best response from the nursing assistant?
To warn clients or residents and visitors that extra precautions are needed.
In most states, people with AIDS are protected under which act?
The Americans with Disability Act
A family member of a client in an outpatient clinic asks a nursing assistant about the best nursing home for her mother. The nursing assistant is unfamiliar with the nursing homes in her community. What is the best response from the nursing assistant?
The Centers for Medicare and Medicaid Services or CMS posts survey results of nursing homes on the internet.
A couple of nursing assistants are busy in the utility room when a chemical is accidentally spilled. Which source should they consult to determine the best method for cleaning up this spill?
The Materials Safety Data Sheet (MSDS)
A nursing assistant has applied for a job at a long term care facility. The manager is checking to make sure the level of training is sufficient. Why will the manager prioritize this action?
The Requirements of the Omnibus Budget Reconciliation Act (OBRA)
The nursing assistant is providing care to several clients and notes a problem in one of the rooms. Which situation should the nursing assistant report to the nurse?
The head of the resident's bed will not lower.
An attorney has visited a nursing assistant class to explain various legal aspects of the law. The Nursing Assistant instructor determines the session is successful when the students correctly choose what example as litigation?
The lawsuit, or legal action, taken against a person who is accused of breaking the law.
The nervous system has two main divisions. What are they?
The nervous system has two main divisions. What are they?
The nursing assistant overhears several residents discussing the availability of a private room and wonders who will be moving into it. Which is the best response from the nursing assistant when questioned by the residents about the next occupant?
The next person on the waiting list.
Who is responsible for carrying out the actions prescribed by the discharge plan?
The nurse
A resident with dementia hits a nursing assistant and curses at her. The nursing assistant responds by hitting the resident. What are the potential consequences of this action by the nursing assistant?
The nursing assistant could lose his or her job and all chances of future employment in the health care field.
OBRA requires every state to maintain a Nursing Assistant Registry. The registry contains all of the following information with the exception of :
The nursing assistant's employment attendance record
In which situation would a seat belt on a wheelchair not be considered a restraint?
The patient or resident is able to unfasten the seat belt when ask her to
What is entrapment?
The person becomes trapped in the side rail an mattress
A resident has recently moved to the long-term care facility. What assessment finding indicates that the resident has a deficit in activities of daily living?
The resident is unable to bathe independently.
Who writes the orders on admission for a resident's diet, medications, level of activity, and type of room?
The resident's physician
The nursing assistant instructor is preparing for a class discussion covering the various aspects of professionalism. Whi definition should the instructor point out that best explains professionalism?
The sense of pride and satisfaction you feel as a result of setting high standards for your performance
The Omnibus Budget Reconciliation Act (OBRA) implemented many changes which are designed to protect everyone. Which change has accomplished the goal of decreasing injuries among the health care team?
The use of mechanical lifts to replace manual lifting
A resident has a health problem in which her body's metabolism is not functioning correctly. Which gland is most likely involved?
Thyroid
The Nursing Assistant is providing foot care for Mr. Salotti. His feet are dry and scaly, skin peeling, and itchy. He tells you he has "Athletes Foot." What is the medical term for this condition?
Tinea Pedis
The nursing assistant is conducting a tour of the special care unit for dementia residents which includes an outside courtyard with high fencing. When questioned by the visitors about the reason for this, which is the nursing assistant's best response?
To allow the residents to wander outside while still keeping them safe
What is the purpose of a screening test?
To detect cancer before the person develops noticeable signs and symptoms
What is the purpose of the valves in the heart?
To ensure that blood flows through the heart in only one direction
When moving a person yourself, and the person is wearing a transfer belt:
Use an underhand grasp to provide greater safety
To transfer a person correctly from a bed to a stretcher, you must:
Use good body mechanics
The nursing assistant is helping a person with dementia with activities of daily living (ADLs). What can the nursing assistant do to ensure that the process goes smoothly?
Use hand gestures in addition to spoken instructions to walk the person through the procedure.
What is the best way for a nursing assistant to protect themselves from HIV infection while on the job?
Use standard precautions consistently, with every person cared for.
The last few times the nursing assistant aided Mr. Haziz with bathing, the nursing assistant noticed that his lower legs were swollen, with a sore that does not seem to be healing. Which condition might Mr. Haziz have?
Venous (stasis) ulcers
The confused resident is newly admitted to a nursing home. Which technique should the nursing assistant utilize to assist with identification of the new resident?
Verifies the resident's appearance with a photograph
When assisting a person with eating, one of the first things you should do is:
Wash your hands and person's hands
The nursing assistant is helping a resident clean and disinfect any belongings to prevent a reinfection of head lice. Which method should be prioritized to treat the resident's clothing and bed linens?
Washed in very hot water
The nursing assistant is caring for a resident who has an active infection. Which object may now be a fomite and require appropriate handling?
Water glass that has been used by a client
The nursing assistant assists several male residents with shaving on a routine basis. Which guideline should the nursing assistant prioritize when assisting with this task?
Wear gloves when shaving a man because of the risk of contacting blood.
What technique would you use to move Rosemary, a 15 year old patient who has just had spinal surgery?
When hands have come in contact with blood or other body secretions
Mr. Lavin has angina pectoris. When will he likely experience chest pain?
When his heart muscle is not receiving enough oxygen
Discharge planning begins:
When the patient is admitted to the health care facility
When are bed linens changed?
When they become wet or soiled According to facility policy When they become excessively wrinkled
When are goggles a necessary part of PPE?
Whenever blood may splash or spray
An illness that is considered a terminal illness is:
acquired immunodeficiency syndrome (AIDS)
This is sharp, sudden, pain
acute pain
The nursing assistant wishes to make it easier to slide a bedpan under a patient. The nursing assistant should:
add a small amount of powder on the rim of the bedpan
The nursing assistant at a long-term care facility is preparing to admit a new resident. Which individual would the nursing assistant most likely admit?
Woman who is unable to perform her activities of daily living
The nursing assistant spots a small fire on the unit. What type of fuel is burning if the nursing assistant uses a water extinguisher to put it out?
Wood, paper, or cloth
The nursing assistant is gathering the necessary supplies to apply an ice pack to a client's knee. Which step should the nursing assistant prioritize to help prevent blistering of the client's skin during this process?
Wrapping the cold plastic or rubber bag in a protective cloth before applying to the skin.
An alert client is admitted to the hospital for treatment of a medical condition. The nursing assistant would anticipate consent was obtained for any testing and/or treatment through which option?
Written Consent Form
A cause of temporary urinary incontinence is:
a bladder infection
An advanced directive refers to:
a document noting a person's wishes regarding life-sustaining treatments.
The doctor suspects that the patient has a urinary tract infection. ( UTI) To confirm his suspicions, the doctor has prescribed:
a midstream ( clean catch) urine specimen
A person in the prone position is lying on his:
abdomen
A nursing assistant has noted that older people often take longer to react to things. This is a normal age-related change that is caused by the
amount of neurotransmitters and the amount of myelin decreasing with age.
The nursing assistant is caring for Mr. Smith, who has an indwelling catheter, and notices on his intake and output flowsheet, he has voided less than 100ml in 24 hours. The term to describe this condition is:
anuria
The nursing assistant, when disposing of the contents of the bedpan, notes the stool is black and has a tar-like appearance. The next action of the nursing assistant is to:
ask the nurse to assess the contents of the bedpan
The resident can get out of bed but cannot walk to the bathroom. The nursing assistant answered his call light, and the resident needs to have a bowel movement. The best equipment the nursing assistant should use to assist the resident is a
bedside commode
A nursing assistant can help meet a dying person's emotional needs by:
being a good listener.
What is the first thing you should do before assisting a person with a tub bath?
check the nursing care plan to make sure the person is allowed to have a tub bath
The nurse stated that the resident is dying. He has begun to perspire heavily, and skin felt cool and clammy. These observations indicate the resident:
circulatory system is failing
The nursing assistant is emptying a bedpan. On visual inspection, the nursing assistant determines this is normal urine which appears as:
clear and straw colored
The nursing assistant ensures privacy when assisting a patient with elimination by :
closing the curtain and door to the room if the patient is using a bedpan, urinal, or bedside commode
The most significant difference between a urine specimen for routine urinalysis and a midstream urine specimen is:
collection of a midstream urine specimen is in a sterile container, but collecting for a routine urinalysis is in a clean container.
The patient's urine output is being measured. The patient is ambulatory and able to use a regular toilet. The device used to collect the urine is a
commode hat
The patient is terminally ill. The nursing assistant is concerned about the patient's behavior and reports it to the nurse immediately when the patient:
cries frequently and refuses food.
Physical signs of impending death include:
cyanosis, Cheyne-Stokes respirations, rapid and weak pulse, decreased urinary output.
Unrelieved pain can have which of the following effects?
depression
the resident is passing liquid, unformed stool which is also known as:
diarrhea
When providing care for a patient who has AIDS, the nursing assistant should anticipate that the patient may experience:
diarrhea, and require careful recording of intake and output.
Which resident may be experiencing reflex incontinence? The resident who:
does not feel the urge to urinate, and the bladder empties itself
Mrs. Little has been ringing the call light every hour, stating she has to use the bathroom. She also complains of difficulty urinating along with pain. This condition describes the following:
dysuria
A nursing assistant is imagining what it would feel like to be in a resident's situation. What quality is the nursing assistant attempting to examine?
empathy
The nursing assistant is providing care to a dying patient and his family. To support the family, the nursing assistant:
ensures that the family members' basic needs are met.
The nursing assistant is providing care to a patient who has a new ileostomy. This required the removal of the patient's:
entire large intestine
It is most important to honor a patient's request for assistance with elimination as quickly as possible because:
failing to answer the all light promptly increases the patient's risk of falling if she tries to make it to the bathroom on her own
A natural byproduct of digestion, along with feces is called:
flatus
The patient has a foley catheter, and his urine drainage bag needs to be emptied. To empty the drainage bag, the nursing assistant:
unclamps the emptying spout on the urine drainage bag and allows all of the urine to drain into a graduate that has been placed on a paper towel on the floor underneath the urine drainage bag.
A male resident is unable to get out of bed and must use a bedpan.
for a bowel movement
The patient has just had hip replacement surgery and cannot get out of bed. The piece of equipment the nursing assistant should use to help the patient with elimination is a
fracture pan
A person with tetraplegia is paralyzed from the:
from the neck down
A new resident at the long term care facility has become incontinent of urine, but the doctors cannot find any physical problems affecting his nervous system or urinary tract. The Nursing Assistant knows this type of incontinence the resident may have is:
functional incontinence
When assisting a women with perineal care, you should always:
gently yet thoroughly dry the perineal area and vulva clean the rectal area last move the washcloth in a downward direction, from front to back
What PPE should be worn when removing soiled linen?
gloves
The nursing assistant is caring for a patient in isolation. In what order would she put on the PPE?
gown, mask ,gloves
The prefix cardio refers to the:
heart
The Nursing assistant notices the patient's urine is an amber color and cloudy. The patient is complaining of frequency, dysuria, and burning sensation when voiding. The nursing assistant suspects the patient may have the following:
urinary tract infection
A nursing assistant has learned that a client is paralyzed on one side of her body. This is otherwise known as:
hemiplegia.
The RN has asked the nursing assistant to go and "make sure a resident's intravenous drip is ok." How should the nursing assistant best respond to this direction from the nurse?
inform the nurse that is beyond your scope of practice
A hospital patient's urine is very dark amber and 30 ml over the 10 hours since the nursing assistant started his shift. The nursing assistant addresses this finding best by:
informing the nurse about the patient's low urine output and color of the urine.
A new resident who has a diagnosis of epilepsy has moved to the long-term care facility. In light of this diagnosis, the nursing assistants must place a special emphasis on
injury prevention
The resident has a suprapubic catheter. The nursing assistant knows a suprapubic catheter is:
inserted above the pubic area directly into the bladder
The task that is most likely beyond the scope of a nursing assistant is:
inserting an indwelling catheter
The nursing assistant places a clean urinal:
inside the bedside dresser
Hospice is designed to:
keep the person comfortable
As a safety measure, when you give moth care to an unconscious patient, you should position the person in which position?
lateral with the head tilted forward
The oral medication that chemically stimulates peristalsis is called a:
laxative
The nursing assistant positions a standard bedpan:
like a regular toilet seat, with the more narrow edge towards the feet
The nursing assistant is preparing a resume' to apply for a new job. What information should the nursing assistant omit from the re'sume'?
marital status
People how are HIV Positive or have AIDS:
need to be treated with compassion, just like everybody else.
In recent weeks, the resident has been awakening three to four times each night to empty his bladder of small amounts of urine. The residents' nighttime voiding habits would be considered:
nocturia
A new nursing assistant is uncomfortable with the idea of death and dying. The nursing assistant is at risk for:
not being able to provide dying patients or residents with the care they need
The nursing assistant is present when one of his patients died. He is required to:
notify the nurse, note the time of death, and document the absence of vital signs.
The resident asked the nursing assistant to witness a will. The Nursing Assistant should refuse if the:
nursing assistant has been named a beneficiary of the will.
The patient is dehydrated and has voided only 300 ml over the last 24 hours. The patient's output is called:
oliguria
The state of voiding a 100 to 400 ml of urine in a 24 hour period.
oliguria
This is the level of pain that a person can endure before taking action to seek relief.
pain tolerance
The tube that is not a type of urinary catheter is:
percutaneous endoscopic gastrostomy ( PEG tube) tube
As a Nursing Assistant, it is your responsibility to:
perform the tasks your supervisor assigns
The medical term for excessive urine production would be:
polyuria
The purpose of cold applications is to :
prevent swelling
The nursing assistant is providing catheter care to a patient because it
prevents infection
The nurse asks the nursing assistant to obtain a shroud:
prior to transport to the funeral home
Providing a back rub after a bath provides the following benefits for your resident:
promotes comfort and relaxation stimulates blood flow to the skin helps to prevent pressure ulcers
The resident has emphysema, a terminal respiratory illness, and has requested only supportive care when death is near. A treatment that is an example of supportive care is:
providing the resident with oxygen therapy to assist with breathing
The nursing assistant prepares a patient to use a bedpan by:
raising the head of the bed as tolerated
The resident has urinary incontinence. The nursing assistant uses all of the following products to manage the resident's urinary incontinence, except
rectal catheters
The resident has died. His body is being prepared prior to being shipped to the funeral home. Postmortem care provided by the nursing assistant includes:
replacing the resident's dentures, closing the mouth, and supporting the jaw with a chin strap.
The nursing assistant provides physical care to the dying person by:
repositioning frequently and placing the person in good body alignment
Which normal age-related change affects the endocrine system?
slowing metabolism
A diagnosis of cancer has required the creation of a colostomy at the end of a patient's large intestine. The nursing assistant would expect the feces from the ostomy to be:
solid and formed
What best destroys all bacteria?
sterilizing
A nursing assistant secures a condom catheter to the penis with:
tape applied in a spiral fashion
The nursing assistant has come to collect Mr. Fitz's meal tray, which remains untouched. Upon questioning, Mr. Fitz tells the nursing assistant that he was unable to swallow his food and that he is now seeing double. Neither problem has occurred in the past, so the nursing assistant should
tell the nurse that Mr. Fitz may have had a stroke or transient ischemic attack (TIA).
Mrs. Baird has multiple sclerosis and is confined to a wheelchair. The nursing assistant can help Mrs. Baird by realizing that multiple sclerosis is a nervous system disorder that affects:
the motor neurons, resulting in muscle weakness.
The patient may have a urinary catheter when:
the patient is incontinent of urine and has wounds or pressure ulcers that would be made worse by the contact of urine.
A factor in health care setting that can interfere with a patient's normal elimination habit is:
the patient may be embarrassed about needing help with elimination, or having to use a bedpan, a urinal, or bedside commode.
Why do you line the sink with a washcloth when cleaning a person's dentures?
to guard against breaking the dentures
How are natural teeth brushed?
using a circular motion
With proper and consistent use of standard precautions, the nursing assistant's risk of exposure to the virus that causes HIV/AIDS is:
very low
The nursing assistant, when discussing the normal process of passing urine from the body with the nurse, uses words such as:
voiding and micturition
Before collecting a specimen of urine or feces, the nursing assistant asks the nurse for:
which storage and delivery method used
