CNA Quizes elder abuse-chapter 4
Which of the following shows the correct conversion of 9:00 p.m. to military time? A) 2300 hours B) 2100 hours C) 2400 hours D) 2000 hours
B) 2100 hours
Eight ounces is equal to ______ milliliters. A) 180 B) 240 C) 210 D) 120
B) 240
Which of the following can help with communication with a visually impaired resident? A) A nursing assistant should touch the resident before saying his name. B) A nursing assistant should use the face of an imaginary clock to explain the position of objects in front of the resident. C) A nursing assistant should move furniture without telling the resident. D) A nursing assistant should give treats to the resident's guide dog.
B) A nursing assistant should use the face of an imaginary clock to explain the position of objects in front of the resident.
One of the general signs that may indicate abuse is occuring is: A) An elder has more than one caregiver B) A sudden change in an elder's behavior C) An elder with dementia who repeats him or herself D) A caregiver with no medical background
B) A sudden change in an elder's behavior
What is one way a nursing assistant can promote a resident's independence? A) Finishing a resident's task if he takes longer than ten minutes to complete it B) Allowing a resident to do a task by himself no matter how long it takes him C) Deciding where a resident should sit in the dining room D) Deciding what a resident should wear for the day
B) Allowing a resident to do a task by himself no matter how long it takes him
What can be done to help a resident who has gastroesophageal reflux disease (GERD)? A) Serve spicy foods. B) Ask the resident not to lie down for at least two to three hours after eating. C) Serve the largest meal of the day at dinner. D) Assist the resident to eat in a reclined position.
B) Ask the resident not to lie down for at least two to three hours after eating.
If a resident behaves inappropriately, a nursing assistant should A) Tell other nursing assistants what happened and to stay away from the resident B) Be matter-of-fact and not over-react C) Tell other residents that this resident is perverted D) Not report the behavior as long as it does not bother the nursing assistant
B) Be matter-of-fact and not over-react
When should unsafe conditions be reported? A) When the facility is involved in a lawsuit B) Before accidents occur C) Only if a resident complains D) Whenever the nursing assistant has some extra time
B) Before accidents occur
When a resident with AD is frightened, the NA should A) Speak in a room where the television is on. B) Check her body language to make sure she is not tense or hurried. C) Use long sentences. D) Not tell the resident what she is going to do.
B) Check her body language to make sure she is not tense or hurried.
Choose the resident conditions that the NA should report immediately to the nurse. A) Family fighting B) Chest pain, high fever C) Watching too much TV D) Acting lonely
B) Chest pain, high fever
Which type of urine specimen does not include the first and last urine in the sample? A) Routine B) Clean catch C) Stool D) 36-hour
B) Clean catch
If you make a mistake in documenting care, you should: A) Erase it B) Draw one line through it, and write the correct word(s). C) Use correction fluid. D) Discard the chart and start over.
B) Draw one line through it, and write the correct word(s).
Why are females more likely to have urinary tract infections than males? A) Due to the different location of the meatus B) Due to having a shorter urethra C) Due to not filtering blood properly in the kidneys D) Due to incontinence
B) Due to having a shorter urethra
Nursing assistants can help residents with memory loss by A) Doing as much as possible for them B) Encouraging them to make lists of things to remember C) Reminding them every time they forget something D) Telling them to snap out of it
B) Encouraging them to make lists of things to remember
When a nursing assistant is performing a procedure on a resident, he should: A) Try to distract the resident so he/she won't know what the NA is doing B) Explain the procedure fully before performing it C) Wait until the resident is sleeping before the NA starts the procedure D) Watch TV or talk to the resident's roommate so the resident doesn't become self-conscious
B) Explain the procedure fully before performing it
According to the National Center on Elder Abuse, family members account for a small percentage of abuse against elders A) True B) False
B) False
Elder abuse is never pre-meditated and deliberate. A) True B) False
B) False
Most elders who are victims of abuse will report it. A) True B) False
B) False
Stressed caregivers will always be abusive to elders. A) True B) False
B) False
Which of the following is an example of a physical need? A) Need for self-esteem B) Food and water C) Social interaction with others D) Need for love
B) Food and water
Which of the following tasks is outside the scope of practice for an NA? A) Giving a resident a bath B) Giving an injection of medication C) Helping a resident eat dinner D) Transferring a resident from the bed to a chair
B) Giving an injection of medication
Which of the following is a typical task that an NA performs? A) Changing a sterile dressing on an open wound B) Helping residents with toileting needs C) Administering medication D) Prescribing treatments
B) Helping residents with toileting needs
Hypertension is: A) High fever B) High blood pressure C) High pulse rate D) Low blood pressure
B) High blood pressure
Which of the following can be an effective way to prevent unintended weight loss? A) Promoting independence by insisting residents feed themselves without help B) Honoring food likes and dislikes C) Telling the resident how unappetizing their meals look D) Insisting that residents eat everything on their trays no matter what
B) Honoring food likes and dislikes
Respiration consists of A) Narrowing of blood vessels B) Inspiration and expiration C) Circulating blood in the heart D) Urinary elimination
B) Inspiration and expiration
How can regular activity promote good health? A) It decreases the appetite B) It increases energy C) It increases the risk of heart disease D) It raises the risk of falls
B) It increases energy
To treat dying residents and their families with dignity a nursing assistant should A) Make promises B) Listen if they want to talk C) Babble D) Isolate the dying resident
B) Listen if they want to talk
The yellowish fluid that carries disease-fighting cells is called A) Sperm B) Lymph C) Urine D) Blood
B) Lymph
Which of the following statements is true of long-term care? A) People with terminal illnesses do not live in long-term care facilities. B) Most conditions in long-term care facilities are chronic. C) People who live in long-term care facilities are never able to return home. D) Long-term care takes place in a person's home.
B) Most conditions in long-term care facilities are chronic.
Which of the following statements is true of IVs? A) Nursing assistants insert IV lines B) Nursing assistants will observe the IV site for problems C) Nursing assistants will remove IV lines D) Nursing assistants will change IV lines when the bag is empty
B) Nursing assistants will observe the IV site for problems
What is the term for the person assigned by law to be the legal advocate for residents? A) Activities Director B) Ombudsman C) OBRA D) Occupational Therapist
B) Ombudsman
Standard Precautions should be practiced: A) Only on people who look like they have a bloodborne disease B) On every single person in your care C) Only on people who request that you follow them D) Only on residents whose charts indicate they are sick
B) On every single person in your care
A resident's protected health information (PHI) may be shared with: A) Other residents in the facility. B) Only those who need the information for care or processing of records. C) The nursing assistant's family and friends. D) Anyone who asks.
B) Only those who need the information for care or processing of records.
Restraints can be applied: A) As punishment from staff when a resident is not behaving properly B) Only with a doctor's order C) When a staff member does not have time to watch a resident closely D) When a nursing assistant judges a resident is a danger to himself or others
B) Only with a doctor's order
What does palliative care involve? A) The resident's recovery B) Pain relief and comfort C) Teaching the resident to care for himself D) Curing the resident's illness
B) Pain relief and comfort
Why should respirations be counted immediately after taking the pulse? A) It's less work for the nursing assistant to count respirations right after taking the pulse B) People may breathe more quickly if they know they are being observed C) The chest will not rise and fall if the rate is not counted immediately D) It does not matter when respirations are counted
B) People may breathe more quickly if they know they are being observed
A ______ is a method or way of doing something. A) Policy B) Procedure C) Survey D) Cite
B) Procedure
You are the nursing assistant for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them turns to you and says in a loud voice, "She looks so stupid with half of her face drooping down like that. Isn't there something you can do to fix that?" What kind of abuse is this? A) Physical abuse B) Psychological abuse C) Sexual abuse D) Involuntary seclusion
B) Psychological abuse
Which temperature site is considered to be the most accurate? A) Oral B) Rectal C) Axillary D) Tympanic
B) Rectal
RACE as a safety rule means: A) Run to A Close Exit B) Remove residents, Activate 911, Contain fire, Extinguish C) Residents Are to be Cared for Excellently D) Remove A Canister Extinguisher
B) Remove residents, Activate 911, Contain fire, Extinguish
If a resident with AD shows violent behavior, the nursing assistant should A) Hit back B) Remove triggers C) Leave the resident alone D) Yell at the resident
B) Remove triggers
What is the first food to be restricted in a low-sodium diet? A) Milk B) Salt C) Red meat D) Foods high in fat
B) Salt
A nursing assistant can respond to sun downing by A) Adding more caffeine to the resident's diet B) Setting a bedtime routine and keeping it C) Restricting exercise during the day D) Scheduling activities during this time
B) Setting a bedtime routine and keeping it
How should a resident with COPD be positioned? A) Flat on his back B) Sitting upright C) Lying on his stomach D) Lying on his side
B) Sitting upright
Which of the following statements is true of assisting a resident with one-sided weakness after a stroke? A) Lead with the weaker side B) Stand on the weaker side C) Use the terms "bad" or "messed up" to refer to weaker side D) A gait belt is not helpful during transfers
B) Stand on the weaker side
Which of the following should a nursing assistant do if a resident is confused? A) Rush the resident B) Stay calm and provide a quiet environment C) Leave the resident alone D) Do not discuss plans for the day because it adds to the resident's confusion
B) Stay calm and provide a quiet environment
Osteoporosis causes A) Menopause B) Stooped posture C) Supplements D) Lack of hormones
B) Stooped posture
Which of the following is a good way for a nursing assistant to respond to inappropriate sexual behavior? A) Let other residents know what is happening B) Take the resident to a private area C) Inform other nursing assistants that the resident has a dirty mind D) Loudly reprimand the resident to shame him into stopping
B) Take the resident to a private area
Which of the following is true of non-sterile dressings? A) They cover open wounds B) They are applied to dry wounds C) They cover draining wounds D) Nursing assistants never assist with them
B) They are applied to dry wounds
What should be done with soiled bed linens? A) They should be shaken out to be sure none of the residents' personal belongings are put in the wash B) They should be rolled up with the dirty side in C) They should be rolled up with the clean side in D) They should be left in a pile outside the resident's door for housekeeping to pick up
B) They should be rolled up with the dirty side in
Normal changes of aging include: A) Depression B) Thinner, drier skin C) Significant weight loss D) Incontinence
B) Thinner, drier skin
One way for a nursing assistant to help a resident with AD with eating is to A) Put a few types of food on the plate at the same time B) Use dishes without a pattern and a simple place setting C) Withhold fluids D) Serve steaming hot foods and drinks
B) Use dishes without a pattern and a simple place setting
When speaking with residents and their families, nursing assistants should A) Use medical terms so that they will understand more easily B) Use simple, non-medical terms C) Use a different language D) Talk over their heads to other staff members
B) Use simple, non-medical terms
If a resident with AD has lost most of his verbal skills, the NA should A) Assume the resident cannot understand what is being said B) Use touch, smiles, and laughter C) Ask the resident questions D) Do not involve resident in activities
B) Use touch, smiles, and laughter
Which is the most essential nutrient for life? A) Vegetables B) Water C) Grains D) Protein
B) Water
The normal respiration rate for adults ranges from A) 18-30 breaths per minute B) 15-25 breaths per minute C) 12-20 breaths per minute D) 8-10 breaths per minute
C) 12-20 breaths per minute
Medicare is A) A medical assistance program for low-income people B) A program that pays for 100% of healthcare costs for all people who are enrolled in it. C) A health insurance program for people who are 65 or older or for younger people who are disabled or ill. D) Never used to pay for long-term care
C) A health insurance program for people who are 65 or older or for younger people who are disabled or ill.
When coming upon an emergency situation, the very first thing the nursing assistant should do is A) Perform CPR B) Perform abdominal thrusts C) Assess the situation and the victim D) Give rescue breaths
C) Assess the situation and the victim
Which of the following is helpful when providing skin care for a resident with cancer? A) Do not use lotion on dry, delicate skin B) Do not offer backrubs C) Avoid applying lotion to areas receiving radiation therapy D) Avoid moving the resident at all
C) Avoid applying lotion to areas receiving radiation therapy
Which of the following terms means "a serious loss of mental abilities?" A) Cognition B) Irreversible C) Dementia D) Onset
C) Dementia
What is a proper way for a nursing assistant to respond if a resident does not hear her or does not understand her? A) Speak more quickly. B) Whisper the words. C) Face the resident and speak clearly. D) Turn off the resident's hearing aid.
C) Face the resident and speak clearly.
Which of the following is a good source of protein? A) Corn oil B) An orange C) Fish D) Grape
C) Fish
When communicating with a resident who is hearing-impaired, a nursing assistant should A) Keep her hands in front of her face B) Shout C) Get the resident's attention before speaking D) Chew gum
C) Get the resident's attention before speaking
Which of the following should a nursing assistant do during a resident's admission? A) Rush the admission process B) Make sure not to bother the resident with introductions to other residents and staff C) Handle the resident's personal items with care D) Tell the resident he'll be able to figure out the daily routines on his own
C) Handle the resident's personal items with care
To control bleeding, a nursing assistant should: A) Use her bare hands to stop it. B) Lower the wound below the heart. C) Hold a thick pad or clean cloth against the wound and press down hard. D) Apply light pressure with a band-aide.
C) Hold a thick pad or clean cloth against the wound and press down hard.
_______is the special care that focuses on the dignity and comfort of a dying person. A) Postmortem B) Cheyne-Stokes C) Hospice D) Terminal
C) Hospice
Which of the following statements shows how a nursing assistant can promote dignity and independence during mealtime? A) The nursing assistant should make the choice about which food the resident should eat first B) The nursing assistant should talk to other staff members while assisting residents with eating. C) If the resident requests a different food from what is being served, the nursing assistant should honor this request D) The nursing assistant should mix a resident's foods together without discussing it with the resident
C) If the resident requests a different food from what is being served, the nursing assistant should honor this request
One way a CNA can help with normal changes of aging related to the integumentary system is to A) Withhold fluids so a resident will not go to the bathroom often B) Clip toenails frequently C) Keep sheets wrinkle-free D) Rub lotion into red or irritated spots on the resident's skin
C) Keep sheets wrinkle-free
For a nursing assistant, confidentiality means: A) Not telling the nurse about possible abuse of a resident B) Never documenting resident problems C) Keeping private things private D) Sharing information with the nursing assistant's own family
C) Keeping private things private
If a resident with AD is incontinent, the nursing assistant should A) Withhold fluids B) Dim the bathroom lights C) Mark the restroom with a sign or picture D) Check resident every three hours to help determine a "bathroom time"
C) Mark the restroom with a sign or picture
Which of the following statements is true of the aging process? A) Aging means disease and illness B) Older people are not able to exercise C) Most older people live independent lives D) Most older people cannot live alone
C) Most older people live independent lives
Which of the following is true of assisting a resident who is having a seizure? A) Give the resident a glass of water to drink B) Hold the resident down if he or she is shaking severely C) Move furniture away to prevent injury to the resident D) Open the resident's mouth to move the tongue to the side
C) Move furniture away to prevent injury to the resident
What does the abbreviation "NPO" mean? A) Nothing pureed only B) Not prepared on-site C) Nothing by mouth D) Note preferences only
C) Nothing by mouth
Which of the following care team members are licensed professionals who delegate jobs to nursing assistants? A) NAs, nurses B) Resident's family C) Nurses, PTs, OTs D) NAs, physicians
C) Nurses, PTs, OTs
A nursing assistant's duties regarding tube feedings include A) Inserting tubes B) Doing the feedings C) Observing the feeding and reporting problems D) Cleaning the tubes
C) Observing the feeding and reporting problems
Which of the following statements is true of pain? A) Everyone experiences pain in the same way B) Everyone will express freely when they are in pain C) Pain is a different experience for each person D) Pain levels do not need to be monitored
C) Pain is a different experience for each person
Grains are found in which of the following foods? A) Bananas B) Cheese C) Pasta D) Nuts
C) Pasta
Which member of the care team diagnoses disease and prescribes treatment? A) Nursing Assistant (NA) B) Resident C) Physician (MD) D) Dietitian (RD)
C) Physician (MD)
What can an overbed table be used for? A) Placement of dirty linens B) Placement of bedpans C) Placement of meals D) Placement of urinals
C) Placement of meals
Guidelines for caring for a resident with multiple sclerosis include A) Rushing resident through tasks B) Administering medications C) Preventing falls D) Encouraging the resident to speak faster
C) Preventing falls
A good way for a nursing assistant to respond to hallucinations is to A) Argue with the resident, telling her that what she thinks she sees isn't real B) Tell the resident that she can see the hallucination, too C) Reassure a resident who is upset and worried D) Laugh at the resident
C) Reassure a resident who is upset and worried
A diabetic resident should A) Skip meals B) Go barefoot C) Receive careful foot care D) Avoid exercise
C) Receive careful foot care
Which of the following is helpful for a resident who has had a heart attack? A) Smoking B) High-fat diet C) Regular exercise D) Cold temperatures
C) Regular exercise
What should a nursing assistant do if she suspects a resident is being abused? A) She should ask another resident if he thinks that person is being abused. B) She should ask her family and friends for advice. C) She should report it to the nurse immediately and let him/her handle it from there. D) She should do nothing since someone has probably already reported it.
C) She should report it to the nurse immediately and let him/her handle it from there.
Which of the following is an example of physical abuse? A) Stealing from a resident B) Failing to give a resident needed care C) Shoving a resident D) Threatening a resident
C) Shoving a resident
How should residents be positioned while they eat? A) Lying flat on their backs B) Reclining at a 45-degree angle C) Sitting as upright as possible D) Lying on their sides
C) Sitting as upright as possible
Using good body mechanics includes A) Twisting at the waist ( B) Carrying objects far away from the body C) Standing with the legs shoulder-width apart D) Keeping knees locked when lifting
C) Standing with the legs shoulder-width apart
What is the best way a nursing assistant can respond to a combative resident? A) Argue with the resident B) Tell the resident that he is wrong C) Stay calm and lower the tone of his or her voice D) Stand very close to the resident
C) Stay calm and lower the tone of his or her voice
Which of the following is a good way to for a nursing assistant to care for a mentally ill resident? A) Do everything for the resident B) Give the resident his or her medication C) Support the resident and his or her family and friends D) Encourage the resident to stop being mentally ill and just get better
C) Support the resident and his or her family and friends
Which of the following statements is true of taking rectal temperatures? A) The NA does not need to explain the procedure before starting to take a rectal temperature B) Rectal temperatures can only be taken with digital thermometers C) The NA must hold on to the thermometer at all times while taking a rectal temperature D) The NA does not need the resident's cooperation to take a rectal temperature
C) The NA must hold on to the thermometer at all times while taking a rectal temperature
When a hip has been replaced A) Dress the unaffected, or stronger, side first B) Place items far away from the resident to force him to walk C) The hip cannot be bent or flexed more than 90 degrees D) Perform range of motion exercises on the side that has the hip replacement
C) The hip cannot be bent or flexed more than 90 degrees
Residents who need some assistance with eating may benefit from: A) The nursing assistant doing everything for the resident B) The nursing assistant insisting the resident eat alone so he can learn to be independent C) The nursing assistant using the hand-over-hand approach D) The nursing assistant telling his family they need to come at mealtimes to help jelly
C) The nursing assistant using the hand-over-hand approach
Which of the following is true of Transmission-Based Precautions? A) You do not need to practice Standard Precautions if you practice Transmission-Based Precautions. B) They are exactly the same as Standard Precautions. C) They are practiced in addition to Standard Precautions. D) They will not be listed in the care plan so as not to alarm anyone.
C) They are practiced in addition to Standard Precautions.
The respiratory system is made up of A) Arteries, veins, capillaries B) Brain, spinal cord, nerves C) Trachea, bronchi, lungs D) Atria, ventricles, aorta
C) Trachea, bronchi, lungs
Which of the following thermometers is used to take a temperature from the ear? A) Oral thermometer B) Rectal thermometer C) Tympanic thermometer D) Axillary thermometer
C) Tympanic thermometer
One of the signs and symptoms of neglect is: A) Yelling at the elder B) Pulling hair C) Untreated bedsores D) Bloody underclothing
C) Untreated bedsores
What can a nursing assistant do to help prevent urinary tract infections (UTIs)? A) Restrict Fluids B) Encourage baths rather than showers. C) Wipe from front to back when giving perineal care. D) Ask the resident not to drink cranberry or blueberry juice.
C) Wipe from front to back when giving perineal care.
Where should the call light be placed when a nursing assistant leaves a resident's room? A) On the bedside table beside the telephone B) Next to the television remote C) Within the resident's reach D) On a chair next to the resident's bed
C) Within the resident's reach
Which of the following should you do when lifting a heavy object from the floor? A) Keep your feet shoulder-width apart B) Keep the object far away from your body C) Lift using the muscles in your back D) Keep your knees straight
A) Keep your feet shoulder-width apart
If a resident with AD has problems with dressing, the nursing assistant should A) Lay out clothes in the order they should be put B) Dress the resident in the hallway C) Choose the resident's clothing for the resident D) Give the resident multiple steps to follow
A) Lay out clothes in the order they should be put
Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended. Gene does not believe in God. Gene's best response is to: A) Listen quietly to Mrs. Goldman B) Tell Mrs. Goldman that he does not believe in God and would prefer not to discuss it C) Tell Mrs. Goldman that her beliefs are wrong D) Ask Mrs. Goldman what makes her think that there is a God
A) Listen quietly to Mrs. Goldman
What is one good way a nursing assistant can assist residents with normal changes of aging related to the urinary system? A) Offer frequent trips to the bathroom B) Withhold fluids C) Scold residents who are incontinent D) Make sure every resident wears incontinence briefs
A) Offer frequent trips to the bathroom
A______is an intense form of anxiety. A) Phobia B) Coping mechanism C) Fallacy D) Situation response
A) Phobia
Postmortem care includes A) Placing drainage pads where needed B) Removing tubes C) Removing equipment D) Taking the body to the morgue
A) Placing drainage pads where needed
To serve hot liquids to residents, a nursing assistant should A) Pour hot drinks away from residents B) Put hot liquids on the edges of tables C) Make sure residents are standing up before serving hot liquids D) Never use a lid
A) Pour hot drinks away from residents
If a nursing assistant encounters a resident in a sexual situation, she should: A) Provide privacy and leave B) Tell him that what he is doing is wrong C) Ask him to stop what he is doing D) Report the incident to the resident's clergy
A) Provide privacy and leave
The most common site to take the pulse is the A) Radial pulse B) Brachial pulse C) Carotid pulse D) Pedal pulse
A) Radial pulse
A resident has purchased a special gift for her nursing assistant, Sarah. How should Sarah respond? A) Refuse but thank her for thinking of her B) Accept because Sarah does not know her facility's policy on gifts C) Accept and ask the resident not to tell anyone D) Refuse and tell her that her employer is very unfair about employees accepting gifts from residents
A) Refuse but thank her for thinking of her
When a resident with Alzheimers Dementia is perseverating and asking the same question over and over, the NA should A) Repeat herself using the same words. B) Tell the resident that she has already answered the question. C) Not answer the question after the third time it has been asked. D) Use a thesaurus to find new ways to say things.
A) Repeat herself using the same words.
If a nursing assistant notices abusive behavior from a family member towards a resident, she should A) Report it to the nurse immediately B) Ask the family member why he did that C) Tell the resident that he doesn't have to take it D) Walk away
A) Report it to the nurse immediately
Which type of residents may have an order for thickened liquids? A) Residents who have swallowing problems B) Residents who refuse to drink water C) Residents who do not eat meat D) Residents who have certain religious beliefs
A) Residents who have swallowing problems
If a resident refuses to wear a clothing protector, the nursing assistant should A) Respect the resident's refusal B) Refuse to serve the resident until she puts it on C) Insist that the resident wear it D) Point out to the resident that she's making your work more difficult
A) Respect the resident's refusal
Which statement is true of fats? A) Saturated fats should be limited B) Fat provides nothing useful to the body C) Fat is not stored in the body when eaten in excess D) Fats do not add flavor to foods
A) Saturated fats should be limited
If a resident with AD has problems with bathing, the nursing assistant should A) Schedule bathing when the resident is least agitated B) Hurry the resident through the bath C) Insist that the resident bathe even if she does not want to D) Surprise the resident with the bath
A) Schedule bathing when the resident is least agitated
Which of the following statements is true of Alzheimer's disease (AD)? A) Skills a person has used over a lifetime are usually kept longer B) Residents with AD will show the same signs at the same times C) NAs should do everything for residents with AD D) Alzheimer's disease is a normal part of aging
A) Skills a person has used over a lifetime are usually kept longer
Which of the following statements about mealtime is true? A) Social interaction is an important part of mealtime B) Mealtime is only about getting proper nourishment C) Mealtime is a good time for NAs to chat with co-workers since the residents are busy eating D) If you think a resident's meal looks awful you should say so
A) Social interaction is an important part of mealtime
Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? A) The NA should not perform the activity if it is not listed on the care plan. B) The NA should perform the activity if he or she believes it is best for the resident. C) The NA should only perform the activity if the resident says he wants it performed. D) The NA should consult other NAs to see if they would perform the activity.
A) The NA should not perform the activity if it is not listed on the care plan.
The eye and ear are part of A) The body's sense organs B) The integumentary system C) The dermis D) The circulatory system
A) The body's sense organs
What is one reason why reporting a resident's changes and problems to the nurse is a very important role of the nursing assistant? A) The care plan must be updated as the resident's condition changes. B) Reporting changes is not a task that the NA performs. C) Depending on the resident's changes, the NA can decide if she wants to work that day or not. D) The NA can decide what medication to prescribe for the resident's current condition.
A) The care plan must be updated as the resident's condition changes.
Holistic care focuses on A) The whole person, including physical, mental, and social well-being B) Disease and disability C) How sick a person is D) The absence of disease and illness
A) The whole person, including physical, mental, and social well-being
Which statement best describes a pureed diet? A) This diet is often used for people who have trouble chewing and/or swallowing more textured foods B) This diet consists of only clear juices, broth, gelatin, and popsicles C) This diet consists of only clear liquids, cream soups, milk, and ice cream D) This diet is often used for people who are tired of chewing
A) This diet is often used for people who have trouble chewing and/or swallowing more textured foods
How does the immune system protect the body from disease? A) Through nonspecific and specific immunity B) Through hormones C) Through digestion and elimination D) Through changes in pulse rate
A) Through nonspecific and specific immunity
Why was HIPAA created? A) To keep health information private and secure B) To help ombudsmen monitor care in facilities C) To show nursing assistants how to report abuse in facilities D) To prevent neglect of residents
A) To keep health information private and secure
It is the responsibility of the home care agency to investigate suspected elder abuse. A) True B) False
A) True
Most health care professionals who work with the elderly are mandatory reporters and must report all cases of suspected abuse according to their state guidelines. A) True B) False
A) True
Some victims of sexual abuse will give clues that they are being abused. We need to be aware of these clues and ask further questions. A) True B) False
A) True
Violence is a learned behavior that in some families is passed on from one generation to the next. A) True B) False
A) True
To help prevent aspiration, residents should be in the ________position when eating. A) Upright B) Lying down C) Prone D) Lateral
A) Upright
You will come into contact with microorganisms A) Only in public areas of the facility B) Only during direct contact with residents C) Only during personal care procedures D) Every time you touch something
D) Every time you touch something
An example of a restraint alternative is: A) Tying the resident to the bed B) Removing the resident's call light C) Locking the resident's door from the outside D) Giving the resident a repetitive task
D) Giving the resident a repetitive task
Which of the following is helpful for numbness, tingling, and pain in the feet for a resident who has AIDS? A) Wrapping the feet tightly in elastic bandages B) Wearing snug, firm slippers C) Wearing rigid, high-topped shoes D) Going barefoot
D) Going barefoot
High blood pressure A) Can be detected just by looking at a person B) Cannot be treated with medication C) Is never a serious condition ( D) Is a measurement of 140/90 or higher
D) Is a measurement of 140/90 or higher
What does the chain of command do? A) It determines which residents go in which rooms. B) It determines which shift a NA works. C) It describes the care plan for each resident. D) It helps protect nursing assistants and their employers from liability.
D) It helps protect nursing assistants and their employers from liability.
A professional relationship between an NA and a resident includes: A) Telling the resident about problems with the supervisor. B) Calling the resident "Dearie" or "Sweetie". C) Letting a resident know if the NA is in a bad mood. D) Keeping resident information confidential.
D) Keeping resident information confidential.
Normal changes of aging for the female reproductive system include: A) Menstruation continues B) Increased moisture of vaginal walls C) Voice weakens D) Loss of calcium
D) Loss of calcium
Psychosocial needs include the following: A) Bathing B) Activity C) Sleep and rest D) Love and affection
D) Love and affection
Which is true about nursing assistants and catheters? A) NA's remove but do not insert catheters. B) NA's insert but do not remove catheters. C) NA's irrigate catheters but only when the nurse tells them to. D) NA's observe and report regarding catheters.
D) NA's observe and report regarding catheters.
When a resident is suspected of having a heart attack, a nursing assistant should: A) Leave the resident to call his family B) Cover the resident with a heavy blanket C) Make sure the resident is standing up to promote circulation D) Not give the person liquids or food
D) Not give the person liquids or food
Which of the following are ways to avoid barriers to communication? A) Using slang B) Asking "why" questions C) Using lots of medical terminology D) Not giving medical advice
D) Not giving medical advice
Which of the following is a requirement of OBRA? A) Resident assessments must be completed on a few residents. B) Nursing assistants must have at least 45 hours of training. C) States cannot keep a current list of nursing assistants in a state registry. D) Nursing assistants must have at least 75 hours of training.
D) Nursing assistants must have at least 75 hours of training.
When caring for a dying resident's diminished senses a nursing assistant should A) Turn the lights up B) Try not to speak to the resident C) Turn up the radio or television D) Observe body language
D) Observe body language
A serious problem that may result from restraints is: A) Jaundice B) Headache C) Increased activity D) Pressure sores
D) Pressure sores
When a resident with AD pillages and hoards, the nursing assistant should A) Tell the family that the resident is stealing things B) Lock the resident in his room if the NA does not have time to watch him C) Warn the other residents that the resident with AD is a thief D) Provide a rummage drawer
D) Provide a rummage drawer
Which of the following is true about food preferences? A) Residents are old enough that their preferences will not change B) It is not important to honor residents' food preferences C) Education is never a factor in determining food preference D) Religion might influence food preference
D) Religion might influence food preference
Which of the following is a function of the nervous system? A) Gives the body shape and structure B) Provides a natural protective covering to the body C) Produces and supplies antibodies and other infection- fighting blood cells D) Senses and interprets information from outside the body
D) Senses and interprets information from outside the body
When a resident with AD cannot understand basic instructions, it is a good idea to use A) A notepad to write out instructions B) Longer words to catch the resident's interest C) A very loud voice D) Short words, pictures, and gestures
D) Short words, pictures, and gestures
Which of the following is one of the functions that the circulatory system performs? A) Senses and interprets information from the environment B) Cushions the brain and spinal cord C) Allows humans to reproduce D) Supplies food, oxygen, and hormones to cells
D) Supplies food, oxygen, and hormones to cells
Families help residents by: A) Creating the care plan for them B) Telling them what to do C) Making decisions for them D) Supporting and encouraging them
D) Supporting and encouraging them
Which of the following senses is not used in making observations? A) Sight B) Touch C) Smell D) Taste
D) Taste
Which of the following statements is true of residents being a part of the care team? A) Resident's cannot make their own decisions. B) Residents are not care team members. C) Residents should not try to make choices about the care they want to receive. D) The care team revolves around the resident and his or her condition, treatment, and progress.
D) The care team revolves around the resident and his or her condition, treatment, and progress.
Which of the following statements is true of catheters? A) The genital area should not be cleaned when a catheter is in use B) The location of the drainage bag is not important C) It is not a problem for urine to flow from the bag or tubing back into the bladder D) The drainage bag must be kept lower than the hips or bladder
D) The drainage bag must be kept lower than the hips or bladder
A sign that a stroke is occurring is A) Abdominal pain B) Gasping for air C) Low blood pressure D) The inability to speak or to speak clearly
D) The inability to speak or to speak clearly
When atrophy occurs, A) The muscle slowly becomes stronger B) The muscle increases in size C) The muscle stays about the same D) The muscle decreases in size
D) The muscle decreases in size
Under which of the following conditions should a nursing assistant not take an oral temperature on a person? A) The person has influenza B) The person almost certainly has a fever C) The person is over six years old D) The person is confused or disoriented
D) The person is confused or disoriented
Residents with congestive heart failure may A) Be on a high-sodium diet B) Take medications that cause them to urinate less often C) Have a "force fluids" order D) Use elastic stockings to reduce swelling in feet and ankles
D) Use elastic stockings to reduce swelling in feet and ankles
The single most important thing you can do to prevent the spread of disease is to: A) Carry dirty linen close to your uniform B) Never change your gloves C) Remove gloves before cleaning spills D) Wash your hands
D) Wash your hands
Which of the following is a symptom of dysphagia (difficulty swallowing)? A) Eating everything on the tray at every meal B) Sweating during meals C) Fever during meals D) Watering eyes during meals
D) Watering eyes during meals
Which of the following foods supplies a significant amount of calcium? A) Cream cheese B) Butter C) Unfortified rice milk D) Yogurt
D) Yogurt
Which of the following blood pressures falls within the normal range? A) 119/75 B) 135/90 C) 91/70 D) 140/80
A) 119/75
Which way is an example of a correct way to write a blood pressure reading? A) 120/75 B) 120+75 C) 120-75 D) 120*75
A) 120/75
A resident with a head or spinal cord injury should be repositioned at least every ___hours A) 2 B) 3 C) 4 D) 5
A) 2
To convert ounces to milliliters multiply by A) 30 B) 20 C) 60 D) 15
A) 30
At which angle should residents be positioned for eating? A) 90 degrees B) 120 degrees C) 180 degrees D) 30 degrees
A) 90 degrees
Which of the following is the normal temperature range for the oral method? A) 97.6 - 99.6 degrees F B) 96.6 - 98.6 degrees F C) 93.6 - 97.9 degrees F D) 98.6 - 100.6 degrees F
A) 97.6 - 99.6 degrees F
Which of the following is the proper order to apply PPE? A) Apply gown, mask, goggles, and gloves B) Apply gloves, gown, mask, and goggles C) Apply mask, goggles, gloves, and gown D) Apply gown, gloves, mask, and goggles
A) Apply gown, mask, goggles, and gloves
Residents with COPD have trouble with A) Breathing B) Urination C) Losing weight D) Vision
A) Breathing
To prevent falls, a nursing assistant should A) Clear walkways of clutter B) Keep lights low C) Have residents wear long pants D) Leave spills for housekeeping to clean
A) Clear walkways of clutter
The ability to think logically and quickly is called: A) Cognition B) Dementia C) Awareness D) Dysphagia
A) Cognition
Which of the following is a sign of approaching death? A) Decreasing blood pressure B) Sharper vision C) Warm, dry skin D) Heightened sense of touch
A) Decreasing blood pressure
Which of the following is an example of a professional relationship with an employer? A) Documenting carefully B) Never bothering the nurses with questions C) Trying not to be late more than twice a week D) Talking about the management behind their backs
A) Documenting carefully
Which of the following is an effective way for a nursing assistant help prevent dehydration? A) Encourage a resident to drink every time she sees him B) Insist that the resident drink juice C) Withhold fluids if a resident is incontinent D) Leave a carton of milk with the resident each time she leaves the room
A) Encourage a resident to drink every time she sees him
Which of the following statements is true of gloves? A) Gloves should be worn when performing care on a resident who has broken skin. B) Disposable gloves can be washed and reused. C) Gloves do not need to be worn when shaving a resident. D) After giving care, gloves are not contaminated.
A) Gloves should be worn when performing care on a resident who has broken skin.
Which sense is usually the last sense to leave the body? A) Hearing B) Sight C) Touch D) Taste
A) Hearing
Which of the following healthcare settings is for people who will die in six months or less? A) Hospice B) Long-term care C) Assisted living D) Acute care
A) Hospice
Arthritis can be the result of an autoimmune illness. With an autoimmune illness the body's ______system attacks normal tissue A) Immune B) Lymphatic C) Circulatory D) Endocrine
A) Immune
Which of the following statements is true of the skin? A) It feels heat, cold, pain, touch, and pressure B) It becomes more elastic as a person ages C) It is the chemical substance that is created by the body and controls body functions D) It becomes thicker as a person ages
A) It feels heat, cold, pain, touch, and pressure
Why is important not to over-react when a resident behaves inappropriately? A) It may actually reinforce the behavior B) The other residents may then copy the behavior C) Your supervisor will be angry with you D) You might surprise the resident
A) It may actually reinforce the behavior
Elder abuse is complex because: A) Some diseases and chronic illnesses can mask or mimic the visible signs of abuse B) The victim and the abuser may hide the abuse C) No single characteristic identifies an abuser D) All of the above
D) All of the above
Some examples of physical abuse include: A) Force feeding B) Physical restraints C) Inappropriate use of drugs D) All of the above
D) All of the above
Which of the following is a reason a resident might be placed on a special diet? A) Because the NA thinks the resident is too heavy B) Because the dietary department is testing out new recipes C) Because the resident doesn't care for eggs D) Because the resident has food allergies
D) Because the resident has food allergies
When should a nursing assistant identify a resident? A) After giving care B) When collecting meal trays C) When shifts change D) Before helping with feeding
D) Before helping with feeding
Risk factors for elder abuse include: A) Mental illness B) Poor nutrition C) Ageism D) Both A and C
D) Both A and C
Understanding the complexities of elder abuse is important because: A) It can help you to identify elder abuse B) You would know how to intervene and fix the problem yourself C) How you respond to an abuser could help the abuser to justify the abuse D) Both A and C E) The signs and symptoms of each form of abuse are the same
D) Both A and C
ADLs include: A) Reading B) Taking part in facility activities C) Taking part in worship services D) Brushing teeth
D) Brushing teeth
How are bloodborne diseases transmitted? A) By hugging an infected person B) By touching something that was just sterilized C) By standing too close to an infected person when he D) By contact with blood or body fluids
D) By contact with blood or body fluids
Which of the following can help reduce pain? A) Pounding the resident on the back B) Jumping jacks C) Squeezing the body part hard D) Change of position
D) Change of position
If a restraint is applied, a nursing assistant must A) Tie the restraint to the side rails B) Leave the area so she won't hear the resident complain C) Ask other residents to check on the restrained resident D) Check on the resident every 15 minutes
D) Check on the resident every 15 minutes
Which of the following are signs of unintended weight loss that should be reported to the nurse? A) Eating lean cuts of meat B) Eating dessert before dinner C) Avoiding fried foods and sweets D) Coughing or choking while eating
D) Coughing or choking while eating
Confusion may be caused by A) Too much television viewing B) An unpleasant roommate C) Exercise D) Dehydration
D) Dehydration
