CNA

A client says to you "I am worthless person, I should be dead." What is the best response that you, the nursing assistant, can make?

"Don't say you are worthless, you are not a worthless person." "We are going to help you with your feelings." "What makes you feel you're worthless?" "What you say is not true." "What makes you feel you're worthless?

A client in the long term facility tells the nursing assistant "I am too depressed to talk to you. Leave me alone." Which of the following response by the nursing assistant is most therapeutic?

"I'll be back in an hour." "Why are you so depressed?" "I'll sit with you for a moment." "Call me when you feel like talking to me." "I'll sit with you for a moment." Do not heed to the demand of the client that he does not want you around. Depressed clients often have thoughts of dying or committing suicide. It is best to assess the client this time for any suicidal ideations.

A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation?

"I'm sorry, I don't know." "I'm sure it's nothing to worry about. You look fine to me." "I don't have any information as of the moment, but I'll find out for you." "You need to ask your doctor about that, not me." "I don't have any information as of the moment, but I'll find out for you." If you lie, the client may find out and never trust you again. Tell the client you will find her an answer. Then call and talk to your supervisor. Plan an answer with her. When you promise to find an answer for a client, do it. Do not go back on your word.

What is the correct conversion of 4:10p.m. to military time?

1610 hours

Ten ounces is equal to ____ milliliters (mL)

300

A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?

480 cc. One hundred and twenty cc. 120 ml. 480 ml. 480 ml. - The abbreviation of "cc" is no longer appropriate in the medical field. Only 'ml' should be used. A large glass is 480 ml.

What is the correct conversion of 1900 hours to standard time?

7:00 p.m.

Which of the following statements is correct pertaining to binders application?

A breast binder can be applied for breastfeeding mothers to relieve discomfort. Straight abdominal binders are applied when the client is sitting on a chair. The double T-binder is specifically used for male clients. When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins. The double T-binder is specifically used for male clients.

Which of the following residents is demonstrating orthopneic position?

A resident sits in a chair with their back straight. A resident sits on the side of the bed and leans forward over a bedside table. A resident walks using a cane. A resident lays on their stomach with their face to the side. A resident sits on the side of the bed and leans forward over a bedside table.

A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?

A safety knot in the restraint straps. Restraint straps that are safely secured to the side rails. Jacket restraint straps that do not tighten when force is applied against them. Jacket restraint secured so that two fingers can slide easily between the restraint and the client's skin. Restraint straps that are safely secured to the side rails.

A client under the nursing assistant's care suffers from chronic "foot drop". The nursing assistant can expect to find which of the following devices in the client's room?

A wedge. A mechanical lift. Positioning boots. Two extra pillows. Positioning boots.

The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence?

Allow the patient to perform as much of the bath as possible. Ask the patient what he wants to do. Complete the entire bath for him to conserve his energy. Encourage the patient to do the best he can to clean himself. Allow the patient to perform as much of the bath as possible.

Which of the following types of grief is considered a normal and healthy part of grieving?

Anticipatory. Complicated. Unresolved. Inhibited. Anticipatory

A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer?

Ask the caller what telephone number he is trying to reach. Ask the caller to "Please hold, an operator will get to you shortly", then go back to unfinished tasks. Refer the call to the nurse on duty. The nurse will transfer the call herself. D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy. D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:

Assist the resident to put on a robe and nonskid slippers. Encourage the resident to pivot themselves with minimal assistance. Place the chair on the resident's strong side. Place the bed in the lowest position and lock the wheels. Encourage the resident to pivot themselves with minimal assistance. Residents should be fully assisted and supervised when turning in order to prevent falls.

The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:

At bedtime 30 minutes after meals and at bedtime 30 minutes before meals and at bedtime Before breakfast 30 minutes before meals and at bedtime

One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?

Before a meal. After a meal. First thing in the morning. Last thing before the patient goes to sleep. First thing in the morning

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:

Breathing comfortably only when sitting. Restlessness, dizziness, and disorientation. Cyanosis and increased pulse rate. Increased temperature and decreased respiratory rate. Restlessness, dizziness, and disorientation.

Which of the following disorders are said to be irreversible?

Chicken pox. Asthma. Emphysema. Hypertension. Emphysema

A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?

Clean the catheter, starting at the end and moving toward the genitalia Cleanse around the meatus with alcohol swabs, wiping front to back Clean the catheter, starting at the meatus and moving downward Disconnect the drainage bag from the catheter to empty the bag fully Clean the catheter, starting at the meatus and moving downward

Which of the following is an example of disinfection?

Cleansing a shower chair with a chemical cleanser Using a wipe to clean around a resident's stoma Washing a resident's hands after toileting Cleansing a resident's bath with soap after use Cleansing a shower chair with a chemical cleanser

The ability to think logically and quickly is called

Cognition

The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following?

Completing a meal over the course of fifteen minutes. Chewing very slowly. Pocketing of food. Uneven chewing. Pocketing of food. Pocketing food is when a child holds on to food in their mouth without swallowing it.

A patient who is immobile may experience which of the following feelings?

Confusion. Laziness. Happiness. Sadness. sadness.

When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?

Constipation. Incontinence. Insomnia. Poor appetite. Incontinence.

A ___________ is the permanent and painful stiffening of a joint and muscle.

Contracture

Fecal impaction may present with which of the following symptoms?

Dark urine. Excessive flatulence. Small, watery leakage of stool. Abdominal pain Small, watery leakage of stool.

A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment?

Dispose of the equipment after each use. Wear gloves while handling the equipment. Use only the equipment with other clients in airborne isolation. Leave the equipment in the room for use only with that client. Leave the equipment in the room for use only with that client.

A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety?

Don't allow him to leave his room. Remove all sharp and cutting objects. Give him the opportunity to ventilate his feelings. Stay with him at all times. Stay with him at all times.

The nursing assistant cares for a client with AIDS. The nursing assistant knows that AIDS patients require what type of precautions?

Droplet. Contact. Respiratory. Standard. Standard.

What is a type of advance directive:

Durable Power of Attorney for Health Care

Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again?

Enroll in a refresher course. Undergo a retraining and a new competency evaluation. Competency evaluation only. No other requirements are required. Just present letter of intent to the Board to go back to work. Undergo a retraining and a new competency evaluation. Retraining and a new competency evaluation program are required for nursing assistants who have not worked for 2 consecutive years (24 months).

The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the:

Flow sheet Kardex Progress notes Nursing discharge summary Kardex. The Kardex is a widely used, concise method of organizing and recording data about a client, making information quickly accessible to all members of the health care team. The Kardex reveals specific data about the client, including therapeutic management done and nursing care. A flow sheet enables nurses to record nursing data quickly and concisely to provide an easy-to-read record of the client's condition over time. Progress notes provide information about the progress a client is making. Lastly, the nursing discharge summary is completed only when the client is being discharged.

___________is maintaining equal intake and output.You

Fluid balance

A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup!" Which of the following actions by the nurse assistant would be correct?

Focusing on the emotional reaction. Clarifying the meaning of his statement. Giving him step-by-step directions. Doing the procedure for him. Giving him step-by-step directions.

A patient has a fever and describes feeling very uncomfortable. Which of the following recommendations is best for the nursing assistant to provide?

Give the patient a backrub. Administer Tylenol 500mg PO. Give the patient a cool washcloth to be placed on the forehead. Suggest the patient sit outside in the fresh air. Give the patient a cool washcloth to be placed on the forehead.

Which of the following methods should be used to collect a specimen for urine culture?

Have the client void in a clean container. Clean the foreskin of the penis of uncircumcised men before specimen collection. Have the client void into a urinal, and then pour the urine into the specimen container. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream. Catching urine midstream reduces the amount of contamination by microorganisms at the meatus.

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients?

Help residents write wills and choose power of attorneys. Help residents reach their highest level of psychological and mental functioning. Help residents perform ADLs and avoid neglect. Help residents to transfer to other nursing homes if they want. Help residents reach their highest level of psychological and mental functioning. OBRA requires facilities to help their residents achieve their highest points of physical, psychological, and mental functioning, as well as make choices about their lives.

A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and i cannot move my arm." What should be the nurse aide's next action?

Help the resident to a sitting position on the floor Ask the resident to stay still while the nurse aide calls for help Support the injured arm by placing a pillow under the arm and shoulder Ask the resident to describe the pain and how the fall happened Help the resident to a sitting position on the floor

A resident is ordered to be in the High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of the High Fowler's position?

High Fowlers is a description of the patient sitting straight up in bed, meaning the bed itself has to be at a 90 degree angle to support them.

Which of the following healthcare settings is for people who will die in six months?

Hospice

What is the medical term for high blood pressure?

Hypertension

Which of the following would be a primary indication of hepatitis?

Hypertension. Hyperglycemia. Jaundice. Hypotension. Jaundice.

The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?

IV drug use. Dirty toilet seat. Dirty eating utensils. Going barefoot. IV drug use

Diabetes can lead to what complications:

Impaired wound healing

What is the difference between Sims position and left lateral position?

In Sims position, a pillow is placed between the patient's knees to prevent them from touching. In lateral position, the patient's head is elevated to 15 degrees on two pillows. In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back

All of the following factors may interfere with elimination EXCEPT:

Infection. Aging. Medications. Family stress. family stress.

The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output?

Inform the nurse that the client has voided or defecated. Do not document at all since it cannot be measured. Record on the output side of the I&O sheet each time the bed is wet. Review the client's intake and record the same amount on the output side of the I&O sheet. Record on the output side of the I&O sheet each time the bed is wet

Which is correct about ostomy care?

It is done under sterile technique. It needs doctor's order for changing of ostomy pouches. Able clients can perform this procedure by themselves once they have been taught by the nurse. The client can still defecate normally. Able clients can perform this procedure by themselves once they have been taught by the nurse.

What is a common "cliche"?

It will all work out in the end.

"Log-rolling" is a technique best used for which of the following patient diagnoses?

Left tibial fracture. Spinal cord injury (SCI). Cellulitis of the right arm. Psychosis. Spinal cord injury (SCI).

Pressure sores can lead to

Life-threatening infections in

Which of the following diseases does not require airborne precautions?

Measles. MRSA. Tuberculosis. Chickenpox. MRSA. MRSA is a disease transmitted by skin-to-skin contact. It does not require airborne or droplet precautions.

Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?

Mechanical lift. Draw sheet. Gait belt. Wrist restraints. Mechanical lift

Which of the following is used when documenting the amount of fluid a resident drinks?

Milliliters

Incontinence may be caused by:

Nervous system diseases

What member of the care team might help a resident learn to use adaptive devices for eating or dressing?

Occupational therapist

Restraints can be applied:

Only with a doctor's orders

Of the following symptoms, which one is most likely due to an infection in a resident?

Pale skin. Tented skin. Sudden onset confusion. Aphasia. Sudden onset confusion

Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following?

Places the casted limb above the level of the heart. Places the casted limb close to the body. Places the casted limb below the level of the heart. Places the casted limb at the level of the heart. Places the casted limb above the level of the heart.

Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition?

Prunes Cauliflower Colas and sodas Protein-rich foods Cauliflower

What may influence a food preference?

Religion

If a resident with Alzheimer's disease shows violent behavior, the nursing assistant should

Remove triggers

The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?

Retrieve a safety clipper and hand it to the client. Report to the nurse that the client needs her toenails trimmed. Check the client's blood glucose before cutting her toe nails. Check the chart for physician orders regarding nail trimming. Check the chart for physician orders regarding nail trimming.

A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first?

Review how to use the call light with the resident Orient the resident to person, place and time Tell the resident to never get out of bed without help Try to find out if there is something the resident needs Try to find out if there is something the resident needs

A patient who has recently been paralyzed below the waist due to a motorcycle accident refuses his medications from the nurse. The patient then refuses to say anything. What is the nursing assistant's best response?

Say, "You seem upset." Ignore the client's temper tantrum. Say, "Why did you refuse your medication?" Say, "Don't worry, things will seem better tomorrow." Say, "You seem upset."

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

Shaving

Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan?

Shaving instructions related to problems or issues with clotting. History of a heart condition. Presence of the resident's razor from home. Any previous refusal of ADLs. Shaving instructions related to problems or issues with clotting.

The nursing assistant knows the sign of hypoglycemia (Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than the standard range) Include which of the following?

Tachycardia. Polyuria. Hot and dry skin. Sweating. Sweating

The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?

Tactfully refuse the delegated task because you are limited in changing dressings on your own. After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage. In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

A nursing assistant cares for a resident who has a cast on the left arm. While receiving a bed bath, the nursing assistant notices that the fingers on the client's left hand are cold. Which of the following actions should the nursing assistant take next?

Tell the nurse immediately. Feel the client's fingers on the other hand. Ask the client if it hurts. Give the client gloves. Feel the client's fingers on the other hand. First, check the fingers on the other hand. The client may have overall decreased circulation. If the fingers on the other hand are warm, however, the cast may need to be adjusted.

The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?

The nursing assistant waits at least fifteen minutes before retaking the temperature. The nursing assistant records the temperature in the chart. The nursing assistant scolds the client for not letting her know beforehand. The nursing assistant takes an axillary temperature instead. The nursing assistant waits at least fifteen minutes before retaking the temperature.

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations?

The nursing assistant's hands are visibly soiled. The nursing assistant has just left the patient's room. The nursing assistant is about to enter the patient's room. The nursing assistant helps a patient to the bathroom while wearing gloves The nursing assistant's hands are visibly soiled. Visibly soiled hands require scrubbing, soap, and water to clean.

The nursing assistant takes the blood pressure of a patient known for "running low." To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible?

The patient denies skipping any medication. The patient is stressed. The blood pressure cuff is too tight. The patient is lying in bed. The blood pressure cuff is too tight.

The nursing assistant overhears the nurse say to the patient that he has a "bulging tympanic membrane." What does this most likely mean?

The patient is in pain. The patient has a viral illness. The patient has an ear infection. The patient should clean his ears more frequently. The patient has an ear infection.

The term grievance refers to which aspect included in the Patient Bill of Rights?

There is no lifetime monetary limit on essential care. Patients are not allowed to call doctors at home. Patients have access to their health information at all times. Patients have the right to file a complaint without fear or penalty. Patients have the right to file a complaint without fear or penalty.

While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Which of the following rationales explains the nursing assistant's action?

To inhibit drainage. To allow drainage to occur. To allow the urine to collect in the tubing. To have the client check the tubing for urine. To allow drainage to occur.

The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?

To the lateral aspect of the patient's thigh. To the bed sheet. To the medial aspect of the patient's thigh. To the bed. To the lateral aspect of the patient's thigh.

Insulin reaction can be caused by

Too little food

Another term that is similar to the word convulsion is:

Tremors. Seizure. Fever. Hypertension. seizure.

Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose?

Trochanter rolls Rubber sheet Bed cradle Flotation pads A rubber sheet A rubber sheet protects the client from soiled linens and excess drainage. It can even predispose the client to develop skin breakdown and pressure ulcers because it creates moisture and friction to the skin. Trochanter rolls are applied to prevent the hips and legs from turning outward and aids in proper positioning of the client. A bed cradle is placed on bed and over the person. Top linens are brought over the cradle to prevent pressure on the legs and feet.

A nursing assistant begins caring for a client during a bed bath and notes he has a reddened, intact area on his coccyx. Which of the following correctly describes this condition?

Ulceration stage 1. Ulceration stage 2. Ulceration stage 3. Ulceration stage 4. Ulceration stage 1.

Dyspnea is a term that refers to difficulty with which of the following?

Urinating. Breathing. Defecating. Swallowing. Breathing.

Which of the following are examples of fluid output that need to be recorded on the I&O sheet?

Urine only. Urine and blood loss. Urine, blood loss, and excessive perspiration. Urine, emesis, blood loss, and excessive perspiration. Urine, emesis, blood loss, and excessive perspiration.

Which of the following techniques would you use when interviewing a 94-year-old patient?

Using a low-pitched voice. Enunciating each word slowly. Varying voice intonations. Reinforcing the words with pictures. Using a low-pitched voice. Elderly persons, with no underlying hearing problems, are sensitive to sound and can hear normally. By using a low-pitched voice, you will be able to convey your messages clearly to the client instead of shouting.

Rehabilitation care after any injury should begin when?

When the patient enters a rehab program. One week into recovery. As soon as possible. When the doctor says so. As soon as possible.

Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?

Zippered clothing. Tied shoes to promote stability. Velcro clothing, slip-on shoes, and rubber grippers. Buttoned clothing, slip-on shoes, and rubber grippers. Velcro clothing, slip-on shoes, and rubber grippers.

CPR (Cardiopulmonary resuscitation) should be performed when:

a client is unconscious. a client is choking. a client has no pulse and is not breathing. a client has a pulse but is not breathing. a client has no pulse and is not breathing

MRSA is an example of which of the following?

a resistant strain of bacteria that is difficult to treat with antibiotics. A bacterial strain that is easy to treat with antibiotics. A mnemonic to remember how to act if there is a fire in the facility. A set of activity guidelines designed to keep residents safe. A resistant strain of bacteria that is difficult to treat with antibiotics.

Which of the following is a correct measurement of urinary output?

a. 1 quart b. 2 cups c. 40 oz d. 300 cc d. 300 cc

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do

a. brush the resident's teeth first b. take a rectal temperature c. tell the next shift to take the temperature d. wait 15 minutes to take the temperature c. tell the next shift to take the temperature

Type 2 diabetes is

a. controllable b. often associated with obesity and sedentary c. common d. all of the above d. All of the above

A type of service that long term care facilities can provide include

a. emergency care b. home care c. diagnostic care d. psychiatric care b. Home care

Which of the following best helps reduce pressure on the bony prominences?

a. flotation mattress b. repositioning every shift c. several pillows d. sheepskin a. Flotation mattress

The opening of the colostomy to the outside of the body is called the

a. insertion site. b. rectum c. stoma d. none of the above c. Stoma

Breathing liquids or solids into the airway or lungs is called

a. inspiration b. auscultation c. aspiration d. expiration c. Aspiration

When operating a manual bed, the nurse aide should remember to

a. keep the bed in the neutral position b. lock the wheels when the cranks are folded c. elevate the client's head at all times d. fold cranks under bed d. Fold cranks under the bed

Intake and Output deals with

a. liquids b. solid foods C. mashed or pureed foods d. all of the above a. liquids

When taking a blood pressure, you should do all of the following EXCEPT

a. locate the brachial artery. b. apply the cuff to a bare upper arm. c. take the blood pressure in the arm with an IV. d. turn off the television and radio. c. Take the blood pressure in the arm with an IV.

You notice that a patient has passed a black tarry stool. This is called

a. melena b. fecal Impaction c. colon cancer d. constipation a. Melena

On what side should the patient lie for an enema?

a. right. b. whichever side is more comfortable. c. left. d. the side closer to the restroom. c. Left

What basic need is most essential?

a. self actualization b. safety and security c. self-esteem d. love and Belonging D. safety and security

Which of the following is true regarding the use of side rails on a bed?

a. side rails should not be raised unless stated in the care plan. b. side rails should be raised on both sides when making an occupied bed. c. side rails on one side of a bed should be raised at all times. d. side rails should be raised at night. a. Side rails should not be raised unless stated in the care plan.

The RN assigns you a task that is in your job description. Which statement is FALSE?

a. the RN should check that you have the necessary education and training. b. the RN should give you clear directions before you perform the task. c. the RN should delegate every non-RN task to you. d. the RN can delegate the task to you if it's suitable for the patient. c. The RN should delegate every non-RN task to you.

Who is responsible for the entire nursing staff and the activities involved in providing safe care.

a. the supervisor b. a registered nurse c. the director of nursing d. the case manager c. The director of nursing

Who orders a warm or cold application?

a. you as a CNA can if you think it is necessary b. nurse c. director of nursing d. doctor d. Doctor

What is one way a nursing assistant can promote a resident's independence?

allowing a resident to do a task by himself no matter how long it takes hime

ne of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:

are unable to speak. have no difficulty in understanding spoken or written language. are not able to express themselves meaningfully through speech. speak very loudly at all times. are not able to express themselves meaningfully through speech.

A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips with the placement of the bedpan. The best action by the nurse aide is to

ask the nurse if the resident should have a urinary catheter turn th eresident onto one side to place the bedpan under the resident's hips place an underpad on incontinent brief under the resident to collect the urine have another nurse aide assist to lift the resident onto the bedpan turn the resident onto one side to place the bedpan under the resident's hips

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

clean catch

The normal appearance of urine is

clear strong smelling dark yellow cloudy clear

Rectal temperatures are usually taken on patients who are:

combative. unconscious. anxious. confused. Unconscious patients cannot close their mouths around an oral thermometer. Any of the other patient types would be resistant and/or fearful to a rectal thermometer.

A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be

confined to bed for several weeks going to physical therapy to increase mobility dependent and need total care receiving range of motion (ROM) exercises to hip going to physical therapy to increase mobility

The nursing assistant should tell the nurse if the client with diabetes:

does not touch their lunch tray. reports numbness in their feet sometimes. combs their hair without being prompted. decides not to finalize a will. does not touch their lunch tray.

After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg:

every 15 minutes. every hour. every 2 hours. every shift. every hour.

A nursing assistant should wear gloves when

giving perineal care to a resident

Cheyne-Stokes respirations occur in a client who:

has a history of chronic respiratory issues. is unconscious. is recovering from an asthma attack. is close to death. is close to death.

When assisting a resident with a standard bedpan, where should the wider end of the bedpan be placed?

in alignment with the resident's buttocks

Why should a nursing assistant be concerned if he notices that areas of a resident's skin have become pale, white, or a reddened color?

it could be the beginning of a pressure sore

To prevent falls, a nursing assistant should

keep walkways free of clutter

A 52-year-old homeless man has just been admitted to the ER with a core body temperature of 90.2 degrees F. The doctor diagnoses the man with hypothermia. The nursing assistant knows that the organ most under stress from the low body temperature is the:

lungs. liver. heart. ears. Heart. The heart may fail or go into an arrhythmia from the drop in body temperature.

Which of the following is a requirement of OBRA?

nursing assistants must have at least 75 hours of training

Where should the nursing assistant stand when helping a resident who is recovering from a stroke to walk?

on the resident's weaker side

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

pain or sensation caused by remaining nerve endings

What does palliative care involve?

pain relief and comfort

The first sign of skin breakdown is

pale, white, reddened, or purple skinned

Joking with a resident's roommate about the resident's incontinence is what type of abuse?

phychological abuse

The nursing assistant is aware that the purpose of the elastic stockings is to:

prevent blood clots. hold dressings in place. reduce swelling after injury. prevent pressure sores. prevent blood clots.

While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to

provide an abdominal thrust check the resident's ABC ask if the resident can talk lower the resident to the floor ask if the resident can talk

When caring for a resident who is comatose, the nurse aide is expected to

provide mouth care once a day avoid changing the resident's position talk to the resident while providing care keep the resident's room dark and quiet talk to the resident while providing care

While eating lunch, hot tea splashes on a resident's hand. The nurse aides's first response should be to

quickly move the resident to the nurse's station wet a towel or napkin with cool water and place it against the injured area apply antibiotic ointment to the burned area and then cover it with a bandage ask the resident how badly the burned area hurts wet a towel or napkin with cool water and place it against the injured area

Which kind of care helps restore a resident to the highest level of functioning possible?

rehabilitation

A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to

remind the resident "You do have the right to refuse care" explain that the shower is required to keep clean and healthy try to motivate the resident by collecting clothing and supplies ask the resident has another preference for bathing Correct Answer ask the resident has another preference for bathing

Before assisting the nurse to administer an enema to a bedridden client, the nursing assistant should most importantly:

review the procedure and what's going to happen. open the window. reassure the client that it won't hurt much. gather all materials needed. review the procedure and what's going to happen. It is important for the resident to know what's going to happen and what to expect.

A patient says that her visitor is unable to come during visitor hours and asks if she could be accommodated. The nursing assistant:

reviews the issue with the patient's nurse before answering. says, "Of course! That would be fine." reviews the issue with the charge nurse before answering. says, "I'm sorry, that's not our policy here." reviews the issue with the charge nurse before answering.

Before helping a resident eat, how should the nursing assistant position the resident?

sitting as upright as possible

A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a:

superficial burn. partial thickness burn. total thickness burn. serious burn. partial thickness burn. This describes a partial thickness burn. A total thickness burn appears waxy and white, while a superficial burn might be described as blotchiness of the skin with no blistering.

If a nursing assistant sees a letter for the resident at the front desk, she should

take the opened letter to the resident's room

What is a good way for a nursing assistant to respond to inappropriate sexual behavior?

take the resident to a private area

A resident tells the nurse aide about being bored. The resident says, "My days seem tol a s t forever." Whatshould the nurse aide do?

tell the resident to check the activity schedule ask about activities the resident has enjoyed in the past ask the charge nurse if the resident can have some medication tell the resident "I know what you mean. My days seem long too" ask about activities the resident has enjoyed in the past

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means:

that the client is confused. that the client is unable to void. that the client is unable to understand and process language. that the client is unable to speak. that the client is unable to speak.

The nursing assistant knows that the term "pulse deficit" refers to:

the difference between the systolic and diastolic blood pressure. an absence of the pulse. the difference between the apical and radial pulse. a strong pulse. the difference between the apical and radial pulse. The apical pulse is assessed through a stethoscope placed over the heart, while the radial pulse is typically taken by applying finger pressure to the inner wrist and counting the number of heartbeats. The difference between the two pulse rates is called the pulse deficit.

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

they are practiced in addition to Standard Precautions

HIV can be transmitted

to a fetus by an infected mother

Which of the following is a right of nursing home residents?

to make decisions about their care and treatment to have activities offered throughout the day and evening shift to have designated smoking areas in the facility to select the staff that will provide their care to make decisions about their care and treatment

Anurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing alot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and

try to keep the resident close to observe the resident throughout the shift ask the resident if he had his last bowel movement allow the resident to move around as long he does not harm other residents check if the resident is hungry or needs to go to the bathroom check if the resident is hungry or needs to go to the bathroom

The nursing assistant is correctly providing penile hygiene to an unconscious clients if she:

uses warm water without soap. dries all areas of the penis thoroughly. washes from the base of the shaft to the tip. avoids retracting the foreskin if not circumcised. dries all areas of the penis thoroughly.

A way to prevent aspiration during oral care of unconscious residents include:

using as little liquid as possible when giving oral careYou

What is a normal range of a blood pressure?

varies 119/75 is an example

What is something a nursing assistant needs to observe and report regarding the musculoskeletal system:

white, shiny, red, or warm areas over a joint

If a resident starts to fall, the best thing an NA can do is to:

widen her stance and bring the resident's body close to her

How should a fracture pan be positioned?

with the handle toward the foot of the bed