Headmaster practice questions

Pick three of the examples of behavior promoting Residents ' Rights in Learning Objective 5. Describe how each example supports or promotes specific Residents Rights

-Never abuse a resident physically, emotionally , verbally, or sexually -Do not unnecessarily expose a resident while giving care -Do not talk or gossip about residents

List five possible signs of abuse that should be reported by the nursing assistant. List five possible signs of neglect that should be reported by the nursing assistant

-Scars -Fractures, dislocations -Poor self-control -Bruises, contusions , and welts -Withdrawal or apathy

List eight examples of legal and ethical behavior for a nursing assistant

-do not perform task outside scope of practice -document accurately and promptly -follow rules on safety and infection prevention -do not accept gifts or tips -do not get personally or sexually involved w/ resident or their family members or friends -keep staff information confidential -report abuse or suspected abuse of residents -follow care plan assignments

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 :

30 minutes before meals and at bedtime

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

480 mL

MSRA is an example of which of the following?

A resistant strain of bacteria that is difficult to treat with antibiotics

The abbreviation arc indicates:

A treatment

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D?

A warm glass of milk

Elderly patient 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 ?

Cauliflower

Which of the following options is the best method to prevent insomnia?

Encourage the client to take several walks around the facility daily

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 :

Encourage the resident to pivot themselves with minimal assistance

Which of the following actions is correct when giving a client a bath?

Ensure any areas not being currently washed are covered by a sheet or towel

Osteoporosis

Excessive loss of bone tissue causing bones to break easily. Bones most affected are the spine, pelvis and long bones.

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 ?

Giving him step-by-step directions

Mr. Brown has glaucoma. You would expect his vision to?

Have a loss of peripheral vision

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

Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream .

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

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

In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back

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?

In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing

Cheyne-stroke respirations occur in a client who:

Is close to death

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 :

Kardex

A principle of care for a resident in traction is?

Keep resident in good body alignment

A principle of care for resident in traction is?

Keep the resident in good body alignment

The main purpose of isolation precautions is to?

Keep your uniform clean

During an evacuation the residents moved first should require the ?

Least amount of assistance

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 ?

Leave the equipment in the room for use only with that client

Which of the following diseases does not require airborne precautions ?

MRSA

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

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

Places the casted limb above the level of the heart

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

Positioning boot

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

Record on the output side of the &sheet each time the bed is wet

Which of the following resident is demonstrating orthopneic position?

Resident sits on the side of the bed and leans forward over a beside table

Another term that is similar to the word convulsion is:

Seizure

An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position . This can done by :

Sitting up and leaning over a table with a pillow

Fecal Impaction may present with which of the following symptoms?

Small, watery leakage of stool

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

Sudden onset confusion

What type of client may opt to receive hospice care?

Terminally ill client.

Hand restraints should be fastened securely to

The bed spring using a slip knot

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

The double T-binder is specifically used for male clients.

A common physical change in the male reproductive system as the body ages is an increase in?

Time between erections

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 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.

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

Using a low-pitched voice

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

Velcro clothing, slip-on shoes, and rubber grippers.

Residents are often admitted to long term care facilities because they ?

Want the security of being around other people

A resident is choosing items for breakfast Which of the following items contains the most amount of potassium?

cantaloupe

A liberalized diet?

considers the resident's right to choose what they want to eat

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

dries all areas of the penis thoroughly.

Which of the following disorders are said to be irreversible ?

emphysema

Diabetes is a disease of which primary body system ?

endocrine

A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures ?

enema

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

every hour

All of the following factors may interfere with elimination EXCEPT:

family stress

Signs and symptoms of dysphagia are?

gargling sounds after swallowing, drooling, food avoidance, and choking/coughing while eating

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

incontinence

A client with a Foley catheter is ordered to ambulate twice daily . Before ambulating the client , the nursing assistant should :

keep the bag below the bladder level

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 :

partial thickness burn

Which of the following items is necessary in order to place a patient in restraints?

physician's order

The CNA recognizes that common signs of Alzheimer's Disease are?

problems finding the right word, not recognizing objects, forgetting how to use simple , everyday objects

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?

rubber sheet

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

spinal cord injury (SCI)

A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by

taking the client to the bathroom

The CNA reads in the care plan that the resident has a bed cradle. The CNA understands that?

the linens are placed on top of the cradle of the cradle to prevent pressure on the legs and feet

Libel is?

written defamation

Atrophy

Decrease in size and strength of muscle

To obtain a 24-hour urine specimen, the nurse assistant should

Discard the first voided specimen and then collect the total volume of each voiding in 24 hours

Symptoms of MRSA infection include?

Drainage, increased fever, chills and redness