Midterm
Before using a fire extinguisher, you must first remove the safety pin. push down on the top handle. pull the fire alarm. direct the hose at the fire.
pull the fire alarm.
Persons receiving tube feedings are at risk for aspiration. You need to report the following to the nurse at once except coughing. complaints of nausea. pulse rate of 72. fever.
pulse rate of 72.
The number of pulses felt in 1 minute is the pulse rate. heartbeat. pulse. pulse deficit.
pulse rate.
Which of the following is an example of objective data? Pain level Nausea level Pulse rate Anxiety level
Pulse rate
Spending time with those who make you laugh can help you reduce and cope with stress. True False
TRUE
Stress can cause life-threatening problems. False True
TRUE
Stress in your personal life affects your work and the care you give. False True
TRUE
Dys means slow. inner, inside. bad, difficult, abnormal. without, not, lack of.
bad, difficult, abnormal.
The ear functions in hearing and balance. touch. hammering. sensation.
balance.
The hips and shoulders are hinge joints. ball-and-socket joints. pivot joints. ligament joints.
ball-and-socket joints.
A resident has wrist restraints. You need to check the person at least every 20 minutes. 10 minutes. 5 minutes. 15 minutes.
15 minutes.
To promote normal bowel elimination, how many glasses of water does a person need daily? 4 to 6 6 to 8 8 to 10 2 to 4
6 to 8
Which statement describes normal urine? It has particles. It has a faint odor. It is cloudy. It is bright yellow.
It has a faint odor.
Which statement about incontinence is incorrect? Infection can occur. It is a cause of falls. Skin breakdown can occur. It is a matter of personal choice.
It is a matter of personal choice.
The amount of fluid taken in (intake) and the amount of fluid lost (output) should be equal to maintain fluid balance. False True
TRUE
Oxygen and carbon dioxide are exchanged during inspiration and expiration. between the alveoli and capillaries. during inhalation and exhalation. at the pharynx and larynx.
between the alveoli and capillaries.
A hip abduction wedge is placed at the foot of the mattress. between the person's legs. under the mattress. under the person from the hip to the knee.
between the person's legs.
When bleeding is present in the stomach or small intestine, stools appear orange. brown. red. black.
black.
Urine is stored in the bladder. penis. ureters. urethra.
bladder.
Confusion can occur in older persons because drugs cause side effects. physical disabilities occur. infection is a risk. blood flow to the brain is reduced.
blood flow to the brain is reduced.
Hematuria means a scant amount of urine. blood in the urine. difficult or painful urination. sugar in the urine.
blood in the urine.
Hematuria means difficult or painful urination. blood in the urine. scant amount of urine. sugar in the urine.
blood in the urine.
The amount of force exerted against the walls of an artery by the blood is the systolic pressure. diastolic pressure. blood pressure. pulse deficit.
blood pressure.
Vas(o) means blood vessel. artery. vein. dilate.
blood vessel.
Long or broken nails are dangerous because they cause infection. can scratch the skin. cause blisters. lead to gangrene.
can scratch the skin
A patient is NPO. This means that the person can have fluids every 6 to 8 hours. needs a feeding tube. has dysphagia. cannot eat or drink anything.
cannot eat or drink anything.
A person is in a coma. This means that the person cannot respond to others. has lost, absent, or impaired physical or mental function. is confused and disoriented. cannot hear.
cannot respond to others.
An appropriate rehabilitation program for the person who had a heart attack is stroke rehabilitation. cardiac rehabilitation. respiratory rehabilitation. orthopedic rehabilitation.
cardiac rehabilitation.
Restorative nursing care is the process of restoring the person to his or her highest possible level of function. using the nursing process to help the person adjust to a disability. the process of assisting the person to maintain or regain health. care that helps persons regain health, strength, and independence
care that helps persons regain health, strength, and independence
Validation therapy is based on the following principle except all behavior has meaning. attempts are not made to bring the person back to reality. caregivers are not involved in this therapy. a person's mind may return to the past.
caregivers are not involved in this therapy.
Having concern for a person is respect. enthusiasm. caring. empathy.
caring.
Mechanical lifts are used to transfer patients to (Select all that apply.) cars. commodes. shower chairs. scooters.
cars. commodes. shower chairs.
The connective tissue at the end of long bones is cartilage. tendon. ligament. joint.
cartilage.
Clostridium difficile (C. difficile) is a microbe that causes constipation and fecal impaction. causes diarrhea and intestinal infection. is airborne. is found mainly in water.
causes diarrhea and intestinal infection.
The basic unit of body structure is the nucleus. system. organ. cell.
cell.
Hypoxia means cells do not have enough oxygen. breathing stops. slow and weak respirations. respiratory depression.
cells do not have enough oxygen.
The waxy substance secreted by glands in the auditory canal is called cerumen. incus. malleus. cochlea.
cerumen.
Fingernails are cut with a scissors. always clipped by an RN. clipped straight across. clipped in a rounded shape.
clipped straight across.
After transferring a person to the toilet, you should leave the room. close the bathroom door and stay near the bathroom. close the bathroom door and leave the room. always stay in the bathroom with the person.
close the bathroom door and stay near the bathroom.
Dementia care units are hospice units. open units. closed units. managed care units.
closed units.
You protect a resident's privacy during a bath by opening the door to the person's room. avoiding draping the person to prevent chilling. opening window shades so that the person can see outside. closing the privacy curtain.
closing the privacy curtain.
You assist a person with hair care. You need to report the following except patches of hair loss. coarse or curly hair. very oily hair. scalp sores.
coarse or curly hair.
An example of a moist cold application is ice gloves. cold compress. ice bag. ice collar.
cold compress.
To rinse a glass thermometer, you need to use warm water. hot water. a disinfectant solution. cold water.
cold water.
You use your senses to collect information about the person. determine the symptoms a client is having. report. record.
collect information about the person.
A colostomy is a surgically created opening between the ileum and stomach. rectum and abdominal wall. colon and the body's surface. small intestine and anus.
colon and the body's surface.
The large intestine also is called the villi. anus. colon. rectum.
colon.
The observations you should record after collecting a sputum specimen are sputum (Select all that apply.) pH. color. odor. consistency.
color. odor. consistency.
The health team exchanges information. They send and receive messages. This is resolving conflict. gossip. reporting. communication.
communication.
After a person falls, you need to check the person for injuries. call the doctor. keep the person in bed. complete an incident report.
complete an incident report.
The health history is used to summarize care. approved by the patient. ordered by the physician. completed by the nurse.
completed by the nurse.
Assisted living residences (ALRs) provide the following except housing. complex medical care. social activities. personal care.
complex medical care.
A resident washes her hands over and over many times during the day. This behavior is a defense mechanism. phobia. compulsion. hallucination.
compulsion.
When using an intercom system, you must be careful to protect the person's right to refuse treatment. personal choice. confidentiality. informed consent.
confidentiality.
After water is absorbed from chyme, the remaining semisolid material is called a bowel movement. feces. mucus. chyme.
feces.
The semi-solid mass of waste products in the colon that is expelled through the anus is called chyme. feces. peristalsis. flatus.
feces.
A resident is unsteady. When assisting the person with ambulation, you need to apply a walking aid. brace. supportive device. gait belt.
gait belt.
Bile is stored in the gallbladder. liver. pancreas. stomach.
gallbladder.
A condition in which there is death of tissue is gangrene. an embolus. a constriction. trauma.
gangrene.
Flatus is the excessive formation of gas in the stomach and intestines. gas or air passed through the anus. excreted feces. a black, tarry stool.
gas or air passed through the anus.
A person who has extreme worry for little or no reason most likely has depression. schizophrenia. bipolar disorder. generalized anxiety disorder.
generalized anxiety disorder.
A patient has a catheter. Before cleaning the person's catheter, you need to change the standard drainage bag to a leg bag. disconnect the catheter from the drainage bag. give perineal care. empty the drainage bag.
give perineal care.
A resident has finished defecating. Do the following except dispose of stools promptly. assist the person with hand-washing. assist with perineal care as needed. give the person a suppository.
give the person a suppository.
To prevent a person from suffocating, do the following except position the person in bed properly. make sure the person's dentures are in place. report swallowing problems to the nurse. give the person fluids when he or she has a feeding tube.
give the person fluids when he or she has a feeding tube.
When resigning from a job, you should give a 5-day notice. make a list of the things you do not like about your job and the agency. give your reason for leaving. tell the employer you would have been able to work at the agency if things had changed.
give your reason for leaving.
A vaccine is a microbe that causes infection. used to disinfect supplies and equipment. given to produce immunity. normal flora.
given to produce immunity.
Afternoon care generally involves the following except straightening beds and units. cleaning incontinent persons and changing wet or soiled linens. assisting with activity. giving back massages.
giving back massages.
Morning care usually involves the following except cleaning incontinent persons and changing wet or soiled linen. assisting with elimination. giving back massages. assisting with oral hygiene and face and hand-washing.
giving back massages.
IV therapy is a type of special diet. giving fluids through a catheter. the number of milliliters per hour. having an adequate amount of water in body tissues.
giving fluids through a catheter.
Intravenous (IV) therapy is giving nutrients through the gastro-intestinal system. a tube feeding. giving fluids through a needle or catheter inserted into a vein. the many processes involved in the ingestion, digestion, absorption, and use of food and fluids by the body.
giving fluids through a needle or catheter inserted into a vein.
Enteral nutrition is fluid administered through a needle inserted into a vein. a tube inserted through the nose into the stomach. giving nutrients into the gastro-intestinal tract through a feeding tube.
giving nutrients into the gastro-intestinal tract through a feeding tube.
Contact precautions always require the use of gloves. eye protection. masks. gowns.
gloves.
When giving oral hygiene, you need to wear a gown. a mask. a face shield. gloves.
gloves.
When removing used linens you must wear a gown. gloves. eye protection. a face mask.
gloves.
You see two health team members talking about what they saw a resident's family member do at a restaurant last night. This is eavesdropping. harassment. defamation. gossip.
gossip.
You see two health team members talking quietly to each other. You tell your co-workers what you overheard. This is eavesdropping. an invasion of privacy. gossip. defamation.
gossip.
Systems are connective tissue that anchors, connects, and supports the body. tissues that receive and carry impulses to the brain and body parts. tissues that cover internal and external body surfaces. groups of organs that work together to perform special functions.
groups of organs that work together to perform special functions.
A resident has AD and is seeing "kitty cats" in the closet. The resident is experiencing paranoia. delusion. repetitive behavior. hallucination.
hallucination.
You say things that offend, trouble, torment, or worry another person. This is defamation. gossip. harassment. being rude.
harassment.
If a person is constipated, you would expect the person's stools to be putty-like. liquid. hard and dry. soft and formed.
hard and dry.
The best term to describe someone with hearing loss is deaf-mute. hard-of-hearing. hearing-impaired. deaf and dumb.
hard-of-hearing.
You should wear a wristwatch that has a second hand. is digital. has a stopwatch. has an alarm.
has a second hand.
Clean linens are placed under used linens. on top of used linens. on the floor. on a clean surface.
on a clean surface.
in nursing centers, linens are changed every shift. on the weekend. on bath or shower day. every day.
on bath or shower day.
The amount of hemoglobin containing oxygen is alveolar-capillary exchange. oxygen concentration. hypoxemia. hypoxia.
oxygen concentration.
When a heat application is applied to the skin, tissues have increased (Select all that apply.) constriction. oxygen. nutrients. fluid.
oxygen. nutrients.
The suffix -algia means pain. condition. enlargement. disease.
pain.
Dysuria means a scant amount of urine. blood in the urine. sugar in the urine. painful or difficult urination.
painful or difficult urination.
The beat of the heart felt at an artery as a wave of blood passes through the artery is the pulse rate. pulse. heartbeat. pulse deficit.
pulse.
The opening in the middle of the iris is the cornea. pupil. iris. sclera.
pupil.
You need to move a resident up in bed. To reduce bending and reaching raise the bed rails. lock the bed wheels. raise the bed for body mechanics. use a transfer belt.
raise the bed for body mechanics.
You raise the bed to give care. Bed rails are put on according to the care plan. lowered according to the care plan. removed according to the care plan. raised according to the care plan.
raised according to the care plan
When giving bedside care, the bed is at its highest horizontal level. raised to a comfortable level. at its lowest horizontal level. in Fowler's position.
raised to a comfortable level.
You are going to make a bed. For body mechanics, the bed is moved so you can reach it with ease. in Fowler's position. locked into position. raised.
raised.
To determine pain intensity, you should ask the person to describe where the pain is at. tell you what makes the pain better. tell you when the pain started. rate the pain on a scale of 1 to 10.
rate the pain on a scale of 1 to 10.
A person is on a mechanical soft diet. The person can have the following except mild cheeses. pudding and plain cake. raw vegetables. strained fruit juices.
raw vegetables.
A mechanical lift is used to transfer a patient to the wheelchair. Before using the lift, you need to clean it. apply a transfer belt. read the manufacturer's instructions. apply an assist device.
read the manufacturer's instructions.
A person's catheter is accidentally disconnected from the drainage tubing. What should you do? Get a new drainage bag. Change the drainage system. Put the ends down. Call for the nurse. Reconnect the ends after wiping them with antiseptic wipes.
reconnect the ends after wiping them with antiseptic wipes.
The type of enema that may be ordered when the bowel does not need a complete cleansing is saline. tap water. small-volume. soapsuds.
small-volume.
Wrist restraints are applied so that they are snug. the least restrictive. loose enough for the person to get free of them. tight.
snug.
Four residents sit at a dining room table for meals. Food is served as in a restaurant. Residents can feed themselves. This is family dining. assistive dining. social dining. low-stimulation dining.
social dining.
A carrier is the environment in which microbes live and grow. a preparation given to produce immunity against a contagious disease. someone or something that is a reservoir for microbes but does not have the signs and symptoms of infection. the location where microbes usually live and grow.
someone or something that is a reservoir for microbes but does not have the signs and symptoms of infection.
When collecting sputum specimens, report and record the following except the time the specimen was collected. sputum color. the amount collected. sounds the person made when obtaining the specimen.
sounds the person made when obtaining the specimen.
Infection begins with a susceptible host. reservoir or host. source or pathogen. portal of exit or portal of entry.
source or pathogen.
The sympathetic nervous system speeds up body functions. slows down body functions. controls thought and intelligence. sends messages to and from the brain.
speeds up body functions.
Pathways that conduct messages to and from the brain are contained in the brainstem. pons. spinal cord. meninges.
spinal cord.
A patient is unconscious. To give the person mouth care, you need to use a denture brush. mouthwash. a toothbrush. sponge swabs.
sponge swabs.
Mucus from the respiratory system that is expelled through the mouth is known as spit. saliva. ketone. sputum.
sputum.
A survey is performed to determine if nursing assistants are focusing on PRIDE. patients are recovering from illness. nurses are delegating properly. standards are being met.
standards are being met.
After a person falls, you need to complete an incident report and call the family. provide a walking aid. call the doctor. stay with the person and call for the nurse.
stay with the person and call for the nurse.
person is agitated. Do the following except talk to the person in a calm manner. stay with the person until the nurse arrives. stand away from the person and near the door. keep your hands free.
stay with the person until the nurse arrives.
Healthcare-associated infections can be spread by the following except poor hand-washing. poor wiping after bowel movements. sterile technique. care equipment and supplies.
sterile technique.
Signs and symptoms of infection include the following except redness and swelling of a body part. stiff and cold joints. fever. increased pulse and respiratory rates.
stiff and cold joints.
Drugs that stimulate the brain are stimulants. hallucinogens. opiates. depressants.
stimulants.
Gas-forming foods aid defecation because they form chyme. are easy to chew and digest. absorb fluid. stimulate peristalsis.
stimulate peristalsis.
Chyme is produced in the small intestine. pancreas. large intestine. stomach.
stomach.
To prevent pressure injuries, persons sitting in chairs need to shift their positions every 5 minutes. 15 minutes. 10 minutes. 20 minutes.
15 minutes.
After applying a hot compress, how often should you check the application site? Every 20 minutes Every 10 minutes Every 5 minutes Every 15 minutes
Every 5 minutes
After applying heat or cold, how often should you check the person? Every 30 minutes Every 5 minutes Every 10 minutes Every 60 minutes
Every 5 minutes
You applied a cold compress. How often should you check the application site? Every 5 minutes Every 20 minutes Every 15 minutes Every 10 minutes
Every 5 minutes
In nursing centers, which room temperature is required by the Centers for Medicare & Medicaid Services? 68°F to 74°F 60°F to 66°F ! 71°F to 81°F 82°F to 86°F
! 71°F to 81°F
After applying an elastic bandage, how often do you need to check the color and temperature of the extremity? Every 3 hours Every 15 minutes Every 2 hours Every hour
Every hour
A resident smokes. The person just had a cigarette. How long do you need to wait before taking the person's temperature orally? 15 to 20 minutes 10 to 15 minutes You do not need to wait.
15 to 20 minutes
When providing foot care, how long should the feet be soaked? 1 minute 20 to 30 minutes 5 to 10 minutes 15 to 20 minutes
15 to 20 minutes
Heat and cold applications are applied for no longer than 20 to 25 minutes. 10 to 15 minutes. 15 to 20 minutes. 5 to 10 minutes.
15 to 20 minutes.
When giving nail and foot care, the feet usually soak for 15 to 20 minutes. 10 to 15 minutes. 20 to 25 minutes. 5 to 10 minutes.
15 to 20 minutes.
When do patients and residents need fresh drinking water? With each meal and at bedtime Every shift and whenever the pitcher is empty Every day Every 8 hours
Every shift and whenever the pitcher is empty
Shortened forms of words or phrases that are used in health care are known as what? Medical terms Prefixes Greek ! Abbreviations
! Abbreviations
A patient is learning to use an eating device. Where should the person practice using the device? In the dining room In private In the TV room In the lounge area
In private
Which statement about disabilities is incorrect? Losses can be short term or long term. Disabilities can affect eating and dressing. ! Only one function is lost. The degree of disability affects how much function is possible.
! Only one function is lost.
A binder is loose and out of position. What should you do? Change the dressing. Apply a new binder. ! Re-apply the binder. Secure it with tape.
! Re-apply the binder.
Restraints are buckled or tied within the person's reach. with tape or rope. using the least restrictive method. ! according to agency policy and the manufacturer's instructions
! according to agency policy and the manufacturer's instructions
Skin tears are caused by the following except ! incontinence and moisture on the skin. friction and shearing. falls. long fingernails.
! incontinence and moisture on the skin.
Cold applications do the following except reduce pain. increase circulation prevent swelling. decrease bleeding.
! increase circulation.
When giving a back massage, you start at the upper arms. shoulders. ! lower back. mid back.
! lower back.
Necklaces and earrings are dangerous because they can damage care equipment. they can scratch patients and residents. ! patients and residents can pull them off. they provide a place for microbes to grow and multiply.
! patients and residents can pull them off.
Being honest means the following except reporting observations. ! reporting gossip. reporting accurately care given. reporting errors.
! reporting gossip.
The pressure in the arteries when the heart contracts is ! systolic pressure. pulse deficit. blood pressure. diastolic pressure.
! systolic pressure.
A person who helps cover an employee on break is the ! unit staff member. dietitian. patient. patient's family.
! unit staff member.
A resident wants his or her meatloaf prepared a certain way. To clarify what the person is saying, you say "Why do you want it made that way?" "Let's talk about the meatloaf on your plate." "Can you tell me that again?" "Do you want more pepper in it?"
"Can you tell me that again?"
Which is not a pat answer? "I'll take care of it." "Don't worry." "Everything will be just fine." "Can you tell me what's wrong?"
"Can you tell me what's wrong?"
Which of the following statements demonstrates an attitude of teamwork? "No one appreciates what I do." "I'm too busy." "That's not my patient." "How can I help?"
"How can I help?"
A patient did not get her meal served on time. While displaying a good attitude, how should you respond to the nurse? "It's not my fault. I was helping Jody with a patient." "I work harder than anyone else." "That's not my resident." "I'm sorry. Can you help me plan better?"
"I'm sorry. Can you help me plan better?"
A patient did not eat all of their meal. Which question should you ask? "Was something wrong with your food?" "What is your age?" "How much do you weigh?" "Would you like to eat two dinners instead?"
"Was something wrong with your food?"
Which is a direct question? "What do you want for lunch?" "Why don't you want to eat?" "Tell me about family." "Tell me that again, please."
"What do you want for lunch?"
To balance a scale, you must move the weights to 100. 50. 10. 0.
0
Each short line of a centigrade thermometer means 0.5 of a degree. 0.1 of a degree. 0.2 of a degree. 1 degree.
0.1 of a degree.
Each short line of a Fahrenheit thermometer means 1 degree. 0.5 of a degree. 0.2 of a degree. 0.1 of a degree. 0.1 of a degree.
0.2 of a degree.
In respiratory arrest, how often are rescue breaths given for adults? 2 breaths every 30 seconds 1 breath every 5 to 6 seconds 1 breath every 3 to 5 seconds 2 breaths every 60 seconds
1 breath every 5 to 6 seconds
Each long line of a centigrade thermometer means 2 degrees. 0.5 of a degree. 0.1 of a degree. 1 degree.
1 degree.
How much blood is collected for a blood glucose test? 1 teaspoon 1 inch 1 drop 1 test tube amount
1 drop
An apical pulse is counted for 30 seconds. 15 seconds. 1 minute. 45 seconds.
1 minute.
After a tube feeding, the person is positioned in semi-Fowler's position for 1 to 2 hours. 45 minutes. 15 minutes. about 30 minutes
1 to 2 hours.
Persons at risk for pressure injuries are re-positioned at least every shift. 1 to 2 hours. 3 to 4 hours. hour.
1 to 2 hours.
Which position is known as supine? Side-lying Back-lying Sitting in chair Lying on abdomen
Back-lying
The healthy adult produces about 1500 mL of urine each shift. 1000 mL of urine a day. 1500 mL of urine a day. 1000 mL of urine each shift.
1500 mL of urine a day.
A sodium-controlled diet restricts daily intake of sodium to 1500 mg. 2500 mg. 2000 mg. 3000 mg.
1500 mg.
Which systolic pressure should you report at once? 118 168 120 116
168
Using the body in an efficient and careful way involves what? (Select all that apply.) Injury Balance Muscle strain Posture
Balance Posture
Which walking aid provides support for weak body parts? Braces Canes Crutches Walkers
Braces
A patient's coffee cup holds 250 mL. The person did not drink all the coffee. You measure that 75 mL of coffee remain. How much did the person drink? 125 mL 100 mL 175 mL 200 mL
175 mL
Which of the following is used to document care given at 7:00 PM, using the 24-hour clock? 19:00 7:00 PM 1900 7:00
1900
The standard clock time is 7:29 PM. In 24-hour clock time this is 729. 1929. 7:29 PM. 0729.
1929.
When measuring intake and output, how many graduates do you need? 1 None 2 3
2
A normal adult pulse rate is 90 to 120 beats per minute. 60 to 100 beats per minute. 40 to 80 beats per minute. 50 to 110 beats per minute.
60 to 100 beats per minute.
cool application is 93°F to 98°F. 80°F to 93°F. 65°F to 79°F. 50°F to 65°F.
65°F to 79°F.
A person voided 250, 300, and 150 mL during your shift. What is the total shift output amount? 700 mL 625 mL 850 mL 550 mL
700 mL
You need to talk to the nurse about a patient or resident. Where should you do this? In the hallway In the person's room Over the intercom system In private
In private
What is the most important step involved in identifying the correct person? Check the room number. Check the person's care plan. Check the ID bracelet, and call the person by name. Call the person by name.
Check the ID bracelet, and call the person by name.
You did not serve a resident's meal tray promptly. What should you do? Give the tray to the nurse. Throw the meal away. Check the food temperature. Serve the tray as soon as possible.
Check the food temperature.
Which of the following is a feeding tube inserted through the nose into the stomach? Jejunostomy tube Naso-enteral tube Naso-gastric tube Gastrostomy tube
Naso-gastric tube
Which body response may be a sign of pain? Nausea Increased sleep Decreased vital signs (pulse, respiration, and blood pressure) Weight gain
Nausea
Which is a symptom? Pulse rate of 78 Cough Noisy respirations Nausea
Nausea
A resident is incontinent. He cannot control his bowel movements. To prevent odors, do the following: Remind the person to use the bathroom. Check the person often. Change the person's clothing every 2 hours. Dispose of soiled clothing and linens at the end of your shift
Check the person often.
To prevent skin tears, which of the following should be done? Position the person supine. Wear gloves. Follow the person's care plan. Follow Standard Precautions and the Bloodborne Pathogen Standard.
Follow the person's care plan.
A resident thinks her hearing aid is not working. What should you do first? Check to see if the hearing aid is on. Ask her simple questions. If she answers correctly, the hearing aid is working. Tell the nurse. Put it in your ear to see if it is working.
Check to see if the hearing aid is on.
Which are the steps used to resolve conflict? (Select all that apply.) Define the problem. Collect information about the problem. Identify possible solutions. Place blame on the nurse.
Define the problem. Collect information about the problem. Identify possible solutions.
Which is a risk of receiving enteral nutrition? Weight gain Confusion Delayed stomach emptying
Delayed stomach emptying
You measured a resident's blood pressure. His systolic pressure is 144 mm Hg. His diastolic pressure is 78 mm Hg. How do you record these measurements? 144 mm Hg/78 mm Hg 144/78 mm Hg 78/144 mm Hg 78 mm Hg/144 mm Hg
144/78 mm Hg
A resident just finished his daily exercise program. You need to measure the person's blood pressure. How long does he need to rest before the measurement? 20 to 30 minutes 10 to 20 minutes 5 to 10 minutes 5 minutes
10 to 20 minutes
For an adult, which pulse rate is reported to the nurse at once? 74 ! 104 88 66
104
Water temperature for perineal care is usually 105°F to 109°F. 110°F to 115°F. 110°F to 120°F. 105°F.
105°F to 109°F.
Water temperature for a tub bath is usually 105°F to 109°F. 110°F to 120°F. 110°F to 115°F. 105°F.
105°F.
Water temperature for a complete bed bath is usually between 115°F and 120°F. 110°F and 115°F. 105°F and 109°F. 110°F and 120°F.
110°F and 115°F.
The standard clock time is 11:42 AM. In 24-hour clock time this is 2342. 11:42 AM. 11:42. 1142.
1142.
The healthy adult has 10 to 14 respirations per minute. 15 to 30 respirations per minute. 12 to 18 respirations per minute. 12 to 20 respirations per minute.
12 to 20 respirations per minute.
Your break time is 15 minutes long. How long can you take? 15 minutes 20 minutes 10 minutes As long as you need
15 minutes
Which of the following occurs when a nurse authorizes another person to perform a nursing task or function? Delegation Accountability Competence
Delegation
A person has a restraint. Skin care is given at least every 30 minutes. hour. 2 hours. 15 minutes.
2 hours.
A person has a restraint. The person is re-positioned at least every hour. 2 hours. 30 minutes. 15 minutes.
2 hours.
Restraints are removed and basic needs met at least every 2 hours. 30 minutes. hour. 15 minutes.
2 hours.
To prevent respiratory complications, a person is re-positioned at least every 4 hours. hour. shift. 2 hours.
2 hours.
Agency policy may allow repeating enemas 8 to 10 times. 2 or 3 times. 5 to 6 times. every 5 minutes.
2 or 3 times.
To give hair care, you begin by parting the hair into 5 sections. 3 sections. 4 sections. 2 sections.
2 sections.
You are taking an oral temperature with a glass thermometer. How long do you leave the thermometer in place? 1 minute 2 to 3 minutes 2 minutes 5 to 10 minutes
2 to 3 minutes
How far is the enema tube usually inserted into the adult rectum? 2 to 4 inches 5 to 6 inches 1 to 3 inches 4 to 5 inches
2 to 4 inches
When a person is caught or trapped in a bed rail, it is known as what? Restraints Entrapment Egress Dependent
Entrapment
Which is the outer layer of the skin? Dermis Epidermis Epithelium Nerves
Epidermis
Designing a task or work station to better fit the body is known as what? Body alignment Ergonomics Body mechanics Sims' position
Ergonomics
The agency allows you to record on charts. Which is incorrect? All entries are signed with your name and title. Ink is used, not pencil. Only agency-approved abbreviations are used. Errors are erased.
Errors are erased.
The doctor ordered strict bedrest for a resident. Which is correct? The person can use the bathroom. The person can use the bedside commode. Everything is done for the person. The person can perform some activities of daily living.
Everything is done for the person.
During lunch, your co-workers are talking about other staff members. What should you do? Sit there without saying anything. Share the comments with staff members who were not there. Tell the nurse what happened. Excuse yourself and leave the table.
Excuse yourself and leave the table.
Smoking is allowed near oxygen tanks as long as the person smoking is not on oxygen. True False
FALSE
To move the person in segments, move the person away from you. True False
FALSE
You should never self-administer abdominal thrusts. False True
FALSE
The amount of fluids a person takes in is known as what? Hydration Edema Intake Fluid requirements
Intake
A nursing center resident does not wear an ID bracelet. Before giving care, how should you identify the person? Check the person's photo ID. Follow center policy and the care plan. Ask a co-worker what to do. Ask the person.
Follow center policy and the care plan.
Which is a safety measure for applying an aquathermia pad? Secure the pad in place with pins. Follow electrical safety precautions. Place the pad under the body part. Place the heating unit on the person's bed.
Follow electrical safety precautions.
You are ill and cannot work as scheduled. What should you do? Find someone to work for you. Follow the agency's attendance policy. Call your supervisor after your shift starts. Go to bed.
Follow the agency's attendance policy.
A flood warning was issued for your area. You are at work. What should you do? Get home as soon as possible. Discharge patients or residents who can go home. Find another agency for patients or residents. Follow the agency's disaster plan.
Follow the agency's disaster plan.
When performing a dry, non-sterile dressing change, when are clean gloves put on? After applying the clean dressing After cleaning the wound Before opening the new dressings After removing the soiled dressing
After removing the soiled dressing
You are making a surgical bed for a patient returning from surgery. Which is correct? Attach the call light to the bed. Leave both bed rails up. A complete linen change is needed. Leave the bed in the lowest position.
A complete linen change is needed.
A resident is done taking a tub bath. When should you assist the person out of the tub? Whenever the person is ready to get out After the tub drains Before draining the tub While the tub drains
After the tub drains
When assisting with rehabilitation, which of the following should you do? Follow the care plan. Ask the person what to do. Carry out the doctor's orders. Follow the service plan.
Follow the care plan.
A tub bath lasts no longer than 20 minutes. 15 minutes. 10 minutes. 30 minutes.
20 minutes.
To maintain normal fluid balance, an adult needs to ingest 1000 to 1500 mL of fluid a day. 2500 to 3000 mL of fluid a day. 1500 to 2000 mL of fluid a day. 2000 to 2500 mL of fluid a day.
2000 to 2500 mL of fluid a day.
Which part of the cell directs the cell's activities? Cytoplasm Protoplasm Nucleus Cell membrane
Nucleus
A back massage should last 5 to 10 minutes. 10 to 15 minutes. 3 to 5 minutes. No longer than 20 minutes.
3 to 5 minutes.
What safety measures are important when logrolling a person after spinal cord surgery? Follow the direction of the nurse. Use a pillow under the head for comfort. Perform the procedure with one staff member. Keep the spine of the person curved.
Follow the direction of the nurse.
Which is not an early warning sign of dementia? Poor or decreased judgment Personality changes Not recognizing self or family members Getting lost in familiar places
Not recognizing self or family members
Which sign is a normal response to cold application? Pain Numbness Blisters Swelling
Numbness
Which person is permitted to tell you when to use bed rails? Family Physician Patient Nurse
Nurse
A resident is confused. The person usually naps after lunch. Which action is correct? Follow the person's routine. Prevent the person from taking a nap. Help the person change into sleepwear. Use music and other activities to distract the person.
Follow the person's routine.
A restraint is ordered. Which is the least likely to cause injuries? Keeping the restraint on the entire shift Following the manufacturer's instructions Using whatever restraint is available Trying to get free from the restraint
Following the manufacturer's instructions
What should you use to wipe the ear-pieces and diaphragm of the stethoscope before and after use? Soap and water Cold water Antiseptic wipes Hot water
Antiseptic wipes
To properly use incontinence products, which of the following should be done? Follow OBRA guidelines and the care plan. Ask the person what to do. Provide perineal care. Follow the manufacturer's instructions and agency procedures.
Follow the manufacturer's instructions and agency procedures.
The doctor orders testing for glucosuria and ketones. When are these tests usually done? Every time the person urinates After meals 30 minutes before each meal and at bedtime During morning and bedtime care
30 minutes before each meal and at bedtime
Oil-retention enemas are retained for at least 3 hours. 30 minutes. 15 minutes. 1 hour.
30 minutes.
You are measuring blood pressure. How far should you inflate the cuff beyond the point where you last felt the person's pulse? 10 mm Hg 30 mm Hg 20 mm Hg 40 mm Hg
30 mm Hg
A radial pulse is usually counted for 45 seconds. 15 seconds. 60 seconds. 30 seconds.
30 seconds.
The recommended position for preventing and treating pressure injuries is the supine position. 30-degree lateral position. prone position. Fowler's position.
30-degree lateral position.
You are recording intakes on a person who drank a 4-ounce glass of juice and a 6-ounce cup of coffee. How many milliliters are recorded? 300 mL 240 mL 180 mL 120 mL
300 mL
How many calories does 1 gram of carbohydrate provide? 4 15 1 9
4
How many calories does 1 gram of protein provide? 15 9 4 1
4
Which is a semi-sitting position? Fowler's position Sims' position The dorsal recumbent position The supine position
Fowler's position
A patient has the head of her bed elevated 60 degrees. This position is Fowler's position. the supine position. Sims' position. the prone position.
Fowler's position.
How many calories does 1 gram of fat provide? 9 15 1 4
9
Which of the following occurs when you say you are a nurse, but you are really a nursing assistant? Fraud Assault Battery Slander
Fraud
When should you report changes in the person's condition? At once Before you take your lunch break During the end-of-shift report At the end of your shift
At once
Difficulty voiding in the older adult may cause which symptoms? Retention Constipation Catheter insertion Frequent urination
Frequent urination
Your work surface becomes contaminated with blood. When should you decontaminate the area? At the end of your shift When you have time Before you leave the room At once
At once
Which is an abnormal oximetry value? 95% 93% 97%
93%
A warm application is 93°F to 98°F. 80°F to 93°F. 98°F to 106°F. 106°F to 115°F.
93°F to 98°F.
The normal range for pulse oximetry is 98% to 100%. 90% to 95%. 80% to 95%. 95% to 100%.
95% to 100%.
A resident needs rehabilitation after hip replacement surgery. You take the person's temperature orally. Which measurement is not within normal range? 98.1°F 98.2°F 99.8°F 98.0°F
99.8°F
Bariatric beds have a weight capacity from 300 to 450 pounds. 200 to 275 pounds. 100 to 195 pound. 500 to 1000 pounds.
500 to 1000 pounds.
In the Fowler's position, what is the head of the bed expected to be? Flat 30 degrees 60 to 90 degrees 45 to 60 degrees
45 to 60 degrees
How many chromosomes are in each cell? 92 23 46 15
46
How many steps are in the nursing process? 5 2 3 4
5
For an adult, which pulse rate is reported to the nurse at once? 50 62 75 98
50
Which diastolic pressure should you report at once? 50 62 80 74
50
How much volume is a soapsuds enema solution? 500 to 1000 mL 200 to 300 mL 100 to 120 mL 500 to 750 mL
500 to 1000 mL
Which statement about restraints is incorrect? A back cushion is used if the person is restrained in a chair. The call light is kept within the person's reach. A person restrained in the supine position is at great risk for aspiration. Bed rails are raised when using vest, jacket, or belt restraints.
A back cushion is used if the person is restrained in a chair.
Which statement about normal bowel elimination is incorrect? A bowel movement is needed every day. Stools are normally brown. Stools are normally soft, formed, moist, and shaped like the rectum. Stools have a normal odor.
A bowel movement is needed every day.
What should you use to pick up broken glass? A leak-proof plastic bag Gloved hands A brush and dustpan A puncture-resistant container
A brush and dustpan
Which statement about incontinence is incorrect? Good skin care is needed. A catheter is needed. It affects the person emotionally. Dry garments and linens are needed.
A catheter is needed.
Which is a restraint? A reclining chair A rocking chair A low bed A chair with an attached tray table
A chair with an attached tray table
A resident has eyeglass lenses. To properly care for them, which of the following should you do? Label them with the person's name and room number. Clean them with water and tissues. Remove the batteries before storing them. Follow the manufacturer's instructions.
Follow the manufacturer's instructions.
Which supportive device can help prevent footdrop? A trochanter roll A bed-board A foot-board An abduction wedge
A foot-board
Which is not a cause of fecal incontinence? Nervous system diseases Dementia A high-fiber diet Unanswered call lights
A high-fiber diet
What is the most common cause of choking? Drinking alcohol Loose dentures A large, poorly chewed piece of meat The tongue falling to the back of the throat
A large, poorly chewed piece of meat
A resident is 90 years old. The person has arthritis. You need to move the person to the side of the bed. Which method is best? A mechanical lift The method you are most comfortable with The method the person wants to use Moving the person in segments
A mechanical lift
Which health team member checks tube placement before a tube feeding is given? A physical therapist A nurse A nursing assistant A dietitian
A nurse
Which of the following occurs when the skin is dragged across a surface? Friction Skin tear Pressure Shearing
Friction
A resident is 85 years old. You are going to give the person a back massage. Which position will probably be most comfortable for the person? The supine position A side-lying position Fowler's position Sims' position
A side-lying position
Which is a type of wound that can be caused by holding an arm or leg too tight? A circulatory ulcer A penetrating wound A skin tear A contusion
A skin tear
Privacy is important when collecting a sputum specimen. Which is not a reason for privacy? The person has the right to privacy. Expectorating sounds can disturb others. A sterile specimen container is used. Sputum is unpleasant to look at.
A sterile specimen container is used.
Which is safe? An overloaded electrical outlet Cracked or chipped items A frayed cord A three-pronged plug
A three-pronged plug
Which statement about masks is correct? Practice hand hygiene after putting on a mask. Masks are worn for all tasks. A wet or moist mask is contaminated. The ties or elastic bands are contaminated.
A wet or moist mask is contaminated.
Which is not a risk factor for musculo-skeletal disorders (MSDs)? Repeating action A wide base of support Awkward postures Sudden motions
A wide base of support
If you do this, you could lose your job: Use alcohol at home. Abandon patients. Keep perfect attendance. Show respect to patients, families, and visitors.
Abandon patients.
Which of the following means to leave or desert someone? Exploitation Neglect Seclusion Abandonment
Abandonment
What technique is used to relieve severe airway obstruction? Abdominal thrusts Chest thrusts Finger sweeps Back blows
Abdominal thrusts
Which exercises are not done to the wrist? Radial flexion and ulnar flexion Abduction and adduction Flexion and extension Hyperextension
Abduction and adduction
A person's cultural beliefs and practices are different from yours. What should you do? Ask to care for other patients or residents. Judge the person by your standards. Accept and respect the person's culture. Tell the person what you believe.
Accept and respect the person's culture.
Which foods leave a residue needed for normal bowel elimination? Fruits and vegetables Fried foods Chocolate and other sweets
Fruits and vegetables
Which factors affect the number of times a patient urinates? (Select all that apply.) Ethnicity Activity Work Illness
Activity Work Illness
What is a sudden illness from which a person is expected to recover? Acute illness Terminal illness Chronic illness Palliative illness
Acute illness
Which is not a developmental task of late adulthood? Adjusting to aging parents Coping with a partner's death Preparing for one's own death Adjusting to retirement and reduced income
Adjusting to aging parents
Which is a developmental task of late adulthood? Selecting a partner Developing leisure-time activities Adjusting to decreased strength and loss of health Adjusting to aging parents
Adjusting to decreased strength and loss of health
At what age does AD usually occur? Around age 80 years After age 60 years Between ages 30 and 40 years
After age 60 years
A bowel training program is developed for a resident. The person usually has a bowel movement after breakfast. When should you assist the person with elimination? After lunch After breakfast Before lunch Before breakfast
After breakfast
Which object will alert the staff that a person is moving from the bed or chair? Bed rails Call lights Restraints Alarms
Alarms
Which statement about alcoholism is true? The person can outgrow alcoholism. Alcoholism can be cured. Alcoholism is a chronic disease. The person is not dependent on alcohol.
Alcoholism is a chronic disease.
Which statement about medical records is incorrect? They include the person's identifying information. They are legal documents. All agency staff can access them. They are used to communicate information about a person.
All agency staff can access them.
What physical changes happen in the urinary system of the older adult? Decreased kidney function Urinary frequency or incontinence Reduced blood flow to kidneys All of the above
All of the above
A resident at Spruce Harbor Nursing Center is holding hands with his wife and stroking her leg. What should you do? Tell the nurse. Explain that such behaviors are not allowed. Check the person's care plan. Allow them privacy.
Allow them privacy.
Which measure can cause a UTI? Allowing urine to flow back into the bladder when moving the drainage bag Using a clean, separate graduate to empty each person's drainage bag Using a clean area of the washcloth for each stroke during catheter care Keeping the drain from touching the graduate or other surface
Allowing urine to flow back into the bladder when moving the drainage bag
Which is the most common type of permanent dementia? Multi-infarct dementia Parkinson's disease Cerebrovascular disease Alzheimer's disease (AD)
Alzheimer's disease (AD)
Which agency is responsible for publishing the document that explains a person's rights and expectations during hospital stays? American Hospital Association Ombudsman CMS Joint Commission
American Hospital Association
A person has AD. Which can offer the person's daughter support and encouragement? The American Dementia Association The sandwich generation OBRA An AD support group
An AD support group
Which person leads the health team? An LPN/LVN An RN A nursing assistant A nurse manager
An RN
Which is a common emotion caused by fear, pain, and dying? Self-centered behavior Demanding behavior Anger Withdrawal
Anger
Which of the following are signs of mental stress? (Select all that apply.) Anger Anxiety Blaming others Increased heart rate
Anger Anxiety
The nurse asks you to check an IV flow rate. You need to tell the nurse at once if no fluid is dripping or if the rate is too fast or too slow. True False
TRUE
Which of the following interventions may help reduce noise in health care agencies? Talking and laughing in the hallways Answering phones promptly Using intercoms for communication Using metal wash basins
Answering phones promptly
Which term means located at or toward the front of the body or body part? Posterior Anterior Medial Distal
Anterior
What medication interferes with a person's ability to use a blade razor for shaving? Anti-inflammatory Analgesic Anticoagulant Antibiotic
Anticoagulant
Which statement about the use of restraints is incorrect? They may be used only for the immediate physical safety of the person or others. Any health team member can order his or her use. They may only be used when less restrictive measures fail to protect the person or others. They must be discontinued at the earliest possible time.
Any health team member can order his or her use.
Which statement about restraints is incorrect? The manufacturer's instructions are followed. Any member of the health team can order a restraint to protect the person. Informed consent is required before a restraint is applied. Unnecessary restraint is false imprisonment.
Any member of the health team can order a restraint to protect the person.
Which is the largest artery? Brachial artery Radial artery Carotid artery Aorta
Aorta
Which statement about eating and nutrition is incorrect? Appetite usually increases during illness and recovery from injury. Unpleasant sights, thoughts, and smells affect appetite. Changes from aging affect appetite and the foods eaten. Food practices are affected by culture and religion.
Appetite usually increases during illness and recovery from injury.
You nick a person's face. What should you do? Apply a Band-Aid. Apply direct pressure to the bleeding site. Wait for the bleeding to stop. Call for the nurse.
Apply direct pressure to the bleeding site
A resident has dry skin. What should you do? Use soap during the person's bath. Apply moisturizer as directed by the nurse. Apply cornstarch to dry areas. Apply powder to dry areas.
Apply moisturizer as directed by the nurse.
Which considerations are made when applying a transfer belt? Position the buckle over the spine. Apply to bare skin. Apply over clothing. Apply across nipple line.
Apply over clothing.
Which is a dry heat application? Hot soak Sitz bath Aquathermia pad Hot compress
Aquathermia pad
Which of the following is an electrical device? Ice collar Sitz bath Aquathermia pad Commercial heat or cold pack
Aquathermia pad
Which sign or symptom regarding a dressing change should be reported to the nurse? The skin is clean and dry. The type of dressing used. The patient tolerated the dressing change well. Area around the wound is warm to touch.
Area around the wound is warm to touch.
Which are voluntary muscles? Arm and leg muscles Stomach muscles Intestinal muscles Heart muscle
Arm and leg muscles
Pulse oximetry measures oxygen concentration in which substance? Arterial blood Secretions Venous blood Mucous
Arterial blood
Which vessels carry blood away from the heart? Veins Capillaries Arteries Venules
Arteries
How far should you walk a person? As far as directed by the nurse and the care plan As far as the person chooses As far as the person can tolerate Down the hall and back to the room
As far as directed by the nurse and the care plan
After making a bed, you feel pain in your lower back. When should you report this? As soon as possible Before you take your break When you report off duty Only if the pain gets worse
As soon as possible
___________ is the absence of disease-producing microbes. Contamination Sterilization Disinfection Asepsis
Asepsis
A resident does not use bed rails. To give care, you need to raise the bed. Which is correct? Ask a co-worker to help you. Keep the bed in the low position. Tell the person to be very careful when the bed is raised. Get the person up in the chair.
Ask a co-worker to help you.
You want to make sure that a person understands what you said. Which is correct? Assume that the person is confused and disoriented. Ask questions to see if the person understands. Respect the person's culture and religion. Assume that the person understands.
Ask questions to see if the person understands.
How should you handle changing a standard gown on a patient who is connected to an IV pump? Ask the nurse to handle the IV. Feed the IV tubing through the gown. Pause the IV pump to change the gown. Disconnect the IV to change the gown.
Ask the nurse to handle the IV.
Before disposing of the enema results, which of the following should you do? Let the person observe the results. Disinfect the bedpan or commode. Provide perineal care. Ask the nurse to observe the results.
Ask the nurse to observe the results.
The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and discomfort. What should you do? Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin. Ask the person to take slow, deep breaths. Distract the person during the dressing change. Tell the person that the procedure will not hurt.
Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin.
A resident has AD. The person tends to wander. Her care plan includes the following. Which should you question? Make sure the person's ID bracelet is on. Keep door alarms turned on. Let the person wander in an enclosed garden. Ask the person to only wander in safe areas.
Ask the person to only wander in safe areas.
Which of the following is an important consideration when assisting with dressing and undressing? Allow the person to remain in the sleepwear at all times if he or she wishes. Insist on fastening buttons and zippers to save time. Pick out the clothing for the person. Ask the person what he or she wants to wear.
Ask the person what he or she wants to wear.
A resident complains of pain. Which will not help you collect information about the person's pain? Ask the person when the pain started. Ask the person to describe the pain. Ask to see the pain. Ask the person to point to the area of pain.
Ask to see the pain.
To promote communication with a person who has Alzheimer's disease, what should you avoid? (Select all that apply.) Giving few choices Asking open-ended questions Correcting errors Giving orders
Asking open-ended questions Correcting errors Giving orders
Breathing food, fluid, vomit, or an object into the lungs is known as what? Enteral Aspiration Regurgitation Gavage
Aspiration
When you give care, talk to the person, and report information to the registered nurse, you are participating in which of the following steps in the nursing process? Evaluation Implementation Assessment Planning
Assessment
Which is the first step of the nursing process? Evaluation Planning Nursing diagnosis Assessment
Assessment
Which tool is used by the nursing assistant in the implementation step to assist you in performing tasks in the nursing care plan? Your senses Assignment sheet Nursing report Time clock
Assignment sheet
A female resident likes to apply make-up every day. She also likes to shave her legs and underarms. What should you do? Ask her why such measures are important to her. Assist her with grooming activities as needed. Tell her that shaving is unsafe for her. Check her care plan
Assist her with grooming activities as needed.
What is the role of the nursing assistant when caring for a person with a feeding tube? Assist the nurse with tube feedings. Check residual stomach contents. Insert the tube when it becomes dislodged. Check placement of the tube.
Assist the nurse with tube feedings.
A nursing center resident wants to attend religious services in the center's chapel. What should you do? Assist the person to the chapel. Check the person's care plan. Ask why the person wants to attend. Report the request to the nurse.
Assist the person to the chapel.
A person has fecal incontinence. The following measures are part of the care plan. Which should you question? Assist with elimination after meals. Assist with elimination every 2 to 3 hours. Give good skin care. Assist with hand-washing once per shift.
Assist with hand-washing once per shift.
What is the primary purpose of the drawsheet? Infection control. Assist with moving the person. Provide warmth. Protect the mattress.
Assist with moving the person.
You have planned your work. Which is not a good part of your plan? Staying focused and asking others if they need help Assisting a person with a shower whenever it is good for your schedule Discussing priorities with the nurse Listing tasks that need to be done on a schedule
Assisting a person with a shower whenever it is good for your schedule
A resident is on aspiration precautions. You position the person in an upright position after eating. How long should the person remain in this position? 45 minutes 15 minutes At least 1 hour At least 30 minutes
At least 1 hour
How many staff members are needed to safely transfer a person using a mechanical lift? At least 4 At least 2 Just 1 At least 3
At least 2
A resident is 80 years old. The person weighs 195 pounds and is weak. How many workers are needed to move the person up in bed? At least 4 At least 3 and a mechanical lift At least 2 and a friction-reducing device Just 1
At least 2 and a friction-reducing device
How many testing attempts does OBRA allow? At least 4 At least 2 1 At least 3
At least 3
The nurse asks you to perform three tasks for a resident. Contact with blood and body fluids is likely. How many pairs of gloves do you need? 1 pair At least 2 pairs At least 3 pairs No gloves
At least 3 pairs
How many hours of instruction does OBRA require? At least 48 16 At least 75 32
At least 75
How much instruction is required by OBRA for the nursing assistant training program? At least 75 hours of instruction in the classroom and at least 16 hours of practical training 30 hours of classroom instruction and 30 hours of practical training At least 75 hours of classroom instruction At least 16 hours of practical training
At least 75 hours of instruction in the classroom and at least 16 hours of practical training
A resident is in bed. How often is the person re-positioned? At least every hour At least every 2 hours At least every shift At least every 4 hours
At least every 2 hours
A resident's bathroom call light is on. When should you respond? At once After you finish other care When you are near the room When the nurse tells you to
At once
Which nervous system controls the heartbeat? Sympathetic nervous system Parasympathetic nervous system Autonomic nervous system Cranial nervous system
Autonomic nervous system
You need to bathe a person with dementia. Which is incorrect? Handle the person gently. Increase the room temperature before starting the bath. Avoid telling the person what you are going to do. Let the person help as much as possible.
Avoid telling the person what you are going to do.
A resident is confused. When communicating with the person, which is incorrect? Explain what you are going to do and why. Give the person time to respond. Ask clear and simple questions. Avoid touch.
Avoid touch.
Which term describes twisting the torso while lifting? Heavy lifting Awkward posture Repeating action Force
Awkward posture
Which site is used when other sites cannot be used? Oral site Tympanic membrane site Rectal site Axillary site
Axillary site
In which areas should the person's call light be kept within reach? (Select all that apply.) Hallway Bathroom Shower room Person's room
Bathroom Shower room Person's room
Touching a person or performing a procedure without his or her consent is known as which of the following? Fraud Assault Battery Abuse
Battery
Which of the following techniques should be used for good communication? Be nonspecific with facts. Be brief and concise. Use medical terminology. Use words with multiple meanings.
Be brief and concise.
A resident with dementia is having problems dressing. Which measure will not help? Stack clothes in the order they will be put on. Let the person choose what to wear from 2 or 3 outfits. Be firm and try to complete the process quickly. Let the person dress himself or herself to the extent possible.
Be firm and try to complete the process quickly.
How a person moves, positions, and turns in bed is known as what? Bed mobility Weight bearing Shearing Friction
Bed mobility
Which does not help prevent bone loss and loss of muscle strength? Bedrest Activity A balanced diet Exercise
Bedrest
When is the best time to change an ostomy pouch? After the evening meal After breakfast Before bedtime Before breakfast
Before breakfast
A resident has dementia. The person cannot explain when there is pain or where the pain is. Which is correct? The person's family will tell you when the person has pain. Behavior changes may signal pain. Pain will cause the person to scream. Pain is not a concern. Persons with dementia cannot feel pain.
Behavior changes may signal pain.
Which will not promote activity, exercise, and well-being? Telling the person you are proud of what he or she did Encouraging the person to be as active as possible Focusing on the person's disabilities Telling the person when you notice he or she is making progress
Focusing on the person's disabilities
Which of the following is an example of lifting a heavy object with good body mechanics? Bend knees and squat. Lift with legs straight. Bend from the waist. Hold items away from the body.
Bend knees and squat.
Where are O2 and CO2 exchanged? Between the bronchioles and alveoli Between the nose and the pharynx Between the larynx and trachea Between the alveoli and capillaries
Between the alveoli and capillaries
When assisting a person with shaving, what observation is reported immediately? Rash Itching Tenderness Bleeding
Bleeding
Which complications can occur from applications that are very cold? Confusion Blisters and burns Fever Nausea and vomiting
Blisters and burns
Which statement about nervous system changes from aging is true? Vision, hearing, taste, smell, and touch increase. Nerve conduction is faster. Sensitivity to pain increases. Blood flow to the brain is reduced.
Blood flow to the brain is reduced.
A patient has a cast on his left wrist. Which statement is correct? The person decides what arm to use. Blood pressure is measured on the right arm. You use the arm that is easiest to reach. Blood pressure is measured on the left arm.
Blood pressure is measured on the right arm.
A patient has an IV in her left arm. Which is correct? Blood pressure is measured on the left arm. You use the arm that is easiest to reach. Blood pressure is measured on the right arm. The patient decides what arm to use.
Blood pressure is measured on the right arm.
Which statement about body language is incorrect? You send messages with your body language. Patients and residents send messages through body language. Body language is easy to control. Body language involves body movements, eye contact, and facial expressions.
Body language is easy to control.
Which statement about vision loss is incorrect? Vision loss is gradual or sudden. Vision problems range from mild loss to complete blindness. Blindness is the absence of sight. Both eyes are always affected.
Both eyes are always affected.
Which name should be used when referring to incontinence products? (Select all that apply.) Diaper Brief Underwear Pad
Brief Underwear Pad
A person is able to understand what is said but has difficulty expressing thoughts. This type of aphasia is called Broca's aphasia. receptive aphasia. Wernicke's aphasia. global aphasia.
Broca's aphasia.
Another term for expressive aphasia is Wernicke's aphasia. global aphasia. mixed aphasia. Broca's aphasia.
Broca's aphasia.
You finish brushing a resident's teeth. What should you do next? Brush the person's tongue. Let the person rinse with water. Let the person use mouthwash. Floss the person's teeth.
Brush the person's tongue.
What is the title used for certified nursing assistant in most states? STNA LNA CNA SRNA
CNA
Call lights can help prevent falls. Which is incorrect? Call lights are taken away from those who use them too often. The call light must be within the person's reach. Call lights are answered promptly. The person is asked to use the call light whenever help is needed.
Call lights are taken away from those who use them too often.
A mercury-glass thermometer breaks. Which action is incorrect? Do not touch the mercury. Follow agency procedures. Call the doctor
Call the doctor
Which is not a courtesy? Saying "please" and "thank you" Holding doors open for others Helping others when asked to do so Calling a resident "Grandpa"
Calling a resident "Grandpa"
Which statement is correct? Calling a male resident "Grandpa" shows respect and caring. Calling patients and residents by their titles (Mr., Miss., Mrs., Ms., or Dr.) promotes dignity and shows respect. Calling a resident "sweetheart" promotes the person's dignity. Calling a resident by his or her first name shows respect.
Calling patients and residents by their titles (Mr., Miss., Mrs., Ms., or Dr.) promotes dignity and shows respect.
The fuel or energy value of food is known as what? Nutrition Nutrient Calorie Diet
Calorie
Which are the health hazards caused by hazardous chemicals? (Select all that apply.) Hearing loss Cancer Birth defects Skin damage
Cancer Birth defects Skin damage
Which nutrient provides energy and fiber? Carbohydrate Protein Vitamins Fat
Carbohydrate
The circulatory system is also known as what? Peripheral nervous system Respiratory system Central nervous system Cardiovascular system
Cardiovascular system
This is the largest part of the brain. It is the center of thought and intelligence. Cerebrum Cerebellum Midbrain Brainstem
Cerebrum
To prevent pressure injuries, which of the following should be done? Provide clean linens every day. Provide clean linens every shift. Change linens whenever they are wet or soiled. Change linens whenever they are wrinkled.
Change linens whenever they are wet or soiled.
A binder is moist. What should you do? Re-apply the binder. Call for the nurse. Change the binder. Let it dry.
Change the binder.
Which statement about aging is incorrect? Changes are always noted when they occur. Body processes slow down. Energy level decreases. The changes occur over many years.
Changes are always noted when they occur.
Which is not a common cause of burns in nursing centers? Spilled hot liquids Electrical devices Charcoal grills Very hot water
Charcoal grills
You assist the nurse with oxygen therapy. Which task can you perform? Adjust the flow rate. Remove the administration device. Check for signs of irritation from the administration device. Shut off the oxygen flow rate.
Check for signs of irritation from the administration device.
What action must you take before assisting a special needs patient with feeding? Check tube placement residual. Review the task with the doctor. Label all tubes. Check that the task is in your job description.
Check that the task is in your job description.
A drug that is given to a person to control behavior is known as what? Physical restraint Chemical restraint Discipline Enabler
Chemical restraint
Pulse oximetry is ordered. Which is not a sensor site? Earlobe Finger Chest Nose
Chest
Respirations gradually increase in rate and depth and then become shallow and slow. Breathing may stop for 10 to 20 seconds. This is Cheyne-Stokes respirations. Kussmaul respirations. orthopneic respirations. hypoventilation.
Cheyne-Stokes respirations.
Which of the following should be remembered when selecting foods from the protein foods group? Liver and other organ meats are low in cholesterol. Egg yolks are low in cholesterol. Processed meats are low in sodium. Choose lean or low-fat meat and poultry.
Choose lean or low-fat meat and poultry.
Which does not promote quality of life during rehabilitation and restorative care? Choosing activities for the person Providing a safe setting Providing support and reassurance Learning to deal with your frustrations
Choosing activities for the person
You want to make sure that you understand a message. Which communication technique should you use? Direct questions Silence Clarifying Touch
Clarifying
To prevent the spread of infection when the person takes a shower, do the following: Wear a gown, mask, and gloves. Wear gloves. Have the person wear non-skid footwear. Clean and disinfect the shower before and after use.
Clean and disinfect the shower before and after use.
You are giving catheter care. Which action is correct? Clean toward the meatus. Clean downward, away from the meatus. Clean from right to left. Clean using up and down strokes.
Clean downward, away from the meatus.
A resident has a lower denture. To clean the denture, which is correct? Use very hot water. Use toothpaste and a toothbrush. Clean it over a basin of water lined with a towel. Clean it over the kidney basin.
Clean it over a basin of water lined with a towel.
Which of the following is involved in the communication step of the delegation process? Reporting and recording the care Following the five rights Clearing and completing directions from the nurse Knowing how long the task will take
Clearing and completing directions from the nurse
A shower room has two stalls. To protect the person's privacy, do the following: Have the person wear a robe. Wait until both stalls are free. Cover the person with a bath blanket. Close doors and the privacy curtain.
Close doors and the privacy curtain.
A bed that is ready for a new patient is considered to be what? Surgical Closed Open Occupied
Closed
A nursing center resident is out of bed all day. What kind of bed should you make? Closed bed Open bed Surgical bed Occupied bed
Closed bed
Scabies is a skin disease caused by a female mite. Which is incorrect? Special creams are ordered to kill the mites. The person has a rash and intense itching. Scabies is highly contagious. Clothing and linens are burned to kill the mites
Clothing and linens are burned to kill the mites
Which is a moist, cold application? Cold compress Ice bag Ice glove Ice collar
Cold compress
You are adjusting the water for a patient's shower. Which is correct? Water pressure is turned on first. Cold water is turned on first. Hot water is turned on first. Water pressure is turned on last.
Cold water is turned on first.
A person's hair is matted and tangled. What should you do? Cut the person's hair. Braid the person's hair. Shampoo the person's hair. Comb or brush through to the hair ends.
Comb or brush through to the hair ends.
Which statement about using the commode is incorrect? The person is assisted with hand-washing after using the commode. The person needs to wear non-skid footwear. Wheels are locked after the commode is positioned over the toilet. Commodes are always used in the bathroom.
Commodes are always used in the bathroom.
Diseases that are caused by pathogens that spread easily are known as what? Communicable Standard Precautions Hospital-acquired Pathogenic
Communicable
What are the risk factors for burns in older people? Communication problems Increased skin thickness Increased reaction time Increased heat sensitivity
Communication problems
Having the necessary ability, knowledge, or skill to perform a task safely demonstrates which of the following? Delegation Responsibility Accountability Competence
Competence
What should you do after properly positioning a patient? Inform the nurse. Fetch the patient's lunch. Raise the bed side rails. Complete a safety check.
Complete a safety check.
Trusting others with personal or private information is known as what? Gossip Confidentiality Communication Conflict
Confidentiality
Which is not a sign or symptom of dysphagia? Coughing Constipation Excessive drooling Choking
Constipation
Which statement about Clostridium difficile is true? A person becomes infected by inhaling droplets in the air. Contact precautions are required when caring for an infected person. When caring for persons with C. difficile, wash your hands with an alcohol-based hand rub. The microbe is found in blood.
Contact precautions are required when caring for an infected person.
When extra linens are brought into a person's room, they are considered to be what? Biohazardous Clean Sterile Contaminated
Contaminated
Which is not a cause of poor circulation in older persons? Arteries are less elastic Decreased amounts of blood Narrowed arteries Weakened heart muscle
Decreased amounts of blood
Which are the risks from restraint use? (Select all that apply.) Contractures Delirium Diarrhea Dehydration
Contractures Delirium Dehydration
You are unhappy with your supervisor. You call in sick because of a headache. Which defense mechanism are you using? Conversion Substitution Denial Reaction formation
Conversion
What is the role of the nursing case manager? Focuses on tasks and jobs Provides total patient care Delegates care of patient to other nurses and nursing assistants Coordinates care of specific groups of patients from admission through discharge
Coordinates care of specific groups of patients from admission through discharge
Which removes mucus? Deep breathing Coughing Incentive spirometry Surgery
Coughing
To check the IV flow rate when an IV pump is not being used, do the following: Count the number of drops in 30 seconds and multiply by 2 Count the number of drops in 1 minute Check how much fluid remains in the IV bag Note if the rate seems too fast or too slow
Count the number of drops in 1 minute
Which measure should you question on the care plan of a person who is undergoing bowel training? Decreased fluids Warm fluids Activity High-fiber diet
Decreased fluids
The nursing process is on-going. However, the steps (assessment, nursing diagnosis, planning, implementation, and evaluation) stay the same. False True
TRUE
Before applying dry heat or cold applications, which of the following should you do? Measure water temperature. Show the person how to change the temperature. Cover the application before applying it. Set a timer.
Cover the application before applying it.
Which gel-filled device helps prevent pressure while sitting? Foot-board Cushion Special bed Heel elevator
Cushion
Which foods are not allowed on a clear liquid diet? Hard candy and popsicles Custard, eggnog, and plain ice cream Clear fruit juices and fat-free clear broth Water, tea, and coffe
Custard, eggnog, and plain ice cream
A patient asks you to cut his or her meat. To prevent suffocation, do the following: Make the person a sandwich. Take the meat from the person. Chop up the meat. Cut the meat into bite-size pieces.
Cut the meat into bite-size pieces.
Which are used to block unpleasant or threatening feelings? Defense mechanisms Withdrawal syndrome Delusions of grandeur Delusions of persecution
Defense mechanisms
The person's choice of bath time is respected whenever possible. True False
TRUE
How often should a person's bed be made? Weekly Monthly Twice daily Daily
Daily
When are condom catheters changed? When the bag is full Daily Every 2 hours Weekly
Daily
Which prevents long hair from matting and tangling? Daily shampooing Daily brushing and combing Hair conditioner Cutting hair
Daily brushing and combing
Which type of confusion is treated as an emergency? Pseudodementia Dementia Memory loss Delirium
Delirium
Which statement about dementia is true? Dementia is a specific disease. Dementia is caused by damaged brain cells. Most older people get dementia. Dementia cannot be reversed.
Dementia is caused by damaged brain cells.
Which of the following reasons would cause a nurse to lose his or her license? Past history of alcohol use Reporting an abusive situation Demonstrating incompetent behaviors Upholding the nurse practice act
Demonstrating incompetent behaviors
A new resident waits at the front door for her daughter to take her home. Which defense mechanism is she using? Denial Repression Regression Conversion
Denial
Which patient device should be in place before meals? Wheelchair Walker Dentures Pacemaker
Dentures
Which statement about depression in older persons is incorrect? Depression is uncommon in older persons. Depression in older persons is often overlooked. Depression in older persons is often untreated. Older persons with depression are often thought to have a cognitive disorder.
Depression is uncommon in older persons.
A resident received a new bracelet for her birthday. It needs to go into the person's valuables envelope. What should you do? Describe it as a gold bracelet. Just put in the envelope. Describe it as a yellow, 7-inch long bracelet that is 1/2-inch wide with no stones. State that it is a bracelet.
Describe it as a yellow, 7-inch long bracelet that is 1/2-inch wide with no stones.
The resident can visit with family and friends in private. True False
TRUE
Before cutting the toenails of a person, it is important to know if she has a history of which of the following? Stroke Heart problem Alzheimer's disease Diabetes
Diabetes
Which communication technique may give "yes" or "no" answers? Silence Open-ended questions Direct questions Body language
Direct questions
Which health team member is responsible for the entire nursing staff? Staff nurse Charge nurse Director of nursing Nurse manager
Director of nursing
A sudden, catastrophic event in which people are injured and/or killed is known as what? Elopement Accident Hazard Disaster
Disaster
You drop a water glass. Which action is correct? Discard the broken glass into a leak-proof plastic bag with the BIOHAZARD symbol. Call the maintenance department. Pick up the broken glass with gloved hands. Discard the broken glass into a puncture-resistant container.
Discard the broken glass into a puncture-resistant container.
You are feeling frustrated because a resident's progress is slow. You feel like the person is not trying. What should you do? Ask a co-worker to care for the person. Discuss your feelings with the nurse. Ask the person's family what to do. Tell the person how you feel.
Discuss your feelings with the nurse.
What is the process of killing pathogens? Asepsis Contamination Sterilization Disinfection
Disinfection
A person's eyeglasses break. Your supervisor blames you. At home, you scold your family for not helping with dinner. Which defense mechanisms are you using? Displacement Projection Reaction formation Conversion
Displacement
Which does not prevent odors? Disposing of incontinence and ostomy products once every shift Cleaning and disinfecting urinals and bedpans promptly Providing good hygiene Changing soiled linen and clothing promptly
Disposing of incontinence and ostomy products once every shift
Which statement about low-simulation dining is correct? Distractions are prevented. No dessert is served. Food is served buffet style. The patient decides where they should sit.
Distractions are prevented.
What is the best way to move an older adult with dementia? Communicate with a loud, assertive voice. Move the person quickly. Divert the person's attention. Work alone to reduce confusion.
Divert the person's attention.
Reduced blood flow to the brain may cause which of the following in the older adult? Shortened sleep Forgetfulness Slow reflexes Dizziness
Dizziness
Persons who need help moving and transferring may feel embarrassed. Which action does not promote pride and independence? Do as much as possible for the person. Tell the person when you notice even small improvement. Focus on the person's abilities. Encourage the person.
Do as much as possible for the person.
You are assisting a person to dress. Which is incorrect? Provide for privacy. Do as much for the person as possible. Make sure garments are the right size. Support the arm or leg when removing or putting on a garment.
Do as much for the person as possible.
Which statement about preventing burns is correct? Turn on hot water first, then cold water. To keep patients and residents warm, use heating pads and electric blankets. Check water temperature after a person gets into the tub. Do not allow smoking where oxygen is used.
Do not allow smoking where oxygen is used.
The following can help reduce stress: Eat a favorite meal regardless of nutritional value. Sleep 5 hours a night. Do one thing at a time. Exercise minimally.
Do one thing at a time.
Before a nurse delegates a task to you, the nurse must know the following except Do you have the experience to perform the task safely? Do you have the necessary training to perform the task? Is the task included in your job description? Do you want to perform the task?
Do you want to perform the task?
What is required before applying a restraint to a person? Advance directive Medications Nursing care plan Doctor's order
Doctor's order
Which step in the delegation process happens when the nurse decides if the delegation was successful? Surveillance Communication Assessment Evaluation
Evaluation
Which step in the nursing process involves measuring if the goals set in the planning step were met? Planning Assessment Implementation Evaluation
Evaluation
Which of the following would be considered practicing nursing without a license? Following company policy Doing something beyond the legal limits of your role Maintaining certification requirements Following the direction of the registered nurse
Doing something beyond the legal limits of your role
A patient who requires toileting assistance has a latex allergy. What should you do? Inform the nurse. Proceed to double-gloving. Don latex-free gloves. Tell the patient you cannot help him or her.
Don latex-free gloves.
Which exercises are done to the ankle? Internal and external rotation Abduction and adduction Radial and ulnar flexion Dorsiflexion and plantar flexion
Dorsiflexion and plantar flexion
A dressing is loose. What can happen? Drainage can escape. Skin tears can occur. Pressure injuries can develop. Wound edges can separate.
Drainage can escape.
What is the small sheet that is placed over the middle of the bottom sheet? Drawsheet Mattress pad Top sheet Incontinence pad
Drawsheet
Which can be used as an assist device to move and transfer persons in bed? Mattress pad Drawsheet Pillow Bottom sheet
Drawsheet
MyPlate recommends which of the following regarding food choices? Making at least one quarter of your plate fruits and vegetables Making at least half of your plate grains Drinking 2% milk Drinking water instead of sugary drinks
Drinking water instead of sugary drinks
A resident has AD. Sometimes the person is agitated and combative. The person is pacing and trying to hit others. Which is the most likely cause of the resident's behavior? Brain injury Being overly sensitive Drug interactions Repeating familiar words
Drug interactions
Which are the sterilization methods? (Select all that apply.) Dry heat Ice water Radiation Boiling water
Dry heat Radiation Boiling water
When giving catheter care, which measure should you question? Clean the catheter from the meatus down the catheter at least 4 inches. Hold the catheter at the meatus. In an uncircumcised male, retract the foreskin. Dry the perineal area from back to front.
Dry the perineal area from back to front.
Which of the following changes are associated with the skin status of the older adult? Dry, itchy, and fragile skin Decreased sensitivity to cold Increased skin elasticity and strength Increased fatty tissue related to sagging skin
Dry, itchy, and fragile skin
You need to call your children. When should you make the call? During meal or break times When patients or residents are napping After finishing assigned tasks When the nurse is talking to the doctor
During meal or break times
How often is the pulse checked when rescue breathing? Every 60 seconds Every 2 minutes Every 5 minutes Every 30 seconds
Every 2 minutes
A person is on the bedpan. How often should you check on him or her? Every minute Every 5 minutes Every 30 minutes Every 15 minutes
Every 5 minutes
When a person is unconscious, dentures are not worn. False True
TRUE
Difficult, labored, or painful breathing is known as which of the following? Dysuria Dyspnea Dystrophy Dysphagia
Dyspnea
Which of the following terms is used to describe the medical record stored in the computer? ePHI EMR Kardex PHI
EMR
What do you do when a person starts to fall? Allow the person to fall on top of you. Try to prevent the fall. Throw pillows under the person. Ease the person to the floor.
Ease the person to the floor.
You are assisting a resident to the bathroom. The person starts to fall. What should you do? Have the person use the commode instead. Try to prevent the fall. Call for the nurse. Ease the person to the floor.
Ease the person to the floor.
Which will not prevent ostomy pouch odors? Putting deodorants into the pouch Good hygiene Emptying the pouch Eating cucumbers and radishes
Eating cucumbers and radishes
Which type of tape allows movement of a body part? Paper tape Elastic tape Adhesive tape Plastic tape
Elastic tape
You are straightening a person's unit. Which is correct? Make a closed bed. Discard papers, flowers, food, and other clutter. Rearrange the room. Empty the wastebasket at least once a day.
Empty the wastebasket at least once a day.
A patient is choking. The person is conscious and can cough. Which action is needed? Perform abdominal thrusts. Encourage the person to cough forcefully. Place the person in the recovery position. Perform cardiopulmonary resuscitation.
Encourage the person to cough forcefully.
What step must you take before performing a blood glucose test? (Select all that apply.) Ensure you don sterile gloves. Ensure you have reviewed the procedure with a nurse. Ensure you know how to use the agency's equipment. Ensure you have the necessary training.
Ensure you have reviewed the procedure with a nurse. Ensure you know how to use the agency's equipment. Ensure you have the necessary training.
Nutrients that are given directly into the gastro-intestinal tract are called what? Naso-gastric Intravenous Enteral Parenteral
Enteral
Giving nutrients through a feeding tube into the gastro-intestinal (GI) tract is known as what? Parenteral nutrition Enteral nutrition Aspiration Intravenous therapy
Enteral nutrition
What does "EC" stand for when referring to bariatric equipment? Exceptionally clean Expanded capacity Easily closed Extra careful
Expanded capacity
A resident's son is visiting. Which will not protect the person's privacy? Allowing the person and her son to visit without interrupting Asking the person's son to leave while you give care Exposing the person's body in front of her son Allowing the person's son to read her e-mail to her in private
Exposing the person's body in front of her son
Which type of mechanical lift sling is used for persons with extra-large thighs? Bathing sling Toileting sling Amputee sling Extended length sling
Extended length sling
In the event of a fire emergency, what does the "E" stand for in the RACE acronym? Extinguish Evacuate Elevator Eliminate
Extinguish
Which is a sign of mania in a person with bipolar disorder? Extreme irritability Worry and anxiety Empty mood Hopelessness
Extreme irritability
A person should be positioned on top of a medical device. False True
FALSE
A student wants to observe a treatment. The person's consent is not needed because the observer is a student. False True
FALSE
Calorie needs are decreased in old age. False True
FALSE
Inappropriate sexual behavior is always on purpose. False True
FALSE
It is a resident's right to have his or her privacy and confidentiality maintained of written communications only.
FALSE
Ostomy pouches are disposed of by flushing them down the toilet. True False
FALSE
Restraints may be used for disciplining a person who has been using the call light excessively.
FALSE
Which is not a cause of back disorders? Bending or twisting while lifting Facing the direction of your work Staying in one position too long Reaching while lifting
Facing the direction of your work
Which of the following actions could lead to charges of negligence for a nursing assistant, if a patient or resident is harmed? Failing to test water temperature before shower Responding to patient call lights in a timely manner Following manufacturer recommendations when using equipment on a patient Reporting changes in patient condition to RN
Failing to test water temperature before shower
Which of the following could indicate child neglect? Depression Bruises on the face Failure to gain weight Bedwetting
Failure to gain weight
What is the main cause of injuries in the older adult? Electrocution Motor vehicle accidents Burns Falls
Falls
Which of the following can be caused by restraint use? Falls Treatment Discipline Wandering
Falls
A resident has a closed bed. How can you make an open bed for the person? Remove the linens. Fan-fold back the top linens. Make a cuff with the top sheet, blanket, and bedspread. Fan-fold top linens to the side of the bed.
Fan-fold back the top linens.
Which statement is true about rehabilitation and older persons? Rehabilitation takes less time in older persons than in other age-groups. Chronic health problems can speed recovery. Older persons are at decreased risk for injuries. Fast-paced rehabilitation programs are hard for them.
Fast-paced rehabilitation programs are hard for them.
A decrease in the number of red blood cells can cause which of the following symptoms? Fatigue Trouble sleeping Increased energy Shortness of breath
Fatigue
Which can occur if constipation is not relieved? Diarrhea Suppository Enema Fecal impaction
Fecal impaction
The nurse asks you to apply a commercial hot pack. How should you warm the pack? Heat it in a microwave oven. Strike, knead, or squeeze the package. Follow the manufacturer's instructions. Put it in boiling water.
Follow the manufacturer's instructions.
A nurse asks you to perform a task that is beyond the legal limits of your role. Which is correct? Think about it for a few days. Firmly refuse and explain why. Perform the task so that you do not lose your job. Ignore the request.
Firmly refuse and explain why.
Which signs and symptoms that may occur during a tube feeding should you report to the nurse? (Select all that apply.) Flatulence Indigestion Odor at the tube site Weight loss
Flatulence Indigestion Odor at the tube site
Which exercises are done to the elbow? Internal and external rotation Abduction and adduction Flexion and extension Pronation and supination
Flexion and extension
Which exercises are done to the knee? Flexion and extension Internal and external rotation Abduction and adduction Radial and ulnar flexion
Flexion and extension
Which is a restraint alternative? Lights are always bright in rooms and hallways. Staff assignments are changed daily. Floor cushions are placed next to beds. The person is kept in his or her room as much as possible.
Floor cushions are placed next to beds.
What document is used to record the patient's intake and output? Kardex Flow sheet Graphic sheet EMR
Flow sheet
You are working in a nursing center. Where would you record information about a person's weight, vital signs, and elimination? The Kardex The progress notes Flow sheets and graphic sheets The admission sheet
Flow sheets and graphic sheets
Which is not an OBRA requirement for foods served in nursing centers? Each person is served at least 3 meals. A bedtime snack is offered. Each person's nutritional and dietary needs are met. Food is prepared and seasoned for each person's individual tastes.
Food is prepared and seasoned for each person's individual tastes.
A person is on a bland diet. Which is incorrect? Foods are served at moderate temperatures. Foods contain strong spices for taste. Foods are low in roughage. Fried foods are not allowed.
Foods contain strong spices for taste.
Which statement about preventing falls is incorrect? Meeting elimination needs can help prevent falls. Bed, wheelchair, and stretcher wheels are locked for transfers. For safety, push wheelchairs through doorways. Safety checks are made of patient and resident rooms after visitors leave
For safety, push wheelchairs through doorways.
A person has dementia. Which measure should you question? Complete ADLs in the same order each time. The person can keep and use personal items. Break down tasks into simple steps. Force care if the person is resisting.
Force care if the person is resisting.
You are delegated range-of-motion exercises. Which is incorrect? Force each joint through its full range of motion. Exercise the joints the nurse advises. Support the part being exercised. Move the joint slowly, smoothly, and gently.
Force each joint through its full range of motion.
Which of the following statements is true regarding formula that is used for nutritional support? Refrigerated formula is used. Formula is given at a slow rate. Open formula can remain at room temperature for 24 hours.
Formula is given at a slow rate.
How many chambers make up the heart? Four Two One Three
Four
Which position should the person be placed in before giving a tube feeding? ! Fowler's Prone Side-lying Flat
Fowler's
A person's ability to perform activities of daily living is known as what? Physical status Social status Psychological status Functional status
Functional status
What is the another term used to describe the digestive system? Reproductive system Urinary system Gastro-intestinal system Endocrine system
Gastro-intestinal system
You need to remove a resident's lower denture. What should you use? A washcloth A padded tongue blade Gauze squares An orange stick
Gauze squares
Care of aging people is known as what? Atrophy Geriatrics Retirement Gerontology
Geriatrics
Which will not promote physical and mental health? Having your eyes checked Taking drugs as a doctor prescribes Good nutrition Getting 5 hours of sleep daily
Getting 5 hours of sleep daily
You decide to resign from your job. Which is good practice? Give a 2-week notice. Give a 1-day notice. Do not show up for work. Hire someone to take your place.
Give a 2-week notice.
Your patient has dementia. You need to explain what you are going to do before starting a procedure. Which is incorrect? Face the person. Speak slowly and clearly. Give all directions as quickly as possible. Divert the person's attention.
Give all directions as quickly as possible.
A resident is confused. The person's care plan includes the following measures. Which should you question? Give detailed and thorough directions and answers to questions. State your name, and show your nametag. Give the date and time as needed. Face the person. Speak clearly.
Give detailed and thorough directions and answers to questions.
Giving an enema is delegated to you. Because of the end-of-shift report, the nurse will not be available to supervise you. What should you do? Give the enema because it was part of your education and training. Ask a co-worker to help you. Give the enema if it is in your job description. Give the enema when the nurse is available to supervise you.
Give the enema when the nurse is available to supervise you.
A patient complains of pain. Which will not help you collect information about the person's pain? Give the person drugs to relieve the pain. Ask if the pain is mild, moderate, or severe. Check the person's vital signs. Ask the person what factors cause the pain.
Give the person drugs to relieve the pain.
A patient takes a long time getting dressed. What should you do? Time the person. Encourage the person to beat that time. Report the problem to the nurse. Give the person time to complete the task. Ask if you can help the person.
Give the person time to complete the task.
You ask a patient a question. Which is correct? Give the person time to understand what you asked. Ask the question in another way. Expect an answer right away. Write the question on white paper.
Give the person time to understand what you asked.
Which is not a role of risk management? Giving baths and taking vital signs Identifying and controlling safety hazards Dealing with patient and resident abuse and workplace violence Dealing with accidents and fire prevention
Giving baths and taking vital signs
A resident has glaucoma. Which is correct? A lens implant will correct the problem. The person cannot develop other eye disorders. Surgery can correct prior damage. Glaucoma causes damage to the optic nerve.
Glaucoma causes damage to the optic nerve.
Which personal protective item is used to cover your clothing? Gloves Goggles Gown Mask
Gown
Which statement about gowns is incorrect? A wet gown is contaminated. Gowns protect the skin and clothing. Gowns are cleaned for re-use. Gowns are worn when splashes or sprays of blood, body fluids, secretions, or excretions are likely.
Gowns are cleaned for re-use.
What is the classic sign of AD? Gradual loss of short-term memory Poor judgment Problems finding or speaking the right word Forgetting how to use simple, every-day things
Gradual loss of short-term memory
Which is not an early warning sign of dementia? Hallucinations Misplacing things and putting things in unusual places Problems with language
Hallucinations
Which sign or symptom is associated with schizophrenia? (Select all that apply.) Hallucinations Psychosis Regression Phobia
Hallucinations Psychosis Regression
A patient has a manually operated bed. Which statement is incorrect? Hand cranks are at the head of the bed. The cranks are pulled up for use. Cranks in the "up" position are a safety hazard. When not in use, the cranks are kept in the "down" position.
Hand cranks are at the head of the bed.
What is the best way to prevent the spread of microbes? Use of gowns Use of tissues when coughing Sterile technique Hand-washing
Hand-washing
A resident brought a pillow from home. Which statement is correct? Handle the pillow with care and respect. He needs to bring a pillowcase, too. He must use a pillow provided by the nursing center. The pillow must have a safety check by the maintenance department
Handle the pillow with care and respect.
When a man is finished with the urinal, where should he place it? On the over-bed table On the bed next to him Hang it from the bed rail On the bedside stand
Hang it from the bed rail
A man is going to use the urinal. What should he do with the urinal when he is done? Lay it on the bed. Hang it on the bed rail. Place it on the over-bed table. Place it on the bedside stand.
Hang it on the bed rail.
Which statement about harassment is incorrect? Harassment is always sexual. Victims of sexual harassment can be men or women. Harassment can involve jokes and pictures. Harassment can involve words, gestures, or touch.
Harassment is always sexual.
A resident has the following oral hygiene equipment. Which should you report to the nurse? Dental floss Toothpaste Mouthwash Hard-bristled toothbrush
Hard-bristled toothbrush
A person is speech-impaired. How do you communicate with this person? (Select all that apply.) Have the person draw key words. Shout and wave your arms. Have the person write down the message. Repeat what the person has said.
Have the person draw key words. Have the person write down the message. Repeat what the person has said.
Which shows that you are listening to a person? Leaning away from the person Having good eye contact with the person Sitting with your arms crossed Changing the subject
Having good eye contact with the person
Which of the following is good work ethics? Selling your handmade crafts at work Using phones on the nursing unit to make personal calls Having your son meet you for lunch Bringing your child to work with you
Having your son meet you for lunch
The nurse asks the patient about signs and symptoms when conducting which history? Family health history Health history Social history Life-style history
Health history
Fruits may reduce the risk for which diseases or illnesses? Eating disorders Heart disease Gastric reflux Blindness
Heart disease
A person has a joint replacement. Which is correct? No heat applications are allowed. No cold applications are allowed. Heat applications are allowed over the area of implant. Heat applications are allowed except over the area of implant.
Heat applications are allowed except over the area of implant.
Which statement about an older person's feet is incorrect? A nick or cut can lead to serious infection. Nails become thick and tough. Feet usually have poor circulation. Heating pads should be used to provide warmth to the feet.
Heating pads should be used to provide warmth to the feet.
These devices are made of foam padding, and fit the shape of heels and elbows. Gel-filled cushion Trochanter rolls Heel and foot elevators Heel and elbow protectors
Heel and elbow protectors
A resident wants to brush his teeth before lunch. What should you do? Tell the person that oral hygiene is done after meals. Ask the nurse if the person can have oral hygiene at this time. Help the person as needed. Check the person's medical record.
Help the person as needed.
Which urinary elimination problem results with blood in the urine? Polyuria Nocturia Oliguria Hematuria
Hematuria
This substance gives red blood cells their color. Carbon dioxide Oxygen Plasma Hemoglobin
Hemoglobin
When circulatory changes are severe, the person often experiences fatigue. False True
TRUE
Excessive body hair is known as what? Pediculosis Dandruff Alopecia Hirsutism
Hirsutism
A patient is recovering from abdominal surgery. You are assisting the person with deep-breathing and coughing exercises. Which will promote the person's comfort during coughing? Having the person take shallow breaths Holding a pillow over the person's incision Positioning the person supine Placing a pillow on the table
Holding a pillow over the person's incision
Providing care based on the whole person is known as what? Actualization Cultural care Holism Religion
Holism
The steady state of the human body is known as what? Homeostasis Immunity Peristalsis Metabolism
Homeostasis
Care that is provided to a person who is dying is known as which of the following? Long-term care Hospice Acute care Assisted living
Hospice
What is the definition of a transfer? Turning the body in one movement Pushing a person in a wheelchair How a person moves to and from surfaces Turning one's body from a standing position
How a person moves to and from surfaces
Calorie counts are ordered for a resident. What should you do? Note what the person ate and how much. Ask the person to record intake and output. Record the number of calories ingested. Measure the number of calories ingested.
Note what the person ate and how much.
Which exercises are not done to the hip? Hyperextension and opposition Flexion and extension Abduction and adduction Internal and external rotation
Hyperextension and opposition
Which statement about hypoxia is incorrect? Anything affecting respiratory function can cause hypoxia. Hyperventilation is needed. The brain is very sensitive to low levels of oxygen. Hypoxia is life-threatening.
Hyperventilation is needed.
A resident is blind. To gain the person's attention, which action is correct? Identify yourself by name and title when you enter the person's room. Lightly touch the person's arm. Pet the person's guide dog. Approach the person from behind.
Identify yourself by name and title when you enter the person's room.
How can you as the nursing assistant help an older person feel less lonely? (Select all that apply.) Visit the person every time you have a day off. Introduce new residents to the person. Keep the phone within reach. Offer to assist reading cards and letters.
Introduce new residents to the person. Keep the phone within reach. Offer to assist reading cards and letters.
Which statement about pain is correct? You can see and feel another person's pain. If the person complains of pain the person has pain. The meaning of pain is the same for everyone. Sore and aching mean the same thing to everyone.
If the person complains of pain the person has pain.
Which information should be shared with a co-worker when asking him or her to help you assist a resident to an activity program? (Select all that apply.) How much fluid intake the person has had. If the person walks or uses a wheelchair. What time you need help. If the person uses assistive devices.
If the person walks or uses a wheelchair. What time you need help. If the person uses assistive devices.
A patient has a wrist restraint. Which of the following is especially important to report to the nurse? The person's respiratory rate If you could not feel a pulse in the restrained extremity The person's temperature Why the restraint was applied
If you could not feel a pulse in the restrained extremity
Which of the following occurs when a person has protection against disease? Immunity Antibodies Metabolism Infection
Immunity
Which phase of the nursing process happens when care is given under the direction of the nurse? Evaluation Assessment Planning Implementation
Implementation
What type of consent is given when a resident extends his arm when you ask if you can obtain a blood pressure? Verbal consent Implied consent Advance directive Written consent
Implied consent
You just applied a new ostomy pouch. When can the person shower or bathe? Right away In 8 hours The next day In 1 to 2 hours
In 1 to 2 hours
The nurse gives a patient a suppository. When should you expect the person to have a bowel movement? In 30 minutes In 10 minutes In 15 minutes Right away
In 30 minutes
Where are bedpans and urinals stored? In over-bed tables In closets In bedside stands Under the bed
In bedside stands
A patient is unconscious. How should you position the person for oral hygiene? In the prone position In a side-lying position In the supine position In Fowler's position
In a side-lying position
Where is the nucleus located? Outside the cell Inside the genes In the center of the cell Inside the chromosomes
In the center of the cell
A patient is not wearing his eyeglasses. Where should you store them? In the person's trunk In the top drawer of the bedside stand At the nurses' station In the person's closet
In the top drawer of the bedside stand
Which goal of rehabilitation should you question? Preventing loss of function Adjustment to the disability Improved function Increased degree of disability
Increased degree of disability
Dim lighting in a nursing unit can contribute to which of the following negative outcomes? Cheerful atmosphere Decrease in relaxation Increased falls Increased noise
Increased falls
How are nutrients grouped? (Select all that apply.) Into fruits Into minerals Into water Into fats
Into minerals Into water Into fats
A person has a wound. Which is a major threat? Edema Infection Incontinence Confusion
Infection
What are the risk factors for a poor diet and poor eating habits? (Select all that apply.) Infection Job loss Healing problems Injury
Infection Healing problems Injury
When the health care team follows practices to prevent the spread of infection, it is known as what? Microorganism Infection control Clean technique Pathogenic
Infection control
Which carries blood from the legs and trunk to the heart? Veins Superior vena cava Inferior vena cava Aorta
Inferior vena cava
When collecting specimens, you are responsible for correctly identifying the person. False True
TRUE
Which hormone regulates the amount of sugar in the blood? Thyroid hormone The glucocorticoids Estrogen Insulin
Insulin
hat type of violation occurs when a person shares photos or videos of a patient or resident on social media? Defamation Assault Invasion of privacy False imprisonment
Invasion of privacy
You are taking a resident's pulse. The beats are not spaced evenly. When reporting to the nurse, how would you describe the person's pulse? Thready and bounding Irregular Weak and feeble Strong and full
Irregular
Which is not a function of the skin? It helps regulate body temperature. It allows bacteria and other substances to enter the body. It prevents excess amounts of water from leaving the body. It protects organs from inju
It allows bacteria and other substances to enter the body.
Which statement about sudden cardiac arrest is true? The person may have a warning, such as chest pain, before the event. The person may continue to cough after the event. The heart continues to pump blood. It can occur anywhere and at any time.
It can occur anywhere and at any time.
What is the purpose of dangling a person after surgery? It stimulates circulation. It helps with coughing exercises. It helps with balance. It checks to see if he gets dizzy before standing.
It checks to see if he gets dizzy before standing.
Which statement about appropriately applied cold therapy is true? It has the same effect as heat. It decreases bleeding. It does not cause burns. It increases circulation.
It decreases bleeding.
The nurse asks you to collect a random urine specimen. Which is correct? It is collected any time during a 24-hour period. The perineal area is cleaned before collecting the specimen. The person voids twice. The first voiding is discarded.
It is collected any time during a 24-hour period.
Which statement about depression is true? It cannot be caused by a physical disorder. It cannot be caused by medication. It is not a normal part of aging. It is not common in older persons.
It is not a normal part of aging.
Why is privacy important during rehabilitation? It is a matter of personal choice. It protects the person's dignity and promotes self-respect. It prevents abuse and mistreatment. It is required by the Omnibus Budget Reconciliation Act (OBRA).
It protects the person's dignity and promotes self-respect.
What is the stomach's function in digestion? It pushes food through the GI tract. It cuts, chops, and grinds food. It stirs and churns food to break it down into small particles. It produces bile to aid digestion.
It stirs and churns food to break it down into small particles.
What document is used to describe what the agency expects you to do? Job description Procedure manual Policy manual Performance evaluation
Job description
Which is not a symptom of fecal impaction? Abdominal discomfort Joint pain Rectal pain Nausea
Joint pain
When should the patient remove clothing and footwear when showering? While in bed Just before getting into the shower Once the shower is finished After getting into the shower
Just before getting into the shower
Which of the following is an example of a dark green vegetable? Kale Cucumber Artichoke Asparagus
Kale
Which statement about call lights is correct? Answer call lights when you have time. Keep the call light within the person's reach. Remind the person to use the call light only for emergencies. Place the call light on the person's weak side.
Keep the call light within the person's reach.
When using an assist device to move a person to the side of the bed, you need at least 1 co-worker to help you. True False
TRUE
When collecting a midstream urine specimen from a woman, which action is incorrect? Keep the labia separated until you collect 30 to 60 mL. The urethral area is cleaned from front to back. Keep the labia separated until the person finishes voiding. Sterile gloves are used.
Keep the labia separated until the person finishes voiding.
to prevent pressure injuries, which of the following should be done? Massage pressure points. Keep the person's skin clean and dry. Use soap to clean the skin. Scrub and rub the skin during bathing.
Keep the person's skin clean and dry.
To prevent skin tears, which of the following should you do? Wear simple earrings. Wear gloves. Practice hand hygiene before and after giving care. Keep your fingernails short and smoothly filed.
Keep your fingernails short and smoothly filed.
Which intervention may assist with reducing falls in the home? Rearranging furniture frequently Using stools to reach for higher objects Keeping throw rugs in place Keeping pathways clear
Keeping pathways clear
Respirations that are very deep and rapid are Cheyne-Stokes respirations. hypoventilation. orthopneic respirations. Kussmaul respirations.
Kussmaul respirations.
The type of breathing that includes very deep and rapid respirations is hypoventilation. Cheyne-Stokes respirations. Kussmaul respirations. orthopnea.
Kussmaul respirations.
Which statement about collecting specimens is incorrect? Use a clean container for each specimen. All specimens sent to the laboratory require requisition slips. The doctor orders what specimen to collect. Label the container in the clean utility room.
Label the container in the clean utility room.
Which statement about bowel elimination is correct? Low-fiber foods provide needed bulk to prevent constipation. Changes in the gastro-intestinal tract from aging cause feces to pass through the intestines at a faster rate. Exercise decreases peristalsis. Lack of privacy can prevent a bowel movement despite having the urge.
Lack of privacy can prevent a bowel movement despite having the urge.
You are going to apply a condom catheter. Which action is incorrect? Leave a 2-inch space between the penis and the end of the catheter. Follow the manufacturer's instructions. Wash the penis with soap and water. Apply elastic tape in a spiral around the penis.
Leave a 2-inch space between the penis and the end of the catheter.
You are the carpool driver today. You need to get gas. What should you do? Leave earlier than usual. Ask everyone to help pay for the gas. Get gas after you pick everyone up. Get gas after work.
Leave earlier than usual.
Which of the following is an example of neglecting an older person? Leaving a person lying in urine or feces Using the "silent treatment" Withdrawing money from a bank account without permission Using unkind gestures to frighten a person
Leaving a person lying in urine or feces
Which will not prevent suffocation? Using bed rails correctly Reporting loose teeth Positioning the person in bed properly Leaving a person unattended in the bathtub
Leaving a person unattended in the bathtub
Which of the following would be a violation of the resident's right to privacy? Closing privacy curtains, doors, and windows Leaving the door open when the person uses the bathroom Providing clothes or draping to prevent unnecessary exposure of body parts Removing residents from public view
Leaving the door open when the person uses the bathroom
Which position often produces flatus? Left side-lying Semi-Fowler's Right side-lying Fowler's
Left side-lying
Which heart chamber pumps blood to all parts of the body? Left ventricle Left atrium Right atrium Right ventricle
Left ventricle
When applying heat or cold applications, which is incorrect? Expose only the application site. Let the person choose the application site. Place the call light within the person's reach. Know how to use the equipment.
Let the person choose the application site.
A patient has AD. The person is trying to tell you something. What should you do? Tell the person you understand. Offer words and ideas to help the person communicate. Ask the person simple questions. Let the person speak. Do not interrupt or rush the person.
Let the person speak. Do not interrupt or rush the person.
A person with dementia is awake and walking around at 1:00 AM. Which approach may be helpful? Restrain the person in a chair. Give the person a snack of toast and coffee. Take the person to his room and close the door. Let the person wander in a safe supervised area.
Let the person wander in a safe supervised area.
Which of the following actions places a person at high risk for a work-related musculo-skeletal disorder? Using good body mechanics Using an assistive device to transfer Lifting alone Assisting a person to the floor during a fall
Lifting alone
Which is a sign of fecal impaction? Liquid feces seeping from the anus Marble-sized stools The frequent passage of liquid stools Passage of large stools
Liquid feces seeping from the anus
What is a danger of liquid oxygen systems? Liquid oxygen can cause orthopnea. Liquid oxygen can burn the skin. Liquid oxygen can cause hypoxia. Liquid oxygen can freeze the skin.
Liquid oxygen can freeze the skin.
Which statement about electronic charting is incorrect? Check the time your entry was made. Check for accuracy. Save your entry. Log in using a co-worker's password.
Log in using a co-worker's password.
A person has arthritis in the spine. You need to turn the person onto her right side. Which procedure is used? Using a mechanical lift Logrolling Moving the person in segments The method the person likes
Logrolling
What procedure is used to re-position a person with spinal cord injury? Shearing Body mechanics Logrolling Weight bearing
Logrolling
Which bones bear the body's weight? Long bones Flat bones Short bones Irregular bones
Long bones
Which is a sign of AD? Loses track of the date or season. Loses things from time to time. Misses a monthly payment. Sometimes forgets which word to use.
Loses track of the date or season.
Persons needing nursing center care often suffer many losses. Which is not a common loss? Loss of children Loss of possessions Loss of identity Loss of independence
Loss of children
Paralysis is known as what? Constriction and relaxation of muscles Cognitive disability Cardiac arrest Loss of muscle function, sensation, or both
Loss of muscle function, sensation, or both
Muscle atrophy causes what problem in the older adult? Stiff joints Brittle bones Bone loss Loss of strength
Loss of strength
Which is not a restraint alternative? Meeting food, fluid, and elimination needs Giving back massages Loud music, television, or radio Answering call lights promptly
Loud music, television, or radio
You are using a mechanical lift to transfer a person. Which is incorrect? Explain the procedure before you begin. Lower the bed to the lowest horizontal position. Show the person how the lift works. Ask a co-worker to help you.
Lower the bed to the lowest horizontal position.
Before inserting a rectal thermometer, do the following: Clean it with hot water. Lubricate the bulb end. Clean it with a disinfectant. Place it in a probe cover.
Lubricate the bulb end.
Which statement about changes in the respiratory system is incorrect? Lung tissue is more elastic. Coughing may be more difficult. Respiratory infections and diseases can threaten the person's life. Respiratory muscles weaken.
Lung tissue is more elastic.
Which produces antibodies? Hormones Red blood cells Lymphocytes Insulin
Lymphocytes
Wrongful use of electronic communications can result in jail time. False True
TRUE
A person is restrained. Which promotes the person's independence? Doing as much as possible for the person Removing the restraint every 4 hours Checking on the person every hour Making sure the call light and other needed items are within reach
Making sure the call light and other needed items are within reach
Which is not a restraint alternative? Making the person take an afternoon nap Padding walls and the corners of furniture Keeping the call light within the person's reach Explaining all procedures and care measures
Making the person take an afternoon nap
Which are the hormones secreted by the adrenal cortex? (Select all that apply.) Male and female sex hormones Glucocorticoids Insulin Mineralocorticoids
Male and female sex hormones Glucocorticoids Mineralocorticoids
Negligence by a professional person is known as which of the following? Crime Malpractice Tort Negligence
Malpractice
Basic needs must be met for a person to function, according to which famous psychologist? Nightingale Ross Freud Maslow
Maslow
A resident has an arterial ulcer. Which measure is incorrect? Massage reddened areas. Keep the person's feet clean and dry. Avoid injury to the legs and feet. Remind the person not to sit with crossed legs
Massage reddened areas.
Which allows the body to move by stretching and contracting? Connective tissue Epithelial tissue Muscle tissue Nerve tissue
Muscle tissue
Muscle atrophy in the older adult is associated with which body system? Musculo-skeletal Cranial Nervous Cardiovascular
Musculo-skeletal
What is the over-bed table used for? Meals, writing, and personal care Storing the urinal or bedpan Transporting the person to another department Work surface for removing soiled dressings
Meals, writing, and personal care
Before applying moist heat or cold applications, which of the following should you do? Measure and record the amount of water as intake. Measure the temperature. Measure water depth. Show the person how to change the temperature.
Measure the temperature.
Which of the following is a jointly funded federal and state system that covers the health care of children and older, blind, and disabled persons? Group insurance Medicare Private insurance Medicaid
Medicaid
A federal health insurance program for persons 65 years of age and older is Private insurance. an HMO. Medicare. Group insurance.
Medicare.
A dressing is dislodged and loose. What can happen? The wound can become larger. Wound edges can separate. Pressure injuries can develop. Microbes can enter the wound
Microbes can enter the wound
Which specimen collection requires the use of sterile gloves? Midstream specimen 24-hour urine Random urine sample Straining urine for calculi
Midstream specimen
Which statement about moist heat applications is incorrect? Water is in contact with the skin. Moist heat penetrates deeper than dry heat does. Moist heat has faster effects than dry heat. Moist heat applications have higher temperatures than dry heat applications.
Moist heat applications have higher temperatures than dry heat applications.
The nurse has set the flow rate for a patient's IV. What should you do? Monitor the flow rate. Adjust the flow rate control as needed. Set the IV pump's alarm. Permanently lower the IV bag.
Monitor the flow rate.
Which oxygen administration device allows the person to talk and eat? Oxygen flow mask Nasal mask Nasal cannula Simple face mask
Nasal cannula
Routine care that is given after breakfast is known as what? PM care AM care Early morning care Morning care
Morning care
Which statement about aging is incorrect? Changes occur throughout life. Most changes are rapid. Psychological and social changes occur. Changes occur in body structure and function.
Most changes are rapid.
Which statement about dementia is incorrect? Most older people show signs and symptoms of dementia. Some dementias can be treated and reversed. For correct treatment, the cause must be found. Permanent dementias result from changes in the brain.
Most older people show signs and symptoms of dementia.
You find a fire in a person's room. What should you do first? Sound the nearest fire alarm. Get the nearest fire extinguisher. Move the person to a safe area. Close doors and windows.
Move the person to a safe area.
Which statement is true regarding transferring a patient from the bed to a wheelchair? Move the weak side first. Move the strong side first. Move the person with his arms wrapped around your neck. Move the person by grasping his shoulders.
Move the strong side first.
You are performing passive range-of-motion exercises. Which action will not promote comfort? Exposing only the part being exercised Providing for privacy Moving the joint quickly and forcefully Supporting the part being exercised
Moving the joint quickly and forcefully
Mr. and Mrs. Young were married for 60 years. Mrs. Young just died. Which is incorrect? Mr. Young's grief may be very great. Mr. Young may develop health problems. Mr. Young's grief is less if he prepared for his wife's death. Mr. Young may lose the will to live.
Mr. Young's grief is less if he prepared for his wife's death.
What is the heart made of? Sphincters Muscle Nerves Tendons
Muscle
Which sign is a normal response to heat application? Pain Muscle relaxation Excess redness Blisters
Muscle relaxation
You are giving a complete bed bath. Bath water is changed before giving perineal care. False True
TRUE
A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair? Near the head of the bed on her right side Near the head of the bed on her left side At the head of the bed At the foot of the bed
Near the head of the bed on her right side
Which safety measure is observed when using bed rails? Keep the bedside stand out of sight to avoid reaching over the rails. Keep the bed in the raised position. Leave bed rails down when working alone. Never leave the person alone when the bed is raised.
Never leave the person alone when the bed is raised.
Which are risks when using a safety razor? Nicks and cuts Irritated skin and rashes Pediculosis corporis Sores
Nicks and cuts
Does a nurse have to delegate a task to you? Yes, if the task is in your job description. No. The nurse makes delegation decisions that are best for the person. No. The nurse performs the task unless he or she is busy. Yes, if the nurse teaches you how to perform the task
No. The nurse makes delegation decisions that are best for the person.
A message sent with facial expressions and gestures is an example of which communication technique? Verbal communication Nonverbal communication Paraphrasing Touch
Nonverbal communication
A person's religion is different from yours. What should you do? Tell the person what you believe. Not force your ideas on the person. Ask to care for other patients or residents. Judge the person by your standards.
Not force your ideas on the person.
Which shows a lack of interest and caring? Not listening Clarifying Silence and touch Open-ended questions
Not listening
What is a registered nurse with limited diagnosing and prescribing functions? Director of nursing Licensed practical nurse Nurse practitioner Case manager
Nurse practitioner
Which nursing team members cannot delegate? LVNs RNs LPNs Nursing assistants
Nursing assistants
Which of these individuals perform delegated nursing tasks under the supervision of a licensed nurse? Nursing assistants Nurse practitioners Social workers Medical technologists
Nursing assistants
A written guide about the person's nursing care is known as what? Nursing intervention Nursing diagnosis Nursing process Nursing care plan
Nursing care plan
Which is a housing option for older persons who cannot care for themselves? Assisted living residences Board and care homes Nursing centers Hospice
Nursing centers
An action or measure that is used to help a person reach a goal is known as which of the following? Nursing intervention Nursing care plan Nursing diagnosis Doctor's order
Nursing intervention
What is the method used by nurses to plan and deliver nursing care? Nursing diagnosis Nursing intervention Nursing process Nursing care plan
Nursing process
You are responsible for protecting the resident's rights. False True
TRUE
The nursing care, function, or procedure that can be delegated to a nursing assistant is known as which of the following? Discipline Scope of practice Nursing task Certification
Nursing task
Which law requires that nursing centers provide care in a manner that maintains or improves the quality of life for the patient? OBRA Affordable Care Act HIPAA CMS
OBRA
Some nursing centers have special care units for persons with AD and other dementias. Which is incorrect? Aggressive persons need a secured unit. OBRA regulations do not apply to special care units. The person has a safe setting to move about. Entrances and exits are always locked.
OBRA regulations do not apply to special care units.
A bariatric bed is designed to accommodate which of the following person? Obese person greater than 500 pounds Older adult needing close observation Infants and children Woman delivering a baby
Obese person greater than 500 pounds
What is a common cause of falls in the home setting? Objects on the floor Clear pathways Use of grab bars Use of walkers
Objects on the floor
Which will not promote safety when applying a heat or cold application? Place the call light within the person's reach. Cover dry heat or cold applications before applying them. Observe the skin every 15 minutes for signs of complications. Follow agency policies for safe temperature ranges.
Observe the skin every 15 minutes for signs of complications.
The Bloodborne Pathogen Standard is a regulation of the MSDS. Occupational Safety and Health Administration (OSHA). Omnibus Budget Reconciliation Act (OBRA). the Centers for Disease Control and Prevention (CDC).
Occupational Safety and Health Administration (OSHA).
Which type of bed is made with the person in it? Surgical bed Open bed Closed bed Occupied bed
Occupied bed
Which statement about changes in the skin is incorrect? The skin thins and sags. Folds, lines, and wrinkles appear. Oil and sweat secretions increase. The skin is easily injured.
Oil and sweat secretions increase.
Which of the following guidelines should be observed when setting room temperature in a long-term care setting? Keep the temperature comfortable for staff. Older persons may need higher temperatures for comfort. Keep the temperature at 149°F. Older persons prefer colder temperatures.
Older persons may need higher temperatures for comfort.
Which statement about sexuality and older persons is incorrect? Weakness and pain may decrease frequency of sexual activity. Older persons need sex, love, and affection. Older persons need frequent intercourse. Reproductive organs change with aging.
Older persons need frequent intercourse.
Which type of patient frequently has mixed incontinence? Younger men Older women Younger women Older men
Older women
Resident rights are a major part of The Older Americans Act. Medicare and Medicaid. health maintenance organizations. Omnibus Budget Reconciliation Act of 1987.
Omnibus Budget Reconciliation Act of 1987.
A patient's left side is paralyzed. Where should you place the call light? On the person's right side To the person's pillow Wherever you can attach it On the person's left side
On the person's right side
Who is responsible for supervising LPNs, LVNs, and nursing assistants? Senior nursing assistants Senior LPNs or LVNs Only RNs Only physicians
Only RNs
Which statement about substance abuse is incorrect? Only illegal drugs and alcohol are abused. The exact cause is unknown. An influencing factor includes genetics. It occurs when over-use of a substance leads to health issues or social problems.
Only illegal drugs and alcohol are abused.
Which statement about delirium is incorrect? It is an emergency. The cause must be found and treated. Onset is gradual. It is common in older people with acute illnesses.
Onset is gradual.
A person has an ostomy pouch. The pouch is bulging from flatus. What should you do? Call for the nurse. Open the pouch. Change the pouch. Make a hole in the pouch for the escape of gas.
Open the pouch.
Which communication technique allows a person to choose what to talk about? Clarifying Touch Direct questions Open-ended questions
Open-ended questions
Which type of care includes medical or surgical care received when a person is not admitted to an agency? In-patient Patient-centered Out-patient Patient-focused
Out-patient
Which factor interferes with deep breathing and coughing? (Select all that apply.) Pain Injury Sleeping position Immobility
Pain Injury Immobility
Which of the following is an example of subjective data? Temperature Urine color Pain level Pulse rate
Pain level
Which statement about pain is correct? The meaning of pain is the same for everyone. Pain seems worse when the person is tired. Sore and aching mean the same thing to everyone. You can see and feel another person's pain.
Pain seems worse when the person is tired.
What recommendations does the USDA make in regard to physical activity? Physical activity should be at an easy pace. Physical activity at least 3 days a week is best. Adults should perform at least 3 hours each week of vigorous activity. Adults should perform strengthening activities every da
Physical activity at least 3 days a week is best.
Which is not a part of the small intestine? Ileum Pancreas Jejunum Duodenum
Pancreas
Which communication technique is used when you restate the person's message in your own words? Focusing Direct questions Clarifying Paraphrasing
Paraphrasing
What type of bath includes washing the face, hands, underarms, and perineal area? Bag bath Partial bath Towel bath Complete bed bath
Partial bath
What is the last step of providing male perineal care? Pat the penis and scrotum dry. Clean the meatus. Retract the foreskin. Cleanse the scrotum.
Pat the penis and scrotum dry.
The law that requires that all Americans have health insurance is known as which of the following? Centers for Medicare & Medicaid Services Prospective payment systems Health Insurance Portability and Accountability Act Patient Protection and Affordable Care Act
Patient Protection and Affordable Care Act
You should always assume that a person who is comatose can hear and understand you. False True
TRUE
Which term describes when services are moved from departments to the patient's bedside? Case management Team nursing Primary nursing Patient-focused care
Patient-focused care
A resident is choking. The person is clutching at the throat. The person cannot speak or breathe. Which action is needed? Encourage the person to cough forcefully. Give back blows. Perform abdominal thrusts. Perform cardiopulmonary resuscitation.
Perform abdominal thrusts.
A resident had both legs amputated. The person's care plan includes the following measures. Which should you question? Perform all ADLs for the person. Turn and re-position as directed. Perform measures to prevent pressure injuries. Keep the person in good alignment at all times.
Perform all ADLs for the person.
Which steps should you perform before transferring a patient from a chair to the bed? (Select all that apply.) Perform hand hygiene. Collect the gait belt. Identify the person. Provide for privacy.
Perform hand hygiene. Identify the person. Provide for privacy.
Cleaning of the genital and anal areas is known as what? Private care Circumcision PM care Perineal care
Perineal care
A resident has glaucoma. What do you know about the person's sight? The person has eye pain. The person's vision is cloudy. The person is blind in the affected eye. Peripheral (side) vision is lost.
Peripheral (side) vision is lost.
What type of person is a mechanical lift used for? Persons who are too heavy for the staff to move. Persons who are weight-bearing. Persons who have had recent spinal surgery. Persons who need assistance to stand.
Persons who are too heavy for the staff to move.
According to Maslow, which basic needs must be met first? Self-esteem and self-actualization needs Physical needs Safety and security needs Love and belonging needs
Physical needs
What type of restraint is a manual device attached to a person to restrict movement? Chemical restraint Physical restraint Enabler Bed alarm
Physical restraint
What gives skin its color? Epidermis Chromosomes Genes Pigment
Pigment
What is the final piece of linen that is collected prior to making a bed? Top sheet Bedspread Pillow case Blanket
Pillow case
Pressure injuries can occur where skin has contact with skin. What can you use to prevent such contact? Flotation pad Pillows Bed cradle Egg crate-like mattress
Pillows
What technique is used to turn one's body from a set standing position? Lateral transfer Pivot Lift transfer Logrolling
Pivot
When emptying a urine drainage bag, which step do you do first? Place a paper towel on the floor. Open the clamp on the drain. Position a graduate under the drainage bag. Clean the end of the drain with an antiseptic wipe.
Place a paper towel on the floor.
You find a person leaning forward over a table to breathe. What should you do? Remind the person to sit straight. Give oxygen. Place a pillow on the table. Provide a postural support.
Place a pillow on the table.
A resident needs her hair brushed. You just changed her pillowcase. What should you do? Place a towel across her pillow. Ask her to wait until she is in the bathroom. Change the pillowcase again. Comb her hair instead of brushing it.
Place a towel across her pillow.
The doctor ordered "encourage fluids" for a patient. Which action is incorrect? Offer a variety of fluids. Place an NPO sign above the person's bed. Record the person's intake. Keep fluids within the person's reach.
Place an NPO sign above the person's bed.
A patient will sit in the bedside chair for lunch. After preparing the person for lunch, which of the following should be done? Place the call light within the person's reach. Offer the person the bedpan. Lock the bed wheels. Lock the chair wheels.
Place the call light within the person's reach.
After making a bed, do the following: Fold back top linens. Ask the nurse to check your work. Raise the bed. Place the call light within the person's reach.
Place the call light within the person's reach.
To measure a temporal artery temperature, which of the following should be done? Place the device in the center of the forehead. Place the device behind the knee. Gently insert the device between the toes. Insert the device gently into the ear.
Place the device in the center of the forehead.
You are reviewing the care plan for a person who just had cataract surgery. Which intervention should you question? (Select all that apply.) Remind the person not to rub the affected eye. Place the over-bed table on the operative side. Turn, cough, and deep breathe every 2 hours. Lifting items is advisable.
Place the over-bed table on the operative side. Turn, cough, and deep breathe every 2 hours. Lifting items is advisable.
When applying an aquathermia pad, which instruction should you question? Make sure the water flows freely through the hoses. Place the pad under the person. Use a cloth cover to insulate the pad. Secure the pad with ties, tape, or rolled gauze.
Place the pad under the person.
A person's linens are soiled with urine and feces. What should you do with the linens? Wash the laundry. Take them to the dirty utility room. Put them with other laundry. Place them in a leak-proof plastic bag.
Place them in a leak-proof plastic bag.
Which has the same meaning for everyone? Warm Hot Temperature of 99°F Elevated temperature
Temperature of 99°F
A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person? Place your hands under the person's arms and around the person's shoulder blades. Have the person put her arms around your neck. Hold the person's weak arm while she supports herself with her strong arm. Have the person put her arms around your waist.
Place your hands under the person's arms and around the person's shoulder blades.
Which phase of the nursing process involves setting priorities and goals? Assessment Evaluation Implementation Planning
Planning
Which are the causes of sexually aggressive behaviors in older adults? (Select all that apply.) Poor vision Drug side effects Mental illness Nervous system disorders
Poor vision Drug side effects Nervous system disorders
You need to re-position a person in the chair. Which is correct? Ask a co-worker what to do. Pull the person up from behind. Position the chair as the person prefers, and lock the wheels according to the care plan. Ask the person what to do.
Position the chair as the person prefers, and lock the wheels
Which item would you expect to see on the care plan of a person who is having bladder retraining? Respond when prompted to void. Recognize the need to void. Recognize when the bladder is full. Postpone or delay voiding.
Postpone or delay voiding.
Which will not prevent complications from bedrest? Good alignment Range-of-motion exercises Frequent position changes Postural hypotension
Postural hypotension
hich measurement is used to determine weight? (Select all that apply.) Pound Inch Liter Kilogram
Pound Kilogram
What type of product should be avoided near persons with respiratory disorders? Mouthwash Powder Lotion Deodorant
Powder
You are assisting with urinary elimination needs. Which is incorrect? Follow Standard Precautions. Practice surgical asepsis. Follow the Bloodborne Pathogen Standard. Practice medical asepsis.
Practice surgical asepsis.
To better guide and direct a person, which of the following should you do? Apply assistive devices. Review the person's medical record. Give support and reassurance. Practice what the person has to do.
Practice what the person has to do.
Which is the easiest and most important way to prevent infections from spreading? The Bloodborne Pathogen Standard Standard Precautions Transmission-Based Precautions Practicing hand hygiene
Practicing hand hygiene
A patient has an IV. Which signs of a local complication should you report to the nurse? (Select all that apply.) Drop in blood pressure Puffiness/swelling Cold skin near the site Reddened skin
Puffiness/swelling Cold skin near the site Reddened skin
What are the benefits insurance companies must provide under the Patient Protection and Affordable Care Act? (Select all that apply.) Prescription drugs Hospital costs Maternity care Health club memberships
Prescription drugs Hospital costs Maternity care
When performing catheter care, which observations should you report to the nurse? (Select all that apply.) Presence of cloudy urine Positioning of the drainage tubing Draining system leaks Patient complaint of burning
Presence of cloudy urine Draining system leaks Patient complaint of burning
Which of the following observations should be reported to the nurse when providing routine hair care? Products used Hair style Dryness Presence of nits
Presence of nits
Which statement about small-volume enemas is incorrect? It usually takes 5 to 10 minutes for the enema to take effect. Staying in the Sims' position helps to retain the enema. Pressure is released on the bottle during administration. The solution is usually given at room temperature.
Pressure is released on the bottle during administration.
A resident has an arterial ulcer. Which will not promote healing? The person is re-positioned according to the care plan. Pressure points are massaged. Pillows are used to alleviate pressure. Injury to the area is avoided.
Pressure points are massaged.
Why does the nurse check for residual stomach contents before giving a tube feeding? Make sure the feeding tube is in the stomach. Prevent nausea and vomiting. Prevent aspiration from regurgitation. Prevent tube movement during feeding.
Prevent aspiration from regurgitation.
Which is not a purpose of wound dressings? Absorb drainage. Protect the wound. Prevent moisture. Remove dead tissue.
Prevent moisture.
How are resident rights respected by the nursing assistant while performing care? Keep the door open at all times for patient safety. Prevent unnecessary exposure of the body. Move personal items closer to the nurses' station to prevent theft. Put the television channel on a station the nursing assistant enjoys.
Prevent unnecessary exposure of the body.
What is the purpose of a clean, dry, and wrinkle-free bed? Proves the cleanliness of the facility. Keeps laundry personnel busy. Prevents skin breakdown. Decreases family complaints.
Prevents skin breakdown.
You are helping a resident dress. Which action can cause skin tears? Wearing soft clothing Pulling buttons across fragile skin Donning a hat Wearing shoes while awake
Pulling buttons across fragile skin
Deciding what to do and when to perform routine nursing unit tasks is known as which of the following? Teamwork Priority setting Confidentiality Goal setting
Priority setting
A patient with dementia does not understand what you are doing. The person resists your efforts to move him up in bed. Which action is not helpful? Getting a co-worker to help you Diverting the person's attention Proceeding quickly and firmly Using a calm, pleasant voice
Proceeding quickly and firmly
Following laws, being ethical, having good work ethics, and having the skills to do your work is known as what? Laws Teamwork Professionalism Ethics
Professionalism
You forgot to assist a resident with ambulation. You blame the nurse for not reminding you. Which defense mechanism are you using? Rationalization Substitution Projection Identification
Projection
Which is not a purpose of wound dressings? Cover unsightly wounds. Prevent microbes from entering the wound. Promote arterial and venous circulation.
Promote arterial and venous circulation.
Which exercises are done to the forearm? Abduction and adduction Internal and external rotation Pronation and supination Flexion and extension
Pronation and supination
Which position is used to describe a person lying on her abdomen with the head turned to one side? Supine Sims' Lateral Prone
Prone
You are going to help a resident get dressed. Which provides full visual privacy from the person's roommate? Pulling the privacy curtain around the person's bed Closing the person's room door Holding a bath blanket around the person Closing window shades
Pulling the privacy curtain around the person's bed
An act or behavior that meets your needs, not the needs of the patient or resident, is defamation. a boundary violation. a crime. assault.
a boundary violation.
Why are restraints used on a resident? Staff convenience Protection Weight loss Discipline
Protection
Which is not a physical need? Oxygen Protection from harm Water Food
Protection from harm
Which nutrient is needed for tissue growth and repair? Carbohydrate Vitamins Protein Fat
Protein
Which nutrient is the most important for tissue growth and repair? Vitamins Minerals Carbohydrates Protein
Protein
What does an agency do to reduce staff's risk of exposure to blood or OPIM? Provide free training. Allow extra days off. Wash used gloves daily. Steam clean used gowns.
Provide free training.
Which is not a restraint alternative? Providing a fast paced and exciting setting Letting the person wander in a safe area Spending time with the person Practicing measures to prevent falls
Providing a fast paced and exciting setting
A resident is complaining of constipation. Which measure will not relieve constipation? Following the urge to have a BM Providing a low-fiber diet Increasing the person's fluid intake Encouraging the person to walk more
Providing a low-fiber diet
A resident is in the last stage of AD. The person's care plan includes the following. Which should you question? Prevent infection Providing all activities of daily living (ADLs) Incontinence care Aspiration precautions
Providing all activities of daily living (ADLs)
A resident has AD. His wife visits daily. They like to touch, hold hands, and kiss. Which action is correct? Discouraging such contact Allowing only supervised visits Trying to distract them Providing privacy
Providing privacy
You can push, pull, slide, or lift an object. Which is correct? Lifting is safer than sliding. Sliding is always safest. Pulling is easier than pushing. Pushing is easier than pulling.
Pushing is easier than pulling
Which statement is incorrect? Changes in the brain and nervous system occur with aging. Changes in the brain can affect cognitive function. Quality of life is not affected by changes in cognitive function. Certain diseases affect the brain.
Quality of life is not affected by changes in cognitive function.
Which health team member assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care? Case manager Nursing assistant RN LPN
RN
Which measure can help prevent orthostatic hypotension? Avoid placing the person in Fowler's position. Raise the head of the bed slowly. Help the person go directly from lying to standing. Have the person quickly stand from a sitting position.
Raise the head of the bed slowly.
A patient has a catheter. Which prevents urine from flowing freely? Making sure the person does not lay on the tubing Coiling the drainage tubing on the bed Keeping the tubing free of kinks Raising the drainage bag above the bladder
Raising the drainage bag above the bladder
A resident is blind. Which measure is unsafe for the person? Keeping hallways and walkways free of equipment and clutter Letting the person perform self-care as able Rearranging the person's furniture and equipment Keeping the person's call light within reach
Rearranging the person's furniture and equipment
When measuring temperature in infants, which site is used? Tympanic Axillary Rectal Oral
Rectal
You are using a standard electronic thermometer to take a rectal temperature. What color probe do you use? Orange Yellow Blue Red
Red
Which of the following should you report to the nurse? Red-colored urine Amber-colored urine Straw-colored urine Pale yellow urine
Red-colored urine
A nurse tells you to use towels and tape to restrain a person. What should you do? Use towels and tape with the manufacturer's instructions. Ignore the nurse's instructions. Refuse and explain why. Follow the nurse's instructions.
Refuse and explain why.
What is a required element of the state nursing assistant registry? Registry number and expiration date Fingerprints List of last 5 employers CPR license
Registry number and expiration date
What is the goal of bowel training? Regular elimination Self-care Perineal care Catheter care
Regular elimination
The lack of or absence of breathing is Kussmaul respirations. apnea. bradypnea. hypoxia.
apnea.
After applying an elastic bandage to a patient's right leg, the person complains of pain and tingling in her right foot. What should you do? Remove the bandage and tell the nurse at once. Remove the bandage and re-apply it in 10 minutes. Ask the nurse to bring the person a pain pill. Tell the person you will check the bandage in 15 minutes.
Remove the bandage and tell the nurse at once.
A resident is confused. Which is incorrect? Provide newspapers and magazines. Remove the person's eyeglasses and hearing aid to prevent loss or breakage. Remind the person of special days and events. Discuss current events with the person.
Remove the person's eyeglasses and hearing aid to prevent loss or breakage.
When removing used linens from a bed Use forceps. Place on a clean surface. Remove used linens 1 piece at a time. Wear 2 pair of gloves.
Remove used linens 1 piece at a time.
The nurse asks you to apply a dry, non-sterile dressing. You remove the old dressing. After you observe the wound and wound drainage, what should you do? Open the new dressings. Remove your gloves, put them into the plastic bag, and decontaminate your hands. Put on clean gloves and open the new dressing. Remove your gloves and put on sterile gloves.
Remove your gloves, put them into the plastic bag, and decontaminate your hands.
The nurse asks you to apply a dry, non-sterile dressing. Which action is incorrect? Touching only the outer edges of the dressing Removing tape by pulling it away from the wound Removing dressings so the person sees the unsoiled side Removing the old dressing gently
Removing tape by pulling it away from the wound
Doing the same motion continually or frequently is known as what? Awkward posture Force Repeating action Heavy lifting
Repeating action
A resident has AD. The person keeps saying, "I want to go home." "I want to go home." "I want to go home." What is this an example of? Sundowning Inappropriate behavior Repetitive behavior Screaming
Repetitive behavior
What is the final step when performing a transfer procedure? Place call light in reach. Practice hand hygiene. Provide for comfort. Report and record your observations.
Report and record your observations.
Which of the following rules are observed when reporting information to the nurse? Report using the person's room number. Report before your next scheduled shift. Report for your co-worker if he or she is busy. Report changes as soon as they occur.
Report changes as soon as they occur.
You are bathing a resident. You note a reddened area on the person's left shoulder. What should you do? Apply powder to the site. Massage the area during the back massage. Rub the area. Report the observation to the nurse.
Report the observation to the nurse.
Which of the following items are included as part of the diabetes meal plan? Eating meals at varying times of the day. Report what the person did and did not eat. Avoiding between-meal snacks. Varying the amount of carbohydrates, protein, and fat eaten each day
Report what the person did and did not eat.
You think that a visitor is tiring a patient. What should you do? Allow them privacy. Ask the visitor to leave. Ask the visitor to help you give care. Report your observations to the nurse
Report your observations to the nurse
Who can develop healthcare-associated infections? Residents and patients Doctors The health team The nursing team
Residents and patients
Which of the following describes social dining in a nursing center? Food is served in bowls and on platters, and residents serve themselves as at home. The person selects food from a menu. A buffet is open for several hours, and residents eat any time. Residents sit at a table of 4 to 6, and food is served as in a restaurant..
Residents sit at a table of 4 to 6, and food is served as in a restaurant..
What is the process of supplying cells with oxygen and removing carbon dioxide from them? Respiration Expiration Menstruation Inspiration
Respiration
When a resident has a question, concern, or complaint, what is the responsibility of the center? Keep the resident in his or her room. Call the ombudsman. Respond and investigate. Write up the employee.
Respond and investigate.
Respiratory system changes occur with aging. Which is not helpful? Deep breathing Re-positioning Turning Rest as much as possible
Rest as much as possible
Which statement is correct? Restraint use requires a doctor's order. Restraints are used to discipline a person. Restraints are used if you feel they are needed. Restraints are used for staff convenience.
Restraint use requires a doctor's order.
Which statement about restraints is incorrect? Restraints can cause death. Restraints can cause falls. Restraints are used for staff convenience. Every agency has policies and procedures about restraint use
Restraints are used for staff convenience.
A resident has AD. She tends to wander and is sometimes combative. Her son asks you to restrain her. Which is incorrect? Restraints require a doctor's order. All persons have the right to be free from restraints. Restraints are used if the family requests them. Restraints can make confused and demented behaviors worse.
Restraints are used if the family requests them.
Which statement about restraints is incorrect? The Centers for Medicare & Medicaid Services (CMS) has rules for using restraints. Restraints can cause embarrassment, depression, and anger. Restraints affect a person's dignity and self-esteem. Restraints decrease confusion and agitation.
Restraints decrease confusion and agitation.
Which statement about retirement is incorrect? Retirement is a reward for a life-time of work. Some people retire because of poor health or disability. Retired persons have fewer expenses. Some retired people do volunteer work or have part-time jobs.
Retired persons have fewer expenses.
Which of the following is an example of a social change associated with aging? Slowed movement Wrinkles Retirement Graying hair
Retirement
When are adult respirations counted? After all other vital signs are measured Right after taking the pulse Just before taking the temperature While measuring the blood pressure
Right after taking the pulse
Which heart chamber receives blood from body tissues? Left ventricle Left atrium Right atrium Right ventricle
Right atrium
Closing curtains, doors, and window coverings during patient care maintains which of the following patient's rights? Right to voice complaints Right to refuse treatment Right to information Right to privacy
Right to privacy
Nursing centers must inform residents of which of the following items? Activities Financial expectations Hours of operation Rights and responsibilities
Rights and responsibilities
Which allows the person to turn from side to side or sit up in bed? Roll belt restraint Full-body restraint Jacket restraint Vest restraint
Roll belt restraint
Which is a functional change found in Alzheimer's patients? Rummaging and hiding things Excessive crying Improved communication Obsessive behaviors
Rummaging and hiding things
The doctor orders a saline enema. What is added to water to prepare the enema solution? Castile soap Mineral oil A drug Salt
Salt
Which is not a cause of mental health disorders? Chemical imbalances Schizophrenia and anxiety Genetics Inability to cope or adjust to stress
Schizophrenia and anxiety
Understanding what you can do, what you cannot do, and the legal limits of your role is known as what? Certification Scope of practice Discipline Policy and procedure
Scope of practice
Which will not help prevent circulatory ulcers? Providing good skin care Scrubbing the skin during bathing Making sure shoes fit well Keeping linens clean and dry
Scrubbing the skin during bathing
Which basic need is on-going and may never be completely met? Self-actualization Self-esteem Love and belonging Safety and security
Self-actualization
Which basic need focuses on the worth, value, or opinion a person has of oneself? Safety and security Self-esteem Love and belonging Self-actualization
Self-esteem
Which exercise is not done to the shoulder? Extension Supination Hyperextension Flexion
Supination
Which bed position means the head of the bed is raised 30 degrees? The highest horizontal position The flat position Trendelenburg's position Semi-Fowler's position
Semi-Fowler's position
Which statement about sexuality and older persons is incorrect? Chronic illness can affect sexuality. Sexual activity may decrease. Sexual needs and desires are lost. Some persons lose sexual partners through death and divorce.
Sexual needs and desires are lost.
What is the purpose of care conferences? Order patient supplies. Teach EMR charting. Schedule nursing assistants. Share information about the person's care.
Share information about the person's care.
A resident has AD. She is trying to rub her perineum through her clothes. Which is incorrect? She needs to be told this is inappropriate behavior. She may be wet or soiled from urine or feces. She may have a urinary system infection. She may have pain or discomfort in her urinary or reproductive system.
She needs to be told this is inappropriate behavior.
What can happen to the skin when a person slides down in the bed? Protection Moisture Shearing Friction
Shearing
Which is a major cause of pressure injuries? Terminal illness Shearing Aging Moisture
Shearing
Where are your strongest muscles located? (Select all that apply.) Hands Shoulders Back Hips
Shoulders Hips
A resident is very upset about his or her lunch. Which communication technique can help the person gain control? Silence Paraphrasing Direct question Clarifying
Silence
A person is placed in which position when an enema is administered? Prone Supine Sims' Trendelenberg
Sims'
What is the preferred position for giving an enema? Supine or right side-lying position Sims' or left side-lying position Fowler's or semi-Fowler's position Prone or supine position
Sims' or left side-lying position
Medications can cause appetite loss, confusion, nausea, constipation, impaired taste or changes in GI function. True False
TRUE
After giving an oil-retention enema, the person is left in the Sims' or left side-lying position. Fowler's or semi-Fowler's position. prone or supine position. supine or right side-lying position.
Sims' or left side-lying position.
A patient is lying on her left side. Her upper leg is sharply flexed. Her lower arm is behind her. This position is Sims' position. the supine position. the prone position. Fowler's position.
Sims' position.
What does it mean to dangle a person? Ambulate the person. Re-position the person in bed. Sit the person on the side of the bed. Turn the person as a unit.
Sit the person on the side of the bed.
What is the usual position for defecation? Semi-Fowler's Sims' Sitting or squatting Left side-lying
Sitting or squatting
A person is on a low-cholesterol diet. Which food is allowed? Creamed soup Skim milk Fried chicken Cheddar cheese
Skim milk
Which organ is the body's defense against disease? Hygiene Mouth Immunity Skin
Skin
Which statement about skin tears is incorrect? Skin tears usually occur over a bony area. Infection can develop in a skin tear. Skin tears are painful. Holding a person's arm or leg too tight can cause a skin tear.
Skin tears usually occur over a bony area.
Which will not help reduce or cope with stress? Setting priorities Skipping meals Getting regular exercise Getting enough rest
Skipping meals
Which does not cause flatulence? Constipation Bowel surgery Medications Sleep
Sleep
Where on the body is an apical pulse measured? (Select all that apply.) Slightly below the left nipple The side of the neck Left side of chest The wrist
Slightly below the left nipple Left side of chest
which oxygen sources are used for persons who walk or use wheelchairs? Wall outlet or oxygen tank Oxygen tank or oxygen concentrator Oxygen concentrator or liquid oxygen unit Small oxygen tank or portable liquid oxygen unit
Small oxygen tank or portable liquid oxygen unit
You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair? So the person's strong side is near the bed Where it was when the person was transferred from the bed to the wheelchair So the person's weak side is near the bed Wherever the person prefers
So the person's strong side is near the bed
Which statement is correct? Rehabilitation begins after restorative nursing care. The person returns home after completing a rehabilitation program. Some people need both rehabilitation and restorative care. Restorative nursing care begins after rehabilitation.
Some people need both rehabilitation and restorative care.
A patient has aphasia following a stroke. Which of the following are helpful? Occupational therapy and a transfer board Speech therapy and communication devices Physical therapy and braces Speech therapy and a dysphagia diet
Speech therapy and communication devices
Which of the following is used to measure blood pressure manually? Thermometer Your first 2 or 3 fingertips Cuff Sphygmomanometer and stethoscope
Sphygmomanometer and stethoscope
Which device keeps the elbows, wrists, thumbs, fingers, ankles or knees in a normal position? Rubber ball Foot-board Bed cradle Splint
Splint
Which product should be used to perform oral care on an unconscious person? Sponge swabs Floss Mouthwash Toothbrush
Sponge swabs
Which stage of pressure injury involves partial-thickness skin loss? Stage 4 Stage 3 Stage 1 Stage 2
Stage 2
You are assisting a resident with elimination. Which action is incorrect? Stand next to the person until the person is finished. Follow Standard Precautions and the Bloodborne Pathogen Standard. Place the call light and toilet tissue within reach. Close doors, the privacy curtain, and window coverings.
Stand next to the person until the person is finished.
When giving baths, which measures protect the person and yourself from infection? OSHA guidelines Wearing gowns, gloves, and goggles Standard Precautions and the Bloodborne Pathogen Standard Isolation precautions
Standard Precautions and the Bloodborne Pathogen Standard
When changing linens, you must follow the safety data sheet (SDS). OBRA and OSHA standards. Standard Precautions and the Bloodborne Pathogen Standard. Standard Precautions and sterile technique.
Standard Precautions and the Bloodborne Pathogen Standard.
When shaving a person, you must follow accrediting agency standards. OBRA regulations. surgical asepsis. Standard Precautions and the Bloodborne Pathogen Standard.
Standard Precautions and the Bloodborne Pathogen Standard.
Which mechanical lift sling is used for a normal transfer? Toileting sling Standard full-sling Bathing sling Extended length sling
Standard full-sling
When applying elastic bandages, which is incorrect? Position the person in good alignment. Face the person during the procedure. Start at the top (proximal) part of the extremity. Expose fingers or toes if possible.
Start at the top (proximal) part of the extremity.
You assist a patient to dangle. Once you get the person to the edge of the mattress, what should you do? Report to the nurse that you have the person dangling. Have the person move the legs back and forth and in circles. Stay with the person and provide support at all times. Explain to the person that you will return in 10 minutes to check on them.
Stay with the person and provide support at all times.
The nurse asks you to collect a stool specimen. Which is incorrect? Stay with the person until the person has a bowel movement. Explain what you will do. Ask if the person understands what to do. Explain what the person needs to do.
Stay with the person until the person has a bowel movement.
Never use force to apply a restraint. False True
TRUE
You are assisting with urinary elimination needs. Which is incorrect? Provide for privacy. Stay with the person until the person is finished voiding. Place the call light and toilet tissue within reach. Follow the person's care plan and voiding routines and habits.
Stay with the person until the person is finished voiding.
Which instrument is used to listen to sounds produced by the body? Thermometer Cuff Sphygmomanometer Stethoscope
Stethoscope
You are giving a cleansing enema. During the procedure, the person complains of pain. What should you do? Stop insertion of the enema tip. Remove the tubing. Call for the nurse. Insert the tubing farther.
Stop insertion of the enema tip.
What is the responsibility of the nurse if he or she determines that it would be unsafe to delegate a task? Delegate the task. Stop the process. Quickly explain the task to save time. Delegate the task, and ask another nursing assistant to observe.
Stop the process.
Material safety data sheets (MSDS) include which of the following information? (Select all that apply.) Storage measures First aid measures Chemical ingredients Hazards about the chemical
Storage measures First aid measures Hazards about the chemical
A resident does not wear her lower denture for sleep. What should you do with the lower denture? Store it in the denture cup filled with hot water. Wrap it in a napkin and set it on the over-bed table within her reach. Store it in the denture cup filled with cool water or a denture soaking solution. Wrap it in a paper towel and place it in the top drawer of her bedside stand.
Store it in the denture cup filled with cool water or a denture soaking solution.
What is the purpose of the bladder? Passes urine out of the body. Stores urine. Filters blood through kidney. Carries urine from the kidney.
Stores urine.
What is the most serious risk of restraint use? Strangulation Cuts Bruise Fracture
Strangulation
Which statement about stress is incorrect? Stress only occurs from unpleasant events. Stress occurs with everything you do. Stress is normal. Stress affects the whole person.
Stress only occurs from unpleasant events.
Which is not a focus of rehabilitation? Preventing further decline in function Improving the person's ability to function Promoting the best possible quality of life for the person Stressing the degree of disability and the functions lost
Stressing the degree of disability and the functions lost
You care for several persons with AD. Why must you report behavior changes to the nurse? Persons with AD cannot report such changes. It is your responsibility to report signs and symptoms. Persons with AD depend on others for care. Such changes may signal other illnesses or injuries.
Such changes may signal other illnesses or injuries.
Which statement about Alzheimer's disease (AD) is incorrect? Sudden in onset, the disease progresses quickly over several months. The person has behavior, mood, and personality changes. Nerve cells controlling intellectual and social function are damaged. Memory and mental abilities steadily decline.
Sudden in onset, the disease progresses quickly over several months.
What occurs when breathing stops from lack of oxygen? Inhalation Choking Exhalation Suffocation
Suffocation
When giving foot care, which of the following should be done? Use a scissors. Position the person in the supine position. Soak the feet for 30 minutes. Support the person's foot and ankle.
Support the person's foot and ankle.
A nursing center resident needed hospital care. The person will return to the nursing center by ambulance. What kind of bed should you make? Closed bed Open bed Surgical bed Occupied bed
Surgical bed
When the nurse keeps a close watch over someone or something, which step in the delegation process is he or she demonstrating? Assessment Evaluation Surveillance Communication
Surveillance
An infection that involves the whole body is known as what? Drug-resistant Local Systemic Immune
Systemic
_____________ are formed by organs that work together to perform special functions. Systems Glands Cells Tissues
Systems
Which is the working phase of the heart? Bicuspid valve Systole Tricuspid valve Diastole
Systole
A resident wants a bath in the evening, not in the morning. The person has the right to make this choice. True False
TRUE
A stool specimen must not be contaminated with urine. True False
TRUE
After assisting the patient who dines in his or her room with feeding, you should complete a safety check of the room. True False
TRUE
Bathing procedures can threaten persons with dementia. False True
TRUE
Bed rails are considered restraints if the person cannot lower them without help. False True
TRUE
Bed rails cannot be used unless needed to treat a person's medical symptoms. False True
TRUE
Blood glucose testing is used for patients with diabetes to help regulate drugs and diet. False True
TRUE
Elder abuse is any knowing, intentional, or negligent act by a caregiver or any other person to an older adult. True False
TRUE
Every person has the right to refuse treatment regardless of what the doctor suggests.
TRUE
If dizziness or fainting occurs while a patient is dangling, you should lay the person down. False True
TRUE
Informed consent is needed for restraint use. False Correct! True
TRUE
Intake is the amount of fluid taken in and output is the amount of fluid lost. False True
TRUE
Intimate partner violence is physical, sexual, or psychological harm by a current or former partner or spouse. True False
TRUE
It is a resident's right to be seen by the facility's main doctor even if the resident prefers someone else.
TRUE
A warning label on a hazardous substance container is damaged. What should you do? Try to read the label. Take the container to the nurse. Apply a new warning label. Pour the substance into a different container.
Take the container to the nurse.
A person has dementia. Which step should you take when measuring vital signs? Use an oral thermometer only. Take the respirations and pulse at one time. Solicit 2 team members to help you. Take the temperature and blood pressure immediately.
Take the respirations and pulse at one time.
Why should you avoid taking the water cart into a patient's room? It is against policy to have the water cart leave the unit kitchen. There is not enough room for the cart in the patient's room. The cart's presence in the room may upset the patient. Taking the cart into a patient's room can spread microbes.
Taking the cart into a patient's room can spread microbes.
A resident had 4 incontinent episodes this morning. You are becoming short-tempered and impatient. What should you do? Talk to the nurse. Ask the person to use the bathroom every hour. Tell the person that other residents need your help. Remind the person to use the bedpan.
Talk to the nurse.
Your work is causing you stress. What should you do? Talk to your co-workers. Tell your patients about the problem. Talk to the nurse. Stay home from work.
Talk to the nurse.
Which does not promote communication? Talking about two subjects at once Presenting facts Being brief and concise Giving information in the order the events occurred
Talking about two subjects at once
In Alzheimer's disease what is an abnormal structure that causes damage? Neurons Brain cells Nerve fibers Tangles
Tangles
_________ occurs when staff members work together as a group in order to provide safe and effective care. Teamwork Communication Confidentiality Harassment
Teamwork
You suspect that a nursing center resident is being abused. What should you do? Talk to the family. Call the police. Tell the nurse. Mind your own business.
Tell the nurse
A resident's hairbrush has very sharp bristles. You are concerned that it could injure the person's scalp. What should you do? Ask the person if you should continue to use the hairbrush. Tell the nurse about your concerns. Ask the person's family to buy a different hairbrush.
Tell the nurse about your concerns.
The alarm is sounding on an IV infusion pump. Which action is correct? Tell the nurse at once. Unplug the pump. Change the controls on the pump. Turn off the pump.
Tell the nurse at once.
You cannot hear a person's blood pressure. What should you do? Get a different stethoscope. Record the previous measurement. Take it again. Tell the nurse at once.
Tell the nurse at once.
You note bleeding from an IV insertion site. Which action is correct? Apply a dressing over the needle or catheter. Tell the nurse at once. Discontinue the IV.
Tell the nurse at once.
A person has diabetes. All food served is not eaten. What should you do? Leave the tray. Perhaps the person will eat later. Give insulin. Provide a between-meal snack. Tell the nurse.
Tell the nurse.
A person is heavier than the weight limit of the mechanical lift. What should you do? Get another co-worker to help. Tell the nurse. Use the lift. Allow personal choice. Ask the person what to do.
Tell the nurse.
A person is receiving oxygen therapy. The humidifier is not bubbling. What should you do? Adjust the flow rate. Shut off the oxygen. Add more water to the humidifier. Tell the nurse.
Tell the nurse.
A resident is making slow progress in therapy. You see another nursing assistant laughing at the person. What should you do? Ask if you can join in the fun. Ignore the situation. Talk to your co-worker. Tell the nurse.
Tell the nurse.
A resident receives oxygen at 2 L/min. You note that the flow rate is at 4 L/min. What should you do? Ask how the person feels. Tell the nurse. Do nothing. The flow rate is within normal range. Adjust the flow rate
Tell the nurse.
You see a nursing assistant hitting a patient. What should you do? Tell the nurse. Talk to the patient. Mind your own business. Call the police.
Tell the nurse.
Which measures if urine is acidic or alkaline? Testing for glucose Testing for acetone Testing for ketones Testing for pH
Testing for pH
In men, the amount of this sex hormone decreases with aging. Testosterone Progesterone Estrogen Insulin
Testosterone
What is one of the requirements for being the director of nursing (DON) within an organization? The DON has an associate's degree in nursing. The DON is a licensed vocational nurse. The DON has a business or law degree. The DON is an RN.
The DON is an RN.
Where do you record the patient's intake and output? The nurse's notes The vitals sheet The I&O record The dietary sheet
The I&O record
This section has the person's identifying information. It is used to complete forms that require the same information. The Kardex The progress notes The activities of daily living flow sheet The admission information
The admission information
Which is required by CMS for nursing center residents? The Minimum Data Set (MDS) The Kardex Daily charting on the progress notes E-mail and electronic messages
The Minimum Data Set (MDS)
A nursing center has a secured unit for persons with AD. Which is correct? The Omnibus Budget Reconciliation Act (OBRA) considers secured units to be physical restraints. Only persons with aggressive behaviors are allowed on a secured unit. A family's request is needed to place a person on a secured unit. The person remains on the secured unit until death.
The Omnibus Budget Reconciliation Act (OBRA) considers secured units to be physical restraints.
Which factor is responsible for the patient's Alzheimer's disease? The patient The disease The agency The family
The disease
Which statement about pain is incorrect? Some people ignore pain to meet personal and family duties. Sometimes pain brings pleasure. Family and friends can help the person deal with pain. The ability to feel pain increases with aging.
The ability to feel pain increases with aging.
Which statement about sleep deprivation is correct? The person needs a sleeping pill. The person leaves the bed and walks about during sleep. The person wakes up very early. The amount and quality of sleep are decreased.
The amount and quality of sleep are decreased.
Which pulse site requires the use of a stethoscope? The carotid site The brachial site The apical site The radial site
The apical site
A resident is positioned in a chair. Which will not provide good alignment? The person's back and buttocks are against the back of the chair. The person holds the upper body and head erect. The backs of the person's knees are against the edge of the seat. The person's feet are flat on the floor.
The backs of the person's knees are against the edge of the seat.
You need to transfer a patient using a transfer belt. Which is correct? The belt is applied over clothing. The buckle is positioned over the person's spine. The belt is applied over the breasts. The excess strap is left dangling.
The belt is applied over clothing.
Which is not a part of the digestive system? The pancreas The tongue The gallbladder The bladder
The bladder
A patient has small braids. Which is incorrect? The braids are removed for shampooing. The person's consent is needed to undo the braids. Small braids are a common practice in some cultural groups. The person decides how her hair is styled.
The braids are removed for shampooing.
A resident has age-related macular degeneration (AMD). Which is correct? The disease blurs central vision. There is no treatment for AMD. The disease causes a blind spot in what the person sees to the side. Central vision is needed for driving.
The disease blurs central vision.
Which statement about canes is incorrect? The grip is level with the hip. The cane tip is about 6 to 10 inches to the side of the foot. The cane is held on the weak side. The cane is moved forward first.
The cane is held on the weak side.
Before starting chest compressions on an adult, which pulse is checked? A brachial artery The carotid artery A radial pulse
The carotid artery
What is another term used to describe the needle that is inserted into a person's vein to deliver IV therapy? The clamp The tubing The catheter The drip chamber
The catheter
Which part of the brain regulates and coordinates body movements? The cerebral cortex The cerebellum The brainstem The cerebrum
The cerebellum
With aging, normal changes occur in body function and structure. Which is correct? The changes occur suddenly in most people. Changes always decrease the person's quality of life. Age-related changes cause older persons to feel useless and unhappy. The changes increase the risk for illness, injury, and disability.
The changes increase the risk for illness, injury, and disability.
Which health team member decides how much oxygen to give? The nurse The respiratory therapist The doctor The person
The doctor
Which health team member decides which oxygen device to use? The respiratory therapist The doctor The person The nurse
The doctor
The nursing care plan contains the following except nursing diagnoses. The doctor's orders. goals for care. measures for each goal.
The doctor's orders.
A resident has an indwelling catheter. Which is incorrect? When the person walks, the drainage bag is held lower than the bladder. The drainage bag touches the floor. Drainage tubing is attached to the catheter. A closed drainage system is used.
The drainage bag touches the floor.
Where should you place the pulse oximetry sensor on a person with tremors? The earlobe The sole of the foot The finger The palm of the hand
The earlobe
Certain patients and residents tend to wander. Who needs to know who they are? The nursing assistants The entire staff The health team The nursing team involved in their care
The entire staff
You are bathing a patient. You are ready to wash the person's arms, chest, and abdomen. Which do you wash first? The chest The near arm The far arm The abdomen
The far arm
A resident keeps trying to pull out her feeding tube. Which restraint is the least restrictive and appropriate for this resident? Belt restraint Vest restraint Jacket restraint Wrist restraints
Wrist restraints
Where are blood vessels, nerves, sweat and oil glands, and hair roots found? The integument The epithelium The epidermis The dermis
The dermis
Which separates the lungs from the abdominal cavity? The diaphragm The larynx The pharynx The bronchus
The diaphragm
You are removing a mask. Which part is contaminated? The entire mask The lower ties The upper ties The front
The front
Which parts of a gown are contaminated? The inside and the waist strings The front and sleeves The inside and the neck ties The neck ties and cuffs
The front and sleeves
Clean gloves have contact with clean sheets. Which statement is true? The gloves and the sheets are still clean. The gloves and the sheets are contaminated. The gloves are contaminated, but the sheets are clean. The gloves are clean, but the sheets are contaminated.
The gloves and the sheets are still clean
Which is not a guideline for measuring weight and height? The same scale is used for daily, weekly, and monthly weights. The person voids after being weighed. The person is weighed at the same time of day. No footwear is worn.
The person voids after being weighed.
Which statement about Alzheimer's disease is true? The onset is sudden. It is an uncommon type of dementia. The greatest risk is increasing age. It is a normal part of aging.
The greatest risk is increasing age.
Which statement about mouth-to-mouth breathing is true? The head tilt-chin lift method is used to open the airway. The nostrils are kept open. A barrier device increases breathing. Mouth-to-nose is performed before mouth-to-mouth breathing.
The head tilt-chin lift method is used to open the airway.
A resident wears a hearing aid. Which is incorrect? When not in use, the hearing aid is turned off. Hearing aids are costly. The hearing aid is turned off at night. The hearing aid corrects the person's hearing problem.
The hearing aid corrects the person's hearing problem.
Where is the catheter secured? The inner thigh The lower leg The bedframe The meatus
The inner thigh
Which statement about blindness is incorrect? Many blind persons learn to read braille. Vision loss is sudden or gradual in onset. A long cane with a red tip is used by a blind person. The legally blind person has no vision.
The legally blind person has no vision.
You are taking an apical pulse. Which statement is correct? The pulse deficit is counted. The dub sound is counted as one beat. The lub sound is counted as one beat. The lub-dub is counted as one beat.
The lub-dub is counted as one beat.
Which statement about colostomies is incorrect? The more colon remaining, the more liquid the stool. Good skin care is necessary because feces irritate the skin. Stool consistency depends on the colostomy site. The person wears a pouch to collect feces and flatus.
The more colon remaining, the more liquid the stool.
Which is the muscular part of the heart? The pericardium The ventricles The endocardium The myocardium
The myocardium
Which statement about work-related musculo-skeletal disorders (MSDs) is incorrect? They can develop slowly over time. The nervous system is never involved. They can occur from one event. The arms and back are often affected.
The nervous system is never involved.
Which health team members set and adjust the oxygen flow rate? The nurse and nursing assistant The doctor and nurse The nurse and respiratory therapist The doctor and respiratory therapist
The nurse and respiratory therapist
Which person has the least risk for a pressure injury? The person who has shortness of breath The person who has fecal incontinence The person who has circulatory problems The person who has urinary incontinence
The person who has shortness of breath
A person has curly hair. What should you use for hair care? The products described in the care plan A hand-held nozzle A brush with sharp bristles A comb with sharp teeth
The products described in the care plan
Who provides the legal authority for nurses to perform certain acts or functions? The facility legal department The federal government The state board of nursing The nurse practice act
The nurse practice act
While caring for a person with AD, you find yourself becoming frustrated and short-tempered. Which is incorrect? The person has the same rights as other residents. The person deserves to be treated with dignity and respect. The person did not choose to have AD or its signs and symptoms. The person is responsible for agitated, aggressive, and wandering behaviors.
The person is responsible for agitated, aggressive, and wandering behaviors.
Which statement is correct? The nursing process is the same as the care planning process. Nursing assistants do not have a role in the nursing process. Nursing process steps can be done in any order. The nursing process deals with the person's nursing needs.
The nursing process deals with the person's nursing needs.
A restraint is ordered for a patient. What restraint should you use? The least restrictive device A vest or jacket restraint Mitt or wrist restraints The one noted on the person's care plan
The one noted on the person's care plan
What part of the specimen container can you touch? Any part Only the outside of the container The inside of the container and lid The outside of the container and lid
The outside of the container and lid
Which statement about the whole person is incorrect? The whole person has physical, social, psychological, and spiritual parts. The parts can be separated. Each part depends on the others. Each part relates to the others.
The parts can be separated.
A resident stays in her room most of the time. The person likes being alone and does not attend social events. How would you describe the person's behavior? The person is self-centered. The person is withdrawn. The person is angry. The person is demanding.
The person is withdrawn.
Which statement about anxiety is correct? It usually occurs when needs are met. The person always knows the source or cause of the anxiety. Mentally healthy people are free of anxiety. The person senses real or imagined danger or harm.
The person senses real or imagined danger or harm.
Which statement about elastic stockings is incorrect? The person sits up in the chair while the stockings are off. They are applied before the person gets out of bed. Twists, creases, or wrinkles can cause discomfort. They are applied so the opening in the toe area is over the top of the toes.
The person sits up in the chair while the stockings are off
What information do you need before serving a patient's meal tray? The patient's age The patient's gender The patient's food allergies (if any) The patient's level of hunger
The patient's food allergies (if any)
The nurse asks you to collect a midstream specimen. Which is correct? The perineal area is cleaned before collecting the specimen. The person voids twice. The first voiding is discarded. No special measures are needed.
The perineal area is cleaned before collecting the specimen.
Which statement is true about the midstream urine specimen? The perineal area is cleaned before collecting the specimen. The specimen container may contain a preservative. It is used for a routine urinalysis. The person starts the test with an empty bladder.
The perineal area is cleaned before collecting the specimen.
What is the focus of care in any health care agency? The person Staff members Caregivers Reimbursement
The person
Who chooses how a person's hair is styled? The person The health team The family The nurse
The person
Which statement about physical restraints is incorrect? They limit movement or normal access to one's body. They are attached to the person's body. They are next to the person's body. The person can easily remove them.
The person can easily remove them.
he doctor ordered bedrest for a resident. Which is correct? The person can use the bathroom. The person can use the bedside commode. Everything is done for the person. The person can perform some activities of daily living.
The person can perform some activities of daily living.
You are assisting a person to dress. Which is correct? You decide what the person should wear. The nurse tells you what the person should wear. The family decides what the person should wear. The person chooses what to wear.
The person chooses what to wear.
A resident has dementia. The person becomes very upset whenever the phone rings. Why might the person react this way? The person wants more attention from staff. The person wants to answer the phone. The person does not understand what the sound means. The phone ringing is too loud
The person does not understand what the sound means.
A person has a drug addiction. Which is correct? The person can stop taking the drug without treatment. The person has a chronic brain disease. The person takes the drug to treat medical symptoms only. Higher doses of the drug are not needed for the same effects.
The person has a chronic brain disease.
A person's ability to cope and adjust to stress is disturbed. Behavior and function are impaired. Which is correct? The person has false beliefs. The person has severe mood swings. The person has paranoia. The person has a mental illness.
The person has a mental illness.
A resident gets the house diet. Which is correct? The person has no choice in the food served. The person takes part in a social dining program. The person eats whatever is served. The person has no dietary limits or restrictions.
The person has no dietary limits or restrictions.
Which statement about mild Alzheimer's disease is incorrect? The person has trouble paying bills. The person wanders and gets lost. The person has problems recognizing family and friends. The person repeats questions.
The person has problems recognizing family and friends.
Which person is the least likely to have a successful rehabilitation program? The person who tries to do what the physical therapist suggests The person who tries to go beyond his limits and tells the staff what to do The person who is not happy but goes to physical therapy willingly The person who works hard to make slow, steady progress
The person who tries to go beyond his limits and tells the staff what to do
What is stressed during rehabilitation? The person's abilities The person's disabilities The person's attitude The person's weaknesses
The person's abilities
A resident is on aspiration precautions. Where will you find instructions about special feeding needs? Ask the person The person's care plan On the person's meal tray The person's chart
The person's care plan
Where will you find safety measures needed by the person? The person's care plan The Kardex The safety data sheet (SDS) The medical record
The person's care plan
Which affects hygiene choices? The skin care products available The person's culture The person's family The person's care plan
The person's culture
The doctor ordered a dysphagia diet for a patient. The person's food is pureed. Which is correct? The person needs to eat with a spoon. The person's food is thick like mashed potatoes. The person's food is served in a bowl. The person drinks his food from a cup.
The person's food is thick like mashed potatoes.
Which factors should your charting include? (Select all that apply.) The person's response What you did What the family did What you observed
The person's response What you did What you observed
Which statement about the nursing process is correct? You are responsible for it. The process is on-going. The steps can be completed in any order. It requires a doctor's order.
The process is on-going.
Which is the most common site for taking a pulse? The radial site The brachial site The apical site The carotid site
The radial site
Which help the body regulate temperature? Hair and nails Muscles The sweat glands The oil glands
The sweat glands
Which statement about the rehabilitation team is incorrect? The person is part of the rehabilitation team. The team meets regularly to discuss the person's progress. The team usually meets without the person and family. Nursing assistants are part of the rehabilitation team.
The team usually meets without the person and family.
A resident's sheets are tucked in very tight. The person cannot get out of bed and it is hard for the person to move in bed. Which is correct? The tight sheets prevent agitation and restlessness. The tight sheets are restraints. The person needs to have the bed rails up. The tight sheets are restraint alternatives.
The tight sheets are restraints.
Which statement about urine drainage systems is true? An open drainage system is used for indwelling catheters. Drainage bags stay above the bladder. Standard drainage bags usually hold less than 1000 mL of urine. The urinary system is sterile.
The urinary system is sterile.
Where does a fertilized sex cell grow during pregnancy? The vagina The uterus The ovary The fallopian tube
The uterus
A person uses a wheeled walker. Which is correct? The walker is moved about 8 to 12 inches in front of the person. The walker is moved first. The walker is held on the strong side. The person moves the feet first.
The walker is moved first.
You are going to transfer a patient from the wheelchair to the toilet. Which statement is incorrect? The person uses the grab bars by the toilet for support. The wheelchair is positioned in front of the toilet. The person needs help removing clothing. The wheelchair brakes are locked.
The wheelchair is positioned in front of the toilet.
A person is on a high-calorie diet. Which is correct? The person eats only snacks. There are dietary increases in all foods. This is a high-protein diet. Calorie intake is increased to 2500 a day.
There are dietary increases in all foods.
Which statement about wandering is incorrect? Drug side effects are possible causes. There is always a cause. The person may be looking for someone or something. Pain, restlessness, and anxiety are possible causes.
There is always a cause.
Which statement about alcoholism is incorrect? There is no treatment. Alcoholism is a chronic disease. The person has a strong need to drink. The person cannot stop drinking once drinking has begun.
There is no treatment.
Which statement about diabetic foot ulcers is correct? They are affected by the nerves and blood vessels. Only the blood vessels are affected. They are easy to heal. Only the nerves are affected.
They are affected by the nerves and blood vessels.
Which statement about restorative aides is correct? They do not require any special training. They have had some nursing education. Those with excellent work ethics are promoted to nursing assistants. They are nursing assistants with training in restorative nursing and rehabilitation skills.
They are nursing assistants with training in restorative nursing and rehabilitation skills.
Which statement about restraint alternatives is correct? The least restrictive method is required. They are part of the person's care plan. They require a doctor's order. They are chemical restraints.
They are part of the person's care plan.
Which statement about catheters is true? They should not be used to promote comfort. They are used to treat the cause of incontinence. They do not cause UTIs. They are used to keep the bladder empty before, during, and after surgery
They are used to keep the bladder empty before, during, and after surgery
What is the purpose of hand rails? They give support when walking. They provide support when sitting down or getting up from the toilet. They are used to propel a wheelchair. They prevent a person from falling out of bed.
They give support when walking.
What is the purpose of grab bars? They give support when walking. They prevent a person from falling out of bed. They are used to propel a wheelchair. They provide support when sitting down or getting up from a toilet.
They provide support when sitting down or getting up from a toilet.
Which statement about defense mechanisms is incorrect? They block unpleasant feelings. Some use of defense mechanisms is normal. They are unconscious reactions. They reflect the highest level of anxiety.
They reflect the highest level of anxiety.
Which vessels return blood to the heart? Arteries Veins Venules Capillaries
Veins
A person has an IV. Which statement is correct? You are never responsible for starting or maintaining IV therapy. You decide what amount to give. You can start the IV.
You are never responsible for starting or maintaining IV therapy.
What is the most appropriate way to address a patient or resident? Dear Sweetheart First name only Title and last name
Title and last name
What is the role of the nurse in charge of staff development? To oversee continuous quality care To provide direct patient care To coordinate nursing care for the shift To provide nursing education to the staff
To provide nursing education to the staff
You are securing a dressing with tape. Where do you apply the tape? To the middle of the dressing Around the entire body part To the top, middle, and bottom of the dressing To the top and bottom of the dressing
To the top, middle, and bottom of the dressing
Which of the following could be an indicator of elder sexual abuse? (Select all that apply.) Torn, stained, or bloody under-garments Bleeding in the genital area ! Itching in the anal area Poor oral hygiene
Torn, stained, or bloody under-garments Bleeding in the genital area ! Itching in the anal area
Which conveys comfort, caring, and reassurance? Gestures Posture Body language Touch
Touch
Which statement about collecting urine specimens is incorrect? Ask the person to put toilet tissue in the toilet or wastebasket. Label the container with the requested information. Touch only the inside of the container and lid. Collect the specimen at the time specified.
Touch only the inside of the container and lid.
Which is not a safety feature of patient and resident bathrooms? Raised toilet seats Towel racks Grab bars The call light
Towel racks
A device used to support a person who is unsteady is known as what? Wheelchair Side rail Transfer belt Wheel lock
Transfer belt
Which device is used to re-position a patient in a chair or wheelchair? Pillow Transfer belt Gel cushion Gait belt
Transfer belt
What does the resident have the right to refuse? Treatment Privacy Nutrition Confidentiality
Treatment
When the head of the bed is lowered, and the foot is raised, the person is in which position? Prone Trendelenburg Reverse Trendelenburg Fowler's
Trendelenburg
Which bed position requires a doctor's order? The flat position Semi-Fowler's position Fowler's position Trendelenburg's position
Trendelenburg's position
Complications of substance abuse include stroke, cancer, and depression. True False
True
Entrapment within the hospital bed system is a risk. Serious injury and death have occurred from head, neck, and chest entrapment. True False
True
Older persons may not show the usual signs and symptoms of infection. False True
True
The Occupational Safety and Health Administration (OSHA) requires employers to make reasonable attempts to prevent or reduce hazards. False True
True
You find a person entangled in hospital bed rails. What should you do? Try to release the person and call for the nurse at once. Check the person's vital signs. Ask the person what happened. Get a co-worker to help you remove the bed rails.
Try to release the person and call for the nurse at once.
Which statement about the nursing center resident's closet is incorrect? Closet space includes shelves and a clothes rack. The center must provide each person with closet space. Two residents can share the same closet space if it is large. The person must have free access to the closet and its contents.
Two residents can share the same closet space if it is large.
Which thermometer is appropriate for an older person who is confused and resists care? Standard electric thermometer Mercury thermometer Tympanic membrane thermometer Glass thermometer
Tympanic membrane thermometer
What is the first piece of information you will need prior to performing a transfer? What procedure to use What equipment to use The number of staff needed The height and weight of the person
What procedure to use
You are going to measure a resident's height. Which of the following information do you need from the nurse and the care plan? What scale to use How to measure height If the person should wear shoes What the person's height should be
What scale to use
After moving a person to the side of the bed, how should you position the pillow? Under the back Under the head and shoulders Under the shoulders only Under the head only
Under the head and shoulders
Which of the following is appropriate attire for the clinical setting? Uniform Bermuda shorts Low-cut tops Jeans
Uniform
A local infection occurs in a portal of entry. the person's neighborhood. a body part. the whole body.
a body part.
You are assisting a patient with mouthcare. Which observations should you report to the nurse? (Select all that apply.) Pink tongue Unusual odor Bleeding Denture size
Unusual odor Bleeding
Which do men use to void? Commodes Bedpans Urinals
Urinals
Which is a sign? Nausea Headache Urine color yellow Dizziness
Urine color yellow
You are assigned to two residents with catheters. When emptying their drainage bags, which action is correct? Use a different measuring container for each person. Use the measuring container in the dirty utility room. Use whatever is handy. Use the same measuring container for both residents.
Use a different measuring container for each person.
How should you communicate with a patient who has dementia? (Select all that apply.) Use a gentle, calm voice. Say the person's name and use eye contact. Talk to the person as you would a baby. Choose simple words and short sentences.
Use a gentle, calm voice. Say the person's name and use eye contact. Choose simple words and short sentences.
Which statement about confusion care measures is incorrect? Break tasks into small steps. Maintain the day-night cycle. Discuss current events. Use a loud voice to communicate.
Use a loud voice to communicate.
You are collecting a stool specimen. Which is correct? Use a tongue blade to transfer about 2 tablespoons of stool to the specimen container. Ask the person to have a bowel movement at the time specified. Transfer the expelled stool to the specimen container. Have the person defecate into the specimen container.
Use a tongue blade to transfer about 2 tablespoons of stool to the specimen container.
What is the best method of moving a person to a wheelchair? Keep the chair wheels unlocked. Use a transfer belt. Grasp his or her shoulder blades. Ask the person to put his or her arms around your neck.
Use a transfer belt.
Which of the following rule is used when documenting in the medical record? Use agency-approved abbreviations. Paraphrase information to save space. Chart information for your co-worker if he gets busy. Chart all procedures at the end of the shift.
Use agency-approved abbreviations.
To identify a person, do the following: Use at least two identifiers. Use your assignment sheet. Call the person by name. Check the care plan.
Use at least two identifiers.
A confused person tries to move about after a fall. Which action is incorrect? Stay calm and protect the person from injury. Call for help. Use force to hold the person down. Talk to the person in a calm, soothing voice.
Use force to hold the person down.
Which will not prevent the spread of infection when providing drinking water? Do not touch the straw of the mug. Empty the mug into the bathroom sink. Use the same mug every day for as long as the patient is on the unit.
Use the same mug every day for as long as the patient is on the unit.
What is an example of providing full visual privacy to a person? Providing the person with access to his or her personal items Respecting the person's choices in personal care products Keeping the call light within reach Using a privacy curtain while the person is in bed
Using a privacy curtain while the person is in bed
A resident is recovering from spinal surgery. You need to move the person to the side of the bed. Which procedure is the best to use? Logrolling Using an assist device Moving the person in segments Moving the person with the assist of a co-worker
Using an assist device
A patient is in bed. The person needs re-positioning. Which measure will not help prevent skin tears? Using an assist device to move the person Using methods that prevent friction and shearing Using pillows to support the arms and legs Using full bed rails without pads at all times
Using full bed rails without pads at all times
Which of the following demonstrates physical health to patients, residents, and visitors? Using safe body mechanics Using perfume to mask body odor Smoking outside in designated areas Skipping breakfast in order to be on time
Using safe body mechanics
Which will not help prevent falls? Using throw rugs Wiping up spills Using night-lights Keeping stairs and floors free of clutter
Using throw rugs
Use of spoken words is an example of which communication technique? Paraphrasing Nonverbal communication Verbal communication Body language
Verbal communication
What type of restraint is applied to the chest? Mitt Wrist Vest and jacket Belt
Vest and jacket
Which type of restraint can become tight around a person's chest and cause suffocation? Belt Wrist Vest and jacket Mitt
Vest and jacket
The person has depression. Which is incorrect? The person is extremely sad. Body functions are depressed. Violent behaviors are common. Suicide is a risk.
Violent behaviors are common.
These vitamins are not stored. They must be ingested daily Vitamins E and K. Vitamins A and D. Vitamins D and E. Vitamin C and the B complex vitamins.
Vitamin C and the B complex vitamins.
Which measure for managing incontinence should you question? Limit the type and amount of fluids in the evening. Observe for signs that the person may need to void. Tell the nurse when the person is incontinent. Wait for the person to ask before you take her to the bathroom
Wait for the person to ask before you take her to the bathroom
Which walking aids allow attachments? Crutches Canes Walkers Braces
Walkers
A patient is blind. You are assisting the person with ambulation. Which action is unsafe? Telling the person when you are coming to a curb or steps Telling the person when to step up or down Having the person walk slightly behind you Walking at a slower than normal pace
Walking at a slower than normal pace
Which fluids increase peristalsis? Cold fluids Alcoholic beverages Warm fluids Thick beverages
Warm fluids
What steps should you take when using a shampoo cap on a patient? (Select all that apply.) Massage the cap vigorously. Warm the package in the microwave. Rinse the hair. Check the package temperature.
Warm the package in the microwave. Check the package temperature.
You are going to decontaminate your hands with an alcohol-based rub. Which is incorrect? Rub your hands together until they are dry. Cover all surfaces of your hands and fingers. Wash your hands before applying the hand rub. After applying the product to the palm of one hand, rub your hands togeth
Wash your hands before applying the hand rub.
A person has an ileostomy. Which statement is incorrect? Liquid stools drain constantly from the ileostomy. The entire colon was removed. Stools are liquid. Water is absorbed before feces are expelled into the pouch.
Water is absorbed before feces are expelled into the pouch.
Which is a common cause of falls in nursing centers? Proper lighting Use of wheelchairs Proper fitting shoes Weakness
Weakness
A patient has scalp sores. When shampooing the person's hair, which of the following should be done? Use a medicated shampoo and conditioner Wear gloves Use a hand-held nozzle
Wear gloves
An area where the bone sticks out or projects from the flat surface of the body is known as a heel elevator. eschar. a bony prominence. slough.
a bony prominence.
All health team members must help prevent falls. Which is incorrect? Good communication promotes the person's right to safety and security. Hurrying is never an acceptable excuse for causing harm. Safety and security are basic needs. When assisting with the transfer of a co-worker's patient, ask the patient what to do.
When assisting with the transfer of a co-worker's patient, ask the patient what to do.
When is the leg bag emptied? When urine backs up into the tubing When it is full When it is half full Every 2 hours
When it is half full
When may restraints be used on a person? To allow the person to take her medications. When the person is confused. When the staff is on break. When less restrictive measures fail to protect the person from harm.
When less restrictive measures fail to protect the person from harm.
When adjusting water temperature, water is directed away from the person. away from you. toward you. toward the person.
away from the person.
When does rehabilitation start? When the person starts physical therapy. When the person is discharged from the hospital. When the person is admitted to the rehabilitation facility. When the person first seeks health care.
When the person first seeks health care.
A patient complains of flatulence. The following measures are part of the person's care plan. Which should you question? When the person is in bed, encourage the right side-lying position. Encourage exercise. Encourage walking. Have the person move about when in bed.
When the person is in bed, encourage the right side-lying position.
When providing perineal care to a female person, what is the most appropriate technique? Work from dirty to clean. Work from bottom to top. Work from clean to dirty. Work from back to front.
Work from clean to dirty.
Which will not increase your risk for injury? Poor physical condition Working with smooth, even movements Reaching over bed rails Poor posture
Working with smooth, even movements
What information do you need from the nurse and patient's care plan in order to measure I&O? (Select all that apply.) When to report measurements What the person uses for voiding If the person has a catheter What diet the patient is on
When to report measurements What the person uses for voiding If the person has a catheter
Before logrolling a patient, which information do you need from the nurse? When to report observations. What information to report to the physician. How long the patient has been a resident. When to toilet the patient.
When to report observations.
When should the bed wheels be locked? (Select all that apply.) At all times When moving the bed When transferring a person to and from bed When giving bedside care
When transferring a person to and from bed When giving bedside care
When is it appropriate to refuse a task the nurse has asked you to perform? When you were not trained to perform the task. You do not get along well with the person involved. You do not like the task. Performing the task would put you into overtime.
When you were not trained to perform the task.
A surveyor may ask you about fire safety. What may the surveyor ask you? What time you clocked in. How long you have been working at the agency. Which transfer technique you used on residents. Where to find fire alarms and extinguishers.
Where to find fire alarms and extinguishers.
Which information do you need before moving a patient? (Select all that apply.) Which procedure to use Number of staff needed Patient's preferred position Patient's functional status
Which procedure to use Number of staff needed Patient's functional status
What type of grooming equipment is shared among residents? Whirlpool foot baths Hairbrushes Lotion Razors
Whirlpool foot baths
A patient finished using the bedpan. The person cannot clean her genital area. Which action is incorrect? Use fresh tissue for each wipe. Wear gloves. Wipe the area from the anus to the urethra. Provide perineal care if necessary.
Wipe the area from the anus to the urethra.
Which will not control portals of entry? Providing good skin care Providing good oral hygiene Keeping linens dry and wrinkle-free Wiping from the rectum to the urethra
Wiping from the rectum to the urethra
Your behavior in the workplace is known as which of the following? Professionalism Work ethics Courtesy Health
Work ethics
What type of restraint is applied to limit arm movement and prevent pulling on tubes? Wrist Belt Mitt Vest
Wrist
Which statement about controlling the transmission of microbes is incorrect? Items on the floor are considered contaminated. You need to assist patients and residents with hand-washing after elimination. You need to assist patients and residents with hand-washing before and after eating. You can borrow a patient's or resident's equipment to use for another person.
You can borrow a patient's or resident's equipment to use for another person.
Which statement about charting is incorrect? You need to record facts. You need to avoid terms with more than one meaning. You can chart a procedure before completing it. You should use the person's exact words whenever possible.
You can chart a procedure before completing it.
Which statement about showers and tub baths is incorrect? Bath oils make tub and shower surfaces slippery. You must stay within hearing distance if the person can be left alone. You can leave weak or unsteady persons alone as long as you stay within hearing distance. The person is covered for warmth and privacy.
You can leave weak or unsteady persons alone as long as you stay within hearing distance.
You have access to the agency's computer system. Which is correct? You can open another person's e-mail. You can log off after making an entry. You can use the computer to send personal e-mail. You can use the computer to send confidential information to the nurse.
You can log off after making an entry.
Which statement about over-bed tables is incorrect? They can be raised or lowered. You can place urinals and bedpans on them. They are used for meals. They can be used as a work area.
You can place urinals and bedpans on them.
Which statement about pain is incorrect? The nurse uses the nursing process to relieve pain. Pain is subjective. You must rely on what the person says. Response to pain is influenced by the person's culture. You can see pain.
You can see pain.
You are scheduled to work from 3:00 PM to 11:30 PM. Which is correct? You can leave at 11:25 PM. You must stay the entire time. You do not have to work overtime. You can leave when your work is done.
You must stay the entire time.
A patient asks the same question many times. Which is correct? Say that you already answered the question. Report the person's behavior to the nurse. Tell the person that you are answering again. You need to be patient.
You need to be patient.
The nursing center has a new mechanical lift. Which statement is correct? The new one is safer to use. You need to be trained in its use. All mechanical lifts are the same. If you used the old model, you know how to use the new one.
You need to be trained in its use.
You are injured while transferring a patient to a wheelchair. Which is correct? You need to complete an incident report. This is patient abuse. This is malpractice. This is workplace violence.
You need to complete an incident report.
You break a person's eyeglasses. Which is correct? They should have been in the valuables envelope. You need to complete an incident report. You can buy new ones with the person's money. The person needs to be more careful.
You need to complete an incident report.
A person has a chair alarm. Which is correct? It serves the same purpose as a call light. Bed rails must be up. Alarms are used only at night. You need to respond to the alarm at once.
You need to respond to the alarm at once.
You are counting a patient's respirations. Which is incorrect? Respirations are usually counted for 30 seconds. Each rise and fall of the chest is counted as 1 respiration. Both sides of the person's chest should rise and fall equally. You need to tell the person what you are doing
You need to tell the person what you are doing
Which statement about the hepatitis B vaccination is incorrect? You pay for the hepatitis B vaccination. If you refuse the hepatitis B vaccination, you can request it at a later date. You can refuse to have the hepatitis B vaccination. The agency makes the hepatitis B vaccination available to you within 10 working days of being hired.
You pay for the hepatitis B vaccination.
A resident has slid down in the wheelchair. The person can follow directions and assist with re-positioning. Which action is unsafe? You pull the person from behind the wheelchair. You position the person's feet flat on the floor. You lock the wheelchair wheels. You apply a transfer belt.
You pull the person from behind the wheelchair.
Which statement about computer use in health care agencies is correct? You should use the computer to post your opinions and messages on the Internet. You should use the computer to send information that requires immediate reporting. You should enter information carefully and review your entry before saving. You should use the computer to send jokes and other entertaining material.
You should enter information carefully and review your entry before saving.
Which statement about body language is correct? Your appearance sends messages. Maintaining eye contact is important in all cultures. Facial expressions mean the same thing in all cultures. It is always important to control your body language.
Your appearance sends messages.
Which tells you what the agency expects you to do? OBRA Code of ethics The state nurse practice act Your job description
Your job description
A thrombus is a blood clot. an infected wound. a pressure point. a circulatory ulcer.
a blood clot.
A drug makes a person sleepy and unable to function. The drug is a restraint alternative. a chemical restraint. part of the person's care plan. used to treat medical symptoms.
a chemical restraint.
Insomnia is the day-night cycle. a chronic condition in which the person cannot sleep or stay asleep all night. a state of unconsciousness. to ache, hurt, be sore, or have pain
a chronic condition in which the person cannot sleep or stay asleep
An on-going illness that is slow or gradual in onset and for which there is no known cure is a terminal illness. an acute illness. a chronic illness. a physical illness.
a chronic illness.
To turn off the faucets after washing your hands, use the paper towel used for drying your hands. a clean paper towel for each faucet. your clean hands. the same paper towel for each faucet.
a clean paper towel for each faucet.
When giving perineal care upward strokes are used (rectal area to urethra). the rectal area is washed first. a clean part of the washcloth is used for each stroke. bath oil is used.
a clean part of the washcloth is used for each stroke.
A diseased caused by pathogens that spread easily is a healthcare-associated infection. an infection. immunity. a communicable disease.
a communicable disease.
The need to repeat an act over and over again is paranoia. a compulsion. an obsession. a phobia.
a compulsion.
Atrophy is a decrease in size or wasting away of tissue. the loss of muscle strength as a result of inactivity. the lack of joint mobility caused by abnormal shortening of a muscle. a drop in blood pressure when the person stands.
a decrease in size or wasting away of tissue.
Dehydration is difficulty swallowing. the swelling of body tissues with water. the backward flow of food from the stomach into the mouth. a decrease in the amount of water in body tissues.
a decrease in the amount of water in body tissues.
A resident has AD. The person thinks the food contains poison. This is called a catastrophic reaction. a delusion. sundowning. a hallucination.
a delusion.
An artificial tooth or a set of artificial teeth is dental floss. tartar. plaque. a denture.
a denture.
A skill that must be completed during a stage of development is a psychological function. a physical skill. an age-related skill. a developmental task.
a developmental task.
An open wound on the foot caused by complications from diabetes is a blood vessel ulcer. a diabetic foot ulcer. a circulatory ulcer. a nerve ulcer.
a diabetic foot ulcer.
Any lost, absent, or impaired physical or mental function is an illness. a disability. a medical problem. a physical need.
a disability.
Age-related macular degeneration (AMD) is damage to the optic nerve. a clouding of the lens. a disease that blurs central vision. a painful eye infection.
a disease that blurs central vision.
Persons with difficulty swallowing may require a house diet. a dysphagia diet. a sodium-controlled diet.
a dysphagia diet.
A delusion is a persistent thought or idea. seeing, hearing, smelling, or feeling something that is not real. an intense and sudden feeling of fear, anxiety, terror, or dread. a false belief.
a false belief.
A delusion is seeing, hearing, smelling, or feeling something that is not real. a false disorder of the mind. a state of temporary but acute mental confusion. a false belief.
a false belief.
A naso-gastric tube is a feeding tube inserted through the nose and into the stomach. a feeding tube inserted through the nose and into the small intestine. an opening in the stomach. an opening into the middle part of the small intestine.
a feeding tube inserted through the nose and into the stomach.
An obsession is a mental illness. the uncontrolled performance of an act. a frequent, upsetting thought, idea, or image. a false belief.
a frequent, upsetting thought, idea, or image.
Medicaid is a federal health insurance program for persons 65 years of age or older. a preferred provider organization. a private insurance plan bought by individuals. a health care payment program jointly funded by the federal government and the states.
a health care payment program jointly funded by the federal government and the states.
A person develops an infection after being admitted to a health care agency. The person has a healthcare-associated infection. immunity. a contagious disease.
a healthcare-associated infection.
The point at which two or more bones meet is a joint. cartilage. a muscle. a tendon.
a joint.
A patient with dementia should be offered three large meals a day. a limited number of food choices. only thickened liquids. to listen to music while eating.
a limited number of food choices.
During fertilization the endometrium is discharged from the body. a male sex cell and a female sex cell unite. erectile tissue becomes hard. a sex cell is released.
a male sex cell and a female sex cell unite.
A graduate is amount of fluid taken in. the IV pump's pole. the IV fluid bag. a measuring container for fluid.
a measuring container for fluid.
A patient has slid down in the wheelchair. The person cannot assist with re-positioning. To safely re-position the person 1 worker is needed. 2 workers and an assist device are needed. at least 3 workers are needed. a mechanical lift is used.
a mechanical lift is used.
A small living plant or animal seen only with a microscope is immunity. biohazardous waste. a carrier. a microbe.
a microbe.
A microbe usually does not cause an infection. The microbe is a non-pathogen. normal flora. a pathogen. a spore.
a non-pathogen.
Functional nursing is a team of nursing staff led by an RN who delegates care to other nurses. a nursing care pattern focusing on tasks and jobs. a nursing care pattern in which an RN is responsible for the person's total care. moving services from departments to the bedside.
a nursing care pattern focusing on tasks and jobs.
An action is taken by the nursing team. Care is given in this step. This action is a nursing intervention. a nursing diagnosis. the nursing process. an evaluation.
a nursing intervention.
microbe that is harmful and can cause an infection is a non-pathogen. a germicide. a pathogen. normal flora.
a pathogen.
A susceptible host is a place where the microbe grows and multiplies. a carrier. a portal of exit. an animal or insect.
a place where the microbe grows and multiplies.
A patient is unconscious. To keep the person's mouth open during oral hygiene, you need to use an orange stick. sponge swabs. your fingers. a plastic tongue depressor
a plastic tongue depressor
The first sign of a pressure injury is a reddened bony area. partial-thickness skin loss. a blister. the presence of eschar in an open wound.
a reddened bony area.
Oliguria is the need to void at once. the production of abnormally large amounts of urine. voiding at frequent intervals. a scant amount of urine.
a scant amount of urine.
When shampooing a person in bed, you need a stretcher. a shampoo tray and basin. a hair dryer. a hand-held nozzle.
a shampoo tray and basin.
The nurse asks you to position a patient in the lateral position. This position is a side-lying position. a sitting position. the dorsal recumbent position. the back-lying position.
a side-lying position.
The type of heat application commonly used for hemorrhoids is a hot compress. a hot pack. a hot soak. a sitz bath.
a sitz bath.
The type of heat application that may be used to stimulate voiding is a hot compress. a hot soak. a hot pack. a sitz bath.
a sitz bath.
A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is a diabetic wound. a pressure injury. a skin tear. a decubitus ulcer.
a skin tear.
A hot compress is wrapping a body part with a wet or dry application. a soft pad applied over a body area. immersing the body part in water. a dry application.
a soft pad applied over a body area.
A resident has an open wound on the right lower leg. The person has poor blood return through her veins. Her wound is an arterial ulcer. a pressure injury. a stasis ulcer. a skin tear.
a stasis ulcer.
Coma is paralysis. a state of being unaware of one's surroundings and being unable to react or respond to people, places, or things. losing memory and the ability to think and reason. the loss of cognitive and social function caused by changes in the brain.
a state of being unaware of one's surroundings and being unable to react or respond to people, places, or things.
Delirium is a false disorder of the mind. a false belief. a state of sudden, severe confusion and rapid changes in brain function. the loss of cognitive function caused by changes in the brain.
a state of sudden, severe confusion and rapid changes in brain function.
Comfort is having enough blankets for warmth. being warm and dry. having enough light to prevent eyestrain. a state of well-being.
a state of well-being.
When taking an apical pulse, you need to use the middle 3 fingers. your ring and little fingers. a stethoscope. your thumb.
a stethoscope.
A ketone is sugar in the urine. a tube used to drain or inject fluid through a body opening. a substance that appears in the urine from the rapid breakdown of fat for energy.
a substance that appears in the urine from the rapid breakdown of fat for energy.
An acute illness is an illness that is slow or gradual in onset. a sudden illness from which the person is expected to recover. an on-going illness for which there is no known cure. an illness for which there is no reasonable expectation of recovery.
a sudden illness from which the person is expected to recover.
An infection involving the whole body is a contagious disease. a nosocomial infection. a local infection. a systemic infection.
a systemic infection.
An illness from which the person will not likely recover is an acute illness. a terminal illness. respite care. a hospice illness.
a terminal illness.
Braille is a hearing assistance dog. a touch reading and writing system that uses raised dots. a dog guide. a method of writing for persons who have aphasia.
a touch reading and writing system that uses raised dots.
A gastrostomy tube is a tube inserted through the nose and into the stomach. a tube inserted through a surgically created opening in the stomach. an opening into the middle part of the small intestine. an opening in the stomach
a tube inserted through a surgically created opening in the stomach.
A catheter is an artificial way to remove waste and excess fluid from the body. a small bedpan with a thin rim. ! a tube used to drain or inject fluid through a body opening. a container used to measure urine.
a tube used to drain or inject fluid through a body opening.
Anxiety is a vague, uneasy feeling in response to stress. feelings and emotions. a false belief. a persistent thought or idea.
a vague, uneasy feeling in response to stress.
The 24-hour urine specimen test is restarted if a voiding was not saved. sterile procedure is not followed. the specimen gets chilled. a preservative is added to the collection container.
a voiding was not saved.
A break in the skin or mucous membrane is a wound. a pressure injury. trauma. a prominence.
a wound.
A person in the prone position lies on his or her back. left side. abdomen. right side.
abdomen.
Menstruation normally occurs every day. about every week. about every 28 days. after intercourse.
about every 28 days
When changing the gown of a person with an IV, you keep the IV bag above the person. below the person. on the bed. hanging on the IV pole.
above the person.
The willful infliction of injury that results in physical harm is known as abuse. defamation. battery. assault.
abuse.
A resident has a catheter. Catheter care is given twice a day. daily. according to the care plan. every shift.
according to the care plan.
Bed rails are used whenever the person is in bed. for all patients and residents. at night. according to the person's care plan.
according to the person's care plan.
The delegating nurse is legally ______________ for the nursing tasks delegated. accountable competent liable knowledgeable
accountable
Range-of-motion (ROM) exercises performed by the person are called assistive ROM exercise. active ROM exercises. passive ROM exercises. active-assistive ROM exercises.
active ROM exercises.
The type of pain that is felt suddenly from injury, disease, trauma, or surgery is called radiating. phantom. chronic. acute.
acute.
The act of moving a body part toward the mid-line of the body is flexion. extension. abduction. adduction.
adduction.
Family and friends need a doctor's order to visit. use effective communication techniques. visit in the afternoon and evening. affect the person's quality of life.
affect the person's quality of life.
Post-traumatic stress syndrome occurs in persons with mental illness. after a terrifying event. after taking illegal drugs. in persons with dementia.
after a terrifying event.
A center's electric shaver is used to shave several men. The shaver is cleaned after every use. daily. every shift. after all the men are shaved.
after every use.
Restraints can be ordered to control or prevent a behavior. when the least restrictive method is available. after less restrictive measures fail to protect the person. when the family requests them.
after less restrictive measures fail to protect the person.
A patient tends to pinch and kick the staff. The person is showing inappropriate sexual behavior. aggressive behavior. self-centered behavior. angry behavior.
aggressive behavior.
The Patient Protection and Affordable Care Act requires that all Americans have health insurance. people over 65 years of age have Medicare. mentally ill patients are institutionalized. nurses care for all patients equally.
all Americans have health insurance.
Good body alignment is needed when standing. all of the above. when lying down. when sitting.
all of the above.
Standard Precautions apply to the health team. persons with infections. all persons. nursing center residents.
all persons.
To avoid causing pain when positioning a person, you must allow the person time to tell you if movement is painful. move the person quickly. use an assist device for moving all persons. raise the head of the bed slightly before moving the person.
allow the person time to tell you if movement is painful.
You can perform range-of-motion exercises to the neck only if there is a doctor's order. you are supervised by a physical therapist. allowed by your agency and the nurse instructs you to do so. the resident asks you to.
allowed by your agency and the nurse instructs you to do so
Protecting the right to privacy involves the following except screening the person when giving care. exposing only the body part involved in care or the procedure. keeping information about the person confidential. allowing visitors to remain in the room when care is given
allowing visitors to remain in the room when care is given
Hair loss is hirsutism. alopecia. pediculosis. dandruff.
alopecia.
A patient complains of drafts. To prevent drafts, you can do the following except keep the person away from drafty areas. offer the person a lap robe when he or she is sitting in a chair. make sure the person wears enough clothing. always keep the person covered with a bath blanket.
always keep the person covered with a bath blanket.
The act of walking is trochanter. ambulation. range of motion. orthosis.
ambulation.
Orthostatic hypotension is a decrease in size or wasting away of tissue. the lack of joint mobility caused by abnormal shortening of a muscle. the loss of muscle strength as a result of inactivity. an abnormally low blood pressure when the person suddenly stands.
an abnormally low blood pressure when the person suddenly stands.
A hospice is a skilled nursing facility. a home health care agency. an agency or program for persons who are dying. a health care program for persons who present dangers to themselves or others.
an agency or program for persons who are dying.
A drug that kills microbes that cause infections is a chemical. a disinfectant. an antibiotic. a germicide.
an antibiotic.
A substance that can cause an immune response is an antibody. an antigen. immunity. hormones.
an antigen.
A resident has an open wound on the lower left leg. It is caused by poor arterial blood flow. This wound is a venous ulcer. a stasis ulcer. an arterial ulcer. a pressure injury.
an arterial ulcer.
A prosthesis is any lost, absent, or impaired physical or mental function. a temporary state of impairment. a chronic illness or disease. an artificial replacement for a missing body part.
an artificial replacement for a missing body part.
The nurse communicates delegated tasks to you by using the nursing process. an assignment sheet. the Minimum Data Set (MDS). Resident Assessment Protocols (RAPs).
an assignment sheet.
Items are sterilized in a germicide. normal flora. an autoclave. a reservoir.
an autoclave.
A patient receives anticoagulant drugs. To shave the person's face, you need to use a razor blade. an electric shaver. a safety razor. a blade shaver.
an electric shaver.
A resident has dementia. To shave the person's face, you need to use a safety razor. a blade shaver. a razor blade. an electric shaver.
an electric shaver.
An electronic health record is only accessible by physicians. an electronic version of a person's medical record. used in addition to a paper chart. used only by nurses.
an electronic version of a person's medical record.
Nails are shaped with an emery board or nail file. nail clippers. an orangewood stick or nail clipper. scissors.
an emery board or nail file.
very other long line of a Fahrenheit thermometer is an odd number. an even number. a consecutive number. a fraction.
an even number.
A delusion of grandeur is seeing, hearing, smelling, or feeling something that is not real. a false belief that one is being mistreated, abused, or harassed. an exaggerated belief about one's importance, wealth, power, or talents. an intense and sudden feeling of fear, anxiety, terror, or dread.
an exaggerated belief about one's importance, wealth, power, or talents.
You pierce your finger on a chipped water glass. This is an exposure incident. carelessness. negligence. a source individual.
an exposure incident.
Panic is an intense and sudden feeling of fear, anxiety, terror, or dread. a persistent thought or idea. not being able to correctly view or interpret reality. false beliefs and suspicion about a person or situation.
an intense and sudden feeling of fear, anxiety, terror, or dread.
Phobia is an intense fear. a persistent thought or idea. fear, panic, or dread. a false belief.
an intense fear.
An oxygen source that removes oxygen from the air is an oxygen concentrator. a liquid oxygen system. a wall outlet. an oxygen tank.
an oxygen concentrator.
A common response to illness and disability is self-centered behavior. withdrawal. anger. demanding behavior.
anger.
A patient tends to shout and raise her voice when she wants something. The person does not answer your questions and is not cooperative. The person's behavior is demanding. self-centered. angry. withdrawn.
angry.
An acute cause of disability is ankle fracture. arthritis. diabetes. spinal cord injury.
ankle fracture.
When shaving legs, you start at the ankle. calf. knee. thigh.
ankle.
A resident complains of diarrhea. The person needs assistance with ambulation. When the person's call light is on, you need to answer promptly. ask a co-worker to help you. go to the person as soon as you finish assisting another resident. tell the nurse.
answer promptly.
A resident has incontinence. You must teach the person pelvic muscle exercises. answer the person's call light promptly. place toilet tissue within the person's reach. choose incontinence products for the person.
answer the person's call light promptly.
Elastic stocking also are called anti-embolism stockings. elastics bandages. support hose. Montgomery bandages.
anti-embolism stockings.
The waste products of digestion pass out of the body through the large intestine. rectum. anus. colon.
anus.
A disability is a chronic illness or disease. an artificial replacement for a missing body part. any lost, absent, or impaired physical or mental function. a temporary state of impairment.
any lost, absent, or impaired physical or mental function.
Disabilities are acquired any time. in childhood. in old age. at birth.
any time.
The total or partial loss of the ability to use or understand language is paralysis. aphasia. dementia. dysphagia.
aphasia.
To apply a condom catheter, do the following except follow the manufacturer's instructions. wash the penis with soap and water. use elastic tape. apply tape completely around the penis.
apply tape completely around the penis.
Your role in preventing or treating pressure injuries includes completing the Braden Scale for Predicting Pressure Sore Risk. deciding what dressing to use. applying protective devices. determining the stage of the pressure injury.
applying protective devices.
Jacket restraints cross in back. open at the side. are applied with the opening in back. can be worn backward.
are applied with the opening in back.
You know that enemas are given before certain surgeries and diagnostic procedures. are not given before surgery. are not given to older persons. are only given to relieve constipation and fecal impaction.
are given before certain surgeries and diagnostic procedures.
Short-term nursing center residents have birth defects. are dying. have childhood injuries or diseases. are recovering from fractures, acute illness or surgery, and other injuries.
are recovering from fractures, acute illness or surgery, and other injuries.
Family and visitors share the person's cultural and religious beliefs. help with the person's care. are always helpful and comforting. are treated with respect.
are treated with respect.
Generally, persons needing complete care in long-term care centers are very disabled, confused, or disoriented. can say what they need and want. know who and where they are, the year, and time of day. can meet their needs.
are very disabled, confused, or disoriented.
You note the following while bathing a resident. You need to report the following except a rash on the person's lower back. swollen feet and ankles. a bruise on the person's right thigh. areas of intact skin.
areas of intact skin.
A resident pinches and scratches when it is time for his or her shower. Do the following except report the person's behavior to the nurse. argue with the person and assure him or her you are doing what is best for him or her. protect yourself from the pinching and scratching. stay calm.
argue with the person and assure him or her you are doing what is best for him or her.
Binders are applied to the following areas except the perineal area. the abdomen. the chest. the arms and legs.
arms and legs.
You will use soap for a patient's bath. Soap is not used to wash the underarms. around the eyes. the perineal area. the chest, abdomen, and back.
around the eyes.
Persons with catheters need perineal care at bedtime. when their drainage bags are emptied. as directed by the care plan. daily.
as directed by the care plan.
Bed rails are used whenever you think they are needed. whenever the bed is raised. for all patients and residents, to prevent falls. as the nurse and the care plan direct.
as the nurse and the care plan direct
A resident does not use bed rails. You need to make an occupied bed. For the person's safety you should ask a co-worker to help you. make an open bed instead. raise the bed rails. keep the bed in the low position.
ask a co-worker to help you.
An appropriate way to communicate with a person who has AD is to (Select all that apply.) ask direct questions. use pronouns as much as possible. approach him or her in a calm, quiet manner. get the person's attention before speaking.
ask direct questions approach him or her in a calm, quiet manner. get the person's attention before speaking.
It is important to protect the unconscious person from _________ when providing oral care. biting coughing dry mouth aspiration
aspiration
A patient has dysphagia. The person is at risk for dehydration. regurgitation. aspiration. edema.
aspiration.
You need to give a person oral hygiene. Because the person is unconscious, she is at risk for plaque. tartar. aspiration. periodontal disease.
aspiration.
Safety pins are used to secure a binder. Pins should point away from the waist. away from the wound. toward the waist. toward the wound.
away from the wound.
When cleaning, you need to clean from the dirtiest area to the cleanest. as fast as possible. away from your body. toward your body.
away from your body.
Intentionally attempting or threatening to touch a person's body without the person's consent is assault. invasion of privacy. battery. defamation.
assault.
Collecting information about a person is gossip. evaluation. assessment. implementation.
assessment.
After voiding, the person is transferred back to bed. given fluids. assisted with hand-washing. screened with the privacy curtain.
assisted with hand-washing.
Evening care generally involves the following except assisting with elimination. assisting with hygiene. assisting with activity. giving back massages.
assisting with activity.
A resident's right wrist is affected by a disability. You would expect the person to need a cast. a prosthesis. a wheelchair. assistive devices.
assistive devices.
Bed wheels are locked at all times except when moving the bed. whenever a patient or a resident requests them to be. when moving the bed. only when the bed is in the high position.
at all times except when moving the bed.
If flossing is done once a day, the best time to floss is at bedtime. before breakfast. after breakfast. before bathing.
at bedtime.
Chest compressions are given at a rate of at least 200 per minute. 60 to 80 per minute. at least 100 per minute. 20 to 30 per minute.
at least 100 per minute.
A patient is unconscious. The person needs mouth care at least every 2 hours. daily. before and after meals. during AM and PM care.
at least every 2 hours.
Unless directed otherwise, urinary drainage bags are emptied every morning. at the start of every shift. at bedtime. at the end of every shift.
at the end of every shift.
Intake and output are totaled at the end of the shift. at least once during an 8-hour shift. every 4 hours. every 2 hours.
at the end of the shift.
A resident has limited range-of-motion in his neck. The person is not shampooed during a shower or tub bath. in bed. at the sink or on a stretcher. during a tub bath.
at the sink or on a stretcher.
To read a glass thermometer, you need to hold it with gloved hands. at the tip. with tissues. at the stem.
at the stem.
Safety measures to take when a person is experiencing vertigo include talk to the person from her side. have the person sit upright. avoid sudden movements. keep a bright light on.
avoid sudden movements.
To protect yourself from injury it is best to bend while lifting. lift with forceful movements. avoid twisting. work alone.
avoid twisting.
Lateral means away from mid-line. near mid-line. toward the back. toward the front.
away from mid-line.
When making a patient's bed you should place the open end of the pillowcase facing away from the door. toward the top of the bed. toward the bottom of the bed. toward the window.
away from the door.
Good personal hygiene involves bathing daily. brushing teeth daily. using perfume to cover up any body odors. showering three times per week.
bathing daily.
Touching a person's body without his or her consent is invasion of privacy. libel. assault. battery.
battery.
Under-garments must give needed support. be clean and fit properly. be in style. be simple and attractive.
be clean and fit properly.
When filling out a survey ask your supervisor to help you. guess at your answers. finish it as quickly as possible. be honest.
be honest.
To prevent falls during transfers, wheelchair, bed, shower chair, and stretcher wheels must not squeak. be locked. be clean.
be locked.
Some waterproof pads are used as assist devices. For a safe lift, the incontinence product must be a disposable, single-use under-pad. extend from the person's shoulders to above the knees. be strong enough to support the person's weight. be 2 feet wide.
be strong enough to support the person's weight.
How a person re-positions in a bed is logroll. bed mobility. ergonomics. body mechanics.
bed mobility.
Restorative nursing may involve measures that promote the following except bedrest. self-care. communication. elimination.
bedrest.
To reduce bending and stretching when giving care beds are in the lowest horizontal position. beds are raised horizontally. the head of the bed is raised 60 degrees. beds are kept in the flat position.
beds are raised horizontally.
You need to arrive for work when your shift starts. before your shift starts. within 5 minutes of your shift's starting time. within 10 minutes of your shift's starting time.
before your shift starts.
Work ethics means behavior in the workplace. right and wrong conduct. trusting others with personal information. being polite and considerate.
behavior in the workplace.
Body temperature is measured at the following sites except behind the knee. the rectum. the axilla. the mouth.
behind the knee
Being dependable means the following except keeping promises. reporting to work on time. performing delegated tasks. being eager to learn.
being eager to learn.
Asepsis means clean technique. being free of disease-producing microbes. the process of destroying pathogens. an infection acquired after admission to a health care agency.
being free of disease-producing microbes.
You could lose your job for the following reasons except using alcohol at work. being harassed. poor attendance. leaving the job during your shift.
being harassed
A person has agoraphobia. This means that the person has an intense fear of being in an open, crowded, or public space. being in pain or seeing others in pain. being trapped in an enclosed or narrow space. the slightest uncleanliness.
being in an open, crowded, or public space.
A patient has a catheter. The drainage bag must be kept above the level of the bladder. at the person's right side. at the level of the bladder. below the level of the bladder.
below the level of the bladder.
To use good body mechanics, do the following except face the direction of your work. avoid sudden or jerky movements. avoid twisting your body. bend at the waist.
bend at the waist.
You need to lift a heavy object. You should hold the item away from you. bend your knees and squat. lift the object above your chest. bend from your waist.
bend your knees and squat.
Flexion is bending a body part. moving a body part toward the mid-line of the body. moving a body part away from the mid-line of the body. straightening a body part.
bending a body part.
Dorsiflexion is moving the foot down at the ankle. bending a body part. straightening a body part. bending the toes and foot up at the ankle.
bending the toes and foot up at the ankle.
When heat is applied correctly to the skin the skin becomes pale. tissues become cyanotic. blood vessels in the area dilate. blood flow decreases.
blood vessels in the area dilate.
Bloodborne pathogens exit the body through the blood. reproductive system. respiratory system. urinary tract.
blood.
Cyan(o) means skin. sugar. blue. heart.
blue.
Messages sent through facial expressions, gestures, posture, and body movements is called body language. holism. focusing. clarifying.
body language.
Using the body in an efficient and careful way is base of support. body mechanics. ergonomics. posture.
body mechanics.
The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is Celsius. Fahrenheit. body temperature. centigrade.
body temperature.
Oste(o) means joint. bone. spinal cord. nerve.
bone
Blood cells are formed in the cartilage. periosteum. tendons. bone marrow.
bone marrow.
A resident has a catheter. When the person is in bed, drainage tubing is secured to the bottom linens. bed frame. mattress. inner thigh.
bottom linens.
You tell your patient what a great time you had on your date last night. This is invasion of privacy. slander. boundary crossing. emotional abuse.
boundary crossing.
The blood pressure cuff is applied over the carotid artery. radial artery. brachial artery. apical pulse.
brachial artery.
Respirations are fewer than 12 per minute. This is apnea. bradypnea. tachypnea. orthopnea.
bradypnea.
The loss of cognitive function associated with dementia is caused by changes in the ________. nerves immune system brain muscles
brain
Aspiration is breathing fluid, food, vomitus, or an object into the lungs. loss of appetite. the swelling of body tissues with water. the backward flow of food from the stomach to the mouth.
breathing fluid, food, vomitus, or an object into the lungs.
Inspiration involves breathing in and out. breathing in. breathing out. exhaling.
breathing in.
A person has a vest restraint. You need to check the person's breathing. skin temperature. skin color. pulse.
breathing.
The circulatory system does the following except removes waste products from the cells. brings oxygen into the body. produces cells that defend the body from microbes that cause disease. carries food and oxygen to the cells.
brings oxygen into the body.
In older persons, bones become brittle. larger. shorter. stronger.
brittle.
When collecting a sputum specimen, the person coughs up sputum from the mouth. upper airway. throat. bronchi and trachea.
bronchi and trachea.
When brushing the chewing surfaces of the teeth, you need to brush firmly, getting all signs of plaque off the teeth. brush the teeth gently. avoid using the brush; rather rinse with water. use sponge swabs.
brush the teeth gently.
A glass thermometer for rectal temperatures has a slender tip. bulb tip. pear-shaped tip. long tip.
bulb tip.
A condition where a person eats a large amount of food and then purges is called bulimia nervosa. binge eating disorder. anorexia nervosa. schizophrenia.
bulimia nervosa.
Patients and residents who take tub baths and showers are at risk for burns and falls. infection. dementia. chills and skin breakdown.
burns and falls.
Common causes of pressure injuries include the following except burns. friction. pressure. shearing.
burns.
When heat is applied, older persons are at risk for cyanosis. burns. skin tears. pressure injuries.
burns.
Passive range-of-motion exercises are done by a health team member. with a trapeze. by the person with your help. by the person.
by a health team member.
Active-assistive range-of-motion exercises are done with a trapeze. by a health team member. by the person. by the person with your help.
by the person with your help.
Active range-of-motion exercises are done with a trapeze. by the person. by the person with your help. by a health team member.
by the person.
A critical step in the Chain of Survival is giving reassurance. contacting family members. documenting the event. calling for help.
calling for help.
A carrier is a susceptible host. has the signs and symptoms of an infection. can pass pathogens to others. has immunity.
can pass pathogens to others.
Development relates to physical changes that are measured and that occur in a steady and orderly manner. a skill that must be completed. changes in mental, emotional, and social function. involuntary muscle movements.
changes in mental, emotional, and social function.
When applying an elastic bandage, you should re-apply a moist bandage. check the extremity every hour. expose the abdomen. replace a wrinkled bandage.
check the extremity every hour.
You spilled a hazardous substance. Before cleaning up the spill, you should call the fire department. check the safety data sheet (SDS). wash your hands. put on a gown, gloves, mask, and boots.
check the safety data sheet (SDS).
A patient has an abdominal wound. Before using a transfer belt to transfer the person, you need to add extra dressings to the abdominal wound dressing. change the person's abdominal wound dressing. ask the person if it is OK. check with the nurse and the care plan.
check with the nurse and the care plan.
A patient has heart disease. Before giving the person a back massage, you need to check the person's pulse. warm some lotion. check with the nurse and the person's care plan. ask what position the person prefers
check with the nurse and the person's care plan.
Disinfectants used to clean surfaces and other re-usable items are known as germicides. aseptic measures. chemical disinfectants. sterilizing agents.
chemical disinfectants.
Vest and jacket restraints are applied to the chest. limbs. hands. waist.
chest.
The following are common causes of disabilities except surgery. choking. disease. injury.
choking.
To clean the tip of the penis, you use firm, downward strokes. circular motions. short strokes. firm, upward strokes.
circular motions.
When applying lotion to bony areas, you use rubbing motions. long, firm strokes. circular motions. short, firm strokes.
circular motions.
Open wounds on the lower legs or feet caused by decreased blood flow through the arteries or veins are circulatory ulcers. decubitus ulcers. diabetic ulcers. pressure injuries.
circulatory ulcers.
The Omnibus Budget Reconciliation Act of 1987 (OBRA) requires investigation results be reported within 15 days of the incident. claims of abuse to be thoroughly investigated. nurses to utilize good work ethics. the matter be reported to the doctor immediately.
claims of abuse to be thoroughly investigated.
A resident has a catheter. A bladder training program is part of the person's care plan. The training program involves clamping the catheter for a certain period of time, then unclamping it to let urine drain. giving the person 15 to 20 minutes to start voiding. removing the catheter every 3 to 4 hours. having the person use the toilet at scheduled times.
clamping the catheter for a certain period of time, then unclamping it to let urine drain.
A person with ___________ should not be placed in an enclosed space. claustrophobia xenophobia agoraphobia mysophobia
claustrophobia
Uniforms, stockings and socks, and shoes must be provided by the agency. clean. white. in style.
clean.
Poisoning in adults may be from coma or dementia. age and impaired hearing. confusion or poor vision. medications or impaired mobility.
confusion or poor vision.
Diabetes meal planning involves a low-salt diet. consistency of when food is eaten. a high-iron diet. changes in food thickness.
consistency of when food is eaten.
Signs and symptoms of infection include the following except constipation. diarrhea. nausea. vomiting.
constipation
A high-fiber diet is ordered for liver and kidney disorders. constipation and GI disorders. diarrhea. anemia.
constipation and GI disorders.
When heat is applied too long, blood vessels dilate. collapse. constrict. become less elastic.
constrict.
Other potentially infectious materials (OPIM) are living or dead persons who have a bloodborne pathogen. contaminated with blood or a body fluid that may contain blood. spread by coughing, sneezing, and talking. spread by airborne droplets.
contaminated with blood or a body fluid that may contain blood.
A wet gown is considered to be safe. sterile. clean. contaminated.
contaminated.
Healthcare-associated infections are prevented by the following except medical asepsis. Standard Precautions. The Bloodborne Pathogen Standard. contamination precautions.
contamination precautions.
The process of becoming unclean is disinfection. sterilization. asepsis. contamination.
contamination.
A resident is on bedrest with bathroom privileges. When the person moves from a lying to sitting or standing position, he is at risk for the following except dizziness. orthostatic hypotension. fainting. contractures.
contractures.
The following are signs and symptoms of postural hypotension except contractures. a drop in blood pressure. fainting. dizziness and weakness.
contractures.
A resident's bowel movement has a strong odor. You should ask the person what he ate. avoid eye contact with the person. control your body language. tell the person that the bowel movement smells
control your body language
Light enters the eye through the iris. retina. cornea. sclera.
cornea.
You have a tattoo. You should have it removed. cover it. wear uniforms that allow it to be seen. show it to patients and residents.
cover it.
Early signs of pressure injuries include the following except pain or burning in the area. tingling in the area. reddened skin. cracked and peeling skin.
cracked and peeling skin.
The peripheral nervous system consists of cranial nerves and spinal nerves. the cerebrum, cerebellum, and brainstem. the spinal cord. the right and left hemisphere
cranial nerves and spinal nerves.
The suffix -stomy means cutting into. creation of an opening. stomach. removal of.
creation of an opening.
Difficult, labored, or painful breathing is bradypnea. orthopnea. dyspnea. apnea.
dyspnea.
It is important to remember that a person's ____________ influences health beliefs and practices. culture nationality language race
culture
How do you flex the toes? Spread them apart Pull them together Curl them Straighten them
curl them
Nursing assistants do not cut toenails if a person has diabetes. push back cuticles. file fingernails. clip fingernails.
cut toenails if a person has diabetes.
A patient wears eyeglasses. You need to clean them every shift. with water and tissues. daily and when needed. with a special cleaning solution.
daily and when needed.
Beards and mustaches need daily washing and combing. care at bedtime. care after meals. weekly shampooing.
daily washing and combing.
The excessive amount of dry, white flakes from the scalp is hirsutism. pediculosis. alopecia. dandruff.
dandruff.
The most severe form of hearing loss is hearing impairment. hearing assistance. deafness. lip reading.
deafness.
A person is choking. If the obstruction is not removed stroke will occur. seizures will occur. death will occur. shock will occur.
death will occur.
Hygiene measures do the following except prevent infection. prevent body and breath odors. promote relaxation. decrease circulation.
decrease circulation.
Circulatory ulcers are caused by pressure. decreased blood flow. friction and shearing. complications from diabetes.
decreased blood flow.
Common causes of wounds include the following except decreased calcium levels. trauma. unrelieved pressure. surgery.
decreased calcium levels.
The older person's ability to sense pain is increased. the same as that of a young child. the same as that of a younger adult. decreased.
decreased.
Bathing does the following except relaxes the person. refreshes the person. decreases circulation. exercises body parts.
decreases circulation.
When blood vessels constrict, blood flow stops. decreases. increases. changes direction.
decreases.
When heat is applied too long, blood flow increases. stops. decreases. changes direction.
decreases.
A resident is on bedrest. The person will require the orthopneic position. oxygen therapy. pulse oximetry. deep-breathing and coughing exercises.
deep-breathing and coughing exercises.
The purpose of the lymphatic system is to prevent someone from bleeding to death. defend the body against infection. circulate blood to the areas of the body. provide oxygen to the tissues.
defend the body against infection.
Older persons with diarrhea are at risk for tremors. hunger. dehydration. back pain.
dehydration.
The tympanic membrane also is called the hammer. anvil. stirrup. eardrum.
eardrum.
Paranoia is not being able to correctly view or interpret reality. a persistent thought or idea. fear, panic, or dread. delusions and suspicions about a person or situation.
delusions and suspicions about a person or situation.
A person believes he is Superman. This is called thought disorder. psychosis. hallucinations. delusions of grandeur.
delusions of grandeur.
Complications from incontinence include the following except falls. infections. dementia pressure injuries.
dementia
A patient has AD. The person often screams a word in a foreign language. Possible causes of screaming include the following except hearing or vision problems. fatigue. depression and aging. pain, discomfort, or fear.
depression and aging.
Vital signs do the following except show changes in the person's condition. diagnose illness. signal life-threatening events. tell about responses to treatment.
diagnose illness.
Bowel training helps prevent the following except fecal impaction. fecal incontinence. constipation. diarrhea
diarrhea
Enemas are given to relieve the following problems except fecal impaction. constipation. flatulence. diarrhea.
diarrhea.
The pressure in the arteries when the heart is at rest is the blood pressure. diastolic pressure. pulse deficit. systolic pressure.
diastolic pressure
The most common early symptom of AD is difficulty remembering newly learned information. gradual loss of short-term memory. problems with work and every-day functions. problems with family and social relationships.
difficulty remembering newly learned information.
Dysphagia is the swelling of body tissues with water. a decrease in the amount of water in body tissues. difficulty swallowing. the backward flow of food from the stomach into the mouth.
difficulty swallowing.
Dysphagia means paralysis. painful breathing. difficulty swallowing. difficulty speaking.
difficulty swallowing.
The process of physically and chemically breaking down food so it can be absorbed by the cells is called peristalsis. metabolism. digestion. mitosis.
digestion.
You are using reagent strips to test urine. Do the following except compare the tested strip to the color chart on the bottle. dip the strip into the specimen for 60 seconds. follow the manufacturer's instructions. follow Standard Precautions and the Bloodborne Pathogen Standard
dip the strip into the specimen for 60 seconds.
The following measures promote sexuality except providing privacy. knocking before you enter a room. discouraging masturbation. letting the person choose what to wear.
discouraging masturbation.
You have planned your work. Your next step is to list care that needs to be done without using a schedule or time frame. look like you are staying busy so others will not ask for help. discuss priorities with the nurse. gather needed supplies once you go into the person's room to complete the task.
discuss priorities with the nurse.
A person with Meniere's disease is complaining of vertigo. The person is experiencing hearing loss. earwax. ringing in the ears. dizziness.
dizziness.
To promote mental comfort when handling, moving, and transferring a person, do the following except do not allow the person to help. screen the person for privacy. keep the person in alignment. explain what you are going to do.
do not allow the person to help.
Before applying a restraint, do the following except have the nurse show you how to safely apply the restraint. do not inform the person what you are going to do. find out when to apply and release the restraint. find out what type and size to use
do not inform the person what you are going to do.
Restraints are ordered by the nurse. health team. the person's legal representative. doctor.
doctor.
Restraints are ordered by the the person's legal representative. doctor. interdisciplinary health care team. nurse.
doctor.
An ethical person is prejudiced. is biased. does not have opinions or facts. does not cause a person harm.
does not cause a person harm.
Good planning before moving or lifting a person in bed involves the following except doing necessary recording before you complete the task. planning how to protect drainage tubes. asking a co-worker to help you. deciding how you will move the person.
doing necessary recording before you complete the task.
Pronation is turning the joint downward. upward. inward. outward.
downward.
The need to urinate at night is reduced if the person chooses what beverages to drink. drinks only water. drinks most fluids before 1700. urinates before going to bed.
drinks most fluids before 1700.
A patient receiving oxygen therapy needs frequent oral hygiene because a bad taste in the mouth occurs from oxygen. tartar and gum disease are common from oxygen. plaque buildup occurs from oxygen therapy. dry mouth is common from oxygen.
dry mouth is common from oxygen.
Before shaving a man's face with a safety razor, you need to do the following except dry the face thoroughly. put on gloves. apply a wet washcloth to his face. apply shaving cream.
dry the face thoroughly.
When providing foot care to a diabetic patient, you should (Select all that apply.) apply a compression device. dry well between the toes. apply lotion between the toes. apply tape around the dressing.
dry well between the toes. apply lotion between the toes.
Brushing and combing hair are done during afternoon care and before bedtime. during early morning care and morning care. during early morning care, morning care, afternoon care, and whenever needed. during morning care, afternoon care, and when the person requests it.
during early morning care, morning care, afternoon care, and whenever needed.
People usually urinate at the following times except at bedtime. after sleep. during sleep. before meals.
during sleep.
Diabetes meal planning involves having the person avoid fats. eat only carbohydrates. eat only protein. eat the same amount of carbohydrates, proteins, and fat each day.
eat the same amount of carbohydrates, proteins, and fat each day.
A patient has a venous ulcer. You are helping the person dress. The person can wear the following except a sweatshirt. baggy pants. shoes. elastic garters to hold socks in place.
elastic garters to hold socks in place.
An example of a bony prominence is abdomen. ear. buttocks. elbow.
elbow.
To prevent work-related injuries, Occupational Safety and Health Administration (OSHA) recommends holding the person under the arms during transfers. scheduling harder tasks late in the shift. working alone whenever possible. eliminating manual lifting when possible
eliminating manual lifting when possible
Before meals you should assist the patient with a patient assessment. a bed bath. elimination needs. calling family.
elimination needs.
A person turns his eyes away from you. His face is flushed. These facial expressions most likely mean that the person is surprised. afraid. embarrassed. angry.
embarrassed.
You are going to help a resident with a shower. To meet the person's safety and security needs, you offer to allow the resident to shower with his roommate. tell the resident that taking a shower is required. encourage the resident to take a shower. tell the resident that he or she will not be allowed to attend breakfast without having taken a shower.
encourage the resident to take a shower.
A serious risk from bed rail use is contractures. entrapment. coma. confusion.
entrapment.
The adrenal medulla secretes epinephrine and norepinephrine. adrenocorticotropic hormone. insulin. parathormone.
epinephrine and norepinephrine.
The science of designing a job to fit the worker is body mechanics. posture science. ergonomics. job science.
ergonomics.
The female sex glands secrete the endometrium. menstruation. estrogen and progesterone. testosterone.
estrogen and progesterone.
Knowledge of what is right conduct and wrong conduct is ethics. public law. torts. civil law.
ethics
Deep-breathing and coughing exercises are usually done every 1 to 2 hours while awake. every 4 hours. every 2 hours. every hour.
every 1 to 2 hours while awake.
When the person is awake, deep-breathing and coughing exercises are usually done every 1 to 2 hours. every hour. every shift. every 4 to 6 hours.
every 1 to 2 hours.
A patient has a venous ulcer. The person needs re-positioning at least every hour. every shift. every 4 hours. every 2 hours.
every 2 hours.
Ostomy pouches are usually changed every day and when they leak. every time feces are present. at least once a month. every 2 to 7 days and when they leak.
every 2 to 7 days and when they leak.
The doctor orders strict bedrest. This means everything is done for the person. the person performs some ADLs without assistance. the commode is used for elimination. the bathroom is used for elimination.
everything is done for the person.
Microbes are found in the respiratory tract and digestive system. in the air and in water. in blood, body fluids, excretions, and secretions. everywhere.
everywhere.
Hyperextension is excessively straightening a body part. briefly losing consciousness. bending a body part. straightening a body part.
excessively straightening a body part.
Dilate means to narrow. increase blood flow. expand or open wider. reduce blood flow.
expand or open wider.
Before moving, positioning, or transferring a person, you always need to move the person to the middle of the bed. ask a co-worker to help you. apply a transfer belt. explain to the person what you are going to do.
explain to the person what you are going to do.
A resident has AD. The person's communication is impaired. When talking to the person, do the following except use a calm, gentle voice. give the person time to respond. explain why the person's answer is wrong. speak slowly, using simple words and sentences.
explain why the person's answer is wrong.
You can help a patient or resident feel safe and secure by asking visitors to leave the room. explaining what you will do. asking direct questions. keeping the person in his or her room.
explaining what you will do.
Natural disasters include the following except blizzards. tornadoes. hurricanes. explosions.
explosions.
Cyanosis can be observed in the following except eyes. nail beds. skin. lips and mucous membranes.
eyes
The partial bath involves washing the face, hands, underarms, feet, buttocks, and perineal area. face, hands, underarms, feet, and perineal area. face, hands, underarms, and feet. face, hands, underarms, back, buttocks, and perineal area.
face, hands, underarms, back, buttocks, and perineal area.
When giving a complete bed bath, you start with the person's perineum. arms. face. chest.
face.
Oxygen tubing places pressure on the (Select all that apply.) face. nose. eyes. ears.
face. nose. ears.
Normal urine has a sweet odor. ammonia odor. faint odor. strong odor.
faint odor.
A person has a yellow wristband on. You know this is an alert for nothing by mouth (NPO). do not resuscitate. allergy. fall risk.
fall risk.
Unlawful restraint or restriction of a person's movement is false imprisonment. invasion of privacy. malpractice. negligence.
false imprisonment.
Unnecessary restraint is false imprisonment. involuntary seclusion. malpractice. negligence.
false imprisonment.
Tachy means fast. slow. normal, good, well, healthy. bad, difficult, abnormal.
fast.
A resident is visually impaired. Do the following except use the numbers on a clock to identify the location of foods. feed the person. describe the food on the tray. allow the person to smell the food.
feed the person.
The following may occur in the manic phase of bipolar disorder except extreme irritability. feelings of worthlessness and helplessness. feeling "wired." little sleep.
feelings of worthlessness and helplessness.
Radiating pain is felt suddenly. constant or occurs on and off. felt at the site of tissue damage and in nearby areas. felt in a body part that is no longer there.
felt at the site of tissue damage and in nearby areas.
Phantom pain is felt at the site of tissue damage and in nearby areas. felt in a body part that is no longer there. felt suddenly. discomfort.
felt in a body part that is no longer there.
Before putting a caller "on hold" you should thank the person for calling. find out if the call is about an emergency. ask how long the caller can wait. take a message.
find out if the call is about an emergency.
A patient scratches and picks at his skin. You would expect the nurse to order mitt restraints for the person. ask the doctor to order an ointment. find out the reason for the behavior. order wrist restraints for the person.
find out the reason for the behavior.
If a resident refuses his or her morning treatment, the center must remove all privileges for the day until the resident takes the medication. threaten to call his or her family member. find out the reason for the refusal and offer other treatment options. respect his or her wish and ask no further questions.
find out the reason for the refusal and offer other treatment options.
The nursing assistant registry includes information about prior education. marriages. findings of abuse, neglect, or dishonest use of property. children.
findings of abuse, neglect, or dishonest use of property.
Mitt restraints prevent hand movements. wrist movements. arm movements. finger use.
finger use.
When drying your hands, start at the forearms and work down to your fingers. fingertips and work up to your forearms. wrists and work down to the fingertips. elbows and work down to your fingers.
fingertips and work up to your forearms.
The best time to collect a sputum specimen is first thing in the morning. after a meal. after using mouthwash. just before bed.
first thing in the morning.
A person relives a traumatic event during the day and in nightmares during sleep. These are hallucinations. delusions. flashbacks. day and night terrors.
flashbacks.
Gas or air passed through the anus is called eructating. flatulence. flatus. belching.
flatus.
Clean linens are never placed on the __________. bed bed table floor night stand
floor
You assist a patient onto the bedpan. How should you position the person? In a sitting position Supine On the person's right side On the person's left side
in a sitting position
The best way to look professional at work is to follow the agency's dress code. ask your friends to help you shop for uniforms. wear your favorite clothes to work. check yourself in the mirror before leaving for work.
follow the agency's dress code.
To look professional at work keep your nails polished. wear your favorite clothes. follow the agency's dress code. wear shoes that are in style.
follow the agency's dress code.
A resident uses a cleaning agent for his denture. When using the cleaning agent, you should use hot water. ask the person what to do. follow the manufacturer's instructions. use cool water.
follow the manufacturer's instructions.
To meet a person's hygiene needs, you should check the person's ID bracelet. ask the person what to do. review the person's medical record. follow the person's care plan.
follow the person's care plan.
The action that protects patients, residents, and you from harm is making excuses or blaming others for your actions. following your job description and agency policies and procedures. following the other nursing assistant's instructions. telling the nurse when you make a mistake once you have gone home for the day.
following your job description and agency policies and procedures.
You are feeding a patient. You need to serve foods as directed on the dietary card. foods in the order the person prefers. hot foods first and cold foods last. foods in the order you would eat them.
foods in the order the person prefers.
Dirty feet, socks, or stockings can harbor microbes and cause gangrene. foot odors. blisters. foot injuries.
foot odors.
Another name for permanent plantar flexion is fainting. footdrop. orthosis. postural hypotension.
footdrop.
You need a wide base of support when bending from the waist. for lifting and moving. for balance. to prevent friction and shearing.
for balance.
Minerals are needed to provide fiber for bowel elimination. to add flavor to food. for tissue growth and repair. for bone and tooth formation.
for bone and tooth formation.
Residents of nursing centers can work for the following reasons except for rehabilitation reasons. for activity reasons. for care, care items, and privileges. if the person wants to.
for care, care items, and privileges.
The amount of effort needed to perform a task is MSD. force. ergonomics. posture.
force.
An example of involuntary seclusion is permitting the person to remain in his or her room while it is being cleaned. having the person sleep in his or her room at night. allowing the person to talk in the courtyard area during daylight hours. forcing the person to remain in his or her room during breakfast.
forcing the person to remain in his or her room during breakfast.
You should answer a phone by the fourth ring. eighth ring. second ring. sixth ring.
fourth ring.
You give incorrect information on a job application. This is slander. fraud. defamation. libel.
fraud.
A person is receiving oxygen therapy. Connecting tubing must be free of kinks. lubricated. snug. out of the person's reach.
free of kinks.
Nocturia means the production of abnormally large amounts of urine. frequent urination at night. voiding or urination. painful or difficult urination.
frequent urination at night.
Two surfaces rub together. This is ergonomics. shearing. pressure. friction.
friction.
Older persons usually have difficulty digesting fried and fatty foods. whole-grain cereals. soft bulk foods. cooked vegetables.
fried and fatty foods.
When removing a patient's soiled brief, remove the brief from front to back. from back to front. on the left side. on the right side.
from front to back.
A resident has control of her bladder. The person could not get to the bathroom in time because her call light was not answered promptly. The person was incontinent of urine. This is stress incontinence. mixed incontinence. over-flow incontinence. functional incontinence.
functional incontinence.
The goal of bladder training is to treat incontinence. gain control of urination. prevent infection. remove the catheter.
gain control of urination.
A patient has a hearing loss. To communicate with the person, do the following except stand or sit on the side of the better ear. face the person when speaking. speak in a normal tone of voice. gain the person's attention by approaching the person from behind.
gain the person's attention by approaching the person from behind.
The person with a borderline personality lacks morals and ethics. hallucinates and is delusional. alternates between mania and depression. has intense bouts of rage, depression, and panic.
has intense bouts of rage, depression, and panic.
The person with bipolar disorder has poor judgment and is hostile. abuses others. has severe extremes in mood, energy, and function. cannot interpret reality correctly.
has severe extremes in mood, energy, and function.
Persons at risk for thrombi (Select all that apply.) are younger. have heart disorders. have had surgery. are on bedrest.
have heart disorders. have had surgery. are on bedrest.
new competency evaluation is required for persons who have not worked as a nursing assistant for 24 months. were convicted of a crime. did not have good performance evaluations. were found guilty of abuse or neglect.
have not worked as a nursing assistant for 24 months.
A resident has diarrhea. To prevent odors and the spread of microbes, you need to do the following except practice Standard Precautions. follow the Bloodborne Pathogen Standard. dispose of stools promptly. have the person use the commode.
have the person use the commode.
he MyPlate food guidance system encourages the same amount and kinds of food for all persons over 2 years of age. a diet high in fat, sodium, and sugar. 1 hour of vigorous physical activity at least 4 days each week. healthy eating from 5 food groups.
healthy eating from 5 food groups.
A patient is unconscious. You need to assume that the person can hear you. smell. see you. respond to you.
hear you.
During conversations, a resident leans forward toward you. The person's answers seem inappropriate. The person is showing signs of hearing loss. confusion. suspicious and paranoid behavior. dementia.
hearing loss.
Not being able to hear normal range of sounds associated with normal hearing is deafness. lip reading. hearing loss. hearing aphasia.
hearing loss.
An aquathermia pad is not placed under a body part because the hoses can cause discomfort. it is difficult to observe the application site. heat cannot escape. the body part must be kept in good alignment.
heat cannot escape.
An aquathermia pad neutralizes microbes in the extremities. cools water outside the pad. is only used on diabetics. heats water inside the pad.
heats water inside the pad.
Regular position changes cause discomfort and restlessness. help prevent pressure injuries and contractures. are not done unless ordered by the doctor. protect you from injury and falls.
help prevent pressure injuries and contractures.
The best way to communicate with a person who has delusions and hallucinations is to help the person focus on reality. speak quickly. convince the person that his or her experience is not real. pretend you experience what the person does.
help the person focus on reality.
After the person finishes eliminating, you need to ask what the person observed about the urine and/or bowel movement. position the wheelchair in front of the toilet. flush the toilet and practice hand hygiene. help with wiping, perineal care, flushing, and hand-washing as needed.
help with wiping, perineal care, flushing, and hand-washing as needed.
Morning care generally involves the following except assisting with elimination. oral hygiene, bathing, back massage, and perineal care. hair care, shaving, and dressing. helping the person change to sleepwear.
helping the person change to sleepwear.
A patient needs a postural support when sitting in a chair. The postural support is used for wheelchair and bed transfers. is used under paralyzed arms. helps keep the person in good alignment. is a restraint.
helps keep the person in good alignment.
Restorative nursing helps maintain the highest level of function. emphasizes illness prevention. is only available in nursing centers. focuses on curing the illness.
helps maintain the highest level of function.
The musculo-skeletal system does the following except allows the body to move. helps regulate body temperature. protects the body. provides the framework for the body.
helps regulate body temperature.
A nursing intervention is the second step of the nursing process. includes the nursing assistant's tasks. helps the patient reach a goal. allows social workers to contact patients.
helps the patient reach a goal.
Bloody sputum is hemoptysis. ketone. hematuria. saliva.
hemoptysis.
You note bloody sputum. This is called hemoptysis. glycosuria. melena. hematuria.
hemoptysis.
A female resident has a catheter. To prevent excess catheter movement, you need to secure it to her abdomen. an IV pole. the bed. her inner thigh.
her inner thigh.
To sit in a chair, a person must be able to sit without pillows. hold the upper body and head erect. support the feet. stay awake.
hold the upper body and head erect.
A concept that considers the whole person is culture. optimal level of function. holism. religion.
holism.
Family members of an Alzheimer's patient often feel calm. disengaged. cheated. hopeless.
hopeless.
The long-term care agencies in which OBRA and the FBI require background screenings on nursing assistants are (Select all that apply.) hospices. skilled nursing facilities. summer camps. home care agencies.
hospices. skilled nursing facilities. home care agencies
The shampoo method used depends on the following except safety factors. the person's condition. how much time you have. personal choice.
how much time you have.
You are going to assist a resident with a bath. Before doing so, you need the following information except the type of bath to give. the person's activity and position limits. how to apply lotion and powder. what skin care products to use.
how to apply lotion and powder.
When giving nail and foot care, the nurse and care plan tell you the following except what observations to report and record. what water temperature to use. how long to soak the feet and fingernails. how to assist the podiatrist.
how to assist the podiatrist.
When testing urine is delegated to you, you need the following information from the nurse and the care plan except how to follow Standard Precautions. what test is needed. when to test the urine. what equipment to use.
how to follow Standard Precautions.You are collecting a stool specimen.
A patient needs oral hygiene. The nurse and care plan tell you the following except the type of oral hygiene to give. if flossing is needed. how to give oral hygiene. how much help the person needs.
how to give oral hygiene.
The nurse asks you to transfer a resident to a wheelchair. Before transferring the person, the nurse and care plan tell you the following except how to protect the person's privacy. the amount of help the person needs. what procedure to use. areas of weakness.
how to protect the person's privacy.
Before serving meal trays you need the following information from the nurse and the care plan except how to provide for the person's comfort. what assistive devices the person uses. how much help the person needs.
how to provide for the person's comfort.
Before moving a person in bed, you need the following information from the nurse and the care plan except what equipment to use. how to use body mechanics. what procedure to use. what devices to use.
how to use body mechanics.
When delegated range-of-motion (ROM) exercises, you need the following information from the nurse and the care plan except which joints to exercise. how many times to repeat each exercise. how to use body mechanics. the kind of ROM ordered.
how to use body mechanics.
The nurse asks you to dangle a resident. Before you do so, you need the following information except what exercises the person needs to perform while dangling. which side is strong and which side is weak. how long the person needs to dangle. how to use good body mechanics
how to use good body mechanics
You have an important role in meeting standards and in the survey process. A surveyor may ask you where you went to school. how you provide needed transportation. if you arrived to work on time today. whether or not you are married.
how you provide needed transportation.
When performing ROM, you are bending the person's hand back. This type of motion is called hyperextension. extension. flexion. opposition.
hyperextension.
When a person's blood pressure measurements remain above a systolic pressure of XXX mm Hg or a diastolic pressure of 90 mm Hg they are known to have tachycardia. hypertension. bradycardia. hypotension.
hypertension.
When the systolic pressure is at or above 140 mm Hg or the diastolic pressure is at or above 90 mm Hg, the person has hypotension. hypertension. bradycardia. tachycardia.
hypertension.
Respirations are rapid and deeper than normal. This is tachypnea. hyperventilation. bradypnea. hypoventilation.
hyperventilation.
A systolic blood pressure below 90 mm Hg and a diastolic pressure below 60 mm Hg is bradycardia. hypotension. hypertension. tachycardia.
hypotension.
Respirations are slow, shallow, and sometimes irregular. This is bradypnea. tachypnea. hyperventilation. hypoventilation.
hypoventilation.
Inadequate oxygen in the cells is called bradypnea. dyspnea. hypoxia. tachypnea.
hypoxia.
To make sure you give the right care to the right person identify the person before giving care. check the label on the person's clothing. follow the person's care plan. check the SDS.
identify the person before giving care.
For safe patient and resident handling, moving, and transfers, the nurse and health team determine the following except the person's functional status. if family is available to help. the equipment needed. what procedure to use.
if family is available to help.
Bed rails can be used if they are needed to treat a person's medical condition. when a person is at high risk for falling. if the person's family requests them. for persons who try to get out of bed without help.
if they are needed to treat a person's medical condition.
Vital signs are immediately reported to the nurse at the following times except if they are within the normal range. if there is a change from a previous measurement. if they are above the normal range. if they are below the normal range.
if they are within the normal range.
A person has protection against a certain disease. The person has a germicide. immunity. a vaccine. personal protective equipment.
immunity.
A person has protection against a disease or condition. This is called an antibody. hormones. an antigen. immunity.
immunity.
Care is given during the assessment step of the nursing process. evaluation step of the nursing process. implementation step of the nursing process. planning step of the nursing process.
implementation step of the nursing process.
A cleansing enema takes effect in 10 to 20 minutes. in 5 to 10 minutes. in 30 minutes. right away.
in 10 to 20 minutes.
To take a rectal temperature, how is the person positioned? Lying down In semi-Fowler's position In Sims' position In the prone position
in Sims' position
You need to brush a person's teeth. When brushing the person's teeth you position the person in a prone position. in a sitting position. in a reverse Trendelenburg's position. in a supine position.
in a sitting position.
Powder is applied in a thin, even layer. in a thick layer. by sprinkling it on. under the arms.
in a thin, even layer.
For vest restraint, the "V" neck is worn in front. on the right side. on the left side. in the back.
in front.
Before applying a restraint, the person must be sitting. lying down. in good alignment. resting quietly.
in good alignment.
When using a safety razor to shave the face, you shave against hair growth. left to right strokes. right to left strokes. in the direction of hair growth.
in the direction of hair growth.
A waterproof drawsheet is used. It must be placed in the middle of the mattress. over the patient. at the foot of the bed. at the head of the bed.
in the middle of the mattress.
Body temperature is usually the lowest at bedtime. in the morning. in the evening. in the afternoon.
in the morning.
When not being worn, eyeglasses and hearing aids should be locked up at the nurses' station. in the belongings bag in the closet. in the pocket of the person's gown. in the top drawer of the bedside stand.
in the top drawer of the bedside stand.
Before placing the stethoscope on the person, you need to warm the diaphragm under the person's arm. in warm water. in your hand. in hot water.
in your hand.
Fecal incontinence is the prolonged retention and accumulation of feces in the rectum. frequent passage of liquid stools. inability to control the passage of feces and gas through the anus. passage of a hard, dry stool.
inability to control the passage of feces and gas through the anus.
A common cause of constipation is inactivity. a high-fiber diet. increased fluid intake. having a BM as soon as the urge is felt.
inactivity.
A person's cultural beliefs and practices are included in the person's care plan. ordered by the doctor. determined by the health care team. not allowed in hospitals and nursing centers.
included in the person's care plan.
Anxiety tends to lessen fear and worry. increase pain. relieve pain. promote sleep.
increase pain.
Which is not a sign or symptom of dysphagia? Hoarseness after eating Pocketing of food Excessive drooling Increased appetite
increased appetite
Common causes of wounds include the following except increased blood flow through arteries or veins. surgery. nerve damage. trauma.
increased blood flow through arteries or veins.
The risk of skin breakdown, skin tears, and pressure injuries is the same for all age-groups. increases with age. decreases with dry skin. decreases with age.
increases with age.
When blood vessels dilate, blood flow changes direction. increases. stops. decreases.
increases.
Encouraging the patient to do their own self-care promotes relaxation. happiness. anxiety. independence.
independence.
Friction and shearing can lead to infection and pressure injuries. poor posture and body mechanics. back injuries. difficulty breathing.
infection and pressure injuries.
The most common complication of pressure injuries is shear. friction. infection. osteomyelitis.
infection.
A family member begins smoking in a resident's room. You should ask the family member if you can have a cigarette. call the physician. ask the family member to leave. inform the visitor that he or she cannot smoke in the building.
inform the visitor that he or she cannot smoke in the building.
Which is not a patient right The right to a clean and safe setting. privacy. information about other patients. be involved in care.
information about other patients.
The process by which a person receives and understands information about a treatment or procedure and is able to decide if she or he will receive it is boundary crossing. negligence. deceit. informed consent.
informed consent.
A resident with dementia urinates in plants and the trash can. You can do the following except tell the nurse when the person is incontinent. insert an indwelling catheter. follow the person's bathroom routine as closely as possible. observe for signs that the person needs to void.
insert an indwelling catheter.
The pancreas secretes parathormone. epinephrine and norepinephrine. insulin. adrenocorticotropic hormone.
insulin.
Disposable shavers are discarded with used linen. into the wastebasket. after 3 uses. into a sharps container.
into a sharps container.
The covered probe of the tympanic membrane thermometer is inserted into the rectum. into the ear. into the mouth. under the arm.
into the ear
When you eavesdrop, you invade the person's privacy. commit fraud. gossip. promote confidentiality.
invade the person's privacy.
A resident did not get to the bathroom in time. She urinated and had a bowel movement in her clothing. To prevent an accident in the dining room, the nurse makes the person stay in her room. This is physical abuse. involuntary seclusion. malpractice. neglect.
involuntary seclusion.
Internal rotation is turning the joint inward. upward. outward. downward.
inward.
Small-volume enemas cause vomiting. cure diarrhea. promote flatus. irritate and distend the rectum.
irritate and distend the rectum.
A person has balance problems. The person is taking medications. has impaired hearing. will have memory problems. is at risk for falls.
is at risk for falls.
Freedom from restraint requires informed consent. is a nursing center policy. applies only to confused and disoriented persons. is every person's right.
is every person's right.
Acute pain is felt at the site of tissue damage and in nearby areas. is felt suddenly. is felt in a body part that is no longer there. is constant or occurs on and off.
is felt suddenly.
A person is able to cope with and adjust to every-day stresses in ways accepted by society. The person has an emotional illness. has a mental illness. is mentally healthy. has a psychiatric disorder.
is mentally healthy.
Nail polish is not worn. must be a light shade. must be in good repair. must be a dark shade.
is not worn.
Children as caregivers decreases security in most older persons. increases dignity and self-respect in the older parent. increases privacy of the parent. is where the child provides care for their parent.
is where the child provides care for their parent.
A filled urinal presents safety hazards because it needs to be emptied. it is an unpleasant sight. it is easily spilled. it is a source of odors.
it is easily spilled.
When removing clothing, which is correct? it is removed from the strong side first. Pullover garments are removed first. It is removed from the weak side first. Garments that open in the front are removed first.
it is removed from the strong side first.
What is the function of saliva? It allows sweet, sour, bitter, and salty to be sensed. It moistens food particles to ease swallowing and begin digestion. It aids in swallowing and peristalsis. It cuts, chops, and grinds food for digestion and swallowing.
it moistens food particles to ease swallowing and begin digestion.
A resident brought a chair from home. The chair is unsafe if it tips during transfers. it is comfortable for the person. the person can get in and out of it easily. it has armrests.
it tips during transfers.
Arth(o) means bone. head. rib. joint.
joint.
The apical pulse is found at the inner aspect of the elbow. just below the left nipple. just below the right nipple. on the thumb side of the wrist.
just below the left nipple.
A resident is blind. When assisting with the person's care needs, do the following except ask how much the person can see. adjust blinds and shades to prevent glares. provide lighting as the person prefers. keep the room door partly open.
keep the room door partly open.
A person wears a brace. You must make sure the person wears loose clothing. check the brace tips to make sure they are not wet or torn. make sure the brace is held on the strong side. keep the skin under the brace clean and dry.
keep the skin under the brace clean and dry.
To protect persons with AD, do the following except place safety plugs in electrical outlets. keep utility room doors unlocked. store personal care items in a safe place. keep electrical equipment out of reach.
keep utility room doors unlocked.
Bar soap is used for a resident's bath. Between latherings, soap is left in the basin. placed on a paper towel. placed in a soap dish. kept in your hand.
placed in a soap dish.
A patient has a venous ulcer. Your care should include keeping the person's heels on the bed. massaging pressure points and reddened areas. keeping the person's linens dry and wrinkle-free. rubbing the person's skin after bathing.
keeping the person's linens dry and wrinkle-free.
A bed cradle keeps linens off the legs, feet, and toes. fits the shape of the heels and elbow. raises feet off of the bed. prevents footdrop.
keeps linens off the legs, feet, and toes.
The doctor ordered a bed cradle for a resident. The bed cradle is a more comfortable bed. keeps top linens off the feet and toes. keeps the hips abducted. keeps the mattress from sagging.
keeps top linens off the feet and toes.
The person with an antisocial personality disorder is very sad. lacks responsibility and is hostile. alternates between depression and paranoia. is suicidal.
lacks responsibility and is hostile.
If a person is constipated, you would expect the person's stools to be liquid. soft and shaped like the rectum. large or marble-sized. black and tarry.
large or marble-sized.
The diastolic pressure is the third sound you hear. last sound you hear. second sound you hear. first sound you hear.
last sound you hear.
Persons 65 years of age and older are considered to be experiencing young adulthood. very late adulthood. middle adulthood. late adulthood.
late adulthood.
Workplace hazards include the meal trays. latex gloves. timeclock. gait belt.
latex gloves.
Contaminated items are placed in melt-away bags. the toilet. leak-proof plastic bags with the BIOHAZARD symbol. trash containers.
leak-proof plastic bags with the BIOHAZARD symbol.
Before applying an ice glove, it should be checked for flexibility. leaks. odors. electric current.
leaks.
When caring for a person who is comatose, do the following except tell the person your name, the time, and the place every time you enter the room. leave the room quietly without telling the person. explain what you are going to do. knock before entering the person's room
leave the room quietly without telling the person.
When doing a dressing change, extra dressings should be left in the room. placed in a biohazard container. put back in the supply area. thrown away.
left in the room.
Musculo-skeletal changes result in the following except less joint pain and stiffness. decreased mobility. loss of height. loss of strength.
less joint pain and stiffness.
A patient has AD. You are helping her dress. You should decide what she will wear. let her choose from a dress, pant suit, sweat suit, or a skirt and blouse. explain why she needs to wear under-garments. let her choose between 2 shirts.
let her choose between 2 shirts.
A person with dementia requires isolation precautions. You need to put on a mask. To prevent fear and agitation, you should let the person see your face before putting on the mask. enter the room with the mask on. wash your face before putting on the mask. put the mask on, and then tell the person your name.
let the person see your face before putting on the mask.
Bones are held together at a joint by tendons. periosteum. ligaments. cartilage.
ligaments.
A person is on a full-liquid diet. Foods on this diet are liquid at room temperature. semi-solid. easily chewed. low in roughage.
liquid at room temperature.
Before moving a person up in bed, you need to lock the bed wheels. raise the head of the bed. put non-skid footwear on the person. apply a transfer belt.
lock the bed wheels.
A person is turned as a unit, in alignment, with one motion. This is ergonomics. logrolling. body mechanics. safety.
logrolling.
Chronic pain lasts 30 days. 7 days. long after healing occurs. until tissues heal.
long after healing occurs.
Anorexia is the loss of appetite. breathing of fluid, food, vomitus, or an object into the lungs. backward flow of food from the stomach to the mouth. swelling of body tissues with water.
loss of appetite.
Persons needing Transmission-Based Precautions often experience safety. love and belonging. self-actualization. loss of self-esteem.
loss of self-esteem.
Family and friends usually help meet the person's self-acutalization needs. love and belonging needs. holism needs. physical needs.
love and belonging needs.
Signs and symptoms of anxiety include the following except low pulse, respirations, and blood pressure. urinary frequency and urgency. dry mouth, sweating, and poor attention span. a "lump" in the throat or "butterflies" in the stomach.
low pulse, respirations, and blood pressure.
When washing your hands, your hands and forearms are kept above your elbows. close to your body. even with your elbows. lower than your elbows.
lower than your elbows.
You are responsible for the care you give. To provide quality care reprimand a person who is disrespectful to you so that he/she will not be able to get away with it. follow agency policy only when completing a task you have not done before. refuse to mop the floor that is wet since it is not your normal routine. maintain good work ethics.
maintain good work ethics.
The RN uses assessment information to make nursing diagnoses. change the care plan. make medical diagnoses. implement the care plan.
make nursing diagnoses.
A good example of keeping personal matters out of the workplace is asking a co-worker for lunch money. using the agency's computer to check your personal e-mail. making a doctor's appointment for your day off. carrying a personal pager.
making a doctor's appointment for your day off.
The planning step of the nursing process involves the following except making nursing diagnoses. setting priorities. identifying nursing interventions. setting goals.
making nursing diagnoses.
Hearing aids work by improving hearing ability. making sounds louder. restoring hearing loss. curing hearing problems.
making sounds louder.
When giving a back massage, do the following except keep your hands in contact with the person's skin. knead the person's skin. massage reddened areas. use firm stokes.
massage reddened areas.
The nurse delegates a hot soak to you. To protect the person from burns, you need to use warm water. measure water temperature. set the temperature with a key. put the soak in a cover.
measure water temperature.
The opening at the end of the urethra is the meatus. bladder. vagina. penis.
meatus.
When giving catheter care, hold the catheter near the vagina. meatus. genitals. perineum.
meatus.
Certain practices remove or destroy pathogens. They also prevent them from spreading from one person or place to another person or place. These practices are called Standard Precautions. sterile technique. Transmission-Based Precautions. medical asepsis.
medical asepsis.
Clean technique is the same as surgical asepsis. sterile technique. medical asepsis. normal flora.
medical asepsis.
Agencies have policies about medical records. Policies address the following except signing entries. abbreviations. correcting errors. medical terms.
medical terms.
wallowing, coughing, and vomiting are controlled by the cerebral cortex. midbrain. medulla. pons.
medulla.
Because older people tend to have dry skin only showers are taken. tub baths are taken daily. lotions are not used. mild soaps or soap substitutes are used.
mild soaps or soap substitutes are used.
The process of cell division is called chromosomes. mitosis. nucleosis. protoplasm.
mitosis.
A person needs frequent dressing changes. You would expect the nurse to secure the dressings with paper tape. montgomery ties. elastic tape. a binder.
montgomery ties.
Digestion begins in the mouth. pharynx. small intestine. stomach.
mouth.
Stomat(o) means stomach. mouth. narrow, constriction. opening.
mouth.
to regress means to be very sad and withdrawn. move back to an earlier time or condition. have violent behaviors. lack interest in others.
move back to an earlier time or condition.
Older persons have fragile bones and joints. To prevent injury when moving these persons, do the following except keep the person in good alignment. always have help. move the person carefully. move the person as quickly as possible
move the person as quickly as possible
When logrolling a person, the person is moved with the spine straight. turned using a transfer belt. turned away from you. moved in segments.
moved with the spine straight.
Abduction is moving a body part away from the mid-line of the body. moving a body part toward the mid-line of the body. bending a body part. straightening a body part.
moving a body part away from the mid-line of the body.
Adduction is moving a body part away from the mid-line of the body. moving a body part toward the mid-line of the body. straightening a body part. bending a body part.
moving a body part toward the mid-line of the body.
Patients and residents who use bed rails must be checked often. can be left alone. need hand rails and grab bars. need restraints.
must be checked often.
You are emptying a urinary drainage bag. The drain can touch the measuring container. is cleaned with antiseptic wipes. must not touch any surface. is kept clamped.
must not touch any surface.
Fear of the slightest uncleanliness is mysophobia. aquaphobia. claustrophobia. nyctophobia.
mysophobia.
Constrict means to reduce blood flow. expand or open wider. narrow. increase blood flow.
narrow.
An oxygen administration device has two prongs that insert into the nostrils. This device is a oxygen flow mask. simple face mask. nasal cannula. nasal mask.
nasal cannula.
Signs and symptoms of fecal impaction include (Select all that apply.) chills. nausea. cramping. confusion.
nausea. cramping. confusion.
A resident's call light goes unanswered. His son finds the person lying on sheets soaked with urine. This is physical abuse. malpractice. emotional abuse. neglect.
neglect.
Urine is formed in the bladder. nephrons. penis. urethra.
nephrons.
To prevent defamation make false statements about anyone. cause a patient physical harm. report abuse or neglect. tell the truth.
never make false statements about anyone.
Before collecting a random urine specimen no special measures are needed. obtain a bucket of ice. put on sterile gloves. clean the penis or perineal area with towelettes.
no special measures are needed.
For a bed to wheelchair transfer, the person needs to wear slippers. socks. panty hose. non-skid footwear.
non-skid footwear.
When ambulating, a person needs to wear non-skid shoes. whatever the person chooses. athletic shoes. slippers.
non-skid shoes.
Aging is considered to be a disability. a disease. normal. preventable.
normal.
A person has a nasogastric tube. To prevent the tube from irritating the nose, the tube is secured to the face. ear. mouth. nose.
nose.
You see a stranger in the agency. You should notify the nurse at once. leave the building at once. tell another nursing assistant. ask the stranger to leave.
notify the nurse at once.
LPNs/LVNs may be supervised by all of the following except RN. licensed dentist. licensed doctor. nursing assistant.
nursing assistant.
You are not responsible for oxygen therapy because a doctor's order is needed. nursing assistants do not give drugs. oxygen is a fire hazard. it is not part of your training.
nursing assistants do not give drugs.
OBRA requires training and a competency evaluation for nursing assistants working in hospices. nursing centers. doctors' offices. hospital acute-care units.
nursing centers.
The method nurses use to plan and deliver nursing care is the nursing diagnosis. nursing care plan. nursing process. nursing intervention.
nursing process.
A nurse can delegate responsibilities. nursing tasks. accountability. the Five Rights of Delegation.
nursing tasks.
Information that you can see, hear, feel, or smell is assessment. subjective data. objective data. observation.
objective data.
Listening involves using communication boards. using communication barriers. observing the person's nonverbal communication. leaning back with your arms crossed.
observing the person's nonverbal communication.
Schizophrenia involves the following except psychosis and thought disorders. delusions and hallucinations. delusions of grandeur and delusions of persecution. obsessive-compulsive behaviors and severe mood swings
obsessive-compulsive behaviors and severe mood swings
Blood that cannot be seen in a specimen is melena. glucosuria. occult blood. calculi.
occult blood.
Sometimes blood in the urine is unseen. Blood that is unseen is hematuria. reagent. random. occult.
occult.
Persons with AD may have abnormal sexual behaviors. The behaviors are abnormal because of how and when they occur. persons with AD cannot perform sexually. they are at high risk for STDs. persons with AD do not have sexual needs.
of how and when they occur.
Falls are the main cause of injuries in toddlers. older adults. adolescents. school-age children.
older adults.
Rehabilitation often takes longer for teenagers. older persons. young adults. middle-aged adults.
older persons.
A person has had no urine output in 24 hours. The person has nocturia. hematuria. oliguria. polyuria.
oliguria.
Someone who supports or promotes the needs and interests of another person in the long-term care setting is known as a/an surveyor. director of nursing. ombudsman. representative.
ombudsman.
A female resident is obese. She is at risk for pressure injuries in the following areas except under her breasts. between abdominal folds. on her forehead and chin. between her legs and buttocks.
on her forehead and chin.
A person has an IV. When putting the clean gown on, you first put the clean gown on the arm with the IV. so the ties are in the front. on the arm without the IV. over the person's head.
on the arm with the IV.
The patient's activity limits and allowed activities are detailed in the nurse manager's office. in the dining room. on the physical therapy bulletin board. on the assignment sheet.
on the assignment sheet.
Circulatory ulcers often occur on the arms and hands. where skin is in contact with skin. on the buttocks. on the legs and feet.
on the legs and feet.
When helping a person stand, you should be on the person's strong side. on the person's weak side. in front of the person. in back of the person.
on the person's weak side.
The adrenal glands are located next to the thyroid glands. behind the eyes. in the neck. on top of each kidney.
on top of each kidney.
A resident has a beard. His beard is trimmed weekly. only with his consent. when the nurse thinks it is too long. daily.
only with his consent.
Before meals, you should help the patient with hair combing. oral hygiene. showering. dressing.
oral hygiene.
Persons with feeding tubes need frequent oral hygiene. perineal care. oral fluids. catheter care.
oral hygiene.
A person is receiving oxygen. When measuring temperature, you cannot use the oral site. rectal site. temporal artery site. tympanic membrane site.
oral site.
A person is unconscious. When measuring temperature, you cannot use the rectal site. oral site. tympanic membrane site. axillary site.
oral site.
person has a naso-gastric tube. When measuring temperature, you cannot use the rectal site. tympanic membrane site. oral site. axillary site.
oral site.
Residents of long-term care centers are informed of their rights orally and in writing. after they are admitted to the nursing center. only if the resident asks to receive information. by the doctor.
orally and in writing.
Groups of tissues with the same function form systems. mitosis. chromosomes. organs.
organs.
In men, the following occur with aging except erections are lost quickly. the phase between erection and orgasm is longer. orgasm is longer and more forceful. an erection takes longer.
orgasm is longer and more forceful.
A person can breathe deeply and comfortably only when sitting. This is bradypnea. dyspnea. orthopnea. apnea.
orthopnea.
Sitting up and leaning over a table to breathe is Fowler's position. orthopneic position. hypoxic position. semi-Fowler's position.
orthopneic position.
You are assisting a patient with deep-breathing and coughing exercises. For these exercises, the person can be positioned in the following ways except Fowler's position. sitting on the side of the bed. orthopneic position. semi-Fowler's position.
orthopneic position.
If a pressure injury is over a bony prominence, the person is at risk for osteomyelitis. diabetes. bruising. fractured bones.
osteomyelitis.
Female sex cells are called estrogen. progesterone. ova. labia.
ova.
The female gonads are called ovaries. testicles. fallopian tubes. testes.
ovaries
Pressure injuries usually occur on the hands and feet. over bony prominences. on the arms and legs. on the buttocks.
over bony prominences.
A drawsheet is placed on the pillow. on the mattress pad. over the bottom sheet. over the blanket.
over the bottom sheet.
Small amounts of urine leak from a bladder that is always full. This is functional incontinence. mixed incontinence. over-flow incontinence. stress incontinence.
over-flow incontinence.
An example of unhealthy coping is wanting to be alone. overeating. taking a hot bath. exercising.
overeating.
The process of releasing a female sex cell is called lactation. ovulation. menstruation. fertilization.
ovulation.
he suffix -plegia means speaking. sagging. paralysis. swallowing.
paralysis.
Constipation is prolonged retention and accumulation of feces in the rectum. inability to control the passage of feces and gas through the anus. passage of a hard, dry stool. frequent passage of liquid stools.
passage of a hard, dry stool.
When drying a person, you should use long, firm strokes. pat dry. rub vigorously. use circular motions.
pat dry.
Disinfection destroys pathogens. bacteria. all microbes. non-pathogens.
pathogens.
You need which information from the nurse before moving a patient except patient's physical abilities. patient's ability to follow directions. patient's height and weight. patient's age.
patient's age.
Persons receiving care in hospitals are called individuals. patients. clients. residents.
patients.
Infestation with winged insects is nits. dandruff. corporis. pediculosis.
pediculosis.
To measure food intake, you need to understand Spanish. percents. multiplication. English.
percents.
Chyme moves through the small intestine by digestion. gravity. the blood. peristalsis.
peristalsis.
Food is moved down the esophagus by peristalsis. gravity. the blood. digestion.
peristalsis.
The key team member of the rehabilitation team is the person. doctor. nurse. family.
person.
Resident units must be as _________ as possible. colorful cold personal sterile
personal
Persons at risk for entrapment within the hospital bed system include the following except persons who are older. persons who are ambulatory, alert, and oriented. persons with poor muscle control. persons who are restrained.
persons who are ambulatory, alert, and oriented.
A person with an amputated leg still feels pain in the leg that is not there. This type of pain is called radiating pain. phantom pain. chronic pain. acute pain.
phantom pain.
During swallowing, the tongue pushes food into the pancreas. esophagus. pharynx. stomach.
pharynx.
A nursing assistant pinches and pushes a patient. This is physical abuse. malpractice. neglect. negligence.
physical abuse.
The nursing team involves the following except nursing assistants. physicians. LPNs. RNs.
physicians.
Growth hormone is secreted by the adrenal glands. pituitary gland. parathyroid glands. thyroid gland.
pituitary gland.
The master gland of the body is the pancreas. thyroid gland. adrenal medulla. pituitary gland.
pituitary gland.
A suffix is the main part of the word. a shortened form of a word or phrase. placed at the beginning of a word. placed at the end of a word.
placed at the end of a word.
After collecting a sputum specimen, the container is washed and dried. labeled. placed in a plastic bag. weighed.
placed in a plastic bag.
Bending the foot down at the ankle is supination. plantar flexion. pronation. dorsiflexion.
plantar flexion.
The doctor ordered a foot-board for a resident. The foot-board prevents plantar flexion. contractures of the thumb, fingers, and wrist. the mattress from sagging. the hips and legs from external rotation.
plantar flexion.
The part of the blood that is mostly water is hemoglobin. white blood cells. plasma. red blood cells.
plasma.
Each lung is covered by a two-layered sac called the bronchus. alveoli. bronchiole. pleura.
pleura.
A resident is on aspiration precautions. When the person is done eating, you need to check his mouth for pocketing. food stains. the need for oral hygiene. gum disease.
pocketing.
A person learning to feed himself is becoming frustrated. To provide emotional support, you should (Select all that apply.) point out the progress he or she has made. not rush the person. ask if you can feed him or her this time. correct his or her actions.
point out the progress he or she has made. not rush the person.
Regulatory bodies require that agencies have __________ for restraint use. risks documentation policies and procedures discipline
policies and procedures
Abnormally large amounts of urine is called dysuria. nocturia. polyuria. oliguria.
polyuria.
Nail care helps prevent the following except hangnails. nails torn away from the skin. ingrown nails. poor circulation.
poor circulation.
Use pillows and ________ devices when moving a person. positioning friction shearing contracture
positioning
You just finished a cigarette. Before going to a patient or resident, you must put on clean gloves. change your uniform. leave your smoking materials at the nurses' station. practice hand-washing.
practice hand-washing.
The following are signs and symptoms of orthostatic hypotension except ! pressure injuries. a drop in blood pressure. dizziness and weakness. spots before the eyes.
pressure injuries.
Perineal care does the following except prevent odors. prevent infection. promote comfort. prevent burns.
prevent burns.
Binders do the following except prevent infection. hold dressings in place. support wounds. prevent injury.
prevent infection.
Heat applications do the following except relax muscles. reduce tissue swelling. prevent infection. promote healing.
prevent infection.
A nursing center resident has a progressive disability. The goal of rehabilitation is to prevent unnecessary decline in function. improve function to pre-disability level. accept and promote dependence. prevent further loss of function.
prevent unnecessary decline in function.
A clean, dry, wrinkle-free bed does the following except helps prevent skin breakdown. prevents incontinence. increases the person's comfort. helps prevent pressure injuries.
prevents incontinence.
An RN is responsible for the person's total care. This is called primary nursing. team nursing. functional nursing. patient-focused care.
primary nursing.
The person's area of the room, or unit, is considered home-like. private. working space. public space.
private.
During rehabilitation, persons need to be reminded of their limits. strengths and weaknesses. progress. disabilities.
progress.
Fecal impaction is frequent passage of liquid stools. prolonged retention and buildup of feces in the rectum. inability to control the passage of feces and gas through the anus. passage of a hard, dry stool.
prolonged retention and buildup of feces in the rectum.
Heat applications decrease blood flow. promote healing. reduce bleeding. numb the skin.
promote healing.
Grooming measures do the following except prevent infection. affect self-esteem needs. promote comfort. promote safety.
promote safety.
Oral hygiene does the following except reduces the risk for cavities and periodontal disease. promotes the buildup of plaque and tartar. increases comfort. makes food taste better.
promotes the buildup of plaque and tartar.
Sleep is needed for the following except regaining energy and mental alertness. lowering stress and tension. tissue healing and repair. promoting muscle activity.
promoting muscle activity.
Bedrest places the person at risk for the following except muscle atrophy. pronation. blood clots. contractures.
pronation.
Men may have difficulty urinating because the kidneys atrophy. urethra loses tone. bladder increases in size. prostate gland enlarges.
prostate gland enlarges.
The immune system functions to regulate body activities. eliminate waste. protect the body against disease and infection. regulate water and sodium balance.
protect the body against disease and infection
White blood cells protect the body against infection. are needed for clotting. carry oxygen and carbon dioxide. produce heat.
protect the body against infection.
Bath water temperature is measured to record it in the person's medical record. prevent skin breakdown. protect the person from burns. see how much water is in the tub or basin.
protect the person from burns.
Bed rail covers and gap protectors protect the person from entrapment. are restraints. are never used with restraints. protect the person from wandering.
protect the person from entrapment.
During the survey process your role is to discourage the family members from speaking to a surveyor. hide in the supply room so that the surveyors can speak only to nurses. protect the person's rights. guess at any answer you do not know
protect the person's rights.
When assisting with rehabilitation, you must always do what the person wants. show pity and sympathy. apply assistive devices. protect the person's rights.
protect the person's rights.
Goggles and face shields protect your mouth, eyes, and nose. are worn for all tasks. are cleaned for re-use. are worn only when blood is present.
protect your mouth, eyes, and nose.
The cerebrospinal fluid controls movement and balance. conducts messages to and from the brain. controls thought and intelligence. protects the brain and spinal cord.
protects the brain and spinal cord.
Restorative nursing care does the following except prevent unnecessary decline in function. help the person maintain the highest level of function. provide all ADLs for the person. focus on the whole person.
provide all ADLs for the person.
The goal of the health team is to develop care plans for patients and residents. follow agency policies and procedures. carry out the doctor's orders. provide quality care.
provide quality care.
An assisted living residence (ALR) is for persons with chronic mental illness. is for persons with terminal illnesses. provides complex, on-going rehabilitation. provides three meals a day and 24-hour supervision.
provides three meals a day and 24-hour supervision.
The following measures promote sleep except providing coffee or wine at bedtime. providing clean, dry, wrinkle-free linens. providing a comfortable room temperature. following bedtime rituals.
providing coffee or wine at bedtime.
You can reduce hospital and nursing center noise by doing the following except handling equipment carefully. providing drapes and carpets that absorb noise. answering phones, call lights, and intercoms promptly. reporting equipment with squeaky wheels.
providing drapes and carpets that absorb noise.
A person has diarrhea. When measuring temperature, you cannot use the temporal artery site. oral site. rectal site. tympanic membrane site.
rectal site.
A person has heart disease. When measuring temperature, you cannot use the axillary site. tympanic membrane site. oral site. rectal site.
rectal site.
When heat is applied, the skin is pale and cool. bluish in color. blistered. red and warm.
red and warm.
A rectal thermometer is color-coded in red. blue. yellow. green.
red.
The purpose of cleaning is to reduce the number of microbes present. produce a sterile field. destroy all pathogens and non-pathogens. make disposable items re-usable.
reduce the number of microbes present.
The loss of urine at predictable intervals when the bladder is full is stress incontinence. over-flow incontinence. urinary incontinence. reflex incontinence.
reflex incontinence.
You could lose your job for the following reasons except neglecting a patient or resident. violating any agency policy. giving false information on your job application. refusing to accept a delegated task that is not in your job description.
refusing to accept a delegated task that is not in your job description.
The focus of the rehabilitation team is on regaining function and independence. providing support and encouragement. creating the plan of care. setting goals.
regaining function and independence.
Before shampooing a patient's hair, you should trim the hair. place a shower cap on the patient's head. remove snarls and tangles from the hair. pat the hair dry with a clean towel.
remove snarls and tangles from the hair.
Your gloves are contaminated. You need to touch a clean surface. You should remove the gloves and decontaminate your hands. ask the nurse what to do. wash your gloved hands. complete necessary care and remove the gloves.
remove the gloves and decontaminate your hands.
You tear a glove while performing a task. You should remove the gloves, practice hand hygiene, and put on a new pair. ask the nurse what to do. remove the glove and put on a new one. complete the task before removing the gloves.
remove the gloves, practice hand hygiene, and put on a new pair.
A person has an IV. When changing the person's gown, you first remove the IV. remove the gown from the arm with no IV. ask the person what he or she wants to wear. remove the gown from the arm with the IV.
remove the gown from the arm with no IV.
The digestive system maintains the body's water balance. removes waste products from the blood. removes solid wastes from the body. protects the body against disease.
removes solid wastes from the body.
The urinary system removes waste products from the blood. rids the body of carbon dioxide. rids the body of solid wastes. produces sweat.
removes waste products from the blood.
After taking a message, you should put the caller "on hold." transfer the caller. lay the phone down. repeat the message and phone number back to the caller.
repeat the message and phone number back to the caller.
A person has AD. Sometimes the person has repetitive behaviors. This means that the person does things that are harmful. repeats things the person said and did during childhood. does everything twice. repeats the same motion or word over and over again.
repeats the same motion or word over and over again.
As a nursing assistant, you can give drugs and insert tubes into body openings. take verbal or phone orders from doctors. discuss the person's diagnosis with the family. report changes in the person's condition to the nurse.
report changes in the person's condition to the nurse.
A patient's family member asks you for the laboratory results of their mother. You show them the results but not mention them out loud. refer them to the doctor. make a photocopy of the laboratory results for the family member. report their request to the nurse.
report their request to the nurse.
You are reporting to the nurse. You should do the following except report what co-workers did. give report before leaving the unit. be prompt, thorough, and accurate. give the person's name and room and bed number
report what co-workers did
To show the nurse you are accountable, you should complete your charting while on break. report when you complete a task. not call out sick. lie to the nurse if you weren't able to complete a task.
report when you complete a task.
Persons living in long-term care centers are called residents. clients. individuals. patients.
residents
Treating a person with dignity at all times is cheerfulness. consideration. respectfulness. empathy.
respectfulness.
Breathing air into (inhalation) and out of (exhalation) the lungs is basic need. respiration. respiratory rate. breathing.
respiration.
The process of supplying the cells with oxygen and removing carbon dioxide from them is respiration. circulation. expiration. inhalation.
respiration.
The following are reported to the nurse except behavior and personality changes. respirations that are quiet, effortless, and regular. cyanosis. increased rate and depth of respirations.
respirations that are quiet, effortless, and regular.
The following prevent contractures and pressure injuries except range-of-motion exercises. good alignment. rest and immobility. turning and re-positioning.
rest and immobility.
Early signs of hypoxia are nausea and vomiting. restlessness, dizziness, and disorientation. sitting and leaning forward to breathe. cyanosis, dyspnea, and increased pulse rate.
restlessness, dizziness, and disorientation.
Nerve fibers of the optic nerve are found in the cornea. iris. retina. sclera.
retina.
A male resident is not circumcised. When giving perineal care, you need to use firm, upward strokes. separate the labia. start at the rectum. retract the foreskin.
retract the foreskin.
A male resident is not circumcised. After cleaning his penis, you should clean the rectal area. release the labia. return the foreskin to its natural position. lower his legs.
return the foreskin to its natural position.
If you do not function with skill and safety, you can have your certification (Select all that apply.) revoked. denied. destroyed. suspended.
revoked denied suspended
Respirations usually are counted right before measuring blood pressure. right after measuring blood pressure. right after taking the temperature. right after taking the pulse.
right after taking the pulse.
Wet, damp, or soiled linens are changed each shift. right away. after the shower or bath. after meals.
right away.
An example of a resident's right is right to a job. right to elope. right to information. right to select his or her roommate.
right to information.
A person with otitis media is complaining of tinnitus. The person is experiencing earwax. ringing in the ears. hearing loss. dizziness.
ringing in the ears.
Oral care before collecting a sputum specimen involves brushing teeth. rinsing with water. flossing. using mouthwash.
rinsing with water.
You are going to apply a condom catheter. The catheter is inserted into the urethra. rolled onto the penis. applied in a spiral fashion around the penis. secured with adhesive tape
rolled onto the penis.
When washing your hands, you clean your fingernails by the following except using an orange stick. rubbing the fingertips against your palms. using a nail file. running water under them.
running water under them.
According to CMS, the most common site for a pressure injury is sacrum. scapula. heel. hip.
sacrum.
Signs and symptoms of delirium include the following except euphoria and irritability. changes in sensation and awareness. agitation and confusion. sadness and withdrawal.
sadness and withdrawal.
A person body retains water when he or she eats a diet high in salt. vitamin C. sugar. potassium.
salt.
You are going to feed a resident. You need to do the following except say a prayer with the person. check the meal against the dietary card. sit so that you face the person. engage the person in pleasant conversation.
say a prayer with the person.
Pediculosis capitis is an infestation with lice on the pubic hair. scalp. buttocks. body.
scalp.
When brushing hair that is not matted or tangled, you start at the hair ends. scalp. forehead. back of the head.
scalp.
When giving nail care, use the following except nail clippers. emery board. orangewood stick or nail file. scissors.
scissors.
The white of the eye is the pupil. cornea. iris. sclera.
sclera.
To secure a catheter on a female loop the tubing around the ankle. tie it to the gown strings. secure it to the bottom linens with a bed sheet clamp. secure it to the blanket with a safety pin.
secure it to the bottom linens with a bed sheet clamp.
A hallucination is a false belief. a state of temporary but acute mental confusion. seeing, hearing, smelling, or feeling something that is not real. a false disorder of the mind.
seeing, hearing, smelling, or feeling something that is not real.
A hallucination is an exaggerated belief. seeing, hearing, smelling, or feeling something that is not real. a persistent thought or idea. a false belief.
seeing, hearing, smelling, or feeling something that is not real.
Rehabilitation starts when the person seeks health care. seeks hospital care. is in an assisted living residence. is admitted to a nursing center.
seeks health care.
Experiencing one's potential is called self-esteem. holism. esteem. self-actualization.
self-actualization.
Understanding your feelings, strengths, and weaknesses is trustworthiness. self-awareness. consideration. conscientiousness.
self-awareness.
A resident wants his meals served before anyone else. The person calls for the nursing assistants when he sees them helping others. The person's behavior is best described as self-centered. demanding. angry. aggressive.
self-centered.
Expressive aphasia relates to problems with using the muscles needed for speech. understanding language. thinking and reasoning. sending out thoughts.
sending out thoughts.
When giving a complete bed bath, you need to use a sponge. towelettes. several washcloths. swabs.
several washcloths.
To control the spread of microbes, do the following except practice hand hygiene. clean from the cleanest area to the dirtiest. shake linens and equipment to remove dust. clean tubs, showers, and shower chairs after each us
shake linens and equipment to remove dust.
When shaving the face and underarms shave in the direction of hair growth. shave from right to left. shave in the direction opposite hair growth. shave from left to right.
shave in the direction of hair growth.
When a resident slides down in bed, the person's skin sticks to the bed while her muscles move down. This is logrolling. shearing. friction. ergonomics.
shearing.
When logrolling a patient away from you, you shift your weight from your rear leg to your front leg. stand with the feet splayed. place a pillow under the knees. pull the person toward you gently.
shift your weight from your rear leg to your front leg.
Perfumes, colognes, and after-shave lotions must be approved by the agency. should not be worn. must be a light fragrance. should prevent body odors.
should not be worn.
For effective verbal communication, do the following except shout so the person can hear you. speak clearly and slowly. ask one question at a time. repeat information as needed.
shout so the person can hear you.
A patient has a hearing loss. To communicate with the person, do the following except shout when talking to the person. state the topic of conversation first. use simple words and short sentences. keep conversations and discussions short.
shout when talking to the person.
A resident gets her hair done in the beauty shop. During her shower, her hair is protected with a towel. shower cap. hand-held nozzle. bath blanket.
shower cap.
To dangle means to sit on the side of the bed. be transferred to a stretcher. hang in the air. use a mechanical lift.
sit on the side of the bed.
A person is in a wheelchair. When communicating with the person you should sit or squat to talk to the person. look over the person's head. pat the person on the head. lean on the wheelchair.
sit or squat to talk to the person.
Unless otherwise ordered, vital signs are taken with the person lying down only. sitting only. sitting or standing. sitting or lying down.
sitting or lying down.
A person with breathing difficulty is in the orthopneic position. This means the person is lying on his or her side. lying flat on his or her back. sitting up and leaning over a table. sitting with the head of the bed at 90 degrees.
sitting up and leaning over a table.
A person has diarrhea. Liquid feces and frequent wiping can lead to dehydration. oliguria. death. skin breakdown.
skin breakdown.
Derma means tongue. stone. water. skin.
skin.
When recording, you should do the following except skip lines. use correct spelling, grammar, and punctuation. record only what you did yourself. write neatly.
skip lines.
Insomnia includes the following except sleepwalking. being unable to stay asleep. being unable to fall asleep. waking early and being unable to fall back asleep.
sleepwalking.
Orthostatic hypotension is prevented by preventing contractures. counting the pulse and respirations. measuring blood pressure. slowly changing positions.
slowly changing positions.
Most food absorption occurs in the small intestine. liver. stomach. large intestine.
small intestine.
Olig means without, not, lack of. many, much. half. small, scant.
small, scant.
If a person complains of pain during ROM on the knee, you should extend the knee. stop and tell the nurse. flex the knee. perform ROM slower.
stop and tell the nurse.
The type of catheter that drains the bladder and then is removed is called a straight catheter. condom catheter. Foley catheter. suprapubic catheter.
straight catheter.
Extension is bending the toes and foot up at the ankle. rotating the foot in a circular motion. straightening a body part. bending a body part.
straightening a body part.
Restraints that are too big or too loose could cause nerve injuries. strangulation. anger and mistrust. confusion.
strangulation.
The type of incontinence often associated with laughing, sneezing, or coughing is called stress incontinence. functional incontinence. urge incontinence. over-flow incontinence.
stress incontinence.
Urine leaks during exercise and certain movements that cause pressure on the bladder. This is over-flow incontinence. reflex incontinence. urge incontinence. stress incontinence.
stress incontinence.
Symptoms are subjective data. objective data. seen, felt, touched, or heard. observed.
subjective data.
A disaster is a rare occurrence. something that occurs in countries other than America. preventable event. sudden catastrophic event.
sudden catastrophic event.
Accident risk factors include the following except suffocation, electrical shock, and disasters. impaired vision, hearing, and smell. coma, confusion and disorientation, and aging. impaired touch, impaired mobility, and drugs.
suffocation, electrical shock, and disasters.
Glucosuria means difficult or painful urination. blood in the urine. a scant amount of urine. sugar in the urine.
sugar in the urine.
Exposure to suicidal behaviors within one's family, one's peer group, or media reports of suicide is known as suicide. suicide contagion. tolerance. impulsiveness.
suicide contagion.
A resident has a cataract in his left eye. The only treatment is an artificial eye. surgery. drug therapy. corrective lenses.
surgery.
Cataracts are treated with medication. surgery. corrective lenses. nothing.
surgery.
The suffix -phagia means disease. the study of. swallowing. destruction of.
swallowing.
Gluc(o) means water. stone. intestine. sweetness.
sweetness.
The period of heart muscle contraction is diastole. tachycardia. systole. bradycardia.
systole.
Respirations are more than 20 per minute. This is bradypnea. tachypnea. dyspnea. apnea.
tachypnea.
A patient uses crutches. You do the following except have the person wear street shoes with non-skid soles. teach the person how to use them. make sure the bolts are tight. check the crutch tips to see if they are worn down or wet.
teach the person how to use them.
You are feeding a patient. You need to serve foods with a knife. teaspoon. straw. fork.
teaspoon.
Before leaving the unit for a break, you need to turn off your pager. tell the nurse. turn off the computer. use the restroom.
tell the nurse.
If a person mentions or talks about suicide, do the following except tell the person not to talk that way. stay with the person. take the person seriously. call for the nurse at once.
tell the person not to talk that way.
A resident is comatose. Before performing care tell the person your name. call the physician. consult with the family. ask another nursing assistant for help.
tell the person your name.
An enema is a cone-shaped, solid drug inserted into a body opening. the introduction of fluid into the rectum and lower colon. the excessive loss of water from tissues. gas or air in the stomach or intestines.
the introduction of fluid into the rectum and lower colon.
Muscles are connected to bones by tendons. ligaments. joints. cartilage.
tendons.
Sperm cells are produced in the scrotum. ovaries. prostate gland. testes
testes
The male hormone is progesterone. testosterone. vas deferens. estrogen.
testosterone.
Sterile means the absence of all microbes. the process of destroying all microbes. the practices that keep equipment and supplies free of all microbes. a work area free of non-pathogen
the absence of all microbes.
Activities of daily living refer to exercises practiced to regain strength and mobility. the activities usually done during a normal day in a person's life. the self-help skills learned in therapy. the activities needed to live and work in one's own home.
the activities usually done during a normal day in a person's life.
Base of support is ergonomics. posture. the way the head, trunk, arms, and legs are aligned with one another. the area on which on object rests.
the area on which on object rests.
Elastic bandages are applied to the hands. the abdomen. the feet. the arms and legs.
the arms and legs.
Regurgitation is a decrease in the amount of water in body tissues. difficulty swallowing. the swelling of body tissues with water. the backward flow of food from the stomach into the mouth.
the backward flow of food from the stomach into the mouth.
A patient has a catheter. When the person is in bed, you attach the drainage bag to the back of a chair. the bed frame. the bed rail. an IV bag.
the bed frame.
A person is positioned in Sims' position. For good alignment the head of the bed is raised 30 degrees. the head of the bed is raised 60 degrees. the bed is flat. the head of the bed is raised and the foot of the bed is lowered.
the bed is flat.
Red blood cells, white blood cells, and platelets are formed by the bone marrow. hemoglobin. the valves. the heart.
the bone marrow.
When placing a blood pressure cuff, the arrow should be aligned with the brachial artery. the thumb. the elbow. the antecubital fossa.
the brachial artery.
Geriatrics is the study of the aging process. the care of aging people. age-related far-sightedness. the physical changes that occur with aging.
the care of aging people.
The brainstem contains the following structures except the cerebral cortex. the medulla. the midbrain. the pons.
the cerebral cortex.
To empty an ostomy pouch the drain at the top is opened. the drain at the bottom is opened. the belt is removed. the pouch is removed.
the drain at the bottom is opened.
Flatulence is gas or air passed through the anus. a black, tarry stool. excreted feces. the excessive formation of gas or air in the stomach and intestines.
the excessive formation of gas or air in the stomach and intestines.
Communication is the medical record. the verbal account of care and observations. the written account of care and observations. the exchange of information.
the exchange of information.
The amount of oxygen given is oxygen concentration. the flow rate. oxygen percent. oxygen administration.
the flow rate.
Footdrop is bending a body part. straightening a body part. a toe-up motion of the foot at the ankle. the foot falling down at the ankle.
the foot falling down at the ankle.
A calorie is the fuel or energy value of food. a container used to measure fluid. a substance that is ingested, digested, absorbed, and used by the body. how a serving fits into the daily diet.
the fuel or energy value of food.
The bottom sheet is placed on the bed correctly if the hem-stitching is down. the top edge is even with the top of the mattress. the hem-stitching is up. it completely covers the plastic drawsheet.
the hem-stitching is down.
The doctor ordered trochanter rolls for a patient. Trochanter rolls prevent contractures of the thumb, fingers, and wrist. the hips and legs from external rotation. plantar flexion. the mattress from sagging.
the hips and legs from external rotation.
As a nursing assistant, you are part of the board of trustees. the prospective payment system. the interdisciplinary health care team. the case management team.
the interdisciplinary health care team.
A contracture is a drop in blood pressure when the person stands. the loss of muscle strength as a result of inactivity. the lack of joint mobility caused by abnormal shortening of a muscle. a decrease in size or wasting away of tissue.
the lack of joint mobility caused by abnormal shortening of a muscle.
The side-lying position is Fowler's position. the supine position. the lateral position. Sims' position.
the lateral position.
Dementia is the loss of cognitive function that interferes with routine personal, social, and occupational activities. a false belief. a state of temporary but acute mental confusion. a false disorder of the mind.
the loss of cognitive function that interferes with routine personal, social, and occupational activities.
To use a transfer belt correctly, you need to follow the doctor's orders. the manufacturer's instructions. the care plan. the person's preferences.
the manufacturer's instructions.
Mental relates to stress. knowledge. personality. the mind.
the mind
Taking temperatures is delegated to you. The nurse and care plan tell you the following except what thermometer to use. the normal range for the site used. when to take temperatures. what site to use.
the normal range for the site used.
Flow rate is the number of drops per minute. the amount of fluid lost. a measuring container for fluid. the IV pump's alarm.
the number of drops per minute.
You can share information about a patient or resident with the family. housekeeping staff. the nurse supervising your work. visitors.
the nurse supervising your work.
An example of a statement that displays a bad attitude is the nursing assistant who states "I'm sorry. I can't help you right now, but I can in 20 minutes when I finish this bath." the nursing assistant who says "I can't, I'm too busy." the nursing assistant who asks "Would you be able to assist me with a bath within the next 30 minutes?" the RN who states "I really appreciate your help today."
the nursing assistant who says "I can't, I'm too busy."
Double-bagging is needed when the inside of the bag is soiled. droplet or contact precautions are used. Transmission-Based Precautions are ordered. the outside of the bag is soiled.
the outside of the bag is soiled.
A sitz bath involves a knee and hip. the perineal and rectal areas. a foot and ankle. a hand and wrist.
the perineal and rectal areas.
A secured unit is appropriate for a person with AD when the person has severe AD. the person cannot sit or walk. the person exhibits aggressive behavior. wandering is not a concern.
the person exhibits aggressive behavior.
To prevent shampoo from getting into the person's eyes the person holds a washcloth over the eyes. the hair is rinsed thoroughly. the person is shampooed at the sink or on a stretcher. a hand-held nozzle is used.
the person holds a washcloth over the eyes.
Full visual privacy means that the room door is closed. the person is completely free from public view while in bed. the privacy curtain is drawn. windows and shades are adjusted.
the person is completely free from public view while in bed.
A fracture pan is used for the following reasons except the person has limited back motion. the person is incontinent. the person is in traction. the person had hip replacement surgery.
the person is incontinent.
A stand-pivot transfer is used if the person requests it. a mechanical lift is not available. the person is not able to assist. the person is strong enough, cooperative, and can assist.
the person is strong enough, cooperative, and can assist.
Shearing occurs when the person has unrelieved pressure on a bony prominence. the person slides down in the bed or chair. skin is irritated by urine or feces. the person is left in a wet diaper.
the person slides down in the bed or chair.
A resident is set up to give herself a partial bath. Before leaving the room, you must make sure that the person's call light is within reach. the person's wheelchair wheels are locked. the person is wearing her eyeglasses and hearing aid. the person can reach all body parts
the person's call light is within reach.
Lighting in patient and resident rooms is adjusted to meet your needs. the needs of the health team. the nurse's needs. the person's needs.
the person's needs.
When transferring a person the side closest to you moves first. the person's right side moves first. the person's weak side moves first. the person's strong side moves first.
the person's strong side moves first.
A patient has AD. The person often screams a word in a foreign language. You know that screaming is the person's way of communicating. an agitated behavior. an aggressive behavior. a restless behavior.
the person's way of communicating.
Growth is the physical changes that are measured and that occur in a steady and orderly manner. changes in mental, emotional, and social function. the development of social and physical skills. a skill that must be completed.
the physical changes that are measured and that occur in a steady and orderly manner.
Sexuality is the physical, emotional, social, cultural, and spiritual factors that affect feelings and attitudes about sex. the physical activities involving reproductive organs. who a person is attracted to. preferred sexual practices.
the physical, emotional, social, cultural, and spiritual factors that affect feelings and attitudes about sex.
Urination is voiding at frequent intervals. the production of abnormally large amounts of urine. the need to void at once. the process of emptying urine from the bladder.
the process of emptying urine from the bladder.
Defecation is passage of a hard, dry stool. prolonged retention and accumulation of feces in the rectum. frequent passage of liquid stools. the process of excreting feces from the rectum through the anus.
the process of excreting feces from the rectum through the anus.
Gavage is the process of giving a tube feeding. difficulty swallowing. the backward flow of food from the stomach into the mouth. the swelling of body tissues with water.
the process of giving a tube feeding.
Rehabilitation is adjusting to a disability. the process of assisting the person to maintain or regain health. the process of restoring the person to his or her highest possible level of function. care that helps persons regain health, strength, and independence.
the process of restoring the person to his or her highest possible level of function.
Nutrition is the processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body. a substance that is ingested, digested, absorbed, and used by the body. how a serving fits into the daily diet. the amount of energy produced when the body burns food.
the processes involved in the ingestion, digestion, absorption, and use of foods and fluids by the body.
Stress is anything that is not pleasant. the factor that causes illness. anxiety, fear, anger, dread, and depression. the response or change in the body caused by any emotional, physical, social, or economic factor.
the response or change in the body caused by any emotional, physical, social, or economic factor.
Stress is not being able to view or interpret reality correctly. the response or change in the body caused by any emotional, physical, social, or economic factor. a state of severe mental impairment. a mental illness or mental disorder.
the response or change in the body caused by any emotional, physical, social, or economic factor.
The Five Rights of Delegation involve the right task, the right circumstances, the right person, the right directions and communication, and the right supervision. the right law, the right job description, the right policies and procedures, the right training, and the right communication and supervision. the right task, the right job description, the right person, the right training, and the right supervision. the right job description, the right task, the right person, the right directions and communication, and the right supervision.
the right task, the right circumstances, the right person, the right directions and communication, and the right supervision.
Before handling a disinfectant, you need to check the amount remaining. the safety data sheet (SDS). your assignment sheet. the person's care plan.
the safety data sheet (SDS).
Portals of exit are personal care items. blood, body fluids, secretions, and excretions. eating and drinking utensils. the same as portals of entry.
the same as portals of entry.
A person has AD. The person's daughter has three children in high school and college. The daughter is likely to find herself in the Baby Boom generation. the sandwich generation. Generation Y. Generation X.
the sandwich generation.
Cognitive function involves the following except judgment and behavior. memory and thinking. reasoning and understanding. the senses and mobility.
the senses and mobility.
A sign that the person is experiencing a complication from heat application is the skin is moist. the skin is pale. the skin is warm. the skin is red.
the skin is pale.
Gerontology is the study of the aging process. the care of aging people. the physical changes that occur with aging. age-related far-sightedness
the study of the aging process.
The back-lying position is the supine position. the prone position. Fowler's position. Sims' position.
the supine position.
The dorsal recumbent position is also called Sims' position. Fowler's position. the prone position. the supine position.
the supine position.
Edema is difficulty swallowing. the swelling of body tissues with water. a decrease in the amount of water in body tissues. the backward flow of food from the stomach into the mouth.
the swelling of body tissues with water.
You can refuse to do a delegated task if you do not like the task. the task is not in your job description. you are too busy. it is the end of your shift and you are ready to go home.
the task is not in your job description.
Body alignment is the way the head, trunk, arms, and legs are aligned with one another. the same as body mechanics. the base of support. ergonomics.
the way the head, trunk, arms, and legs are aligned with one another.
When putting on clothing, clothing is put on the strong side first. in the order directed by the nurse. the weak side first. in the order the person prefers. in the order the person prefers.
the weak side first.
A disability affects the person psychologically. the whole person. the person physically. the person socially.
the whole person.
Older people may be lonely because they are separated from family and friends. they live with adult children. they live in nursing centers. they have contact with people their own age.
they are separated from family and friends.
Verbal communication uses needs. body language. written or spoken words. culture.
written or spoken words.
Large rings are dangerous because patients and residents can pull them off. they can scratch patients and residents. they can damage care equipment. they can fall off and become lost.
they can scratch patients and residents.
After a person uses the commode, the container is hung on the bed rail. thoroughly cleaned and disinfected. discarded and replaced with a new one. placed in the bedside stand
thoroughly cleaned and disinfected.
You are assisting a patient with deep-breathing and coughing exercises. The person needs to exhale through the mouth. through the nose. through a mouthpiece. through pursed lips.
through pursed lips.
You are assisting a patient with deep-breathing and coughing exercises. The person needs to inhale through pursed lips. through the mouth. through a mouthpiece. through the nose
through the nose
Hand grips prevent contractures of the elbow. thumb, fingers, and wrist. fingers and elbow. hands and forearm.
thumb, fingers, and wrist.
When Montgomery ties are used, adhesive strips are removed for the dressing change. adhesive strips are changed daily. ties are undone each time the person uses the bathroom. ties are undone for the dressing change.
ties are undone for the dressing change.
Groups of cells with similar functions combine to form tissues. organs. chromosomes. genes.
tissues.
Lymph is formed in the brain. tissues. muscle. bone.
tissues.
The purpose of a gait belt is to help keep the person's pants up. to keep the person attached to the assistive device. to keep the person from slipping out of the wheelchair. to maintain safety while the person is ambulating.
to maintain safety while the person is ambulating.
Bedrest is ordered for the following reasons except to promote hypotension. to reduce physical activity. to promote healing. to reduce pain.
to promote hypotension.
Restraints are used to protect persons from harming themselves or others. to discipline a person. for staff convenience. to control or prevent a behavior.
to protect persons from harming themselves or others.
The blood pressure cuff is applied under the brachial artery. over the radial artery. to the bare arm. over clothing.
to the bare arm.
Restraint straps are secured to the bed rails. to the foot-board or head-board. to the movable part of the bed frame. within the person's reach.
to the movable part of the bed frame.
When helping a person walk, you walk in front of the person. in back of the person. where the person chooses. to the side and slightly behind the person.
to the side and slightly behind the person.
When greater amounts of alcohol are needed to feel the same effect the person has developed tolerance. addiction. craving. physical dependence.
tolerance.
Catastrophic reactions usually occur from hunger. too many stimuli. lack of sleep. elimination needs.
too many stimuli.
Too little thyroid hormone results in the following except slowed movements. slowed body processes. too much sugar in the blood. weight gain.
too much sugar in the blood.
Nursing education staff supervises dietitians. trains nursing assistants. oversees social workers. manages physicians.
trains nursing assistants.
A resident who uses a wheelchair is encouraged to learn wheelchair dimensions. maintenance. sturdiness. transfers.
transfers.
A stretcher is used to help patients ambulate. transport persons who cannot use wheelchairs. assist patients with toileting. bathe patients.
transport persons who cannot use wheelchairs.
An accident or violent act that injures the skin, mucous membranes, bones, and organs is a wound. shock. inflammation. trauma.
trauma.
Restraints are used to treat medical symptoms. control a behavior. help the staff. punish a person.
treat medical symptoms.
A person is angry and demanding. It is important to always ignore the person's behavior. treat the person with respect and dignity. ask the nurse to talk to the person. keep the person waiting.
treat the person with respect and dignity.
Catheters are used for the following purposes except monitoring hourly urinary output measurements. promoting comfort for persons who are dying. protecting wounds and pressure injuries from urine. treating the cause of incontinence.
treating the cause of incontinence.
A person with a disability needs to adjust physically, psychologically, socially, and economically. True False
true
All persons with AD and other dementias deserve quality care. True False
true
Bulimia involves eating large amounts of food. False True
true
Diabetic retinopathy is a complication of diabetes. True False
true
Disposable contact lenses are discarded daily, weekly, or monthly. False True
true
Doctors prescribe legal drugs. False True
true
Drug addiction is a strong urge or craving to use the substance. False True
true
Long canes with a red tip and dog guides are used worldwide by persons who are blind. False True
true
Proper use of validation therapy requires special training. True False
true
The goal for a prosthesis is to be like the missing body part in function and appearance. False True
true
The person with panic disorder believes he or she is dying. True False
true
person with AD may react to a caregiver or family member by screaming. False True
true
You find a person sleepwalking. You should do the following except gently wake the person. protect the person from injury. guide the person back to bed. turn on the lights.
turn on the lights.
Rotation is turning the joint in any direction. turning the joint inward. turning the joint downward. turning the joint outward.
turning the joint in any direction.
External rotation is turning the joint inward. turning the joint outward. turning the joint downward. turning the joint upward.
turning the joint outward.
When someone changes the subject, it usually means that the person is embarrassed. bored. angry. uncomfortable with the topic.
uncomfortable with the topic.
Child abuse occurs in children under 18 years of age. who no longer live with their parents. only between ages 6 and 15. ages 19 to 24.
under 18 years of age.
Body temperature is measured at the following sites except the tympanic membrane. under the breasts. the temporal artery. the mouth.
under the breasts.
In the prone position, small pillows are placed under the head and shoulders, arms and hands, and lower back. where the person prefers. under the head, abdomen, and lower legs. under the head and neck, under the upper thigh, and against the back.
under the head, abdomen, and lower legs.
Receptive aphasia relates to problems with sending out thoughts. thinking and reasoning. understanding language. using the muscles needed for speech.
understanding language.
Slumped posture means the person is hungry. happy. sleepy. unwell.
unwell.
To floss teeth, the floss is moved up and down. left to right. side to side. right to left
up and down.
Sputum specimen collection is easier after a meal. after activity. upon awakening in the morning. before a meal.
upon awakening in the morning.
A resident is on aspiration precautions. The person eats in bed. To provide for safety during meals, you should position the person in the lateral position. upright position. prone position. Sims' position.
upright position.
Supination is turning the joint outward. upward. inward. downward.
upward.
Semen leaves the body through the prostate gland. testes. urethra. vagina.
urethra.
When giving perineal care, you start at the anus. penis. labia. urethra.
urethra.
The loss of urine in response to a sudden, urgent need to void is over-flow incontinence. stress incontinence. reflex incontinence. urge incontinence.
urge incontinence.
The involuntary loss or leakage of urine is urinary frequency. urinary urgency. urinary incontinence. urge incontinence.
urinary incontinence.
Because of changes in the urinary system, older persons need less fluids. have less urine. have fewer urinary tract infections. urinate more often.
urinate more often.
To maintain the person's unit, do the following except straighten bed linens and towels as often as needed. provide the person with enough tissues and toilet paper. place the over-bed table and bedside stand within the person's reach. use a room deodorizer every 4 hours.
use a room deodorizer every 4 hours.
Impaired cognitive function may affect the patient's ability to digest food. smell food. taste food. use eating utensils.
use eating utensils.
To safely position a person, you should bend from the waist. keep the bed in the lowest horizontal position. use pillows as directed for support and alignment. work with sudden, forceful movements.
use pillows as directed for support and alignment.
To prevent cramping when administering an enema use cold water. give the solution quickly. use the correct water temperature. position the patient in the prone position.
use the correct water temperature.
When there is a fire, do the following except move persons in immediate danger to a safe place. use the elevator. sound the nearest alarm. close doors and windows to confine the fire.
use the elevator.
To identify a patient or resident use the person's clothing. use the identification (ID) bracelet. call the person by name. use the SDS.
use the identification (ID) bracelet.
When speaking to a person with a disability, do the following except use the person's first name. protect the person's privacy. allow the person time to answer you. maintain eye contact.
use the person's first name.
When turning, re-positioning, or transferring a person, you must use a mechanical lift. use a lift sheet. use your body correctly. use a transfer belt.
use your body correctly.
Persons with disabilities often feel the following except unclean. unwhole. useful. unattractive.
useful.
You can reduce friction and shearing by sliding the person. using a friction-reducing device. positioning the person in Fowler's position. using a transfer belt.
using a friction-reducing device.
Effective communication involves the following except using big medical terms even though the person does not know them. giving facts and being specific. respecting the person's rights. respecting the person's religion and culture.
using big medical terms even though the person does not know them.
Professional speech and language include the following except using slang. controlling the loudness of your voice. speaking softly and gently. speaking clearly.
using slang.
Good body mechanics involves the following except using muscles in your shoulders, upper arms, thighs, and hips for work. a wide base of support. good posture and balance. using the muscles in your back and lower arms to lift heavy objects.
using the muscles in your back and lower arms to lift heavy objects.
When using chemical disinfectants, you need to wear sterile gloves. utility gloves. personal protective equipment. a gown, mask, and disposable gloves.
utility gloves.
The urinary system involves the following except the urethra. vagina. kidneys. bladder.
vagina.
In women, the following occur with aging except vaginal walls become fatty. intercourse may be painful. the uterus, vagina, and genitalia shrink. vaginal dryness occurs.
vaginal walls become fatty.
You are walking by a patient room. You hear a nurse shouting at a patient. This is verbal abuse. neglect. a tort. battery.
verbal abuse.
Abdominal thrusts are not used for very obese persons. older persons. very tall persons. persons with heart disease.
very obese persons.
The following are common in persons with schizophrenia except withdrawal socially. violent acts. poor communication. sitting for hours without moving, speaking, or responding.
violent acts.
Temperature, pulse, respirations, and blood pressure are measurements. vital signs. basic needs. observations.
vital signs.
Before you weigh a person, you need to have the person void. put on a robe and shoes. drink a glass of water. have a bowel movement.
void
Prompted voiding means the patient needs to clamp the catheter. ignore voiding habits. resist the strong urge to urinate. void at schedule times.
void at schedule times.
External genitalia in the female are called the labia. vulva. breasts. mammary glands.
vulva.
The urinary system removes sweat. solid wastes. carbon dioxide. waste products from the blood.
waste products from the blood.
During a sitz bath, you need to carefully observe the person for appetite changes. cyanosis at the application site. nausea and vomiting. weakness and faintness.
weakness and faintness.
When a person moves from a lying to sitting position, she may experience orthostatic hypotension. A sign of orthostatic hypotension is (Select all that apply.) nausea. weakness. vomiting. dizziness.
weakness. dizziness.
You have multiple earring piercings. You should plug the holes. wear as many earrings as needed. wear only one set of earrings. limit earrings to the lower ear lobe.
wear only one set of earrings.
The following increase a person's risk for falls except foot problems. wearing eyeglasses a history of falls. muscle weakness.
wearing eyeglasses
To help prevent a person from falling, the person wears shoes without shoelaces. has long shoelaces. wears non-skid footwear. wears loose clothing.
wears non-skid footwear.
You are delegated tasks that involve Transmission-Based Precautions. The nurse needs to tell you when to wash your hands. to keep the call light within reach. how to respect the person's rights. what personal protective equipment to use.
what personal protective equipment to use.
Anyone who reads your charting should know the following except what you did. what you observed. what your co-workers did. the person's response.
what your co-workers did.
Elopement is when a person leaves the agency without staff knowledge. when signs, symptoms, and behaviors of Alzheimer's disease (AD) increase during hours of darkness. when two people get married. the loss of cognitive function that interferes with routine personal, social, and occupational activities.
when a person leaves the agency without staff knowledge.
Suffocation is the loss of memory and thinking and reasoning abilities. when electrical current passes through the body. when breathing stops from lack of oxygen. a sudden event in which people are killed and injured.
when breathing stops from lack of oxygen.
Hand hygiene is practiced in the following situations except before eating. when gloves are on. after contact with blood, body fluids, secretions, or excretions. after elimination.
when gloves are on.
Restraints are used when the health team thinks they are needed. when the nurse thinks they are needed. when less restrictive measures fail to protect the person. to prevent falls
when less restrictive measures fail to protect the person.
Menopause is when menstruation stops. impotence. loss of interest in sexual activity. erectile dysfunction.
when menstruation stops.
Sundowning is when signs, symptoms, and behaviors of Alzheimer's disease (AD) increase during hours of darkness. a false dementia. the loss of cognitive and social function caused by changes in the brain. a state of temporary but acute mental confusion.
when signs, symptoms, and behaviors of Alzheimer's disease (AD) increase during hours of darkness.
Unless otherwise ordered, vital signs should be taken after the person has exercised. when the person is at rest. while the person is standing. when the person is sleeping.
when the person is at rest.
Between-meal snacks are served when the snacks arrive on the nursing unit. 2 hours after main meals. at bedtime. only between breakfast and lunch.
when the snacks arrive on the nursing unit.
High-iron diets are ordered for weight reduction. for gallbladder disease. for heart disease. when there is blood loss.
when there is blood loss.
Before re-positioning a person, you need the following information from the nurse and the care plan except when to change or straighten linens. what observations to report and record. what positioning devices to use. where to place pillows.
when to change or straighten linens.
Before re-positioning a person, you need the following information from the nurse and the care plan except when to wash your hands. position limits ordered by the doctor. how often to turn and re-position the person. what skin care measures and exercises to perform.
when to wash your hands.
Linens are changed every shift. when wet, soiled, or damp. at bedtime. when loose or wrinkled.
when wet, soiled, or damp.
You are charting changes in a person's condition. You also need to chart the following except what you told the nurse about the changes. that you informed the nurse of the changes. the time you reported the changes to the nurse. when you called the doctor about the changes.
when you called the doctor about the changes.
Gloves are easier to put on when your hands are wet. at the start of your shift. when your hands are dry. if you have lotion on your hands.
when your hands are dry.
A resident has incontinence. Dry garments and linens are provided every day. in the morning and at bedtime. every shift. whenever needed.
whenever needed.
Linens are straightened and tightened whenever needed. at bedtime. daily. after the bath or shower.
whenever needed.
Hygiene measures are given only in the morning. only in the evening before bedtime. whenever they are needed. both in the morning and evening.
whenever they are needed.
For effective verbal communication, do the following except face the person. control the tone of your voice. wait for an answer after asking a question. whisper to protect the person's privacy.
whisper to protect the person's privacy.
Another name for the trachea is the windpipe. nose. mouth. alveoli.
windpipe.
You could lose your job for the following reasons except destroying a patient's or resident's property. working when scheduled. using offensive speech and language. having a weapon in the workplace.
working when scheduled.
A hot pack involves a soft pad applied to a body area. wrapping a body part. immersing the body part in water. a dry application.
wrapping a body part.
The competency evaluation required by OBRA involves a licensing examination. written test only. written test and a skills test. skills test only.
written test and a skills test.
When washing your hands, you should stand so that your hands touch the sink. your body touches the sink. your uniform touches the sink. you are away from the sink and not touching any part of it.
you are away from the sink and not touching any part of it.
A transfer belt is snug but not too tight if the person tells you so. you can slide an open, flat hand under the belt. the belt buckle is off center. it causes only mild discomfort.
you can slide an open, flat hand under the belt.
When taking a radial pulse, you need to use your thumb. your ring and little fingertips. a stethoscope. your first 2 or 3 fingertips.
your first 2 or 3 fingertips.
Childcare emergencies are the agency's responsibility. part of your benefits package. your responsibility. your co-workers' responsibility.
your responsibility.
