TEST 3
The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying:
"Please ring me when you are finished and I will empty it for you."
A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation?
"The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."
A patient is undergoing bowel training. The nursing assistant knows that bowel training:
. is used for people with colostomies to ensure a regular pattern.
Choose the observation that should be reported to the nurse STAT.
32 respirations per minute
Which of the following best describes the concept of empathy?
A nursing assistant speaks with a patient about their recent diagnosis of cancer.
Range-of-motion exercises are most important for which type of patient to perform?
A patient with hemiplegia.
Rehabilitation care after any injury should begin when?
As soon as possible.
When applying a jacket restraint to a patient, it is most important to:
Check that the patient can fully expand their chest for breathing.
A nursing assistant watches a nurse teach a client about heart failure. The client has many questions and seems more confused rather than less. Which of the following strategies is best in regard to teaching?
Encourage the client to form more of a discussion with the nurse in order to understand better.
When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:
Encourage the resident to pivot themselves with minimal assistance.
Diabetes is a disease of which primary body system?
Endocrine.
A nursing assistant cares for a resident who has a cast on the left arm. While receiving a bed bath, the nursing assistant notices that the fingers on the client's left hand are cold. Which of the following actions should the nursing assistant take next?
Feel the client's fingers on the other hand.This answer is correct.
A patient has a fever and describes feeling very uncomfortable. Which of the following recommendations is best for the nursing assistant to provide?
Give the patient a cool washcloth to be placed on the forehead.
The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients?
Help residents reach their highest level of psychological and mental functi
What is the difference between Sims position and left lateral position?
In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.
Which of the following diseases does not require airborne precautions?
MRSA
The term grievance refers to which aspect included in the Patient Bill of Rights?
Patients have the right to file a complaint without fear or penalty.
The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following?
Pocketing of food.
A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to:
Report herself to the nursing supervisor and be dismissed home.
When the nursing assistant brings the client his tray for lunch, the client repeats questions twice before remembering the answer. The nursing assistant knows that the client had a fall two days ago. Which of the following actions is correct?
Report it to the nurse immediately.
A patient who has recently been paralyzed below the waist due to a motorcycle accident refuses his medications from the nurse. The patient then refuses to say anything. What is the nursing assistant's best response?
Say, "You seem upset."
An eighty-five year-old resident at a longterm care facility is signing up for an afternoon activity. The resident asks the nursing assistant which choice she thinks is best. Which of the following should the nursing assistant suggest?
Tai chi and meditation.
The nursing assistant takes the blood pressure of a patient known for "running low." To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible?
The blood pressure cuff is too tight.
Which of the following is an example of a nursing assistant's desired characteristic of reliability?
The nursing assistant completes a task designated by the nurse in a timely manner.
It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations?
The nursing assistant's hands are visibly soiled.
Which of the following is an example of emotional lability?
The patient gets upset after telling the nurse immediately prior how happy he is.
The nursing assistant overhears the nurse say to the patient that he has a "bulging tympanic membrane." What does this most likely mean?
The patient has an ear infection.
A nursing assistant begins caring for a client during a bed bath and notes he has a reddened, intact area on his coccyx. Which of the following correctly describes this condition?
Ulceration stage 1.
When recording data on a legal form, it is considered correct to write with which of the following?
a black or blue pen
The abbreviation Rx indicates:
a treatment
Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D?
a warm glass of milk
The nursing assistant receives her assignment for the shift and notices that she does not have a nurse assigned to her group. What action should she take next?
alert the charge nurse in the situation
Rehabilitation care after any injury should begin when?
as soon as possible
The nursing assistant knows that urine is normally:
clear, pale yellow
A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up. The nursing assistant knows to suggest which of the following?
drink plenty of fluids
The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?
emesis
Which of the following disorders are said to be irreversible?
emphysema
Which of the following is the leading cause of accidental death in those 85 years of age and older?
falls
All of the following factors may interfere with elimination EXCEPT:
family stress
Which of the following is an example of nonverbal communication?
hand gestures
A typical blood pressure around the upper arm should NOT be taken when the patient:
has IV catheters in both the left and right arms.
A 52-year-old homeless man has just been admitted to the ER with a core body temperature of 90.2 degrees F. The doctor diagnoses the man with hypothermia. The nursing assistant knows that the organ most under stress from the low body temperature is the:
heart
Which of the following procedures cannot be performed by a nursing assistant?
inserting a foley catheter
The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to:
investigate residents' complaints and bring them to the attention of the correct authorities.
The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?
iv drug use
The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following?
pocketing of food
The nursing assistant cares for a client who is depressed. One day, the client states "I can't go on any longer. I have made a plan to kill myself. I don't know if I would follow through with it, but it seems much better than living this life any longer." Which of the following is the correct action?
report the incident to the nurse in charge
When caring for a patient, the nursing assistant notices that the patient is bleeding around an IV site. Which of the following is the most appropriate action to take?
report to the patients nurse immediately
Before assisting the nurse to administer an enema to a bedridden client, the nursing assistant should most importantly:
review the procedure and what's going to happen.
A patient says that her visitor is unable to come during visitor hours and asks if she could be accommodated. The nursing assistant:
reviews the issue with the charge nurse before answering.
A patient who is immobile may experience which of the following feelings?
sadness
During a bath, the three most important things for the resident are:
safety, security and privacy
Another term that is similar to the word convulsion is:
seizure
A resident is having difficulty chewing regular meals at dinner. Which of the following diets might be suggested to order for next time?
soft
The nursing assistant cares for a client with AIDS. The nursing assistant knows that AIDS patients require what type of precautions?
standard
When making the patient's bed, the nursing assistant knows it is most important to:
straighten the sheets to reduce wrinkle formation.
A client in the hospital announces that he is leaving this minute and that no one can stop him. The nursing assistant should:
tell the patient to wait so that she can get the nurse because he has to sign a form.
A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means:
that the client is unable to speak.
A nursing assistant who suspects a resident is being abused by someone in the facility should report it to:
the charge nurse
A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means:
the client is unable to speak
The nursing assistant knows that the term "pulse deficit" refers to:
the difference between the apical and radial pulse.
A nursing assistant begins caring for a client during a bed bath and notes he has a reddened, intact area on his coccyx. Which of the following correctly describes this condition?
ulceration stage 1
Rectal temperatures are usually taken on patients who are:
unconscious
Which of the following disorders are said to be irreversible?
Emphysema