CNA Exam #1 (Ch. 1-8, 13,25)
Which of the following statements is true of taking rectal temperatures? (A) The nursing assistant should not explain the procedure before beginning so the resident will not feel anxious. (B) Rectal thermometers should be inserted two inches into the rectum. (C) The nursing assistant must hold on to the thermometer at all times while taking a rectal temperature. (D) To obtain an accurate temperature, the resident should move around during the procedure.
C
Which of the following will help a nursing assistant make a good first impression at work? (A) Bathing or taking a shower once a week (B) Using a pleasant perfume or after-shave (C) Keeping hair neatly tied back away from the face (D) Wearing artificial nails to work
C
Why do many facilities discourage the use of mercury thermometers? (A) Mercury thermometers are more expensive. (B) Mercury thermometers are less accurate. (C) Mercury is a dangerous, toxic substance. (D) Mercury thermometers are harder to read.
C
_________is the period of human development in which a person develops secondary sex characteristics. (A) Pre-School (B) Middle adulthood (C) Puberty (D) Late adulthood
C
A resident's health information may be shared with: (A) Anyone who asks (B) Anyone who lives or works at the facility (C) The resident's friends and family (D) Other care team members
D
A sign that a stroke is occurring is: (A) Abdominal pain (B) Gasping for air (C) Low blood pressure (D) Facial droop
D
Abduction is (A) Bending a body part backward (B) Another name for the hip (C) Another name for the leg (D) Moving a body part away from the body
D
An example of a restraint alternative is: (A) Tying the resident to the bed (B) Removing the resident's call light (C) Locking the resident's door from the outside (D) Give frequent help with toileting
D
An object can be called "clean" if: (A) It has not been used on or near a sick resident (B) No dirt or debris is visible on the object (C) It has been contaminated with pathogens (D) It has not been contaminated with pathogens
D
Blood pressure is measured using a: (A) Thermometer (B) Watch (C) Finger (D) Sphygmomanometer
D
Cultural diversity has to do with: (A) Seeing all people from a certain culture as being the same (B) Preferring people of one culture over those of other cultures (C) Making assumptions about a person based on stereotypes about their culture (D) The wide variety of people throughout the world
D
Difficulty breathing is called: (A) Eupnea (B) Apnea (C) Tachypnea (D) Dyspnea
D
During code team procedures, a nursing assistant might be asked to: (A) Give a resident oxygen (B) Call the resident's family (C) Work with the suction machine (D) Give chest compressions during CPR
D
Hand hygiene is: (A) Washing hands with soap and water only (B) Using alcohol-based hand rubs only (C) Wearing gloves when performing care procedures Washing hands with either plain or antiseptic soap and water or using alcohol-based hand rubs
D
How are bloodborne diseases transmitted? (A) By hugging an infected person (B) By touching something an infected person has touched (C) By standing too close to an infected person when he coughs (D) Through contact with blood or body fluids
D
How does regular activity and exercise benefit the integumentary system? (A) Interaction between the resident and his roommate is improved. (B) The resident's spiritual needs are fulfilled. (C) Resident's family has a better opinion of the facility. (D) Quality and health of the skin is improved.
D
How is HIV spread? (A) Through the air (B) By hugging an infected person (C) By standing next to an infected person (D) By blood
D
How many feet does a quad cane have? (A) 1 (B) 2 (C) 3 (D) 4
D
How should residents in isolation be treated? (A) They should be left alone. (B) Their behavior should be monitored closely to make sure they do not infect anyone else. (C) They should not be allowed to use the phone or use utensils. (D) A nursing assistant should spend as much time with them as possible and listen to their feelings and concerns.
D
Making an area or object free of all microorganisms is called: (A) Infection prevention (B) Disinfection (C) Transmission (D) Surgical asepsis
D
Medicare will pay for: (A) All care requested by the recipient (B) All care requested by the doctor (C) All care requested by the facility (D) Only care that it determines to be medically necessary
D
One sign that a person is in shock is: (A) Flushed or reddish skin (B) Decreased pulse and respiration rates (C) Increased blood pressure (D) Extreme thirst
D
One way for a nursing assistant to communicate effectively with a visually-impaired resident is to: (A) Wait until the resident speaks to her before identifying herself (B) Move the furniture in the resident's room to make it easier for him to get around (C) Avoid talking to the resident during care (D) Use the face of an imaginary clock to explain the position of objects
D
One way to have a good relationship with a resident's family and friends is to: (A) Avoid talking to the resident when he has visitors (B) Let the family take care of the resident's needs themselves (C) Tell the resident's friends stories about the resident that will make them laugh (D) Respond immediately when the resident calls for help
D
One way to use proper body mechanics on the job is to: (A) Stand back from an object while lifting it (B) Keep feet close together when lifting (C) Use the muscles of the back to lift (D) Bend at the knees to lift something
D
Prehypertension means: (A) A person's blood pressure is too high (B) A person's blood pressure is too low (C) A person does not have low blood pressure now but is likely to have it in the future (D) A person does not have high blood pressure now but is likely to have it in the future
D
Psychosocial needs include the following: (A) Bathing (B) Activity (C) Sleep and rest (D) Love and affection
D
Restraint-free care means that: (A) Restraints are only used if a resident is in danger of hurting himself or others (B) Restraints are only used with a doctor's order (C) Restraints are only used when restraint alternatives fail (D) Restraints are not kept or used at the facility for any reason
D
Restraints may be used: (A) Whenever it is convenient for the facility staff (B) When a resident is being uncooperative (C) When there are not enough staff members to watch all the residents (D) Only with a doctor's order
D
The _____ blood pressure is the top number in a blood pressure reading, while the _____ is the bottom number. (A) Radial, apical (B) Apical, radial (C) Diastolic, systolic (D) Systolic, diastolic
D
The most important member of the care team is: (A) The nurse (B) The nursing assistant (C) The physician (D) The resident
D
Under Standard Precautions, the term "body fluids" includes: (A) Sweat (B) Water (C) Juice (D) Urine
D
Under what conditions should a nursing assistant fill out an incident report if he is injured on the job? (A) Only if the injury is serious (B) Only if the nursing assistant feels the facility is at fault (C) Only if another employee was involved (D) Any time he is injured on the job
D
Under which of the following conditions should a nursing assistant not take an oral temperature on a person? (A) The person has influenza. (B) The person almost certainly has a fever. (C) The person is over six years old. (D) The person is confused or disoriented.
D
What information does a Material Safety Data Sheet (MSDS) contain? (A) Costs of the chemical (B) Comparisons with other chemicals (C) Names of other facilities using the chemical (D) Description of emergency response actions
D
When it is appropriate for a nursing assistant to hit a resident? (A) When a resident is uncooperative during care (B) When a resident threatens the nursing assistant or others (C) When a resident hits the nursing assistant first (D) Never
D
When should a nursing assistant identify a resident? (A) After giving care (B) When collecting meal trays (C) When shifts change (D) Before helping with feeding
D
Which of the following can a nursing assistant do if he suspects poisoning? (A) Suggest the resident put his finger down his throat to induce vomiting. (B) Feed the resident crackers or bread to soak up the poison. (C) Give the resident medication and then call poison control. (D) Look for a container that will help him find out what the resident took or ate.
D
Which of the following can help reduce pain? (A) Pounding the resident on the back (B) Jumping jacks (C) Squeezing the body part hard (D) Change of position
D
Which of the following conditions may mean you need emergency medical help? (A) Person is behaving rudely. (B) Person has a scratch. (C) Person does not want help. (D) Person is unconscious.
D
Which of the following increases the risk of infection in older adults? (A) Thicker skin (B) Higher intake of fluids (C) Stronger appetite (D) Use of catheters
D
Which of the following is a correct response to a nosebleed? (A) Lower the head of the bed (B) Ask the person to lie down (C) Apply ice directly to the skin to stop the bleeding faster (D) Apply pressure over the bridge of the nose
D
Which of the following is a step taken when a nursing assistant is suspected of abuse? (A) A meeting of staff members and residents is held so that everyone can discuss the problem. (B) The nursing assistant continues to work while the investigation is being completed. (C) The name of the resident or staff member who reported the abuse is announced so opinions can be gathered. (D) The nursing assistant is suspended immediately and an investigation is completed.
D
Which of the following is an example of appropriate behavior by a nursing assistant with a resident's family? (A) Giving them medical advice (B) Telling them everything will be fine if they seem worried (C) Telling the family all about the resident's condition (D) Listening to the family's concerns and fears and responding with a meaningful message
D
Which of the following is true of the MDS? (A) MDS stands for Multiple Diagnosis System. (B) Every time an MDS is completed for a resident, an investigation by the state is done. (C) Not all residents will have an MDS. (D) A nursing assistant's report may trigger a needed assessment for a resident.
D
Which of the following issues regarding rehabilitation and restorative care should be reported to the nurse? (A) Whether the resident's family is visiting (B) How much television the resident watches (C) Whether the resident uses the call light too many times per day (D) The resident shows signs of depression
D
Which of the following needs to be disposed of in a biohazard container? (A) Trash (B) Food (C) Aluminum cans (D) Sharps
D
Which of the following senses is not used in making observations? (A) Sight (B) Touch (C) Smell (D) Taste
D
Which of the following types of health care is generally for people who will die in six months or less? (A) Long-term care (B) Outpatient care (C) Inter-generational care (D) Hospice care
D
Which of the following would be considered an incident? (A) Mrs. Storey eats half of her dinner. (B) Mrs. Desmond's family thanks a nursing assistant for taking such good care of her. (C) Mr. Noble wants to go for a walk after his bath. (D) Ms. Martin slips and falls in the bathroom but seems uninjured.
D
While passing out meal trays, Brenda gives the wrong meal to a resident who has diabetes. She says that the resident distracted her by complaining about the food. Which defense mechanism is she using? (A) Denial (B) Projection (C) Repression (D) Rationalization
D
Why is it important to consider a resident's cultural background when communicating with him or her? (A) It is not important to consider cultural background. (B) Because the resident will certainly want to tell stories about his or her culture. (C) Because you might know somebody with the same background and you can tell the resident about that person. (D) Because cultural background helps determine how people communicate and can help you communicate better with the resident.
D
A cane is used: (A) To help a person with balance (B) For residents who cannot bear weight on one leg (C) To provide stability when a person is unsteady or has some weakness (D) When a resident cannot get out of bed
A
A good way to communicate with a resident who is depressed is to: (A) Use body language that shows empathy and interest (B) Avoid eye contact with the resident (C) Discourage other residents from talking to him (D) Avoid talking about feelings
A
A good way to communicate with an anxious resident is to: (A) Gently ask the resident what is bothering him (B) Speak loudly and quickly (C) Touch the resident before speaking to him (D) Insist that the resident stop worrying
A
A person in a coma may still be able to: (A) Hear (B) Speak (C) See (D) Walk
A
A policy is: (A) A course of action that should be taken every time a certain situation occurs (B) A specific method of doing something (C) The chain of command within the facility (D) A reminder on how to complete a procedure
A
A resident has purchased a special gift for her nursing assistant, Sarah. Which of the following would be the best response by Sarah? (A) Refuse but thank her for thinking of her (B) Accept because Sarah does not know her facility's policy on gifts (C) Accept and ask the resident not to tell anyone (D) Refuse and tell her that her employer is very unfair about employees accepting gifts from residents
A
A transient ischemic attack is a warning sign of: (A) Cerebrovascular accident (B) Myocardial infarction (C) Hypoglycemia (D) Epistaxis
A
After an emergency, the nursing assistant will need to: (A) Document the incident in her notes (B) Give an opinion about what is wrong with the resident (C) Tell the resident she is very worried about his condition (D) Prescribe medication for the resident
A
An example of ethical behavior by a nursing assistant is: (A) Keeping a resident's information confidential (B) Not telling anyone when a mistake is made (C) Pretending to be a nurse in order to get residents to be more cooperative (D) Letting a resident know that the nursing assistant is having a bad day
A
An oral thermometer is usually color-coded: (A) Green or blue (B) Red or orange (C) Black or white (D) White or gray
A
Another word for "vomiting" is: (A) Emesis (B) Epistaxis (C) Dyspnea (D) Infarction
A
Benefits of regular activity and exercise for the endocrine system include: (A) Increased metabolism (B) Improved circulation (C) Improved relaxation and sleep (D) Increased blood flow to the muscles and improved strength
A
Common symptoms of a fever include: (A) Muscle aches (B) Sleepiness (C) Slow movements (D) Nausea
A
Criminal laws: (A) Protect society from harmful people or organizations (B) Resolve disputes between individuals (C) Include any crime which is not a felony (D) Are a code of proper behavior and courtesy in a certain setting
A
Holistic care focuses on: (A) The whole person, including physical, mental, and social well-being (B) Disease and disability (C) How sick a person is (D) The absence of disease and illness
A
How far do droplets in the air normally travel after being expelled? (A) Three feet (B) Five feet (C) Eight feet (D) Ten feet
A
How far into the ear should a tympanic thermometer be inserted? (A) ¼ to ½ inch (B) ½ to 1 inch (C) 1 to 1 ½ inches (D) 1 ½ to 2 inches
A
How many links of the chain of infection must be broken to prevent infection? (A) One (B) Two (C) Three (D) Four
A
If a nursing assistant is not sure what information to share at the care conference, she should: (A) Talk to the nurse before the meeting (B) Not attend the meeting (C) Attend the meeting, but not say anything (D) Ask the other team members at the meeting what they need to know
A
If a nursing assistant sees a call light for a resident that is not assigned to her, she should: (A) Answer the call light (B) Tell the nursing assistant assigned to that resident to answer it (C) Tell the supervisor (D) Ignore it
A
If a nursing assistant sees a resident being sexually abused, she should: (A) Remove the resident from the situation immediately and report it to the nurse (B) Pretend not to see it to avoid embarrassing the resident (C) Tell the resident's family (D) Confront the abuser herself
A
If a nursing assistant sees or suspects that a resident is being abused, he must: (A) Report it at once to his supervisor (B) Ignore it (C) Try to stop the abuse himself (D) Call the resident's family to inform them
A
If a person's breathing and heartbeat stop, brain damage can occur within ______ minutes. (A) 4-6 (B) 8-10 (C) 10-15 (D) 15-20
A
If a resident becomes combative, a nursing assistant should: (A) Try to find out what triggered the behavior (B) Leave the resident alone (C) Tell the resident that he will be in a lot of trouble if he doesn't stop what he is doing (D) Argue with the resident to make him understand what is best
A
If a resident is demonstrating inappropriate sexual behavior, a nursing assistant should: (A) Distract the resident or direct her to a private area (B) Ignore the behavior (C) Tell the resident that everyone is very upset by this behavior (D) Tell the resident that she is going to tell other residents about the behavior if it continues
A
If a resident's native language is different from the nursing assistant's, the nursing assistant should: (A) Use an interpreter to translate the message (B) Ignore the resident unless she speaks in the nursing assistant's language (C) Communicate with coworkers in nursing assistant's native language in front of the resident (D) Ask the resident only yes/no questions
A
If a resident's religious beliefs are different from a nursing assistant's beliefs, the nursing assistant should: (A) Respect the resident's beliefs (B) Try to change the resident's beliefs (C) Ignore the resident's dietary restrictions (D) Refuse to care for the resident
A
If a surveyor asks a nursing assistant a question, the nursing assistant should: (A) Answer honestly and to the best of her ability (B) Offer suggestions for making improvements in the facility (C) Refuse to answer any questions (D) Make up an answer if she does not know it
A
In which style of nursing care are residents and their families active participants in care and have their choices honored by caregivers whenever possible? (A) Resident-focused care (B) Team nursing (C) Primary nursing (D) Functional nursing
A
Infection prevention for the portal of exit link in the chain of infection could include: (A) Covering the mouth when sneezing (B) Keeping surfaces clean and dry (C) Getting a vaccine for a particular disease (D) Handwashing
A
Laura's supervisor reprimands her for being late to work. Later that day, Laura yells at a resident for being incontinent. Which defense mechanism is she using? (A) Displacement (B) Regression (C) Denial (D) Rationalization
A
Most of the accidents in a facility are related to: (A) Falls (B) Burns (C) Poisoning (D) Choking
A
Most people in a facility are there due to: (A) Lack of ability to care for themselves and the lack of a support system (B) Depression and lack of medication (C) Terminal illness (D) Temporary illness
A
One example of professional behavior by nursing assistants when working with residents is: (A) Keeping all resident information confidential (B) Sharing funny stories about coworkers with the residents (C) Giving gifts to favorite residents (D) Asking residents for advice about personal problems
A
One way to prevent burns and scalds is to: (A) Check water temperature before giving a bath or shower (B) Serve residents drinks while they are standing (C) Leave warm water applications on for 30 minutes at a time (D) Use higher settings on hair dryers so residents' hair is not wet for too long
A
Orthotic devices are used to: (A) Keep joints in correct position and improve function (B) Assist residents with ADLs (C) Maintain proper body alignment (D) Prevent rubbing, irritation, and pressure ulcers
A
Passive range of motion exercises are done: (A) When a resident cannot move on her own (B) By the resident herself (C) By the resident with some help and support from the nursing assistant (D) By a doctor or physical therapist only
A
The most common site to take the pulse is the: (A) Radial pulse (B) Brachial pulse (C) Carotid pulse (D) Pedal pulse
A
To hold oneself accountable means to: (A) Admit mistakes and apologize for them (B) Always speak positively about the facility (C) Be able to work with people of many different backgrounds (D) Care about the problems of others
A
To prevent falls, a nursing assistant should: (A) Clear walkways of clutter (B) Keep lights low (C) Have residents wear long pants (D) Leave spills for housekeeping to clean
A
What is one responsibility of the Occupational Safety and Health Administration (OSHA)? (A) Make rules to protect workers from hazards on the job (B) Help resolve conflicts between residents and staff members (C) Provide PPE for employees, visitors, and residents of facilities (D) Provide training on cultural tolerance
A
What is transcultural nursing? (A) The study of various cultures with the goal of providing care specific to each (B) Nursing that involves traveling to different countries (C) Providing care to residents who are transsexual or transgender (D) Nursing that involves a team approach to care
A
What should a nursing assistant do if he spills a substance on his body? (A) Immediately wash the area using the proper cleaning agent (B) Ignore it unless it is painful or uncomfortable (C) Finish cleaning the area before washing the spill off his body (D) Find the nurse and ask her what to do
A
When a resident is suspected of having a heart attack, a nursing assistant should: (A) Not give the person food or fluids (B) Cover the resident with a heavy blanket (C) Make sure the resident is standing up to promote circulation (D) Leave the resident to call his family
A
When caring for residents who have IVs, a nursing assistant should: (A) Keep the IV site dry (B) Leave the tubing kinked (C) Touch the clamp (D) Lower the IV bag below the IV site
A
When communicating with a resident who has a functional barrier, a nursing assistant should: (A) Give the resident time to speak (B) Remove oxygen before the resident speaks (C) Insert the tracheostomy tube before the resident speaks (D) Insist that the resident speak
A
When is it appropriate to use medical terminology? (A) When communicating with the care team (B) When communicating with residents (C) When communicating with residents' families (D) When communicating with visitors
A
When pathogens enter the bloodstream and move throughout the body, a _____ has occurred. (A) Systemic infection (B) Localized infection (C) Healthcare-associated infection (D) Cross-infection
A
When should documentation be recorded? (A) Immediately after care is given (B) At the end of the shift (C) Whenever there is time (D) Before the care is given
A
Which member of the care team assesses residents, monitors progress, and gives treatments? (A) The nurse (B) The nursing assistant (C) The medical social worker (D) The registered dietitian
A
Which member of the care team has the most direct contact with the residents? (A) The nursing assistant (B) The nurse (C) The physician (D) The activities director
A
Which method of taking temperature is the most common? (A) Oral (B) Rectal (C) Tympanic (D) Axillary
A
Which of the following behaviors violates Residents' Rights? (A) A nursing assistant tells stories about her favorite residents to her family. (B) A nursing assistant helps a resident resolve a complaint. (C) A nursing assistant informs a resident in advance about a change of roommate. (D) A nursing assistant encourages a resident to choose her clothing for the day.
A
Which of the following blood pressure readings falls within the normal range? (A) 119/75 (B) 135/90 (C) 91/70 (D) 140/80
A
Which of the following examples demonstrates a holistic approach to care? (A) While Claire is giving Ms. Potter a bath, she asks her how her day has been and listens carefully. (B) Jim rushes his residents through their meals without talking with them so that they can get their dinner faster. (C) Jessica is very religious and likes to share her religious views with her residents. (D) Thad often spends so much time chatting with his residents that he doesn't finish all of his work.
A
Which of the following guidelines is true of working around oxygen equipment? (A) Never allow open flames around oxygen. (B) Nursing assistants should adjust oxygen levels. (C) Electric razors are not considered a fire hazard. (D) Smoking is allowed around oxygen if it is done about two feet away from the oxygen tank.
A
Which of the following is a quality of the best nursing assistants? (A) Tolerance (B) Tardiness (C) Complaining (D) Ignoring constructive criticism
A
Which of the following is a sign of physical abuse? (A) Missing teeth or hair (B) Lack of appetite (C) Depression Unanswered call lights
A
Which of the following is an example of a correct way to write a blood pressure reading? (A) 120/75 (B) 120+75 (C) 120-75 (D) 120*75
A
Which of the following is an example of positive nonverbal communication by a nursing assistant? (A) Leaning forward to listen as a resident talks about her day (B) Rolling her eyes as the supervisor gives an assignment (C) Tapping her foot while waiting for a resident to get ready for his bath (D) Shaking her head when a resident has been incontinent
A
Which of the following is an example of unprofessional behavior by a nursing assistant? (A) Graciously accepting a gift from a favorite resident (B) Reporting all abuse or suspected abuse of residents (C) Coming to work every day on time (D) Being positive, pleasant, and tactful
A
Which of the following is considered a vital sign? (A) Body temperature (B) Orientation (C) Telemetry (D) Glycemic index
A
Which of the following is the correct response by a nursing assistant if he forgets how to perform a procedure? (A) Review the steps of the procedure in the procedure manual (B) Act confident and perform the procedure anyway (C) Check with the resident's family for help (D) Ask the resident for help in remembering how to perform the procedure
A
Which of the following is the normal temperature range for the oral method? (A) 97.6 - 99.6 degrees F (B) 96.6 - 98.6 degrees F (C) 93.6 - 97.9 degrees F (D) 98.6 - 100.6 degrees F
A
Which of the following is the proper order to apply PPE? (A) Apply gown, mask, goggles, and gloves (B) Apply gloves, gown, and mask and goggles (C) Apply mask and goggles, gloves, and gown (D) Apply gown, gloves, and mask and goggles
A
Which of the following is true of most elderly people? (A) They are active and have many interests. (B) They do not manage money well. (C) They are usually grouchy. (D) They do not like to leave home.
A
Which of the following statements gives subjective information? (A) Mrs. Parker says she is feeling dizzy. (B) Mrs. Parker has a temperature of 101°F. (C) Mrs. Parker had a visit from her son today. (D) Mrs. Parker didn't eat any of her dinner today.
A
Which of the following statements is true of restraints? (A) People tend to respond better to restraint alternatives than to restraints. (B) Laws allow the use of restraints when a facility is short-staffed. (C) Using restraints does not cause negative effects. (D) Restraint-free care means a facility uses restraints only for disciplining residents.
A
Which of the following symptoms is more often experienced by women during a heart attack? (A) Shortness of breath (B) Extreme fatigue (C) Anxiety and a sense of doom (D) Low blood pressure
A
Why would a resident be in "isolation?" (A) She requires Transmission-Based Precautions. (B) She requires Standard Precautions. (C) She cannot get along with other residents. (D) She is unmanageable for staff.
A
_____ is a health insurance program for people who are 65 years of age or older or who are ill or disabled and cannot work. (A) Medicare (B) Medicaid (C) CMS (D) Health and Human Services
A
__________ means causing physical, mental, emotional, or financial pain or injury to someone. (A) Abuse (B) Assault (C) Battery (D) Malpractice
A
A causative agent is: (A) Any microorganism in the body (B) A pathogen or microorganism that causes disease (C) Normal flora that live in or on the body (D) The waiting period between the time the pathogen enters the body and the time it causes infection
B
A legal document that allows a person to decide what kind of medical care he wishes to have if he is unable to make those decisions himself is called a(n): (A) PSDA (B) Advance directive (C) CPR (D) Power of attorney
B
A sentinel event is: (A) Any event requiring an incident report (B) An occurrence involving death or serious injury (C) A normal event that occurs in the course of the day (D) A complaint by a resident or family member
B
Accurate documentation is important because: (A) The medical chart includes information about the menus offered at the facility each day (B) Documentation provides an up-to-date record of residents' status and care (C) Family members will want to view medical charts (D) Nursing assistants put their diagnoses in medical charts
B
At least every _____ hours, the restraints must be removed for at least _____ minutes. (A) 2, 5 (B) 2, 15 (C) 3, 5 (D) 3, 15
B
Choose the resident condition that the NA should report immediately to the nurse. (A) Family fighting (B) Chest pain (C) Watching too much TV (D) Acting lonely
B
Complications of immobility for the nervous system include: (A) Pneumonia (B) Depression or insomnia (C) Weight gain (D) Constipation
B
Dementia is: (A) Terminal illness (B) Loss of mental abilities (C) The number of days a person stays in a healthcare facility (D) Caring for the whole person
B
Each time a nursing assistant greets a resident, he should: (A) Assume that the resident knows who he is (B) Explain the procedure to be performed (C) Reassure the resident that she won't have to do anything during the procedure (D) Avoid telling the resident about the procedure if he thinks it will upset her
B
How can a nursing assistant help a resident who has a developmental disability? (A) If the resident cannot speak, the nursing assistant should not speak to him. (B) The nursing assistant can break tasks into smaller steps. (C) If an adult resident acts like a child, the nursing assistant should treat him like a child. (D) The nursing assistant should do everything for the resident.
B
Hyperglycemia may be caused by: (A) Having too much insulin in the body (B) Having too little insulin in the body (C) Eating too little food (D) Too much exercise
B
Hypertension is: (A) High fever (B) High blood pressure (C) High pulse rate (D) Low blood pressure
B
If a nursing assistant encounters a resident in a sexual situation, she should: (A) Call the resident's clergyperson to discuss it (B) Provide privacy and leave the room (C) Tell other residents and staff members about it (D) Ask the resident to stop what she is doing
B
If a nursing assistant encourages a resident to play cards with friends, what kind of wellness is she promoting? (A) Physical wellness (B) Social wellness (C) Emotional wellness (D) Intellectual wellness
B
If a nursing assistant suspects that a resident has a fever, he should: (A) Give the resident medication (B) Take the resident's temperature (C) Ask the resident how she is feeling (D) Measure the resident's pulse rate
B
If a resident feels faint, a nursing assistant should: (A) Try to have the resident stand up before fainting occurs (B) Have the resident lean forward and place her head between her knees (C) Tighten clothing (D) Leave the resident alone as soon as symptoms disappear
B
If a resident has a minor burn, a nursing assistant should use _____ to decrease the temperature of the skin. (A) Ice or ice water (B) Cool water (C) Ointment (D) Grease
B
If a resident is angry, a nursing assistant should: (A) Ignore her (B) Try to find out what is causing her anger (C) Tell her to stop being childish (D) Restrain the resident if she becomes combative
B
If a resident is difficult to understand, a nursing assistant should: (A) Pretend to understand the resident even when she doesn't (B) Restate what she is saying in her own words to find out if she has understood (C) Avoid communicating with the resident (D) Use clichés to make it easier for the resident to understand what is being said
B
If a resident is hearing impaired, a nursing assistant should: (A) Approach the resident from behind (B) Make sure the light is on the nursing assistant's face (C) Raise the pitch of her voice (D) Chew gum while speaking to the resident
B
In a healthcare facility, codes are used to: (A) Keep track of residents (B) Inform staff of emergencies without alarming residents and visitors (C) Teach procedures to new nursing assistants (D) Welcome new residents to the facility
B
In regular time, 1330 hours would be: (A) 1:30 a.m. (B) 1:30 p.m. (C) 11:30 a.m. (D) 11:30 p.m.
B
In which of the following situations should a nursing assistant give abdominal thrusts to someone? (A) The person is coughing. (B) The person cannot speak, cough, or breathe. (C) The person is breathing very rapidly. (D) The person tells the nursing assistant that she feels short of breath.
B
OBRA was written as a response to: (A) Lack of funding for long-term care facilities (B) Reports of abuse and poor care in long-term care facilities (C) Complaints from long-term care facility staff about resident behavior (D) The inability of nursing assistants to pass the competency examination
B
One reason that people are at greater risk for infection as they get older is: (A) As people age, their immune systems become stronger (B) Elderly people are hospitalized more often (C) Older people recover from illness more quickly (D) Infections tend to be less dangerous to older people
B
One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to: (A) Make sure nursing assistants receive adequate pay (B) Protect privacy of health information (C) Ensure that care procedures are performed properly (D) Prevent abuse of residents
B
Professionalism is related to: (A) How a person behaves at home (B) How a person behaves at work (C) How well a person performs on tests (D) How residents behave in a facility
B
RACE as a safety rule means: (A) Run to A Close Exit (B) Remove residents, Activate 911, Contain fire, Extinguish (C) Residents Are to be Cared for Excellently (D) Remove A Canister Extinguisher
B
Residents in _____ are usually more independent and do not need skilled care. (A) Acute care facilities (B) Assisted living facilities (C) Subacute care facilities (D) Hospice settings
B
Standard Precautions means: (A) Not performing care on residents who have infectious diseases (B) Treating all blood, body fluids, and mucous membranes as if they were infected (C) Asking all residents if they have infectious diseases before performing care (D) Looking at residents' charts to determine if they have an infectious disease
B
The amount that Medicare and Medicaid will pay long-term care facilities for services is based on: (A) The resident's income (B) The resident's need upon admission (C) The size of the facility (D) Who the resident knows at the facility
B
The best type of jewelry to wear to work is: (A) A ring (B) A waterproof watch (C) A bracelet (D) A necklace
B
The correct order of the steps in the nursing process is: (A) Diagnosis, planning, evaluation, implementation, assessment (B) Assessment, diagnosis, planning, implementation, evaluation (C) Evaluation, implementation, assessment, planning, diagnosis (D) Planning, assessment, implementation, evaluation, diagnosis
B
The main part of a word that gives it meaning is the: (A) Prefix (B) Root (C) Suffix (D) Abbreviation
B
The normal pulse rate for adults is: (A) 25 to 50 BPM (B) 60 to 100 BPM (C) 100 to 150 BPM (D) 150 to 175 BPM
B
Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse? (A) Physical abuse (B) Psychological abuse (C) Financial abuse (D) Substance abuse
B
To maintain good body mechanics while lifting or carrying an object, a nursing assistant should: (A) Hold the object out and away from her body (B) Face the object or person she is moving (C) Twist at the waist as she picks up the object (D) Try to keep her center of gravity as high as possible
B
What does a resident's code status indicate? (A) The type of diet a resident has and how much food should be offered at each meal (B) The type care that should be provided in the event of a cardiac arrest or other catastrophic failure (C) The type and amount of medication that a resident must take each day (D) The type of personal care tasks that must be completed each day for a resident
B
What is the best way to control MRSA? (A) By using negative air pressure rooms (B) Through proper handwashing (C) By using masks (D) By taking vancomycin
B
What is the difference between health and wellness? (A) Health is the absence of disease; wellness is a state of physical, mental, and social well-being. (B) Health is a state of physical, mental, and social well-being; wellness has to do with balancing one's life. (C) Health is merely the absence of disease; wellness looks at the whole person. (D) Health and wellness are the same thing.
B
What is the nursing assistant's role in care planning? (A) The nursing assistant will write the care plan. (B) The nursing assistant will share observations that may affect the care plan. (C) The nursing assistant makes changes to the care plan. (D) The nursing assistant has no role in care planning
B
When a person's breathing stops, this is called: (A) Cardiac arrest (B) Respiratory arrest (C) CPR (D) Choking
B
When a resident has one weaker leg: (A) The cane should be held on the weaker side (B) The cane should be held on the stronger side (C) The resident should use a wheelchair (D) The resident should not get out of bed
B
When a resident is confused, a nursing assistant should: (A) Leave her alone (B) Provide a quiet environment (C) Avoid telling the resident about plans for the day since she won't remember them (D) Speak loudly
B
When a resident uses a cane, walker, or crutches, the nursing assistant should: (A) Stay on the resident's stronger side (B) Stay on the resident's weaker side (C) Walk in front of the resident (D) Walk behind the resident
B
When handling dirty linen, a nursing assistant should: (A) Carry it close to her uniform (B) Wear gloves (C) Fold or roll it so the dirty area is on the outside (D) Shake it to remove any particles before disposing of it
B
When using the computer at work, a nursing assistant should: (A) Access personal e-mail accounts (B) Log off the computer when she is finished using it (C) Look for websites she has a personal interest in (D) Share her password with the rest of the care team
B
When washing hands, a nursing assistant should use friction for: (A) At least 25 seconds (B) At least 20 seconds (C) At least 15 seconds (D) At least 5 seconds
B
Which method of taking temperature is considered to be the most accurate? (A) Oral (B) Rectal (C) Tympanic (D) Axillary
B
Which of the following is a sign of neglect? (A) Burns shaped in certain ways (B) Weight loss or dehydration (C) Changing doctors frequently (D) Wearing make-up to hide injuries
B
Which of the following is a task that nursing assistants commonly do? (A) Giving medication (B) Bathing residents (C) Changing sterile dressings (D) Giving tube feedings
B
Which of the following is a task that nursing assistants generally do not perform? (A) Shaving residents (B) Inserting tubes (C) Helping residents with toileting needs (D) Caring for equipment
B
Which of the following is an example of professional and ethical behavior by a nursing assistant? (A) Keeping quiet if he makes a mistake (B) Documenting care accurately and promptly (C) Telling his friend details about the residents he works with (D) Rushing a resident through tasks if there is not much time left in the nursing assistant's shift
B
Which of the following is the best example of using proper telephone etiquette at work? (A) "Yes, Mr. Garcia is a resident here; he was admitted for dementia." (B) "Good afternoon, Hartman Skilled Care Facility, Brenda Johnson speaking." (C) "We're very busy here today. Can you call back some other time?" (D) "No, I'm sorry, I can't take a message. That is not part of my duties."
B
Which of the following is true of developmental disabilities? (A) Developmental disabilities are temporary. (B) Developmental disabilities restrict physical and/or mental ability. (C) Developmental disabilities are a form of mental illness. (D) People with developmental disabilities can never live or work independently
B
Which of the following statements is true of ethics? (A) Ethics are rules set by the government to protect people. (B) Ethics are the knowledge of what is right and wrong. (C) Misdemeanors are examples of ethics. (D) Ethics do not apply to healthcare workers.
B
Which of the following statements is true of hepatitis B (HBV)? (A) HBV is not a serious threat to healthcare workers. (B) The vaccine for HBV helps prevent the disease. (C) HBV is spread by drinking contaminated water. (D) HBV cannot cause death.
B
Why does working with oxygen require special safety precautions? (A) Oxygen can burn easily. (B) Oxygen makes other things burn. (C) The oxygen level must be adjusted often. (D) Oxygen equipment is very fragile.
B
Why is respiration rate usually counted directly after taking the pulse rate, while the fingers are still on the wrist? (A) It is less work for the nursing assistant to count respirations right after taking the pulse. (B) People may breathe more quickly if they know they are being observed. (C) The chest will not rise and fall if the rate is not counted immediately. (D) It does not matter when respirations are counted.
B
_____ destroys pathogens only, while _____ destroys all microorganisms, including those that form spores. (A) Sterilization, disinfection (B) Disinfection, sterilization (C) Asepsis, transmission (D) Transmission, asepsis
B
_____ is a medical assistance program for low-income people. (A) Medicare (B) Medicaid (C) CMS (D) HCFA
B
A code of ethics revolves around: (A) Getting tasks done as quickly as possible (B) Controlling costs in the facility (C) Valuing residents and giving ethical care (D) Sharing opinions and personal values with residents
C
A mask and goggles should be worn: (A) During all care procedures (B) When caring for a resident with any infectious disease (C) If contact with splashing or spraying blood or body fluids is likely (D) At all times while in the facility
C
A nursing assistant can share information about residents with: (A) Anyone she chooses (B) The resident's family and friends (C) Other members of the care team (D) No one
C
A nursing assistant's responsibility with the resident's medical chart is to: (A) Keep the chart in case it is needed later (B) Make changes to the care plan (C) Gather information and write down observations and care (D) Suggest the best treatment for the resident
C
A susceptible host is: (A) An infected person who could transfer disease to others (B) A pathogen that causes disease (C) An uninfected person who could get sick (D) A healthy person with strong resistance to disease
C
Ageism is: (A) The natural process of aging (B) Disabilities that occur with aging (C) Prejudice toward or discrimination against the elderly (D) Loss of memory associated with aging
C
Bending a body part is called (A) Extension (B) Rotation (C) Flexion (D) Supination
C
Both the _____ and _____ pulses are used in taking blood pressure. (A) Radial and apical (B) Apical and brachial (C) Radial and brachial (D) Brachial and femoral
C
Guidelines for rehabilitation and restorative care include: (A) It is okay not to follow the care plan if the resident seems to be making more progress than expected (B) Discourage activity to make sure the resident gets enough rest (C) Provide plenty of privacy to avoid distractions and embarrassment (D) Focus on setbacks so the resident will be motivated to do better
C
How many hours of training does OBRA require for nursing assistants? (A) At least 150 hours (B) At least 100 hours (C) At least 75 hours (D) At least 50 hours
C
How should residents be positioned while they eat? (A) Lying flat on their backs (B) Reclining at a 45-degree angle (C) Sitting as upright as possible (D) Lying on their sides
C
If a nursing assistant is in an emergency situation but has not been trained to perform CPR, she should: (A) Perform CPR anyway (B) Ask someone at the scene to tell her how to do it (C) Give basic first aid until the emergency medical team arrives (D) Do nothing
C
If a nursing assistant is unable to obtain a proper reading of a resident's vital signs, she should: (A) Guess (B) Use the previous reading from the same resident (C) Tell the nurse (D) Leave the space blank and move on to the next resident or procedure
C
In military time, 7:45 p.m. would be: (A) 0745 hours (B) 1975 hours (C) 1945 hours (D) 0775 hours
C
In which of the following parts of the body are mucous membranes found? (A) Feet (B) Hands (C) Genitals (D) Elbows
C
In which type of nursing care does the registered nurse give much of the overall care to the residents? (A) Resident-focused care (B) Team nursing (C) Primary nursing (D) Functional nursing
C
Infection prevention is: (A) The way in which infections occur (B) An infection limited to a specific part of the body (C) A set of methods used to prevent the spread of disease (D) An object that has not been contaminated with pathogens
C
Insulin reaction is also called: (A) Myocardial infarction (B) Diabetic coma (C) Hypoglycemia (D) Epistaxis
C
Jenna knows that Mr. Warren, one of her residents, is very excited about an upcoming visit from his daughter. She takes a little extra time to help him get ready and tells him how good he looks. Which kind of need is Jenna helping her resident to meet? (A) Physical need (B) Safety and security need (C) Need for self-esteem (D) Need for self-actualization
C
Long-term care is offered in: (A) Hospitals (B) Adult daycare facilities (C) Skilled nursing facilities (D) Ambulatory surgical centers
C
Negligence is: (A) Threatening to touch a person without permission (B) Touching a person without permission (C) Actions or failure to act or give care that results in injury to a person (D) Insulting, humiliating, or treating a person as a child
C
One sign of a localized infection is: (A) Chills (B) Headache (C) Drainage from a wound or cavity (D) Mental confusion
C
Rounds are: (A) The group of residents assigned to each nursing assistant (B) The list of tasks that must be done on each shift (C) A method of reporting in which staff move from room to room (D) Meetings during which the care plan is written
C
Sharps should be disposed of: (A) In the trash can in the resident's room (B) In the closest disposal container (C) In a puncture-proof biohazard container (D) With re-usable equipment waiting to be cleaned and reprocessed
C
The chain of command is: (A) A legal term meaning a person can be held responsible for harming someone else (B) The person in charge of the department for each shift (C) The line of authority in a facility (D) The department that a nursing assistant goes to if he wants to report a problem
C
The difference between the apical and radial pulse is called: (A) Pulse rate (B) Cheyne-Stokes (C) Pulse deficit (D) BPM
C
The first two steps in approaching an emergency are: (A) Perform first aid and assess the situation (B) Call the victim's family and then call 911 (C) Assess the situation and the victim (D) Get assistance and perform CPR
C
The most important thing a nursing assistant can do to prevent the spread of disease is: (A) Wear gloves and other PPE (B) Get vaccinated for common illnesses (C) Wash her hands (D) Use lotions to reduce the risk of broken skin
C
The normal respiration rate for adults is: (A) 18-30 breaths per minute (B) 15-25 breaths per minute (C) 12-20 breaths per minute (D) 8-10 breaths per minute
C
The residents with the longest average stay in healthcare facilities are: (A) Residents admitted for terminal care (B) Residents admitted for rehabilitation or temporary illness (C) Residents who are developmentally disabled (D) Residents with dementia
C
To communicate well with a resident, a nursing assistant should: (A) Finish his sentences for him if he is taking a long time to say something (B) State her opinions as though they were facts (C) Be aware of her body language (D) Fill any pauses in conversation to prevent awkwardness
C
To control bleeding, a nursing assistant should: (A) Use her bare hands to stop it (B) Lower the wound below the heart (C) Hold a thick pad or clean cloth against the wound and press down hard (D) Apply light pressure with a Band-Aid®
C
What does the term "empathetic" mean? (A) Empathetic means being alert around others. (B) Empathetic means being able to document honestly. (C) Empathetic means identifying with and understanding the feelings of others. (D) Empathetic means taking responsibility for one's own actions.
C
What is one possible negative result of the functional nursing style of care? (A) There are too many tasks to be completed effectively. (B) Nursing assistants may not be adequately trained for their tasks. (C) Staff may overlook changes in a resident's condition. (D) Residents may get tired of seeing the same care team members every day.
C
What is the first thing a nursing assistant should do after getting a work assignment? (A) Set up residents for mealtime (B) Write down anything important on the assignment sheet (C) Check to see if any of his assigned residents requires immediate help or care (D) Take vital signs on all residents
C
What is the purpose of the PSDA? (A) To offer in-service training for nursing assistants (B) To keep protected health information (PHI) private (C) To encourage people to make decisions about advance directives (D) To detail how abuse should be reported
C
When a nursing assistant leaves a dirty utility room, what must she do to avoid transferring pathogens to other areas of the facility? (A) Change her gloves (B) Disinfect any equipment she has used (C) Wash her hands (D) Close the door securely
C
When assisting with ROM exercises, the nursing assistant should begin at the ______ and work her way ______ the body. (A) Abdomen, up (B) Feet, up (C) Head, down (D) Thighs, down
C
When should a nursing assistant use Standard Precautions? (A) With residents who have infectious diseases (B) With residents he suspects might have infectious diseases (C) With every resident in his care (D) Whenever it is convenient to use them
C
When should staff members become involved in family matters? (A) When family members visit too often (B) When staff disapprove of the family members' lifestyle (C) When there is concern about the resident's safety around family members (D) When visits disrupt the facility's routine
C
Which of the following behaviors promotes Residents' Rights? (A) Deciding which clothing a resident should wear if she takes too long to decide for herself (B) Letting residents know when they are eating too slowly (C) Providing privacy during all care procedures (D) Restricting visitors for uncooperative residents
C
Which of the following is a flammable liquid? (A) Water (B) Sweat (C) Nail polish remover (D) Urine
C
Which of the following is a physical need? (A) The need to be accepted (B) The need for self-esteem (C) The need to be free from pain (D) The need for independence
C
Which of the following is a sign of psychological abuse? (A) Bite marks or scratches (B) Unclean body (C) Fear of being left alone (D) Frequent complaints of hunger or thirst
C
Which of the following is an example of aggressive, rather than assertive, behavior? (A) A resident tells a nursing assistant that she needs help cutting her food. (B) A nursing assistant tells her supervisor that she does not have the training to complete an assigned task. (C) A resident tells a nursing assistant that she is clumsy and is moving too slowly. (D) A nursing assistant tells a resident that he has a stain on his shirt and helps him clean it.
C
Which of the following is an example of how a nursing assistant is demonstrating that she is dependable? (A) The nursing assistant is never more than 10 minutes late for work. (B) The nursing assistant performs tasks that she does not know how to do. (C) The nursing assistant avoids excessive absences from work. (D) The nursing assistant does not ask others for help.
C
Which of the following is an example of nonverbal communication? (A) Writing a note in a resident's chart (B) Giving an oral report to a supervisor (C) Smiling at a new resident (D) Speaking in an encouraging tone of voice to a resident who is moving slowly
C
Which of the following is an ombudsman's responsibility? (A) Helping with care procedures (B) Assisting with resolving facility budget problems (C) Investigating and resolving complaints (D) Creating special diets for residents
C
Which of the following is another word for "armpit?" (A) Tympanic (B) Rectum (C) Axillary (D) Temporal
C
Which of the following is the best way to keep residents' health information confidential? (A) Discuss a resident's information away from the facility so that other residents cannot hear it (B) Bring family and friends to the facility to meet the residents (C) Return charts to their proper place after use (D) Post updates about favorite residents on your Facebook page to avoid being overheard
C
Which of the following is true of Transmission-Based Precautions? (A) You do not need to practice Standard Precautions if you practice Transmission- Based Precautions. (B) They are exactly the same as Standard Precautions. (C) They are practiced in addition to Standard Precautions. (D) They will not be listed in the care plan so as not to alarm anyone.
C
Which of the following is true of assisting a resident who is having a seizure? (A) Give the resident a glass of water to drink. (B) Hold the resident down if he or she is shaking severely. (C) Move furniture away to prevent injury to the resident. (D) Open the resident's mouth to move the tongue to the side.
C
Which of the following is true of combative behavior? (A) It is usually a reaction to a specific person. (B) Combative behavior by a resident is not a threat to staff or other residents. (C) Combative behavior may be caused by disease or medication. (D) Insulting others is not considered combative behavior.
C
Which of the following statements contains objective information? (A) Mr. Castillo seems a little grouchy today. (B) Mr. Castillo says that he has a stomachache. (C) Mr. Castillo's blood pressure is 115/68. (D) Mr. Castillo doesn't get along with the nurses very well.
C
Which of the following statements is true of a nursing assistant's role in restorative care? (A) If a resident takes too long to do a task by himself, the nursing assistant should do it for him. (B) The nursing assistant should give the resident pain medication before the rehabilitation session begins. (C) The nursing assistant should recognize that setbacks occur and be reassuring. (D) The nursing assistant should tell the family progress is happening faster than it really is so they can feel better about the situation.
C
Which of the following statements is true of gloves? (A) Gloves do not need to be worn when shaving a resident. (B) Disposable gloves can be washed and reused. (C) Gloves should be worn when performing care on a resident who has broken skin. (D) After giving care, gloves are not contaminated.
C
Which of the following statements is true of pain? (A) Everyone experiences pain in the same way. (B) Everyone will express freely when they are in pain. (C) Pain is a different experience for each person. (D) Pain levels do not need to be monitored.
C
Which of the following statements is true of spiritual needs? (A) Residents will believe in God. (B) Residents will be Christians. (C) Residents will have different spiritual needs and beliefs. (D) Residents will not believe in God or a higher power.
C
Why must a nursing assistant be concerned about privacy if documentation is done on a computer? (A) It is common for computer hackers to target LTC facilities. (B) Because the federal government is monitoring all computers in LTC facilities to ensure that HIPAA is followed. (C) Because residents will probably try to sneak a look at other residents' information. (D) Because the information is confidential and someone who is not part of the care team might see the screen.
D
Which of the following is an example of an advance directive? (A) Last Will and Testament (B) Power of Attorney (C) Divorce Decree (D) Durable Power of Attorney for Health Care
D/B