CNA: Practice test

stages of grief

1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance

pacemaker

A device that delivers electrical impulses to the heart to regulate the heartbeat

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? a. Drink plenty of fluids. b. Turn and cough every hour. c. Go outside and breathe the fresh air. d. Cough harder.

Drink plenty of fluids (Drinking fluids will help to lubricate the secretions so that the patient can cough them up easier).

True or False: HIV/AIDS cannot be prevented

False

True or False: In case of fire, the First step is to locate a fire extinguisgher

False

True or False: The first sign that a pressure ulcer is a break in the skin

False

True or False: hypotension is high blood pressure

False

True or False: incontinence is bowel elimination that is infrequent and painful

False

True or False: never wear gloves when handling blood or body fluids

False

True or False: your attitude and behavior do not affect the resident's behavior

False

PASS

Pull, Aim, Squeeze, Sweep

True or False: A bland diet is a type of diet that does not contain added spices

True

True or False: A diabetics diet is termed CCHO

True

True or False: A person suffering from dysapnea has difficulty breathing.

True

True or False: A person suffering from dysphagia has difficulty swallowing, so they're given either a honey or nectar thickner to aid in swallowing.

True

True or False: A person who is unconscious is given a complete (full) bed bath

True

True or False: A person who suffers from hypertension is given a diet low in sodium

True

True or False: Aging skin is fragile and damages easily

True

True or False: All complaints from residents about the facility should be reported

True

True or False: Fluid measurements are recorded in cubic centimeters

True

True or False: Good listening skills are important for Nursing Assistants

True

True or False: Nursing Assistants have a legal and moral responsibility to keep information about the residents confidential

True

True or False: Nursing Assistants should allow residents to make personal choices whenever possible

True

True or False: Proper body mechaniccs help prevent back injuries

True

True or False: When feeding a patient, the bed should always be set to high or semi Fowler's position to prevent aspiration

True

True or False: medicated shampoo should be left for a while prior to rinsing it out

True

True or False: washing your hands is the most important preventive measure for infection control.

True

The nursing assistant knows that residents on bedrest must be turned every: a. 2 hours. b. 1 hour. c. 6 hours. d. 8 hours

a. 2 hours.

Which of the following is an example of a pulse rate that should be reported to the nurse? a. 45. b. 98. c. 82. d. 64

a. 45.

The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; 50 ml water after twice daily medications. Medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client's total intake for the 7:00 AM to 3:00 PM shift? a. 530 ml b. 550 ml c. 580 ml d. 590 ml

a. 530 ml

When recording data on a legal form, it is considered correct to write with which of the following? a. A black or a blue pen. b. A blue pen. c. A black pen. d. A red pen.

a. A black or a blue pen.

MRSA (methacillinn-resistant Staphylococcus aureus) is an example of which of the following? a. A resistant strain of bacteria that is difficult to treat with antibiotics. b. A bacterial strain that is easy to treat with antibiotics. c. mnemonic to remember how to act if there is a fire in the facility. d. A set of activity guidelines designed to keep residents safe.

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

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following? a. Accountability b. Flexibility c. Dependability d. Respectability

a. Accountability

The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence? a. Allow the patient to perform as much of the bath as possible. b. Ask the patient what he wants to do. c. Complete the entire bath for him to conserve his energy. d. Encourage the patient to do the best he can to clean himself.

a. Allow the patient to perform as much of the bath as possible.

Which of the following types of grief is considered a normal and healthy part of grieving? a. Anticipatory. b. Complicated. c. Unresolved. d. Inhibited

a. Anticipatory.

The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first? a. Ask the resident if they are choking. b. Call 911. c. Begin CPR immediately. d. Begin the Heimlich maneuver

a. Ask the resident if they are choking.

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care? a. Beans and tortillas. b. Cheese and olive oils. c. Vegetables and rice. d. Red meat and potatoes.

a. Beans and tortillas.

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported? a. Emesis. b. Refusal to eat dessert. c. A cough. d. A bowel movement

a. Emesis (Emesis (vomiting) in the diabetic client can indicate a potential for blood sugar imbalance. This should be reported to the nurse for further assessment).

What protective equipment should be worn when changing an incontinent patient? a. Gloves and gown. b. Mask and gown. c. N-95 mask. d. Gloves, gown, and a mask

a. Gloves and gown.

Which of the following is an example of nonverbal communication? a. Hand gestures. b. A whisper. c. Mouthing words. d. Minimizing facial expression.

a. Hand gestures.

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? a. IV drug use. b. Dirty toilet seat. c. Dirty eating utensils. d. Going barefoot.

a. IV drug use.

Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair? a. Mechanical lift. b. Draw sheet. c. Gait belt. d. Wrist restraints.

a. Mechanical lift.

Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following? a. Places the casted limb above the level of the heart. b. Places the casted limb close to the body. c. Places the casted limb below the level of the heart. d. Places the casted limb at the level of the heart.

a. Places the casted limb above the level of the heart.

During a bath, the three most important things for the resident are: a. Safety, security, and privacy. b. Safety, warmth, and cleanliness. c. Comfort, rest, and security. d. Privacy, rest, and warmth.

a. Safety, security, and privacy.

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

a. Say, "You seem upset."

Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan? a. Shaving instructions related to problems or issues clotting. b. History of a heart condition. c. Presence of the resident's razor from home. d. Any previous refusal of ADLs.

a. Shaving instructions related to problems or issues clotting.

A resident is having difficulty chewing regular meals at dinner. Which of the following diets might be suggested to order for next time? a. Soft. b. Liquid. c. Pureed. d. Hard.

a. Soft (A soft diet should be tried before a pureed diet for this patient).

Which of the following is not included in the care of clients with a pacemaker? a. The client is not allowed to be around electrical appliances. b. The client can operate a microwave. c. The client should avoid magnetic wands in airports. d. Cellular phone use should be monitored closely

a. The client is not allowed to be around electrical appliances.

The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate? a. The nursing assistant waits at least fifteen minutes before retaking the temperature. b. The nursing assistant records the temperature in the chart. c. The nursing assistant scolds the client for not letting her know beforehand. d. The nursing assistant takes an axillary temperature instead.

a. The nursing assistant waits at least fifteen minutes before retaking the temperature.

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations? a. The nursing assistant's hands are visibly soiled. b. The nursing assistant has just left the patient's room. c. The nursing assistant is about to enter the patient's room. d. The nursing assistant helps a patient to the bathroom while wearing gloves.

a. The nursing assistant's hands are visibly soiled.

The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath? a. To the lateral aspect of the patient's thigh. b. To the bed sheet. c. To the medial aspect of the patient's thigh. d. To the bed.

a. To the lateral aspect of the patient's thigh.

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? a. Ulceration stage 1. b. Ulceration stage 2. c. Ulceration stage 3. d. Ulceration stage 4.

a. Ulceration stage 1 (This is a stage 1 ulceration, or bed sore, and should be reported to the nurse).

During a nursing assistant's orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except: a. Use terms with many meanings. b. Be brief and concise. c. Present information logically and in sequence. d. Give facts and be specific.

a. Use terms with many meanings.

Which of the following techniques would you use when interviewing a 94-year-old patient? a. Using a low-pitched voice. b. Enunciating each word slowly. c. Varying voice intonations. d. Reinforcing the words with pictures

a. Using a low-pitched voice.

difficult behavior may be the result of: a. a need for confort and understanding b. old age c. stubborness d. bad manners

a. a need for confort and understanding

A catheter is: a. a tube inserted into the bladder b. an opening created by surgery c. a feeding tube d. a suppository

a. a tube inserted into the bladder

A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she: a. applies the stockings while the client is on bed. b. applies the stockings while the client is sitting on the chair. c. applies the stockings while the client is sitting on the bed and dangles her feet. d. applies the stockings while the client is standing.

a. applies the stockings while the client is on bed.

learn abut individual beliefs, so you can: a. avoid offending someone b. argue about differences of opinion c. tease residents about their beliefs d. defend your own beliefs

a. avoid offending someone

The only way to find out if you have HBV is: a. blood test b. vaccine c. x-ray d. urine test

a. blood test

medical asepsis: a. decreases pathogens b. increases pathogens c. in a medication d. should be reported

a. decreases pathogens

The nursing assistant should tell the nurse if the client with diabetes: a. does not touch their lunch tray. b. reports numbness in their feet sometimes. c. combs their hair without being prompted. d. decides not to finalize a will.

a. does not touch their lunch tray.

Good nutrition is baed on: a. eating a variety of foods every day b. counting calories c. measuring fluid intake and output d. exercising

a. eating a variety of foods every day

It is important for you to: a. encourage the residents to be independent b. dress and feed the residents, even when they are able to dress and feed themselves c. discourage the residents from talking about their problems d. tell the family about the resident's problems

a. encourage the residents to be independent

The LEADING cause of injury to the elderly is: a. falling b. burns c. accidental poisoning d. choking

a. falling

reality orientation is used: a. for people who cannot remember recent events b. to help people remember past events c. to introduce residents to the facility d. to introduce new staff to the facility

a. for people who cannot remember recent events

For perineal care, always wipe: a. from front to back b. from back to front c. in whichever direction is easiest d. back and forth two times

a. from front to back

If a person is hearing impaired: a. get the person's attention before talking b. scold the person for not wearing a hearing aid c. shout d. avoid talking to the person

a. get the person's attention before talking

germs are most commonly found: a. in moist, warm areas b. in dry areas c. in cold d. in hot areas

a. in moist, warm areas

A patient is undergoing bowel training. The nursing assistant knows that bowel training: a. is used for people with colostomies to ensure a regular pattern. b. is a normal part of a healthy digestive tract. c. is a technique for going to the bathroom without pushing. d. is not used anymore.

a. is used for people with colostomies to ensure a regular pattern.

A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should: a. keep the bag below the bladder level. b. raise the bag above the bladder level. c. have the patient cover the bag with a pillow sleeve. d. ask the nurse to confirm this order.

a. keep the bag below the bladder level (Keeping the bag below the level of the cavity ensures that bacteria cannot migrate up from the bag and up into the bladder due to gravity).

The range of motion term "abduction" means: a. moving the extremity away from the body. b. moving the extremity toward the body. c. moving the extremity above the body. d. moving the extremity below the body

a. moving the extremity away from the body.

One respiration equals: a. one inspiration and one expiration b. two full breaths c. two inspirations d. one inhalation

a. one inspiration and one expiration

The nursing assistant is aware that the purpose of the elastic stockings is to: a. prevent blood clots. b. hold dressings in place. c. reduce swelling after injury. d. prevent pressure sores

a. prevent blood clots (Elastic stockings exert pressure on the veins. The pressure promotes venous blood flow to the heart. By doing so, the stockings prevent blood clots).

changing positions every hour or two: a. prevents serious health problems b. keep residents awake c. hiccups d. a contagious disease

a. prevents serious health problems

Before assisting the nurse to administer an enema to a bedridden client, the nursing assistant should most importantly: a. review the procedure and what's going to happen. b. open the window. c. reassure the client that it won't hurt much. d. gather all materials needed.

a. review the procedure and what's going to happen.

A client in the day room is having a panic attack. The nursing assistant should: a. tell the client to breathe as slowly and deeply as possible. b. have the client talk about the panic attack. c. encourage the client to verbalize their feelings. d. ask the client about the cause of the panic attack

a. tell the client to breathe as slowly and deeply as possible.

A nursing assistant who suspects a resident is being abused by someone in the facility should report it to: a. the charge nurse. b. the nurse caring for the client. c. a fellow nurse's aide. d. the CEO.

a. the charge nurse.

Wearing gloves reduces: a. the spread of infection b. your hands are dirty c. you have a cold d. you might be exposed to blood

a. the spread of infection

The abdominal thrust procedure is used only when: a. there is a complete obstruction of the airway b. a person is comatose c. a person complains of chest pains d. a person asks for help

a. there is a complete obstruction of the airway

Whenever you feel frustrated or angry: a. try to understand your feelings b. stomp out of the room c. tell the residents it's their fault d. let the residents know you are angry

a. try to understand your feelings

A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating: a. "You will need more time to cope with this loss." b. "I understand you're in pain. I'll stay with you." c. "This kind of thing will happen to everyone eventually." d. "Do you and your wife have any children together?"

b. "I understand you're in pain. I'll stay with 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? a. "The patient tripped over bedsheets because housekeeping left them on the floor all day." b. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum." c. "The patient fell because they ignored me when I told them to stay in bed." d. "The patient fell because the nurse forgot to lock the wheels of the bed again."

b. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record? a. It is most likely that the client attempted to climb over the side rails and fell." b. "Upon entering the room, the client was found lying on the floor." c. "The client had been restless all evening and was trying to get out of bed." d. "The presence of a bed alarm could have prevented the fall."

b. "Upon entering the room, the client was found lying on the floor."

Which of the following residents is demonstrating orthopneic position? (meant to assist in breathing. Leaning forward makes it easier to get air into the lungs). a. A resident sits in a chair with their back straight. b. A resident sits on the side of the bed and leans forward over a bedside table. c. A resident walks using a cane. d. A resident lays on their stomach with their face to the side

b. A resident sits on the side of the bed and leans forward over a bedside table.

The abbreviation Rx indicates: a. A type of wound. b. A treatment. c. An acute illness. d. A disease

b. A treatment (or prescription)

The nursing assistant knows that the responsibilities of the position do NOT include: a. Helping a resident to bathe. b. Administering a medication. c. Keeping a resident's room tidy. d. Applying an icepack as ordered.

b. Administering a medication.

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best? a. Wrap the bandage around the arm loosely. b. Apply the bandage while stretching it slightly. c. Apply heavy pressure with each turn of the bandage. d. Start applying the bandage at the upper arm and work toward the lower arm.

b. Apply the bandage while stretching it slightly.

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action? a. Ask the client what her previous meal contained. b. Ask the nurse to observe the stool. c. Dispose of the stool and report the color to the nurse. d. Ask a co-worker if this is normal for this client.

b. Ask the nurse to observe the stool.

The nurse inserts a Foley catheter to relieve a client's urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter? a. Emptying the drainage bag every 6-8 hours. b. Attaching the drainage bag to the lowest part of the siderails near the client's feet. c. Keeping the drainage bag below bladder level. d. Positioning the tubing without dependent loops.

b. Attaching the drainage bag to the lowest part of the siderails near the client's feet.

A client with a terminal illness tells the nurse that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief? a. Acceptance. b. Bargaining. c. Denial. d. Anger.

b. Bargaining.

In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is: a. Between 105°F and 120°F b. Between 95°F and 110°F c. Between 80°F and 93°F d. Between 65°F and 80°F

b. Between 95°F and 110°F

Dyspnea is a term that refers to difficulty with which of the following? a. Urinating. b. Breathing. c. Defecating. d. Swallowing

b. Breathing.

A resident is choosing items for breakfast. Which of the following items contains the most amount of potassium? a. Eggs. b. Cantaloupe. c. Toast. d. Strawberries

b. Cantaloupe.

Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition? a. Prunes b. Cauliflower c. Colas and sodas d. Protein-rich foods

b. Cauliflower (beans, cabbage, radishes, and cucumbers).

When applying a jacket restraint to a patient, it is most important to: a. Check that the patient is not able to hit any other patients nearby. b. Check that the patient can fully expand their chest for breathing. c. Use a half-bow knot to secure each tie around the bed frame. d. Use a square knot to fasten the vest ties together behind the chair.

b. Check that the patient can fully expand their chest for breathing.

A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear? a. Mask b. Clean gloves c. Sterile gloves d. Shoe protectors

b. Clean gloves

A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to: a. Immediately walk out of the client's room and answer the phone call. b. Cover the client, place the call light within reach, and answer the phone call. c. Finish the bed bath before answering the phone call. d. Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

b. Cover the client, place the call light within reach, and answer the phone call.

To obtain a 24-hour urine specimen, the nurse assistant should: a. Collect each voiding in separate containers for the next 24 hours. b. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours. c. For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided. d. Keep a record of the time and amount of each voiding for 24 hours.

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

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: a. Assist the resident to put on a robe and nonskid slippers. b. Encourage the resident to pivot themselves with minimal assistance. c. Place the chair on the resident's strong side. d. Place the bed in the lowest position and lock the wheels.

b. Encourage the resident to pivot themselves with minimal assistance.

Which of the following actions is correct when giving a client a bath? a. Clean the perineal area by gently wiping with the washcloth from back to front. b. Ensure any areas not being currently washed are covered by a sheet or towel. c. Make the client give themselves their own bath, even if they perform it poorly. d. Lotion the client's feet after bathing and be sure to get in between the toes.

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

The nursing assistant walks into a patient's room and discovers him masturbating. Which of the following actions is correct? a. Scold the patient and tell him he should be ashamed of himself. b. Exit the room to provide privacy for the patient. c. Report the activity to the nurse in charge. d. Ask the patient why he is doing this to himself.

b. Exit the room to provide privacy for the patient.

Which of the following is the leading cause of accidental death in those 85 years of age and older? a. Poisoning. b. Falls. c. Car accidents. d. Drowning

b. Falls.

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? a. Tell the nurse immediately. b. Feel the client's fingers on the other hand. c. Ask the client if it hurts. d. Give the client gloves.

b. Feel the client's fingers on the other hand (First, check the fingers on the other hand. The client may have overall decreased circulation. If the fingers on the other hand are warm, however, the cast may need to be adjusted).

A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client's needs while preventing sensory overload? a. Allow all the client's family members to stay with the client. b. Have conversation at the bedside directed to the client. c. Keep the television or radio on for the client continuously. d. Keep the overhead light on at all times

b. Have conversation at the bedside directed to the client.

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients? a. Help residents write wills and choose power of attorneys. b. Help residents reach their highest level of psychological and mental functioning. c. Help residents perform ADLs and avoid neglect. d. Help residents to transfer to other nursing homes if they want.

b. Help residents reach their highest level of psychological and mental functioning (equires facilities to help their residents achieve their highest points of physical, psychological, and mental functioning, as well as make choices about their lives).

When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication? a. Constipation. b. Incontinence. c. Insomnia. d. Poor appetite.

b. Incontinence.

Which of the following procedures cannot be performed by a nursing assistant? a. Reporting a soiled dressing to the nurse. b. Inserting a Foley catheter. c. Performing oral care on an unconscious patient. d. Assisting the client to the bathroom

b. Inserting a Foley catheter (Inserting an indwelling urinary catheter requires sterile technique, which is not a component of nursing assistant skills).

The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the: a. Flow sheet b. Kardex c. Progress notes d. Nursing discharge summary

b. Kardex (s a widely used, concise method of organizing and recording data about a client, making information quickly accessible to all members of the health care team. The Kardex reveals specific data about the client, including therapeutic management done and nursing care).

Which of the following is a correct aspect of making an occupied bed? a. Place soiled linen on the floor until the bed has been remade with clean sheets. b. Lower the bed to the lowest level when the procedure is complete. c. Avoid raising the bed rails unless absolutely necessary. d. Mitering the corners of the new sheet is no longer recommended.

b. Lower the bed to the lowest level when the procedure is complete.

Which of the following diseases does not require airborne precautions? a. Measles. b. MRSA. c. Tuberculosis. d. Chickenpox

b. MRSA (a disease transmitted by skin-to-skin contact. It does not require airborne or droplet precautions).

A divorced 33-year-old former drug addict, is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships? a. Have get-well cards sent anonymously. b. Provide paper and pen for letter writing to his sons. c. Spend time with him after work hours. d. Leave him alone to allow for meditation.

b. Provide paper and pen for letter writing to his sons.

Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs? a. Popliteal. b. Radial. c. Brachial. d. Femoral

b. Radial.

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: a. Continue working, but wear a mask. b. Report herself to the nursing supervisor and be dismissed home. c. Continue working, but wash hands every fifteen minutes. d. Leave immediately for home.

b. Report herself to the nursing supervisor and be dismissed home.

The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next? a. Notify the nurse assigned to care for the patient about the bruises. b. Report the suspected situation to the nursing assistant's immediate supervisor. c. Ask the resident repeatedly to identify an abuser. d. Wait for more proof in order to identify the abuser.

b. Report the suspected situation to the nursing assistant's immediate supervisor.

A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate? a. Cover the hole with tape. b. Report to the nurse immediately. c. Disconnect the drainage bag from the catheter and replace it with a new bag. d. Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.

b. Report to the nurse immediately.

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: a. Breathing comfortably only when sitting. b. Restlessness, dizziness, and disorientation. c. Cyanosis and increased pulse rate. d. Increased temperature and decreased respiratory rate.

b. Restlessness, dizziness, and disorientation (Hypoxia means that the cells do not have enough oxygen. It is a life-threatening condition. The brain is very sensitive to inadequate oxygen. Restlessness is an early sign, as are dizziness and disorientation. Hypoxia will have increased respiratory rate, increased pulse rate, but not increased temperature. Cyanosis, or bluish discoloration of the skin, is a late sign of hypoxia).

A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant? a. A safety knot in the restraint straps. b. Restraint straps that are safely secured to the side rails. c. Jacket restraint straps that do not tighten when force is applied against them. d. Jacket restraint secured so that two fingers can slide easily between the restraint and the client's skin.

b. Restraint straps that are safely secured to the side rails.

Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose? a. Trochanter rolls b. Rubber sheet c. Bed cradle d. Flotation pads

b. Rubber sheet (protects the client from soiled linens and excess drainage. It can even predispose the client to develop skin breakdown and pressure ulcers because it creates moisture and friction to the skin).

Another term that is similar to the word convulsion is: a. Tremors. b. Seizure. c. Fever. d. Hypertension.

b. Seizure.

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? a. Log out and sign off all computer screens before leaving a terminal. b. Share passwords for computer access with colleagues who have forgotten their own passwords. c. Periodically change computer access passwords. d. prevent an unidentified healthcare worker from viewing computer records.

b. Share passwords for computer access with colleagues who have forgotten their own passwords.

"Log-rolling" is a technique best used for which of the following patient diagnoses? a. Left tibial fracture. b. Spinal cord injury (SCI). c. Cellulitis of the right arm. d. Psychosis.

b. Spinal cord injury (SCI).

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? a. Gardening. b. Tai chi and meditation. c. Basketball. d. Watching TV.

b. Tai chi and meditation (Tai chi is excellent for balance and would help the patient to decrease her risk of falls. Meditation may increase happiness and decrease any depression. Watching TV encourages stasis, not movement, and the rest are perhaps too active).

A nursing assistant cares for a resident. Which of the following skin care measures are correct? a. The nursing assistant does not begin perineal care until a second staff member is present. b. The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the nurse. c. The nursing assistant applies talcum powder beneath the abdominal folds of the resident. d. The nursing assistant applies a prescription ointment as ordered.

b. The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the nurse.

While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Which of the following rationales explains the nursing assistant's action? a. To inhibit drainage. b. To allow drainage to occur. c. To allow the urine to collect in the tubing. d. To have the client check the tubing for urine.

b. To allow drainage to occur (Catheter tubing shouldn't be allowed to develop dependent loops or kinks because this inhibits proper drainage by requiring the urine to travel against gravity to empty into the bag).

Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again? a. Enroll in a refresher course. b. Undergo a retraining and a new competency evaluation. c. Competency evaluation only. d. No other requirements are required. Just present letter of intent to the Board to go back to work.

b. Undergo a retraining and a new competency evaluation.

Restraints are used only when: a. the staff is busy b. a doctor orders the restraints c. the resident is behaving badly d. you think it is necessary for the resident's safety

b. a doctor orders the restraints

Whenever verbal and nonverbal impressions are mixed: a. words speak louder than actions b. actions speak louder than words c. words and actions have the same impact d. there is no message

b. actions speak louder than words

People infected with HIV: a. show symptoms of the disease within a few days b. are carriers for life c. always know they are infected d. will recover in six months to a year

b. are carriers for life

Areas of the body at high risk of pressure ulcers are: a. fatty tissues b. boney areas c. nose and throat d. upper arms

b. boney areas

The medical term for a stroke is: a. cardiovascular accident b. cerebrovascular accident c. brain damage d. myocardial infarction

b. cerebrovascular accident

During the final stages of life, you would: a. leave the person alone b. continue normal care c. discourage visitors d. keep the room dark

b. continue normal care

Clients and families have the right to receive care that is: a. determined necessary by the health team. b. culturally acceptable to them. c. dictated as appropriate by medical research. d. technologically advanced and inexpensive.

b. culturally acceptable to them.

The nursing assistant is correctly providing penile hygiene to an unconscious clients if she: a. uses warm water without soap. b. dries all areas of the penis thoroughly. c. washes from the base of the shaft to the tip. d. avoids retracting the foreskin if not circumcised

b. dries all areas of the penis thoroughly.

Help prevent dehydration by: a. cutting back on fluid intake b. encouraging fluid intake c. bathing twice a day d. withholding fluids

b. encouraging fluid intake

After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg: a. every 15 minutes. b. every hour. c. every 2 hours. d. every shift.

b. every hour.

A typical blood pressure around the upper arm should NOT be taken when the patient: a. complains that "this is the fifth time today." b. has IV catheters in both the left and right arms. c. has heart failure. d. has had lymph nodes removed around the axilla of the left arm.

b. has IV catheters in both the left and right arms.

Foot care is given only by licensed staff if the resident: a. takes any medications b. has poor circulation or is diabetic c. leaves the room d. open the window for ventilation

b. has poor circulation or is diabetic

After you have tested the water temperature: a. help the resident out the tub b. have the resident check the water temperature c. wants special treatment d. open the window for ventilation

b. have the resident check the water temperature

If a person is visually impaired, you would: a. scold the person for not wearing glasses b. identify yourself whenever you enter the room c. discourage the person from being independent d. avoid talking to the person

b. identify yourself whenever you enter the room

If you are unable to work, it is MOST important to: a. inform your supervisor when you are fit to return b. inform your supervisor at the earliest opportunity that you are unable to work c. call your supervisor when you are ready to return to work d. send a note to your supervisor

b. inform your supervisor at the earliest opportunity that you are unable to work

upholding resident rights: a. is a matter of choice b. is a legal requirement c. is not an NA's responsibility d. applies only if a resident complains

b. is a legal requirement

When lifting, it is correct to: a. bend at the waist b. keep your back straight c. keep your knees straight d. keep your feet close together

b. keep your back straight

A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a: a. superficial burn. b. partial thickness burn. c. total thickness burn. d. serious burn.

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

decubitus ulcers are: a. digestive problems b. pressure ulcers c. hiccups d. a contaigous disease

b. pressure ulcers

A nursing assistant enters a client's room and finds a fire burning in a trashcan. The nursing assistant's first action is to: a. call the nurse for help. b. remove the patient. c. try to put out the fire. d. pull the fire alarm.

b. remove the patient.

A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should: a. take the client's pulse next. b. report the finding to the nurse. c. record the vital sign in the chart. d. instruct the client to drink more fluids

b. report the finding to the nurse.

An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by: a. placing the head of bed in 90° angle. b. sitting up and leaning over a table with a pillow. c. hyper-extending the neck while on high back rest. d. placing the client on a high back rest using a pillow

b. sitting up and leaning over a table with a pillow.

The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should: a. use restraints to ensure the client's safety. b. speak calmly in an authoritative and neutral manner to the client. c. use the television to distract the client. d. provide care only when absolutely necessary.

b. speak calmly in an authoritative and neutral manner to the client.

A client in the hospital announces that he is leaving this minute and that no one can stop him. The nursing assistant should: a. tell the patient to wait and see if he likes the care more as he feels better. b. tell the patient to wait so that she can get the nurse because he has to sign a form. c. warn the patient that it's better to follow the doctor's recommendations. d. tell the patient that he can't leave

b. tell the patient to wait so that she can get the nurse because he has to sign a form (Clients who want to leave AMA (against medical advice) may do so, but they need to sign an AMA form or their insurance will often not pay for treatment).

avoid shaking or fluffing linen: a. to avoid causing a draft b. to prevent germs from spreading c. to avoid dropping the linen d. to avoid making noise

b. to prevent germs from spreading

Rectal temperatures are usually taken on patients who are: a. combative. b. unconscious. c. anxious. d. confused

b. unconscious.

The radial puulse is located in the: a. neck b. wrist c. temple d. foot

b. wrist

A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation? a. "I'm sorry, I don't know." b. "I'm sure it's nothing to worry about. You look fine to me." c. "I don't have any information as of the moment, but I'll find out for you." d. "You need to ask your doctor about that, not me."

c. "I don't have any information as of the moment, but I'll find out for you."

A client in the long term facility tells the nursing assistant "I am too depressed to talk to you. Leave me alone." Which of the following response by the nursing assistant is most therapeutic? a. "I'll be back in an hour." b. "Why are you so depressed?" c. "I'll sit with you for a moment." d. "Call me when you feel like talking to me."

c. "I'll sit with you for a moment."

The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying: a. "If you do not fill it completely, I will empty it later." b. "If you need any more assistance, please ring the bell." c. "Please ring me when you are finished and I will empty it for you." d. "Please let me know later how many mL."

c. "Please ring me when you are finished and I will empty it for you."

A client says to you "I am worthless person, I should be dead." What is the best response that you, the nursing assistant, can make? a. "Don't say you are worthless, you are not a worthless person." b. "We are going to help you with your feelings." c. "What makes you feel you're worthless?" d. "What you say is not true.

c. "What makes you feel you're worthless?"

For a tub bath, the best water temperature is generally: a. 80 degrees F b. 90 degrees F c. 105 degrees F d. 115 degrees F

c. 105 degrees F

The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen: a. At bedtime b. 30 minutes after meals and at bedtime c. 30 minutes before meals and at bedtime d. Before breakfast

c. 30 minutes before meals and at bedtime

Choose the observation that should be reported to the nurse STAT. a. Temperature of 98.9 degrees F. b. A pulse of 72. c. 32 respirations per minute. d. Blood pressure of 102 over 75.

c. 32 respirations per minute (15-20 range is considered normal)

Which of the following best describes the concept of empathy? a. A nursing assistant asks a patient whether they would like to take a walk or watch a movie. b. A nursing assistant speaks with a dietician about alterations to the patient's meal tray. c. A nursing assistant speaks with a patient about their recent diagnosis of cancer. d. A nursing assistant asks the nurse when she may take a meal break.

c. A nursing assistant speaks with a patient about their recent diagnosis of cancer (Speaking with a patient about a recent, potentially devastating diagnosis, shows a willingness to discuss feelings and issues that may be difficult to talk about).

Range-of-motion exercises are most important for which type of patient to perform? a. A patient with a pulled leg muscle. b. A patient who has hypertension. c. A patient with hemiplegia. d. A patient with depression

c. A patient with hemiplegia (in order to maintain joint function and avoid blood clots. Hemiplegia is a form of paralysis that affects one side of the body, often just one arm and one leg, but at times extending partially to the torso).

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

c. Able clients can perform this procedure by themselves once they have been taught by the nurse.

Which of the following is a key part of care when administering a bath to a resident? a. Clean the perineal area of a patient before assisting them to clean their face. b. Use cool water when bathing the patient to promote better circulation. c. Allow participation in care to promote a sense of independence. d. Perform all care for the resident in order to conserve their energy.

c. Allow participation in care to promote a sense of independence.

Rehabilitation care after any injury should begin when? a. When the patient enters a rehab program. b. One week into recovery. c. As soon as possible. d. When the doctor says so.

c. As soon as possible (Rehabilitation should begin as soon as possible in order to get the most recovery).

When caring for a dying client, the nurse aide should perform which of the following activities? a. Encourage the client to reach optimal death. b. Assist the client to perform activities of daily living. c. Assist client towards a peaceful death. d. Motivate client to gain independence.

c. Assist client towards a peaceful death.

Which of the following most addresses a client's needs in regard to spirituality? a. Ask the client why he or she is of a particular faith. b. Provide the client with warm water, soap, and towels every morning. c. Assist the client to the facility's chapel every Sunday. d. Treat any religious objects in the client's room as if they were any other.

c. Assist the client to the facility's chapel every Sunday.

Proper body mechanics when lifting clients involve which of the following? a. Keep the spine curved. b. Bending at the waist. c. Bending at the knees. d. Avoid seeking assistance

c. Bending at the knees.

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in? a. Bargaining b. Acceptance c. Denial d. Depression

c. Denial

Which of the following disorders are said to be irreversible? a. Chicken pox. b. Asthma. c. Emphysema. d. Hypertension

c. Emphysema (one of the diseases that comprises COPD (chronic obstructive pulmonary disease). Emphysema develops over time and involves the gradual damage of lung tissue, specifically the destruction of the alveoli (tiny air sacs).

Which of the following options is the best method to prevent insomnia? a. Ensure the client eats one apple per day. b. Encourage the client to take several naps daily. c. Encourage the client to take several walks around the facility daily. d. Encourage the client to remain in bed throughout the day.

c. Encourage the client to take several walks around the facility daily.

Diabetes is a disease of which primary body system? a. Respiratory. b. Musculoskeletal. c. Endocrine. d. Cardiac.

c. Endocrine.

One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens? a. Before a meal. b. After a meal. c. First thing in the morning. d. Last thing before the patient goes to sleep.

c. First thing in the morning.

A patient has a fever and describes feeling very uncomfortable. Which of the following recommendations is best for the nursing assistant to provide? a. Give the patient a backrub. b. Administer Tylenol 500mg PO. c. Give the patient a cool washcloth to be placed on the forehead. d. Suggest the patient sit outside in the fresh air.

c. Give the patient a cool washcloth to be placed on the forehead (A cool washcloth can make a patient with a fever feel better. The nursing assistant may not administer medications).

A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup!" Which of the following actions by the nurse assistant would be correct? a. Focusing on the emotional reaction. b. Clarifying the meaning of his statement. c. Giving him step-by-step directions. d. Doing the procedure for him

c. Giving him step-by-step directions (The client is experiencing an inability to recognize or name objects (agnosia) and needs single step instructions).

Which of the following would be a primary indication of hepatitis? a. Hypertension. b. Hyperglycemia. c. Jaundice. d. Hypotension.

c. Jaundice (also known as yellowing of the skin, occurs frequently in cases of hepatitis (liver disease).

The nursing assistant knows that the term "NPO" means: a. Bedrest only. b. No oral temperatures are to be taken. c. Nothing by mouth. d. Liquid diet.

c. Nothing by mouth.

Legally, clients' charts are: a. Owned by the government since it is a legal document. b. Owned by the doctor in charge and should be kept from the administrator for whatever reason. c. Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge. d. Owned by the client and should be given by the nurse to the client as requeste

c. Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.

The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following? a. Completing a meal over the course of fifteen minutes. b. Chewing very slowly. c. Pocketing of food. d. Uneven chewing.

c. Pocketing of food.

A client under the nursing assistant's care suffers from chronic "foot drop". The nursing assistant can expect to find which of the following devices in the client's room? a. A wedge. b. A mechanical lift. c. Positioning boots. d. Two extra pillows.

c. Positioning boots (The boots will ensure that the feet are dorsiflexed to prevent contractures and discomfort).

The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output? a. Inform the nurse that the client has voided or defecated. b. Do not document at all since it cannot be measured. c. Record on the output side of the I&O sheet each time the bed is wet. d. Review the client's intake and record the same amount on the output side of the I&O sheet.

c. Record on the output side of the I&O sheet each time the bed is wet (Even though the urine cannot be measured, it will be obvious that the client's kidneys are functioning).

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? a. Assess the client's head for bruising. b. Take the client's temperature. c. Report it to the nurse immediately. d. Assume the client is forgetful.

c. Report it to the nurse immediately.

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? a. Clamp the IV catheter and tell the nurse. b. Tell the nurse when she happens to see her. c. Report it to the patient's nurse immediately. d. Report it to the nursing supervisor.

c. Report it to the patient's nurse immediately.

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? a. Report the situation to the physician. b. Ask the patient, "Can you tell me more about your feelings?" c. Report the situation to the nurse in charge. d. Reassure the patient by saying, "It's not that bad. You'll feel better tomorrow."

c. Report the situation to the nurse in charge.

A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client? a. Eating his lunch. b. Use of cotton bedclothes. c. Shaving using an electric razor. d. Talking with visitors

c. Shaving using an electric razor.

Fecal impaction may present with which of the following symptoms? a. Dark urine. b. Excessive flatulence. c. Small, watery leakage of stool. d. Abdominal pain.

c. Small, watery leakage of stool.

Of the following symptoms, which one is most likely due to an infection in a resident? a. Pale skin. b. Tented skin. c. Sudden onset confusion. d. Aphasia

c. Sudden onset confusion.

What type of client may opt to receive hospice care? a. Client with kidney disease. b. Client with cancer. c. Terminally ill client. d. Client with diabetes.

c. Terminally ill client

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? a. The patient denies skipping any medication. b. The patient is stressed. c. The blood pressure cuff is too tight. d. The patient is lying in bed.

c. The blood pressure cuff is too tight (blood pressure cuff size is a direct influence on the reading. The blood pressure will read higher with a tight cuff and lower with a cuff that is too large)

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

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

Which of the following would be considered an example of battery toward a patient? a. The nursing assistant cleans the resident's glasses. b. The nursing assistant asks for permission before touching the resident to assist them to the bathroom. c. The nursing assistant bathes the resident without his or her permission. d. The nursing assistant keeps a resident isolated from others as a form of punishment.

c. The nursing assistant bathes the resident without his or her permission.

Which of the following is an example of a nursing assistant's desired characteristic of reliability? a. The nursing assistant lets the nurse know when a patient states he is in pain. b. The nursing assistant monitors a patient's vital signs. c. The nursing assistant completes a task designated by the nurse in a timely manner. d. The nursing assistant clocks in fifteen minutes after her shift began.

c. The nursing assistant completes a task designated by the nurse in a timely manner.

The nursing assistant overhears the nurse say to the patient that he has a "bulging tympanic membrane." What does this most likely mean? a. The patient is in pain. b. The patient has a viral illness. c. The patient has an ear infection. d. The patient should clean his ears more frequently.

c. The patient has an ear infection (The tympanic membrane is more commonly known as the eardrum. A bulging, tympanic membrane typically indicates an ear infection, not necessarily a viral illness).

Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately? a. Zippered clothing. b. Tied shoes to promote stability. c. Velcro clothing, slip-on shoes, and rubber grippers. d. Buttoned clothing, slip-on shoes, and rubber grippers.

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

CPR (Cardiopulmonary resuscitation) should be performed when: a. a client is unconscious. b. a client is choking. c. a client has no pulse and is not breathing. d. a client has a pulse but is not breathing.

c. a client has no pulse and is not breathing.

One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia: a. are unable to speak. b. have no difficulty in understanding spoken or written language. c. are not able to express themselves meaningfully through speech. d. speak very loudly at all times.

c. are not able to express themselves meaningfully through speech (also known as Wernicke's aphasia. It is a type of aphasia in which an individual is unable to understand language in its written or spoken form. Even though they can speak using grammar and syntax, they usually have difficulty expressing themselves meaningfully through speech. People with receptive aphasia are typically unaware of how they are speaking and don't realize that their speech lacks meaning).

A thermometer measures: a. respiration b. blood pressure c. body temperature d. systolic pressure

c. body temperature

CPR means: a. cardiopulmonary restrictions b. cerebral pulmonary resuscitation c. cardiopulmonary resuscitation d. cardiopulmonary post resuscitation

c. cardiopulmonary resuscitation

The universal sign for chocking is: a. coughing b. cluthching the stomach c. clutching the throat d. dysphagia

c. clutching the throat

If a resident is unconcious, mouth care should be given: a. once a day b. at least twice a day c. every two hours d. only as necessary

c. every two hours

The MOST important measure to prevent the spread of infection is: a. fresh air b. clean clothing c. hand washing d. isolation

c. hand washing

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: a. lungs. b. liver. c. heart. d. ears.

c. heart (The heart may fail or go into an arrhythmia from the drop in body temperature).

If your supervisor corrects a procedure: a. get defensive b. make an excuse c. learn from your mistake d. blame someone else

c. learn from your mistake

If people are able to assist with their personal care, you would: a. provide the care yourself because it is faster and easier b. tell them to hurry c. let people do it, even if it takes more time and effort than doing it yourself d. discourage people from trying

c. let people do it, even if it takes more time and effort than doing it yourself

Cleansers and disinfectants should be: a. readily available b. kept in open cupboards c. locked in storage areas d. kept in handy locations

c. locked in storage areas

ROM is important because the exercises: a. give the residents something to do b. keep you busy c. maintain mobility and prevent atrophy (absence of muscle tone) d. cause contractures

c. maintain mobility and prevent atrophy (absence of muscle tone)

When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client's cane: a. in front of the client. b. on the left side. c. on the right side. d. away from the client

c. on the right side.

When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should: a. call a priest. b. counsel the client. c. report immediately to the nurse. d. refer the matter to the police

c. report immediately to the nurse.

If something seems wrong with a resident, you would: a. check on the person in an hour b. do nothing until you know what the problem is c. report it d. tell the person's family

c. report it

If you think a resident has been abused: a. tell the abuser to stop b. keep quiet c. report the abuse d. wait to see if it happens again

c. report the abuse

A patient says that her visitor is unable to come during visitor hours and asks if she could be accommodated. The nursing assistant: a. reviews the issue with the patient's nurse before answering. b. says, "Of course! That would be fine." c. reviews the issue with the charge nurse before answering. d. says, "I'm sorry, that's not our policy here."

c. reviews the issue with the charge nurse before answering.

People who are incontinent: a. should be scolded when they have an "accident" b. are usually too lazy to go to the bathroom c. sometimes regain bladder control with appropriate training d. should restrict their fluid intake

c. sometimes regain bladder control with appropriate training

To take the temperature of a resident who is wearing an oxygen mask, you would: a. remove the mask to take an oral reading b. chart that the temperature was not taken c. take a rectal, aural, or axillary temperature d. feel the resident's forehead

c. take a rectal, aural, or axillary temperature

A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by: a. recording intake and output. b. brushing the client's teeth. c. taking the client to the bathroom. d. assisting the client to call family members.

c. taking the client to the bathroom.

The nursing assistant knows that the term "pulse deficit" refers to: a. the difference between the systolic and diastolic blood pressure. b. an absence of the pulse. c. the difference between the apical and radial pulse. d. a strong pulse.

c. the difference between the apical and radial pulse.

The MOST important member of the care team is: a. the doctor b. the nurse c.. the resident d. the social worker

c. the resident

A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should: a. speak loudly and slowly. b. stand close to the client and speak slowly. c. use an interpreter to speak to the client. d. speak to the client and family together to increase the chances that the topic will be understood.

c. use an interpreter to speak to the client.

A client at the facility receives a new roommate. While the roommate is in the bathroom, the clients leans toward the nurse and whispers, "Why is she here anyway? Is she sick?" The best response by the nursing assistant is: a. "I'm not sure. Let me take a look at her chart." b. "Why don't you ask her yourself?" c. "She's here for the same thing as you!" d. "I'm afraid I can't share that information with you."

d. "I'm afraid I can't share that information with you."

A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice? a. 480 cc. b. One hundred and twenty cc. c. 120 ml. d. 480 ml.

d. 480 ml.

Which of the following items is necessary in order to place a patient in restraints? a. The hospital administrator's approval. b. The charge nurse's approval. c. Physical restraints. d. A physician's order.

d. A physician's order.

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D? a. Some pretzels. b. A cookie. c. An apple. d. A warm glass of milk

d. A warm glass of milk (Milk and other dairy products are usually fortified with vitamin D. This is the best snack to increase intake).

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? a. Offer to team up with another nursing assistant to give medications. b. Begin gathering medications she must give. c. Loudly complain about the situation. d. Alert the charge nurse to the situation

d. Alert the charge nurse to the situation

The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best? a. Retrieve a safety clipper and hand it to the client. b. Report to the nurse that the client needs her toenails trimmed. c. Check the client's blood glucose before cutting her toe nails. d. Check the chart for physician orders regarding nail trimming.

d. Check the chart for physician orders regarding nail trimming (report the request to nurse, so she/he can contact a podiatrist)

The nursing assistant knows that urine is normally: a. Dark in color and foul-smelling. b. Dark yellow. c. Clear, dark yellow. d. Clear, pale yellow

d. Clear, pale yellow

Which is NOT a rule for collecting specimens? a. Follow the rules of medical asepsis. b. Use the correct container. c. Label the container accurately. d. Collect the specimen when you have time

d. Collect the specimen when you have time

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? a. Give the client a DVD to watch about heart failure. b. Have the client repeat back what the nurse has said. c. Give the client a brochure about heart failure. d. Encourage the client to form more of a discussion with the nurse in order to understand better.

d. Encourage the client to form more of a discussion with the nurse in order to understand better.

A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures? a. Endoscopy. b. Colonoscopy. c. Catheterization. d. Enema.

d. Enema.

All of the following factors may interfere with elimination EXCEPT: a. Infection. b. Aging. c. Medications. d. Family stress.

d. Family stress.

What is the best way for a nursing assistant to prevent infection? a. Use standard precautions when caring for residents. b. Apply an antiseptic hand rub before and after caring for residents. c. Wear gloves when in contact with body fluids. d. Frequent hand washing

d. Frequent hand washing

Which of the following methods should be used to collect a specimen for urine culture? a. Have the client void in a clean container. b. Clean the foreskin of the penis of uncircumcised men before specimen collection. c. Have the client void into a urinal, and then pour the urine into the specimen container. d. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

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

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

d. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back (A pillow is placed between the knees in both positions listed)

The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation? a. Tactfully refuse the delegated task because you are limited in changing dressings on your own. b. After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage. c. In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes. d. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

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

Which of the following statements is true about Alzheimer's residents? a. An increased appetite is common as Alzheimer's progresses. b. Residents can never be reoriented because they will immediately forget it. c. The resident may become confused, but hallucinations are never a part of Alzheimer's. d. It is important to maintain a routine to avoid confusion and overstimulation.

d. It is important to maintain a routine to avoid confusion and overstimulation.

A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment? a. Dispose of the equipment after each use. b. Wear gloves while handling the equipment. c. Use only the equipment with other clients in airborne isolation. d. Leave the equipment in the room for use only with that client.

d. Leave the equipment in the room for use only with that client (Leaving equipment in the room is appropriate to avoid organism transmission by inanimate objects).

A patient is on a clear liquid diet. Which of the following is NOT allowed on this diet? a. Water. b. Tea. c. Coffee. d. Orange juice with pulp

d. Orange juice with pulp

The term grievance refers to which aspect included in the Patient Bill of Rights? a. There is no lifetime monetary limit on essential care. b. Patients are not allowed to call doctors at home. c. Patients have access to their health information at all times. d. Patients have the right to file a complaint without fear or penalty.

d. Patients have the right to file a complaint without fear or penalty.

It's a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient's eyes. How would you respond to this? a. Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure. b. As assistant to the nurse, follow the nurse's request and apply the ointment to the patient's eyes. c. Ask the nurse to be with you during the application of the ointment. d. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

d. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

Which of the following aspects of care is important for a confused client? a. Checking the client's blood sugar every hour. b. Asking the client their name. c. Keeping the client contained in their room. d. Reorienting the client frequently with clocks, calendars, and family mementos.

d. Reorienting the client frequently with clocks, calendars, and family mementos.

A patient who is immobile may experience which of the following feelings? a. Confusion. b. Laziness. c. Happiness. d. Sadness.

d. Sadness.

Which of the following guidelines regarding residents who are hard of hearing would be considered correct? a. Encourage family participation to make sure they understand you. b. Speak in a high-pitched voice to enhance understanding. c. Write down words rather than speaking. d. Speak clearly and slowly as you face the resident.

d. Speak clearly and slowly as you face the resident.

The nursing assistant cares for a client with AIDS. The nursing assistant knows that AIDS patients require what type of precautions? a. Droplet. b. Contact. c. Respiratory. d. Standard.

d. Standard (AIDS patients require standard precautions. Gloves must be worn at all times when handling blood or other body fluids).

A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety? a. Don't allow him to leave his room. b. Remove all sharp and cutting objects. c. Give him the opportunity to ventilate his feelings. d. Stay with him at all times.

d. Stay with him at all times.

The nursing assistant knows that signs of hypoglycemia include which of the following? a. Tachycardia. b. Polyuria. c. Hot and dry skin. d. Sweating

d. Sweating

A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer? a. Ask the caller what telephone number he is trying to reach. b. Ask the caller to "Please hold, an operator will get to you shortly", then go back to unfinished tasks. c. Refer the call to the nurse on duty. The nurse will transfer the call herself. d. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

d. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

Which of the following is an example of emotional lability? a. The patient gets upset after a long day and blames it on tiredness. b. The patient gets upset when he learns he has been diagnosed with cancer. c. The patient gets upset when he does not receive a plate in his favorite color. d. The patient gets upset after telling the nurse immediately prior how happy he is.

d. The patient gets upset after telling the nurse immediately prior how happy he is.

A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position? a. The patient lies on their stomach for twenty minutes prior to eating. b. The patient's bed is at a 30 degree angle with the patient slightly slumped over to the left. c. The patient's bed is at a 60 degree angle with the feet propped up. d. The patient's bed is at a 90 degree angle and the patient is positioned sitting up.

d. The patient's bed is at a 90 degree angle and the patient is positioned sitting up.

Which of the following are examples of fluid output that need to be recorded on the I&O sheet? a. Urine only. b. Urine and blood loss. c. Urine, blood loss, and excessive perspiration. d. Urine, emesis, blood loss, and excessive perspiration.

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

Which action is incorrect when flossing the client's teeth? a. Hold the floss between the middle fingers of each hand. b. Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth. c. Move the floss gently up and down between the teeth. d. Use a new piece of floss for each tooth.

d. Use a new piece of floss for each tooth.

A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a: a. therapeutic level. b. preset level. c. prescribed level. d. audible level.

d. audible level.

The best way to prevent accidents is: a. telling residents to be careful b. getting angry when a resident has an accident c. placing the call signal out of a resident's reach d. being alert to safety hazards

d. being alert to safety hazards

Use universal/standard precautions for: a. lifting procedures b. pulse c. ambulating d. blood and body fluids

d. blood and body fluids

Serving the wrong meal to a person: a. is never a problem b. is okay, but be more careful next time c. makes more work for yourself d. can cause severe problems

d. can cause severe problems

Long periods of immobility cause: a. elevated pulse rate b. dyspahgia c. myocardial infarction d. contractures and atrophy

d. contractures and atrophy

Taking a pulse measures: a. respiration b. blood pressure c. activity d. heartbeat

d. heartbeat

Hypertension is: a. low blood pressure b. lack of blood pressure c. high pulse rate d. high blood pressure

d. high blood pressure

The NA should deal with sexuallity: a. with disgust and disapproval b. by taking away the right to privacy c. by scolding the residents d. in a mature and professional manner

d. in a mature and professional manner

The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to: a. care for patients as if they were their own family. b. make residents as happy as possible. c. assist residents to set up insurance and policy claims. d. investigate residents' complaints and bring them to the attention of the correct authorities.

d. investigate residents' complaints and bring them to the attention of the correct authorities.

Keeping infofrmation about residents confidential: a. is not important b. is fairly important c. applies only to medical records d. is a legal responsibility

d. is a legal responsibility

Cheyne-Stokes respirations occur in a client who: a. has a history of chronic respiratory issues. b. is unconscious. c. is recovering from an asthma attack. d. is close to death

d. is close to death

A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can: a. turn the oxygen on and off. b. start the oxygen. c. decide what device to use. d. keep the connecting tubing secure and free of kinks.

d. keep the connecting tubing secure and free of kinks.

Nursing Assistants report to: a. doctor b. director of nursing staff c. activities director d. licensed nurse

d. licensed nurse

The first thing you should do if a person has a seizure is: a. leave the room to find help b. hold the person's hand c. restrain the person d. protect the person from injury

d. protect the person from injury

The primary concern when moving a person is to: a. hurry b. keep the person happy c. use the muscles in your back for lifting d. provide safety

d. provide safety

When making the patient's bed, the nursing assistant knows it is most important to: a. change the pillow cover every four hours. b. use linen that has only been in the client's room. c. inspect the sheets for softness. d. straighten the sheets to reduce wrinkle formation.

d. straighten the sheets to reduce wrinkle formation (Wrinkles and creases in the sheets can contribute to bed sores).

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means: a. that the client is confused. b. that the client is unable to void. c. that the client is unable to understand and process language. d. that the client is unable to speak.

d. that the client is unable to speak.

Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should: a. encourage coughing and deep breathing and limit fluid intake. b. provide only passive range of motion, and decrease stimulation. c. have the client lie as still as possible, and give adequate massage. d. turn the client every 2 hours, and encourage coughing and deep breathing.

d. turn the client every 2 hours, and encourage coughing and deep breathing.

Wear disposable gloves whenever: a. your hands are cold b. your hands are dirty c. you have a cold d. you might be exposed to blood or body fluids

d. you might be exposed to blood or body fluids

RACE

rescue, alarm, contain, extinguish

Enema

the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity

True or False: When brushing an unconscious individual's teeth you position him/her supinly with head facing to one side.

true