MNA test #2
Microbes are pathogens in their natural sites
False
Restraint alternatives fail to protect a person. You can apply a restraint. TF
False
You can apply restraints when you think they are needed
False
You can use a vest restraint to position a person on the toilet
False
A restrain restricts a persons freedom of movement
True
Bed rails are restraints if the person cannot lower them
True
Restraints are used only for a person specific medical symptom
True
Some drugs are restraints
True
Unnecesary restraint is false imprisonment
True
A person has a restraint. You should check the person and the position of the restraint at least every a. 15min b. 30 min c. hour d. 2 hours
a
Beds are raised horizontally to a. prevent bending and reaching when giving care b. let the person get in and out of bed with ease c. raise the head of bed d. lock the bed in position
a
Before turning a person onto his or her side, you a. move the person to the side of the bed b. move the person to the middle of bed c. lock arms with the person d. position pillows for comfort
a
Breathing is usually easier in a. fowlers position b. supine position c. lateral position d. sims position
a
The logrolling procedure a. is used after spinal cord injuries or surgeries b. requires a transfer belt c. requires a mechanical lift d. involves a stretcher and a drawsheet
a
These actions are about body mechanics. Which action is not correct.? a. Hold objects away from your body when lifting, moving or carrying them b. Face the direction you are working to prevent twisting c. Push, pull, or slide heavy objects d. use both hands and arms to lift, move, or carry heavy objects
a
These statements are about PPE. Which is false? a. wash disposable gloves for reuse b. remove ppe before leaving the work area c. discard cracked or torn utility gloves d. wear gloves when touching contaminated items or surfaces
a
When getting ready to dangle a person, you need to know a. which side is stronger b. if bed rails are used c. if a mechanical lift is needed d. if a transfer belt is needed
a
When measuring the BP, you should do the ff except a. use the arm with an intravenous infusion b. apply the cuff to a bare upper arm c. turn off the tv d. locate the brachial artery
a
When transferring the person to a bed, chair, or toilet a. persons strong side moves first b. weak side moves first c. pillows are used for support d transfer belt is removed
a
Which does not prevent or reduce odors a. placing flowers in the room b. emptying bedpans promptly c. using room deodorizers d. practicing good hygience
a
Which is not a restraint alternative? a. positioning the persons chair close to the wall b. answering the signal lights promptly c. taking the person outside in nice weather d. padding walls and corners of furniture
a
Which is reported to the nurse at once? a. an adult has a pulse of 124 beats per min b. an adult has a pulse of 90 beats per min c.an adult has a pulse of 86 beats per min d. an adult has a pulse of 64 beats per min
a
Which is usually used to take an adults pulse? a. radial pulse b. apical pulse c. apical radial pulse d. brachial pulse
a
Which occurs when a person slides down in bed? a. shearing b. friction c. ergonomics d. posture
a
Which protects the skin when moving the person in bed a. rolling the person b. sliding the person up in bed c. moving the mattress d. using ergonomics
a
You are delegated tasks that involve moving persons in bed. Which is true? a. the nurse tells you how to position the person b. you decide which procedure to use c. bed rails are used at all times d. three workers are needed to complete the task safely
a
You are going to decontaminate hands with an alcohol based hand rub. Which action is not correct? a. wash your hands before applying the hand rub b. rub your hands togehter c. cover all surfaces of your hands and fingers d. rub your hands together until your hands are dry
a
Your hands are spoiled with blood.. to a What should you do? a. wash your hands with soap and water b. decontaminate your hands c. rinse your hands d. tenn the nurse
a
a person is positioned in a chair. The feet a. must be flat on the floor b. are position on footplates c. dangle d. positioned on pillows
a
a rectal temp is taken when the person a. is unconcsious b. has heart disease c. is confused d. has diarrhea
a
for chair and wheelchair transfers, the person must a. wear nonskid footwear b. have the bed rails up c. use a mechanical lift d. have a drawsheet or other assist device
a
standard precautions a. are used for all persons b. prevent the spread of pathogens through the air c. require gowns, masks, gloves, and goggles d. require a doctors order
a
you have on sterile gloves. You can touch a. anything on the sterile field b. anything on your work surface c. anything below your waist d. any part of your uniform
a
A persons skin rubs against the sheet. This is called a. shearing b. friction c. ergonomics d. posture
b
Before transferring a person to or from a bed, you must a. raise the bed rails b lock the wheels c. apply a transfer belt d. position pillows for support
b
During care, you move from a contaminated body site to a clean body site. Your hands are not visibly soiled. WHat should you do?? a. wash your hands with soap and water b. decontaminate your hands c. rinse your hands d. put on sterile gloves
b
For fowlers position, a. bed is flat b. head of bed is raised between 45 and 60 degrees c. persons head is turned toward one side d. persons feet hangs over the edge of the mattress
b
Goggles or a face shield is worn a. when using standard precautions b. when splashing fluids is likely c. if you have an eye infection d. when assisting with sterile procedures
b
Good alignment means a. the area on which the object rests b. having the head, trunk, arms, and legs aligned with one another c. using muscles, tendons, ligaments and joints correctly d. the back lying or supine position
b
In an adult, normal respirations are a. 10-18 per min b. 12 to 20 per min c. less than 20 per min d. more than 20 per min
b
Most pathogens need the ff to grow except a. water b. light c. oxygen d. nourishment
b
Respirations are usually counted a. after taking the temp b. after taking the pulse c. before taking the pulse d. after taking the blood pressure
b
The following can occur because of restraints. Which is most serious? a. Fractures b. Strangulation c. Pressure ulcers d. UTI
b
The systolic pressure is the point a. where the pulse is no longer felt b. where the first sound is heard c. where the last sound is heard d. 30 mmHg above where the pulse was felt
b
These statements are about surgical asepsis. Which is false? a. a sterile item can touch only another sterile item. b .wet items are held up c. if you cannot see an item, it is considered contaminated. d. sterile items are kept above your waist
b
To safely transfer a person with a mechanical lift, at least a. 1 worker is needed b. 2 workers are needed c. 3 are needed d. 4 are needed e. the whole hospital are needed
b
Whenever you handle, move, or transfer a person, you must a. allow personal choice b. protect the persons privacy c. use pillows for support d. get help from a co-worker
b
Which does not control noise? a. using plastic items b. handling dishes with care c. speaking softly d. talking with others in the hallway
b
Which does not prevent healthcare associated infections? a. hand hygiene before and after giving care b. sterilizing all care items b. surgical asepsis d. standard precautions
b
Which statement about the apical-radial pulse is true? a. radial pulse can be greater than the apical pulse b. apical pulse can be greater than the radial pulse c. apical and radial pulses are always equal d. pulse deficit is 0
b
You are not sure of hearing an accurate BP measurement.. What should you do? a. record what you think that you heard. b. measure the BP again after 60 sec c. use the bell part of the stethoscope d. ask another nursing assistant to take the BP
b
You are using a drawsheet as an assist device. It is placed so that it a. covers the persons body b. is under the person from the head to above the knees c. extends from midback to midthigh level d. covers the entire mattress
b
bedpan is stored in the a. closet b. bedside stand c. overbed table d. bathroom
b
head of bed is raised 30 degrees. this is called a. folwers position b. semi fowlers position c. trendenlenburg position d. revers trendelenburg position
b
to prevent odors, you need to do the ff except a. check incontinent persons often b. dispose of ostomy products at end of shift c. keep laundry containers closed d. clean persons who are wet or soiled
b
which should you report at once? a. an oral temp at 98.4 degrees Fahrenheit b. rectal temp at 101.6 degrees Fahrenheit c. axillary temp of 97.6 degrees Fahrenheit d. oral temp of 99.0 degrees Fahrenheit
b
A belt restraint is applied to a person in bed. Where should you secure the straps? a. bed rails b. head board c. movable part of the bed frame d. foot board
c
A person has a vest restraint. it is not too tight nor too lose if you can slide a. fist between the vest and person b. one finger between the vest and person c. an open hand between the vest and person d. two fingers between the vest and person
c
A pillow is placed against the persons back in a. fowlers position b. prone c. lateral d. sims position
c
Isolation precautions a. prevent infection b. destroy pathogens c. keep pathogens within a certain area d. destroy all microbes
c
Normal respirations are a. heard as the person exhales b. heard as the person inhales c. are quiet d. sound like wheezing with inhalation and exhalation
c
Overbed table is NOT used a. for eating b. as a working surface c. for the urinal d. store shaving items
c
Physical restraints a. can be removed b. are not allowed by OBRA c. restrict freedom of movement d. are safer than chemical restraints
c
Residents are repositioned at least every a. 30min b. 1hour c. 2 hours d. 3 hours
c
Risk factors for work-related musculo-skeletal disorders include the ff except a. repeating actions b. awkward postures c. bending your hips and knees d. force
c
These statements are about transfers to and from a stretcher. Which is false? a. bed and stretcher wheels must be locked b. stretcher side rails are raised when the person is on the stretcher c. once on the stretcher, person can be left alone d. at least 2 workers are needed for a safe transfer
c
These statements are about transfers to and from a toilet. Which is false a. person wears non skid footwear b. wheelchair wheels must be locked c. person uses towel bars for support d. transfer belt is used
c
Which temp range is required by OBRAAA and the CMS? a. 61 to 68 degrees Fahrenheit b. 68 to 74 degrees Fahrenheit c. 71 to 81 degrees Fahrenheit d. 76 to 81 degrees Fahrenheit
c
You were exposed to a bloodborne pathogen. Which is true? a. you do not have to report the exposure b. you pay for the required tests c. you can refuse HIV and HBV testing d. the source individual can refuse testing
c
a mask a. can be reused b. is clean on the inside c. is contaminated when moist d. should fit loosely for breathing
c
signal lights are answered a. when you have time b. end of your shift c. promptly d. when you are near the persons room
c
the doctor ordered mitt restraints for a person. you need the ff information from the nurse except a. what size to use b. what other equipment is needed c. what drugs the person is taking d. when to apply and release restraints
c
to maintain the persons unit ,you can do the ff a. save items that do not look important b. provide enought issues and toilet papers c. place personal items as you chooce d. straigthen bed linens as needed
c
which gives the least accurate measurement of body temp? a. oral site b. rectal site c. axillary site d. tympanic membrane site
c
which statement is false? a. vital signs are temp, pulse, respirations, and blood pressure b. vital signs detect changes in body function c. vital signs change only during illness d. sleep exercise, drugs, emotions and noise affect vital signs
c
A person has mitt restraints. Which of these is especially important to report to the nurse? a. heart rate b. respiratory rate c. why the restraints were applied d. if u felt a pulse in the restrained extremities
d
According to the Bloodborne Pathogen Standard, you should not a. wear gloves b. discard sharp items into a biohazard container c. store food and blood in different places d. eat and drink in care settings
d
Contaminated surfaces are cleaned at the ff times except a. after completing a task b. when there is obvious contamination c. after blood is spilled d. after removing gloves
d
Good body mechanics involve the ff except: a. good posture b. balance. c. using the strongest and largest muscles d. having the job fit the worker
d
The correct way to apply any restraint is to follow the a. nurses directions b. doctors orders c. care plan d. manufacturers instructions
d
When cleaning equipment, do the ff except: a. rinse from the item in cold water before cleaning b. wash the item with soap and hot water c. use a brush if necessary d. work from dirty to clean areas
d
Which blood pressure is normal for an adult a. 88/54 mm Hg b. 140/90 mm Hg c. 100/58 mm Hg d. 112/78 mm Hg
d
Which does not protect a person from drafts a. wearing enough clothing b. being covered with enough blankets c. being moved from a drafty area d. sitting by a fan
d
You are going to use a mechanical lift. You must do the ff except a. follow the manufacturers instructions b. make sure the lift works c. compare the persons weight to the lifts weight limit d. use a transfer belt
d
signs and symptoms of infection include the ff except a. fever, nausea, vomiting, rash and/or sores b. pain or tenderness, redness, and or swelling c. fatigue, loss of apetite and or discharge d. a wound and/ or bleeding
d
the purpose of ergonomics is to a. reduce stress on the workers body b. safely position a person c. promote quality of life d. use good body mechanics
d
these statements are about hospital bed system entrapment. which is false? a. serious injuries and death can occur b. older, frail and confused persons are at risk c. head, neck and chest are areas of entrapment d. bed rails present the only risk for entrapment
d
which is not a portal of exit? a. respiratory tract b. blood c. reproductive system d. intact skin
d
you wear utility gloves for contact with a. blood b. body fluids c. secretions and excretions d. cleaning solutions
d
A device is a restraint only if it is attached to the persons body
false
Pulling is easier than pushing
false
Restraints can be used for staff convenience
false
a person received the hepatitis B vaccine. the person will develop the disease
false
an item is sterile if non pathogens are present
false
bed rails are left down when vest restraints are used
false
privacy curtain prevents others from hearing conversaitons
false
restraints are tied to bed rails
false
unused items in the persons room are used for another person
false
wrist restraints are used to prevent falls
false
you can adjust the persons room temp for your comfort
false
you can look through a persons closet and drawers
false
you hold your hands and forearms up during handwashing
false
The back lying position is called
supine position
A pathogen can cause an infection
true
Restraints are removed or released at least every 2 hours to reposition the person and give skin care
true
The 1inch edge around a sterile field is considered contaminated
true
a vest restraint crosses in front
true
an infection results when microbes invade and grow in the body
true
overbed table and bedside stand should be within the persons reach
true
persons unit is considered private
true
persons with dementia may have extreme reactions to strange sounds
true
signal light must be always be within the persons reach
true
soft, dim lighting is relaxing
true
the inside and cuffs of sterile gloves are considered contaminated
true
the person must be able to reach items in the closet
true
you should explain the cause of strange noises
true
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