PRN Midterm Study Guide
What is the difference between constipation and fecal impaction?
Constipation- hard dry stool Fecal Impaction- prolonged retention & build up of feces in the rectum from unrelieved constipation
Clean bed linen placed in a resident's room but not used has to go where?
Dirty clothes
What is the difference between disinfection and sterilization?
Disinfection- reduces until it's not infectious Sterilization- kills pathogens & non pathogens
What can prevent sleep?
Exercise 1 hour before bed
What is a personal factor for increasing the risk of falls?
Foot problems
How does the gait belt have to be applied?
Near belly button, buckle at side, one flat hand between belt and resident
As a NA will you ever have a license?
No
Do we ever put anything on the floor?
No
Can you ever touch the faucets with a glove?
No, you use a paper towel
What does dysuria mean?
Painful/difficult urination
What is normal urine color/odor?
Pale yellow, straw color, or amber with a faint smell
Give one example of a time that it is acceptable for a nurse aid to use alcohol gel instead of hand washing?
Passing meal trays
What is the most common cause of choking
Poorly chewed meat
What nutrient is needed for tissue growth and repair?
Protein
What does PASS stand for
Pull, Aim, Squeeze, Sweep
How often do we reposition a resident?
Q 2 hours
How often is mouth care given to an unconscious person?
Q 2 hours
When is the best time to prepare for a disaster?
before it happens
The risk of falling increases at what age?
65
What does cyanosis mean?
Blue skin
What is the best source of information about the resident?
Care plan
What would tell a NA how to feed a resident what has dysphasia?
Care plan
Who can we share information about a resident?
Care team
Which artery is used to check for a pulse before starting CPR?
Carotid
Adult fluid requirements for normal fluid balance are?
2000-2500 mL
What are the steps we take if a resident says their hearing aid is not working?
1. Check to see if it's on 2. Check volume 3. Check battery 4. Tell nurse
1. What is your goal during a seizure? 2. What do you not do?
1. Make sure the resident is safe 2. Never stick anything in their mouth
1. Do we ever lock a resident's wheelchair and leave the resident? 2. Why is that?
1. No 2. It's considered restraint
List 3 reasons to wear gloves
1. Open sores 2. Mucous membranes 3. Visibly soiled areas
How many times does state allow you you to take the state exams?
3
An Ostomy pouch is usually changed how often?
3-7 days
If you get a doctors order to increase fluids when does the majority have to be given by?
1700 or 5pm
What is the difference between assault and battery?
Assault is a threat; battery is physical
If a resident tells you that they are having trouble falling or staying asleep what will help them?
Back massage
When giving first aid what do you have to remember?
Be aware of limits
When should a nursing assistant wash their hands?
Before and after everything
When the airway is blocked during cardiac arrest, the proper way to open the airway is?
Head tilt/ chin lift maneuver
How do you destroy a microbe?
Heat and light
What position do we feed a resident that has dysphasia?
High Fowler's 60-90 degree angle
All the facilities must follow OBRA guidelines except whom?
Hospitals
What is the PASS acronym used for?
How to use a fire extinguisher
What is the RACE acronym used for?
If you see a fire
Diabetes is a chronic disease from a lack of what?
Insulin
What does RACE stand for?
Remove, Activate, Contain, Extinguish
Standard precautions involve doing what?
Washing hands and wearing gloves
What does normal stool look like?
Soft, formed, and moist
What type of precautions are used in the care of all residents?
Standard precautions
What is the best way to communicate with a client who is totally deaf?
Write it down
Do residents in nursing homes have the same rights as you?
Yes
Dressing a resident with a weak side, we dress starting with which side?
The weak side
Following standard precautions means?
Treating everyone and everything as if it's infected
The Heimlich maneuver is used for?
Unblocking the airway
To avoid pulling the catheter when turning a resident, the catheter tube must be strapped to the residents?
Upper thigh
When first arriving at work the nursing aide knows they have to do what after signing in?
Walking rounds
What does cognitive mean?
knowledge
