BASIC NURSING SKILLS Flashcards
A client is paralyzed on the right side. The nurse
aide should place the signaling device
ON THE LEFT SIDE OF THE BED NEAR THE CLIENT’S
HAND.
A nurse aide notices blood in a patient’s IV tubing.
The aide should
NOTIFY THE IV NURSE.
Physical restraints are used MOST often
TO PREVENT CLIENT INJURY.
A Hepatitis B vaccination protects the person
receiving it against a disease that affects
LIVER
Drainage bags from urinary catheters should always
BE KEPT BELOW THE LEVEL OF THE BLADDER.
The goal of the health care team is to
PROVIDE QUALITY CARE
NPO means
NOTHING BY MOUTH
Who supervises the work of a nurse aide
THE NURSE
In report the nurse aide is told that one of her patients
has been ordered NPO after midnight. The aide should
TAKE AWAY THE WATER PITCHER AT MIDNIGHT.
The circulatory system consists of the
HEART, ARTERIES, VEINS AND CAPILLARIES.
Signs of poor circulation are
PALENESS, COLD SKIN, EDEMA
When caring for a resident with an indwelling
Foley catheter it is important to
CHECK THE BAG AND TUBING FREQUENTLY FOR
ADEQUATE URINARY FLOW
Hypothermia is a __________.
VERY LOW BODY TEMPERATURE
The nurse aide notices on the flow sheet that a
resident has not had a bowel movement for five days. The nurse aide should
REPORT THIS TO THE CHARGE NURSE
Mrs. Sparks is an 83-year-old female patient who
suffers from the late effects of a CVA. she has {L} sided hemiplegia. This is
PARALYSIS ON THE LEFT SIDE OF THE BODY
Meal trays have arrived. Before serving each tray
the nurse aide should
CHECK EACH ARMBAND, EVEN ON FAMILIAR
PATIENTS.
Headaches, nausea and pain would be called
SYMPTOMS
Which does NOT prevent or reduce odors?
PLACING FRESH FLOWERS IN THE ROOM
What is the purpose of using the chain-of-command in a long-term care facility
TO KEEP COMMUNICATION ABOUT A PROBLEM
FLOWING SMOOTHLY
A Foley catheter is used
TO DRAIN URINE FROM THE BLADDER
The exchange of oxygen and carbon dioxide takes
place
IN THE LUNGS
The RN assigns you a task that is in your job description. Which statement is FALSE?
THE RN SHOULD DELEGATE EVERY NON-RN TASK
TO YOU.
What basic need is most essential?
SAFETY AND SECURITY
Paralysis on one side of the body is called
HEMIPLEGIA
Mrs. Andrews has an indwelling urinary catheter.
Which is INCORRECT?
ATTACH THE DRAINAGE BAG TO THE BED RAIL.
What is the condition when patients are unable to
control their bladder?
URINARY INCONTINENCE
You notice that a patient has passed a black tarry
stool. This is called
MELENA
What type of isolation precautions are necessary
for a patient with a gastrointestinal infection?
ENTERIC PRECAUTIONS
Mr. Burns just smoked a cigarette. How long
should you wait to take his oral temperature?
15-20 MINUTES
What is the most accurate way to measure a resident’s temperature?
RECTAL
The definition of scope of practice is?
SKILLS WHICH THE HEALTH CARE WORKER IS
LEGALLY ABLE TO PERFORM
The normal heart rate/pulse rate for an adult
human is 60-100 bpm. An elevated heart rate can be expected with
UNCONTROLLED BLEEDING
A patient has just finished taking a cold beverage.
How long should you wait before taking an oral temperature?
15-20 MINUTES
- In Long Term Care Facilities, which shift usually gets the residents ready for their appointments,
X-rays, etc.?
7 A.M. - 3:30 P.M.
Wrinkles in the bed linens can lead to problems
for residents. Which is the most serious problem that they can cause?
DECUBITUS ULCER
The nurse aide enters a client’s room, and the client
states that he has pain. What should the nurse aide do?
REPORT IT TO THE NURSE IN CHARGE.
The surgical creation of an artificial opening of the
large intestine is called _______.
A COLOSTOMY
A sodium-restricted diet for heart disease does
NOT include
PICKLES AND OLIVES
The RN, LPN, and CNA are members of the
NURSING TEAM
The first sign of a decubitis ulcer is
REDNESS AND WARMTH
While making an empty bed, the nurse aide sees
that the side rail is broken. The nurse aide SHOULD
REPORT THE BROKEN SIDE RAIL IMMEDIATELY.
When heat is applied to the skin, the blood vessels
DILATE
Continual oozing or diarrhea may be a symptom of
FECAL INCONTINENCE
The Heimlich maneuver (abdominal thrusts) is
used for a client who has
A BLOCKED AIRWAY
The period of heart muscle contraction is called
SYSTOLE
An apical pulse is counted for _______.
1 FULL MINUTE
What body system provides framework for the
body and allows the body to move?
MUSCULOSKELETAL
When taking a client’s radial pulse, the nurse
aide’s fingertips should be placed on the client’s
WRIST
The nurse aide sees a client spill water on the floor
in the hall. Another client is walking down the hall.
The nurse aide SHOULD…
CLEAN UP THE SPILL.
The medical abbreviation for “before meals” is
AC
For safety, when leaving a client alone in a room,
the nurse aide SHOULD
PLACE SIGNALING DEVICE WITHIN CLIENT’S REACH.
When helping a client who is recovering from a
stroke to walk, the nurse aide should assist
ON THE CLIENT’S WEAK SIDE
A resident with an ileostomy evacuates feces
through the
ILEUM
To avoid pulling the catheter when turning a male
client, the catheter tube must be taped to the client’s
UPPER THIGH
What is the FIRST thing a nurse aide should do
when finding an unresponsive client?
CALL FOR HELP
On what side should the patient lie for an enema?
LEFT
Normal urine color is
YELLOW
Strokes are seen in the elderly. Strokes are best
described as
WHEN THE BRAIN IS DEPRIVED OF OXYGEN
Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include
DAILY AM WEIGHT MEASUREMENT
In the Nursing Care Plan you note it is written; “O2
per N/C @3L, Orthopnea pos. as needed”. As a CNA
you know this means
RESIDENT HAS OXYGEN WITH A NASAL CANNULA
ON THREE LITERS, ASSIST TO SIT IN FOWLERS
Mrs. Hernandez had a hip replacement and is ad-
mitted to the long term care facility for rehabilitation. Her condition is
ACUTE
A patient who was given insulin in the morning is
pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient
HAD BREAKFAST.
A patient appears more pale than usual. The nurse aide should
ASK THE PATIENT HOW HE FEELS AND TAKE HIS
VITAL SIGNS IMMEDIATELY.
What can the nurse aide give the resident who
has an order for NPO?
NO FOOD OR LIQUIDS
Wasting or a decrease in the size of a muscle is called
ATROPHY
For most residents, normal respiration ranges
between
12 TO 20 INSPIRATIONS PER MINUTE.
Various factors will change pulse rate. Increased
pulse rates can be caused by
EXERCISE
Why should heat NOT be applied to a diabetic
resident’s feet?
DIABETICS HAVE DECREASED SENSITIVITY TO HEAT
While taking a rectal temperature the nurse aide
should insert the thermometer and
HOLD ONTO THE THERMOMETER UNTIL IT CAN BE
REMOVED.
A resident has diabetes. What is a common sign
of a low blood sugar?
SHAKINESS
Who is responsible for the entire nursing staff and
the activities involved in providing safe care?
THE DIRECTOR OF NURSING
Mrs. Allen has a gastrostomy and the nurse just
put Ensure through the feeding tube. The CNA needs to put her in which position for the next 1-2 hours?
FOWLER’S POSITION
When lifting a heavy object, which muscle groups
should be utilized
MUSCLES OF LEGS
A nurse assistant notices red marks on a resident’s
back and buttocks. The aide acts in the knowledge that
THE SKIN CAN BREAK DOWN IF NOTHING IS DONE.
What is an embolism?
A BLOOD CLOT THAT MOVES THROUGH THE
BLOODSTREAM, AND CAUSES OBSTRUCTION
A client who is on a low cholesterol diet should
not eat
RED MEAT
You are instructed to strain Mr. Powers’ urine. You
know that straining the urine is done to find ______.
STONES
A patient with a persistent blood pressure measurement above 140/90 has
HYPERTENSION
A client who requires a high fiber diet should eat
FRUITS, VEGETABLES AND WHOLE GRAINS
If your patient is in traction you should NOT
CHANGE THE POSITION OF THE WEIGHT.
- A nursing aide has four patients to assist. Who
should she address first?
THE PATIENT WHO NEEDS TO BE TAKEN TO THE
BATHROOM
Supine position is
LYING ON THE BACK
A patient is nearing death. What should the nurse
aide focus on?
SUPPORTING THE PATIENT AND KEEPING THEM
COMFORTABLE.
The nutrient used to build and repair tissue is
PROTEIN
A slipknot is used when securing a restraint so
that ________.
THE RESTRAINT CAN BE REMOVED QUICKLY WHEN
NEEDED.