Basic Nursing Skills 2 Flashcards

1
Q
A nurse aide notices blood in a patient’s IV tubing. The aide should
A. try to flush the tubing.
B. notify the IV nurse.
C. stop the IV.
D. do nothing; that’s normal.
A

B. notify the IV nurse.

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2
Q

A nurse assistant notices red marks on a resident’s back and buttocks. The aide acts in the knowledge that
A. patients can only be turned every two hours.
B. it takes a doctor’s order to rub skin with lotion.
C. the skin can break down if nothing is done.
D. red marks are not a problem.

A

C. the skin can break down if nothing is done.

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3
Q

A patient appears paler than usual. The nurse aide should
A. get the patient a snack.
B. offer the patient a glass of water.
C. note it on the chart.
D. ask the patient how he feels and take his vital signs immediately.

A

D. ask the patient how he feels and take his vital signs immediately.

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4
Q

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should
A. reassure the patient that needles always hurt.
B. notify the medication nurse that the patient is complaining of pain.
C. put ice on the hand.
D. notify the IV nurse that the infusion appears to have infiltrated.

A

D. notify the IV nurse that the infusion appears to have infiltrated.

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5
Q

A patient has a diagnosis of psoriasis. Her nurse aide should
A. treat her the same way as any other patient with a non-infectious disease.
B. wear a mask when entering the room.
C. wear gloves for patient care.
D. avoid contact with the highly contagious lesions.

A

A. treat her the same way as any other patient with a non-infectious disease.

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6
Q
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
A. had visitors that day.
B. ate too much sugar.
C. has diabetes.
D. had breakfast.
A

D. had breakfast.

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7
Q

A professional and safe working appearance would include which of the following?
A. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair
B. Sandals, T-shirt, and a name tag
C. Jewelry that reflects your fun personality
D. Carefully manicured acrylic nails

A

A. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair

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8
Q
A resident with an ileostomy evacuates feces through the
A. colon.
B. anus.
C. ileum.
D. jejunum.
A

C. ileum.

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9
Q
Before performing any procedure, a nurse aide must
A. wash his or her hands.
B. identify the patient.
C. explain the procedure.
D. do all of the above.
A

D. do all of the above.

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10
Q

Continuing education is
A. necessary for recertification in many states.
B. a professional standard.
C. important for keeping abreast of new developments.
D. all of the above.

A

D. all of the above.

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11
Q

Drainage bags from urinary catheters should always
A. have their output measured each week.
B. be fastened securely to the bed frame.
C. be changed every shift.
D. be kept below the level of the bladder.

A

D. be kept below the level of the bladder.

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12
Q

In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should
A. offer frequent snacks.
B. take away the water pitcher at midnight.
C. ask the patient if he or she is having any pain.
D. note all water that the patient drinks and all output.

A

B. take away the water pitcher at midnight.

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13
Q

In the Nursing Care Plan, you note that it is written, “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA, you know that this means which of the following?
A. Orient the new client @ 3:00 to orthopedic unit.
B. The resident is to be ambulated every three hours.
C. The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler’s position.
D. Oral care must be performed every three hours.

A

C. The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler’s position.

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14
Q

Meal trays have arrived. Before serving each tray, the nurse aide should
A. ask patients if they are hungry.
B. check each armband, even on familiar patients.
C. check the temperature of the food.
D. ask about dietary restrictions.

A

B. check each armband, even on familiar patients.

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15
Q
Most of our calories should come from
A. vitamins.
B. carbohydrates.
C. protein.
D. fats.
A

B. carbohydrates.

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16
Q
Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered
A. chronic.
B. obstetric.
C. acute.
D. tonic.
A

C. acute.

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17
Q
Mrs. Shumway has an order for I&O. You have picked up her breakfast and note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document
A. 685 mL.
B. 240 mL.
C. 920 mL.
D. 450 mL.
A

D. 450 mL.

18
Q

Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include which of the following?
A. Daily jog around the facility for one hour
B. Placement of TED hose after ambulation
C. Daily am weight measurement
D. Encouraging oral fluids

A

C. Daily am weight measurement

19
Q

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
A. a rash on the L arm.
B. paralysis on the left side of the body.
C. L arm and leg itching.
D. an L arm contracture.

A

B. paralysis on the left side of the body.

20
Q
Normal urine color is
A. colorless.
B. brown.
C. red.
D. yellow.
A

D. yellow.

21
Q
On which side should the patient lie for an enema?
A. Left
B. Right
C. The side closer to the restroom
D. Whichever side is more comfortable
A

A. Left

22
Q

Postpartum refers to
A. The period of time right after death
B. The period of time just before death
C. The period of time after the delivery of a baby
D. The period of time right before the delivery of a baby

A

C. The period of time after the delivery of a baby

23
Q

Signs and symptoms of shock may include
A. low blood pressure; tachycardia; and clammy, pale skin.
B. absence of respiration and pulse.
C. hyperventilation.
D. increased blood pressure; bradycardia; and flushed skin.

A

A. low blood pressure; tachycardia; and clammy, pale skin.

24
Q
The brain is part of the
A. nervous system.
B. locomotor system.
C. endocrine system.
D. exocrine system.
A

A. nervous system.

25
Q

The charge nurse has asked you to take Mrs. Shumway’s vital signs. Before doing so, you must
A. wash your hands.
B. identify the patient and introduce yourself.
C. gather all appropriate equipment.
D. do all of the above.

A

D. do all of the above.

26
Q

The circulatory system consists of the
A. blood vessels, lymph nodes, and spleen.
B. heart, arteries, veins, and capillaries.
C. heart, aorta, pulmonary vessels, and lungs.
C. blood vessels, arteries, veins, and capillaries.

A

B. heart, arteries, veins, and capillaries.

27
Q
The opening of the colostomy to the outside of the body is called
A. the stoma.
B. the rectum.
C. the insertion site.
D. none of the above.
A

A. the stoma.

28
Q

To help ensure adequate circulation to prevent patient skin breakdown, you should
A. give back massages.
B. change the patient’s position frequently.
C. perform active or passive range-of-motion exercises.
D. do all of the above.

A

D. do all of the above.

29
Q

To take a rectal temperature, the nurse aide should insert the thermometer and
A. hold on to the thermometer until it can be removed.
B. take care of other patients, returning in three minutes.
C. go on a break.
D. stay in the room until it is time to read the temperature.

A

A. hold on to the thermometer until it can be removed.

30
Q

What is the best way to keep a skilled nursing facility from having an unpleasant odor?
A. Empty bedpans and change linens in a timely manner.
B. Use an air freshener regularly.
C. There is nothing you can do.
D. Keep all the windows open.

A

A. Empty bedpans and change linens in a timely manner.

31
Q

When caring for a resident with an indwelling Foley catheter, you should
A. pin the tubing to the resident’s gown.
B. check the bag and tubing frequently for adequate urinary flow.
C. withhold fluids if the bag is too full.
D. tuck the tubing under the resident’s leg to keep it off the floor.

A

B. check the bag and tubing frequently for adequate urinary flow.

32
Q
Which of the following are associated with smoking?
A. Vitamin C deficiency
B. Heart attacks
C. Pneumonia
D. All of the above
A

D. All of the above

33
Q
Which of the following is the recommended position for giving an enema?
A. Supine
B. Prone
C. Left Sims
D. Semi-Fowler's
A

C. Left Sims

34
Q

Which of the following is the safest way to confirm a resident’s identity?
A. Look at the door number and compare it to your room list.
B. Check the ID bracelet or tag attached to the resident.
C. Ask the resident’s roommate.
D. Call the resident by name and see if the person answers.

A

B. Check the ID bracelet or tag attached to the resident.

35
Q
Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse?
A. Pulse 74
B. Respiration 20
C. Temperature 99°F
D. B/P 190/114
A

D. B/P 190/114

36
Q
Which of the following should be reported immediately?
A. Respirations of 12
B. Temperature of 99.4°F
C. A pulse of 90
D. A blood pressure of 90/40
A

D. A blood pressure of 90/40

37
Q

Which of the following statements about blindness are false?
A. Most legally blind or visually impaired people have no sight at all.
B. Diabetes is an important cause of blindness.
C. Always identify yourself before touching a blind person.
D. Ask if a blind person needs help before you give assistance.

A

A. Most legally blind or visually impaired people have no sight at all.

38
Q

Who can order a warm or cold application?
A. A nurse
B. A doctor
C. You as a CNA (if you think it is necessary)
D. The director of nursing

A

B. A doctor

39
Q

You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?
A. Switch the nasal cannula to a mask.
B. Ask Mr. Brown to take breaths more frequently.
C. Report it STAT to the nurse.
D. Turn up the O2 to 4 liters/min.

A

C. Report it STAT to the nurse.

40
Q
Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?
A. 4 oz.
B. 7 oz.
C. 6 oz.
D. 5 oz.
A

C. 6 oz.