Chapter 1-8 Flashcards
The term used fir person living in long term care facilities is:
A. Senior citizen
B. Elder adult
C. Retiree
D. Patient/resident
D. Patient/resident
The responsibilities of a Nurse Assistant are listed in a:
A. Job description
B. Procedure
C. Job title
d. Resume
A. Job description
As a Nurse Assistant, your scope of practice includes:
A. Bathing and dressing patients/residents
B. Taking telephone orders from the doctor
C. Assigning patient care
D. Giving medications
A. Bathing and dressing patients/residents
What should the Nurse Assistant do if asked to do something he or she doesn’t know how to do?
A.Ask another Nurse Assistant to do the task
B. Tell the nurse he or she is uncertain and ask for help.
C. Refrain from doing the task
D. Do the task anyway
B. Tell the nurse he or she is uncertain and ask for help.
Which member of the long-term health care team provides the most hands-on care to the resident?
A.Physician
B.Charge nurse
C. Nurse Assistant
D.Nursing supervisor
C. Nurse Assistant
The direct supervisor of the Nurse Assistant is the:
A. Physician
B. Charge nurse
C. Administrator
D. Director of Nursing
B. Charge nurse
California Code of Regulations, Title 22 establishes:
A. Salary for certified Nurse Assistant’s
B. Minimum standards of patient care
C. The certified Nurse Assistant’s work schedule
D. Maximum standards of patient care
B. Minimum standards of patient care
Which of the following describes the minimum number of theory and clinical hours in a Nurse Assistant program approved by the California Department of Health Services?
A. 54 Hours theory, 180 hours supervised clinical training.
B. 48 Hours theory, 150 hours supervised clinical training.
C. 40 Hours theory, 60 hours supervised clinical training.
D. 60 Hours theory, 100 hours supervised clinical training.
D. 60 Hours theory, 100 hours supervised clinical training.
A California Nurse Assistant is renewing his/her certification. How many in-service/continuing education hours must an
individual take in a two-year period in order to renew Nurse Assistant certification?
A. 28 Hours
B. 30 Hours
C. 48 Hours
D. 58 Hours
C. 48 Hours
How many hours must a Nurse Assistant work for pay in each renewal period?
A. 48 Hours
B. 8 Hours
C. 24 Hours
D. 50 Hours
B. 8 hours
Which of the following situations should the Nurse Assistant report to the Director of Nursing?
A. A patient/resident has fallen
B. The nurse in charge is suspected of abusing a patient/resident.
C. The physician has asked for the Nurse Assistant’s help.
D. A patient/resident refuses to cooperate with treatment.
B. The nurse in charge is suspected of abusing a patient/resident
The role of the ombudsman is to:
A. Drive the buses for special outings
B. Listen to and resolve patient/resident problems
C. Serve snacks
D. Bring newspapers and magazines
B. Listen to and resolve patient/resident problems
HIPAA refers to:
A. Hepatitis A
B. Confidentiality
C. Standard precautions
D. Nutrition
B. Confidentiality
The Nurse Assistant must submit fingerprints to the CDPH:
A. After taking the state test
B. When changing employers
C. Every 2 years
D. Once in a lifetime upon enrollment in a Nurse Assistant course
D. Once in a lifetime upon enrollment in a Nurse Assistant course
The overall purpose of OBRA is to:
A. Set hours when clinical training may be done
B. Improve quality of life for patients/residents in nursing facilities.
C. Keep safety records up to date
D. Prevent injuries
B. Improve quality of life for patients/residents in nursing facilities
A partial bath would include bathing the following body areas:
A. Face, hands, underarms, back, buttocks and genital area.
B. Face, neck, chest, and arms
C. Face, feet and legs
D. Hands, feet, chest and back
A. Face, hands, underarms, back, buttocks and genital area.
A complete bed bath would be given to a patient/resident who:
A. Has difficulty using his right hand
B. Cannot step into a bath tub
C. Is paralyzed on one side
D. Is unconscious
D. Is unconscious
In preparing the bath for the dependent patient/resident, the Nurse Assistant should:
A. Fill the tub with no more than two inches of water
B. Make sure that the water temperature is at least 120° F.
C. Adjust the water temperature to 105° F.
D. Position the patient/resident in the tub before adding water
C. Adjust the water temperature to 105° F.
When bathing a dependent patient/resident, the Nurse Assistant should:
A. Leave the room at intervals to encourage the patient/resident to bathe on his own.
B. Rinse off all soap completely and dry the skin thoroughly.
C. Rub the skin vigorously to stimulate circulation
D. Apply soap to all areas before rinsing with fresh water.
B. Rinse off all soap completely and dry the skin thoroughly.
When washing the face of a dependent patient/resident, the Nurse Assistant should:
A. Use a separate washcloth for washing each eye
B. Wipe the eyes from the outer edge to the center
C. Use different corners of the washcloth when washing each eye.
D. Rinse the eyes by pouring a small amount of water on the forehead.
C. Use different corners of the washcloth when washing each eye.
In a complete bed bath, the water is changed:
A. At the completion of the bath
B. After each body area is washed
C. After the front surfaces of the body are washed
D. Whenever the water becomes soapy or cool
D. Whenever the water becomes soapy or cool
To assist Mrs. B a patient/resident, into a bathtub, the Nurse Assistant should:
A. Stand at the side of the tub and have the patient/resident hold on to your shoulder as she steps into the tub.
B. Place a chair next to the tub and have the patient/resident hold on to the chair as she steps into the tub.
C. Have the patient/resident hold on to the grab bar in the tub enclosure as she steps into the tub.
D. Have the patient/resident
C. Have the patient/resident hold on to the grab bar in the tub enclosure as she steps into the tub
Oral hygiene should be done:
A. After each meal and at bedtime
B. After breakfast and after last meal or snack of the day.
C. Before and after each meal
D. Before and after meals or snacks
A. After each meal and at bedtime
In what position should an unconscious patient/resident be placed when performing oral care?
A. Lateral (side-lying, head to side) position
B. Prone (on the stomach) position
C. Supine (on the back) position
D. Standing position
A. Lateral (side-lying, head to side) position
assisting a patient/resident with oral hygiene:
A. Offer a cup of mouthwash to the patient/resident before the toothbrush.
B. Warm the mouthwash in a basin of warm water before it is used.
C. Hold the emesis basin under the patient’s/resident’s chin when he/she needs to spit.
D. Let the patient/resident rinse his/her mouth with orange juice after brushing teeth.
C. Hold the emesis basin under the patient’s/resident’s chin when he/she needs to spit.
When the patient/resident takes his/her dentures out for the evening, the Nurse Assistant should:
A. Send the dentures home with the family
B. Store them in a labeled container filled with cool water inside the bedside table drawer.
C. Dry them and store in a plastic bag under the patient’s/resident’s pillow.
D. Store them in a clean container in the clean utility room.
B. Store them in a labeled container filled with cool water inside the bedside table drawer.
When giving oral hygiene to an unconscious patient/resident, it is important for the Nurse Assistant to:
A. Prevent the patient/resident from aspirating (breathing in) any fluid.
B. Hold the patient’s/resident’s mouth open with your fingers.
C. Use large amounts of mouthwash for rinsing the patient’s/resident’s mouth.
D. Wait at least 5 hours between each cleaning
A. Prevent the patient/resident from aspirating (breathing in) any fluid.
A patient/resident asks a Nurse Assistant to cut his toenails because they are very thick and hurt when he wears shoes. The Nurse Assistant should:
A. Soak his feet and then cut the nails using nail clippers.
B. Report his request to the nurse
C. Give the patient/resident a nail clipper so that he may cut his nails himself.
D. Use a sharp scissor to trim the excess nail after a bath.
B. Report his request to the nurse
To clean under the fingernails of the patient/resident, the Nurse Assistant should:
A. Use an orange stick
B. Use the blunt blade of a bandage scissors
C. Use the point of fingernail scissors
D. Trim and file the nails first
A. Use an orange stick
Before combing or brushing a patient’s/resident’s hair, the Nurse Assistant should:
A. Put on gloves
B. Wet the hair with a spray bottle
C. Place a towel over the patient’s/resident’s shoulders
D. Soak the patients/resident’s comb and brush in a disinfectant solution
C. Place a towel over the patient’s/resident’s shoulders
A bed shampoo will require:
A. Shampoo tray, plastic sheet or bag, pitcher and basin.
B. Extra sheet, pillow, and pitcher
C. Thermometer, graduate, bath basin, and several towels
D. Spray bottle, emesis basin and washcloth
A. Shampoo tray, plastic sheet or bag, pitcher and basin
To safely shave a patient/resident with a safety razor, the Nurse Assistant should:
A. Apply an alcohol pre-shave solution
B. Keep the skin taut in the area being shaved
C. Move the razor in the opposite direction as the hair growth
D. Rinse the razor in a disinfectant solution during shave
B. Keep the skin taut in the area being shaved
After shaving a patient/resident with his own electric razor, the Nurse Assistant should:
A. Apply an oil based lotion to the skin
B. Clean the blades of the razor with a cleaning brush
C. Soak the razor in a disinfectant solution
D. Report the action to the charge nurse
B. Clean the blades of the razor with a cleaning brush
The Nurse Assistant is putting a pair of pants on a patient/resident who cannot sit up because of weakness. The Nurse Assistant should slip both feet into the legs of the pants and then:
A. Ask the patient/resident to bend his knees and raise his buttocks as the Nurse Assistant pulls the pants up to his waist.
B. Attempt to sit the patient/resident on the side of the bed and pull pants up toward the waist.
C. Pull the top of the pants under the buttocks up the waist with the patient/resident flat on his back.
D. Assist the patient/resident to roll from side to side as the Nurse Assistant pulls the pants up to the waist.
D. Assist the patient/resident to roll from side to side as the Nurse Assistant pulls the pants up to the waist.
A general rule for dressing a patient/resident who is paralyzed or injured is:
A. Dress the affected side first and undress it last
B. Dress the affected side last and undress it first
C. Have clothing split and snaps applied for easy dressing.
D. Avoid dressing the affected side
A. Dress the affected side first and undress it last
To accurately weigh the patient/resident, a general rule to follow is to:
A. Weigh the patient/resident at different times each day
B. Have the patient/resident be NPO before weighing
C. Balance the scale before the patient/resident steps on it.
D. Weigh the patient/resident fully dressed
C. Balance the scale before the patient/resident steps on it.
A patient/resident was admitted to the nursing unit several days after surgery. To prevent problems, the Nurse Assistant should:
A. Leave the patient/resident in bed at all times
B. Tell the patient/resident to remain in the same position at all times.
C. Tell the patient/resident to cough and deep breathe every two hours.
D. Leave the patient resident alone to rest all day
C. Tell the patient/resident to cough and deep breathe every two hours.
The Nurse Assistant is collecting supplies for colostomy care. Which of the following is NOT needed?
A. A bedpan
B.Toilet tissue
C. Alcohol wipes
D.Gloves
C. Alcohol wipes
When changing a colostomy bag, the Nurse Assistant should know:
A. A The colostomy bag must be changed every two hours.
B. All colostomy patients/residents have liquid stools
C. The colostomy bag needs to be changed when the bag is leaking.
D. A skin barrier will hold the bag in place without a belt.
C. The colostomy bag needs to be changed when the bag is leaking.
A patient/resident is to be weighed daily. The Nurse Assistant should:
A. Weigh the patient/resident at the same time of day
B. Hold the patient/resident on the scale, if unable to stand.
C. Not weigh the patient/resident who is unable to stand on scale.
D. Not allow the patient/resident to urinate before being weighed.
A. Weigh the patient/resident at the same time of day
When preparing to bathe a patient/resident, the Nurse Assistant should provide privacy curtains:
A. Immediately after entering the room
B. Before beginning the bath
C. After washing the patient’s/resident’s face
D. After completing the bath
B. Before beginning the bath
The Nurse Assistant is checking the patient s/resident’s body for signs of pressure sores. Which of the following areas are more
A. Bony areas such as shoulder blades, elbows, heels, and knees.
B.Thicker areas such as thighs and upper arms
C. The abdomen and breasts
D. The genital area
A. Bony areas such as shoulder blades, elbows, heels, and knees.
Which of the following foot care procedures is required for the patient/resident who is paralyzed from the waist down?
A. Soak the feet in hot water after bathing
B. Wrap the feet in hot towels, trim toenails if needed, and lubricate feet.
C. Wash and dry feet carefully and thoroughly, and check for any pressure signs.
D. Wash feet carefully, trim toenails and apply lubricant to keep area between toes moist.
C. Wash and dry feet carefully and thoroughly, and check for any pressure signs.
The Nurse Assistant should know that incontinent patients/residents:
A. Cannot control their bladder or bowels
B. Are lazy
C. Are able to control the bladder or bowels
D. Are confused
A. Cannot control their bladder or bowels
When putting in dentures, it is important to:
A. Dry the dentures
B. Wet the dentures
C. Rinse with alcohol
D. Dry the mouth
B. Wet the dentures
If the patient/resident is unable to clean up properly after using a bedside commode, the Nurse Assistant should:
A. Assist the patient/resident to bed and return later to clean the patient/resident.
B. Give the patient/resident a washcloth and instruct him in proper cleaning techniques.
C. Provide the patient/resident with privacy and clean him gently and thoroughly.
D. Tell the patient/resident that he will be cleaned at bath time.
C. Provide the patient/resident with privacy and clean him gently and thoroughly.
Which of the following might the Nurse Assistant do to keep a patient/resident from being incontinent of urine?
A. Offer the patient/resident the toilet, bedpan or urinal at regular intervals.
B. Tell the patient/resident that he will be assisted to the bathroom every four hours.
C. Leave a bedpan under the patient/resident
D. Tell the patient/resident not to drink as much water.
A. Offer the patient/resident the toilet, bedpan or urinal at regular intervals.
When providing a bedpan for a patient/resident, the Nurse Assistant should always:
A. Use the same size bedpan for all patients/residents
B. Wait until the patient/resident asks for a bedpan before giving one.
C. Place the open end of the bedpan toward the patient’s/resident’s back.
D. Allow privacy while the patient/resident is using the bedpan.
D. Allow privacy while the patient/resident is using the bedpan.
Which bathing method should the Nurse Assistant select for a patient/resident on bed rest who needs total assistance?
A.. A tub bath
B. A shower
C. A complete bed bath
D. A partial bed bath
C. A complete bed bath
The Nurse Assistant should know that dentures should be cleaned at which of the following times?
A. Before breakfast and at bedtime
B. After breakfast and at bedtime
C. After breakfast, lunch and supper
D. Before breakfast, lunch, supper, and at bedtime
D. Before breakfast, lunch, supper, and at bedtime
The Nurse Assistant is caring for a resident who just received a new pair of glasses. The Nurse Assistant should:
A. Tell the resident to wear the glasses only at mealtimes
B. Clean the glasses with a disinfectant solution
C. Put the glasses on the resident’s bedside table when not in use
D. Put the glasses in a labeled case when not in use
D. Put the glasses in a labeled case when not in use
The bedpan shown is:
Fracture pan
The Patient’s Bill of Rights is:
A. Given to patients/residents when they request it
B. Provided to all patients/residents upon admission
C. Given to clients who are receiving home care
D. Not a legal document
B. Provided to all patients/residents upon admission
Consumers of health care are responsible for:
A. Being honest with the physician
B. Withholding information from health care providers.
C. Requesting a Nurse Assistant who
D. Doing what the physician says
A. Being honest with the physician
Documents that provide instructions about the patient’s/resident’s wishes for treatment when the patient/resident is unable to communicate their wishes are called:
A. Medical records
B. Advanced Directives
C. Resident Bill of Rights
D. Policies and Procedures
B. Advanced Directives
Informed consent means that the:
A. Physician makes all health care decisions for the patient/resident.
B. The nurse makes some decisions for the patient/resident.
C. The patient/resident makes decisions based on full disclosure of procedures, benefits, and risks.
D. The patient/resident is old enough to sign for treatment.
C. The patient/resident makes decisions based on full disclosure of procedures, benefits, and risks.
A grievance is:
A. A form the patient/resident fills out when they have a complaint
B. Denial of services or treatment due to insurance
C. Patient/resident refusing to pay a bill
D. A complaint
D. A complaint
When measuring liquid volume with a graduated cylinder, the Nurse Assistant should do all of the following except:
A. Pour liquid into the graduated cylinder
B. Place graduated cylinder on a flat surface
C. Read at eye level
D. Read measurement at highest level of liquid surface
D. Read measurement at highest level of liquid surface
A patient/resident weighing 165 pounds is on a reduced calorie diet. The goal is to lose 2 pounds every week. Which of the following weights would meet the goal after one week?
A. 167 pounds
B. 165 pounds
C. 164 pounds
D. 163 pounds
D. 163 pounds
If a person on 180 drinks 12 ounces of milk, the Nurse Assistant should mark on the client’s record an intake of:
A. 30 ml.
B. 90 ml.
C. 240 ml.
D. 360 ml.
D. 360 ml.
The Nurse Assistant is measuring intake and output for a patient/resident who drank 8 ounces of milk. What should the Nurse Assistant record?
A. 500 ml.
B. 120 ml.
C. 240 ml.
D. 250 ml.
C. 240 ml.
Your patient/resident ate the following items for lunch: ½ cup string beans, 3 oz. fish, 6 oz milk, 2 oz. Jello. What was his fuid intake?
A. 120 ml.
B. 240 ml.
C. 300 ml.
D. 330 ml.
B. 240 ml.
How many militers (ml) of fluid are in the cup?
A. 30 ml.
B. 60 ml.
C. 90 ml.
D. 120 ml.
D. 120 ml.
A small living plant or animal that cannot be seen without the aid of a microscope is a:
A. Microwave
B. Macrocosm
C. Microphagus
D. Microorganism
D. Microorganism
A body best protects itself against infections through:
A. The shedding of tears
B. Maintaining intact skin
C. Active peristalsis
D. A productive cough
B. Maintaining intact skin
Hepatitis B is an example of a:
A. Fungus
B. Virus
C. Bacteria
D. Protozoa
B. Virus
Strep (streptococcal) throat results from invasion by:
A. A fungus
B. A virus
C. Rickettsia
D. Bacteria
D. Bacteria
Microorganisms will grow best in:
A. High temperatures
B. Moist places
C. Direct sunlight
D. Dry places
B. Moist places
Which of the following is a sign of infection?
A. High blood pressure
B. Bruising
C. Increased appetite
D. Fever
D. Fever
Washing hands is one way to prevent the spread of infectious agents through:
A. Direct contact
B. Droplet spread
C. Airborne transmission
D. Food and water
A. Direct contact
The health worker can break the chain of infection:
A. When a susceptible host exhibits the signs of infection.
B. At any link of the chain
C. Only at the portal of exit
D. Only with transmission based precautions
B. At any link of the chain
Following good aseptic techniques, the health worker will wash hands:
A. After handling food
B. Before using the bathroom
C. Between patients/residents
D. After going home
C. Between patients/residents
After bathing a patient/resident, the health worker should wash his/her hands:
A. Keeping the hands pointed up
B. Only if they are contaminated
C. With hot water and bar soap
D. In a circular motion with friction
D. In a circular motion with friction
Asepsis means:
A. Clean technique
B. The process of destroying pathogens
C. An infection acquired after admission to a health care agency.
D. Being free of disease-producing microbes
D. Being free of disease-producing microbes
Clean technique is the same as:
A. Sterile technique
B. Surgical asepsis
C. Medical asepsis
D. Normal flora
C. Medical asepsis
A person has protection against a certain disease. The person has:
A. Immunity
B. Personal protective equipment
C. A vaccine
D. A germicide
A. Immunity
A vaccine is:
A. A suspension containing weakened or killed microorganisms.
B. Used to disinfect supplies and equipment
C. Used to treat infection
D. Normal flora
A. A suspension containing weakened or killed microorganisms.
Who can develop nosocomial or Healthcare Associated Infection (HAI)?
A. Patients/residents
B. Nursing team
C. Doctors
D. Health team
A. Patients/residents
Which is the easiest and most important way to prevent infections from spreading?
A. Standard precautions
B. Wearing gloves at all times
C. Transmission-Based Precautions
D. The Blood borne Pathogen Standard
A. Standard precautions
When cleaning the perineal area of the female body, you need to clean:
A. From bottom to top
B. Away from your body
C. From front to back
D. As fast as possible
C. From front to back
Soiled linens
A. Handled according to the center’s policies
B. Discarded
C. Sent home with the family
D. Washed in the person’s room
A. Handled according to the center’s policies
A wet gown is considered to be:
A. Sterile
B. Contaminated
C. Safe
D. Clean
B. Contaminated
hepatitis B vaccination involves:
A. 1 injection
B. 2 injections
C. 3 injections
D. 4 injections
C. 3 injections
Persons needing isolation precautions often experience
A. Loss of self-esteem
B. Self-actualization
C. Love and belonging
D. Safety
A. Loss of self-esteem
The Nurse Assistant is leaving an isolation room. After hand washing, the Nurse Assistant should:
A. Use a disposable glove to open the door and put glove in the basket outside the room.
B. Use a paper towel to open the door and put the basket inside the room near the door.
C. Use a paper towel to open the door and put the paper towel in the basket outside the room.
D. Open the door with clean, washed hands.
B. Use a paper towel to open the door and put the basket inside the room near the door.
Standard precautions require the Nurse Assistant to wear gloves when caring for a patient/resident if the Nurse Assistant has:
A. A cold
B. Long fingernails
C. A cut or sore on the hand
D. Dirty hands
C. A cut or sore on the hand
The Nurse Assistant should know that the proper hand washing includes soap, friction and:
A. A clean sink
B. Running water
C. Plenty of towels
D. An antiseptic solution
B. Running water
The correct order for removing protective clothing before leaving a patients/resident’s isolation room is:
A. Gloves, gown, mask, and wash hands
B. Mask, gown, gloves, and wash hands
C. Mask, gloves, gown, and wash hands
D. Gown, gloves, mask and wash hands
A. Gloves, gown, mask, and wash hands
When changing bed linens, which actions by the Nurse Assistant would ensure that medical asepsis is being followed?
A. Hold the clean, new linen close to the body
B. Shake the finens before placing them on the bed
C. Place all dirty linens on the floor
D. Place all clean linens on a clean surface
D. Place all clean linens on a clean surface
which of the following is NOT a common sign of infection?
A. Redness or swelling at a wound site
B. Elevated temperature or chills
C. Drainage from a wound
D. Dizziness when getting up
D. Dizziness when getting up
The Nurse Assistant is collecting a urine specimen using standard precautions. Which of the following should the Nurse Assistant do?
A. Wash hands and apply gloves before beginning the urine collection.
B. Have the patient/resident empty the bladder before the urine collection.
C. Place a label on the specimen container before the urine is collected.
D. Wash the perineum with soap and water.
A. Wash hands and apply gloves before beginning the urine collection.
After hand washing, the Nurse Assistant should turn off the faucet using:.
A. Clean hands before drying them
B. Clean hands after drying them
C. Clean, dry paper towel after hands are dried
D. Clean elbow before hands are dried
C. Clean, dry paper towel after hands are dried
Between routine patient/resident contacts, the Nurse Assistant should wash or scrub his/her hands under clean running water for at
least:
A. 10 seconds
B. 20 seconds
C. 3 minutes
D. 5 minutes
B. 20 seconds
To most effectively prevent the spread of infection while providing patient/resident care, the Nurse Assistant should:
A. Bathe the patient/resident every day
B. Wash hands after caring for each patient/resident
C. Provide proper fluid and nourishment
D. Change linen daily
B. Wash hands after caring for each patient/resident
To ensure medical asepsis when collecting a specimen from a patient/resident, the Nurse Assistant must
A. Use only sterile equipment
B. Refrigerate the specimen for 24 hours
C. Wash hands before and after the procedure
D. Send specimen to the laboratory as soon as possible.
C. Wash hands before and after the procedure
The Nurse Assistant should wear a mask and gloves when the patient/resident;
A. Has a skin rash
B. Has a reddened pressure area on the coccyx
C. Coughs up bloody secretions
D. Is using a bedpan
C. Coughs up bloody secretions
The Nurse Assistant comes to work with a cold. Which of the following actions would be appropriate?
A. Put on a mask and perform patient/resident care as usual.
B. Report the cold to the licensed nurse and put on mask.
C. Tell the patient/resident about the cold
D. Check own temperature regularly
B. Report the cold to the licensed nurse and put on mask.
Which of the following should the Nurse Assistant recognize as an important part of standard precautions?
A. Take blood pressure
B. Enforce a non-smoking policy near oxygen sources
C. Raise side rails on patient’s/resident’s bed
D. Wear gloves when touching body secretions
D. Wear gloves when touching body secretions
When caring for a patient/resident who is in isolation, how would the Nurse Assistant safely remove soiled linen?
A. Leave soiled linen in room for housekeeping to remove.
B. Wear gloves when bringing out the soiled linen.
C. Double-bag the soiled linen when required by your facility.
D. Take soiled linen to a container outside of the room.
C. Double-bag the soiled linen when required by your facility.
The licensed nurse tells the Nurse Assistant that a patient’s/resident’s bedpan needs to be cleaned. The MOST effective way to kill all the organisms would be to:
A. Wash the bedpan with soap and water
B. Use a chemical disinfectant on the bedpan
C. Put the bedpan in a bedpan washer
D. Wash the bedpan in hot water
B. Use a chemical disinfectant on the bedpan
The Nurse Assistant should NOT wear gloves when:
A. Caring for a patient’s/resident’s pressure sores
B. Emptying a urinary catheter collection bag
C. Feeding a patient/resident
D. Assisting the nurse during a dressing change
C. Feeding a patient/resident
The best reason to use proper body mechanics is to:
A. Avoid lifting
B. Prevent injury to the patient as well as the Nurse Assistant.
C. Prevent damage to the equipment in the facility
D. Use back to lift heavy objects
B. Prevent injury to the patient as well as the Nurse Assistant.
The patient/resident is positioned in bed with the head of the bed in a partial sitting position at a 45 degree angle. This position is referred to as the:
A. Prone position
B. Supine position
C. Sim’s position
D. Semi-fowler’s position
D. Semi-fowler’s position
When placing a patient/resident in the lateral position, you promote good body alignment by placing pillows for support under the:
A. Head, abdomen and upper arms
B. Head, shoulders and ankles
C. Head, upper arm, upper leg and behind the back
D. Head, lower back, arms and patient’s/resident’s sides.
C. Head, upper arm, upper leg and behind the back
The Nurse Assistant has been asked to assist a patient/resident with ambulation. During the procedure, the Nurse Assistant should:
A. Stand behind the patient/resident and provide support by holding the patient/resident around the waist.
B. Walk beside the patient/resident with the assistant’s arm locked with the patient’s/resident’s arm.
C. Walk in front of the patient/resident with patient’s/resident’s hands placed on the assistant’s shoulders for support.
D. Walk slightly behind and to one side of patient/resident providing support with the gait belt.
D. Walk slightly behind and to one side of patient/resident providing support with the gait belt.
Nurse Assistants are encouraged to use a gait belt when assisting with patient transfers. The purpose of a gait belt is to:
A. Hold the patient’s/resident’s clothing in place
B. Support the patient/resident when seated and protect the patient/resident from falling out of the chair.
C. Assist in transferring a dependent patient/resident and protect both the patient/resident and Nurse Assistant from injury.
D. Provide a safety handle for the patient/resident
C. Assist in transferring a dependent patient/resident and protect both the patient/resident and Nurse Assistant from injury.
Once an object has been lifted, the Nurse Assistant should keep the object.
A. Under your arm
B. Held to the side of the body
C. As close to the body as possible
D. In front of the body at shoulder height
C. As close to the body as possible
When positioning a patient/resident in a side lying position, the Nurse Assistant must first:
A. Log roll the patient/resident toward the nearest side rail.
B. Move the patient/resident toward the foot of the bed.
C. Move the patient/resident to the side of the bed where the Nurse Assistant is standing.
D. Log roll the patient/resident toward the opposite side rail by yourself.
C. Move the patient/resident to the side of the bed where the Nurse Assistant is standing.
When a patient/resident is in good body alignment it means that the patient’s/resident’s:
A. Head is in a straight line with the spine
B. Arms and legs are positioned in a flexed position
C. Body is used in a careful and efficient manner
D. Performing exercises to provide movement for the joints.
A. Head is in a straight line with the spine
Before performing any task at the bedside, the Nurse Assistant should:
A. Elevate the bed to a comfortable position to help
В.Lower the bed to the lowest position to prevent the patient from falling out of bed.
C. Move surrounding furniture away from the bed so the Nurse Assistant won’t bump into it.
D. Elevate the head of the bed so that the patient/resident can observe what you are doing.
A. Elevate the bed to a comfortable position to help
Which of the following describes the prone position?
A. Lying on the left side with the upper leg flexed
B. Lying on the back with toes pointed toward the foot of the bed.
C. Lying on the abdomen with the head turned to one side.
D. A semi-sitting position with knees flexed
C. Lying on the abdomen with the head turned to one side.
A patient/resident is being transferred back to bed after being up in the wheelchair for a long period of time. As the Nurse Assistant you can best protect your back by:
A. Using the stronger muscles of your lower arms and back.
B. Keeping a wide base of support and keeping the patient/resident as close as possible to you as you perform the transfer.
C. Pulling the patient/resident with sudden jerky movements so that you are able to move the patient/resident alone.
D. Providing a lot of space between you and the patient/resident so that you have room for movement
B. Keeping a wide base of support and keeping the patient/resident as close as possible to you as you perform the transfer.
Miss Polly Walker has the head of her bed elevated 60 degrees. This position is referred to as:
A. The supine position
B. Fowler’s position
C. Sims’ position
D. The prone position
B. Fowler’s position
Your patient/resident is paralyzed from the waist down (paraplegia) and has maintained good upper body strength. The patient/resident wants to be able to move himself in bed, somewhat, without assistance. Which of the following pieces of equipment might be used for this purpose?
A. Gurney
B. Gait belt
C. Trapeze
D. Pillow
C. Trapeze
Two surfaces rub together. This is called:
A. Friction
B. Shearing
C. Pressure
D. Ergonomics
A. Friction
Good body alignment is needed:
A. When standing
B. When sitting
C. When lifting
D. All the time
D. All the time
When giving bedside care, the bed should be:
A. At its highest horizontal level
B. At its lowest horizontal level
C. Level with your waist
D. In Fowler’s position
C. Level with your waist
Before moving Mr. G up in bed, you need to:
A. Put nonskid footwear on him
B. Lock the bed wheels
C. Apply a transfer belt
D. Raise the head of the bed
B. Lock the bed wheels
You need to transfer Mr. H with a transfer belt. The belt is applied:
A. After the transfer
B. Under his clothing
C. Over his clothing
D. On his legs
C. Over his clothing
Mr. H has weakness on his right side. Where should you position the wheelchair?
A. Next to the bed on his right side
B. Next to the bed on his left side
C. At the foot of the bed
D. At the head of the bed
B. Next to the bed on his left side
To prevent falls during transfers, wheelchair, bed, shower chair, and stretcher wheels must:
A. Be fully inflated
B. Be locked
C. Make noise
D. Be clean
B. Be locked
After transferring Ms. G to the toilet, you should:
A. Close the bathroom door and stay in her room
B. Close the bathroom door and leave the room
C. Stay in the bathroom with her
D. Leave the room
A. Close the bathroom door and stay in her room
When ambulating, a patient/resident should be wearing:
A. Socks
B. Bedroom slippers
C. Nonskid shoes
D. Shower thongs
C. Nonskid shoes
The Nurse Assistant is ambulating a patient/resident with a gait belt. If the patient/resident begins to fall, the Nurse Assistant Should:
A. Lower the patient/resident into a chair
B. Hold the patient/resident up
C. Gently lower the patient/resident to the floor
D. Call out for assistance
C. Gently lower the patient/resident to the floor
The Nurse Assistant can prevent a weak patient/resident from falling in the shower by providing a:
A. Shower chair
B. Pick-up walker
C. Gait belt
D. Three-prong cane
A. Shower chair
An example of poor body mechanics is:
A. Keeping objects close to the body when lifting
B. them Keeping knees straight when working at the bedside.
C. Keeping feet apart to provide a wide base of support
D. Pushing heavy objects rather than lifting them
B. them Keeping knees straight when working at the bedside.
When transferring a patient/resident with a mechanical lift (Hoyer lift, the patient’s/resident’s arms should be:
A. Holding the sling
B. On her chest
C. Over her head
D. Dangling at her side
B. On her chest
Mrs. S, the charge nurse, wants blood work results on Mr Jones immediately. Which of the following terms would indicate
“immediately” to the lab?
A. ASAP
B. STAT
C. PRN
D. AD LIB
B. STAT
The Nurse Assistant finds a fire burning in a wastebasket in a patient’s/resident’s room. What should the Nurse Assistant do first?
A. Go out into the hall and call out “fire”
B. Remove the patient from the area of the fire
C. Run out of the room to find a fire extinguisher
D. Keep the patient’s/resident’s room dark to keep him in bed.
B. Remove the patient from the area of the fire
Falls are a common cause of injury. Which of the following might help prevent the patient/resident from becoming injured from falls?
A. Keep the patient’s/resident’s bed in the low position.
B. Place a small rug or towel on the floor by the bed to prevent slipping.
C. Have the patient/resident wear only socks when ambulating.
D. Keep the patient’s/resident’s room dark at night to keep him in bed.
A. Keep the patient’s/resident’s bed in the low position.
Mr. B is receiving oxygen therapy. Which of the following is a rule that should be followed with oxygen therapy?
A. Use nylon blankets so there will be static electricity
B. Do not allow smoking when oxygen is in use
C. Use oil-based lotions to lubricate the skin
D. Use electric razors for shaving the face
B. Do not allow smoking when oxygen is in use
Mrs. A is being placed in a vest device to keep her from falling from her wheelchair. What should the Nurse Assistant do?
A. Keep Mrs. A in her room out of sight of other patients/residents.
B. Apply the restraint to help control the patient’s/resident’s behavior.
C. Explain kindly to Mrs. A that the postural supports are being used to help prevent her from falling.
D. Use electric razors for shaving the face.
C. Explain kindly to Mrs. A that the postural supports are being used to help prevent her from falling.
The Nurse Assistant enters a patients/resident’s room and sees the bed is at its highest level. The Nurse Assistant should know:
A. The patient/resident wants to get closer to the television set.
B. The patient/resident is very independent and will not be injured.
C. Nurse Assistant’s do not deal with safety issues.
D. The bed should be placed in the lowest position
D. The bed should be placed in the lowest position
RACE is a term representing activities to be carried out in the event of a fire. The “R’ stands for which of the following?
A. Run for help
B. Remain at the fire site
C. Reduce the fire risk
D. Remove the patient/resident
D. Remove the patient/resident
To help prevent fires, the Nurse Assistant should:
A. Remove the grounding prong from electrical cords
B. Report frayed electrical cords immediately
C. Empty ashtrays immediately into the wastebasket (trash).
D. Encourage patients/residents to smoke only in their beds.
B. Report frayed electrical cords immediately
The Nurse Assistant finds a frayed electrical cord on a fan in a patient’s/resident’s room. Which of the following actions is correct?
A. Obtain electrical tape and cover the broken wire
B. Report the situation to the nurse
C. Activate the fire alarm and remove the patient/resident.
D. Check the fan by turning it on
B. Report the situation to the nurse
Mr. B is receiving oxygen therapy and requests assistance with shaving. What should the Nurse Assistant do?
A. Use alcohol to soften the patient’s/resident’s beard
B. Shave with soap and a safety razor
C. Use only grounded electrical razors
D. Refuse to shave the patient/resident because oxygen interferes with blood clotting
B. Shave with soap and a safety razor
Suffocation is?
A. The loss of memory and thinking and reasoning abilities.
B. A sudden event in which people are killed and injured.
C. When breathing stops
D. When electrical current passes through the body
C. When breathing stops
Which person has the greatest risk for accidents and injuries?
A. A 78-year old woman
B. A person with dementia
C. A person with a hearing impairment
D. A person with impaired smell and touch
B. A person with dementia
The Nurse Assistant sees water on the floor. The Nurse Assistant should immediately:
A. Call the housekeeping staff
B. Clean up the water
C. Report the water to the nurse
D. Place a paper towel over the water
B. Clean up the water
Falls are most likely to occur:
A. During change of shift
B. During meal times
C. When visitors are visiting
D. When care is given
A. During change of shift
Who has the greatest risk of getting caught in the bed rails?
A. Mr. S - uses bed rails to move and turn in bed
B. Mrs. W- feels safer with upper bed rails
C. Mr. G - is confused and disoriented
D. Mrs. R - has bedrails down
C. Mr. G - is confused and disoriented
For safety reasons, the wheelchair brakes must be locked:
A. At all times
B. When transferring into or out of the wheelchair
C. When wheelchair is parked
D. Wheelchair brakes should never be locked
B. When transferring into or out of the wheelchair
Hazardous substances include the following EXCEPT:
A. Oxygen
B. Drugs used in cancer therapy
C. Cleaning solutions
D. Soaps and shampoos
D. Soaps and shampoos
You are injured while transferring a person to a wheelchair. Wnich is true?
A. This is workplace violence
B. You need to complete an incident report
C. This is negligence
D. This is patient/resident abuse
B. You need to complete an incident report
Which of the following items is NOT a fire hazard?
A. A damaged electrical cord
B. A full waste basket
C. A broken three-pronged electrical plug
D. An open can of cleaning fluid
B. A full waste basket
When applying soft postural supports to a patient/resident, the Nurse Assistant MUST:
A. Apply the postural supports tightly
B. Tie the postural supports to the side rails
C. Apply lotion to the skin
D. Apply padding over bony areas
D. Apply padding over bony areas
To use a fire extinguisher, you must first:
A. Remove the safety pin
B. Direct the hose at the fire
C. Squeeze the top handle
D. Sound the nearest fire alarm
A. Remove the safety pin
To prevent patients/residents from falling, the Nurse Assistant should keep patients/residents
A. Beds at the highest position, with side rails up
B. Beds at the lowest position, with side rails up, if ordered.
C. Walkers and canes away from the beds and out of reach when not in use.
D. Wheelchair and walker wheels unlocked for easy movement.
B. Beds at the lowest position, with side rails up, if ordered.
A patient/resident who is receiving oxygen has a visitor who wants to smoke. The Nurse Assistant should tell the visitor:
A. To smoke at least three feet away from the patient/resident.
B. To go outside the building to smoke in a designated area.
C. That the oxygen can be stopped when the visitor smokes.
D. That the visitor can only smoke for five minutes
B. To go outside the building to smoke in a designated area.
Which of the following safety precautions should the Nurse Assistant recognize as one to be used when caring for patients/residents who are receiving oxygen?
A. Smoking is allowed in the room five feet away from the source of oxygen
B. The nasal cannula or nose piece should be lubricated with petroleum jelly
C. The humidifying container should not be connected to nasal oxygen
D. A “No Smoking: Oxygen in Use” sign is placed on the door of the room
D. A “No Smoking: Oxygen in Use” sign is placed on the door of the room
- The Nurse Assistant discovers that the three-pointed ground plug has a point missing. The Nurse Assistant should:
A. Plug the cord into the wall outlet
B. Immediately tell the maintenance department
C. Plug the cord in and look at it for problems
D. Continue patient/resident care
B. Immediately tell the maintenance department
Upon entering a patient’s/resident’s room, the Nurse Assistant discovers a fire. Which of the following is the correct sequence of steps that the Nurse Assistant should take?
A. Contain and extinguish (put out) the fire, activate the safety alarm, and remove the patient/resident.
B. Activate the safety alarm, remove the patient/resident, and contain and extinguish (put out) the fire. C. Extinguish (put out) the fire, remove the patient/resident, and activate the safety alarm.
D. Remove patient/resident, activate the safety alarm, and contain and extinguish (put out) the fire.
D. Remove patient/resident, activate the safety alarm, and contain and extinguish (put out) the fire.
The Nurse Assistant enters a patient’s/resident’s room and checks the patient/patient’s/resident’s environment. Which of the following problems must be taken care of immediately?
A. The window is open
B. The lights are flickering
C. Electrical wires are exposed
D. The faucet is dripping
C. Electrical wires are exposed
During a disaster, the Nurse Assistant must:
A. Know the disaster plan for the facility
B. Know the facility administrator’s telephone number.
C. First call home
D. Call each patient/patient’s/resident’s family
A. Know the disaster plan for the facility
After hearing the emergency code for fire, the Nurse Assistant should:
A. Provide a list of all assigned patients/residents by name and room number.
B. Close all room doors and report to the nurse in charge.
C. Wait for the nurse in charge to give directions
D. Wait for the fire fighters to give directions
B. Close all room doors and report to the nurse in charge.
The Nurse Assistant is caring for a patient/resident who is wearing wrist restraints. The Nurse Assistant should remove the restraints and perform passive range-of-motion exercises for the patient/resident at least every:
A. 2 hours
B. 4 hours
C. 8 hours
D. 24 hours
A. 2 hours
When a patient resident is wearing a jacket restraint while in a chair, the Nurse Assistant should:
A. Tie the restraints tightly as possible
B. Close the patient’s/resident’s door to provide privacy during restraint.
C. Release the restraint every two hours for repositioning.
D. Tie the restraint to the side rail of the patient’s/resident’s bed.
C. Release the restraint every two hours for repositioning.
A patient/resident tells the Nurse Assistant that her wheelchair is broken The Nurse Assistant should FIRST:
A. Tell the charge nurse
B. Try to repair the wheelchair
C. Ignore the situation
D. Notify the patients/resident’s family
A. Tell the charge nurse
Which of the following devices would not be used for patient/resident activities of daily living?
A. Plate guards and silverware with cuffs or curved handles.
B. A cup or glass holder and silverware attached to a splint.
C. A walker, a cane, and crutches
D. A stethoscope, a blood pressure cuff, and a thermometer.
D. A stethoscope, a blood pressure cuff, and a thermometer.
The Nurse Assistant should use a gait belt:
A. To help the patient/resident ambulate safely
B. As a patient/resident restraint
C. For back support when transferring patients/residents.
D. To hold the patients/resident’s oxygen tank on its cart.
A. To help the patient/resident ambulate safely
The Nurse Assistant is cleaning the nose of a patient/resident who is receiving continuous oxygen by a nasal tube. The Nurse Assistant should NOT use:
A. A water-based lubricant
B. Warm water
C. An oil-based lubricant
D. Soap and water
C. An oil-based lubricant
Which is the main reason that the Nurse Assistant MUST report broken equipment?
A. The Nurse Assistant could be held legally responsible for the broken equipment.
B. The Nurse Assistant must care about patient/resident and staff safety.
C. The information will go in an incident report
D.The information is needed by the nurse in charge
B. The Nurse Assistant must care about patient/resident and staff safety.
Which of the following is a physiological need?
A. Employment
B. Friendship
C. Water
D. Love
C. Water
Which of the following would be a barier to efective commur her on?
A. Listening to a patient/resident tell stories about his or her past.
B. Letting a patient/resident express his or her fears and concerns about dying.
C. Changing the subject each time a patient resident brings up an uncomfortable topic.
D. Allowing a patient/resident to talk freely about his or her health problems.
C. Changing the subject each time a patient resident brings up an uncomfortable topic.
Avoiding eye contact when talking to another person is an example of which type of communication.
A. Verbal
B. Non-verbal
C. Written
D. Electronic
B. Non-verbal
A charge nurse uses a medical word that the Nurse Assistant does not understand. What should you do?
A. Pretend to understand
B. Look the word up in a medical dictionary
C. Ask the nurse to explain the meaning
D. Ask another Nurse Assistant what the word means
C. Ask the nurse to explain the meaning
A patient/resident asks to see his chart. What is the correct action for the Nurse Assistant?
A. Give the chart to the patient/resident
B. Report this to the charge nurse
C. Report this to the patient’s/resident’s doctor
D. Make a copy of the chart for the patient/resident
B. Report this to the charge nurse
When patients/residents express their feelings and concerns, the Nurse Assistant will best respond by:
A. Adding his or her opinions
B. Giving the patient/resident suggestions for feeling better.
C. Sharing personal problems and concerns
D. Listening to the patient’s/resident’s concerns
D. Listening to the patient’s/resident’s concerns
A patient’s/resident’s family asks to meet their mother’s new roommate who is sitting in the day room. The nursing assistant will most correctly:
A. Inform the patient’s/resident’s family that this is against hospital policy.
B. Take the family and patient/resident to the day room and introduce them to the new roommate.
C. Ask the family to wait until the new roommate has been in the facility at least a week.
D. Report this request to the charge nurse to handle as time permits.
B. Take the family and patient/resident to the day room and introduce them to the new roommate.
A Nurse Assistant works on the first floor of a skilled nursing facility. The Nurse Assistant’s uncle is a patient/resident on the second floor. Which statement is true about this relationship?
A. The Nurse Assistant can access her uncle’s medical record.
B. The Nurse Assistant can visit her uncle during lunch time.
C. The Nurse Assistant can attend patient/resident care conferences with her uncle.
D. The Nurse Assistant can assist with her uncle’s care plan.
B. The Nurse Assistant can visit her uncle during lunch time.
Which form of communication may reveal the most about a patient’s/resident’s true feelings?
A. Listening skills
B. Written communication
C. Verbal communication
D. Body language
D. Body language
What is the most appropriate way to answer a patient’s/resident’s telephone?
A. “Good morning. Mrs. Gray’s room”
B. “Good morning. Third floor”
C. “Hello. Who is calling?”
D. “Good morning. Mrs. Gray’s room, this is Mary Jones, Nurse Assistant speaking.”
D. “Good morning. Mrs. Gray’s room, this is Mary Jones, Nurse Assistant speaking.”
What information must be included when giving an end of shift report?
A. The full name and address of the patient/resident.
B. Facts and specific information that were observed and care given by the Nurse Assistant.
C. Number of visitors
D. Personal feelings about the patient/resident
B. Facts and specific information that were observed and care given by the Nurse Assistant.
Listening skills are enhanced by:
A. Engaging a patient/resident in an activity
B. Being animated while listening
C. Conversing in a public location
D. Empathy
D. Empathy
A patient/resident tells the Nurse Assistant that he misses participating in religious activities. The most helpful action by the Nurse Assistant at this time is to:
A. Tell the patient/resident that it is against policy for the Nurse Assistant to discuss religion with patients/residents.
B. Memorize each patients/residents religious preference’s.
C. Insist that the patient/resident attend the religious services offered by the agency.
D. Talk with the patient/resident about religion to encourage discussion.
D. Talk with the patient/resident about religion to encourage discussion.
A confused patient/resident was recently moved to a private room at the family’s request. The Nurse Assistant understands that:
A. The patient/resident may experience an increased appetite.
B. Patients/residents with dementia cannot tolerate isolation.
C. Any change in routine can produce anxiety in a patient/resident.
D. The patient/resident probably did not want to change rooms.
C. Any change in routine can produce anxiety in a patient/resident.
Information that can be seen, heard, or smelled is called:
A. Assessment
B. Observation
C. Objective data
D. Subjective data
C. Objective data
When should changes in a patient s/resident’s condition be reported?
A. Right away
B. As soon as possible
C. During the patient/resident care conferences
D. During the end-of-shift report
A. Right away
When charting, it is essential to record:
A. Safety measures performed
B. What co-workers observed
C. What co-workers did
D. Comments of the family and guests
A. Safety measures performed
A patient/resident was moved out of her home and into a long-term care facility. She is angry about being moved. How will the Nurse Assistant be most helpful for this patient/resident?
A. Ignore her behavior
B. Sit with her and let her express her feelings
C. Tell her that she will get used to the facility
D. Ask another patient/resident to talk with the new patient/resident.
B. Sit with her and let her express her feelings
Which action is best to do before transferring a telephone call?
A. Explain that the call is going to be transferred and where.
B. Set the phone down and find out where to transfer the call.
C. Take a message
D. Find out the reason for the call
A. Explain that the call is going to be transferred and where.
Stress is best defined as
A. A vague feeling of apprehension
B. A response to any demand made on an individual
C. The main cause of ilness
D. Blaming another for one’s problems
B. A response to any demand made on an individual
The Nurse Assistant is assigned to the care of a newly admitted patientre sident who does not speak English. What is the best
approach for the Nurse Assistant when beginning care?
A. Use pictures and gestures to communicate with the patient/resident.
B. Ask the charge nurse to get an interpreter
C. Delay care until the family can come in to interpret
D. Find a television station in the language the patient/resident understands.
B. Ask the charge nurse to get an interpreter
