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CNA > Chapter 12 > Flashcards

Chapter 12 Flashcards

1
Q

Blockage of the airway, but not severe enough to stop all air exchange

A

Partial airway obstruction (mild airway obstruction)

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2
Q

Ineffective contraction of the heart causing severely impaired circulation of blood

A

Cardiac arrest

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2
Q

Very little to no air exchange due to blockage of the airway

A

Complete airway obstruction (Severe Airway obstruction)

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3
Q

fainting; a sudden, temporary loss of consciousness, usually due to decreased oxygen level in the brain

A

Syncope

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4
Q

Sitting on the side of the bed after moving from a lying to a sitting position to allow time for the blood pressure to stabilize

A

Dangling

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5
Q

Disrupted electrical activity within the brain

A

Seizure

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6
Q

A feeling or a visual disturbance experienced prior to a seizure

A

Aura

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7
Q

A life-threatening generalized seizure that lasts longer than 5 minutes

A

Status epilepticus

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8
Q

Inability of the heart to pump enough blood to the organs of the body due to severe damage to the heart

A

Cardiogenic shock

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9
Q

Severe hypersensitivity reaction associated with uncontrollable dilation of all the blood vessels in the cardiovascular system, with resultant hypotension

A

Anaphylactic shock

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9
Q

Excessive loss of circulating blood

A

Hemorrhage

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10
Q

Blood and fluid loss so extreme that the heart is unable to pump enough blood to support the body

A

Hypovolemic shock

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11
Q

Type of burn that involves the epidermis and dermis

A

Partial-thickness burn

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11
Q

Type of burn that involves the epidermis, dermis, and subcutaneous tissue

A

Full-thickness burn

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11
Q

A pattern of walking

A

Gait

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12
Q

Any physical or chemical limitation that prevents movement; specifically, in healthcare, a restrain limits the resident from freely moving about her environment

A

Restraint

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12
Q

Having the ability to walk about

A

Ambulatory

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13
Q

The color Blue for emergency is what?

A

Adult medical emergency

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13
Q

The color red for emergency is what?

A

Fire

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14
Q

The color white for emergency is what?

A

Pediatric medical emergency

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15
Q

The color Pink for emergency is what?

A

infant abduction

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16
Q

The color Purple for emergency is what?

A

Child abduction

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17
Q

The color yellow for emergency is what?

A

Bomb threat

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18
Q

The color Gray for emergency is what?

A

combative person

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19
Q

The color Silver for emergency is what?

A

Person with a weapon and/or active shooter and/or hostage situation

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20
Q

The color Orange for emergency is what?

A

Hazardous material spill/ release

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21
Q

You are assisting residents with their lunch when you notice that one of the residents takes a large bite of potatoes . He starts coughing . You should

A)Ask him if he is choking and then do abdominal thrusts
B)Have him take a drink of water
C)Remain close and allow him to cough
D)Ask him to raise his arms into the air

A

C)Remain close and allow him to cough

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22
Q

you are walking with alma using a gait belt and pulling a wheelchair behind her. She suddenly becomes shaky and weak. She says that she sees “dark spots” The FIRST thing you should do is

A)Get her some water or juice to drink
B)Have her sit down in the wheelchair
C)Report her symptoms to the nurse
D)Take her outside for fresh air

A

B)Have her sit down in the wheelchair

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23
Q

A resident experiencing a grand mal seizure

A)Has a weak pulse and low blood pressure
B)Has chest pain and grayish skin
C)Looks like she is staring off into space
D)Collapses and shakes uncontrollably

A

D)Collapses and shakes uncontrollably

24
Q

high-pitched wheezing is a sign of a

A)Complete airway obstruction
B)Syncopal episode
C)Partial airway obstruction
D)Grand mal seizure

A

A)Complete airway obstruction

25
Q

one of your residents has a wrist restraint. you should check the hand, fingers and the area under the restraint every

A)2 hours
B)15 mins
C)hour
D)30 mins

A

B)15 mins

25
Q

the type of shock caused by extreme blood loss is called

A)Hypovolemic
B)Syncopal
C)Cardiogenic
D)Anaphylactic

A

A)Hypovolemic

26
Q

one example of a fall prevention strategy would be

A)Encouraging a resident to attend activities
B)Having a resident lie in bed as much as possible
C)Keeping a resident’s wheelchair locked while he is in his room
D)Placing an alarm on a resident’s wheelchair

A

A)Encouraging a resident to attend activities

27
Q

dangling means that before assisting a resident to stand, you

A)Make sure that the resident has his shoes and socks on
B)Make sure that the resident’s feet are flat on the floor
C)Allow time for the blood pressure to stabilize
D)Allow the resident’s feet to swing freely while sitting

A

C)Allow time for the blood pressure to stabilize

28
Q

the use of restrains can

A)keep a resident safe from falls
B)Prevent physical outbursts
C)Decrease aggressive behavior
D)Cause depression

A

D)Cause depression

29
Q

you are assisting a resident who has burned herself. after activating EMS, your next step is to

A)Cover the burn with a cool, moist sterile dressing
B)Cover the burn with a dry sterile dressing
C)Put a burn ointment on the wound
D)Take vital signs and document the incident

A

A)Cover the burn with a cool, moist sterile dressing

30
Q

you discover one of your residents with dementia in the housekeeping closet. he has redness around his mouth. the FIRST step you should take is to

A)Find out what he ate or drank
B)Activate EMS
C)Contact the poison center
D)Rinse his mouth with water

A

A)Find out what he ate or drank

31
Q

a resident has accidentally spilled bathroom cleaner on his skin. to find info about this chemical a nursing assistant should

A)Contact the emergency room
B)Call the resident’s doctor
C)Look it up in the SDS
D)Look it up on Wikipedia

A

C)Look it up in the SDS

32
Q

after a witnessed fall, the nurse is likely to ask you to obtain vital signs

A)Once each shift for the next 24 hours
B)Once each shift for the next week
C)At the time of the fall only
D)Once each shift for the next 72 hours

A

A)Once each shift for the next 24 hours

33
Q

Doris is a resident who has fallen and has a gash across her left arm. you apply pressure to the wound using a sterile dressing. the dressing is soaked through, and the bleeding is not slowing. your next step should be to

A)Remove the soaked dressing before applying a new dressing to the wound
B)Place another dressing on top of the soiled dressing and apply pressure to the artery above the wound
C)Apply a tourniquet above the gash to stop the bleeding from the wound
D)Place her in the recovery position and elevate her legs to increase circulation to the heart

A

B)Place another dressing on top of the soiled dressing and apply pressure to the artery above the wound

34
Q

when a resident is having a seizure, the nursing assistant should

A)Hold the resident in place so she doesn’t hit anything
B)Place a spoon in her mouth to prevent swallowing the tongue
C)Note what time the seizure starts and ends
D)Activate EMS if the seizure lasts longer than one minute

A

C)Note what time the seizure starts and ends

35
Q

grace is an 80-year-old resident who has had two recent falls. you notice that you need to tell her to look up when she is walking. she looks down at her feet instead. this is likely because she is

A)Not listening to you
B)Afraid of falling again
C)Not able to follow directions
D)Not steady enough to walk

A

B)Afraid of falling again

36
Q

signs of shock include all of the following EXCEPT

A)Cool and clammy skin
B)Weak pulse
C)A drop in blood pressure
D)Decreased respiratory rate

A

D)Decreased respiratory rate

37
Q

you enter a residents room to find him lying on the floor. he is bleeding from a large cut across his forehead. the FIRST thing you should do

A)Put on a pair of gloves
B)Activate EMS
C)Apply sterile dressings tot he forehead
D)Assist him to a recovery position

A

A)Put on a pair of gloves

38
Q

all of the following put a resident at risk of falling EXCEPT

A)Buildup of earwax
B)Frequent naps
C)Antidepressant medications
D)Walking without shoes

A

B)Frequent naps

39
Q

once cardiopulmonary resuscitation (CPR) is started, it can only be stopped if

A)You are no longer able to feel a pulse
B)The ambulance driver declares the resident dead
C)Someone qualified takes over
D)It has been longer than 6 mins since it was started

A

C)Someone qualified takes over

40
Q

you are ambulating a resident using a gait belt and a walker. he suddenly becomes weak and begins to fall. you should

A)Try to catch him before he falls to the floor
B)Have him lean on the walker until he is rested and steady
C)Lower him to the floor using the gait belt and both hands
D)Lower him to the floor with one hand on the gait belt

A

C)Lower him to the floor using the gait belt and both hands

41
Q

David has fallen in his room. the nurse directs you to assist him to his bed, but he is too weak to help with the transfer. you should

A)Use a gait belt and an assist of two to help him to his feet
B)Put a sheet under him and ask a coworker to help lift him
C)Allow him to rest and to regain his strength before moving him
D)Use a mechanical lift to move him to his bed

A

D)Use a mechanical lift to move him to his bed

42
Q

the FIRST step in preventing falls is

A)Assisting residents with their basic needs
B)Providing exercise classes
C)Placing alarms on wheelchairs and beds as needed
D)Identifying who is at risk of a fall

A

D)Identifying who is at risk of a fall

43
Q

Elena often gets out of bed to walk to the bathroom. yesterday she tripped on her bedside table and fell. an appropriate fall prevention strategy would be to

A)Post a sign reminding her to ask for help
B)Have her go to bed earlier so she is more alert
C)Place a soft mat on the floor next to her bed
D)Place an alarm on her bed

A

A)Post a sign reminding her to ask for help

44
Q

Wilson recently had surgery on his hip. he asked you to put his side rails up to make it easier for him to move in bed. you should

A)Put the ride rails up, since he is using them for positioning
B) Tell him that side rails are a restraint and shouldn’t be used
C)Put the side rails up after the nurse gets informed consent
D)Instruct the resident on side rail risks and then put them up.

A

C)Put the side rails up after the nurse gets informed consent

45
Q

the person MOST at risk of falling would be a

A)30 year old women who had gallbladder surgery
B)77 year old man living at home and on pain medications
C)21 year old woman who takes medication for depression
D)67 year old woman with a history of asthma

A

B)77 year old man living at home and on pain medications

46
Q

Dennis is an older resident at risk of falling because he forgets to lock his wheelchair brakes before standing. the BEST way to prevent Dennis from falling is to

A)Tell him that he is not allowed to stand by himself
B)Place him by the nurse’s desk with the wheels locked
C)Put leg rests on the wheelchair to keep him from standing
D)Have anti-rollback brakes placed on his wheelchair

A

D)Have anti-rollback brakes placed on his wheelchair

47
Q

one of your residents has restraints on his ankles. you should alert the nurse right away if

A)He complains that his foot feels numb
B)His foot feels warm when you touch it
C)He does foot exercises without your assistance
D)He needs his incontinence product changed

A

A)He complains that his foot feels numb

48
Q

Elsa is an older resident who has a lot of anxiety and easily becomes upset. the doctor orders medication to help with her anxiety. today elsa had to be assisted with her lunch because she was very drowsy. this is an example of

A) a Chemical restraint
B)an environmental restraint
C)A normal part of aging
D)Negligence

A

A) a Chemical restraint

49
Q

Some facilities have taken side rails off all the residents beds because

A)Residents may get their arms or legs caught
B)Residents are at risk of strangling themselves
C)Positioning devices are available and are not restraints
D)All of the above

A

D)All of the above

49
Q

a nursing assistant can help prevent the use of restraint restraints by

A)placing an alarm on resident’s wheelchair
B)Keeping residents on routine schedules
C)Telling residents families that they need to visit daily
D)Using side rails to keep residents in bed

A

B)Keeping residents on routine schedules

50
Q

The use of restraints may lead to any of the following EXCEPT

A)Pressure injuries
B)Decreased agitation
C)Emotional upset
D)Muscle weakness

A

B)Decreased agitation

51
Q

you are ambulating your resident and she has a syncopal episode. what is the FIRST action you should take?

A)Put her in a reclining chair with her feet elevated
B)Help her to the floor while protecting her head
C)Take her to the restroom after the episode
D)Apply an ice pack to her forehead for 20 mins

A

C)Take her to the restroom after the episode

51
Q

One of your residents is coughing and obviously choking. what should you do?

A)Start chest compressions
B)Call 911
C)Stand by and wait to help if needed
D)Offer a drink of water

A

C)Stand by and wait to help if needed

52
Q

you are sitting at the breakfast table with a resident who collapses and begins to shake uncontrollably. what should you do?

A)Clear the room
B)Send your coworker for an ice pack
C)Note the time and keep the resident safe
D)Do all of the above

A

D)Do all of the above

53
Q

you find your resident on the floor with no pulse. the resident has expressed in the past that she does not want to be resuscitated. what should you

A)Yell for help and start CPR
B)Activate EMS
C)Put the call light on
D)Call the resident’s doctor

A

B)Activate EMS

54
Q

one of your residents may have ingested some household cleaner. what should you do?

A)Report to the supervisor immediately
B)Give him a glass of water or milk
C)Make him vomit
D)Observe him for changes and then update the doctor

A

A)Report to the supervisor immediately

54
Q

your home care resident is at risk for falls due to serval throw rugs in his path. what should you do?

A)Remove the rugs and place them in a closet
B)Remind the resident that the rugs pose a danger and then report to your supervisor
C)Buy rugs with nonskid grip for the resident
D)Call the resident’s daughter and ask her to remove the rugs

A

B)Remind the resident that the rugs pose a danger and then report to your supervisor

55
Q

while you are ambulating a resident, he states that he is dizzy. what should you do?

A)Assist the resident to a sitting position
B)Keep going until the dizziness passes
C)Allow him to stand and regain his strength
D)Tighten your grip on the transfer gelt while he continues to walk.

A

A)Assist the resident to a sitting position

56
Q

you witness a resident fall in his bedroom. what should you do?

A)Assist the resident back to his feet
B)Check the resident for injuries and then update the nurse
C)Help the resident into bed and then alert the nurse
D)Stay with the resident and call out for the nurse

A

D)Stay with the resident and call out for the nurse

57
Q

you notice one of your residents with dementia crawling around on the floor of her room. what should you do?

A)Ask the nurse to give the resident medication to calm her
B) Politely tell the resident to stop being so disruptive
C)Put the resident back in bed and tell her to remain there
D)Make sure the resident is safe and try to redirect her

A

D)Make sure the resident is safe and try to redirect her

58
Q

your resident asks you to raise the side rail of the bed before leaving the room. what should you do?

A)Raise the side rail for her; residents have the right to make their own decisions
B)Refuse to raise the side rail and instruct her on the risks of using side rails
C)Raise both rails and make sure the bed is in the low position
D)Tell your supervisor that the resident is asking for side rails

A

D)Tell your supervisor that the resident is asking for side rails

59
Q

the nurse has obtained a doctor’s order for wrist restraints and ask you to apply them to a confused resident. what is your best response?

A) Place the wrist restraint on the resident as directed
B)Tell the nurse that wrist restraints should never be used for residents
C)Tell the nurse that he will need to apply the restraint the first time, and then you can assist afterward
D)Tell the nurse that you feel a chemical restraint would be more appropriate

A

A) Place the wrist restraint on the resident as directed

60
Q

your resident continues to unfasten his waist restraint and stand up out of his chair. what should you do?

A)Make sure the restraint is tied in a knot
B)Call the resident’s doctor for a new instruction
C)Take the restraint off
D)Update your supervisor

A

D)Update your supervisor

61
Q

an older confused resident is yelling and disrupting the other residents in the dinning area. what should you do?

A)Take him to his room and shut the door
B)Try to anticipate what he may need
C)Tell him to sit down and be respectful of others
D)Move the other residents away from him

A

B)Try to anticipate what he may need

62
Q

your resident continues to wander into other residents rooms with her wheelchair. what should you do?

A)Lock her wheelchair so that she cannot roam
B)Put her in a recliner with the legs up
C)Invite her to go for a walk with you
D)Put her in front of the television

A

C)Invite her to go for a walk with you

CNA (11 decks)

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