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NUR 110/111 > D&SH > Flashcards

D&SH Flashcards

1
Q

A Progeny isn’t a microorganism, but an ___________ from a/sexual reproduction.

A
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2
Q

You can help _____ the spread of infection in a facility by
- following infection control guidelines
- recognizing that infection control is everyone’s responsibility
- understanding what causes infections and how they are spread

A

stop

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3
Q

All of the following are good communication techniques to use with an Alzheimer’s resident EXCEPT
a. using eye contact
b. eliminating background noise
c. speaking loudly so the resident can hear you
d. asking yes and no questions

A

c

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4
Q

Speaking ________ to someone with Alzheimer’s Disease isn’t helpful.

A

loudly

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5
Q

You enter the room in the morning to get Mrs. Lane up and she has marked weakness of her left side. As a nurse aide you should

a. call the doctor
b. call the family
c. report it to your charge nurse
d. wait for awhile to see if it improves

A

c

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6
Q

Mrs. Green has had a stroke on the left side of her brain. Her symptoms include

a. paralysis on the right side of her body
b. aphasia
c. being very slow, anxious and cautious
d. all of the above

A

d

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7
Q

Mrs. Jackson is an insulin dependent diabetic. She has not eaten any of her breakfast. As a nursing assistant you should

a. ignore it - it is OK if she was not hungry
b. force her to eat
c. report the information
d. throw the food away

A

c

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8
Q

The caregiver who would most likely help residents make adjustments to change in their lives is known as a

a. head nurse
b. geriatric aide
c. social worker
d. speech therapist

A

c

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9
Q

If you are using reality orientation and a resident with dementia asks for a family member that has died years earlier, you should

a. agree with them that the family member is still living
b. tell them they will get a visit from the family member soon
c. ignore the question, change the subject, and continue with your care
d. gently remind the resident that the family member has died

A

d

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10
Q

Information about the residents in your care may be shared with

a. your best friend in a private session
b. your discreet neighbor if you don’t mention any names
c. a close friend of the resident
d. staff in a care plan conference

A

d

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11
Q

The facility is having a birthday party for the residents. Residents are assured of assistance in attending the party because of

a. the Resident Bill of Rights
b. the facility procedures
c. facility rules
d. state laws

A

a

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12
Q

Sexual expression in the elderly is

a. not important anymore
b. not necessary
c. still considered important
d. disgusting

A

c

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13
Q

Benign prostatic hypertrophy (BPH) is an enlargement of the

a. prostate
b. urethra
c. urinary bladder
d. kidney

A

a

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14
Q

Tuberculosis and measles are spread by

a. air currents
b. moist droplets
c. skin-to-skin contact
d. contact with blood

A

a

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15
Q

Considering a whole system, such as a whole person, rather than dividing the system into parts is

a. hospice care
b. holistic care
c. palliative care
d. restorative care

A

b

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16
Q

An example of non-verbal communication is

a. placing your hands on your hips
b. telling your friend you are mad
c. speaking loudly to a resident
d. using a polite tone of voice

A

a

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17
Q

The resident’s indwelling urinary catheter should be placed

a. on the side rail, at the same height as the resident’s bladder
b. on the bed frame, lower than than the resident’s bladder
c. on the floor, lower than the the resident’s bladder
d. on the side rail, lower than the resident’s bladder

A

b

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18
Q

When extinguishing a fire using the P.A.S.S. acronym, the hose should be aimed

a. at the base of the fire
b. at the top of the fire
c. in the middle of the fire
d. area surrounding the fire

A

a

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19
Q

The normal aging process includes

a. a decline in energy level
b. the loss of personal health
c. a decline in the quality of life
d. emotional needs decline

A

a

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20
Q

When shaving a resident’s facial hair, the nursing assistant should

a. shave in the direction of hair growth
b. shave in short strokes in an upward direction
c. hold the razor at a 30-degree angle
d. only use an electric razor to avoid nicks

A

a

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21
Q

When applying heat to the resident’s skin, the nursing assistant would recognize that heat causes

a. vasoconstriction of the blood vessels
b. vasodilation of the blood vessels
c. decreased blood flow to the muscles
d. decreased blood flow to the joints

A

b

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22
Q

You are the nursing assistant assigned to obtain an admission height on Sally Sue. Realizing Sally Sue is bedridden, you will use a _____ to obtain her height.

a. standing scale
b. tape measure
c. 12 inch ruler
d. yard stick

A

b

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23
Q

A back massage

a. is a routine procedure to be performed during evening care and after bathing
b. is not recommended as rubbing over bony prominences may cause pressure injuries
c. should last at least 2 minutes
d. is performed by applying light pressure to the skin and rubbing gently avoiding fast movements

A

a

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24
Q

Cognitive impairment is a disruption in

a. dressing independence
b. ability to sleep
c. individual personality
d. understanding capabilities

A

d

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25
Q

A resident has just returned from a weekend with her family. When helping the resident change her clothes the CNA notices new bruises all over the resident’s back. The CNA will

a. document this as a new finding in the medical record and give this information to the next CNA coming on shift
b. call 911 and report elder abuse and file a report and then let the charge nurse it has been handled
c. ask the resident if she had an accident and if the bruises on her back are painful
d. call the resident’s family to obtain a statement about the bruises on the resident’s back and let them know 911 will be called

A

c

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26
Q

A fire has erupted in a dining area. All residents in the area are to be evacuated. The NA should evacuate

a. confused residents first
b. bed bound residents first
c. wheelchair residents first
d. ambulatory residents first

A

d

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27
Q

After getting his breakfast tray, Mr. Jones states “Wow, what a treat, they never let me have bacon.” As a nursing assistant, the first thing to check after hearing this comment is

a. the tray Mr. Jones has actually the correct one with his name on it
b. does Mr. Jones have enough bacon, since this is a treat for him
c. the kitchen didn’t make a mistake giving him the bacon
d. if Mr. Jones is at his correct table and seat

A

a

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28
Q

Multiple Sclerosis is a disease of the

a. musculoskeletal system
b. respiratory system
c. cardiovascular system
d. nervous system

A

d

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29
Q

When communicating verbally with others, a resident’s perception of you may be altered by

a. any overhead paging
b. the tone of your voice
c. the words not said
d. use of the organizational chart

A

b

30
Q

Common age-related changes within the urinary system include the

a. kidneys filter blood more quickly
b. bladder may not empty completely
c. bladder muscles become stronger
d. bladder holds more urine so there is risk of UTI

A

b

31
Q

Recognizing nonverbal communication and personal space varies in different cultures; an example of showing respect for the Native American culture would be

a. avoiding eye contact.
b. women avoid eye contact with males.
c. direct eye contact.
d. direct eye contact during conversation.

A

a

32
Q

The CNA is working with a resident who was alert and oriented yesterday. Upon arrival today, the CNA notices the resident is anxious, disoriented and is having problems with memory. The CNA will report this to the nurse as possible

a. demetia
b. schizophrenia
c. delirium
d. anxiety

A

c

33
Q

Smiling at a resident is known as

a. sign language
b. body language
c. oral communication
d. verbal communication

A

b

34
Q

You walk into a room and find the resident on the floor having a seizure, you should

a. hold the resident down to prevent thrashing and self injury
b. pull the curtain to provide resident privacy
c. place a padded tongue blade between the resident’s teeth
d. move objects out of the way and support the resident’s head

A

d

35
Q

You would feed a resident a pureed diet by

a. feeding all of one food at a time
b. giving portions from each food
c. mixing the food together
d. doing whatever you want

A

b

36
Q

The name of the most common pulse measured is the

a. apical pulse
b. carotid pulse
c. brachial pulse
d. radial pulse

A

d

37
Q
  1. __________ is a progressive disease.

a. A urinary tract infection
b. Alzheimer’s
c. Cellulitis
d. Halitosis

A

b

38
Q
  1. The largest organ of the human body is the

a. heart
b. lungs
c. skin
d. liver

A

c

39
Q
  1. If a resident is difficult to understand, you should

a. pretend to understand
b. try to restate what the resident said
c. avoid communicating with the resident
d. use a picture board

A

d

40
Q

The CNA is working with a resdient who is confused. The CNA understands confused residents

a. are easily distracted and enjoy a variety of activities
b. follow complex directions by more than one person
c. are restrained at night to keep them in bed
d. could be a danger to self and others

A

d

41
Q

When a resident is NPO that means

a. nothing to eat or drink
b. no food after midnight
c. no food or drink after midnight
d. the resident is on ice chips only

A

a

42
Q

Abduction is moving a body part

a. away from the midline of the body
b. toward the midline of the body
c. above the midline of the body
d. below the midline of the body

A

a

43
Q

You are caring for a resident who has diabetes mellitus type 1, a current urinary tract infection, a history of a myocardial infection (MI), and a cerebral vascular accident (CVA). The resident begins complaining of nausea and vomiting, having a headache, having blurred vision, has fruity smelling breath, and is experiencing weakness. You would suspect the resident is experiencing

a. hypoglycemia
b. hemiplegia
c. hyperglycemia
d. syncope

A

c

44
Q

The husband of a resident tells you that he doesn’t want the doctor to tell the resident the results of the latest tests that were done. You understand this request cannot be granted because the resident has the right to

a. refuse treatment
b. receive information
c. privacy and confidentiality
d. informed consent

A

b

45
Q

List the order in which these body parts are washed during bathing

a. chest, eyes, face, neck, ears, arms
b. eyes, face, ears, neck, arms, chest,
c. arms, chest, neck, ears, face, eyes
d. eyes, face, chest, arms, neck, face

A

b

46
Q

Mrs Green is unable to bear weight and wants to get out of bed so you

a. slide her to the edge of the bed by yourself and put her in the chair
b. ask a co-worker to help you pick her up and put her in the chair
c. tell her you do not have time to help
d. use a mechanical lift with the help of a co-worker

A

d

47
Q

During normal aging, peristalsis decreases (automatic movement of the digestive system). Side effects of decreased peristalsis can include

a. flatulence and diarrhea
b. flatulence and constipation
c. constipation with diarrhea
d. flatulence and gas

A

b

48
Q

When cleaning dentures, the nursing assistant should:

a. hold them over a hard surface
b. hold them firmly with both hands
c. clean them with soap and hot water
d. hold them over a sink lined with a towel/washcloth

A

d

49
Q

To correct a charting mistake you made, you would:

a. scribble it out
b. erase it
c. use “White Out”
d. None of the above

A

d

50
Q

When a resident is lying in a prone position they are lying

a. face down
b. face up
c. side lying
d. 45 degrees

A

a

51
Q

Conduct unbecoming includes

a. communicating resident changes in condition to the resident’s nurse
b. conforming to prevailing essential standards for nursing assistant care
c. refusing to engage with others in calling a resident by a pet name
d. using a prescription drug to the extent that it impairs ability to function

A

d

52
Q

A resident is seems to be flirting with you each day when you are caring for him. You are also attracted to him. You engage in sexual relations with him. This is considered

a. reasonable if you have the relations after work hours
b. reasonable if you are taking care of his roommate
c. misconduct on the part of the resident
d. misconduct on the part of the CNA

A

d

53
Q

A safety precaution to observe with the use of a wheelchair is to

a. apply bilateral foot pedals while transporting the resident
b. push the wheelchair through the door foot first
c. push residents in their wheelchair face forward when taking them down the ramp
d. pull the wheelchair backwards while transporting down the hall

A

a

54
Q

When using a lift the nursing assistant should

a. never operate a mechanical lift without the assistance of another nursing staff person
b. call the maintenance department to assist with transferring the resident in a safe manner
c. inform the resident that she will have to wait til the next shift due to shortage in staffing
d. never operate a mechanical lift without the assistance of the family when they come to visit

A

a

55
Q

When caring for dementia residents and they become aggressive the nursing assistant’s response would be to

a. have two nursing assistant’s preform the ADL’s
b. ignore the aggression and proceed with the task
c. allow the resident time to relax and complete the task slowly
d. refuse to do the care and document the refusal

A

c

56
Q

Writing lists, having a calendar, reading and thinking are all strategies to assist residents maintain their

a. memory
b. mobility
c. flexibility
d. circulation

A

a

57
Q

A change associated with aging in the elderly is thickening of the toenails. The individual who can cut the toenails is called a(n)

a. activity aide
b. physical therapist
c. podiatrist
d. CNA

A

c

58
Q

When feeding a bedridden resident who is high risk for choking you should

a. raise the head of the bed 45 degrees
b. leave snacks in the room at the bedside
c. leave the water pitcher within reach of resident
d. leave the resident alone in room during feeding

A

a

59
Q

Fear of being negatively evaluated in a group situation is a

a. testophobia
b. social phobia
c. simple phobia
d. homophobia

A

b

60
Q

Conduct unbecoming a certified nursing assistant includes failing to report an arrest for a felony crime to the Agency/Board

a. at the time of renewal of certification
b. immediately upon the arrest
c. within 10 days of the arrest
d. within 30 days of the arrest

A

c

61
Q

A CNA who is pregnant and has not had chicken pox, should not give nursing care to a resident who has

a. MRSA
b. Hepatitis
c. AIDS
d. shingles

A

d

62
Q

The medical term for slow breathing is

a. bradycardia
b. tachypnea
c. tachycardia
d. bradypnea

A

d

63
Q

When a resident has the potential for orthostatic hypotension, you should

a. never move them, they must stay in bed
b. move them from a lying position to a sitting position in one fast motion
c. move them from the sitting position to a standing position quickly
d. move them from the lying position to a standing position slowly

A

d

64
Q

The certified nursing assistant duties include

a. assisting with a hot or cold therapy
b. changing a non-sterile dressing
c. handling a hazardous waste
d. obtaining a sterile urine specimen

A

c

65
Q

A nursing assistant can best manage his/her stress by

a. obtaining sufficient sleep and eating nutritious food
b. taking a prescribed medication to alleviate stressful situations
c. talking with his/her supervisor and complaining to peers
d. talking to friends regarding resident’s behavior

A

a

66
Q

Lacking teeth or being toothless is considered

a. dentulous
b. edentulous
c. gingivitis
d. periodontic

A

b

67
Q

When working with and caring for a resident with cognitive impairment who demonstrates agitation,

a. isolate her until she has calmed down
b. reasoning with the resident is most effective
c. too much stimulation may be a contributing factor
d. get her attention by raising your voice

A

c

68
Q

The outer layer of the skin is called the

a. dermis
b. epidermis
c. subcutaneous
d. pigment

A

b

69
Q

Conflicts may be resolved through

a. competition
b. compromise
c. criticism
d. cueing

A

b

70
Q

A condition of the bladder that causes burning and pain upon urination is

a. urethritis
b. cystitis
c. cystocele
d. ureteritis

A

b

71
Q

The best thing for the nursing assistant to do when residents are unable to use their call lights is to

a. check them frequently
b. have the roommate turn it on
c. check them at least twice a shift
d. tell them to call out “nurse”

A

a

72
Q

The abbreviation DNR means

a. Do Not Run
b. Do Not Resuscitate
c. Do Not Repeat
d. Do Not Re-open

A

b

NUR 110/111 (46 decks)

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