Written Exam Practice Questions Flashcards

1
Q

Which of the following options is a warning sign that a patient may have a fecal impaction?

a. If the patient has a small, watery leakage of stool

b. If the patient expels a watery brown liquid

c. If the patient has blood in his or her urine

d. If the patient starts vomiting a black substance

A

a. If the patient has a small, watery leakage of stool

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2
Q

If a patient wakes up confused, or delirious, this is a sign that indicates:

a. The patient is in a great deal of pain

b. The patient is receiving too much sleep during the day

c. The patient’s sugar levels are not in line

d. The patient is not getting enough oxygen to the brain

A

d. The patient is not getting enough oxygen to the brain

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3
Q

Needles are often used in the health care of patients. If you should find a needle when changing a patient’s bed sheets, what should you do with it?

a. Place it on the patient’s bedside table

c. Place it in the sharps container

b. Place it with the patient’s other medications

d. Place it in the closest trash can

A

c. Place it in the sharps container

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4
Q

Which of the following options BEST describes the role of a nursing assistant?

a. Assessing and modifying the patient’s nursing care

b. Providing the patient with direct personal care

c. Administering medications to the patient

d. Planning the patient’s meals

A

b. Providing the patient with direct personal care

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5
Q

Which of the following options is NOT acceptable when changing a patient’s linens?

a. Folding the contaminated side of the linen inwards

b. Placing the contaminated linens inside of a plastic bag

c. Placing the linens on the floor while changing them

d. Changing the contaminated linens immediately

A

c. Placing the linens on the floor while changing them

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6
Q

The nurse punched out the patient’s medications and placed them in the trash without giving them to the patient. After two days of not receiving his medications, the patient was in severe pain. Which of the following options BEST identifies this action?

a. Negligence

b. Neglect

c. Abuse

d. Battery

A

a. Negligence

(Negligence is an act that results in patient harm due to the nurse omitting care to the patient or incorrectly providing care to the patient.)

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7
Q

What is Neglect

A

Neglect is an act that results in patient harm due to the nurse ignoring his or her needs.

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8
Q

What is abuse?

A

Abuse is when the patient suffers from physical or mental harm that was either committed or threatened.

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9
Q

What is battery?

A

Battery is when a patient is subjected to unlawful personal violence.

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10
Q

Which of the following options is the MOST effective safeguard used to manage infections in patients and workforce?

a. Immunizations

b. TB screenings

c. Isolation

d. Hand washing

A

d. Hand washing

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11
Q

What should a nursing assistant do when he or she notices warning signs that indicate the patient may be developing a bedsore?

a. Immediately report the warning signs to the patient’s assigned nurse

b. Administer the medication that is used for healing bedsores

c. Monitor the warning signs to see if they get worse

d. Ignore the warning signs until a bedsore actually develops

A

a. Immediately report the warning signs to the patient’s assigned nurse

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12
Q

Which of the following team members is responsible for working with the patient’s therapist and dietician to ensure that the patient is receiving the proper care?

a. Nursing Assistant

b. Licensed Practical Nurse

c. Registered Nurse

d. Unlicensed Assistive Personnel

A

c. Registered Nurse

(The RN is the team member who is responsible for carrying out the physician’s medical plan for the patient, as well as the patient’s nursing care plan.)

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13
Q

Which of the following terminology definitions is FALSE?

a. Delirious is when an individual is in a state of confusion

b. Tachycardia is when an individual has an increased pulse

c. Hypertension is when an individual has low blood pressure

d. Void is when an individual urinates

A

c. Hypertension is when an individual has low blood pressure

(Hypotension is when an individual has low blood pressure.)

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14
Q

A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should:

have the family do it.

try to move the client alone.

go on to another task.

ask another nurse aide to help.

A

ask another nurse aide to help.

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15
Q

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD

lock the client’s wheelchair and check the surrounding area for smoke.

push the wheelchair out of the hallway and carry the client out of the facility.

comfort the client and move the person to a safe place.

leave the client to search for help.

A

comfort the client and move the person to a safe place.

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16
Q

When operating a manual bed, the nurse aide should remember to

fold the cranks under the bed.

keep the bed in the neutral position.

lock the wheels when the cranks are folded.

keep the client’s head elevated at all times.

A

fold the cranks under the bed (prevents falling)

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17
Q

To take an oral temperature, the nurse aide should

put lubricant on the thermometer.

place the thermometer in the rectum.

place the thermometer under the arm.

place the thermometer under the tongue

A

place the thermometer under the tongue

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18
Q

A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe?

Place a pillow on the wheelchair seat.

Lower both footrest pedals.

Release the wheel brakes.

Place the bed in the lowest position.

A

Place the bed in the lowest position.

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19
Q

Physical restraints are used MOST often

at the family’s request.

to prevent client injury.

at the roommate’s request.

when staff is short.

A

to prevent client injury

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20
Q

The nurse aide notices that the client’s radio cord is draped across a chair to reach the nearest outlet. The FIRST thing the nurse aide should do is

tell the client the radio is a safety hazard and take it away.

unplug the radio and ask the client not to use it.

see if any changes can be made so that the radio can be plugged in safely.

A

see if any changes can be made so that the radio can be plugged in safely.

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21
Q

NPO means

Only ice chips in mouth

Nothing per ostomy

Nothing by mouth

Nothing by mouth except water

A

Nothing by mouth

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22
Q

To avoid pulling on the catheter while you’re turning a male client, the catheter tube must be taped to his

hip.

bed frame.

bedsheet.

upper thigh.

A

upper thigh

23
Q

For safety, when leaving a client alone in a room, the nurse aide SHOULD

place the signaling device within the client’s reach.

leave the bed elevated in the highest position.

keep the door tightly closed.

apply a restraint to the client.

A

place the signaling device within the client’s reach.

24
Q

Which type of fire can be put out with water?

Paper

Electrical

Chemical

Grease

A

Paper

25
Q

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?

Socks or stockings only

Rubber-soled slippers or shoes

Cloth-soled slippers

Nothing

A

Rubber-soled slippers or shoes

26
Q

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

call the nurse.

call housekeeping.

leave the spill.

clean up the spill.

A

clean up the spill.

27
Q

The equipment you need for oral care of an unconscious client includes

toothbrush.

toothpaste.

toothette/mouth swab.

all of the above.

A

toothette/mouth swab.

28
Q

The Heimlich maneuver (abdominal thrusts) is used on a client who has

impaired eyesight.

fallen out of bed.

a blocked airway.

a bloody nose.

A

a blocked airway.

29
Q

The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST?

Call the nurse in charge.

Unplug the shaver.

Use the roommate’s shaver to finish the shave.

Finish shaving the client as quickly as possible.

A

Unplug the shaver.

30
Q

A client is paralyzed on the right side. The nurse aide should place the signaling device

at the foot of the bed.

under the pillow.

on the left side of the bed near the client’s hand.

on the right side of the bed near the client’s hand.

A

on the left side of the bed near the client’s hand.

31
Q

The nursing care plan states, “Transfer with mechanical lift.” However, the client is very agitated. To transfer the client, the nurse aide SHOULD

lift the client without the mechanical device.

keep the wheels unlocked so the lift can move with the client.

get assistance to move the client.

place the client in the lift.

A

get assistance to move the client.

32
Q

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

Call the client’s family.

Close the door.

Call for help.

Start compressions.

A

Call for help.

33
Q

Which of the following best helps reduce pressure on the bony prominences?

Repositioning every shift

Several pillows

Flotation mattress

Sheepskin

A

Flotation mattress

34
Q

The nurse aide is responsible for the following fire prevention measures EXCEPT

reporting all damaged wiring or sockets in clients’ rooms.

taking cigarettes and matches away from all clients and visitors.

participating in fire drills.

being aware of the locations of fire extinguishers.

A

taking cigarettes and matches away from all clients and visitors.

35
Q

When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s

back.

wrists.

legs.

shoulders.

A

legs.

36
Q

When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s

chest.

elbow.

wrist.

neck.

A

wrist.

37
Q

To lift an object using good body mechanics, the nurse aide SHOULD

bend the knees and keep the back straight.

hold the object away from the body.

lift with the abdominal muscles.

keep both feet close together.

A

bend the knees and keep the back straight.

38
Q

What is the term for a device used to take the place of a missing body part?

Prosthesis

Abduction

External rotation

Pronation

A

Prosthesis

39
Q

To be sure that a client’s weight is measured accurately, the client should be weighed

after a meal.

at the same time of day.

after a good night’s sleep.

by a different nurse aide.

A

at the same time of day.

40
Q

While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD

immediately remove the client’s food tray and go find the nurse in charge.

slap the client on the back until the food dislodges.

call for assistance and perform the Heimlich maneuver (abdominal thrusts).

give the client a drink of water.

A

call for assistance and perform the Heimlich maneuver (abdominal thrusts).

41
Q

Insulin, a hormone, regulates

the rhythm of the heart.

the amount of sugar in the blood.

the amount of salt retained in the blood.

the strength of the skeletal muscles.

A

the amount of sugar in the blood.

42
Q

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

wait for the next safety check to report the broken side rail.

warn the client to be careful when he or she gets back into bed.

report the broken side rail immediately.

tie the side rail in the raised position until it is fixed.

A

report the broken side rail immediately.

43
Q

The purpose of padding side rails on the client’s bed is to

keep the client warm.

have a place to connect the call signal.

protect the client from injury.

use them as a restraint.

A

protect the client from injury.

44
Q

Clean bed linen placed in a client’s room but NOT used should be

put in the dirty linen container.

used for a client in the next room.

returned to the linen closet.

taken to the nurse in charge.

A

put in the dirty linen container.

45
Q

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?

Registered nurse

Occupational therapist

Physical therapist

Speech therapist

A

Speech therapist

46
Q

Which of the following is NOT considered a way to restrain a client?

A sedative

Pain management

Lap buddy/tray

A hand mitt

A

Pain management

47
Q

Which of the following is a correct measurement of urinary output?

40 oz

2 cups

1 quart

300 mL

A

300 mL

48
Q

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

on the client’s weak side.

on the client’s strong side.

from behind the client.

with a wheelchair.

A

on the client’s weak side.

49
Q

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD

check the client’s body alignment.

ensure the protective device is tight.

release the protective device once per shift.

assess the client once every hour.

A

check the client’s body alignment.

50
Q

If the nurse aide discovers fire in a client’s room, the FIRST thing to do is

open a window.

remove the client.

call the nurse in charge.

try to put out the fire.

A

remove the client.

51
Q

Which of the following is the most comfortable position for a client with a respiratory problem?

Fowler’s

Lateral

Prone

Supine

A

Fowlers (When sitting in the Fowler’s position, the client is upright at 90 degrees, allowing the chest to expand as much as possible.)

52
Q

How many tips does a quad-cane base have?
1
2
4
3

A

4

53
Q

To convert four ounces (oz) of liquid to milliliters (mL), the nurse aide should multiply 4 by
30 mL
15 mL
10 mL
5 mL

A

30mL