Na Practice Questions

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Na Practice Questions
These are practice questions for the NA examination

  
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  • 1. 
    When should postmortem care be performed?
    • A. 

      After the family views the body

    • B. 

      Immediately after the doctor pronounces the patient dead

    • C. 

      When rigor mortis sets in

    • D. 

      After the body goes to the morgue


  • 2. 
    A walker may be used to if the client can...
    • A. 

      Support some weight

    • B. 

      Use her hands well

    • C. 

      Balance without help

    • D. 

      Walk independently


  • 3. 
    A can should be used on...
    • A. 

      The affected (weak) side of the body

    • B. 

      The unaffected (strong) side of the body

    • C. 

      The side with the strongest arm

    • D. 

      The weak side one day, strong side next day


  • 4. 
    A nurse aide is collecting linens for a bed change and drops a sheet on the floor. What should the nurse aide do?
    • A. 

      Ignore it and leave it on the floor

    • B. 

      Place it back on the linen cart

    • C. 

      Discard it in the soiled linen hamper

    • D. 

      Use it anyway


  • 5. 
    When apllying a cold treatment to a patient, it is important to observe the patient closely for signs of...
    • A. 

      Redness

    • B. 

      Dizziness

    • C. 

      Fainting

    • D. 

      Cyanosis


  • 6. 
    The purpose of correctly positioning the client is to...
    • A. 

      Prevent skin breakdown

    • B. 

      Maintain function of joints and muscles

    • C. 

      Increase comfort

    • D. 

      All of the above


  • 7. 
    A surgical bed should be left in what position?
    • A. 

      Fowler's position

    • B. 

      Lowest horizontal position

    • C. 

      Semi-Fowler's position

    • D. 

      Highest position


  • 8. 
    The preferred way to remove a bedpan from a client who is unable to lift her buttocks is to ...
    • A. 

      Use a mechanical lifting device

    • B. 

      Have another nursing assistant lift the client

    • C. 

      Turn the client to the side while holding the pan

    • D. 

      Slowly slide the pan from under the client


  • 9. 
    After shaving a patient with a safety razor, the nurse aide should...
    • A. 

      Cover it before discarding

    • B. 

      Wrap in a paper towel and drop it into the trash can

    • C. 

      Dispose of it in a sharps container

    • D. 

      Place it in the patient's drawer for reuse


  • 10. 
    A water pitcher has tipped over and you notice water on the floor. The best action is to...
    • A. 

      Wipe it up immediately

    • B. 

      Throw a towel over the water to prevent accidents

    • C. 

      Notify the charge nurse

    • D. 

      Call housekeeping


  • 11. 
    A patient is on bed rest, wearing a TED hose. How often should the hose be removed?
    • A. 

      Never

    • B. 

      Q2h

    • C. 

      At least twice a day

    • D. 

      Q6h


  • 12. 
    Decubitus ulcers can b prevented by...
    • A. 

      Changing the client's position frequently

    • B. 

      Placing an egg-crate matress on top of the mattress

    • C. 

      Increasing the patient's vitamin C consumption

    • D. 

      Both a and b


  • 13. 
    The patien't TPR is 98.8-80-30. The finding that should be reported at once is:
    • A. 

      Pulse

    • B. 

      Temperature

    • C. 

      Respiration

    • D. 

      All of the above


  • 14. 
    Systolic blood pressure is determined by...
    • A. 

      Reviewing previous readings

    • B. 

      Listening for the first clear sound

    • C. 

      Waiting for a change in sound

    • D. 

      Listening for the last clear sound


  • 15. 
    When assisting a patient with an enema, he or she should be positioned...
    • A. 

      On the right side

    • B. 

      Supine

    • C. 

      Prone

    • D. 

      In Sim's position


  • 16. 
    The first step in performing any procedure is to ...
    • A. 

      Explain the procedure

    • B. 

      Gather needed equipment

    • C. 

      Wash your hands

    • D. 

      Provide privacy


  • 17. 
    Which of the following procedures best destroys all bacteria?
    • A. 

      Soaking in alcohol

    • B. 

      Washing with bleach

    • C. 

      Sterilizing

    • D. 

      All of the above


  • 18. 
    In the event of a fire in a client's room, your first action should be to:
    • A. 

      Notify the charge nurse

    • B. 

      Turn in a fire alarm

    • C. 

      Get the client to a safe place

    • D. 

      Get the fire extinguisher


  • 19. 
    Safe use of oxygen therapy includes...
    • A. 

      Always setting the flow meter at 2-3 liters per minute

    • B. 

      Using wool blankets only

    • C. 

      Clensing the nasal prongs each shift with alcohol

    • D. 

      Posting a "no smoking" sign on the door


  • 20. 
    When you perform CPR, the client should be lying ...
    • A. 

      Flat on a hard surface

    • B. 

      With head and shoulders elevated

    • C. 

      With the head and feet raised slightly

    • D. 

      None of the above


  • 21. 
    A procedure manual is a ...
    • A. 

      Written set of instructions on how to perform procedures

    • B. 

      Set of directions needed to complete your job description

    • C. 

      Book of directions for administering medications

    • D. 

      Book listing the procedures you have been assigned to do


  • 22. 
    If a client cannot speak English, the nurse aide should...
    • A. 

      Have the family interpret

    • B. 

      Ask the charge nurse to arrange for an interpreter

    • C. 

      Call the doctor to talk to the client

    • D. 

      Tell the client that you cannot answer the question


  • 23. 
    The accepted way to identify a client is to...
    • A. 

      Check the bed name and number

    • B. 

      Check the identification band

    • C. 

      Ask the client's name

    • D. 

      Call the client by name


  • 24. 
    Which of the following best describes nail care?
    • A. 

      Nail care is not needed for the elderly

    • B. 

      Use scissors for all nail care

    • C. 

      All clients need nail care

    • D. 

      Check with the charge nurse for nail-care instructions


  • 25. 
    When performing perineal care on a male client, always...
    • A. 

      Clean the scrotum first

    • B. 

      Retract the foreskin if uncircumcised

    • C. 

      Clean from front to back

    • D. 

      Hold the penis at a 90-degree angle


  • 26. 
    The resons for rubbing a client's back include...
    • A. 

      Improving circulation

    • B. 

      Increasing one-on-one interaction time

    • C. 

      Relaxing the client

    • D. 

      All of the above


  • 27. 
    The client's elbows are dry and red. You should...
    • A. 

      Report this to the charge nurse

    • B. 

      Rub them with lotion

    • C. 

      Apply elbow protectors

    • D. 

      All of the above


  • 28. 
    A decubitus ulcer is caused by...
    • A. 

      Poor circulation

    • B. 

      Pressure on the skin

    • C. 

      Poor nutrition

    • D. 

      All of the above


  • 29. 
    You would shampoo a client's hair to improve...
    • A. 

      Circulation to the scalp

    • B. 

      The client's general appearance

    • C. 

      The client's feeling of well being

    • D. 

      All of the above


  • 30. 
    When removing a soiled gown from a client who has an IV the best action is to...
    • A. 

      Remove the opposite arm from the gown first

    • B. 

      Have the nurse remove the IV needle

    • C. 

      Disconnect the bag and tubing

    • D. 

      Slip the gown over the IV solution bag


  • 31. 
    If your client does not eat all the food on his tray, the first thing you should do is...
    • A. 

      Notify the charge nurse

    • B. 

      Ask the client why

    • C. 

      Remove the tray

    • D. 

      Urget the client to eat all the food


  • 32. 
    The client states that a mistake has been made: There is salt on her tray, although the doctor has ordered a low salt diet. The nurse aide should...
    • A. 

      Explain this means no salt when preparing the food

    • B. 

      Tell the client not to use the salt

    • C. 

      Check the diet order with the charge nurse

    • D. 

      Call the kitchen for a new tray


  • 33. 
    You are going to give a patient a bath when you notice that she is not wearing an ID band. What do you do?
    • A. 

      Bathe her; you know who she is

    • B. 

      Report it to the charge nurse

    • C. 

      Tell another nurse aide

    • D. 

      Write the patient's name on a piece of tape and put it on her wrist


  • 34. 
    Before transferring a client from the bed to a wheelchair, the nurse aide should sit him or her on the edge of the bed for a few minutes to...
    • A. 

      Rearrange his or her gown or clothing

    • B. 

      Prevent orthostatic hypotension

    • C. 

      Position and secure the wheelchair

    • D. 

      Rest and remove the transfer belt


  • 35. 
    The client's religion forbids eating meat. Beef stew is being served for lunch. The nurse aide should...
    • A. 

      Tell the client to eat it because she needs protein

    • B. 

      Tell the client it is all right since her doctor ordered the diet

    • C. 

      Ask the nurse to call the kitchen

    • D. 

      Tell the client that restrictions are not as important as health


  • 36. 
    It is important to remember that dying patients...
    • A. 

      Have the same needs for care as other patients

    • B. 

      Need to be by themselves in a quiet room

    • C. 

      Do not need to be consulted regarding their care

    • D. 

      Are usually in pain


  • 37. 
    Dying patients and their families...
    • A. 

      Always pass through five stages of dying in order

    • B. 

      Always accept death before it occurs

    • C. 

      May go back and forth among the five stages

    • D. 

      Must go through all stages of dying before they die


  • 38. 
    A sign of dementia in elderly clients is...
    • A. 

      A need to eat regular meals

    • B. 

      Not knowing who and where they are

    • C. 

      An ability to figure out problems

    • D. 

      A good memory for recent events


  • 39. 
    Client's with Alzheimer's disease may show which of the following signs/symptoms?
    • A. 

      Physical and mental wasting away

    • B. 

      Stop by the room more often

    • C. 

      Place the call light out of reach

    • D. 

      Tell the client how busy you are


  • 40. 
    The doctor writes an order for "do not resuscitate" (DNR) What does this mean.
    • A. 

      Put her on a machine if she stops breathing

    • B. 

      She needs to be kept alive

    • C. 

      CPR will not be performed

    • D. 

      Start CPR immediately if she stops breathing


  • 41. 
    How a client reacts to illness and disability is most dependent on his or her...
    • A. 

      Age and stage of life

    • B. 

      Spouse's support

    • C. 

      Income and level of education

    • D. 

      Support system and life history


  • 42. 
    An 85-year-old client tells you that his mother is coming to visit. Your best response would...
    • A. 

      "That's impossible. Your mother can't come to see you"

    • B. 

      "That's nice, when is she coming"

    • C. 

      "Tell me how old your mother is"

    • D. 

      "Are you wishing you could see your mother"


  • 43. 
    A client hits you durning lunch. The appropriate response is to...
    • A. 

      Call the charge nurse for help

    • B. 

      Continue to feed her

    • C. 

      Apply a restraint

    • D. 

      Yell at her to stop hitting you


  • 44. 
    A resident is confined to her bed. What might keep her from getting pressure sores?
    • A. 

      A plastic draw sheet

    • B. 

      A foot board

    • C. 

      Body lotion

    • D. 

      An air mattress


  • 45. 
    If the client is in traction, the nurse aide should never...
    • A. 

      Monitor affected skin temperature

    • B. 

      Give a total bed bath

    • C. 

      Change the postion of weights

    • D. 

      Monitor distal pulses


  • 46. 
    Security of the clients dentures includes...
    • A. 

      Keeping them in a tissue in a fresser drawer

    • B. 

      Placing them in a labeled denture cup

    • C. 

      Insisting the resident wear the dentures

    • D. 

      Placing a identifying mark on the dentures


  • 47. 
    If family members bring new clothes in for an ECF (extended care facility) resident, the nurse aide should...
    • A. 

      Put them in the resident's dresser drawers

    • B. 

      Label them with the resident's name

    • C. 

      Ask the family to remove an equal number of old clothes

    • D. 

      Make sure the charge nurse sees the clothes


  • 48. 
    The charge nurse instructs you to clean an ECF resident's closet. You should...
    • A. 

      Throw away all torn clothes

    • B. 

      Ask the family to come and do it

    • C. 

      Enlist the help of the resident

    • D. 

      Tell the nurse you are too busy


  • 49. 
    Before dressing a ECF resident, the nurse aide should...
    • A. 

      Close the door, and pull the curtain

    • B. 

      Choose the proper clothes

    • C. 

      Check for a doctor's order

    • D. 

      All of the above


  • 50. 
    Confidentiality refers to...
    • A. 

      Never sharing information with anyone

    • B. 

      The right to patient privacy

    • C. 

      Only sharing information with those involved in the clients care

    • D. 

      Both b and c


  • 51. 
    During A.M. care, the nurse aide nicks a resident while shaving him. What should the NA do first?
    • A. 

      Report to the charge nurse

    • B. 

      Do nothing

    • C. 

      Apply pressure and stop the bleeding

    • D. 

      Place a bandage on it


  • 52. 
    Maintaining good interpersonal relationships depends on...
    • A. 

      Going along with the crowd

    • B. 

      Communicating clearly with others

    • C. 

      Following orders without questioning

    • D. 

      All of the above


  • 53. 
    If you do not know how to do an assigned task, you should...
    • A. 

      Call another nursing assitant for help

    • B. 

      Ask the client how she prefers to have it done

    • C. 

      Call the charge nurse and ask for help

    • D. 

      Follow the instruction in the procedure manual


  • 54. 
    Reporting exactly what you see is an example of a(n) ___________ observation
    • A. 

      Clinical

    • B. 

      Objective

    • C. 

      Personal

    • D. 

      Subjective


  • 55. 
    Incontinence means the patient is...
    • A. 

      Unable to make decisions

    • B. 

      Unable to speak

    • C. 

      Experiencing a disorder that comes with aging

    • D. 

      In need of medical attention


  • 56. 
    Failure to raise the side rails on the bed of a confused client is an act of...
    • A. 

      Malpractice

    • B. 

      Negligence

    • C. 

      Overt commission

    • D. 

      Breaking a criminal law


  • 57. 
    During a job interview, it is important to tell the interviewer about your...
    • A. 

      Scheduling needs

    • B. 

      Childcare needs

    • C. 

      Qualifications

    • D. 

      All of the above


  • 58. 
    When you are unable to work due to illness, you should...
    • A. 

      Arrange for someone to cover for you

    • B. 

      Call the facility as early as possible

    • C. 

      Call your charge nurse an hour before you scheduled time

    • D. 

      Notify the facility at least 30 minutes before your scheduled time


  • 59. 
    What is the main goal of OBRA?
    • A. 

      To provide a safe envoirment for residents

    • B. 

      To provide health care payment

    • C. 

      To make sure that healthcare providers meet to the requirements nationwide by passing a competency and skill test to provide quality care

    • D. 

      To shorten the hospital stay


  • 60. 
    The client asks to see a priest. The nure aide should...
    • A. 

      Ask the charge nurse to call a priest.

    • B. 

      Tell the client to see if a priest walks by his or her door

    • C. 

      Call the doctor

    • D. 

      Tell the client to call herself


  • 61. 
    A nursing assistant sees an employee in a healthcare facility hit a resident. What hsould she do?
    • A. 

      Look the other way

    • B. 

      Ask her not to do that

    • C. 

      Report it to the charge nurse immediately

    • D. 

      Tell another nursing assistant


  • 62. 
    Which statement about mouth care for unconscious residents is correct?
    • A. 

      Unconscious residents may be able to hear you speaking to them about mouth care

    • B. 

      Unconscious residents can both swallow and spit

    • C. 

      Unconscious residents do not need to be observed for mouth sores

    • D. 

      Unconscious residents have very moist gum tissue


  • 63. 
    A client is hearing impaired. The client has the right to...
    • A. 

      Written notes

    • B. 

      A professional interpreter

    • C. 

      Assitance with hearing aids

    • D. 

      All of the above


  • 64. 
    You are documenting the vital signs in a patients chart when you notice you made a mistake. What should you do?
    • A. 

      Use a marker to draw a heavy black line through it so not one will see the mistake

    • B. 

      Cover your error with correction fluid, and then write over it

    • C. 

      Leave it alone so that no one will know you made a mistake

    • D. 

      Make a single line through the mistake, mark "error," and then initial it


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