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Nursing Assistant state practice exam 3

Questions and Answers
  • 1. 
    A nurse assigns you a task. You do not understand the instructions. You should
    • A. 

      Try your best

    • B. 

      Ask the resident what to do

    • C. 

      Ask the nurse for clarification

    • D. 

      Refuse to carry out the request

  • 2. 
    Nursing assistants
    • A. 

      Never give medications

    • B. 

      Supervise other nursing assistants

    • C. 

      Do not perform personal hygiene measures

    • D. 

      Must perform all tasks and procedure as directed by the nruse

  • 3. 
    The following statements are about the resident rights. Which statement is true?
    • A. 

      Residents' mail can be opened by any facility employee

    • B. 

      Residents have the right to have telephone conversations in private

    • C. 

      Residents' closets and drawers can be searched to look for lost items

    • D. 

      Residents may only visit with others in an area where they can be seen and heard by others

  • 4. 
    He intentional attempt or thereat to touch a person's body without that person's consent is
    • A. 

      Assault

    • B. 

      Battery

    • C. 

      Defamation

    • D. 

      False imprisonment

  • 5. 
    Which is invasion of privacy?
    • A. 

      A resident is covered while being moved on a stretch

    • B. 

      The door to the resident's room is closed while a treatment is being given

    • C. 

      A resident is being given a back rub. Only the resident's back is uncovered

    • D. 

      The resident's condition and treatment are discussed with the resident's cousin who works in the dietary department

  • 6. 
    Communication is
    • A. 

      The exchange of information

    • B. 

      A verbal account of resident care and observation

    • C. 

      Using sight, hearing, touch, and smell to collect information

    • D. 

      A written account of the resident's illness and response to treatment

  • 7. 
    Mrs. Greene refuses to eat certain foods because of her religious beliefs. The nursing assistant should
    • A. 

      Tell the doctor

    • B. 

      Respect her religious beliefs and notify the nurse

    • C. 

      Tell Mrs. Greene that she will not receive anything else to eat

    • D. 

      Tell Mrs. Greene that she should eat the food because the doctor wants her to.

  • 8. 
    Which of the following is not a sign of hearing loss?
    • A. 

      Speaking too loudly

    • B. 

      Loneliness and boredom

    • C. 

      Asking for thing to be repeated

    • D. 

      Answering questions inappropriately

  • 9. 
    Death of a spouse is a risk as people grow older. Which statement is false?
    • A. 

      Men generally live longer than women

    • B. 

      The surviving spouse may lose the will to live

    • C. 

      The surviving spouse may develop serious physical problems

    • D. 

      The surviving spouse may develop serious mental health problems

  • 10. 
    To care effectively for the residents, you must consider the whole person. What does this mean?
    • A. 

      The person's entire body must be considered intact

    • B. 

      How the residents view themselves is important

    • C. 

      Residents must be called by name, not their room and bed numbers

    • D. 

      Residents must be viewed as having physical, psychological, social and spiritual parts

  • 11. 
    Which statement about charting is incorrect?
    • A. 

      All entries must be signed

    • B. 

      All entries must be in pencil

    • C. 

      No blank lines are left in an entry

    • D. 

      All entries must be dated and signed

  • 12. 
    Paralysis on one side of the body is called
    • A. 

      Hemiplegia

    • B. 

      Paraplegia

    • C. 

      Hemaplegia

    • D. 

      Quadriplegia

  • 13. 
    Which of the following actions will not assist the residents with their sexuality?
    • A. 

      Allowing normal grooming routines

    • B. 

      Accepting the resident's relationship

    • C. 

      Having the resident wear a hospital gown

    • D. 

      Allowing the resident and his or her partner privacy

  • 14. 
    An illness/injury for which there is no reasonable expectation of recovery is called a(n)
    • A. 

      Acute illness

    • B. 

      Chronic illness

    • C. 

      Terminal illness

    • D. 

      Long-term illness

  • 15. 
    Rigor mortis usually occurs
    • A. 

      Immediately after death

    • B. 

      Within 1 hour after death

    • C. 

      2 to 4 hours after death

    • D. 

      24 hours after death

  • 16. 
    The most common accident in the long-term care facilities is
    • A. 

      A fall

    • B. 

      A burn

    • C. 

      Poisoning

    • D. 

      Suffocation

  • 17. 
    The following statements are about preventing falls. Which is false?
    • A. 

      Residents should wear nonskid shoes resident's room

    • B. 

      A nightlight should be kept on in the resident's room

    • C. 

      The signal light should always be within the resident's reach

    • D. 

      The bed should always be kept in the highest horizontal position

  • 18. 
    Which resident is least likely to be able to protect himself?
    • A. 

      Mr. McCabe who is 52 and in a coma

    • B. 

      Mr. Jones who is 60 and wears glasses

    • C. 

      Mr. walker who is 80 and hard-of-hearing

    • D. 

      Mr. Turner who is 71 and has a chest cold

  • 19. 
    Which statement about restraints is false?
    • A. 

      Restraints require a doctor's order

    • B. 

      A restraint should prevent movement of the body part

    • C. 

      Bony areas should be padded when a restraint is applied

    • D. 

      A resident may become more confused and agitated after restraints are applied

  • 20. 
    You are to apply a jacket restraint. Which is false?
    • A. 

      Apply the restraint over the resident's clothing

    • B. 

      Apply the vest so the straps cross in the back

    • C. 

      Tie the straps to the bed frame in a square knot

    • D. 

      Make sure the resident is comfortable and in good body alignment

  • 21. 
    You must especially be careful about the fire if the resident is receiving
    • A. 

      Oxygen

    • B. 

      Heat treatments

    • C. 

      Intravenous fluids

    • D. 

      Sleeping medications

  • 22. 
    You re using a fire extinguisher. The hose is aimed at
    • A. 

      Top of flame

    • B. 

      Middle of the flame

    • C. 

      Base of the fire

    • D. 

      Area around the fire

  • 23. 
    A microorganism needs the following to grow except
    • A. 

      Food

    • B. 

      Light

    • C. 

      Water

    • D. 

      Warmth

  • 24. 
    You are going to wash your hands. You should stand
    • A. 

      Right up against the sink

    • B. 

      6 inches away from the sink

    • C. 

      2 feet away from the sink

    • D. 

      Far enough so that your uniform does not touch the sink

  • 25. 
    Isolation precautions are used for residents with
    • A. 

      Allergies

    • B. 

      Contagious disease

    • C. 

      Any type of infection

    • D. 

      Gastrointestinal disease

  • 26. 
    What should you do first when putting on a gown?
    • A. 

      Tie the waist stings

    • B. 

      Tie the strings at the neck

    • C. 

      Overlap the back of the gown

    • D. 

      Make sure it completely covers all of your uniform

  • 27. 
    A resident in a wheelchair complains of a draft. You best action would be
    • A. 

      Return the resident to the bed

    • B. 

      Bring the resident a lap robe

    • C. 

      Close off the air vent near the resident

    • D. 

      Move the resident to draft free location

  • 28. 
    Weak and small muscle groups are located in the
    • A. 

      Hips

    • B. 

      Thighs

    • C. 

      Back

    • D. 

      Shoulders and upper arms

  • 29. 
    You are going to move a resident to the side of the bed. You should not?
    • A. 

      Raise the side rail on your side

    • B. 

      Cross the resident's arms over his or her chest

    • C. 

      Move the resident in segments beginning with the neck and shoulders

    • D. 

      Stand on the side of the bed to while you will be moving the resident

  • 30. 
    Mr. Jones is sitting in a chair while his bed is being made. the top linens are folded back so that he can get into bed. This is a(n)
    • A. 

      Open bed

    • B. 

      Closed bed

    • C. 

      Surgical bed

    • D. 

      Occupied bed

  • 31. 
    Plastic draw sheets do the following except
    • A. 

      Protect the mattress

    • B. 

      Protect the bottom linens

    • C. 

      Increase the resident's comfort

    • D. 

      Increase the risk of skin breakdown

  • 32. 
    Which is not used for oral hygiene?
    • A. 

      Toothpaste

    • B. 

      Mouthwash

    • C. 

      Dental floss

    • D. 

      A hard-bristled tooth brush

  • 33. 
    The best time to bathe a resident is
    • A. 

      After breakfast

    • B. 

      Before lunch

    • C. 

      Before bedtime

    • D. 

      At the time preferred by the resident

  • 34. 
    Water for bath should be between
    • A. 

      90-100 F

    • B. 

      100-105 F

    • C. 

      105-110 F

    • D. 

      110-115 F

  • 35. 
    Which should yo do first when shaving Mr. Jones?
    • A. 

      Wash his face

    • B. 

      Apply a generous amount of lather

    • C. 

      Shave in the direction of the hair growth

    • D. 

      Apply a wet washcloth or towel to his face

  • 36. 
    You empty a urinal and observe the following Which observation needs to be reported?
    • A. 

      Urine is clear

    • B. 

      Urine is pale yellow

    • C. 

      Small particles are in the urine

    • D. 

      Urine has a faint ammonia odor

  • 37. 
    A resident cannot clean the perineal area after urinating. You should
    • A. 

      Report this to the nurse

    • B. 

      Give the resident a partial bath

    • C. 

      Clean the perineal area with cotton balls

    • D. 

      Clean gently from front to back with toilet tissue

  • 38. 
    Unconscious residents usually have mouth care done
    • A. 

      Every 2 hours

    • B. 

      Every 8 hours

    • C. 

      Every 12 hours

    • D. 

      Once a day

  • 39. 
    Other terms used for Foley catheter are
    • A. 

      Levin catheter for Fowler's catheter

    • B. 

      Clintest catheter and Testape catheter

    • C. 

      Collecting catheter and drainage catheter

    • D. 

      Retention catheter and indwelling catheter

  • 40. 
    A fractional urine spectimen involves having the resident urinate twice. This is because need
    • A. 

      A sterile specimen

    • B. 

      A very fresh specimen

    • C. 

      A large amount of urine

    • D. 

      Urine that has been in the bladder several hours

  • 41. 
    Which statement is true?
    • A. 

      Feces are always hard and dry

    • B. 

      Feces are normally brown in color

    • C. 

      Defecation only occurs after a meal

    • D. 

      It is abnormal to have a bowel movement every day

  • 42. 
    Milk and dairy products are not high in
    • A. 

      Fat

    • B. 

      Protein

    • C. 

      Calcium

    • D. 

      Vitamins A and C

  • 43. 
    Which statement about vitamins is false?
    • A. 

      They are ingested through food

    • B. 

      They cannot be stored in the body

    • C. 

      They do not provide any calories

    • D. 

      They are produced by the body

  • 44. 
    Edema means
    • A. 

      Increased appetite

    • B. 

      Decreased appetite

    • C. 

      Body tissues are swollen with water

    • D. 

      There is a decreased amount of water in body tissues

  • 45. 
    Which resident should not receive fresh drinking water
    • A. 

      A blind resident

    • B. 

      The resident that is NPO

    • C. 

      The resident who is on a general diet

    • D. 

      The resident who has a force fluid order

  • 46. 
    Which is not allowed on a low cholesterol diet?
    • A. 

      Bread

    • B. 

      Potatoes

    • C. 

      Ice cream

    • D. 

      Skimmed milk

  • 47. 
    Which of the following are not recorded as intake?
    • A. 

      Coffee, tea, juices, and soft drink

    • B. 

      Butter sauces and melted cheese

    • C. 

      Jell-O, popsicle, and creamed cereals

    • D. 

      Ice creams, sherbert, custard, and pudding

  • 48. 
    Which body process is not measured by vital signs?
    • A. 

      Respirations

    • B. 

      Heart function

    • C. 

      Bowel function

    • D. 

      Body function

  • 49. 
    You are to take a rectal temperature with a glass accelerometer. Which is incorrect?
    • A. 

      Hold the thermometer is place for two minutes

    • B. 

      Lubricate the end of the thermometer before insertion

    • C. 

      Insert thermometer about six inches into the rectum

    • D. 

      Shake down the thermometer until the mercury is below the lines and numbers

  • 50. 
    For an oral temperature, the thermometer is placed
    • A. 

      Under the tongue

    • B. 

      Next to cheek

    • C. 

      Between the teeth

    • D. 

      On top of the tongue

  • 51. 
    Before using stethoscope, you should
    • A. 

      Replace the earpiece

    • B. 

      Wash it in soap and water

    • C. 

      Make sure it has been sterilized

    • D. 

      Wipe the earpiece and diaphragm with alcohol

  • 52. 
    Apnea is
    • A. 

      Rapid breathing

    • B. 

      The absence of breathing

    • C. 

      Slow, shallow, and irregular breathing

    • D. 

      Rapid and deeper than normal breathing

  • 53. 
    A blood pressure consistently above normal is called
    • A. 

      Heart failure

    • B. 

      Pulse deficit

    • C. 

      Hypotension

    • D. 

      Hypertension

  • 54. 
    Which statement about bed rest is false?
    • A. 

      Contractures and muscle atrophy can occur

    • B. 

      Bed rest helps reduce pain and promotes healing

    • C. 

      Persons on bed rest are never allowed to take part in activities of daily living

    • D. 

      Complication of bed rest include pressure sores, constipation, fecal impaction, blood clots, urinary infections, and pneumonia

  • 55. 
    Which is used to prevent the resident's hips from turning outward?
    • A. 

      Trapeze

    • B. 

      Footboard

    • C. 

      Bed cradle

    • D. 

      Trochanter roll

  • 56. 
    Which of the following are not used to treat pressure sores?
    • A. 

      Clinitron bed

    • B. 

      Heel and elbow protectors

    • C. 

      Water bed and flotation pad

    • D. 

      Plastic draw sheet and waterproof pad

  • 57. 
    You are ambulating a resident. You should
    • A. 

      Encourage the resident to stand erect

    • B. 

      Encourage the resident to walk rapidly

    • C. 

      Encourage the resident to shuffle the feet

    • D. 

      Discourage the use fo walking aids (canes,braces, or walking)

  • 58. 
    Rehabilitation is concerned with
    • A. 

      The whole person

    • B. 

      Physical disabilities

    • C. 

      Physical capabilities

    • D. 

      Psychological

  • 59. 
    When heat is applied to the skin the blood vessels
    • A. 

      Dilate

    • B. 

      Narrow

    • C. 

      Contract

    • D. 

      Constrict

  • 60. 
    Which device is the simplest and most commonly used to administer oxygen
    • A. 

      Face mask

    • B. 

      Oxygen tent

    • C. 

      Nasal cannula

    • D. 

      Nasal catheter