California Nursing Academy & Nursing Assistant Program Quiz

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  • 1/60 Questions

    When should you wash your hands?

    • When you notice they look or feel dirty
    • When the head nurse tells you to
    • At least twice a day
    • Before and after contact with a patient
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About This Quiz

This quiz from the California Nursing Academy & Nursing Assistant Program assesses key skills for nursing assistants. Topics include patient admission observations, communication protocols, room arrangements, and hygiene practices, essential for effective patient care.

California Nursing Academy & Nursing Assistant Program Quiz - Quiz

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  • 2. 

    Teaching a resident to use a wheelchair includes showing him how to

    • Use the footrests

    • Use the brakes

    • Turn corners

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The wheelchair can be dangerous, and an accident can occur unless instructions are explained prior to use.

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  • 3. 

    Which of the following should you observe and record when admitting a patient?

    • Color of the stool and amount of urine voided

    • How much the patient has eaten and drunk

    • Bruises, marks, rashes, or broken skin

    • Requests the patient makes

    Correct Answer
    A. Bruises, marks, rashes, or broken skin
    Explanation
    Failure to notice bruises or marks on the skin on admission may later cause someone to believe you were involved in abuse.

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  • 4. 

    Which of the following things should you do to familiarize a new patient with his or her surroundings?

    • Show the patient where the call bell is and how to work it.

    • Tell the patient not to operate the TV

    • Ask visitors to leave the room while you finish admitting the patient

    • Raise the siderails of the bed and raise the bed to high position

    Correct Answer
    A. Show the patient where the call bell is and how to work it.
    Explanation
    You should never leave a new admit until the patient knows how to call for help

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  • 5. 

    A two month old infant cries continuously. You should

    • Check the baby's diaper

    • See if it is time for a feeding

    • Cuddle or rock the baby

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Crying indicates the infant needs attention.

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  • 6. 

    When arranging a patient's room, you should do all of the following except

    • Check signal cords

    • Fix the back and knee rests as directed

    • Administer medications

    • Check lighting

    Correct Answer
    A. Administer medications
    Explanation
    Nursing assistants are never allowed to give medications

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  • 7. 

    A mentally ill resident is likely to

    • Believe she is someone other than herself

    • Be fearful, without good reason

    • Live in her world

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Thought processes of the mentally ill may include delusions and irrational fear

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  • 8. 

    The purpose of the cleansing bath is to

    • Provide cleanliness

    • Promote circulation

    • Observe skin condition

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    A bath correctly given promotes circulation at the same time as it provides an excellent opportunity to observe the skin

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  • 9. 

    Signs of dementia in the elderly include

    • A good memory

    • Ability to solve difficult math problems

    • Confusion

    • Sleeplessness

    Correct Answer
    A. Confusion
    Explanation
    Lack of orientation to person, place, and date is sign of dementia

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  • 10. 

    Microorganisms can be spread by

    • Touching the resident or object

    • Talking or sneezing

    • Looking at the resident

    • Both a and b

    Correct Answer
    A. Both a and b
    Explanation
    Microorganisms can be spread by direct and indirect contact

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  • 11. 

    Older adults often experience depression as a result of

    • Loss of a spouse

    • Loss of friends

    • Decreasing physical strength

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Aging can include any and all of the listed events, and these events could provoke depression in a patient of any age

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  • 12. 

    The reasons for rubbing a patient's back include

    • Improving circulation

    • Increasing one-on-one interaction time

    • Relaxing the resident

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    A correctly given back rub improves circulation, thus relaxing the patient while giving you an opportunity for one-on-one interaction

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  • 13. 

    A resident who is too large for a staff members to transfer safely is

    • Moved with a mechanical lifting device

    • Placed on a calorie-controlled diet

    • Left in bed, but turned every two hours

    • Left in bed, but repositioned every hour

    Correct Answer
    A. Moved with a mechanical lifting device
    Explanation
    use a mechanical device to protect both the resident and the staff

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  • 14. 

    When a resident is placed on I and O after surgery, this means that you must

    • Measure only the first voiding after surgery

    • Record the color of the resident's urine

    • Record all fluid intake and output

    • Record the first solid food the resident eats

    Correct Answer
    A. Record all fluid intake and output
    Explanation
    I and O included any liquid entering or leaving the body

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  • 15. 

    The Foley bag must be kept lower than the patient's bladder so that

    • Urine will not leak out, soiling the bed

    • Urine will not return to the bladder, causing infection

    • The bag will be hidden and the patient will not be embarrassed

    • The patient will be more comfortable in bed.

    Correct Answer
    A. Urine will not return to the bladder, causing infection
    Explanation
    Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria, into the bladder.

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  • 16. 

    Mr. Miller needs a urinal. You should get one from

    • The linen closet

    • The dirty utility room

    • The clean utility room

    • Another resident's room

    Correct Answer
    A. The clean utility room
    Explanation
    Since the urinal is clean, it will be found in the clean utility room with the clean supplies

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  • 17. 

    Mrs. Cooper's lips are blue. They didn't look that way an hour ago. You should

    • Close the window to shut out the cold air

    • Give Mrs. Cooper an extra blanket

    • Get the supervisor to check on Mrs. Cooper immediately

    • Give Mrs. Cooper a warm bath

    Correct Answer
    A. Get the supervisor to check on Mrs. Cooper immediately
    Explanation
    Bluish discoloration (cyanosis) can affect any body part and indicates low oxygen in the body. This is life threatening and must be reported immediately

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  • 18. 

    Which of the following can cause an inaccurate oral temperature reading?

    • Drinking hot or cold liquids within 10 minutes of the reading

    • Failure to shake down a mercury thermometer

    • Vigorous exercise prior to measuring temperature

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Drinking hot or cold liquids within 10 minutes of the reading can affect the accuracy of an oral temperature reading because it can cause temporary changes in the mouth's temperature. Failure to shake down a mercury thermometer can also lead to an inaccurate reading as it may not reset to the correct starting point. Vigorous exercise prior to measuring temperature can increase body heat and result in an elevated reading. Therefore, all of the above factors can cause an inaccurate oral temperature reading.

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  • 19. 

    Ms. Filmore is a mentally retarded resident. Which statement about her condition is correct?

    • She developed mental retardation as an adult

    • She cannot function as well as most people her age

    • She is very good at math and music

    • She is only pretending not to be smart

    Correct Answer
    A. She cannot function as well as most people her age
    Explanation
    According to the definition, the mental age of the mentally retarded patient varies from his or her chronological age

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  • 20. 

    Signs of depression included

    • Decreased appetite

    • Attending activities daily

    • Decreased heart rate

    • Laughing and smiling

    Correct Answer
    A. Decreased appetite
    Explanation
    Lack of appetite may be caused by many diseases, especially depression

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  • 21. 

    When assisting a patient in and out of bed, you should always

    • Employ body mechanic techniques

    • Get another person to help

    • Pull the patient's feet out first, and then lift the back up

    • Put shoes on the patient because the patient may skip

    Correct Answer
    A. Employ body mechanic techniques
    Explanation
    You should always use good body mechanics when moving patients

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  • 22. 

    You can prevent decubitus ulcers by

    • Changing the patient's position frequently

    • Placing an egg-crate mattress on top of the mattress

    • Increasing the patient's vitamin C consumption

    • Doing both a and b

    Correct Answer
    A. Doing both a and b
    Explanation
    While choices a and b are correct, there are no data to suggest that choice c is correct

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  • 23. 

    Residents with Alzheimer's disease may show which of the following symptoms?

    • High fever accompanied by chills

    • Clear memory of the distant past

    • Chest pains and difficulty breathing

    • Physical and mental decline

    Correct Answer
    A. Physical and mental decline
    Explanation
    The Alzheimer's patient suffers from physical and mental decline

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  • 24. 

    Mr. Jones is placed on I and O after surgery. The nursing assistant should

    • Keep the resident on NPO

    • Keep track of the solid foods Mr. Hones eats

    • Record all fluid intake and output every shift

    • Measure only the first voiding after surgery

    Correct Answer
    A. Record all fluid intake and output every shift
    Explanation
    Any fluid taken in or released from the body is considered when the patient is on I and O

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  • 25. 

    At the be beginning of your shift, you give a resident a water pitcher containing 270 cc (9 oz) of water. At the end of your shift, you note that 35 cc of water is left in the pitcher.How much water has been consumed?

    • 35 cc

    • 135 cc

    • 175 cc

    • 235 cc

    Correct Answer
    A. 235 cc
    Explanation
    The correct answer is obtained by subtracting the amount of fluid left form the fluid amount the resident stated with

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  • 26. 

    When assisting a blind resident to eat, the nursing assistant should

    • Set the plate as a clock with food at 1:00, 5:00, 8:00 and 11:00

    • Set the plate as a clock with food at 12:00,3:00, 6:00 and 9:00

    • Give him the plate and tell him where the food is

    • Feed him herself to save time

    Correct Answer
    A. Set the plate as a clock with food at 12:00,3:00, 6:00 and 9:00
    Explanation
    Explain to the patient what is located at each "time" using the clock method. This promotes independence.

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  • 27. 

    The procedure for bathing that prevents damage to the skin is to

    • Rub carefully with a rough washcloth

    • Use a large amount of lotion

    • Rinse well and dry thoroughly

    • Apply a generous amount fo talcum powder after the bath

    Correct Answer
    A. Rinse well and dry thoroughly
    Explanation
    The best way to prevent skin breakdown is to rinse and dry well

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  • 28. 

    When assisting a nurse to irrigate a patient's bladder, you notice that the nurse has contaminated the sterile field. You should

    • Tell the doctor right away

    • Tell the charge nurse right away

    • Offer to get the nurse another sterile pack

    • Ignore it because the nurse is doing the procedure

    Correct Answer
    A. Offer to get the nurse another sterile pack
    Explanation
    The nurse may not realize she or he has done this

    Rate this question:

  • 29. 

    When responding to a patient on the intercom, you should

    • Ask for the patient's name

    • Say, "May I help you?"

    • Give your name and position

    • Say, "The nurse will answer your call"

    Correct Answer
    A. Give your name and position
    Explanation
    When responding to a patient on the intercom, you should give your name and position

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  • 30. 

    Mr. Jones drinks 5 ounces of juice. You would record this as

    • 500 cc

    • 150 cc

    • 6 cc

    • 5 cc

    Correct Answer
    A. 150 cc
    Explanation
    One ounce is 30 cc, so 5 oz is 5 x 30 or 150 cc

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  • 31. 

    Which statement about mentally retarded residents is correct?

    • They should be treated like children

    • They cannot walk or talk

    • They are suspicious of strangers

    • They learn at a slow pace

    Correct Answer
    A. They learn at a slow pace
    Explanation
    In mentally retarded residents, learning is slower than normal, but it still occurs and should be encouraged

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  • 32. 

    Mrs. Bell is a mentally ill resident who is under good control.The licensed nurse instructs you to observe her for signs of mental problems, which may include

    • Visiting with other residents

    • Talking about imaginary friends

    • Trusting staff members

    • Having dreams at night

    Correct Answer
    A. Talking about imaginary friends
    Explanation
    This may be a disease process or a medication overdose. It needs to be evaluated by a physician.

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  • 33. 

    The Hoyer lift is used to

    • Prevent injuries to health care workers

    • Move residents who are very heavy or weak

    • Move a resident when only one worker is free

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The lift ensures adfety for both resident and health care worker. It can be used on obese, paralyzed and blind residents

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  • 34. 

    Elderly residents who become confused and forgetful should be

    • Humored

    • Seen by a doctor

    • Kept in their rooms

    • Restrained

    Correct Answer
    A. Seen by a doctor
    Explanation
    Imagining friends might indicate regression or a side effect of medication. Report this occurance

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  • 35. 

    Which of the following is an I and O problem that you should report?

    • The resident complains of a stomach ache.

    • The resident requests a bath

    • The resident's total output is 1200 cc

    • The resident has not voided in 8 hours

    Correct Answer
    A. The resident has not voided in 8 hours
    Explanation
    Failure to void (urinate) may indicate kidney failure

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  • 36. 

    How often shouter you total a patient's intake and output records?

    • Once each shift

    • Twice a day

    • Every 4 hours

    • Every 12 hours

    Correct Answer
    A. Once each shift
    Explanation
    Input and output are totaled once shift as well as every 24 hours

    Rate this question:

  • 37. 

    As you are transferring a patient, the resident becomes weak and starts to fall. You should

    • Hold the patient's transfer belt and lean away from the fall

    • Call for help

    • Grasp the transfer belt and lower the resident to the floor along your bent leg

    • Hold the resident tightly and lean backwards

    Correct Answer
    A. Grasp the transfer belt and lower the resident to the floor along your bent leg
    Explanation
    Grasp the transfer belt and lower the resident to the floor along your bent leg

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  • 38. 

    A large glass hold 240 cc. The patient drank one-third of the large glass. You would record this as

    • 1/3 of 240cc

    • 30 cc

    • 80 cc

    • 120 cc

    Correct Answer
    A. 80 cc
    Explanation
    1/3 of 240 cc is 80

    Rate this question:

  • 39. 

    Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to

    • Rearrange his gown or clothing

    • Prevent orthostatic hypotension

    • Position and secure the wheelchair

    • Rest and remove the transfer belt

    Correct Answer
    A. Prevent orthostatic hypotension
    Explanation
    Orthostatic hypotension is the light-headed feeling we all get when we rise to fast

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  • 40. 

    Mrs. Jones states, "I'm not nervous about his surgery, " but she is restless and unable to get comfortable. You should

    • Recognize that Mrs. Jone's body movements indicate fear and ask the nurse to speak with her

    • Put the side rails up on the bed to prevent an accident

    • Ask Mrs. Jone's family members to leave so she will be able to settle down

    • Tell her everyone is nervous bout surery and that she should relax

    Correct Answer
    A. Recognize that Mrs. Jone's body movements indicate fear and ask the nurse to speak with her
    Explanation
    Nonverbal communication such as body movement indicates the patient's anxiety

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  • 41. 

    As you bathe Mrs. Sweeney, she complains of an ache or sore spot in her calf. You shuld

    • Massage her legs with lotion

    • Stop the bath and ask the nurse to check the ache

    • Tell Mrs. Sweeney to get up and walk to relieve the cramping

    • Continue the bath and report the complaint to the nurse later

    Correct Answer
    A. Stop the bath and ask the nurse to check the ache
    Explanation
    Always report patient complaint to the nurse as soon as possible

    Rate this question:

  • 42. 

    Which of the following would be included in a resident's output record?

    • Urine, food eaten, and IV solutions

    • Urine, emesis, and bleeding

    • Liquids taken in during the shift

    • Bowel movements only

    Correct Answer
    A. Urine, emesis, and bleeding
    Explanation
    A resident's output record typically includes urine, emesis (vomiting), and bleeding. These are all bodily fluids that need to be monitored and documented for medical purposes. Liquids taken in during the shift are recorded separately as intake, while bowel movements are not considered part of the output record.

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  • 43. 

    When giving a resident a shower, you should

    • Use a bath blanket

    • Wear a raincoat to protect yourself

    • Place the resident in a shower chair

    • Run water a 135 degree F

    Correct Answer
    A. Place the resident in a shower chair
    Explanation
    Because residents may become faint during a shower, they should always be sitting down

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  • 44. 

    What position should a patient be in the receive an enema?

    • Supine

    • Fowler's

    • Prone

    • Left Sim's

    Correct Answer
    A. Left Sim's
    Explanation
    This allows better irrigation of the colon.

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  • 45. 

    A patient who has difficulty chewing or swallowing will need what type of diet

    • Clear liquid

    • Low residue

    • Bland

    • Mechanical soft

    Correct Answer
    A. Mechanical soft
    Explanation
    A mechanical soft diet is easy to chew, swallow, and digest

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  • 46. 

    When distributing drinking water, the nursing assistant should

    • Use only disposable cups and pitchers

    • Give ice to all patients

    • Follow the policy of the institution

    • Make sure that all pitchers are filled completely

    Correct Answer
    A. Follow the policy of the institution
    Explanation
    Agencies may have different policies

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  • 47. 

    Mr. Kaplan's order include the notation, "strain all urine." This means that you should report

    • The output in millimeters

    • The color of the urine

    • Any complaints the patient makes

    • Any particles in the strainer

    Correct Answer
    A. Any particles in the strainer
    Explanation
    The purpose of the order to strain urine is to detect particles

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  • 48. 

    Jane is a 24 year old resident with muscular dystrophy. She has a supportive family, but she talks often of her desire to have a boyfriend. This feeling is best described as

    • Normal

    • Foolish

    • Both a and b

    • Hopeless

    Correct Answer
    A. Normal
    Explanation
    All patients need to feel wanted and to share their feelings with another person. This is normal behavior

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  • 49. 

    Mrs. Larkin, age 52, was the victim of an industrial accident. She was a foreman and a union leader. To help her maintain her dignity as an adult you might suggest that she

    • Read industrial magazines

    • Serve on the resident council

    • Rent movies

    • Attend bingo

    Correct Answer
    A. Serve on the resident council
    Explanation
    As a former foreman and leader, Mrs. Larkin needs to feel useful and involved

    Rate this question:

Quiz Review Timeline (Updated): Mar 22, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 07, 2010
    Quiz Created by
    Sylvia9879

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