Nursing Assistant State Practice Exam 3

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  • 1/60 Questions

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

    • Tell the doctor
    • Respect her religious beliefs and notify the nurse
    • Tell Mrs. Greene that she will not receive anything else to eat
    • Tell Mrs. Greene that she should eat the food because the doctor wants her to.
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About This Quiz

This Nursing Assistant state practice exam 3 assesses essential skills for nursing assistants. It includes questions on communication, resident rights, privacy, and professional conduct, crucial for certification and effective patient care.

Nursing Assistant State Practice Exam 3 - Quiz

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  • 2. 

    A nurse assigns you a task. You do not understand the instructions. You should

    • Try your best

    • Ask the resident what to do

    • Ask the nurse for clarification

    • Refuse to carry out the request

    Correct Answer
    A. Ask the nurse for clarification
    Explanation
    Always ask the nurse if you have any questions or attempt to perform anything you are not prepared for.

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  • 3. 

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

    • Residents' mail can be opened by any facility employee

    • Residents have the right to have telephone conversations in private

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

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

    Correct Answer
    A. Residents have the right to have telephone conversations in private
    Explanation
    Residents have the right to have telephone conversations in private. This means that facility employees or anyone else should not listen in or interrupt the resident's phone conversations. It ensures that residents have the freedom to communicate with others without any intrusion or violation of their privacy. This right is important for maintaining the dignity and autonomy of residents in a care facility.

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  • 4. 

    The most common accident in the long-term care facilities is

    • A fall

    • A burn

    • Poisoning

    • Suffocation

    Correct Answer
    A. A fall
    Explanation
    The most common accident in long-term care facilities is a fall. This is because elderly individuals in these facilities may have mobility issues, balance problems, or cognitive impairments that make them more prone to falling. Additionally, the environment in these facilities, such as slippery floors or obstacles, can increase the risk of falls. Falls can result in serious injuries, such as fractures or head trauma, and can have a significant impact on the overall health and well-being of the residents. Therefore, it is crucial for long-term care facilities to have appropriate measures in place to prevent falls and ensure the safety of their residents.

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  • 5. 

    You must especially be careful about the fire if the resident is receiving

    • Oxygen

    • Heat treatments

    • Intravenous fluids

    • Sleeping medications

    Correct Answer
    A. Oxygen
    Explanation
    Oxygen is essential for fires

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  • 6. 

    For an oral temperature, the thermometer is placed

    • Under the tongue

    • Next to cheek

    • Between the teeth

    • On top of the tongue

    Correct Answer
    A. Under the tongue
    Explanation
    so they are close to superficial blood vessels. This gives a small, pocket-like area for accurate measuremnt

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  • 7. 

    Isolation precautions are used for residents with

    • Allergies

    • Contagious disease

    • Any type of infection

    • Gastrointestinal disease

    Correct Answer
    A. Contagious disease
    Explanation
    Isolation precautions are used for residents with contagious diseases because these diseases can easily spread from person to person. By isolating individuals with contagious diseases, the risk of transmission to other residents and healthcare workers is minimized. Isolation precautions may include wearing personal protective equipment, such as gloves and masks, and implementing strict protocols for cleaning and disinfection. This helps to protect both the individual with the contagious disease and others in the healthcare setting.

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  • 8. 

    Which resident should not receive fresh drinking water

    • A blind resident

    • The resident that is NPO

    • The resident who is on a general diet

    • The resident who has a force fluid order

    Correct Answer
    A. The resident that is NPO
    Explanation
    The resident that is NPO should not receive fresh drinking water because NPO stands for "nothing by mouth," indicating that this resident is not allowed to consume any food or drink orally. This could be due to a medical condition, upcoming surgery, or other reasons. Providing fresh drinking water to a resident who is NPO would contradict their prescribed dietary restrictions and could potentially harm their health.

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  • 9. 

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

    • Top of flame

    • Middle of the flame

    • Base of the fire

    • Area around the fire

    Correct Answer
    A. Base of the fire
    Explanation
    Otherwise fire may spread

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  • 10. 

    Which body process is not measured by vital signs?

    • Respirations

    • Heart function

    • Bowel function

    • Body function

    Correct Answer
    A. Bowel function
    Explanation
    The others reflect the three body processes essential for life

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  • 11. 

    Before using stethoscope, you should

    • Replace the earpiece

    • Wash it in soap and water

    • Make sure it has been sterilized

    • Wipe the earpiece and diaphragm with alcohol

    Correct Answer
    A. Wipe the earpiece and diaphragm with alcohol
    Explanation
    Since the stethoscopes are often shared by various workers, the chances of cross contamination are great

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  • 12. 

    A blood pressure consistently above normal is called

    • Heart failure

    • Pulse deficit

    • Hypotension

    • Hypertension

    Correct Answer
    A. Hypertension
    Explanation
    Hypotension is low blood pressure. Pulse deficit the difference in apical and radial pulse

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  • 13. 

    Which is invasion of privacy?

    • A resident is covered while being moved on a stretch

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

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

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

    Correct Answer
    A. The resident's condition and treatment are discussed with the resident's cousin who works in the dietary department
    Explanation
    The invasion of privacy in this scenario occurs when the resident's condition and treatment are discussed with the resident's cousin who works in the dietary department. This violates the resident's right to confidentiality and privacy regarding their personal medical information. It is important to maintain confidentiality and only share medical information with authorized individuals who are directly involved in the resident's care.

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  • 14. 

    Which of the following is not a sign of hearing loss?

    • Speaking too loudly

    • Loneliness and boredom

    • Asking for thing to be repeated

    • Answering questions inappropriately

    Correct Answer
    A. Loneliness and boredom
    Explanation
    Loneliness and boredom are not direct signs of hearing loss. While individuals with hearing loss may experience social isolation and feelings of boredom due to difficulties in communication, these symptoms are not exclusive to hearing loss and can be caused by various other factors. On the other hand, speaking too loudly, asking for things to be repeated, and answering questions inappropriately are common signs of hearing loss as they indicate difficulties in hearing and understanding conversations.

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  • 15. 

    Which statement about charting is incorrect?

    • All entries must be signed

    • All entries must be in pencil

    • No blank lines are left in an entry

    • All entries must be dated and signed

    Correct Answer
    A. All entries must be in pencil
    Explanation
    Always use ink to record information. Pencil can be erased or smudged. Do not skip lines, draw line through blank space of partially completed line. Sign, date and time all entries

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  • 16. 

    Which is not used for oral hygiene?

    • Toothpaste

    • Mouthwash

    • Dental floss

    • A hard-bristled tooth brush

    Correct Answer
    A. A hard-bristled tooth brush
    Explanation
    A hard-bristled toothbrush is not used for oral hygiene because it can cause damage to the teeth and gums. Hard bristles can be too abrasive and can wear down the enamel of the teeth, leading to sensitivity and other dental issues. Dentists recommend using a soft or medium-bristled toothbrush for effective cleaning without causing harm to the teeth and gums.

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  • 17. 

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

    • Assault

    • Battery

    • Defamation

    • False imprisonment

    Correct Answer
    A. Assault
    Explanation
    Intentionally attempting or threatening to touch; battery, actual unauthorized touching; Defamation, of name and reputation; False imprisonment, restricting a person's freedom of movement

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  • 18. 

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

    • Men generally live longer than women

    • The surviving spouse may lose the will to live

    • The surviving spouse may develop serious physical problems

    • The surviving spouse may develop serious mental health problems

    Correct Answer
    A. Men generally live longer than women
    Explanation
    In general, men do not live as long as women. The surviving spouse may develop any of the other symptoms

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  • 19. 

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

    • Residents should wear nonskid shoes resident's room

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

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

    • The bed should always be kept in the highest horizontal position

    Correct Answer
    A. The bed should always be kept in the highest horizontal position
    Explanation
    The bed should always be kept in the lowest horizontal position except when giving care.

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  • 20. 

    Communication is

    • The exchange of information

    • A verbal account of resident care and observation

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

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

    Correct Answer
    A. The exchange of information
    Explanation
    A verbal or written message sent, received, and interpreted by the intended person is communication

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  • 21. 

    You are going to wash your hands. You should stand

    • Right up against the sink

    • 6 inches away from the sink

    • 2 feet away from the sink

    • Far enough so that your uniform does not touch the sink

    Correct Answer
    A. Far enough so that your uniform does not touch the sink
    Explanation
    Contagious (communicable) disease require isolation precautions. Not all infections are contagious

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  • 22. 

    Nursing assistants

    • Never give medications

    • Supervise other nursing assistants

    • Do not perform personal hygiene measures

    • Must perform all tasks and procedure as directed by the nruse

    Correct Answer
    A. Never give medications
    Explanation
    Nursing assistants are not authorized to administer medications to patients. This task is typically performed by licensed nurses or other healthcare professionals who have received the appropriate training and certification. Nursing assistants may assist with medication administration by preparing the medications, ensuring the patient takes them, and documenting any observed side effects or reactions. However, they are not responsible for actually administering the medications themselves.

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  • 23. 

    You empty a urinal and observe the following Which observation needs to be reported?

    • Urine is clear

    • Urine is pale yellow

    • Small particles are in the urine

    • Urine has a faint ammonia odor

    Correct Answer
    A. Small particles are in the urine
    Explanation
    This needs to be reported. Normal urine is pale yellow,clear and has a faint ammonia odor

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  • 24. 

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

    • Report this to the nurse

    • Give the resident a partial bath

    • Clean the perineal area with cotton balls

    • Clean gently from front to back with toilet tissue

    Correct Answer
    A. Clean gently from front to back with toilet tissue
    Explanation
    If the resident cannot wipe after urinating, you must do this for them

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  • 25. 

    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)

    • Open bed

    • Closed bed

    • Surgical bed

    • Occupied bed

    Correct Answer
    A. Open bed
    Explanation
    An open bed with the top linens folded back is ready for the resident

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  • 26. 

    The best time to bathe a resident is

    • After breakfast

    • Before lunch

    • Before bedtime

    • At the time preferred by the resident

    Correct Answer
    A. At the time preferred by the resident
    Explanation
    The best time to bathe a resident is at the time preferred by the resident because it allows them to have control over their own routine and promotes their independence. By allowing the resident to choose the time, it ensures that they are comfortable and more likely to cooperate during the bathing process. Additionally, it respects their individual preferences and promotes person-centered care, which is essential for maintaining their dignity and overall well-being.

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  • 27. 

    Which statement is true?

    • Feces are always hard and dry

    • Feces are normally brown in color

    • Defecation only occurs after a meal

    • It is abnormal to have a bowel movement every day

    Correct Answer
    A. Feces are normally brown in color
    Explanation
    Defecation can occur at any time. Bowel movement can be every day or every 2 to 3 days

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  • 28. 

    Which of the following actions will not assist the residents with their sexuality?

    • Allowing normal grooming routines

    • Accepting the resident's relationship

    • Having the resident wear a hospital gown

    • Allowing the resident and his or her partner privacy

    Correct Answer
    A. Having the resident wear a hospital gown
    Explanation
    Let the resident choose what clothing he /she wants to wear. Hospital gowns are embarrassing to both

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  • 29. 

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

    • Return the resident to the bed

    • Bring the resident a lap robe

    • Close off the air vent near the resident

    • Move the resident to draft free location

    Correct Answer
    A. Move the resident to draft free location
    Explanation
    You may not close off a vent without being told to do so

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  • 30. 

    Edema means

    • Increased appetite

    • Decreased appetite

    • Body tissues are swollen with water

    • There is a decreased amount of water in body tissues

    Correct Answer
    A. Body tissues are swollen with water
    Explanation
    Edema means swelling. It has little to do with the appetite. It is the opposite of dehydration

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  • 31. 

    Which resident is least likely to be able to protect himself?

    • Mr. McCabe who is 52 and in a coma

    • Mr. Jones who is 60 and wears glasses

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

    • Mr. Turner who is 71 and has a chest cold

    Correct Answer
    A. Mr. McCabe who is 52 and in a coma
    Explanation
    Mr. McCabe, who is 52 and in a coma, is least likely to be able to protect himself because being in a coma means that he is in a state of unconsciousness and unable to respond to his surroundings or defend himself from potential harm.

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  • 32. 

    Which of the following are not recorded as intake?

    • Coffee, tea, juices, and soft drink

    • Butter sauces and melted cheese

    • Jell-O, popsicle, and creamed cereals

    • Ice creams, sherbert, custard, and pudding

    Correct Answer
    A. Butter sauces and melted cheese
    Explanation
    These items are nearly impossible to measure. Ounce equivalents are available for the others

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  • 33. 

    Unconscious residents usually have mouth care done

    • Every 2 hours

    • Every 8 hours

    • Every 12 hours

    • Once a day

    Correct Answer
    A. Every 2 hours
    Explanation
    Mouth care on unconscious residents is usually done when the resident is turned or positioned

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  • 34. 

    Paralysis on one side of the body is called

    • Hemiplegia

    • Paraplegia

    • Hemaplegia

    • Quadriplegia

    Correct Answer
    A. Hemiplegia
    Explanation
    Paraplegia: waist down; Quadriplegia: neck down

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  • 35. 

    Which device is the simplest and most commonly used to administer oxygen

    • Face mask

    • Oxygen tent

    • Nasal cannula

    • Nasal catheter

    Correct Answer
    A. Nasal cannula
    Explanation
    A nasal cannula is a double-pronged device placed in the nostrils. The resident can still eat and talk.

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  • 36. 

    What should you do first when putting on a gown?

    • Tie the waist stings

    • Tie the strings at the neck

    • Overlap the back of the gown

    • Make sure it completely covers all of your uniform

    Correct Answer
    A. Make sure it completely covers all of your uniform
    Explanation
    The first step is d. Then trying the neck, overlapping the back of the gown, and last is tie the waist

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  • 37. 

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

    • Raise the side rail on your side

    • Cross the resident's arms over his or her chest

    • Move the resident in segments beginning with the neck and shoulders

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

    Correct Answer
    A. Raise the side rail on your side
    Explanation
    The opposite side rail must be up. Stand on the same side of the bed as the resident will be turned to

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  • 38. 

    Which is not allowed on a low cholesterol diet?

    • Bread

    • Potatoes

    • Ice cream

    • Skimmed milk

    Correct Answer
    A. Ice cream
    Explanation
    Because it is high in fat. The others are allowed, they are low in fat

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  • 39. 

    Apnea is

    • Rapid breathing

    • The absence of breathing

    • Slow, shallow, and irregular breathing

    • Rapid and deeper than normal breathing

    Correct Answer
    A. The absence of breathing
    Explanation
    Apnea means no breathing. Slow, shallow, irregular: hypoventilation. Rapid and deep" hyperventilation

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  • 40. 

    Milk and dairy products are not high in

    • Fat

    • Protein

    • Calcium

    • Vitamins A and C

    Correct Answer
    A. Vitamins A and C
    Explanation
    The main nutrients of milk are protein, calcium, fat, carbohydrates and riboflavin

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  • 41. 

    Which is used to prevent the resident's hips from turning outward?

    • Trapeze

    • Footboard

    • Bed cradle

    • Trochanter roll

    Correct Answer
    A. Trochanter roll
    Explanation
    Trapeze: to lift the trunk of body off the bed. Bed cradle: keep linens of the resident's feet

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  • 42. 

    A microorganism needs the following to grow except

    • Food

    • Light

    • Water

    • Warmth

    Correct Answer
    A. Light
    Explanation
    Light and heat destroy microorganisms. The microbe must get nourishment from the reservoir (host)

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  • 43. 

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

    • Hold the thermometer is place for two minutes

    • Lubricate the end of the thermometer before insertion

    • Insert thermometer about six inches into the rectum

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

    Correct Answer
    A. Insert thermometer about six inches into the rectum
    Explanation
    The thermometer is inserted only 1 inch into the rectum

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  • 44. 

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

    • Acute illness

    • Chronic illness

    • Terminal illness

    • Long-term illness

    Correct Answer
    A. Terminal illness
    Explanation
    Acute will recover, chronic/ long term or long time illness, but not usually cause immediate death

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  • 45. 

    Which statement about bed rest is false?

    • Contractures and muscle atrophy can occur

    • Bed rest helps reduce pain and promotes healing

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

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

    Correct Answer
    A. Persons on bed rest are never allowed to take part in activities of daily living
    Explanation
    Taking part in activities of daily living are allowed; to what extent varies from facility to facility

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  • 46. 

    Rehabilitation is concerned with

    • The whole person

    • Physical disabilities

    • Physical capabilities

    • Psychological

    Correct Answer
    A. The whole person
    Explanation
    Rehabilitation involves no just the physical disabilities. It stresses physical capabilities and the person's psychological and social function

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  • 47. 

    Weak and small muscle groups are located in the

    • Hips

    • Thighs

    • Back

    • Shoulders and upper arms

    Correct Answer
    A. Back
    Explanation
    The back muscles are weak and small. Using the back muscles to lift will often cause back strain

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  • 48. 

    You are ambulating a resident. You should

    • Encourage the resident to stand erect

    • Encourage the resident to walk rapidly

    • Encourage the resident to shuffle the feet

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

    Correct Answer
    A. Encourage the resident to stand erect
    Explanation
    With back straight and head up. This promotes good body alignment and balance. The pace should be set by the resident. Encourage to walk normally. Shuffling the feet is discouraged

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  • 49. 

    When heat is applied to the skin the blood vessels

    • Dilate

    • Narrow

    • Contract

    • Constrict

    Correct Answer
    A. Dilate
    Explanation
    heat causes the blood vessels to relax and dilate (open wider). contract, constrict and narrow are the effect of cold on blood vessels

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  • Current Version
  • Feb 23, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 08, 2010
    Quiz Created by
    Sylvia9879

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