1.
A nurse assigns you a task. You do not understand the instructions. You should
Correct Answer
C. 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.
2.
Nursing assistants
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.
3.
The following statements are about the resident rights. Which statement is true?
Correct Answer
B. 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.
4.
He intentional attempt or thereat to touch a person's body without that person's consent is
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
5.
Which is invasion of privacy?
Correct Answer
D. 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.
6.
Communication is
Correct Answer
A. The exchange of information
Explanation
A verbal or written message sent, received, and interpreted by the intended person is communication
7.
Mrs. Greene refuses to eat certain foods because of her religious beliefs. The nursing assistant should
Correct Answer
B. Respect her religious beliefs and notify the nurse
Explanation
The correct answer is to respect Mrs. Greene's religious beliefs and notify the nurse. This is the most appropriate and respectful course of action. By respecting her beliefs, the nursing assistant is showing empathy and understanding towards Mrs. Greene's personal choices. Notifying the nurse ensures that the appropriate healthcare professionals are aware of the situation and can address any dietary concerns or alternatives for Mrs. Greene.
8.
Which of the following is not a sign of hearing loss?
Correct Answer
B. 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.
9.
Death of a spouse is a risk as people grow older. Which statement is false?
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
10.
To care effectively for the residents, you must consider the whole person. What does this mean?
Correct Answer
A. The person's entire body must be considered intact
Explanation
The resident must seen as a total person, not as a physical disease, problem, or room and bed number
11.
Which statement about charting is incorrect?
Correct Answer
B. 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
12.
Paralysis on one side of the body is called
Correct Answer
A. Hemiplegia
Explanation
Paraplegia: waist down; Quadriplegia: neck down
13.
Which of the following actions will not assist the residents with their sexuality?
Correct Answer
C. 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
14.
An illness/injury for which there is no reasonable expectation of recovery is called a(n)
Correct Answer
C. Terminal illness
Explanation
Acute will recover, chronic/ long term or long time illness, but not usually cause immediate death
15.
Rigor mortis usually occurs
Correct Answer
C. 2 to 4 hours after death
Explanation
Rigor motis begins 2 to 4 hours after death. Chemical changes in muscle fibers. Complete within 8 hours
16.
The most common accident in the long-term care facilities is
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.
17.
The following statements are about preventing falls. Which is false?
Correct Answer
D. 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.
18.
Which resident is least likely to be able to protect himself?
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.
19.
Which statement about restraints is false?
Correct Answer
B. A restraint should prevent movement of the body part
Explanation
some movement is allowed when restraints are used. This insures that the restraint is not too tight
20.
You are to apply a jacket restraint. Which is false?
Correct Answer
B. Apply the vest so the straps cross in the back
Explanation
A vest never crosses in the back, it can cause strangulation. Applied over clothing, tied to the bed frame
21.
You must especially be careful about the fire if the resident is receiving
Correct Answer
A. Oxygen
Explanation
Oxygen is essential for fires
22.
You re using a fire extinguisher. The hose is aimed at
Correct Answer
C. Base of the fire
Explanation
Otherwise fire may spread
23.
A microorganism needs the following to grow except
Correct Answer
B. Light
Explanation
Light and heat destroy microorganisms. The microbe must get nourishment from the reservoir (host)
24.
You are going to wash your hands. You should stand
Correct Answer
D. Far enough so that your uniform does not touch the sink
Explanation
Contagious (communicable) disease require isolation precautions. Not all infections are contagious
25.
Isolation precautions are used for residents with
Correct Answer
B. 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.
26.
What should you do first when putting on a gown?
Correct Answer
D. 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
27.
A resident in a wheelchair complains of a draft. You best action would be
Correct Answer
D. Move the resident to draft free location
Explanation
You may not close off a vent without being told to do so
28.
Weak and small muscle groups are located in the
Correct Answer
C. Back
Explanation
The back muscles are weak and small. Using the back muscles to lift will often cause back strain
29.
You are going to move a resident to the side of the bed. You should not?
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
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)
Correct Answer
A. Open bed
Explanation
An open bed with the top linens folded back is ready for the resident
31.
Plastic draw sheets do the following except
Correct Answer
C. Increase the resident's comfort
Explanation
Plastic draw sheets cause heavy perspiration; cause discomfort and increase risk of skin breakdown
32.
Which is not used for oral hygiene?
Correct Answer
D. 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.
33.
The best time to bathe a resident is
Correct Answer
D. 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.
34.
Water for bath should be between
Correct Answer
D. 110-115 F
Explanation
The correct answer is 110-115 F. This temperature range is recommended for water used in bathing because it is warm enough to provide comfort and relaxation, but not too hot to cause discomfort or skin irritation. Water at this temperature range also helps to open up the pores, allowing for better cleansing and moisturizing of the skin. Additionally, it is important to note that individual preferences may vary, so it is always best to adjust the water temperature according to personal comfort.
35.
Which should yo do first when shaving Mr. Jones?
Correct Answer
A. Wash his face
Explanation
It is important to clean to reduce the amount of bacteria on the skin; then apply a wet cloth or towel to soften the beard
36.
You empty a urinal and observe the following Which observation needs to be reported?
Correct Answer
C. Small particles are in the urine
Explanation
This needs to be reported. Normal urine is pale yellow,clear and has a faint ammonia odor
37.
A resident cannot clean the perineal area after urinating. You should
Correct Answer
D. Clean gently from front to back with toilet tissue
Explanation
If the resident cannot wipe after urinating, you must do this for them
38.
Unconscious residents usually have mouth care done
Correct Answer
A. Every 2 hours
Explanation
Mouth care on unconscious residents is usually done when the resident is turned or positioned
39.
Other terms used for Foley catheter are
Correct Answer
D. Retention catheter and indwelling catheter
Explanation
The correct answer is "retention catheter and indwelling catheter". These terms are used interchangeably to refer to a type of catheter that is inserted into the bladder to drain urine and is left in place for an extended period of time. The catheter remains in the bladder to help patients who are unable to urinate on their own or who require continuous drainage of urine.
40.
A fractional urine spectimen involves having the resident urinate twice. This is because need
Correct Answer
A. A sterile specimen
Explanation
The bladder is emptied of "stale " urine. "Fresh" urine produced in 30 minutes is used to test for sugar
41.
Which statement is true?
Correct Answer
B. 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
42.
Milk and dairy products are not high in
Correct Answer
D. Vitamins A and C
Explanation
The main nutrients of milk are protein, calcium, fat, carbohydrates and riboflavin
43.
Which statement about vitamins is false?
Correct Answer
B. They cannot be stored in the body
Explanation
Vitamins A, D, E, and K are stored by the body. They are commonly obtained through foods. body cannot produce vitamins. Vitamins have no caloric value
44.
Edema means
Correct Answer
C. Body tissues are swollen with water
Explanation
Edema means swelling. It has little to do with the appetite. It is the opposite of dehydration
45.
Which resident should not receive fresh drinking water
Correct Answer
B. 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.
46.
Which is not allowed on a low cholesterol diet?
Correct Answer
C. Ice cream
Explanation
Because it is high in fat. The others are allowed, they are low in fat
47.
Which of the following are not recorded as intake?
Correct Answer
B. Butter sauces and melted cheese
Explanation
These items are nearly impossible to measure. Ounce equivalents are available for the others
48.
Which body process is not measured by vital signs?
Correct Answer
C. Bowel function
Explanation
The others reflect the three body processes essential for life
49.
You are to take a rectal temperature with a glass accelerometer. Which is incorrect?
Correct Answer
C. Insert thermometer about six inches into the rectum
Explanation
The thermometer is inserted only 1 inch into the rectum
50.
For an oral temperature, the thermometer is placed
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