California Nursing Academy Nursing Assistant State Practice Exam 4

60 Questions | Total Attempts: 56

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California Nursing Academy Nursing Assistant State Practice Exam 4

NA state exam 4


Questions and Answers
  • 1. 
    Swelling caused by excess fluid in body tissues is called:
    • A. 

      Fluid intake

    • B. 

      Diarrhea

    • C. 

      Perspiration

    • D. 

      Edema

  • 2. 
    When assisting a patient to use the bedside commode, it is important to:
    • A. 

      Leave the signal cord within reach

    • B. 

      Place toilet tissue close by

    • C. 

      Return to check on the patient periodically

    • D. 

      All of the above

  • 3. 
    The best food choices for a geriatric patient with no teeth would include:
    • A. 

      Hamburger, French fries, corn, and ice cream

    • B. 

      Baked chicken, dressing, green beans, and coconut macaroons

    • C. 

      Spare ribs, macaroni and cheese, coleslaw, and fruit cocktail

    • D. 

      Baked fish, whipped potatoes, spinach souffle and tapioca

  • 4. 
    Which of the following is true regarding visually challenged residents?
    • A. 

      Blind patients use a "clock" system to located food.

    • B. 

      Residents usually prefer to treat alone.

    • C. 

      Patients prefer to be fed to prevent spills.

    • D. 

      All of the above are true.

  • 5. 
    Sputum is material that is coughed up from the:
    • A. 

      Nose

    • B. 

      Lungs

    • C. 

      Throat

    • D. 

      Stomach

  • 6. 
    The purpose of cold applications is usually to:
    • A. 

      Speed the flow of blood to the area

    • B. 

      Prevent heat exhaustion

    • C. 

      Prevent or reduce swelling

    • D. 

      Prevent the formation of scar tissue

  • 7. 
    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

  • 8. 
    Safe use of oxygen therapy includes:
    • A. 

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

    • B. 

      Using wool blankets only

    • C. 

      Cleansing the nasal prongs each shift with alcohol

    • D. 

      Posting a "no smoking' sign on the door

  • 9. 
    If a resident asks a question you cannot answer, you should:
    • A. 

      Tell the resident you will look it up

    • B. 

      Ask the charge nurse to talk to the resident about it

    • C. 

      Call the doctor to talk to the resident

    • D. 

      Tell the resident that you cannot answer the question

  • 10. 
    You would shampoo a resident's hair to improve:
    • A. 

      Circulation to the scalp

    • B. 

      The resident's general appearance

    • C. 

      The resident's feeling of well-being

    • D. 

      All of the above

  • 11. 
    If a resident is receiving forced-fluid treatment, you should:
    • A. 

      Provide at least 2,000 cc of fluid per shift

    • B. 

      Provide high-protein fluids

    • C. 

      Offer liquids every two hours

    • D. 

      Do all of the above

  • 12. 
    A fracture-type bedpan is used for residents who:
    • A. 

      Are in traction

    • B. 

      Have had hip surgery

    • C. 

      Have a back injury

    • D. 

      Have any of the above conditions

  • 13. 
    Which of the following vital signs should be reported immediately?
    • A. 

      T-98.6, P-70, R-14, BP-120/60

    • B. 

      T-95.4, P-40, R-10, BP-80/40

    • C. 

      T-98.8 "R", P-60, BP-132/70

    • D. 

      T-97.6 "A", P-78, R-16, BP-110/60

  • 14. 
    The order "vital signs QID " means to record vital signs:
    • A. 

      Four times per day

    • B. 

      Twice per day

    • C. 

      Morning and evening

    • D. 

      Once per shift

  • 15. 
    Which statement about horseplay and practical jokes is correct?
    • A. 

      They are permitted if no one is insulted

    • B. 

      They are acceptable during breaks

    • C. 

      They can cause accidents and are unacceptable

    • D. 

      They are allowed because they cheer up the residents and usually do not cause accidents

  • 16. 
    Mrs. Wilson complains of numbness on one side of her body. You notice that her grip is weak and her speech is slurred. You should:
    • A. 

      Realized that this may be a sign of a CVA and notify the charge nurse

    • B. 

      Call the doctor and tell him Mrs. Wilson had a CVA

    • C. 

      Check too see if Mrs. Wilson's condition is the same the next day

    • D. 

      Accept the condition as normal and reassure Mrs. Wilson

  • 17. 
    Another name for urination is:
    • A. 

      Defecation

    • B. 

      Voiding

    • C. 

      Wetting the bed

    • D. 

      Flatus

  • 18. 
    Nonverbal communication includes:
    • A. 

      Talking to the resident

    • B. 

      Observing the resident's body language

    • C. 

      Asking the resident if he/she is in pain

    • D. 

      All of the above

  • 19. 
    If a resident complains of a burning, tingling skin area, you should first:
    • A. 

      Rub the area well with lotion

    • B. 

      Report the complaint to the licensed nurse

    • C. 

      Keep an eye on the area for a few days

    • D. 

      Use cornstarch on the area

  • 20. 
    Special protective devices used to decrease the risk of decubitus ulcers include the:
    • A. 

      Egg carton mattress

    • B. 

      Hoyer lift

    • C. 

      Walker

    • D. 

      Orthotic device

  • 21. 
    Keeping a resident's bed linens dry and tight helps to prevent:
    • A. 

      Bacteria from growing

    • B. 

      Decubitus ulcers

    • C. 

      Wrinkles

    • D. 

      Skin diseases

  • 22. 
    If you are asked to clean or put a soak on a resident's eye, you should:
    • A. 

      Clean it from the inner corner to the outer edge

    • B. 

      Use a clean surface of the cloth each time you touch the eye

    • C. 

      Report any exudate

    • D. 

      All of the above

  • 23. 
    Mrs. Nelson has a right-sided weakness. For her mouth care, you should:
    • A. 

      Do it for her

    • B. 

      Pay particular attention to the left side of the mouth

    • C. 

      Tell her to get out the equipment an do it herself

    • D. 

      Let her do as much as she can and assist as needed

  • 24. 
    Beth is a 58-year-old permanently handicapped resident. She tends to be very quiet and to act as if nothing matters. You can best show respect for her by:
    • A. 

      Telling her she is very lucky to retire so early

    • B. 

      Including her in care planning conferences

    • C. 

      Serving her dinner first

    • D. 

      Calling her "Mom"

  • 25. 
    The enzyme secreted by the liver to help digest fat is:
    • A. 

      Bile

    • B. 

      Insulin

    • C. 

      Estrogen

    • D. 

      Lactose

  • 26. 
    Which abbreviation means no food and no water should be given?
    • A. 

      NFL

    • B. 

      PON

    • C. 

      NPO

    • D. 

      NBA

  • 27. 
    The material in the digestive tract that helps provide lubrication for passage of food is:
    • A. 

      Stomach acid

    • B. 

      Sputum

    • C. 

      Mucus

    • D. 

      Phlegm

  • 28. 
    The abbreviation TPN stands for:
    • A. 

      Total protein nutrients

    • B. 

      Total parenteral nutrition

    • C. 

      Total parietal nutrients

    • D. 

      None of the above

  • 29. 
    Ventricle is a term that refers to:
    • A. 

      Vessels and chambers in the heart

    • B. 

      Chambers of the heart and lungs

    • C. 

      Chambers of the heart and kidneys

    • D. 

      Chambers of the heart and brain

  • 30. 
    OSHA rules require all health care workers to be offered immunization against:
    • A. 

      Hepatitis B

    • B. 

      Hepatitis A

    • C. 

      Hepatitis C

    • D. 

      AIDS

  • 31. 
    Which of the following activities should be included in personal daily hygiene?
    • A. 

      Shaving male resident

    • B. 

      Hair care

    • C. 

      Oral hygiene

    • D. 

      All of the above

  • 32. 
    You are removing a soiled gown from a resident who has an IV. You should:
    • 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

  • 33. 
    Using the Bass method, a patient's teeth are to be brushed:
    • A. 

      Up and down

    • B. 

      For at least ten minutes

    • C. 

      With circular motion

    • D. 

      All of the above

  • 34. 
    Which of the following statements about ROM is False?
    • A. 

      Active ROM means the resident does the exercise

    • B. 

      Passive ROM means the nursing assistant does the exercises

    • C. 

      Active ROM means the nursing assistant does the exercises

    • D. 

      Active ROM is best, if possible

  • 35. 
    When a resident with a cast complains of itching the nursing assistant should:
    • A. 

      Wash the exposed skin and pat dry

    • B. 

      Discourage the resident from scratching

    • C. 

      Report it to the charge nurse

    • D. 

      Do all of the above

  • 36. 
    Correct ROM for the neck includes:
    • A. 

      Pronation, supination, flexion

    • B. 

      Rotation, abduction, adduction

    • C. 

      Abductioon, adduction, flexion, extension

    • D. 

      Flexion, extension, rotation

  • 37. 
    Which statement about the handwashing procedure is correct?
    • A. 

      The faucet is clean and may be touched during handwashing

    • B. 

      Wash at least two inches above the wrist

    • C. 

      As long as soap is used, the temperature of the water doesn't matter

    • D. 

      All of the above are correct

  • 38. 
    The call light in the shower comes on. As you enter the shower, you find Mrs. Shepard lying on the floor. You should immediately.
    • A. 

      Run back to the nurse's station to get help

    • B. 

      Help her to a chair, and then resume her shower

    • C. 

      Shake her and shout "Are you okay?"

    • D. 

      Scold her for not asking for assistance with her shower

  • 39. 
    Giving good oral care to a resident includes all of the following except:
    • A. 

      Wearing gloves

    • B. 

      Handling and storing dentures carefully

    • C. 

      Using dental floss

    • D. 

      Removing oxygen before brushing

  • 40. 
    Which statement about dressing residents is correct?
    • A. 

      Dressing is a waste of time for a handicapped person

    • B. 

      Residents are used to dressing in front of others

    • C. 

      Residents care about what they wear

    • D. 

      Resident like the nurse aide to dress them

  • 41. 
    After Mr. Hall's stroke, his right arm is weak and stiff. He should be taught to:
    • A. 

      Put his right arm into his shirt first

    • B. 

      Put his left arm into his shirt first

    • C. 

      Put both arms in the shirt at the same time

    • D. 

      Wear a gown to make dressing easier

  • 42. 
    When washing a resident's hair, you should:
    • A. 

      Use no shampoo to protect his eyes

    • B. 

      Use plastic to protect his eyes

    • C. 

      Wash and rinse the hair well while protecting his eyes

    • D. 

      Use baby shampoo only, protecting his eyes

  • 43. 
    If a patient is in traction, you should not:
    • A. 

      Monitor affected skin temperature

    • B. 

      Give a complete bedbath

    • C. 

      Change the position of the weights

    • D. 

      Monitor distal pulses

  • 44. 
    When assisting a blind resident to eat, you should set the plate up as a:
    • A. 

      Clock face

    • B. 

      Human face

    • C. 

      Pyramid

    • D. 

      Calculator

  • 45. 
    The major moves in range of motion exercises include:
    • A. 

      Abduction and adduction

    • B. 

      Flexion and extension

    • C. 

      Rotation, supination, and pronation

    • D. 

      All of the above

  • 46. 
    Using your longest and strongest muscles to lift means you should use your:
    • A. 

      Arm muscles first

    • B. 

      Back muscle first

    • C. 

      Leg muscles first

    • D. 

      Neck muscles first

  • 47. 
    Correct range of motion for the neck includes:
    • A. 

      Flexion, extension, hyperextension, rotation

    • B. 

      Abduction, adduction, flexion, extension

    • C. 

      Rotation, abduction, adduction, extension

    • D. 

      Pronation, supination, flexion

  • 48. 
    To help a resident sit up on bed, you should remember to:
    • A. 

      Keep your feet close together

    • B. 

      Lock hands with the resident

    • C. 

      Have the resident put his arms around your neck

    • D. 

      Lock arms with the resident

  • 49. 
    The phase when the heart is at rest in called:
    • A. 

      Systole

    • B. 

      Diastole

    • C. 

      Asystole

    • D. 

      Cardiac arrest

  • 50. 
    The nursing assistant must use a stethoscope to determine the:
    • A. 

      Apical pulse rate

    • B. 

      Carotid pulse rate

    • C. 

      Popliteal pulse rate

    • D. 

      Brachial pulse rate

  • 51. 
    With catheterized patients, which of the following is not the nursing assistant's responsibility?
    • A. 

      Inserting of catheter

    • B. 

      Prevention of infection

    • C. 

      Checking to make sure the catheter is draining property

    • D. 

      Recording output

  • 52. 
    Which statement about a routine urine specimen is correct?
    • A. 

      It must be taken first thing in the morning

    • B. 

      It can be collected any time of the day

    • C. 

      It does not have to be stored in the refrigerator

    • D. 

      It does not have to be noted on the I & O sheet

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

      Call another nursing assistant for help

    • B. 

      Ask the patient how he/she prefers to have it done

    • C. 

      Call the charge nurse and ask for help

    • D. 

      Follow the instructions in the procedural manual

  • 54. 
    As a nursing assistant, it is your responsibility to:
    • A. 

      Plan the resident's care

    • B. 

      Do the tasks the supervisor assigns to you

    • C. 

      Do the best you can without asking for help

    • D. 

      Compare assignments with your co-workers

  • 55. 
    The difference between a partial and complete bedbath is that:
    • A. 

      The partial bath is for adults

    • B. 

      The partial bath does not include the perineal area

    • C. 

      The complete bath is for very ill residents

    • D. 

      The partial bath includes hand face, axilla, back, and perineum

  • 56. 
    You should tell the licensed nurse if a resident with ________ does not finish the food on his tray.
    • A. 

      A stroke

    • B. 

      Cancer

    • C. 

      Diabetes

    • D. 

      Alzheimer's disease

  • 57. 
    Which statement about eating is not true?
    • A. 

      Blind residents us a "clock" system to located food

    • B. 

      All residents eat solid food only

    • C. 

      Residents like to help themselves as much as possible

    • D. 

      Residents need to be warned if you will be offering a hot liquid

  • 58. 
    Safety precaution for hot treatments should include:
    • A. 

      Leaving on the treatment for the time ordered

    • B. 

      Stopping the treatment if the skin is reddened

    • C. 

      Giving the treatment through a protective pad

    • D. 

      Both A and B

  • 59. 
    You and a helper are transferring a resident from the bed to a wheelchair. You should do all the following except:
    • A. 

      Place the chair away from the bed

    • B. 

      Remove the near armrest if you can

    • C. 

      Lock the wheels on the bed and wheelchair

    • D. 

      Place a bath blanket on the chair seat

  • 60. 
    Which statement about bladder retraining programs is correct?
    • A. 

      They should be completed within two weeks

    • B. 

      They should include the entire health care team

    • C. 

      They should involve withholding all fluids

    • D. 

      They should be planned for all residents