California Nursing Academy Nursing Assistant State Practice Exam 4

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  • 1/60 Questions

    When assisting a patient to use the bedside commode, it is important to:

    • Leave the signal cord within reach
    • Place toilet tissue close by
    • Return to check on the patient periodically
    • All of the above
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About This Quiz

The California Nursing Academy Nursing Assistant State Practice Exam 4 assesses key knowledge in nursing assistance. It covers topics like patient care, dietary considerations, and medical terminology, crucial for aspiring nursing assistants.

California Nursing Academy Nursing Assistant State Practice Exam 4 - Quiz

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  • 2. 

    Safe use of oxygen therapy includes:

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

    • Using wool blankets only

    • Cleansing the nasal prongs each shift with alcohol

    • Posting a "no smoking' sign on the door

    Correct Answer
    A. Posting a "no smoking' sign on the door
    Explanation
    A wrong because flow is set by the physician
    B wrong because wool can cause sparks
    C wrong because alcohol causes drying.

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  • 3. 

    If a resident complains of a burning, tingling skin area, you should first:

    • Rub the area well with lotion

    • Report the complaint to the licensed nurse

    • Keep an eye on the area for a few days

    • Use cornstarch on the area

    Correct Answer
    A. Report the complaint to the licensed nurse
    Explanation
    This may be an indication of a serious condition and should be reported immediately.

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  • 4. 

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

    • Do it for her

    • Pay particular attention to the left side of the mouth

    • Tell her to get out the equipment an do it herself

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

    Correct Answer
    A. Let her do as much as she can and assist as needed
    Explanation
    Encourage independence as much as possible.

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  • 5. 

    Which abbreviation means no food and no water should be given?

    • NFL

    • PON

    • NPO

    • NBA

    Correct Answer
    A. NPO
    Explanation
    The abbreviation NPO stands for "nothing by mouth" or "nil per os" in Latin. It is used in medical settings to indicate that a patient should not be given any food or water orally. This may be necessary before certain medical procedures, surgeries, or when a patient is unable to safely swallow. It is important to follow NPO orders to prevent complications and ensure the patient's safety during medical interventions.

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  • 6. 

    The major moves in range of motion exercises include:

    • Abduction and adduction

    • Flexion and extension

    • Rotation, supination, and pronation

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The major moves in range of motion exercises include abduction and adduction, flexion and extension, and rotation, supination, and pronation. These movements involve different joints and muscles in the body and help improve flexibility, strength, and overall joint health. By performing exercises that involve all of these movements, individuals can target various muscle groups and improve their overall range of motion.

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  • 7. 

    Which statement about dressing residents is correct?

    • Dressing is a waste of time for a handicapped person

    • Residents are used to dressing in front of others

    • Residents care about what they wear

    • Resident like the nurse aide to dress them

    Correct Answer
    A. Residents care about what they wear
    Explanation
    Self-esteem promotes wellness. We all want to look nice and care about our personal appearance.

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  • 8. 

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

    • Clock face

    • Human face

    • Pyramid

    • Calculator

    Correct Answer
    A. Clock face
    Explanation
    When assisting a blind resident to eat, setting the plate up as a clock face would be the most appropriate option. This means arranging the food items on the plate in a circular pattern, similar to the numbers on a clock. By doing so, the blind individual can easily locate different food items by using their sense of touch and spatial awareness. This arrangement allows them to navigate the plate and find specific foods without assistance, promoting independence and a sense of control during mealtime.

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  • 9. 

    The best food choices for a geriatric patient with no teeth would include:

    • Hamburger, French fries, corn, and ice cream

    • Baked chicken, dressing, green beans, and coconut macaroons

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

    • Baked fish, whipped potatoes, spinach souffle and tapioca

    Correct Answer
    A. Baked fish, whipped potatoes, spinach souffle and tapioca
    Explanation
    D is a soft diet.

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  • 10. 

    You would shampoo a resident's hair to improve:

    • Circulation to the scalp

    • The resident's general appearance

    • The resident's feeling of well-being

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All are expected outcomes of a shampoo.

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  • 11. 

    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:

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

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

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

    • Accept the condition as normal and reassure Mrs. Wilson

    Correct Answer
    A. Realized that this may be a sign of a CVA and notify the charge nurse
    Explanation
    Mrs. Wilson's symptoms of numbness on one side of her body, weak grip, and slurred speech are indicative of a CVA (cerebrovascular accident), also known as a stroke. It is important to recognize these signs and take immediate action. Notifying the charge nurse allows for prompt medical attention to be provided to Mrs. Wilson, increasing the chances of a favorable outcome. Calling the doctor and informing them about the possibility of a CVA would also be a suitable course of action. However, checking Mrs. Wilson's condition the next day or accepting the condition as normal would not be appropriate responses in this situation.

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  • 12. 

    Another name for urination is:

    • Defecation

    • Voiding

    • Wetting the bed

    • Flatus

    Correct Answer
    A. Voiding
    Explanation
    The term "voiding" is another name for urination. It refers to the process of emptying the bladder by releasing urine. This term is commonly used in medical and healthcare settings to describe the act of urinating. It is a more formal and technical term compared to other options listed such as "defecation" (which refers to bowel movements), "wetting the bed" (which refers to involuntary urination during sleep), and "flatus" (which refers to passing gas).

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  • 13. 

    Swelling caused by excess fluid in body tissues is called:

    • Fluid intake

    • Diarrhea

    • Perspiration

    • Edema

    Correct Answer
    A. Edema
    Explanation
    Fluid held in body tissues that may make them swell is edema.

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  • 14. 

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

    • Inserting of catheter

    • Prevention of infection

    • Checking to make sure the catheter is draining property

    • Recording output

    Correct Answer
    A. Inserting of catheter
    Explanation
    The nursing assistant's responsibility with catheterized patients includes prevention of infection, checking to make sure the catheter is draining properly, and recording output. However, inserting the catheter is not the nursing assistant's responsibility. This task is typically performed by a nurse or a healthcare professional with the necessary training and expertise.

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  • 15. 

    Which of the following activities should be included in personal daily hygiene?

    • Shaving male resident

    • Hair care

    • Oral hygiene

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All of the above activities should be included in personal daily hygiene. Shaving for male residents helps maintain a clean and groomed appearance. Hair care, such as brushing and washing, is important for cleanliness and preventing scalp issues. Oral hygiene, including brushing teeth and using mouthwash, is crucial for maintaining dental health and preventing bad breath. Including all of these activities in daily hygiene routine ensures overall cleanliness and well-being.

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  • 16. 

    Safety precaution for hot treatments should include:

    • Leaving on the treatment for the time ordered

    • Stopping the treatment if the skin is reddened

    • Giving the treatment through a protective pad

    • Both A and B

    Correct Answer
    A. Both A and B
    Explanation
    Check the skin frequently for redness and remove the soak if the patient complains of burning.

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  • 17. 

    A procedure manual is a:

    • Written set of instructions on how to perform procedures

    • Set of directions needed to complete your job description

    • Book of directions for administering medications

    • Book listing the procedures you have been assigned to do

    Correct Answer
    A. Written set of instructions on how to perform procedures
    Explanation
    A procedure manual is a written set of instructions on how to perform procedures. It serves as a guide or reference for individuals to follow step-by-step instructions in order to carry out specific tasks or processes. This manual provides detailed information and guidelines on the correct methods, techniques, and protocols to be followed while performing the procedures. It helps ensure consistency, accuracy, and efficiency in carrying out tasks, and also serves as a valuable resource for training new employees or refreshing existing employees on established procedures.

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  • 18. 

    Keeping a resident's bed linens dry and tight helps to prevent:

    • Bacteria from growing

    • Decubitus ulcers

    • Wrinkles

    • Skin diseases

    Correct Answer
    A. Decubitus ulcers
    Explanation
    Wrinkles in the linen cause skin irritations, which lead to breakdown of the tissue and possible decubitus.

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  • 19. 

    Which statement about the handwashing procedure is correct?

    • The faucet is clean and may be touched during handwashing

    • Wash at least two inches above the wrist

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

    • All of the above are correct

    Correct Answer
    A. Wash at least two inches above the wrist
    Explanation
    Washing at least two inches above the wrist is the correct statement about the handwashing procedure. This is because washing above the wrist ensures that all areas of the hands and wrists are thoroughly cleaned, including the areas that are most likely to come into contact with contaminants. By washing above the wrist, it helps to prevent the spread of germs and maintain good hand hygiene.

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  • 20. 

    Which of the following vital signs should be reported immediately?

    • T-98.6, P-70, R-14, BP-120/60

    • T-95.4, P-40, R-10, BP-80/40

    • T-98.8 "R", P-60, BP-132/70

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

    Correct Answer
    A. T-95.4, P-40, R-10, BP-80/40
    Explanation
    B vs are very low.

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  • 21. 

    The purpose of cold applications is usually to:

    • Speed the flow of blood to the area

    • Prevent heat exhaustion

    • Prevent or reduce swelling

    • Prevent the formation of scar tissue

    Correct Answer
    A. Prevent or reduce swelling
    Explanation
    to prevent and reduce swelling.

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  • 22. 

    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:

    • Telling her she is very lucky to retire so early

    • Including her in care planning conferences

    • Serving her dinner first

    • Calling her "Mom"

    Correct Answer
    A. Including her in care planning conferences
    Explanation
    Allow Beth to make decisions about her health care. This will prevent depression and allow her to make choices.

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  • 23. 

    OSHA rules require all health care workers to be offered immunization against:

    • Hepatitis B

    • Hepatitis A

    • Hepatitis C

    • AIDS

    Correct Answer
    A. Hepatitis B
    Explanation
    OSHA (Occupational Safety and Health Administration) rules mandate that all healthcare workers be offered immunization against hepatitis B. This is because healthcare workers are at a higher risk of exposure to blood and bodily fluids, which can transmit the hepatitis B virus. By offering immunization, employers can protect their healthcare workers from contracting and spreading the virus in the workplace. Immunization against hepatitis A, hepatitis C, and AIDS may also be recommended, but it is not specifically required by OSHA rules.

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  • 24. 

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

    • Put his right arm into his shirt first

    • Put his left arm into his shirt first

    • Put both arms in the shirt at the same time

    • Wear a gown to make dressing easier

    Correct Answer
    A. Put his right arm into his shirt first
    Explanation
    Always put the affected limb into the clothing first to prevent any injury to the limb.

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  • 25. 

    If you do not know how to do an assigned task, you should:

    • Call another nursing assistant for help

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

    • Call the charge nurse and ask for help

    • Follow the instructions in the procedural manual

    Correct Answer
    A. Call the charge nurse and ask for help
    Explanation
    Asking for help when you are unsure of yourself is a critical element of employability skills.

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  • 26. 

    As a nursing assistant, it is your responsibility to:

    • Plan the resident's care

    • Do the tasks the supervisor assigns to you

    • Do the best you can without asking for help

    • Compare assignments with your co-workers

    Correct Answer
    A. Do the tasks the supervisor assigns to you
    Explanation
    Choice a is incorrect because you are a member of the planning team, not the major planner. The choice C is incorrect because I health care the correct action is often to ask for help. Choice D is incorrect because there is no legitimate reason to compare notes with co-workers.

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  • 27. 

    Which statement about eating is not true?

    • Blind residents us a "clock" system to located food

    • All residents eat solid food only

    • Residents like to help themselves as much as possible

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

    Correct Answer
    A. All residents eat solid food only
    Explanation
    The statement "All residents eat solid food only" is not true because it assumes that all residents have the same dietary preferences and needs. In reality, some residents may have difficulty chewing or swallowing solid food and may require a modified diet or alternative forms of nutrition such as pureed or liquid diets. It is important to consider individual dietary requirements and provide appropriate options for residents.

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  • 28. 

    If a patient is in traction, you should not:

    • Monitor affected skin temperature

    • Give a complete bedbath

    • Change the position of the weights

    • Monitor distal pulses

    Correct Answer
    A. Change the position of the weights
    Explanation
    Changing the position of weights requires a doctor's order.

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  • 29. 

    Nonverbal communication includes:

    • Talking to the resident

    • Observing the resident's body language

    • Asking the resident if he/she is in pain

    • All of the above

    Correct Answer
    A. Observing the resident's body language
    Explanation
    Nonverbal communication includes observing the resident's body language. This is because nonverbal cues such as facial expressions, gestures, and posture can convey important information about a person's emotions, thoughts, and physical well-being. By paying attention to these nonverbal cues, healthcare professionals can gain insights into a resident's comfort level, pain, or discomfort, even if they are unable to verbally communicate. This allows for better understanding and more effective care.

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  • 30. 

    Using your longest and strongest muscles to lift means you should use your:

    • Arm muscles first

    • Back muscle first

    • Leg muscles first

    • Neck muscles first

    Correct Answer
    A. Leg muscles first
    Explanation
    The leg muscles are the strongest muscles of the body.

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  • 31. 

    The nursing assistant must use a stethoscope to determine the:

    • Apical pulse rate

    • Carotid pulse rate

    • Popliteal pulse rate

    • Brachial pulse rate

    Correct Answer
    A. Apical pulse rate
    Explanation
    The nursing assistant must use a stethoscope to determine the apical pulse rate because the apical pulse is located at the apex of the heart, which is best heard through auscultation. The stethoscope helps amplify the sound of the heartbeat, allowing the nursing assistant to accurately count the number of heartbeats per minute. The carotid pulse rate can be measured by palpating the carotid artery in the neck, the popliteal pulse rate can be measured by palpating the popliteal artery behind the knee, and the brachial pulse rate can be measured by palpating the brachial artery in the upper arm. However, the apical pulse rate is the most accurate reflection of the heart's activity.

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  • 32. 

    The order "vital signs QID " means to record vital signs:

    • Four times per day

    • Twice per day

    • Morning and evening

    • Once per shift

    Correct Answer
    A. Four times per day
    Explanation
    The order "vital signs QID" means that the vital signs need to be recorded four times per day. This indicates that the healthcare provider should measure and document the patient's vital signs, such as blood pressure, heart rate, respiratory rate, and temperature, four times in a 24-hour period. This frequency allows for regular monitoring of the patient's health status and helps healthcare professionals to identify any changes or abnormalities in the vital signs.

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  • 33. 

    Special protective devices used to decrease the risk of decubitus ulcers include the:

    • Egg carton mattress

    • Hoyer lift

    • Walker

    • Orthotic device

    Correct Answer
    A. Egg carton mattress
    Explanation
    The egg carton stimulates the skin and allows for ventilation around the skin.

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  • 34. 

    The difference between a partial and complete bedbath is that:

    • The partial bath is for adults

    • The partial bath does not include the perineal area

    • The complete bath is for very ill residents

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

    Correct Answer
    A. The partial bath includes hand face, axilla, back, and perineum
    Explanation
    The skin is delicate, and partial baths are given to prevent drying of the skin while promoting good hygiene.

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  • 35. 

    Which of the following is true regarding visually challenged residents?

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

    • Residents usually prefer to treat alone.

    • Patients prefer to be fed to prevent spills.

    • All of the above are true.

    Correct Answer
    A. Blind patients use a "clock" system to located food.
    Explanation
    Most blind patients can feed themselves in a dining room setting if they can visualize their food on a plate. A clock system allows them to this.

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  • 36. 

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

    • Remove the opposite arm from the gown first

    • Have the nurse remove the IV needle

    • Disconnect the bag and tubing

    • Slip the gown over the IV solution bag

    Correct Answer
    A. Remove the opposite arm from the gown first
    Explanation
    Remove the sleeve from the arm without tubing first.

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  • 37. 

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

    • A stroke

    • Cancer

    • Diabetes

    • Alzheimer's disease

    Correct Answer
    A. Diabetes
    Explanation
    The diabetic's blood sugar is controlled by diet and medication. Any food not eaten will affect the level of the blood sugar

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  • 38. 

    If a resident asks a question you cannot answer, you should:

    • Tell the resident you will look it up

    • Ask the charge nurse to talk to the resident about it

    • Call the doctor to talk to the resident

    • Tell the resident that you cannot answer the question

    Correct Answer
    A. Ask the charge nurse to talk to the resident about it
    Explanation
    If a resident asks a question that the caregiver cannot answer, it is appropriate to ask the charge nurse to talk to the resident about it. This is because the charge nurse is likely to have more knowledge and experience to address the resident's concerns or questions. It ensures that the resident receives accurate and reliable information from a qualified professional.

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  • 39. 

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

    • Run back to the nurse's station to get help

    • Help her to a chair, and then resume her shower

    • Shake her and shout "Are you okay?"

    • Scold her for not asking for assistance with her shower

    Correct Answer
    A. Shake her and shout "Are you okay?"
    Explanation
    Shake and shout to determine if the patient is oriented.

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  • 40. 

    Giving good oral care to a resident includes all of the following except:

    • Wearing gloves

    • Handling and storing dentures carefully

    • Using dental floss

    • Removing oxygen before brushing

    Correct Answer
    A. Removing oxygen before brushing
    Explanation
    Oxygen does not interfere with oral hygiene.

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  • 41. 

    Sputum is material that is coughed up from the:

    • Nose

    • Lungs

    • Throat

    • Stomach

    Correct Answer
    A. Lungs
    Explanation
    Sputum is material that is coughed up from the lungs. It consists of mucus, cellular debris, and sometimes pus or blood. When a person coughs, the sputum is expelled from the respiratory tract, specifically from the lungs. This can occur due to various respiratory conditions such as bronchitis, pneumonia, or tuberculosis. Analyzing the characteristics of sputum, such as color, consistency, and odor, can provide valuable information for diagnosing and monitoring respiratory diseases.

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  • 42. 

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

    • Clean it from the inner corner to the outer edge

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

    • Report any exudate

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Cleaning from the inside outward prevents contamination from the other eye. Using a clean cloth and reporting any drainage promotes healing.

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  • 43. 

    The enzyme secreted by the liver to help digest fat is:

    • Bile

    • Insulin

    • Estrogen

    • Lactose

    Correct Answer
    A. Bile
    Explanation
    Bile is the correct answer because it is an enzyme that is secreted by the liver to aid in the digestion and absorption of fats. Bile helps to emulsify fats, breaking them down into smaller droplets that can be more easily digested by enzymes in the small intestine. It also helps in the absorption of fat-soluble vitamins.

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  • 44. 

    A fracture-type bedpan is used for residents who:

    • Are in traction

    • Have had hip surgery

    • Have a back injury

    • Have any of the above conditions

    Correct Answer
    A. Have any of the above conditions
    Explanation
    A fracture type bedpan can be used by any patient who should not be lifted or turned.

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  • 45. 

    Which of the following statements about ROM is False?

    • Active ROM means the resident does the exercise

    • Passive ROM means the nursing assistant does the exercises

    • Active ROM means the nursing assistant does the exercises

    • Active ROM is best, if possible

    Correct Answer
    A. Active ROM means the nursing assistant does the exercises
    Explanation
    Active ROM means the resident moves his or her won limbs.

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  • 46. 

    Which statement about horseplay and practical jokes is correct?

    • They are permitted if no one is insulted

    • They are acceptable during breaks

    • They can cause accidents and are unacceptable

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

    Correct Answer
    A. They can cause accidents and are unacceptable
    Explanation
    The role of the caregiver is to act professional and focus on patient care.

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  • 47. 

    The phase when the heart is at rest in called:

    • Systole

    • Diastole

    • Asystole

    • Cardiac arrest

    Correct Answer
    A. Diastole
    Explanation
    Diastole is the correct answer because it refers to the phase when the heart is at rest. During diastole, the heart's chambers relax and fill with blood before the next contraction. This phase allows the heart to refill with oxygenated blood and prepare for the next cycle of pumping. Systole, on the other hand, is the phase when the heart contracts and pumps blood out of the chambers. Asystole and cardiac arrest both refer to the absence of any heart activity, which is not the correct phase for this question.

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  • 48. 

    Which statement about a routine urine specimen is correct?

    • It must be taken first thing in the morning

    • It can be collected any time of the day

    • It does not have to be stored in the refrigerator

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

    Correct Answer
    A. It can be collected any time of the day
    Explanation
    A routine urine specimen can be collected at any time of the day because it does not require any specific timing. Unlike other types of urine tests that may require fasting or specific timing, a routine urine specimen is used for general screening purposes and can be collected whenever convenient for the patient. It is not necessary to collect it first thing in the morning or store it in the refrigerator. Additionally, noting it on the intake and output (I & O) sheet is not required as it is a routine test.

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  • 49. 

    The abbreviation TPN stands for:

    • Total protein nutrients

    • Total parenteral nutrition

    • Total parietal nutrients

    • None of the above

    Correct Answer
    A. Total parenteral nutrition
    Explanation
    While rare in the past, this kind of nutrition is much more common in long-term care today. It is also called hyperalimentation.

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Quiz Review Timeline (Updated): Mar 17, 2023 +

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

  • Current Version
  • Mar 17, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 08, 2010
    Quiz Created by
    Sylvia9879
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