California Nursing Academy Nursing Assistant State Practice Exam 4

When assisting a patient to use the bedside commode, it is important to leave the signal cord within reach so that the patient can call for assistance if needed. Placing toilet tissue close by ensures that the patient can maintain hygiene during and after using the commode. Returning to check on the patient periodically is crucial to ensure their safety and well-being while using the commode. Therefore, all of the above options are important when assisting a patient to use the bedside commode.

A wrong because flow is set by the physician
B wrong because wool can cause sparks
C wrong because alcohol causes drying.

This may be an indication of a serious condition and should be reported immediately.

Encourage independence as much as possible.

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.

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.

Self-esteem promotes wellness. We all want to look nice and care about our personal appearance.

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.

D is a soft diet.

All are expected outcomes of a shampoo.

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.

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).

Fluid held in body tissues that may make them swell is edema.

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.

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.

Check the skin frequently for redness and remove the soak if the patient complains of burning.

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.

Wrinkles in the linen cause skin irritations, which lead to breakdown of the tissue and possible decubitus.

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.

B vs are very low.

to prevent and reduce swelling.

Allow Beth to make decisions about her health care. This will prevent depression and allow her to make choices.

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.

Always put the affected limb into the clothing first to prevent any injury to the limb.

Asking for help when you are unsure of yourself is a critical element of employability skills.

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.

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.

Changing the position of weights requires a doctor's order.

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.

The leg muscles are the strongest muscles of the body.

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.

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.

The egg carton stimulates the skin and allows for ventilation around the skin.

The skin is delicate, and partial baths are given to prevent drying of the skin while promoting good hygiene.

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.

Remove the sleeve from the arm without tubing first.

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

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.

Shake and shout to determine if the patient is oriented.

Oxygen does not interfere with oral hygiene.

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.

Cleaning from the inside outward prevents contamination from the other eye. Using a clean cloth and reporting any drainage promotes healing.

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.

A fracture type bedpan can be used by any patient who should not be lifted or turned.

Active ROM means the resident moves his or her won limbs.

The role of the caregiver is to act professional and focus on patient care.

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.

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.

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

Locking arms will allow the patient to help in lifting to a sitting position.