California Nursing Academy Nursing Assistant State Practice Exam 4
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NA state exam 4
- 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
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