Gna Practice Questions III

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  • 1/60 Questions

    Your resident has a right hemiplegia.When up in a chair, the resident's right arm should be

    • Placed in her lap
    • Allowed to dangle freely
    • Be elevated on a pillow in her lap
    • None of the above
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About This Quiz

GNA Practice Questions III offers targeted practice for nursing assistants focusing on geriatric care. It assesses essential skills in managing residents with physical disabilities, privacy needs, sexual health awareness, and prosthetic care. Ideal for learners aiming to improve bedside nursing competencies.

Gna Practice Questions III - Quiz

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  • 2. 

    When family members visit a resident, the visitors should

    • Stay in the day room

    • Stay a short while so as not to tire the resident

    • Be expected to help with care

    • Be allowed privacy with the resident

    Correct Answer
    A. Be allowed privacy with the resident
    Explanation
    The family should expect and be allowed privacy time with their loved one

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  • 3. 

    Sexuality changes in aging can result in

    • Decreased sexual desire

    • Unchanged sexual desire

    • Increased sexual desire

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individuals

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  • 4. 

    H.S. care is care that is given

    • Before meals

    • Before bedtime

    • After meals

    • Upon awakening

    Correct Answer
    A. Before bedtime
    Explanation
    H.S. care refers to care that is given before bedtime. This implies that the care is provided to the individual right before they go to sleep. It could include activities such as helping the person change into their night clothes, brushing their teeth, and ensuring they are comfortable and ready for bed. This type of care is important in maintaining good hygiene and ensuring a restful night's sleep for the individual.

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  • 5. 

    A prosthesis is

    • An artificial substitute for a missing body part

    • A device for moving patients

    • An expected condition of the aging process

    • A disease of the circulatory system

    Correct Answer
    A. An artificial substitute for a missing body part
    Explanation
    Examples of prostheses include artificial limbs, hearing aids, and dentures

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  • 6. 

    When you make a bed, you should place the soiled linen

    • On the bedside table

    • On the overbed table

    • In a laundry bag

    • On a chair

    Correct Answer
    A. In a laundry bag
    Explanation
    Soiled linen should be directly placed in laundry bags to prevent contaimination

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  • 7. 

    On entering a room, you notice that the patient is not breathing. You first action should be to

    • Call for help

    • Lay the resident down on his back

    • Give four quick breaths

    • Give 8-10 abdominal thrusts

    Correct Answer
    A. Call for help
    Explanation
    In this scenario, the correct action to take is to call for help. This is because the patient is not breathing, indicating a medical emergency. Calling for help is the first step to ensure that medical professionals can provide immediate assistance and potentially save the patient's life.

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  • 8. 

    A water pitcher has tipped over and you notice water on the floor. You should

    • Wipe it up immediately

    • Throw a towel over the water to prevent accidents

    • Notify the charge nurse

    • Call housekeeping

    Correct Answer
    A. Wipe it up immediately
    Explanation
    Take care of spills immediately, or patient may be injured while waiting for housekeeping

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  • 9. 

    When making an occupied bed, it is important to

    • Make half of the bed at one time

    • Have one side rail up and one down

    • Make a toe pleat in the top covers

    • Do all of the above

    Correct Answer
    A. Do all of the above
    Explanation
    When making an occupied bed, it is important to do all of the above. Making half of the bed at one time ensures that the patient remains comfortable and supported throughout the process. Having one side rail up and one down provides safety and stability for the patient. Making a toe pleat in the top covers helps to prevent pressure points on the patient's feet and ensures proper positioning. Therefore, all of these actions are necessary when making an occupied bed.

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  • 10. 

    A resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing

    • Back blows

    • Mouth to mouth ventilation

    • A finger sweep

    • Abdominal thrusts

    Correct Answer
    A. Abdominal thrusts
    Explanation
    Abdominal thrusts are always the first step for airway obstructions

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  • 11. 

    For a resident who is classified as wound and skin isolation, the soiled linen should be

    • Placed in the linen hamper

    • Discarded

    • Bagged before removing from the room

    • Taken directly to the laundry

    Correct Answer
    A. Bagged before removing from the room
    Explanation
    Wound and skin isolation means high likelihood of linen contamination. Therefore, all linens must be double-bagged

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  • 12. 

    Mr. Johnson has not had a bowel movement for five days. He might complain of

    • Abdominal cramping

    • Lack of appetite

    • Slight nausea

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Lack of peristalsis causes all of these symptoms and must be documented and reported

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  • 13. 

    Common signs and symptoms of urinary tract infection may include

    • Extreme thirst

    • Lack of appetite and stomach pain

    • No bowel movement for several days

    • Frequent urination with burning sensation

    Correct Answer
    A. Frequent urination with burning sensation
    Explanation
    The correct answer is frequent urination with burning sensation. This symptom is commonly associated with urinary tract infections. The burning sensation is caused by inflammation in the urinary tract, and the frequent urination is a result of the body's attempt to flush out the infection. Other symptoms such as extreme thirst, lack of appetite, stomach pain, and no bowel movement for several days are not typically associated with urinary tract infections.

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  • 14. 

    While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your fist response should be

    • Sit her on the floor and go get help

    • Call for help immediately but stay with her

    • Continue the walk so as not to alarm her

    • Tell her to relax because everything will be okay

    Correct Answer
    A. Call for help immediately but stay with her
    Explanation
    Never leave a patient alone in the time of an emergency.Get help immediately

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  • 15. 

    When giving daily care you should observe

    • General appearance

    • Mental condition

    • Skin condition

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    When giving daily care, it is important to observe the general appearance of the individual, which includes their overall physical condition and any noticeable changes. Observing the mental condition is also crucial to assess their cognitive abilities, mood, and behavior. Additionally, monitoring the skin condition is necessary to identify any abnormalities, such as rashes, wounds, or signs of infection. Therefore, all of the above observations are essential to ensure the well-being and health of the individual receiving care.

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  • 16. 

    During his bath, Mr. Ramirez complains of chest pain and shortness of breath. You should

    • Contact your supervisor immediately

    • Continue the bath

    • Stop the bath and have the resident take some deep breaths

    • Assist the resident to a chair to sit upright

    Correct Answer
    A. Contact your supervisor immediately
    Explanation
    Any chest pain should be reported immediately as it may be a sign of heart attack

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  • 17. 

    You observe that Mr. Nix has an open red area on her coccyx that is draining. You should

    • Wash the area with soap and water and apply alcohol

    • Ask another nursing assistant to look at it and give her opinion

    • Check it again the next day

    • Tell the supervisor so she can check it.

    Correct Answer
    A. Tell the supervisor so she can check it.
    Explanation
    An opening in the skin predisposes the patient to and must be checked by the nurse

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  • 18. 

    Behavior management is a system for

    • Making residents follow the rules

    • Increasing positive behavior

    • Punishing negative behavior

    • Making individual staff decisions

    Correct Answer
    A. Increasing positive behavior
    Explanation
    A positive behavior affects attitude and builds self-esteem

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  • 19. 

    Which statement about a family's involvement in a resident's care is correct?

    • Families should be asked to attend care plan meetings

    • Families should be asked to leave during care plan meetings

    • Families' wishes can have no effect on care planning

    • Families may attend religious services only

    Correct Answer
    A. Families should be asked to attend care plan meetings
    Explanation
    Promotes communication and continuity of care

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  • 20. 

    If Mrs. Force loses her temper and starts swearing, you should

    • Put her in her room

    • Swear back at her

    • Ignore the outburst

    • Follow the care plan

    Correct Answer
    A. Follow the care plan
    Explanation
    Don't reinforce negative behavior. The care plan should communicate what the staff is to do should the resident engage in undesirable behavior

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  • 21. 

    Before transferring the resident, you should first wash you hands and then

    • Explain what you are going to do

    • Requisition a Hoyer lift

    • Get help if needed

    • Assist the resident to her feet

    Correct Answer
    A. Get help if needed
    Explanation
    Before transferring the resident, it is important to ensure that you have taken necessary precautions such as washing your hands. Once this is done, you should prioritize getting help if needed. Transferring a resident can require physical strength and assistance, so it is crucial to have additional support if necessary. This ensures the safety and well-being of both the resident and the caregiver.

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  • 22. 

    When you have a resident sit up and dangle her legs before getting up, you should watch for

    • Sudden paleness

    • Excessive sweating

    • Increased respirations

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    When a resident sits up and dangles her legs before getting up, it is important to watch for sudden paleness, excessive sweating, and increased respirations. These signs may indicate that the resident is experiencing orthostatic hypotension, a sudden drop in blood pressure when changing positions. Sudden paleness can occur due to decreased blood flow to the skin, excessive sweating may be a compensatory mechanism to cool the body, and increased respirations can be a result of the body trying to compensate for the drop in blood pressure. Therefore, all of the above signs should be monitored to ensure the resident's safety and well-being.

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  • 23. 

    Before any transfer, you should

    • Have the nurse's approval

    • Know the proper procedure

    • Use a transfer belt if needed

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    The correct answer is "all of the above" because before any transfer, it is important to have the nurse's approval to ensure the safety and well-being of the patient. Additionally, knowing the proper procedure is crucial to prevent any injuries or complications during the transfer. Lastly, using a transfer belt if needed provides extra support and stability for both the patient and the caregiver, reducing the risk of falls or accidents. Therefore, all of these steps are necessary before performing any transfer.

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  • 24. 

    In caring for a confused elderly man, you should remember to

    • Keep the bedrails up except when you are at the bedside

    • Close the door to the room so that he does not disturb other patients

    • Keep the room dark and quiet at all times to keep the patient form becoming upset

    • Remind him each morning to shower and shave independently

    Correct Answer
    A. Keep the bedrails up except when you are at the bedside
    Explanation
    Keeping the bedrails up except when you are at the bedside is important in caring for a confused elderly man because it helps to ensure his safety. Confused elderly individuals may have difficulty understanding their surroundings and may be at risk of falling out of bed. By keeping the bedrails up, it provides a physical barrier that can prevent falls and injuries. However, it is also important to lower the bedrails when you are at the bedside to provide care and assistance to the patient. This allows for easier access and prevents the patient from feeling trapped or confined.

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  • 25. 

    While giving an unconscionably patient a bath, it is imporatnt to

    • Give passive range of motion to all joints

    • Let the team leader exercise the patient's joints

    • Call the physical therapist to exercise the patient afterwards

    • Exercise the patient only if the doctor has ordered it

    Correct Answer
    A. Give passive range of motion to all joints
    Explanation
    Passive ROM should always be given with the bath on an unconscious patient

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  • 26. 

    When assisting Mr. Cohen in learning to use a walker, you should

    • Stand behind him and use a transfer belt

    • Put padding all the way around the top rim

    • Let him walk by himself so he gains independence

    • Let him practice using the walker on the day he is discharged

    Correct Answer
    A. Stand behind him and use a transfer belt
    Explanation
    standing behind him and using a transfer belt protects both the client and the aide

    Rate this question:

  • 27. 

    Wrinkles in the bedclothes can

    • Overheat the patient

    • Irritate the patient's skin

    • Result in torn sheets

    • Restrict the patietn's activity

    Correct Answer
    A. Irritate the patient's skin
    Explanation
    Wrinkles in the bedclothes can irritate the patient's skin. When the bedclothes are wrinkled, they can create friction against the patient's skin, causing discomfort and irritation. This can lead to redness, itching, and even skin breakdown in some cases. It is important to ensure that the bedclothes are smooth and wrinkle-free to provide maximum comfort for the patient and prevent any skin irritation or damage.

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  • 28. 

    Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is

    • Done only when time permits

    • The family's responsibility

    • Necessary for rehabilitation

    • A violation of patient rights

    Correct Answer
    A. Necessary for rehabilitation
    Explanation
    Rehab should always be part of the care plan

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  • 29. 

    When assisting a patient with eating, one of the first things you should do is

    • Cut the meat bite-size pieces

    • Wash your hands and the patient's hands

    • Butter the patient's bread

    • Provide the patient with privacy

    Correct Answer
    A. Wash your hands and the patient's hands
    Explanation
    When assisting a patient with eating, it is important to prioritize hygiene and cleanliness. Washing your hands and the patient's hands before a meal helps to prevent the spread of germs and reduce the risk of infection. This step ensures that both you and the patient have clean hands, promoting a safe and healthy eating environment.

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  • 30. 

    The first thing you should do before giving a patient a tub bath is to

    • Make sure the tub is clean

    • Check the temperature of the water

    • Make sure there is an order for it

    • Gather necessary supplies

    Correct Answer
    A. Gather necessary supplies
    Explanation
    Check for an order on the care pan before performing any activity

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  • 31. 

    The resident's religion forbids eating pork. Ham is being served for lunch. You should

    • Tell the resident to eat it because she needs protein

    • Tell the resident it's all right since her doctor ordered the diet

    • Ask the nurse to call the kitchen

    • Tell the resident that restrictions don't pertain in times of illness

    Correct Answer
    A. Ask the nurse to call the kitchen
    Explanation
    The correct answer is to ask the nurse to call the kitchen. This is the most appropriate action because the resident's religion forbids eating pork, and as a healthcare professional, it is important to respect and accommodate the resident's religious beliefs and dietary restrictions. By asking the nurse to call the kitchen, they can inquire about alternative meal options that are suitable for the resident's dietary needs.

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  • 32. 

    When a resident is on I and O, which of the following are measured?

    • Liquids other than water

    • See-through liquids only

    • Milk, ice cream, and carbonated beverages

    • All substances that are fluid at room temperature

    Correct Answer
    A. All substances that are fluid at room temperature
    Explanation
    All items that are liquid at room temperature are considered fluid (for example, ice cream gelatin, dessert, and so on)

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  • 33. 

    An 85 year old resident tells you that his mother is coming to visit. Your best response would be,

    • "That is impossible. Your mother can't come to see you."

    • " That's nice, when is she coming?"

    • "Tell me how old your mother is."

    • "Are you wishing you could see your mother?"

    Correct Answer
    A. "Are you wishing you could see your mother?"
    Explanation
    D is the only response that uses therapeutic communication skills

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  • 34. 

    The nursing assistant must report abuse of a resident by

    • The family

    • The staff

    • Another patient

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Federal and state laws require reporting of any abuse, whether it comes from staff, family or other residents.

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  • 35. 

    Sexuality in long term care patients may included all of the following except

    • Needing private time with a partner

    • Caring about one's physical appearance

    • Engaging in public fondling

    • Desiring sexual interaction

    Correct Answer
    A. Engaging in public fondling
    Explanation
    As long term care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other resident's rights

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  • 36. 

    A resident who is eating poorly should be offered

    • Vitamin pills

    • Tube feeding

    • Clear broth

    • Dietary supplements

    Correct Answer
    A. Dietary supplements
    Explanation
    A resident who is eating poorly should be offered dietary supplements. This is because dietary supplements can provide essential nutrients that may be lacking in their diet. These supplements can help improve their overall nutrition and prevent any deficiencies. Offering dietary supplements is a practical and effective solution to ensure that the resident receives the necessary nutrients despite their poor eating habits.

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  • 37. 

    Each resident who is not NPO must always have

    • Fresh fruit

    • Three hot meals

    • Fresh water

    • Juice and pop

    Correct Answer
    A. Fresh water
    Explanation
    Residents who are not NPO (nothing by mouth) are allowed to consume food and beverages, unlike those who are on a restricted diet. Among the given options, fresh water is a necessity for all residents, regardless of their dietary restrictions. It is essential for hydration and maintaining overall health. While fresh fruit, three hot meals, and juice and pop might be important for a balanced diet, they are not mandatory for every resident who is not NPO.

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  • 38. 

    Which of the following is not a special or therapeutic diet?

    • Diabetic

    • Low salt

    • Bland

    • Regular

    Correct Answer
    A. Regular
    Explanation
    Regular diet is not considered a special or therapeutic diet because it does not have any specific restrictions or modifications. It is a standard diet that does not cater to any specific dietary needs or health conditions. On the other hand, diabetic diet is designed for individuals with diabetes to manage their blood sugar levels, low salt diet is recommended for individuals with high blood pressure or heart conditions, and bland diet is often prescribed for individuals with gastrointestinal issues.

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  • 39. 

    To prevent infection in a resident with an indwelling catheter, you should

    • Keep the drainage bag higher than the bladder

    • Do perineal care from front to back as needed

    • Let the tubing make a U loop below the bed

    • Do perineal care every other night

    Correct Answer
    A. Do perineal care from front to back as needed
    Explanation
    Always wipe from the front to the back to prevent rectal germs from entering the vagina or urinary tract

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  • 40. 

    Which statement about dressing residents is not true?

    • It is safer for a resident to wear shoes than slippers

    • Residents need to be completely dressed by the nurse aide

    • After a resident is dressed, he may still need a lap robe for privacy

    • Being dressed helps the resident's morale

    Correct Answer
    A. Residents need to be completely dressed by the nurse aide
    Explanation
    The statement "Residents need to be completely dressed by the nurse aide" is not true because residents have the right to choose how they want to dress and have control over their own clothing choices. The nurse aide should assist residents in dressing if needed, but it is not necessary for the nurse aide to completely dress the residents.

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  • 41. 

    Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use

    • A bedside commode

    • The toilet

    • A bedpan

    • A urinal

    Correct Answer
    A. A bedpan
    Explanation
    Keep the resident in bed to prevent a fall, but allow privacy while voiding

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  • 42. 

    A resident with a paralyzed left arm may be able to feed herself if she uses a

    • Plate guard

    • Build-up spoon

    • Zipper pull

    • A and b only

    Correct Answer
    A. A and b only
    Explanation
    A resident with a paralyzed left arm may be able to feed herself if she uses a plate guard and a build-up spoon. A plate guard can be placed around the edge of a plate to prevent food from falling off, making it easier for the resident to scoop food onto a spoon using her right hand. A build-up spoon has a larger handle, providing a better grip and making it easier for the resident to hold and manipulate the spoon with her right hand. A zipper pull is unrelated to the task of feeding oneself and would not assist in this situation.

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  • 43. 

    You perform passive range of motion exercises for a resident, you should do all the following except

    • Use good body mechanics

    • Move the joint until the resident feels pain

    • Keep the body covered except for the joint being exercised

    • Make the resident as he can

    Correct Answer
    A. Move the joint until the resident feels pain
    Explanation
    Never extend the joint to the point of pain

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  • 44. 

    Special devices that residents use to dress themselves include

    • Velcro closings

    • An extended shoe horn

    • A zipper pull

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Promote ADL and independent

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  • 45. 

    If the chains of a Hoyer lift are uneven, then the

    • Shorter end goes toward the resident's feet

    • Shorter end goes toward the resident's head

    • Lift cannot be used

    • Nurse must be called

    Correct Answer
    A. Shorter end goes toward the resident's head
    Explanation
    Bring the patient to a sitting position by lifting the head and back forward

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  • 46. 

    Which of the following statements about range of motion exercises is not true?

    • Active range of motion means the resident does the exercises

    • Passive range of motion means the nursing assistant does the exercises

    • Active range of motion means the nursing assistant does the exercises

    • Active range of motion is best for the resident, when possible

    Correct Answer
    A. Active range of motion means the nursing assistant does the exercises
    Explanation
    AROM means the patient performs his or her own exercises

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  • 47. 

    Because of lack of exercise, bedridden residents often develop

    • Decubitus ulcers

    • Foot drop

    • Contractures and muscle atrophy

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    Exercise promotes and improves circulation in bedridden patients

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  • 48. 

    When reporting your patient's condition to your team leader, you should report immediately

    • Rash that appears suddenly

    • Warm, dry, and pink skin

    • Tough skin on the feet

    • Scarred skin

    Correct Answer
    A. Rash that appears suddenly
    Explanation
    Only A is an acute change

    Rate this question:

  • 49. 

    When caring for a patient with a nasogastric tube, you should

    • Offer the patient water if she starts to gag

    • Take the tape off the nose if it bothers the patient

    • Never unfasten the connecting tubing from the patient's gown

    • Protect the tube when moving or changing the patient's position

    Correct Answer
    A. Protect the tube when moving or changing the patient's position
    Explanation
    You must ensure that the tube is not dislodged

    Rate this question:

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

  • Current Version
  • Oct 06, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 28, 2016
    Quiz Created by
    Celine3311

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