Fy 15 Clc Hct/CNA Annual Education Policy/Procedure/Protocol Quiz
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RHJ is a latex free facility.
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True
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False
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About This Quiz
This quiz assesses knowledge of healthcare policies, patient safety procedures, and emergency protocols at RHJ VAMC. It covers topics such as latex-free environments, patient identification, use of lifts, and communication assistance for patients with special needs.
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- 2.
What is the proper procedure to verify a patient's identification?
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Ask the patient to state his/her full name and last four of social security number
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Ask the patient to state his/her last name and last four of social security number
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Ask the patient to state his/her full name and full social security number
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Ask the patient to state his/her last name and last full social security number
Correct Answer
A. Ask the patient to state his/her full name and full social security numberExplanation
Asking the patient to state his/her full name and full social security number is the proper procedure to verify a patient's identification. This ensures that the patient provides their complete name and social security number, which are important for accurate identification and record-keeping purposes. Asking for the last name and last four of the social security number may not provide enough information for accurate identification.Rate this question:
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- 3.
How many staff members are required when using a lift for safe patient handling?
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It can be used with only one person
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A minimum of 2 people
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At least 3 people if SCI patient
Correct Answer
A. A minimum of 2 peopleExplanation
When using a lift for safe patient handling, a minimum of 2 people are required. This is because one person operates the lift and ensures the patient's safety, while the other person assists in positioning and supporting the patient during the transfer. This ensures that the patient is lifted and moved safely without putting excessive strain on any individual involved in the process.Rate this question:
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- 4.
What is the facility's (RHJ VAMC) emergency number?
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5911
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6911
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7911
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8911
Correct Answer
A. 7911Explanation
The facility's (RHJ VAMC) emergency number is 7911.Rate this question:
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- 5.
Ceiling lifts are the only safe patient handling devices that are available at the VA for safe patient handling.
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True
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False
Correct Answer
A. FalseExplanation
The statement is false because ceiling lifts are not the only safe patient handling devices available at the VA. There are other devices such as transfer belts, slide sheets, and mechanical lifts that are also used for safe patient handling.Rate this question:
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- 6.
Nursing NA/HCT are allowed to chart on the Hourly Rounds Flowsheet and the Nursing shift note.
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True
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False
Correct Answer
A. TrueExplanation
Nursing NA/HCT are allowed to chart on the Hourly Rounds Flowsheet and the Nursing shift note. This means that nursing NA/HCT have the authority and responsibility to record their observations and interventions on these specific documentation tools. They are permitted to document their activities and findings on the Hourly Rounds Flowsheet, which is used to track patient care throughout the day. Additionally, they can also chart on the Nursing shift note, which is a comprehensive summary of the patient's condition and care provided during a specific shift.Rate this question:
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- 7.
What is the acceptable range for temperture in an adult?
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96.8F - 100.4F
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97.8F - 100.4F
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97F - 100.4F
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98.6F - 100.4F
Correct Answer
A. 96.8F - 100.4FExplanation
The acceptable range for temperature in an adult is 96.8F - 100.4F. This range is considered normal for most adults and indicates a healthy body temperature.Rate this question:
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- 8.
What is the acceptable range for pulse rate in an adult patient?
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50 - 100 beats/min.
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60 - 100 beats/min.
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70 - 100 beats/min.
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80 - 100 beats/min.
Correct Answer
A. 60 - 100 beats/min.Explanation
The acceptable range for pulse rate in an adult patient is 60 - 100 beats/min. This range is considered normal for a healthy adult. A pulse rate below 60 beats/min is considered bradycardia, which may indicate a slow heart rate. On the other hand, a pulse rate above 100 beats/min is considered tachycardia, which may indicate a fast heart rate. Therefore, a pulse rate between 60 and 100 beats/min is considered within the acceptable range for an adult patient.Rate this question:
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- 9.
What is the acceptable range for respirations in the adult patient?
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14 - 20
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14 - 24
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12 - 20
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12 - 24
Correct Answer
A. 12 - 20Explanation
The acceptable range for respirations in the adult patient is 12 - 20. This range indicates the normal breathing rate for adults, with an average of 12 to 20 breaths per minute. Respirations outside of this range may indicate a respiratory problem or other underlying health issue.Rate this question:
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- 10.
What is the average B/P in an adult patient?
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< 120 / < 80 mm Hg
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< 110 / < 70 mm Hg
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< 120 / < 90 mm Hg
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< 100 / < 70 mm Hg
Correct Answer
A. < 120 / < 80 mm HgExplanation
The correct answer is < 120 / < 80 mm Hg. This answer represents the average blood pressure in an adult patient. The first number, 120, represents the systolic pressure, which is the pressure in the arteries when the heart beats and pumps blood. The second number, 80, represents the diastolic pressure, which is the pressure in the arteries when the heart is at rest between beats. This range is considered to be within the normal range for blood pressure in adults.Rate this question:
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- 11.
What is the acceptable range for 02 saturation?
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90 - 100
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92 - 100
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95 - 100
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98 - 100
Correct Answer
A. 95 - 100Explanation
The acceptable range for O2 saturation is 95 - 100. This means that a person's blood should ideally be saturated with oxygen at a level between 95% and 100%. O2 saturation is an important measure of how well the lungs are functioning and how efficiently oxygen is being delivered to the body's tissues. A saturation level below 95% may indicate a potential respiratory or circulatory problem.Rate this question:
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- 12.
HCTs/NAs should participate in the Post Fall Huddle meetings.
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False
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True
Correct Answer
A. TrueExplanation
HCTs/NAs should participate in the Post Fall Huddle meetings because these meetings are designed to discuss and analyze the circumstances surrounding a patient's fall. By involving the healthcare team and nursing assistants, valuable insights can be gained regarding the event, potential causes, and preventive measures. This collaborative approach allows for a comprehensive review of the fall incident and helps in developing strategies to prevent future falls. Therefore, it is important for HCTs/NAs to actively participate in these meetings to ensure a thorough analysis and effective fall prevention strategies.Rate this question:
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- 13.
According to the CPM 136-12-02, who does one call to obtain assistance for a hard of hearing patient or a language interpreter?
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AT & T Relay Service
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TTY Phone
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Bellsouth Relay Service
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Both A & B
Correct Answer
A. Both A & BExplanation
According to CPM 136-12-02, one can call both the AT & T Relay Service and the TTY Phone to obtain assistance for a hard of hearing patient or a language interpreter.Rate this question:
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- 14.
Common areas of increased risk for pressure ulcers include all except:
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Elbows
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Occiput
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Knees
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Thighs
Correct Answer
A. ThighsExplanation
Pressure ulcers, also known as bedsores, occur when there is prolonged pressure on the skin, leading to tissue damage. Common areas at increased risk for pressure ulcers are those with bony prominences, where the skin is in direct contact with underlying bones. These areas include the elbows, occiput (back of the head), and knees. However, the thighs are not typically considered high-risk areas for pressure ulcers as they have more muscle and adipose tissue, providing better cushioning and reducing the risk of tissue damage.Rate this question:
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- 15.
Factors that will increase the risk of pressure ulcer development in residents are: (select all that apply)
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Dry skin
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Incontinence
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Spasticity
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Poor positioning
Correct Answer(s)
A. Dry skin
A. Incontinence
A. Spasticity
A. Poor positioningExplanation
Dry skin, incontinence, spasticity, and poor positioning are all factors that can increase the risk of pressure ulcer development in residents. Dry skin can make the skin more prone to damage and breakdown. Incontinence can lead to prolonged exposure to moisture, which can weaken the skin and make it more susceptible to pressure ulcers. Spasticity, which is involuntary muscle contractions, can cause friction and shear forces that can damage the skin. Poor positioning, such as prolonged immobility or being in a position that puts excessive pressure on certain areas, can also increase the risk of pressure ulcers.Rate this question:
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- 16.
Pre-thickened liquids are available for residents with a diagnosis of:
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Hypertension
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Diabetes
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Dysphagia
Correct Answer
A. DysphagiaExplanation
Pre-thickened liquids are available for residents with a diagnosis of dysphagia. Dysphagia is a medical condition characterized by difficulty in swallowing. Thickened liquids can help individuals with dysphagia by making it easier for them to swallow safely and reduce the risk of choking or aspiration. Hypertension and diabetes are unrelated to the need for pre-thickened liquids.Rate this question:
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- 17.
A patient is experiencing chest pain, the nurse may ask you to perform the following tasks EXCEPT:
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Obtain vital signs
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Obtain EKG
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Obtain oxygen saturation level
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Give nitroglycerin
Correct Answer
A. Give nitroglycerinExplanation
The nurse may ask you to perform several tasks when a patient is experiencing chest pain, including obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels. However, giving nitroglycerin is not a task that the nurse would ask you to perform in this situation. Nitroglycerin is a medication that is commonly used to relieve chest pain or angina, but it is typically administered by the nurse or healthcare provider, not by a non-medical personnel.Rate this question:
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- 18.
HCT/NA responsibility when caring for the elderly's skin include all the following EXCEPT:
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Bathing
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Linen-3 layers only
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Barrier cream to redden areas
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Inform nurse of areas of reddness
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All of the ablove
Correct Answer
A. Linen-3 layers onlyExplanation
The correct answer is "Linen-3 layers only." When caring for the elderly's skin, HCT/NA responsibilities include bathing, applying barrier cream to reddened areas, and informing the nurse of areas of redness. However, the number of layers of linen used is not a responsibility related to skin care.Rate this question:
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- 19.
The following are tasks that a HCT/NA should perform when caring for a patient with an indwelling foley catheter (select all that apply):
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Peri care with soap and water every shift
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Secure tubing below the level of the bladder
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Empty foley bag at the end of each shift and record
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Check for signs of infection and report to the nurse
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Use sterile precautions when performing care.
Correct Answer(s)
A. Peri care with soap and water every shift
A. Secure tubing below the level of the bladder
A. Empty foley bag at the end of each shift and record
A. Check for signs of infection and report to the nurseExplanation
The tasks that a HCT/NA should perform when caring for a patient with an indwelling foley catheter include peri care with soap and water every shift to maintain cleanliness and prevent infection, securing the tubing below the level of the bladder to prevent urine reflux, emptying the foley bag at the end of each shift and recording the output to monitor urinary output, and checking for signs of infection and reporting them to the nurse for prompt intervention. The use of sterile precautions when performing care is also important to prevent infection.Rate this question:
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- 20.
In order to prevent a catheter accquired urinary tract infection (CAUTI), the following interventions can be performed by the HCT/NA except:
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Peri care every shift
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Check for signs and symptoms of infection
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Maintain no kinks in tubing or coil on bed
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Notify the MD of cloudy or bloood urine color
Correct Answer
A. Notify the MD of cloudy or bloood urine colorExplanation
The HCT/NA should notify the MD of cloudy or blood urine color as it is an important sign of infection and should be addressed by a medical professional. The other interventions mentioned, such as peri care every shift, checking for signs and symptoms of infection, and maintaining no kinks in tubing or coil on the bed, are all appropriate measures to prevent CAUTI and can be performed by the HCT/NA.Rate this question:
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- 21.
When cleaning a male patient, you should clean the meatus towards the shaft using a circular motion.
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True
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False
Correct Answer
A. TrueExplanation
When cleaning a male patient, it is important to clean the meatus towards the shaft using a circular motion. This is because cleaning in this direction helps to prevent the spread of bacteria from the urethra towards the meatus. By using a circular motion, any debris or bacteria present in the meatus can be effectively removed. Cleaning in the opposite direction could potentially push bacteria towards the urethra, leading to infections or other complications. Therefore, it is crucial to clean the meatus towards the shaft using a circular motion when cleaning a male patient.Rate this question:
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- 22.
When providing catheter care for a male or a female patient, you should clean the catheter down 10cms (4 inches).
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True
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False
Correct Answer
A. TrueExplanation
When providing catheter care for a male or female patient, it is important to clean the catheter down 10cms (4 inches) to maintain proper hygiene and prevent infections. Cleaning the catheter ensures that any bacteria or contaminants are removed, reducing the risk of complications. This practice is necessary to promote the patient's health and well-being. Therefore, the statement is true.Rate this question:
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- 23.
When measuring the amount of urine from the foley catheter, you should measure the amount while the graduate is seated on the floor.
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True
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False
Correct Answer
A. FalseExplanation
The correct answer is False. When measuring the amount of urine from the foley catheter, you should measure the amount while the graduate is seated on a chair or bed, not on the floor. Seating the graduate on the floor would be impractical and uncomfortable for the patient.Rate this question:
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- 24.
In order to protect the patient's skin, the HCT/NA can provide the following interventions: (select all that apply)
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Bathing
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Apply barrier creams
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Limit linen to only 2 layers
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Place diapers on patient and change every 6 hours
Correct Answer(s)
A. Bathing
A. Apply barrier creams
A. Limit linen to only 2 layersExplanation
The HCT/NA can provide bathing to protect the patient's skin by keeping it clean and free from irritants. Applying barrier creams can create a protective layer on the skin, preventing moisture loss and reducing the risk of skin breakdown. Limiting linen to only 2 layers can help prevent excessive pressure on the skin, reducing the risk of pressure ulcers. However, placing diapers on the patient and changing them every 6 hours may not directly protect the patient's skin, as it does not address other factors that can contribute to skin damage, such as moisture and friction.Rate this question:
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- 25.
The following are the CNA/HCT responsibilites in regards to caring for a resident with a urinary catheter (select all that apply):
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Peri care every shift
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Check for signs and symptoms of infection
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Record amount and character of urine
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Secure tubing below the level of the bladder at all times
Correct Answer(s)
A. Peri care every shift
A. Check for signs and symptoms of infection
A. Record amount and character of urine
A. Secure tubing below the level of the bladder at all timesExplanation
The CNA/HCT responsibilities in regards to caring for a resident with a urinary catheter include performing peri care every shift to ensure cleanliness and prevent infections, checking for signs and symptoms of infection to ensure early detection and treatment, recording the amount and character of urine to monitor the resident's urinary output and identify any abnormalities, and securing the tubing below the level of the bladder at all times to prevent backflow of urine and potential infections.Rate this question:
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- 26.
The following are the CNA/HCT responsibilites in regards to caring for the skin of the elderly (select all that apply):
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Bathing
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Applying 3 layers of linen
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Barrier creams to redden areas
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Diapers when their is leakage from foley catheter
Correct Answer(s)
A. Bathing
A. Barrier creams to redden areasExplanation
The CNA/HCT responsibilities in regards to caring for the skin of the elderly include bathing and applying barrier creams to redden areas. Bathing helps to keep the skin clean and prevent infections. Applying barrier creams to redden areas helps to protect the skin and prevent further irritation or damage. The other options mentioned, such as applying 3 layers of linen and using diapers when there is leakage from a foley catheter, are not directly related to caring for the skin.Rate this question:
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- 27.
Nursing rounds (done by the CNA/HCT) on the residents will be done every ______ hours.
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1 hour
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2 hours
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3 hours
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4 hours
Correct Answer
A. 2 hoursExplanation
Nursing rounds on the residents will be done every 2 hours. This means that the certified nursing assistant (CNA) or health care technician (HCT) will check on the residents every 2 hours to ensure their well-being and attend to any immediate needs. This frequency allows for regular monitoring and prompt response to any changes in the residents' condition.Rate this question:
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- 28.
All staff is responsible for implementing interventions to create a safe environment and maintain satety of all patients.
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True
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False
Correct Answer
A. TrueExplanation
The statement implies that all staff members have a responsibility to implement interventions that promote a safe environment and ensure the safety of all patients. This suggests that creating a safe environment and maintaining patient safety is a collective effort that involves everyone on the staff, not just a specific group or department. Therefore, the answer is true.Rate this question:
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- 29.
After notifying the nurse, a patient that is able to eat and swallow and has a blood sugar of 62, the patient may be given _______to increase his blood.
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Coke
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Orange juice
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Ginger ale
Correct Answer
A. Orange juiceExplanation
After notifying the nurse, if a patient is able to eat and swallow and has a blood sugar of 62, the patient may be given orange juice to increase his blood sugar. Orange juice contains natural sugars that can quickly raise blood sugar levels, providing a quick source of energy for the patient.Rate this question:
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- 30.
If a resident has trouble swallowing his food then he will also have trouble feeding himself.
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True
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False
Correct Answer
A. FalseExplanation
The statement suggests that if a resident has trouble swallowing his food, it automatically implies that he will also have trouble feeding himself. However, this is not necessarily true. A person can have difficulty swallowing but still be able to feed themselves using alternative methods such as pureed or liquid foods. Therefore, the statement is false.Rate this question:
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- 31.
If a resident is having feeding problems, you should do all of the following (select all that apply):
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Cut the meat
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Butter the bread
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Open packages
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Remind the patient to eat slowly
Correct Answer(s)
A. Cut the meat
A. Butter the bread
A. Open packages
A. Remind the patient to eat slowlyExplanation
If a resident is having feeding problems, it is important to provide assistance and support to ensure they are able to eat comfortably and safely. Cutting the meat can make it easier for the resident to chew and swallow. Buttering the bread can make it softer and more manageable for the resident to eat. Opening packages can help the resident access their food without any difficulties. Reminding the patient to eat slowly can help prevent choking or other issues that may arise from eating too quickly.Rate this question:
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- 32.
I pledge to demonstrate the core values of the American Nurses Association code of ethics by upholding the standards of honesty and integrity. By answering yes, you certify that you are the person taking this test.
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Yes
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No
Correct Answer
A. YesExplanation
The correct answer is "Yes" because by pledging to demonstrate the core values of the American Nurses Association code of ethics and upholding the standards of honesty and integrity, the person taking the test is committing to following the ethical guidelines set by the nursing profession.Rate this question:
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- 33.
Feeding problems are common in patients that have the following diagnoses, select all that apply:
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Strokes
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Parkinson's disease
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Alzheimer's
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Multiple sclerosis
Correct Answer(s)
A. Strokes
A. Parkinson's disease
A. Alzheimer's
A. Multiple sclerosisExplanation
Feeding problems are common in patients with strokes, Parkinson's disease, Alzheimer's, and multiple sclerosis. These conditions can affect various aspects of swallowing and feeding, leading to difficulties in chewing, swallowing, and controlling food in the mouth. Strokes can damage the areas of the brain responsible for coordinating swallowing, while Parkinson's disease can cause muscle rigidity and impaired coordination of the swallowing muscles. Alzheimer's disease can lead to cognitive decline and forgetfulness, making it difficult for patients to remember how to eat or recognize food. Multiple sclerosis can affect the nerves that control swallowing, resulting in problems with food passage from the mouth to the stomach.Rate this question:
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- 34.
If a patient can not feed him/her self that means that he/she will have frequent "choking" spells during each feeding.
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True
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False
Correct Answer
A. FalseExplanation
If a patient cannot feed themselves, it does not necessarily mean that they will have frequent "choking" spells during each feeding. There can be various reasons why a patient is unable to feed themselves, such as physical disabilities or medical conditions, and choking spells may or may not be a part of their feeding difficulties. Therefore, the statement is false.Rate this question:
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- 35.
When orienting a new CNA bathing a male patient, which of the following observed actions indicates a need for further orienting for the CNA:
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Used clean gloves
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Did not retract foreskin before cleansing
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Used a circular motion to cleanse from urinary meatus outward
Correct Answer
A. Did not retract foreskin before cleansingExplanation
The correct answer indicates that the CNA did not retract the foreskin before cleansing the male patient. This is important because the foreskin covers the head of the penis and needs to be retracted in order to properly clean the area. Failure to do so can lead to inadequate cleansing and potential hygiene issues for the patient. Therefore, further orientation is needed to ensure that the CNA understands the proper procedure for cleansing a male patient.Rate this question:
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- 36.
A patient has a large black tarry stool, you do not need to report to the nurse because stool changes as a person ages from brown to black.
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True
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False
Correct Answer
A. FalseExplanation
The statement is false because a large black tarry stool can indicate the presence of blood in the digestive system, which should be reported to a nurse or healthcare professional. Stool color changes can occur due to various factors, but black tarry stool is not a normal part of aging and may indicate a potential health issue that requires attention.Rate this question:
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- 37.
A patient on contact isolation requires the healthcare provider to wear a gown, mask, gloves and foot covers before entering the room.
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True
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False
Correct Answer
A. FalseExplanation
The statement is false because a patient on contact isolation only requires the healthcare provider to wear a gown and gloves before entering the room. A mask and foot covers are not necessary for contact isolation.Rate this question:
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Current Version
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Nov 10, 2023Quiz Edited by
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Sep 04, 2014Quiz Created by
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