Basic Nursing Skills 2

Question 1

A nurse aide notices blood in a patient’s IV tubing. The aide should
A. try to flush the tubing.
B. notify the IV nurse.
C. stop the IV.
D. do nothing; that’s normal.

Answer 1

B. notify the IV nurse.

Question 2

A nurse assistant notices red marks on a resident’s back and buttocks. The aide acts in the knowledge that
A. patients can only be turned every two hours.
B. it takes a doctor’s order to rub skin with lotion.
C. the skin can break down if nothing is done.
D. red marks are not a problem.

Answer 2

C. the skin can break down if nothing is done.

Question 3

A patient appears paler than usual. The nurse aide should
A. get the patient a snack.
B. offer the patient a glass of water.
C. note it on the chart.
D. ask the patient how he feels and take his vital signs immediately.

Answer 3

D. ask the patient how he feels and take his vital signs immediately.

Question 4

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should
A. reassure the patient that needles always hurt.
B. notify the medication nurse that the patient is complaining of pain.
C. put ice on the hand.
D. notify the IV nurse that the infusion appears to have infiltrated.

Answer 4

D. notify the IV nurse that the infusion appears to have infiltrated.

Question 5

A patient has a diagnosis of psoriasis. Her nurse aide should
A. treat her the same way as any other patient with a non-infectious disease.
B. wear a mask when entering the room.
C. wear gloves for patient care.
D. avoid contact with the highly contagious lesions.

Answer 5

A. treat her the same way as any other patient with a non-infectious disease.

Question 6

A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient
A. had visitors that day.
B. ate too much sugar.
C. has diabetes.
D. had breakfast.

Answer 6

D. had breakfast.

Question 7

A professional and safe working appearance would include which of the following?
A. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair
B. Sandals, T-shirt, and a name tag
C. Jewelry that reflects your fun personality
D. Carefully manicured acrylic nails

Answer 7

A. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair

Question 8

A resident with an ileostomy evacuates feces through the
A. colon.
B. anus.
C. ileum.
D. jejunum.

Answer 8

C. ileum.

Question 9

Before performing any procedure, a nurse aide must
A. wash his or her hands.
B. identify the patient.
C. explain the procedure.
D. do all of the above.

Answer 9

D. do all of the above.

Question 10

Continuing education is
A. necessary for recertification in many states.
B. a professional standard.
C. important for keeping abreast of new developments.
D. all of the above.

Answer 10

D. all of the above.

Question 11

Drainage bags from urinary catheters should always
A. have their output measured each week.
B. be fastened securely to the bed frame.
C. be changed every shift.
D. be kept below the level of the bladder.

Answer 11

D. be kept below the level of the bladder.

Question 12

In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should
A. offer frequent snacks.
B. take away the water pitcher at midnight.
C. ask the patient if he or she is having any pain.
D. note all water that the patient drinks and all output.

Answer 12

B. take away the water pitcher at midnight.

Question 13

In the Nursing Care Plan, you note that it is written, “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA, you know that this means which of the following?
A. Orient the new client @ 3:00 to orthopedic unit.
B. The resident is to be ambulated every three hours.
C. The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler’s position.
D. Oral care must be performed every three hours.

Answer 13

C. The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler’s position.

Question 14

Meal trays have arrived. Before serving each tray, the nurse aide should
A. ask patients if they are hungry.
B. check each armband, even on familiar patients.
C. check the temperature of the food.
D. ask about dietary restrictions.

Answer 14

B. check each armband, even on familiar patients.

Question 15

Most of our calories should come from
A. vitamins.
B. carbohydrates.
C. protein.
D. fats.

Answer 15

B. carbohydrates.

Question 16

Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered
A. chronic.
B. obstetric.
C. acute.
D. tonic.

Answer 16

C. acute.

Question 17

Mrs. Shumway has an order for I&O. You have picked up her breakfast and note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document
A. 685 mL.
B. 240 mL.
C. 920 mL.
D. 450 mL.

Answer 17

D. 450 mL.

Question 18

Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include which of the following?
A. Daily jog around the facility for one hour
B. Placement of TED hose after ambulation
C. Daily am weight measurement
D. Encouraging oral fluids

Answer 18

C. Daily am weight measurement

Question 19

Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. She has {L} sided hemiplegia. This is
A. a rash on the L arm.
B. paralysis on the left side of the body.
C. L arm and leg itching.
D. an L arm contracture.

Answer 19

B. paralysis on the left side of the body.

Question 20

Normal urine color is
A. colorless.
B. brown.
C. red.
D. yellow.

Answer 20

D. yellow.

Question 21

On which side should the patient lie for an enema?
A. Left
B. Right
C. The side closer to the restroom
D. Whichever side is more comfortable

Answer 21

A. Left

Question 22

Postpartum refers to
A. The period of time right after death
B. The period of time just before death
C. The period of time after the delivery of a baby
D. The period of time right before the delivery of a baby

Answer 22

C. The period of time after the delivery of a baby

Question 23

Signs and symptoms of shock may include
A. low blood pressure; tachycardia; and clammy, pale skin.
B. absence of respiration and pulse.
C. hyperventilation.
D. increased blood pressure; bradycardia; and flushed skin.

Answer 23

A. low blood pressure; tachycardia; and clammy, pale skin.

Question 24

The brain is part of the
A. nervous system.
B. locomotor system.
C. endocrine system.
D. exocrine system.

Answer 24

A. nervous system.

Question 25

The charge nurse has asked you to take Mrs. Shumway's vital signs. Before doing so, you must A. wash your hands. B. identify the patient and introduce yourself. C. gather all appropriate equipment. D. do all of the above.

Answer 25

D. do all of the above.

Question 26

The circulatory system consists of the A. blood vessels, lymph nodes, and spleen. B. heart, arteries, veins, and capillaries. C. heart, aorta, pulmonary vessels, and lungs. C. blood vessels, arteries, veins, and capillaries.

Answer 26

B. heart, arteries, veins, and capillaries.

Question 27

``` The opening of the colostomy to the outside of the body is called A. the stoma. B. the rectum. C. the insertion site. D. none of the above. ```

Answer 27

A. the stoma.

Question 28

To help ensure adequate circulation to prevent patient skin breakdown, you should A. give back massages. B. change the patient’s position frequently. C. perform active or passive range-of-motion exercises. D. do all of the above.

Answer 28

D. do all of the above.

Question 29

To take a rectal temperature, the nurse aide should insert the thermometer and A. hold on to the thermometer until it can be removed. B. take care of other patients, returning in three minutes. C. go on a break. D. stay in the room until it is time to read the temperature.

Answer 29

A. hold on to the thermometer until it can be removed.

Question 30

What is the best way to keep a skilled nursing facility from having an unpleasant odor? A. Empty bedpans and change linens in a timely manner. B. Use an air freshener regularly. C. There is nothing you can do. D. Keep all the windows open.

Answer 30

A. Empty bedpans and change linens in a timely manner.

Question 31

When caring for a resident with an indwelling Foley catheter, you should A. pin the tubing to the resident's gown. B. check the bag and tubing frequently for adequate urinary flow. C. withhold fluids if the bag is too full. D. tuck the tubing under the resident’s leg to keep it off the floor.

Answer 31

B. check the bag and tubing frequently for adequate urinary flow.

Question 32

``` Which of the following are associated with smoking? A. Vitamin C deficiency B. Heart attacks C. Pneumonia D. All of the above ```

Answer 32

D. All of the above

Question 33

``` Which of the following is the recommended position for giving an enema? A. Supine B. Prone C. Left Sims D. Semi-Fowler's ```

Answer 33

C. Left Sims

Question 34

Which of the following is the safest way to confirm a resident’s identity? A. Look at the door number and compare it to your room list. B. Check the ID bracelet or tag attached to the resident. C. Ask the resident’s roommate. D. Call the resident by name and see if the person answers.

Answer 34

B. Check the ID bracelet or tag attached to the resident.

Question 35

``` Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse? A. Pulse 74 B. Respiration 20 C. Temperature 99°F D. B/P 190/114 ```

Answer 35

D. B/P 190/114

Question 36

``` Which of the following should be reported immediately? A. Respirations of 12 B. Temperature of 99.4°F C. A pulse of 90 D. A blood pressure of 90/40 ```

Answer 36

D. A blood pressure of 90/40

Question 37

Which of the following statements about blindness are false? A. Most legally blind or visually impaired people have no sight at all. B. Diabetes is an important cause of blindness. C. Always identify yourself before touching a blind person. D. Ask if a blind person needs help before you give assistance.

Answer 37

A. Most legally blind or visually impaired people have no sight at all.

Question 38

Who can order a warm or cold application? A. A nurse B. A doctor C. You as a CNA (if you think it is necessary) D. The director of nursing

Answer 38

B. A doctor

Question 39

You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do? A. Switch the nasal cannula to a mask. B. Ask Mr. Brown to take breaths more frequently. C. Report it STAT to the nurse. D. Turn up the O2 to 4 liters/min.

Answer 39

C. Report it STAT to the nurse.

Question 40

``` Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? A. 4 oz. B. 7 oz. C. 6 oz. D. 5 oz. ```

Answer 40

C. 6 oz.