Ch 9-17 Flashcards
(212 cards)
1
Q
Rehabilitation
A. Assists the patient/resident to attain his/her highest level of ability.
B. Requires the services of only licensed personnel to be successful.
C. May be provided in the hospital, subacute unit, home, or skilled care facility.
D. All of the above
A
A. Assists the patient/resident to attain his/her highest level of ability.
2
Q
OBRA regulation requires:
A. Hospitals to provide rehabilitation services
B. Skilled nursing facilities to provide restorative care
C. Patients to participate in rehabilitation programs
D. Restorative care for alert patients/residents only
A
B. Skilled nursing facilities to provide restorative care
3
Q
The main therapy that assists patients/residents to re-learn activities of daily living is:
A. Physical therapy
B. Speech therapy
C. Occupational therapy
D. Cognitive therapy
A
C. Occupational therapy
4
Q
Which of the following is NOT an activity of daily living?
A. Ambulating
B. Taking medications
C. Dressing
D. Toileting
A
B. Taking medications
5
Q
A complication of immobility that affects the musculoskeletal system is:
A. Contractures
B. Pressure sores
C. Thrombus
D. Pain
A
A. Contractures
6
Q
A complication of immobility that affects the gastrointestinal system is:
A. Hemorrhoids
B. Constipation
C. Diarrhea
D. Confusion
A
B. Constipation
7
Q
A psychological reaction to immobility is:
A. Euphoria
B. Delusions
C. Depression
D. Schizophrenia
A
C. Depression
8
Q
A verbal cue is:
A. Telling the patient/resident how to perform a procedure.
B. Specific instruction on how to perform a skill
C. A thorough explanation of a self-care technique
D. A short, simple phrase to prompt the patient/resident.
A
D. A short, simple phrase to prompt the patient/resident.
9
Q
Continuity and consistency of care means that all staff:
A. Use variations in approaches to the patient/resident.
B. Use the same approaches when caring for the patient/resident.
C. Choose which staff members will work together in the care of the patient/resident.
D. Agree on the plan of care that is needed by the patient/resident.
A
B. Use the same approaches when caring for the patient/resident.
10
Q
If completing an entire task is too difficult for a patient/resident in a restorative program:
A. Stop trying, and complete the task yourself
B. Provide total care, which is easier for the patient/resident.
C. Ask the charge nurse (RN/LVN) what you should do
D. Break the task into a series of smaller tasks
A
D. Break the task into a series of smaller tasks
11
Q
Which of the following most completely defines observation?
A. Watching the activities of the patient/resident
B. Listening to the patient/resident and to staff reports.
C. Reading the charts and records
D. Gathering patient/resident information by using the four main senses.
A
D. Gathering patient/resident information by using the four main senses.
12
Q
An error made while writing in the patient’s/resident’s chart is corrected by:
A. Crossing out the mistake until it can no longer be read.
B. Tearing out the sheet of paper in the chart and write on a new one.
C. Drawing a line through the wrong entry and write an explanation of why it was an error.
D. Drawing a single line through the entry, writing the word “error” above the line, and initial the entry
A
D. Drawing a single line through the entry, writing the word “error” above the line, and initial the entry
13
Q
Which of the following statements is an example of objective data or information?
A. “Mrs. O’Hara said she felt sick to her stomach”
B. “Mr. Jones says he has pain in the lower part of his back”
C. “Mrs. O’Hara complained of feeling chilled, so I closed the window”
D. “Mr. Jones vomited 250cc of fluid after lunch”
A
D. “Mr. Jones vomited 250cc of fluid after lunch”
14
Q
Using the following statement, identify the sentence that uses the correct abbreviations: Patient/resident up in wheelchair all afternoon. Range of motion done three times a day. Physical Therapy to ambulate patient/resident after meals every day.
Patient/resident may be out of bed as desired.
A. Res. in w/c all P.M. ROM TID. P.T. to amb. res. pc qd. Res. OOB ad lib.
B. R. up in W/C all P.M. ROM three qd. Phys. Ther. to amb. R. pc qd. R. out of bed ad lib.
C. Res. up in wc. qd Range of mot tid. Pt. to amb res qd Patient/resident may be oobed prn.
D. Res. up in wc. No c/o pain. To x-ray for UGI series.
A
A. Res. in w/c all P.M. ROM TID. P.T. to amb. res. pc qd. Res. OOB ad lib.
15
Q
The words “ambulatory,” “bathroom privileges” and “before meals” are correctly abbreviated in only one of the sentences below.
The correct abbreviations are:
A. Amb., BR, and p.c.
B. Amb., BR, and a.c.
C. Amb., BRP, and a.c.
D. Amb., BRP and p.c.
A
C. Amb., BRP, and a.c.
16
Q
A quick, easy, source of patient/resident information which includes the patient’s/resident’s diagnosis, diet, activity, special
Module 15: Observation and Charting
treatments and routine care measures is known as a:
A. History and physical
B. Kardex file
C. Patient flowchart
D. Graphic chart
A
B. Kardex file
17
Q
The Nurse Assistant has just given Mrs. Kennedy a complete bed bath. What type of information would be appropriate to chart?
A. The condition of Mrs. Kennedy’s skin and how she tolerated the bath.
B. The fact that Mrs. Kennedy accidentally dropped the water pitcher.
C. The fact that Mrs. Kennedy likes her toilet items kept in the overbed table.
D. Mrs. Kennedy’s roommate talked to the Nurse Assistant throughout the entire bathing procedure.
A
A. The condition of Mrs. Kennedy’s skin and how she tolerated the bath.
18
Q
The routine, daily nursing tasks performed for a patient/resident are charted on the:
A. Progress sheet
B. Nurses notes
C. ADL sheet
D. Incident report
A
C. ADL sheet
19
Q
When charting on a patient’s/resident’s medical record, the Nurse Assistant should:
A. Erase any errors in charting
B. Always use ink
C. Skip a line between entries
D. Chart all procedures to be done
A
B. Always use ink
20
Q
A list of the patient’s/resident’s needs and specific nursing activities to address those needs would be found
A. Patient’s/resident’s care plan
B. Patient’s/resident’s history and physical
C. Graphic chart
D. Nurse’s notes
A
A. Patient’s/resident’s care plan
21
Q
The Minimum Data Set (MDS) manual
A. Gives a standardized approach to care
B. Gives a structure to facility care
C. Helps the nurse complete accurate assessments
D. Triggers needed assessments
E. All of the above
A
E. All of the above
22
Q
The dying patient/resident has a right to:
A. Read their facility record at any time they choose
B. Refuse life-prolonging measures
C. Refuse to pay for any services
D. Request the Nurse Assistant to give him medications.
A
B. Refuse life-prolonging measures
23
Q
Mr. Huang is terminally ill and has lost consciousness. The Nurse Assistant should:
A. Tell his family that death is only a few hours away
B. Turn and reposition him less frequently
C. Keep the room very bright and noisy
D. Remember that the patient/resident may still be able to hear
A
D. Remember that the patient/resident may still be able to hear
24
Q
One of the signs of biological death would include:
A. Bradycardia (slow heart beat)
B. Hypertension (high blood pressure)
C. Lack of respirations (patient/resident is not breathing).
D. Agitation (patient/resident is active and jumpy)
A
C. Lack of respirations (patient/resident is not breathing).
25
Mrs. O'Leary always keeps her rosary and medals with her at all times. These objects should be:
A. Ignored since it is better to avoid discussion about religion.
B. Placed on bedside table where she can't get to it
C. Removed as soon as she goes to sleep so they are not lost.
D. Left with Mrs. O'Leary and handled as valuable items.
D. Left with Mrs. O'Leary and handled as valuable items.
26
One of the goals of hospice care is to:
A. Help the patient/resident in making the dying process less painful physically and psychologically.
B. Prolong life above all else
C. Provide an elimination of all disease symptoms and pain.
D. Provide an opportunity for death by giving too many drugs.
A. Help the patient/resident in making the dying process less painful physically and psychologically.
27
Keeping the terminally il patients/residents comfortable includes:
A. Keeping the bed in a flat position
B. Providing skin care and linen changes
C. Discouraging any visitors
D. Only turning the patient/resident every 6 hours
B. Providing skin care and linen changes
28
It is important for the Nurse Assistant to monitor the condition of the dying patient/resident, who has written an Advanced Directive not to resuscitate him, so that they can:
A. Provide physical and emotional support
B. Provide large serving of food frequently
C. Notify the physician of the exact time of death
D. Give medication
A. Provide physical and emotional support
29
Usually the first task after the patient/resident has died and before the family comes to visit is to:
A. Wrap the body in a shroud for transfer to a mortuary
B. Notify the mortuary for immediate transfer of the body.
C. Just leave the patient/resident as is
D. Prepare the body for viewing by family members
D. Prepare the body for viewing by family members
30
Postmortem care includes:
A. Taping the eyes shut
B. Bathing as necessary
C. Removing dentures
D. Removing prostheses
B. Bathing as necessary
31
After a patient's/resident's death, the Nurse Assistant should support the family by:
A. Trying to cheer them
B. Encouraging the family to talk with the roommate
C. Listening when the family wants to talk
D. Assuring the family that the patient/resident is better off.
C. Listening when the family wants to talk
32
When preparing a body for postmortem transfer, the Nurse Assistant should first:
A. Cover the patient's/resident's body and head with a clean sheet.
B. Straighten the body in supine position
C. Maintain the patient's/resident's body positions and elevate the head.
D. Provide bright lighting when the family members arrive.
B. Straighten the body in supine position
33
As part of the care of a patient/resident after death, the Nurse Assistant should:
A. Dress the patient/resident in regular clothes
B. Remove all patient's/resident's identification bands
C. Remove all tubes and drains
D. Position the patient's/resident's body in normal alignment.
D. Position the patient's/resident's body in normal alignment.
34
When caring for a dying patient/resident, the Nurse Assistant should expect:
A. The patient/resident to be alert
B. Vital signs to be normal
C. Breathing to be irregular
D. Temperature to be unchanged
C. Breathing to be irregular
35
To provide emotional support for the family members of a dying patient/resident, the Nurse Assistant should:
A. Tell them not to cry
B. Remind them that everyone dies
C. Accept their expression of feelings
D. Recommend that they limit their visits
C. Accept their expression of feelings
36
Nurse Assistants who help with postmortem care of a patient/resident should:
A. Wipe the body with alcohol to remove germs
B. Be sure the body and clothing are clean and dry
C. Be sure all jewelry is placed on the body
D. Notify the nurse if there has been a bowel movement
B. Be sure the body and clothing are clean and dry
37
The daughter of a patient/resident who has just died says to the Nurse Assistant, "My father can't be dead. It just isn't possible."
Which of the following would be the best response for the Nurse Assistant to make?
A. "Didn't you know that your father was very sick?"
B. "Would you like me to call the mortuary for you?"
C. "This must be very hard for you"
D."I will talk to the nurse in charge"
C. "This must be very hard for you"
38
While the Nurse Assistant is changing a patient's/resident's bed, the patient/resident just starts crying and says, "No one cares about me. I wish I could just diel" the Nurse Assistant should:
A. Say nothing and continue to change the bed
B. Tell the patient/resident that she is too busy to listen.
C. Ask if the patient/resident would like to talk for awhile.
D. Tell the patient/resident to stop being such a baby
C. Ask if the patient/resident would like to talk for awhile.
39
A dying patient/resident tells the Nurse Assistant, "I'm having a lot of pain." The Nurse Assistant should:
A. Try to change the subject
B. Report the pain to the nurse in charge
C. Talk to the family member about the pain
D. Leave the room to provide privacy
B. Report the pain to the nurse in charge
40
The following statements about abuse are true except
A. Abuse is making judgements before knowing the patient/resident situation.
B. Abuse is a punishable crime.
C. Abuse is a willful act that causes harm or injury to the patient/resident.
D. Abuse is depriving a person of goods and services needed to maintain health.
A. Abuse is making judgements before knowing the patient/resident situation.
41
Threatening to touch the person's body without the person's consent is:
A. Assault
B. Battery
C. Defamation
D. False Imprisonment
A. Assault
42
Restraining a person's movement is:
A. Neglect
B. Invasion of privacy
C. Defamation
D. False Imprisonment
D. False Imprisonment
43
Sharing a person's photos on a social media site is:
a. Fraud
b. Allowed with the family's consent
C. A HIPAA Violation
d. Allowed if you obtained consent
C. A HIPAA Violation
44
Who is most at risk for being wounded, attacked, or assaulted?
a. A teenager
b. A single mother
C. A caregiver
D. An older adult
D. An older adult
45
You scold an older person for not eating their dinner. This is a form of:
a. Physical abuse
b. Neglect
C.Battery
d. Verbal abuse
d. Verbal abuse
46
You leave your patient before completing your assignment and the patient s/resident's care. This abuse by
A. Abandonment
b. Neglect
C. Involuntary seclusion
d. Battery
A. Abandonment
47
You fall asleep at work. This is:
A. Abandonment
B. Neglect
C. Malpractice
d. Emotional abuse
A. Abandonment
48
Which is a sign of elder abuse?
a. Stiff joints and joint pain b.
B. Weight gain
C. Poor personal hygiene
D. Forgetfulness
C. Poor personal hygiene
49
An older adult has a black eye, bruises on their face, bite marks on on their arms. These are signs of:
a. Physical abuse
b. Sexual abuse
C. Neglect
d. Verbal abuse
a. Physical abuse
50
You suspect a patient/resident has been abused. What should you do?
a. Tell the nurse
B. Call the police
C. Tell the family
d. Ask the person about the abuse
a. Tell the nurse
51
Failure to exercise the degree of care considered reasonable in a given situation is:
a. Malpractice
b. Neglect
C. Coercion
d. Physical abuse
b. Neglect
52
You overhear another nurse assistant raise their voice loudly in a threatening manner when speaking to their patentresident.
The nurse assistant is guilty of:
a. Neglect
b. Physical abuse
c. Verbal abuse
d. Invasion of privacy
c. Verbal abuse
53
Your patient/resident offers you a dollar to thank you for picking up a newspaper for him. Your best response would be to:
a. Ignore the money and pretend not to see it
b. Take the money as you earned it
C. Report the event to the doctor
d. Politely refuse because tipping is not allowed
d. Politely refuse because tipping is not allowed
54
Most communities have a common emergency telephone number that notifies the Emergency Medical Service (EMS), Which of the following numbers is the emergency number?
A. 911
B. 484
C. 411
D. 916
A. 911
55
Mr. Johnson has cut his hand on a broken piece of glass and is bleeding heavily. The Nurse Assistant should;
A. Apply a circular strap around the wrist to act as a tourniquet
B. Call 911, STAT (immediately)
C. Have Mr. Johnson lower his hand below his heart to slow circulation to the site
D. Apply direct pressure (with a gloved hand) using a pad, raising the hand above the level of the heart.
D. Apply direct pressure (with a gloved hand) using a pad, raising the hand above the level of the heart.
56
A patient/resident has epilepsy. In the event of a seizure, the Nurse Assistant should:
A. Leave the patient/resident to summon help
B. Protect the patient/resident from injury
C. Force the patient's/resident's mouth open
D. Call for help in order to restrain the patient's/resident's movements
B. Protect the patient/resident from injury
57
Which of the following best describes the "universal choking sign" given by the victim:
A. Both hands clasped around his/her neck
B. His/her arms waving up and down
C. Pointing to his mouth with one hand
D. The victim coughs and calls for help
A. Both hands clasped around his/her neck
58
The Nurse Assistant discovers an unconscious victim on the floor in the hall. What action should the urse Assistart take frut
A. Move the victim to his room
B. Search the victim for any areas of bleeding
C. Call for assistance, then open the victim's airway and check for breathing
D. Straighten out any obvious deformities in the victim's arms & legs
C. Call for assistance, then open the victim's airway and check for breathing
59
Your patient/resident is complaining that he is having pains in his chest. He is sweating and breathing heavily. As the Nurse Assistant who is with the patient/resident, you should:
A. Tell the patient/resident this happens to you when you eat spicy foods, also
B. Stay with the patient/resident & call for the nurse in charge
C. Begin CPR
D. Tell the patient/resident that he is having a heart attack
B. Stay with the patient/resident & call for the nurse in charge
60
What procedure is done for a conscious choking patient/resident?
A. Chest compressions
B. Rescue breathing
C. Abdominal thrusts
D. Head tilt, chin lift
C. Abdominal thrusts
61
Mr. D's family is present when Mr. D has a seizure. Which of the following actions should the Nurse Assistant take for the family?
A. Ask them to wait in a nearby room
B. Tell them how you feel the patient's/resident's condition is doing
C. Ask them to stay with the patient/resident as you get help
D. Ask them to assist in holding the patient/resident down
A. Ask them to wait in a nearby room
62
Which of the following might be most helpful in preventing choking?
A. Have the patient/resident eat all his solid foods before liquids
B. Cut foods, especially meat into small, bite size pieces
C. Feed the patient/resident quickly to reduce the risk of choking
D. Have the patient/resident stand while eating so it will go down better
B. Cut foods, especially meat into small, bite size pieces
63
Which of the following are causes for hypoglycemia?
A. Not enough insulin
B. Decrease activity, vomiting, and undiagnosed diabetes
C. Too much insulin, vomiting a meal, vomiting
D. Stress, increased activity
C. Too much insulin, vomiting a meal, vomiting
64
Which of the following might be a sign of an obstructed airway?
A. Elevated temperature
B. Pinpoint pupils
C. Inability to speak
D. Coughing
C. Inability to speak
65
When performing abdominal thrusts, place the fist in one hand:
A. Just above the pubis and below the navel (belly button)
B. On the neck
C. Between the navel and end of the sternum (breast bone)
D. Over the ribs
C. Between the navel and end of the sternum (breast bone)
66
Mrs. Harvey is complaining that her chest and arm hut very badly. She is breathing heavily and sweating. While waiting for the
nurse what should the Nurse Assistant do?
A. Perform ROM on all extremities so patient/resident will not lose function of joints
B. Give patient/resident oxygen
C. Reassure patient/resident while putting her in a comfortable sitting position
D. Leave to get emergency equipment in case you need it
C. Reassure patient/resident while putting her in a comfortable sitting position
67
Mr. Jones is showing the following signs and symptoms: dizziness, headache, weakness on his right side, and aphasia. What could be the cause?
A. Heart attack
B. CVA
C. Syncope
D. Shock
B. CVA
68
What personal protective equipment would be used when caring for a patient/resident with external bleeding?
A. Gloves
B. Goggles
C. Gown
D. All of the above
D. All of the above
69
While ambulating Mrs. S, she has a fainting episode (syncope). What should the Nurse Assistant do first?
A. Go get help
B. Take Mrs. S's vital signs
C. Assist Mrs. S to the floor
D. Get Mrs. S a glass of water
C. Assist Mrs. S to the floor
70
Which of the following are signs and symptoms of internal bleeding?
A. Bleeding in spurts
B. Coffee ground vomit
C. Normal appearance of urine
D. Slow oozing of blood
B. Coffee ground vomit
71
What is the Nurse Assistant's role in caring for a patient/resident in shock?
A. Keep patient/resident calm and warm
B. Give water and ROM
C. Maintain open airway and keep cool
D. Keep active and fed
A. Keep patient/resident calm and warm
72
DNR, Living will and Durable Power of attorney are example of:
A. Boundaries of Care
B. Scope of Practice
C. Advanced Directives
D. Nursing plan
C. Advanced Directives
73
CAB in reference to emergency care mean:
A. Sequence of assessment
B. Caring, Ambulation, Bathing
C. Cycle, Airway, Bleeding
D. Compressions, Airway, Breathing
D. Compressions, Airway, Breathing
74
Mr. G is coughing forcefully after swallowing a piece of meat. The Nurse Assistant should:
A. Call for help
B. Stay with Mr. G to monitor coughing
C. Abdominal thrusts only if not coughing
D. Give Mr. Gomez a glass of water
B. Stay with Mr. G to monitor coughing
75
While eating, a patient/resident suddenly clutches his throat. The Nurse Assistant should FIRST:
A. Give the patient/resident back blows
B. Have the patient/resident sip some water
C. Ask the patient/resident if he is choking, call for help
D. Do a finger sweep of the patient's/resident's mouth
C. Ask the patient/resident if he is choking, call for help
76
A patient/resident is choking and unable to speak. Which of the following actions should the Nurse Assistant take?
A. Place the patient/resident in a chair
B. Perform an arm lift
C. Perform abdominal thrusts
D. Administer sharp back blows
C. Perform abdominal thrusts
77
AED delivers an electric shock to the heart. What is an AED?
A. Automatic External Device
B. Automated External Device
C. Automatic External Defibrillator
D. Automated Exit Defibrillator
C. Automatic External Defibrillator
78
While eating, a patient/resident suddenly has a problem breathing but is able to say, "I'm choking" and is not coughing. Which of the following should the Nurse Assistant do?
A. Administer abdominal thrusts
B. Do a finger sweep of the patient's/resident's mouth
C. Apply chest thrusts
D. Give the patient/resident black blows
A. Administer abdominal thrusts
79
Mr. S has epilepsy and suffers from grand mal seizures. During a seizure it is important to:
A. Restrain the patient/resident securely
B. Attempt to keep the patient's/resident's jaws open
C. Try to get the patient/resident to control his movements
D. Protect the patient/resident from injury
D. Protect the patient/resident from injury
80
The Nurse Assistant finds a patientresident having shortness of breath. The Nurse Assistant should do all of the following except:
A. Keep calm
B. Leave the patient
C. Turn on the call light
D. Call for help
B. Leave the patient
81
A patient/resident complains of chest pain. The Nurse Assistant should know that the patient/resident may possibly be having:
A. An insulin reaction
B. A stroke
C. Arthritis
D. A heart attack
D. A heart attack
82
The following are common with otitis media EXCEPT
A. Pain
B. Hearing loss
C. Tinnitus
D. Dizziness
D. Dizziness
83
Arthritis is
A. The surgical replacement of a joint
B. Joint inflammation
C. A disease in which bones become porous and brittle.
D. The repair of a fracture
B. Joint inflammation
84
Tissues die and become black, cold and shriveled. This is
A. Cancer
B. Gangrene
C. Arthritis
D. Metastasis
B. Gangrene
85
Which of the following body parts commonly enlarges in the elderly male causing urinary tract obstruction?
A. Testes
B. Prostate gland
C. Ureter
D. Adrenal gland
B. Prostate gland
86
A malignant tumor
A. Grows slowly and in a localized area
B. Can spread to other parts of the body
C. Invades nearby tissues
D. Is not cancer
B. Can spread to other parts of the body
87
A patient/resident has osteoarthritis. The person is overweight. Why is weight loss important for the person?
A. It will improve the person's mental well-being
B. The person is too old to be overweight
C. Weight loss reduces stress on weight-bearing joints
D. It will be easier to lift and mover the person
C. Weight loss reduces stress on weight-bearing joints
88
These statements are about arthritis. Which is incorrect?
A. It is the most common joint disease
B. Pain is common
C. Decreased mobility is common
D. It is cured with arthroplasty
D. It is cured with arthroplasty
89
A patient/resident has a fractured right hip. What position is usually not allowed?
A. Left side-lying position
B. Right side-lying position
C. Fowler's position
D. Semi-Fowler's position
B. Right side-lying position
90
The two most common causes of stroke are
A. Bleeding in the brain and blood clots
B. Hypertension and diabetes
C. Infection and accidental injury
D. Aging and poor nutrition
A. Bleeding in the brain and blood clots
91
Care of a person after a stroke often includes the following except
A. Ostomy care
B. A bowel and/or bladder training program
C. ROM exercises to prevent contractures
D. Measures to prevent pressure ulcers
A. Ostomy care
92
Functions lost as a result of stroke depend on
A. The cause of the stroke
B. The person's age
C. The area of brain damage
D. The person's attitude
C. The area of brain damage
93
A patient/resident has heart failure. The doctor is likely to order
A. A splint or brace
B. Elastic stockings
C. Trochanter rolls
D. A cane or walker
B. Elastic stockings
94
When the urinary bladder is removed, a new pathway is needed for urine to exit the body. The new pathway is called a
A. Urinary diversion
B. Ureterostomy
C. Renal pathway
D. Renal tubule
A. Urinary diversion
95
Heart failure means that the heart
A. Has stopped beating
B. Is damaged
C. Cannot pump blood normally
D. Is old and weak
C. Cannot pump blood normally
96
In diabetes, the body lacks or is unable to use
A. Estrogen
B. Testosterone
C. Insulin
D. Protein and carbohydrates
C. Insulin
97
Persons with diabetes need
A. Good foot care
B. Frequent oral hygiene
C. Daily weight measurements
D. 1 & 0 measurements
A. Good foot care
98
To prevent pressure ulcers, you must:
A. Keep the person's skin clean and dry
B. Massage pressure points
C. Use soap to clean the skin
D. Scrub and rub the skin during bathing
A. Keep the person's skin clean and dry
99
You are applying an elastic bandage to a person's left leg. Which is incorrect?
A. Position the part in good alignment
B. Face the person during the procedure
C. Start at the top (proximal) part of the extremity
D. Expose the toes if possible
C. Start at the top (proximal) part of the extremity
100
A female patient/resident is obese. She is at risk for pressure ulcers in the following areas except.
A. Between abdominal folds
B. Under her breasts
C. Between her legs and buttocks
D. Her forehead and chin
D. Her forehead and chin
101
A dressing is loose. What can happen?
A. Microbes can enter the wound
B. Wound edges can separate
C. Dehiscence can occur
D. The wound can become larger
A. Microbes can enter the wound
102
The leading cause of blindness in persons 60 years of age or older is
A. Glaucoma
B. Cataract
C. Eye infection
D. Age related Macular Degeneration (AMD)
A. Glaucoma
103
A patient/resident has a hearing aid. Which is incorrect
A. The hearing aid corrects the person's hearing problems.
B. Hearing aids are costly
C. Batteries are removed at night
D. When not in use, the hearing aid is turned off
A. The hearing aid corrects the person's hearing problems.
104
A patient/resident has glaucoma. What do you know about the person's sight?
A. Print and colors appear faded
B. The person cannot see to the side
C. The person is blind in the affected eye
D. The person's vision is cloudy
B. The person cannot see to the side
105
Which means low blood sugar?
A. Hyperglycemia
B. Hypoglycemia
C. Hyperthyroidism
D. Hypothyroidism
B. Hypoglycemia
106
The person with Parkinson's disease needs protection from
A. Falls
B. Burns
C. Poisoning
D. Cold, damp weather
A. Falls
107
Risk factors for stroke include the following except
A. Hypertension and a family history
B. Diabetes, osteoporosis, and obesity
C. Heart disease, inactivity, and excessive alcohol use
D. Smoking and high blood cholesterol
B. Diabetes, osteoporosis, and obesity
108
The following are common with Parkinson's disease EXCEPT
A. Tremors
B. Shuffling gait
C. Facial expression
D. Flare-ups or relapses
D. Flare-ups or relapses
109
With coronary artery disease, the coronary arteries are
A. Hardened and narrow
B. Enlarged and less elastic
C. Infected
D. Opened or bypassed
A. Hardened and narrow
110
A hallucination is
A. A false belief
B. An exaggerated belief
C. Seeing, hearing, smelling, or feeling something that is not real.
D. A persistent thought or idea
C. Seeing, hearing, smelling, or feeling something that is not real.
111
Delirium is
A. A false belief
B. The loss of cognitive function caused by changes in the brain.
A false disorder of the mind
D. A state of temporary but acute mental confusion
D. A state of temporary but acute mental confusion
112
Sundowning is
A. When signs, symptoms, and behaviors of Alzheimer's disease increase during hours of darkness.
B. The loss of cognitive and social function caused by changes in the brain
C. A false dementia
D. A state of temporary but acute mental confusion
A. When signs, symptoms, and behaviors of Alzheimer's disease increase during hours of darkness.
113
These statements are about permanent dementia. Which is incorrect?
A. There is no cure
B. Loss of cognitive function worsens over time
C. Disease progression is the same for everyone affected.
D. The person has signs and symptoms of dementia
C. Disease progression is the same for everyone affected.
114
A patient/resident has Alzheimer's disease. She is trying to rub her perineum through her clothes. Which statement is incorrect?
A. The behavior is sexual
B. She may be wet or soiled from urine or feces
C. She may have a urinary or reproductive infection
D. She may have pain or discomfort in her urinary or reproductive system
A. The behavior is sexual
115
The Nurse Assistant is providing foot care to a patient/resident with diabetes. What is he/she not allowed to do?
A. Rub lotion on the patient's/resident's feet
B. Use an orange stick under the nails
C. Clip the nails
D. Check for fungus between the toes
C. Clip the nails
116
A patientresidint has AD. The person has the following behaviors. Which has the greatest riak for danger?
A. Wandering
B. Delusions
C. Catastrophic reactions
D. Screaming
A. Wandering
117
Which is not a risk factor for gastrosophageal reflux disease (GERD)?
A. Being underweight
B. Alcohol use
C. Pregnancy
D. Smoking
A. Being underweight
118
What is the greatest risk(s) from osteoporosis?
A. Fractures
B. Burns
C. Infection
D. Pneumonia
A. Fractures
119
The patient/resident has a cast on the right leg. Which action is INCORRECT?
A. Allow the cast to get wet
B. Use your palms to lift and turn a casted extremity
C. Turn the person every two hours
D. Elevate the casted part on pillows
A. Allow the cast to get wet
120
The skin is injured. Which is a major threat?
A. Incontinence
B. Infection
C. Gangrene
D. Evisceration
B. Infection
121
An injury usually from unrelieved pressure is
A. A wound
B. A thrombus
C. Phlebitis
D. A pressure ulcer
D. A pressure ulcer
122
Skin tears are caused by the following except
A. Friction and shearing
B. Pulling or bumping a body part
C. Direct pressure on the skin
D. Incontinence and moisture on the skin
D. Incontinence and moisture on the skin
123
The skin or mucous membrane is broken. This is
A. An open wound
B. A clean wound
C. A closed wound
D. An intentional wound
A. An open wound
124
Elastic bandages and elastic stockings do the following except
A. Promote comfort
B. Promote circulation
C. Prevent injury
D. Prevent infection
D. Prevent infection
125
A patient/resident has cancer. You find him crying in his room. What should you do?
A. Close the door after leaving the room. He needs to cry in private.
B. Use touch and listening to communicate that you care.
C. Tell the nurse at once
D. Tell his spiritual advisor what you observed
B. Use touch and listening to communicate that you care.
126
The common causes of chronic renal failure are
A. Tumors and infections
B. Hypertension and diabetes
C. Coronary artery disease and COPD
D. Severe allergic reactions and severe bleeding
B. Hypertension and diabetes
127
Hepatitis A is spread by
A. Airborne droplets
B. Blood
C. The fecal-oral route
D. Direct contact
C. The fecal-oral route
128
What is the highest level of anxiety?
A. Panic
B. Phobia
C. Obsession
D. Compulsion
A. Panic
129
Which is not an early warning sign of dementia?
A. Getting lost in familiar places
B. Personality changes
C. Poor or decreased judgment
D. Not recognizing self or family members
D. Not recognizing self or family members
130
A patient/resident is confused. It is time for the person's shower. What should you do?
A. Explain what you are going to do and why
B. Ask the person to undress
C. Ask if the person wants a tub bath or shower
D. Let the confusion pass before you assist with the person's shower.
A. Explain what you are going to do and why
131
A patientresident has diarrhea. You know that liquid feces and frequent wiping can lead to?
A. Skin breakdown
B. Dehydration
C. Oliguria
D. Death
A. Skin breakdown
132
What is the preferred position for giving an enema?
A. Fowler's or semi-fowlers position
B. Sims' or left side lying position
C. Prone or supine position
D. Supine or right side-lying position
B. Sims' or left side lying position
133
Water temperature for an enema solution for adults usually is
A. 100°
B. 105°
C. 110°
D. Body temperature
B. 105°
134
A patient/resident finished urinating. The person cannot clean her genital area. You need to do the following EXCEPT
A. Wipe her from back to front
B. Use fresh tissue for each wipe
C. Provide perineal care if necessary
D. Wear gloves
A. Wipe her from back to front
135
A male patient/resident is not circumcised. When giving perineal care, which is correct?
A. Retract the foreskin
B. Separate the labia
C. Start at the rectum
D. Use firm, upward strokes
A. Retract the foreskin
136
Which linens must be tight and wrinkle-free?
A. Bottom linens
B. The blanket
C. The bedspread
D. The pillowcase
A. Bottom linens
137
The nurse asks you to colled a random urine specimen. Which is correct?
A. No special measures are needed
B. The perineal area is cleaned before collecting the specimen.
C. The first voiding is discarded
D. The person voids twice
B. The perineal area is cleaned before collecting the specimen.
138
The nurse asks you to strain a person's urine. To do this, you need
A. A midstream urine specimen
B. A 24-hour urine specimen
C. A strainer or gauze
D. Elastic tape
C. A strainer or gauze
139
Mucus from the respiratory system that is expelled through the mouth is
A. Phlegm
B. Saliva
C. Sputum
D. Ketone
C. Sputum
140
Oral care before collecting a sputum specimen involves
A. Brushing the teeth
B. Using mouthwash
C. Flossing
D. Rinsing with clear water
D. Rinsing with clear water
141
The nurse asks you to collect a stool specimen from a patient/resident. Which is INCORRECT?
A. Explain what the person needs to do
B. Explain what you will do
C. Ask if the person understands what to do
D. Stay with the person until the person has a bowel movement.
D. Stay with the person until the person has a bowel movement.
142
When collecting a sputum specimen, the person coughs up sputum from the
A. Mouth
B. Throat
C. Upper airway
D. Bronchi and trachea
C. Upper airway
143
Normal urine has
A. A faint odor
B. A strong odor
C. A sweet odor
D. An ammonia odor
A. A faint odor
144
Which of the following is a characteristic of normal urine?
A. Pale-yellow urine
B. Straw-colored urine
C. Red-colored urine
D. Clear urine
A. Pale-yellow urine
145
A clean, neat, wrinkle-free bed does the following except
A. Increase the person's comfort
B. Help prevent skin breakdown
C. Help prevent pressure ulcers
D. Prevent incontinence
D. Prevent incontinence
146
patient/resident is up all day. What kind of bed should you make?
A. Closed bed
B. Open bed
C. Occupied bed
D. Surgical bed
A. Closed bed
147
Which is not a safety measure for making beds?
A. Raise the bed for body mechanics
B. Wear gloves when removing linen from the person's bed
C. After making a bed, lower the bed to its lowest position
D. After making an occupied bed, always raise the bed rails
D. After making an occupied bed, always raise the bed rails
148
The bottom sheet is placed on the bed correctly if
A. The hem-stitching is down
B. The hem-stitching faces outward
C. The top edge is even with bottom of the mattress
D. It completely covers the plastic draw sheet
A. The hem-stitching is down
149
A patient/resident has fecal incontinence. You know that
A. Good skin care is required
B. A bowel training program will cure the person's incontinence.
C. The condition is permanent
D. The person has dementia
A. Good skin care is required
150
The loss of urine in response to a sudden need to void is called:
A. Overflow incontinence
B. Mixed incontinence
C. Functional incontinence
D. Urge incontinence
D. Urge incontinence
151
You are admitting a new patient/resident. Which is incorrect?
A. Discuss the person's diagnoses and medical history
B. Complete the clothing list
C. Orient the person to the room
D. Orient the person to the nursing unit and the facility.
A Discuss the person's diagnoses and medical history
152
The nurse asks you to assist with the admission of a new patient/resident. What can the nurse delegate to you?
A. Transporting the person to his or her room
B. Having the person sign admitting papers
C. Having the person sign a general consent for treatment.
D. Explaining patients/residents rights to the person
A. Transporting the person to his or her room
153
An infected wound is
A. A contaminated wound
B. An open wound
C. A dirty wound
D. A full-thickness wound
A. A contaminated wound
154
These statements are about skin tears. Which is incorrect?
A. Skin tears can occur during bathing, dressing, repositioning, or transfers
B. Skin tears are painful
C. Infection can develop in a skin tear
D. Skin tears usually occur over a bony area
D. Skin tears usually occur over a bony area
155
Drainage that is thick green, yellow, or brown is
A. Purulent drainage
B. Serosanguineous drainage
C. Serous drainage
D. Sanguineous drainage
A. Purulent drainage
156
Which will help prevent skin tears?
A. Keep your fingernails short and smoothly filed
B. Wear simple earrings
C. Wear gloves
D. Practice hand hygiene before and after giving care
A. Keep your fingernails short and smoothly filed
157
A patient/resident is going to be discharged. What must occur before the person can leave?
A. Give the person prescriptions written by the doctor
B. The person must be transported to the exit area by wheelchair or stretcher.
C. The person must pay the bill
D. The person must sign a consent form
B. The person must be transported to the exit area by wheelchair or stretcher.
158
Which is not a guideline for measuring weight and height?
A. No footwear is worn
B. The person voids after being weighed
C. Weigh the person at the same time of day
D. Use the same scale for daily, weekly, and monthly weights.
B. The person voids after being weighed
159
An elastic bandage is applied from the
A. Lower part to the top part
B. Top part to the lower part
C. Back to front
D. Front to back
A. Lower part to the top part
160
Elastic stockings also are called
A. Anti-embolism stockings
B. Support Hose
C. Elastic bandages
D. Montgomery bandages
A. Anti-embolism stockings
161
The amount of force exerted against the walls of the artery by the blood is commonly referred to as:
A. Blood pressure
B. Pulse
C. Metabolism
D. Hypertension
A. Blood pressure
162
The normal oral temperature of an adult
patient/resident is:
A. 96.2 °F
B. 98.6°F
C. 101.0° F
D. 99.60 F
B. 98.6°F
163
The Nurse Assistant enters Mr. S's room to take his oral temperature and observes that he is drinking a glass of ice water. The
Nurse Assistant should:
A. Proceed with the oral temperature as planned
B. Take a rectal temperature instead because the ice water will affect an oral reading
C. Place a plastic sheath over the oral thermometer so the reading won't be affected
D. Request that the patient not eat or drink anything else for 15 minutes and then return to take his temperature
D. Request that the patient not eat or drink anything else for 15 minutes and then return to take his temperature
164
Which of the steps mentioned below should the Nurse Assistant not do as part of taking a rectal temperature for an adult?
A. Shake down the thermometer until it registers below 96°F.
B. Position the patient in the prone position
C. Lubricate the bulb end of the thermometer
D. Insert the thermometer one inch into the rectum
B. Position the patient in the prone position
165
Which of the following can increase the pulse rate?
A. Depression
B. Cold
C. Pain
D. Sleep
C. Pain
166
Before using a stethoscope from the nursing unit, the Nurse Assistant should:
A. Wash the diaphragm with soap and water
B. Clean the earpieces and the diaphragm with an alcohol wipe
C. Disinfect the entire stethoscope with a strong disinfectant
D. Replace the earpieces as they are disposable
B. Clean the earpieces and the diaphragm with an alcohol wipe
167
A patientresident's diastolic pressure is 104 mm Hg. A high diastolic reading could be serious because it:
A. Means the patient/resident has hypotension
B. Means the patient/resident is in shock
C. Measures the amount of pressure in the arteries when the heart is contracting
D. Measures the amount of pressure in the arteries when the heart is at rest
D. Measures the amount of pressure in the arteries when the heart is at rest
168
Mr. Johnson is a 75 year old, who has a cardiac condition and is experiencing bradycardia. Which pulse rate represents bradycardia?
A. 152 beats per minute
B. 84 beats per minute
C. 68 beats per minute
D. 42 beats per minute
D. 42 beats per minute
169
The Nurse Assistant is taking routine vital signs on a patient/resident who is known to have an irregular pulse. The Nurse
Assistant should take a:
A. Radial pulse for 15 seconds and multiply by 4
B. Radial pulse for 30 seconds and multiply by 2
C. Radial pulse for one full minute
D. Carotid pulse for 30 seconds and multiply by 2
C. Radial pulse for one full minute
170
The radial pulse is the most common site used for routine vital signs. The radial pulse is located on the:
A. Internal side of the arm just below the elbow
B. External side of the arm just below the elbow
C. Thumb side of the wrist
D. Little finger (pinkie) side of the wrist
C. Thumb side of the wrist
171
The radial pulse is the most common site used for routine vital signs. The radial pulse is located on the:
A. Internal side of the arm just below the elbow
B. External side of the arm just below the elbow
C. Thumb side of the wrist
D. Little finger (pinkie) side of the wrist
C. Thumb side of the wrist
172
When taking a patient's/resident's temperature, pulse, respirations (TPR), the respiration should be counted after the:
A. Temperature has been taken
B. Pulse has been taken, while the fingers remain on the pulse site
C. Pulse has been taken and written down
D. Nurse Assistant informs the patient/resident that the respirations will be counted
B. Pulse has been taken, while the fingers remain on the pulse site
173
A respiration is defined as:
A. One deep inhalation
B. One full inhalation and exhalation cycle
C. One deep exhalation
D. A breath counted with each heartbeat
B. One full inhalation and exhalation cycle
174
A patient/resident has a temperature of 102° F. What can the Nurse Assistant do to assist in lowering the fever without a
physician's order?
A. Give the patient/resident an alcohol bath
B. Apply an ice cap to the patient's/resident's forehead
C. Place the patient on a hypothermia blanket
D. Encourage the patient/resident to drink cool fluids, if allowed to have oral intake
D. Encourage the patient/resident to drink cool fluids, if allowed to have oral intake
175
Which of the following pulse rates and blood pressure readings are within normal range for adult
A. Pulse 100, BP 200/100
B. Pulse 110, BP 140/90
C. Pulse 72, BP 130/84
D. Pulse 40, BP 90/60
C. Pulse 72, BP 130/84
176
Which of the following signs is not associated with a fever?
A. Flushed face
B. Thirst
C. Skin dry and hot to touch
D. Decreased pulse
D. Decreased pulse
177
When a patient/resident experiences difficult, painful or labored breathing, it is known as:
A. Tachypnea
B. Apnea
C. Dyspnea
D. Bradypnea
C. Dyspnea
178
Which one of the following statements about blood pressure is true:
A. The cuff can be placed over clothing
B. Blood pressure can be measured on an injured arm or one that has an IV inserted
C. The cuff is inflated 20mm - 30mm above the point where the radial pulse was palpated in the two step procedure
D. Blood pressure cuffs should be the same size for all patients/residents
C. The cuff is inflated 20mm - 30mm above the point where the radial pulse was palpated in the two step procedure
179
Which of the following pulses is located at the inner side of the elbow?
A. Carotid
B. Apical
C. Popliteal
D. Brachial
D. Brachial
180
Which of the following pulses is located at the inner side of the elbow?
A. Carotid
B. Apical
C. Popliteal
D. Brachial
D. Brachial
181
When taking a blood pressure reading, the higher number represents the pressure in the artery at the peak of cardiac contraction.
This is called the:
A. Apical pressure
B. Diastolic pressure
C. Systolic pressure
D. Pulse pressure
C. Systolic pressure
182
When a patient resident must be in a sitting position in order to breathe, this is known as:
A. Cheyne-stokes respiratory
B. Orthopnea
C. Hyperventilation
D. Snoring
B. Orthopnea
183
The Nurse Assistant is preparing to take a patient s/resident's blood pressure. The patientresident has an IV in the right arm. The Nurse Assistant should:
A.Take the blood pressure above the IV site in the right arm.
B. Take the blood pressure on the left arm
C. Use a small cuff to take the blood pressure on the right arm.
D. Report the situation to the licensed nurse
B. Take the blood pressure on the left arm
184
The Nurse Assistant should know that the first sounds heard when taking a blood pressure reading is called the:
A. Pulse pressure
B. Diastolic pressure
C. Auscultatory gap
D. Systolic pressure
D. Systolic pressur
185
When taking a patient's/resident's vital signs, Which of the following should the Nurse Assistant recognize as abnormal?
A. Pulse 124
B. Respirations 18
C. Oral temperature, 99° F (37.2° C)
D. Blood pressure 138/60 mmHg.
A. Pulse 124
186
Which of the following is the correct order for the Nurse Assistant to use when recording a patient s/residents vital signs
A. Pulse, temperature, and respirations
B. Blood pressure, respirations, and temperature
C. Temperature, pulse, and respirations
D. Respirations, pulse, and blood pressure
C. Temperature, pulse, and respirations
187
When the patient/resident returns to his room after a short walk, he reports shortness of breath and tightness in the chest.
Which of the following should the Nurse Assistant do FIRST?
A. Tell the patient/resident that he will be fine soon
B. Take their vital signs
C. Stay with the patient/resident and call for the nurse immediately
D. Call the family
C. Stay with the patient/resident and call for the nurse immediately.
188
When a Nurse Assistant is unable to obtain a patients/resident's pulse rate
A.
Ask another nurse assistant to check the pulse
B. Take the pulse again for 15 seconds and multiply the rate by 4.
C. Ask the patient/resident if her pulse is sometimes hard to find.
D. Take the pulse for a full minute at another location
D. Take the pulse for a full minute at another location
189
The Nurse Assistant is taking a patient's/resident's temperature. Which of the following would be a normal axillary temperature reading?
A. 97.6° F (36.4° C)
B. 98.6° F (37° C)
C. 99.6° F (37.6° C)
D. 100.6° F (38.1° C)
A. 97.6° F (36.4° C)
190
The Nurse Assistant is taking a patient's/resident's blood pressure. To read systolic pressure a second time, the Nurse Assistant should:
A. Immediately pump the cuff back up to 200 mmHg and try again
B. Deflate the cuff completely, wait 1-2 minutes and retake the blood pressure
C. Continue to deflate the cuff and add 20 points to the first sound heard
D. Wait at least 30 minutes before reading the blood pressure again
B. Deflate the cuff completely, wait 1-2 minutes and retake the blood pressure.
191
To take a patient's/resident's pulse, the Nurse Assistant should:
A. Put on gloves
B. Use the thumb to feel the pulse
C. Count the pulse for 10 seconds
D. Take the pulse on the thumb side of the wrist
D. Take the pulse on the thumb side of the wrist
192
How much fluid should the average adult take in each day?
A. 800 ounces
B. 1,500 milliliters
C. 2,500 milliliters
D. 4,000 milliliters
B. 1,500 milliliters
193
Liquid nutritional supplements are offered:
A. Between meals
B. To anyone who wants them
C. Warm
D. On meal trays
B. To anyone who wants them
194
Approximately how much daily urine output is normal for an average adult?
A. 800 ounces
B. 1,500 milliliters
C. 2,500 milliliters
D. 4,000 milliliters
B. 1,500 milliliters
195
Accurate recording of fluid intake includes:
A. Only the fluid given in the patient's/residents room
B. Only the fluid that the nurse gives with medicine
C. Only the fluid that comes on the dietary tray
D. All fluid the patient/resident consumes during a shift
D. All fluid the patient/resident consumes during a shift
196
Which abbreviation is used most frequently to measure fluid intake and output?
A. ml.
B. kg.
C. ст.
D. mmHg.
A. ml.
197
After totaling the intake and output at the end of a shift, the Nurse Assistant realizes that a patient's/resident's intake is 1200 milliliters and output is 325 milliliters. What is the best action for the Nurse Assistant at this time?
A. Record this information on the appropriate form
B. Re-total the intake and output because it is probably an error
C. Report the information to the charge nurse
D. Offer the patient/resident additional fluids
C. Report the information to the charge nurse
198
A patient/resident has a gastrostomy tube. The Nurse Assistant knows that this is:
A. A tube inserted through the nose to the stomach for feeding
B. The same as total parenteral nutrition (TPN)
C. A tube inserted through the abdominal wall into the stomach for feeding
D. A tube that introduces high-density nutrients into a large vein
C. A tube inserted through the abdominal wall into the stomach for feeding
199
When caring for a patient/resident who receives tube feedings the Nurse Assistant must always:
A. Elevate the head while the feeding is infusing
B. Change the bag at the end of a shift
C. Check the placement of the tube
D. Position the patient/resident in the orthopneic position for each feeding
A. Elevate the head while the feeding is infusing
200
Which of the following is included in a clear liquid diet?
A. Chicken noodle soup
B. Liquid nutritional supplement
C. Flavored gelatin
D. MilK
C. Flavored gelatin
201
Why is accurate recording of the food consumption of a patient/resident with diabetes important
A. Diet and insulin must balance to maintain a healthy protein level
B. A diabetic patient/resident should not consume more than 2,600 calories per day
C. The diabetic diet may be balanced by insulin or diabetic medications
D. Diabetics must consume an adequate amount of sugar at each meal
C. The diabetic diet may be balanced by insulin or diabetic medications
202
A sign that states NPO is posted on the door of a patient/resident. This means that the patient/resident should:
A. Not be fed
B. Not have physical and occupational therapies
C. Have intake only through a nasogastric or gastrostomy tube
D. Have nothing by mouth
D. Have nothing by mouth
203
A patient/resident has to order "Force Fluids." What is the best way to follow this order?
A. Force the patient/resident to drink a glass of water every hour
B. Encourage the patient/resident to take in as much fluid as possible
C. Force the patient/resident to drink 8-10 glasses of water every day
D. Encourage the patient/resident to drink only water
B. Encourage the patient/resident to take in as much fluid as possible
204
What action is essential before serving a meal tray to a patient/resident?
A. Check the diet card and patient/resident identification
B. Wash hands and put on a hairnet
C. Have the patient/resident go to the bathroom and wash hands
D. Put on a pair of gloves
A. Check the diet card and patient/resident identification
205
Hot liquids are best tested by:
A. Inserting a thermometer into the center of the liquid
B. Placing a few drops of liquid on the patient's/resident's wrist
C. Placing a few drops of liquid on the Nurse Assistant's wrist
D. Touching the outside of the dish or cup
C. Placing a few drops of liquid on the Nurse Assistant's wrist
206
When feeding a patient/resident who has had a stroke the Nurse Assistant will most correctly:
A. Place food as far back on the tongue as possible
B. Place food in the unaffected side of the mouth
C. Place food in the affected side of the mouth
D. Place food on the center of the tongue
B. Place food in the unaffected side of the mouth
207
A sign of dysphagia is:
A. Shallow respirations
B. Difficulty breathing
C. Difficulty swallowing liquids
D. Difficulty speaking
C. Difficulty swallowing liquids
208
Food thickeners are designed to:
A. Slow food intake into the mouth
B. Slow the movement of fluids through the esophagus
C. Provide a thicker mass for swallowing to help prevent choking
D. Increase the number of calories the patient/resident consumes
C. Provide a thicker mass for swallowing to help prevent choking
209
While feeding a patient/resident, a Nurse Assistant is observed doing all the following actions. Which of the following is not correct?
A. Standing at eye level
B. Alternating liquid and solid food
C. Only using a spoon for solids
D. Feeding the patient/resident in his room
A. Standing at eye level
210
The Omnibus Budget Reconciliation Act (OBRA) includes all of the following requirements for food served in long-term care
facilities except:
A. Food must smell and taste good
B. A patient/resident must receive at least three meals a day
C. Hot food must be served hot, and cold food must be served cold
D. Special eating equipment and utensils must be provided by the patient/resident or family
A. Food must smell and taste good
211
A patient/resident with a feeding tube is usually:
A. On a regular liquid diet
B. In a terminal condition
C. Not allowed food or liquids by mouth (NPO)
D. Receiving an intravenous infusion (IV)
C. Not allowed food or liquids by mouth (NPO)
212
A patient/resident was served the foods seen here. The patient/resident ate all of the cereal, one slice of bread and butter, and drank all of the milk. Approximately what percentage of the breakfast was eaten?
A. 25%
B. 50%
C. 75%
D. 100%
B. 50%
