state written test Flashcards

1
Q

what is ADL

A

activities of daily living

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2
Q

What is OBRA

A

Omnibus Budget Reconciliation Act

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3
Q

what is the purpose of OBRA

A

designed to improve quality of life of residents living in a nursing home environment

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4
Q

What does the north carolina board of nursing administrative code do

A

defines range of function for nurse aide in north carolina

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5
Q

what does the north carolina board of nursing do

A

provides list of tasks that fall within the range of function for nurse aides in north carolina

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6
Q

what are the five rights of delegation

A

right task, right circumstance, right person, right direction, right supervision

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7
Q

what are some examples of basic nursing skills

A

monitor, document, report, manage pain, dressing changes

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8
Q

what can the nurse aide do while assisting with personal care needs

A

observe skin, mobility, comfort and cognition

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9
Q

what is the nurse aides role with interpersonal skills

A

empathize, anticipate needs, unique individuals, patience, respectful, positive attitude, communicate effectively

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10
Q

what are the qualities of an effective team

A

comfortable and relaxed, two way communication, trusting, understood

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11
Q

what is afebrile

A

without a fever

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12
Q

what is apnea

A

no breathing

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13
Q

what is bradycardia

A

a pulse rate less than 60 beats per minute

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14
Q

what is bradypnea

A

a respiratory rate less than 12 breaths per minute

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15
Q

what is centigrade

A

metric scale used to measure temperature, expressed in degrees

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16
Q

what is cheynestrokes

A

alternating periods of slow, irregular breathing and rapid, shallow breathing, plus short periods of absent breathing

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17
Q

what is diastole

A

the resting phase of the heart when the heart fills with blood

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18
Q

what is dyspnea

A

painful or difficult breathing

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19
Q

what is eupnea

A

normal breathing

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20
Q

febrile

A

with a fever

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21
Q

what is hypertension

A

high blood pressure

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22
Q

what is hyperventilation

A

rapid breathing

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23
Q

what is hypotension

A

low blood pressure

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24
Q

what is orthostatic hypotension

A

abnormal low blood pressure occuring when the resident suddenly stands up, resident complains of weakness, faintness, dizzy, and seeing spots

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25
Q

what is systole

A

the working phase of the heart when the heart is pumping blood to the body

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26
Q

what is tachycardia

A

a pulse rate more than 100 beats

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27
Q

what is tachypnea

A

a respiratory rate more than 20 breaths per minute

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28
Q

what is edema

A

when fluid intake is more than fluid output and body tissues swell with water

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29
Q

what is an emesis basin

A

a plastic, shallow basin shaped like a kidney that fits against the resident’s neck and collects body fluids when a resident is nauseated and during mouthcare

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30
Q

what are your vital signs

A

temperature, pulse, respiration, blood pressure

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31
Q

what is the 5th vital sign

A

pain

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32
Q

what is the rate of normal respiration

A

12-20 breaths per minute

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33
Q

what is the cardiovascular system

A

continuous movement of blood through the body

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34
Q

what do veins do

A

carry blood with waste products away from the cells and to the heart

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35
Q

what do arteries do

A

carry blood with oxygen and nutrients away from the heart and to the cells

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36
Q

what can cause a change in your blood pressure

A

activity, position, lifestyle choice, stress, injury, medication

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37
Q

what are some genetic factors that affect blood pressure

A

age, gender

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38
Q

what is the sytolic

A

top number

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39
Q

what is the diastolic

A

bottom number

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40
Q

what is the normal range for blood pressure

A

90-119
60-79

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41
Q

when is someone in the hypertension range

A

130 and up
80

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42
Q

when is someone in the hypotension range

A

less than 90
60

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43
Q

what do the long lines on a cuff count as? and the short ones?

A

10
2

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44
Q

how much should you inflate a bp cuff

A

160-180
no more than 200

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45
Q

what are some factors affecting temperature

A

age, illness, stress, environment, exercise, time of day

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46
Q

when should you not take an oral temperature

A

unconscious
mouth surgery
injury
confused
seizure
oxygen
mouth breather

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47
Q

when should you not take rectal temperature

A

rectal problem
heart disease
confused

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48
Q

what should your oral temperature be

A

98.6

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49
Q

what should your rectal temperature be

A

99.6

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50
Q

how many ml of fluids do adults need to survive

A

1500 ml

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51
Q

what happens when fluid intake is higher than output

A

edema

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52
Q

what are the symptoms of dehydration

A

rapid, weak pulse, irregular heartbeat, low blood pressure, strong urine, dry mouth, weightloss, weakness, dizzy, headache, confusion

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53
Q

what is one ounce equal to

A

one ml

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54
Q

what is aseptic

A

clean

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55
Q

what is a norovirus

A

a contagious gastrointestinal illness

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56
Q

what is a localized infection

A

an infection found in one part of the body and symptoms are limited to that one part of the body

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57
Q

what is a systemic infection

A

an infection that affects an entire body

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58
Q

what are the symptoms of a respiratory infection

A

fever
sniffling
coughing
mucus

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59
Q

what are the symptoms of a bladder infection

A

fever, pain during urination, strong urine

60
Q

what is the chain of infection

A

causative agent
reservoir
portal of exit
mode of transportation
portal of entry
susceptible host

61
Q

what is the causative agent

A

bacteria, virus, fungus, parasite

62
Q

what is a reservoir

A

places germs grow
blood, skin, digestive track

63
Q

what is a portal of exit

A

nose, mouth, gastrointestinal tract, skin

64
Q

what are modes of transportation

A

touch, blood, sputum, pus, saliva, stool, vomit, bites, fluids

65
Q

what is portal of entry

A

nose, mouth, gastrointestinal tract, breaks in skin

66
Q

what is susceptible host

A

age, chronic illness, cuts, fatigue, poor nutrition, stress

67
Q

what is a HAI or nosocomial infection

A

an infection that a resident gets while staying in a health care setting

68
Q

what is the point of care

A

when the resident, nurse aide and care are all involved

69
Q

when do you need to wash your hands

A

before touching resident
before procedure
fluid exposure risk
after touching
arrive at work
after restroom
eating
gloving
trash
leaving work
blowing nose
sneezing
touching hair

70
Q

what are the rules when handling sharps

A

wear gloves
never recap
only sharps container
never when full

71
Q

what are the three types of transmission

A

contact
droplet
airborne

72
Q

what is a norovirus

A

gastrointestinal infection
hand sanitizer not effective
no vaccination
contagious for three days

73
Q

what is BEFAST

A

stroke symptoms
eyes, face, arms, speech, time.

74
Q

what is PASS

A

pull the pin, aim at fire, squeeze handle, sweep at base

75
Q

What is RACE

A

remove resident, activate alarm, contain fire, extinguish

76
Q

what is a hazard

A

anything in the residents environment that may cause illness or injury

77
Q

what is the nurse aides role in safety

A

maintain temp
bright lights
unit clean
report unsafe conditions
low bed, call bell, lock wheelchair

78
Q

what is the definition of a fall

A

unintentionally coming to rest on the ground.
any sudden, uncontrollable descent from a higher level to a lower level which may result in injury

79
Q

what are intrinsic factors

A

those risk factors that result from the residents inner being

80
Q

what are extrinsic factors

A

those risk factors that result from those things outside resident

81
Q

what is elopement

A

when a resident leaves the facility without the staffs knowledge

82
Q

what is a cerebrovascular accident CVA

A

stroke
blood supply to brain is blocked

83
Q

what is a seizure

A

involuntary contractions of muslces, small area or entire body

84
Q

what is the nurse aides role with seizures

A

record time and stop
cradle head
put on gloves
loosen clothing
dont restrain

85
Q

what is a tort

A

a wrong commited against a person or property

86
Q

what is a malpractice

A

giving care for which you are not legally allowed

87
Q

what is negligence

A

actions or failure to act or give proper care

88
Q

what is assault

A

act of threatening to touch without consent

89
Q

what is battery

A

touching a person without consent

90
Q

what are the types of consent

A

written, verbal, implied

91
Q

what kinds of consent can a nurse aide recieve

A

verbal, implied

92
Q

what is defamation

A

false statement made to third person that causes a person shame or ridicule

93
Q

what are symptoms of neglect

A

dehydration, malnutrition, pressure ulcers, personal hygiene

94
Q

what are symptoms of physical abuse

A

sprains, bruises, fear, withdrawn, wounds, change in behavior

95
Q

what are symptoms of emotional abuse

A

emotionally upset
extremely withdrawn
shamed
depressed
trembling
unusual behavior

96
Q

what are examples of emotional abuse

A

intimidation, mocking, sexual harrasment, verbal threats, harrasment, social isolation

97
Q

what is symptoms of exploitation

A

sudden new caretaker
increasingly helpless

98
Q

what is HCPR? what do they do

A

health care personnel registry
lists pending allegations and substantial finding of nurse aides
negative consequences

99
Q

what is an obudsman

A

person assigned to their district who supports or promotes their intrests

100
Q

what is nurse aides role in ethics

A

good judgement, be honest, report abuse, empathy, provide high quality care

101
Q

what is dignity

A

quality or state of being worthy of esteem or self respect

102
Q

what is the importance of dignity

A

promotes sense of self importance
promote quality of life
positive self worth

103
Q

what is nurse aides role in dignity

A

explain procedure to resident
respect room and items
be patient
encourage resident
dont judge
empathetic
assist to activities
knock on door

104
Q

what is defecation

A

process of emptying the rectum of feces

105
Q

what is basic restorative care

A

care provided after rehabilitation. goal to maintain function that had been restored

106
Q

what is the importance of restorative care

A

maintain previous abilities
encourage resident to do as much on own
productive lifestyle
adapt to limitations

107
Q

what is a prosthetic

A

replacement for loss of body part

108
Q

what is a orthotic device

A

artificial device that replaces a body part and helps with function and appearance

109
Q

what is a supportive device

A

special equipment that helps a disabled or ill resident with movement

110
Q

what are some examples of prosthetic devices

A

implanted lens, cochlear implants, hip prosthesis

111
Q

what are some examples of orthotic devices

A

artificial eye, eyeglasses, contact lenses, breast

112
Q

what is examples of a supportive device

A

canes, walkers, crutches, wheelchairs, motorized chairs

113
Q

what is a assistive device

A

special equipment that helps a disabled or ill resident perform activities of daily living

114
Q

what are some examples of assistive devices

A

bed cradles, footboards, angled utensils, sipper cup, food gaurd, electric toothbrush

115
Q

defecation

A

empty the rectum of feces

116
Q

what is the importance of bowel and bladder training

A

embarresing for resident
limits lifestyle
odor prevents family

117
Q

what is nurse aides role in bladder training

A

keep record
answer call lights
dont rush
be positive
be supportive
dont scold
encourage fiber
keep clean

118
Q

how much fluid is used in an enema

A

5oo ml

119
Q

what is metastasis

A

when a cancer spreads to other parts of the body by breaking off and traveling to other parts of the body.

120
Q

pressure injury stage 1

A

redness over bony prominence

121
Q

pressure injury stage 2

A

skin loss, blister or shallow redish pink ulcer

122
Q

pressure injury stage 3

A

skin loss, slough, dead soft tissue

123
Q

pressure injury stage 4

A

skin and tissue loss, bone exposure, eschar

124
Q

stasis dermatitis

A

a skin condition affecting lower legs and ankles that occurs from a buildup of fluid under the skin and causes problems with circulation

125
Q

contracture

A

permanent shortening of muscle resulting in immovable joints

126
Q

osteoporosis

A

loss of bone density causing bones to become porous and brettile, resulting in bones breaking easily

127
Q

dysphagia

A

difficulty swallowing

128
Q

expressive aphasia

A

trouble communicating thoughts by speech or writing

129
Q

hemiparesis

A

weakness on one side of body

130
Q

hemiplegia

A

paralysis one one side of body

131
Q

paraplegia

A

complete loss of function occurs to the lower body

132
Q

paresis

A

loss of use of muscle function affecting only part of body

133
Q

quadriplegia

A

complete loss of function occurs to lower and upper body, plus trunk

134
Q

receptive aphasia

A

difficulty understanding spoken or written words

135
Q

angina pectoris

A

chest pain occuring when the heart muslce is not getting enough oxygen due to narrowed blood vessels, brought about by excersize, stress, excitement, or digesting a big meal

136
Q

atherosclerosis

A

arteries harden to plaque buildup from fatty deposits

137
Q

coronary artery disease

A

a condition in which blood vessels in the coranary arteries narrow, lowering blood supply to the heart and depriving it of oxygen

138
Q

myocardial infraction

A

a condition where the heart muscle does not receive enough blood and lacks oxygen, causing damage or death to that area of the heart

139
Q

varicose veins

A

enlarged, twisted veins usually in the legs

140
Q

emphysema

A

chronic, progressive disease of the lungs causing irreversible damage, usually resulting from chronic bronchitis and smoking

141
Q

colostomy

A

a surgically created opening through the abdomen into large intestine to allow stool to be expelled into a bag affixed to the abdomen

142
Q

flatulence

A

gas

143
Q

gastritis

A

inflammation of the stomach lining

144
Q

peristalsis

A

involuntary contractions that move food through the digestive system

145
Q

ulcerative colitis

A

chronic inflammatory disease of large intestine

146
Q

benign prostatic hypertrophy

A

enlargement of prostate gland, a donut shaped structure around the male urethra, leading to urinary dysfunction