150 mind-bursting

The nursing assistant knows that the responsibilities of the position do NOT include?

A. Helping a resident to bathe.
B. Administering medication.
C. Keeping a resident's room tidy.
D. Applying an ice pack as ordered.

Which of the following would be considered an example of battery toward a patient?

A. The nursing assistant cleans the resident's glasses.
B. The nursing assistant asks for permission before touching the resident to assist them to the bathroom.
C. The nursing assistant bathes the resident without his or her permission.
D.The nursing assistant keeps a resident isolated from others as a form of punishment.

The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next?

A. Notify the nurse assigned to care for the patient about the bruises.
B. Report the suspected situation to the nursing assistant's immediate supervisor.
C. Ask the resident repeatedly to identify an abuser.
D. Wait for more proof in order to identify the abuser.

MRSA is an example of which of the following?

A. A resistant strain of bacteria that is difficult to treat with antibiotics.
B. A bacterial strain that is easy to treat with antibiotics.
C. A mnemonic to remember how to act if there is a fire in the facility.
D. A set of activity guidelines designed to keep residents

What is the best way for a nursing assistant to prevent infection?

A. Use standard precautions when caring for residents.
B. Apply an antiseptic hand rub before and after caring for residents.
C. Wear gloves when in contact with body fluids
D. Frequent hand washing.

Which of the following is a key part of care when administering a bath to a resident?

A. Clean the perineal area of a patient before assisting them to clean their face.
B. Use cool water when bathing the patient to promote better circulation.
C. Allow participation in care to promote a sense of independence.

A nursing assistant cares for a resident. Which of the following skincare measures are correct?

A. The nursing assistant does not begin perineal care until a second staff member is present.
B. The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the nurse.
C. The nursing assistant applies talcum powder beneath the abdominal folds of the resident.
D. The nursing assistant applies a prescription ointment as ordered.

Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan?

Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan?
B. History of a heart condition.
C. Presence of the resident's razor from home.
D.Any previous refusal of ADLs.

Fecal impaction may present with which of the following symptoms?

A. Dark urine.
B. Excessive flatulence
C. Small, watery leakage of stool.
D. Abdominal pain.

Dyspnea is a term that refers to difficulty with which of the following?

A..Urinating
B.Breathing
C.Defecating
D.Swallowing

Which of the following statements is true about Alzheimer’s residents?

A. An increased appetite is common as Alzheimer's progresses.
B. Residents can never be reoriented because they will immediately forget it.
C. The resident may become confused, but hallucinations are never a part of Alzheimer's.
D. It is important to maintain a routine to avoid confusion and overstimulation

Which of the following is a correct aspect of making an occupied bed?

A. Place soiled linen on the floor until the bed has been remade with clean sheets.
B. Mitering the corners of the new sheet is no longer recommended.
C. Lower the bed to the lowest level when the procedure is complete.
D. Avoid raising the bed rails unless absolutely necessary.

Which of the following is example of a pulse rate that should be reported to the nurse?

A. 45.
B. 82
C. 64.
D. 98.

The nursing assistant knows that signs of hypoglycemia include which of the following?

A. Tachycardia.
B. Hot and dry skin.
C. Polyuria.
D. Sweating.

Which of the following guidelines regarding residents who are hard of hearing would be considered correct?

A. Encourage family participation to make sure they understand you.
B. Speak clearly and slowly as you face the resident.
C. Write down words rather than speaking

A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position?

A. The patient lies on their stomach for twenty minutes prior to eating.
B. The patient's bed is at a 60 degree angle with the feet propped up.
C. The patient's bed is at a 30 degree angle with the patient slightly slumped over to the left.
D. The patient's bed is at a 90 degree angle and the patient is positioned sitting up.

What protective equipment should be worn when changing an incontinent patient?

A. Gloves, gown, and a mask.
B. Mask and gown.
C. N-95 mask.
D. Gloves and gown.

Of the following symptoms, which one is most likely due to an infection in a resident?

A. Pale skin.
B. Sudden onset confusion
C. Tented skin.
D. Aphasia.

The nursing assistant knows that the term “NPO” means:

A. Bedrest only.
B. No oral temperatures are to be taken.
C. Liquid diet.
D. Nothing by mouth.

The nursing assistant should tell the nurse if the client with diabetes

A. does not touch their lunch tray.
B. decides not to finalize a will.
C. reports numbness in their feet sometimes.

The nursing assistant knows that residents on bedrest must be turned every

A. 6 hours.
B. 8 hours.
C. 1 hour.
D. 2 hours.

Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?

A. Popliteal.
B. Radial.
C. Brachial.
D. Femoral.

The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?

A. Ask the resident if they are choking.
B. Begin CPR immediately.
C. Call 911.
D. Begin the Heimlich maneuver.

A client at the facility receives a new roommate. While the roommate is in the bathroom, the clients leans toward the nurse and whispers, “Why is she here anyway? Is she sick?” The best response by the nursing assistant i

A. "Why don't you ask her yourself?"
B. "I'm afraid I can't share that information with you."
C. "She's here for the same thing as you!"
D. "I'm not sure. Let me take a look at her chart."

A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by

A. recording intake and output.
B. taking the client to the bathroom.
C. assisting the client to call family members.
D. brushing the client's teeth.

The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?

A. Check the client's blood glucose before cutting her toe nails.
B. Check the chart for physician orders regarding nail trimming.
C. Report to the nurse that the client needs her toenails trimmed.
D. Retrieve a safety clipper and hand it to the client.

Which of the following options is the best method to prevent insomnia?

A. Ensure the client eats one apple per day.
B. Encourage the client to take several naps daily.
C. Encourage the client to take several walks around the facility daily.
D. Encourage the client to remain in bed throughout the day.

The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?

A.. The nursing assistants waits at least 15 minutes before retaking the temperature.
B. The nursing assistant records the temperature in the chart.
C. The nursing assistant scolds the client for not letting her know beforehand
D. The nursing assistant takes an axillary temperature instead.

A client under the nursing assistant’s care suffers from chronic “foot drop”. The nursing assistant can expect to find which of the following devices in the client’s room?

A. A wedge
B. A mechanical lift
C. Positioning boots
D. Two extra pillows

A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should:

A. take the client's pulse next.
B. report the finding to the nurse.
C. record the vital sign in the chart.
D. instruct the client to drink more fluids.

The range of motion term “abduction” means:

A. moving the extremity away from the body
B. moving the extremity toward the body.
C. moving the extremity above the body.
D. moving the extremity below the body.

Which of the following most addresses a client’s needs in regard to spirituality?

A. Ask the client why he or she is of a particular faith.
B. Provide the client with warm water, soap, and towels every morning
C.Assist the client to the facility's chapel every Sunday.
D. Treat any religious objects in the client's room as if they were any other.

Proper body mechanics when lifting clients involve which of the following?

A. Keep the spine curved.
B. Bending at the waist.
C .Bending at the knees.
D. Avoid seeking assistance

Which of the following would be a primary indication of hepatitis?

A. Hypertension
B. Hyperglycemia
C. Jaundice
D. Hypotension

Which of the following aspects of care is important for a confused client?

A. Checking the client's blood sugar every hour.
B. Asking the client their name.
C. Keeping the client contained in their room.
D. Reorienting the client frequently with clocks, calendars, and family mementos.

What type of client may opt to receive hospice care?

A. Client with kidney disease
B. Client with cancer.
C. Terminally ill client.
D. Client with diabetes.

Cheyne-Stokes respirations occur in a client who:

A has a history of chronic respiratory issues.
B. is unconscious.
C. is recovering from an asthma attack.
D. is close to death.

A client in the day room is having a panic attack. The nursing assistant should:

A. tell the client to breathe as slowly and deeply as possible.
B. have the client talk about the panic attack.
C. encourage the client to verbalize their feelings.
D. ask the client about the cause of the panic attack.

Which of the following residents is demonstrating orthopneic position?

A. A resident sits in a chair with their back straight.
B. A resident sits on the side of the bed and leans forward over a bedside table.
C. A resident walks using a cane.
D. A resident lays on their stomach with their face to the side.

A resident is choosing items for breakfast. Which of the following items contains the most amount of potassium?

A. Eggs
B. Cantaloupe
C. Toast
D. Strawberries

When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client’s cane:

A. in front of the client.
B. on the left side.
C. on the right side.
D. away from the client.

CPR (Cardiopulmonary resuscitation) should be performed when:

A. a client is unconscious.
B. a client is choking.
C. a client has no pulse and is not breathing.
D. a client has a pulse but is not breathing.

A nursing assistant enters a client’s room and finds a fire burning in a trashcan. The nursing

A. call the nurse for help.
B. remove the patient.
C. try to put out the fire.
D. pull the fire alarm.

“Log-rolling” is a technique best used for which of the following patient diagnoses?

A.Left tibial fracture.
B. Spinal cord injury (SCI).
C. Cellulitis of the right arm.
D. Psychosis

When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?

A. Constipation
B. Incontinence
C. Insomnia
D. Poor appetite

Which of the following types of grief is considered a normal and healthy part of grieving?

A. Anticipatory
B. Complicated
C. Unresolved
D. Inhibited

A patient is on a clear liquid diet. Which of the following is NOT allowed on this diet?

A. Water
B. Tea
C. Coffee
D. Orange juice with pulp

A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should:

A. keep the bag below the bladder level.
B. raise the bag above the bladder level.
C. have the patient cover the bag with a pillow sleeve.
D. ask the nurse to confirm this order.

Which of the following items is necessary in order to place a patient in restraints?

A. The hospital administrator's approval.
B. The charge nurse's approval.
C. Physical restraints.
D. A physician's order.

A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?

A. 480 cc
B. 120 cc
C. 120 ml
D. 480 ml

One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?

A. Before a meal.
B. After a meal.
C. First thing in the morning.
D. Last thing before the patient goes to sleep.

The nursing assistant walks into a patient’s room and discovers him masturbating. Which of the following actions is correct?

A. Scold the patient and tell him he should be ashamed of himself.
B. Exit the room to provide privacy for the patient.
C. Report the activity to the nurse in charge.
D. Ask the patient why he is doing this to himself.

The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should

A. use restraints to ensure the client's safety.
B. speak calmly in an authoritative and neutral manner to the client.
C. use the television to distract the client.
D. provide care only when absolutely necessary.

A client with a terminal illness tells the nurse that he has begun praying every night. Client states, “If I pray every night, God will forgive me.” This represents which stage of grief?

A. Acceptance
B. Bargaining
C. Denial
D. Anger

Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?

A. Mechanical lift
B. Draw sheet
C. Gait belt
D. Wrist restraints

The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?

A. To the lateral aspect of the patient's thigh.
B. To the bed sheet.
C. To the medial aspect of the patient's thigh.
D. To the bed.

A patient has just received news about the death of his spouse. He states to the nursing assistant, “I can’t believe this has happened to me. I don’t know what to do. How can I live without my wife?” The nursing assistant best responds by stating

A. "You will need more time to cope with this loss."
B. "I understand you're in pain. I'll stay with you."
C. "This kind of thing will happen to everyone eventually."
D. "Do you and your wife have any children together?"

The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient’s independence?

A. Allow the patient to perform as much of the bath as possible.
B. Ask the patient what he wants to do.
C. Complete the entire bath for him to conserve his energy.
D. Encourage the patient to do the best he can to clean himself.

A resident comes out of their room saying they have burned their leg after they dropped hot

soup on it. The skin looks blistered and red. This is:

A. superficial burn
B. partial thickness burn
C. total thickness burn
D. serious burn

A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures?

A. Endoscopy
B. Colonoscopy
C. Catheterization
D. Enema

Client with osteoarthritis may be on bed rest for prolonged period. The nursing assistant is aware that she should:

A. encourage coughing and deep breathing and limit fluid intake.
B. provide only passive range of motion, and decrease stimulation.
C. have the client lie as still as possible, and give adequate massage.
D. turn the client every 2 hours, and encourage coughing and deep breathing.

Justine (CNA) was instructed by the staff nurse to elevate the client casted left limb to prevent swelling. Justine is elevating the casted extremely correctly when she does:

A. Places the casted limb above the level of the heart.
B. Places the casted limb close to the body.
C. Places the casted limb below the level of the heart.
D. Places the casted limb at the level of the heart.

A nurse obtain an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the CNA?

A. A safety knot in the restraint straps.
B. Restraint straps that are safely secured to the side rails.v
C. Jacket restraint straps that do not tighten when force is applied against them.
D. Jacket restraint secured so that two fingers can slide easily between the restraint and the client's skin.

The nurse inserts a Foley catheter to relieve a client urinary retention. Which of the following is an inappropriate action in caring for a client with an indwelling catheter?

A. Emptying the drainage bag every 6-8 hours.
B. Attaching the drainage bag to the lowest part of the siderails near the client's feet.
C. Keeping the drainage bag below bladder level.
D. Positioning the tubing without dependent loops.

Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the Said condition?

A. Prunes
B. Cauliflower
C. Colas and sodas
D. Protein rich foods

In preparing a client for a hot Sitz bath, the nursing assistant should check the temperature of the water. The ideal water temperature is

A.Between 105°F and 120°F
B. Between 95°F and 110°F
C. Between 80°F and 93°F
D. Between 65°F and 80°F

The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:

A. At bedtime
B. 30 minutes after meals and at bedtime
C. 30 minutes before meals and at bedtime
D. Before breakfast

The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?

A. Tactfully refuse the delegated task because you are limited in changing dressings on your own.
B. After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage.
C. In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes.
D. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

Which is correct about ostomy care?

A. It is done under sterile technique.
B. It needs doctor's order for changing of ostomy pouches.
C. Able clients can perform this procedure by themselves once they have been taught by the nurse.
D. The client can still defecate normally.

A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she:

A. applies the stockings while the client is on bed.
B. applies the stockings while the client is sitting on the chair.
C. applies the stockings while the client is sitting on the bed and dangles her feet.
D. applies the stockings while the client is standing.

The nursing assistant is aware that the purpose of the elastic stockings is to:

A. prevent blood clots.
B. hold dressings in place.
C. reduce swelling after injury.
D. prevent pressure sores

A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can:

A. turn the oxygen on and off.
B. start the oxygen.
C. decide what device to use.
D. keep the connecting tubing secure and free of kinks.

After applying an elastic bandage to a client’s right leg, you need to check the color and temperature of the leg:

A. every 15 minutes.
B. every hour.
C. every 2 hours.
D. every shift.

Which of the following statements is correct pertaining to binders application?

A. A breast binder can be applied for breastfeeding mothers to relieve discomfort.
B.Straight abdominal binders are applied when client is sitting on chair.
C. The double T-binder is specifically used for male clients.
D. When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins.

Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose?

A. Trochanter rolls
B. Rubber sheet
C. Bed cradle
D. Flotation pads

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include

A. Breathing comfortably only when sitting.
B. Restlessness, dizziness, and disorientation.
C. Cyanosis and increased pulse rate.
D. Increased temperature and decreased respiratory rate.

An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by:

A. placing the head of bed in 90° angle.
B. sitting up and leaning over a table with a pillow.
C. hyper-extending the neck while on high back rest.
D. placing the client on a high back rest using a pillow

Which action is incorrect when flossing the client’s teeth?

A. Hold the floss between the middle fingers of each hand.
B. Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth.
C. Move the floss gently up and down between the teeth.
D. Use a new piece of floss for each tooth.

To obtain a 24-hour urine specimen, the nurse assistant should:

A. Collect each voiding in separate containers for the next 24 hours.
B. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours.
C. For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided.
D. Keep a record of the time and amount of each voiding for 24 hours.

A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a

A. therapeutic level.
B. preset level.
C. prescribed level.
D. audible level.

One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:

A. are unable to speak.
B. have no difficulty in understanding spoken or written language.
C. are not able to express themselves meaningfully through speech.
D. speak very loudly at all times.

The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output?

A. Inform the nurse that the client has voided or defecated.
B. Do not document at all since it cannot be measured.
C. Record output of the I&O sheet each time the bed is wet.
D. Review the client's intake and record the same amount on the output side of the I&O sheet.

Which of the following are examples of fluid output that need to be recorded on the I&O sheet?

A. Urine only.
B. Urine and blood loss.
C. Urine, blood loss, and excessive perspiration.
D. Urine, emesis, blood loss, and excessive perspiration

A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client?

A. Eating his lunch.
B. Use of cotton bedclothes.
C. Shaving using an electric razor.
D. Talking with visitors.

Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?

A. Zippered clothing.
B. Tied shoes to promote stability.
C. Velcro clothing, slip-on shoes, and rubber grippers.
D. Buttoned clothing, slip-on shoes, and rubber grippers.

Which of the following is not included in the care of clients with a pacemaker?

A. The client is not allowed to be around electrical appliances.
B. The client can operate a microwave.
C. The client should avoid magnetic wands in airports.
D. Cellular phone use should be monitored closely.

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?

A. Ask the client what her previous meal contained.
B. Ask the nurse to observe the stool.
C. Dispose of the stool and report the color to the nurse.
D. Ask a co-worker if this is normal for this client.

Which is NOT a rule for collecting specimens?

A. Follow the rules of medical asepsis.
B. Use the correct container.
C. Label the container accurately.
D. Collect the specimen when you have time.

A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear?

A. Mask
B. Clean gloves
C. Sterile gloves
D. Shoe protectors

A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?

A. Cover the hole with tape.
B. Report to the nurse immediately.
C. Disconnect the bag from the catheter and replace with new
D. Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.

Which of the following methods should be used to collect a specimen for urine culture?

A. Have the client void in a clean container.
B. Clean the foreskin of the penis of uncircumcised men before specimen collection.
C. Have the client void into a urinal, and then pour the urine into the specimen container.
D. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

The nursing assistant is correctly providing penile hygiene to an unconscious clients if she

A. uses warm water without soap.
B. dries all areas of the penis thoroughly.
C. washes from the base of the shaft to the tip.
D. avoids retracting the foreskin if not circumcised.

A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission to other clients by the equipment?

A. Dispose of the equipment after each use.
B. Wear gloves while handling the equipment.
C. Use only the equipment with other clients in airborne isolation.
D. Leave the equipment in the room for use only with him.

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?

A. Wrap the bandage around the arm loosely.
B. Apply the bandage while stretching it slightly.
C. Apply heavy pressure with each turn of the bandage.
D. Apply the bandage at the upper arm and to the lower arm.

The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; 50 ml water after twice daily medications. Medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client’s total intake for the 7AM to 3PM shift?

A. 530 ml
B. 550 ml
C. 580 ml
D. 590 ml

While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won’t lie on the tubing. What to do?

A. To inhibit drainage.
B. To allow drainage to occur.
C. To allow the urine to collect in the tubing.
D. To have the client check the tubing for urine.

A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client’s safety?

A. Don't allow him to leave his room.
B. Remove all sharp and cutting objects.
C. Give him the opportunity to ventilate his feelings.
D. Stay with him at all times.

A client who has Alzheimer’s disease is told by the nurse assistant to brush his teeth. He shouts angrily, “Tomato soup!” Which of the following actions by the nurse assistant would be correct?

A. Focusing on the emotional reaction.
B. Clarifying the meaning of his statement.
C. Giving him step-by-step directions.
D. Doing the procedure for him.

When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:

A. call a priest.
B. counsel the client.
C. report immediately to the nurse.
D. refer the matter to the police.

A divorced 33-year-old former drug addict, is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships?

A. Have get-well cards sent anonymously.
B. Provide paper and pen for letter writing to his sons.
C.Spend time with him after work hours.
D. Leave him alone to allow for meditation.

Clients and families have the right to receive care that is:

A. determined necessary by the health team.
B. culturally acceptable to them.
C. dictated as appropriate by medical research.
D. technologically advanced and inexpensive.

When caring for a dying client, the nurse aide should perform which of the following activities?

A. Encourage the client to reach optimal death.
B. Assist the client to perform activities of daily living.
C. Assist client towards a peaceful death.
D. Motivate client to gain independence.

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?

A. Bargaining
B. Acceptance
C. Denial
D. Depression

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?

A. Beans and tortillas.
B. Cheese and olive oils.
C. Vegetables and rice.
D. Red meat and potatoes.

Which of the following techniques would you use when interviewing a 94-year-old patient?

A. Using a low-pitched voice.
B. Enunciating each word slowly.
C. Varying voice intonations.
D. Reinforcing the words with pictures.

Question 46

A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation?

A. "I'm sorry, I don't know."
B. "I'm sure it's nothing to worry about. You look fine to me."
C. "I don't have any information as of the moment, but I'll find out for you."
D. "You need to ask your doctor about that, not me."

A client in the long term facility tells the nursing assistant “I am too depressed to talk to you. Leave me alone.” Which of the following response by the nursing assistant is most therapeutic?

A. "I'll be back in an hour."
B. "Why are you so depressed?"
C. "I'll sit with you for a moment."
D. "Call me when you feel like talking to me."

A client says to you “I am worthless person, I should be dead.” What is the best response that you, the nursing assistant, can make?

A. "Don't say you are worthless, you are not a worthless person."
B. "We are going to help you with your feelings."
C. "What makes you feel you're worthless?"
D. "What you say is not true."

A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client’s needs while preventing sensory overload?

A. Allow all the client's family members to stay with the client.
B. Have conversation at the bedside directed to the client.
C. Keep the television or radio on for the client continuously.
D. Keep the overhead light on at all times.

Legally, clients’ charts are:

A. Owned by the government since it is a legal document.
B. Owned by the doctor in charge and should be kept from the administrator for whatever reason.
C. Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.
D. Owned by the client and should be given by the nurse to the client as requested.

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident’s missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following?

A. Accountability
B. Flexibility
C. Dependability
D. Respectability

Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again?

A. Enroll in a refresher course.
B. Undergo a retraining and a new competency evaluation.
C. Competency evaluation only.
D. No other requirements are required. Just present letter of intent to the Board to go back to work.

It’s a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient’s eyes. How would you respond to this?

A. Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure.
B. As assistant to the nurse, follow the nurse's request and apply the ointment to the patient's eyes.
C. Ask the nurse to be with you during the application of the ointment.
D. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

During a nursing assistant’s orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except:

A. Use terms with many meanings.
B. Be brief and concise.
C. Present information logically and in sequence.
D. Give facts and be specific.

A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer?

A. Ask the caller what telephone number he is trying to reach.
B. Ask the caller to "Please hold, an operator will get to you shortly", then go back to unfinished tasks.
C. Refer the call to the nurse on duty. The nurse will transfer the call herself.
D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to

A. Immediately walk out of the client's room and answer the phone call.
B. Cover the client, place the call light within reach, and answer the phone call.
C. Finish the bed bath before answering the phone call.
D. Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client’s condition throughout her stay at the hospital. The nursing assistant therefore reads the:

A. Flow sheet
B. Kardex
C. Progress notes
D. Nursing discharge summary

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client’s medical record?

A. "It is most likely that the client attempted to climb over the side rails and fell."
B. "Upon entering the room, the client was found lying on the floor."
C. "The client had been restless all evening and was trying to get out of bed."
D. "The presence of a bed alarm could have prevented the fall."

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse’s station?

A. Log out and sign off all computer screens before leaving a terminal.
B. Share passwords for computer access with colleagues who have forgotten their own passwords.
C. Periodically change computer access passwords.
D. Prevent an unidentified healthcare worker from viewing computer records.

A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should:

A. speak loudly and slowly.
B. stand close to the client and speak slowly.
C. use an interpreter to speak to the client.
D. speak to the client and family together to increase the chances that the topic will be understood.

Which of the following actions is correct when giving a client a bath?

A. Clean the perineal area by gently wiping with the washcloth from back to front.
B. Ensure any areas not being currently washed are covered by a sheet or towel.
C. Make the client give themselves their own bath, even if they perform it poorly.
D. Lotion the client's feet after bathing and be sure to get in between the toes.

Which of the following procedures cannot be performed by a nursing assistant?

A. Reporting a soiled dressing to the nurse.
B. Inserting a Foley catheter.
C. Performing oral care on an unconscious patient.
D. Assisting the client to the bathroom.

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means:

A. that the client is confused.
B. that the client is unable to void.
C. that the client is unable to understand and process language.
D. that the client is unable to speak.

A patient who is immobile may experience which of the following feelings?

A. Confusion.
B. Laziness.
C. Happiness.
D. Sadness.

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients?

A. Help residents write wills and choose power of attorneys.
B. Help residents reach their highest level of psychological and mental functioning.
C. Help residents perform ADLs and avoid neglect.
D. Help residents to transfer to other nursing homes if they want.

Range-of-motion exercises are most important for which type of patient to perform?

A. A patient with a pulled leg muscle.
B. A patient who has hypertension.
C. A patient with hemiplegia.
D. A patient with depression.

Which of the following is an example of a nursing assistant’s desired characteristic of reliability?

A. The nursing assistant lets the nurse know when a patient states he is in pain.
B. The nursing assistant monitors a patient's vital signs.
C. The nursing assistant completes a task designated by the nurse in a timely manner.
D. The nursing assistant clocks in fifteen minutes after her shift began.

The term grievance refers to which aspect included in the Patient Bill of Rights?

A. There is no lifetime monetary limit on essential care.
B. Patients are not allowed to call doctors at home.
C. Patients have access to their health information at all times.
D. Patients have the right to file a complaint without fear or penalty.

Which of the following diseases does not require airborne precautions?

A. Measles.
B. MRSA.
C. Tuberculosis.
D. Chickenpox.

The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?

A. IV drug use.
B. Dirty toilet seat.
C. Dirty eating utensils.
D. Going barefoot.

The nursing assistant cares for a client who is depressed. One day, the client states “I can’t go on any longer. I have made a plan to kill myself. I don’t know if I would follow through with it, but it seems much better than living this life any longer.” Which of the following is the correct action?

A. Report the situation to the physician. A. Report the situation to the physician.
B. Ask the patient, "Can you tell me more about your feelings?"
C. Report the situation to the nurse in charge.
D. Reassure the patient by saying, "It's not that bad. You'll feel better tomorrow."

When recording data on a legal form, it is considered correct to write with which of the following?

A. A black or a blue pen.
B. A blue pen
C. A black pen
D. A red pen.

The nursing assistant takes the blood pressure of a patient known for “running low.” To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible?

A. The patient denies skipping any medication.
B. The patient is stressed.
C. The blood pressure cuff is too tight.
D. The patient is lying in bed.

What is the difference between Sims position and left lateral position?

A. In Sims position, a pillow is placed between the patient's knees to prevent them from touching.
B. In lateral position, the patient's head is elevated to 15 degrees on two pillows.
C. In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back.
D. In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:

A. Assist the resident to put on a robe and nonskid slippers.
B. Encourage the resident to pivot themselves with minimal assistance.
C. Place the chair on the resident's strong side.
D. Place the bed in the lowest position and lock the wheels.

When applying a jacket restraint to a patient, it is most important to:

A. Check that the patient is not able to hit any other patients nearby.
B. Check that the patient can fully expand their chest for breathing.
C. Use a half-bow knot to secure each tie around the bed frame.
D. Use a square knot to fasten the vest ties together behind the chair.

Choose the observation that should be reported to the nurse STAT.

A. Temperature of 98.9 degrees F.
B. A pulse of 72.
C. 32 respirations per minute.
D. Blood pressure of 102 over 75.

Which of the following best describes the concept of empathy?

A. A nursing assistant asks a patient whether they would like to take a walk or watch a movie.
B. A nursing assistant speaks with a dietician about alterations to the patient's meal tray.
C. A nursing assistant speaks with a patient about their recent diagnosis of cancer.
D. A nursing assistant asks the nurse when she may take a meal break.

Another term that is similar to the word convulsion is:

A. Tremors.
B. Seizure.
C. Fever.
D. Hypertension.

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D?

A. Some pretzels.
B. A cookie.
C. An apple.
D. A warm glass of milk.

Diabetes is a disease of which primary body system?

A. Respiratory.
B. Musculoskeletal.
C. Endocrine.
D. Cardiac.

Which of the following is the leading cause of accidental death in those 85 years of age and older?

A. Poisoning.
B. Falls.
C. Car accidents.
D. Drowning.

All of the following factors may interfere with elimination EXCEPT:

A. Infection.
B. Aging.
C. Medications.
D. Family stress.

During a bath, the three most important things for the resident are:

A. Safety, security, and privacy.
B. Safety, warmth, and cleanliness.
C. Comfort, rest, and security.
D. Privacy, rest, and warmth.

A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to:

A. Continue working, but wear a mask.
B. Report herself to the nursing supervisor and be dismissed home.
C. Continue working, but wash hands every fifteen minutes.
D. Leave immediately for home.

A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation?

A. "The patient tripped over bedsheets because housekeeping left them on the floor all day."
B. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."
C. "The patient fell because they ignored me when I told them to stay in bed."
D. "The patient fell because the nurse forgot to lock the wheels of the bed again."

Which of the following disorders are said to be irreversible?

A. Chicken pox.
B. Asthma.
C. Emphysema.
D. Hypertension.

The abbreviation Rx indicates:

A. A type of wound.
B. A treatment.
C. An acute illness.
D. A disease.

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?

A. Emesis.
B. Refusal to eat dessert.
C. A cough.

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations

A. The nursing assistant's hands are visibly soiled.
B. The nursing assistant has just left the patient's room.
C. The nursing assistant is about to enter the patient's room.
D. The nursing assistant helps a patient to the bathroom while wearing gloves.

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