When should unsafe conditions be reported?
When it looks likely that the facility will be involved in a lawsuit
Before accidents occur
Only if a resident wants to complain about something
Whenever the nursing assistant has some extra time
Before accidents occur
What is a proper way for a nursing assistant (NA) to respond if a resident does not hear her or does not understand her?
The NA should speak more quickly.
The NA should speak more softly or whisper.
The NA should speak slowly and clearly.
The NA should shout.
The NA should speak slowly and clearly.
Which of the following is an example of a barrier to communication?
NA uses medical terminology with the resident.
NA asks the resident to repeat a language.
NA speaks the same language as the resident.
NA speaks clearly using a professional tone of voice.
NA uses medical terminology with the resident.
Which of the following is an example of objective information?
“Mrs. Johnson says she has a rash on her torso.”
“There are raised, red marks the size of pinpricks on Mrs. Johnson’s torso.”
“Mrs. Johnson must have a rash because she said that she’s itchy.”
“Mrs. Johnson needs some lotion.”
“There are raised, red marks the size of pinpricks on Mrs. Johnson’s torso.”
Which of the following are ways for NAs to avoid barriers to communication?
The NA should use slang so that the resident understands more easily.
The NA should respond with “Why?” when the resident makes a statement.
The NA should use medical terms when talking with the resident so the resident will more easily understand his condition.
The NA should ask open-ended questions that require more than “yes” or “no” responses
The NA should ask open-ended questions that require more than “yes” or “no” responses
Which of the following senses is not used in making observations?
Sight
Touch
Smell
Taste
Taste
With whom should nursing assistants use medical terms and abbreviations?
Residents
Nurses
Residents’ friends
Visitors
Nurses
Why is it important for an NA to consider a resident’s cultural background when communicating with him?
It is not important to consider cultural background.
Because the resident will certainly want to tell stories about his culture.
Because the NA might know somebody with the same background and she can tell the resident about that person.
Because cultural background helps determine how people communicate and can help the NA communicate better with the resident.
Because cultural background helps determine how people communicate and can help the NA communicate better with the resident.
Which of the following should an NA report about a resident to the nurse immediately?
Family fighting
Chest pain
Watching too much TV
Acting lonely
Chest pain
The part of the world that is added to the end of a root to form a new word is called a(n)
Root
Prefix
Suffix
Abbreviation
Suffix
If a resident has a hearing impairment, the NA should
Face away from the resident when speaking
Face the resident with the light on the NA’s face
Shout so that the resident can hear the NA
Exaggerate the words so that the resident can read the NA’s lips
Face the resident with the light on the NA’s face
One way that an NA can help a resident who is visually impaired is to
Move the furniture to make it easier for the resident to get around
Keep the lights very low
Use the face of an imaginary clock to explain the position of objects
Walk behind the resident, lightly pushing the resident forward
Use the face of an imaginary clock to explain the position of objects
The first two steps to take when approaching an emergency are
Perform first aid and assess the situation
Call the victim’s family and call 911
Assess the situation and assess the victim
Get assistance and perform CPR
Assess the situation and assess the victim
What is the best way a nursing assistant can respond to a combative resident?
The NA should let the resident know that he will be discharged from the facility if he does not stop what he is doing.
The NA should tell the resident that other NAs will refuse to care for him if he continues the behavior.
The NA should remain calm and lower the tone of her voice.
The NA should stand as close as possible to the resident.
The NA should remain calm and lower the tone of her voice.
A sign of the onset of diabetic ketoacidosis is breath that smells
Sour
Sweet
Garlicky
Bitter
Sweet
Why is it important for a nursing assistant not to overreact when a resident behaves inappropriately?
It may actually reinforce the behavior.
Other residents may then copy the behavior.
The NA’s supervisor will be angry with him.
The NA might surprise the resident.
It may actually reinforce the behavior.
With whom should an NA use Standard Precautions?
With residents who have infectious diseases
With residents he suspects might have infectious diseases
With every resident in his care
With residents who request that they be used
With every resident in his care
Under Standard Precautions, the term body fluids includes
Sweat
Water
Juice
Urine
Urine
Which of the following is true of wearing gloves?
Disposable gloves can be washed and reused.
Gloves should be changed before contact with mucous membranes.
After giving care, gloves are not contaminated.
Gloves can continue to be worn if they are torn as long as the hole is covered.
Gloves should be changed before contact with mucous membranes.
In which of the following situations should an NA give abdominal thrusts to a resident?
The resident is coughing.
The resident cannot speak, breathe, or cough.
The resident is breathing very rapidly.
The resident tells the NA that she feels short of breath.
The resident cannot speak, breathe, or cough.
Which of the following is the proper order to don personal protective equipment (PPE)?
Put on mask and goggles, gown, and gloves.
Put on gloves, gown, and mask and goggles.
Put on mask and goggles, gloves, and gown.
Put on gown, mask and goggles, and gloves.
Put on gown, mask and goggles, and gloves.
What is the medical term for difficulty breathing?
Dyspnea
Syncope
Hemiplegia
Cyanosis
Dyspnea
A nursing assistant will come into contact with microorganisms
Only in high-traffic areas of the facility
Only during direct contact with residents
Only during personal care procedures
Every time the NA touches something
Every time the NA touches something
Which of the following is true of Transmission-Based Precautions?
An NA does not need to practice Standard Precautions if he practices Transmission-Based Precautions.
They are exactly the same as Standard Precautions.
They are practiced in addition to Standard Precautions.
They will not be listed in the care plan so as not to alarm anyone.
They are practiced in addition to Standard Precautions.
When a resident is suspected of having a heart attack, a nursing assistant should
Loosen clothing around the neck
Give the resident some water
Put medication directly into the resident’s mouth
Wait and see if the episode subsides before doing anything
Loosen clothing around the neck
What is one way that bloodborne pathogens can be transmitted?
By hugging an infected person
By infected blood entering the bloodstream
By standing too close to an infected person when he coughs
By touching something an infected person has touched
By infected blood entering the bloodstream
Insulin reaction can be caused by
Too little food
Physical or emotional stress
Too much food
A cerebrovasular accident
Too little food
Which of the following statements is true of preventing falls?
Clear walkways of clutter.
Keep lights low.
Leave spills for housekeeping to clean.
Move call lights further away from residents.
Clear walkways of clutter.
When should a nursing assistant identify a resident?
After giving care
When collecting meal trays
When shifts change
Before helping with feeding
Before helping with feeding
In which position should a resident be placed for eating?
Lying flat on his back
Reclining at a 45-degree angle
Sitting upright as possible
Lying on his side with his arm propping up his head
Sitting upright as possible
Hand hygiene is
Washing hands with soap and water or using alcohol-based hand rubs
Washing hands with soap and water only
Using alcohol-based hand rubs only
Wearing gloves when performing care procedures
Washing hands with soap and water or using alcohol-based hand rubs
Which of the following statements is true of body mechanics?
Body mechanics can help save energy and prevent injury.
The narrower a person’s base of support, the more stable the person is.
Proper alignment of the body means that the two sides of the body should not line up.
Twisting at the waist is the best way to maintain body alignment.
Body mechanics can help save energy and prevent injury.
When helping a resident sit up, stand up, or walk the NA should
Keep her feet together
Bend her upper body
Bend her knees
Try to catch the resident if he starts to fall
Bend her knees
The single most important thing the NA can do to prevent the spread of disease is to
Carry dirty linen close to her uniform so as not to spread contaminants
Wash and dry disposable gloves before reusing them
Remove gloves before cleaning spills
Wash her hands
Wash her hands
Which of the following is a way to use proper body mechanics?
The NA should twist at the waist when lifting objects.
The NA should stand with her legs shoulder-width apart.
The NA should lift objects, rather than push them.
The NA should carry objects away from her body.
The NA should stand with her legs shoulder-width apart.
RACE is an acronym for a safety rule, and means
Run to A Close Exit
Remove residents, Activate alarm or call 911, Contain Fire, Extinguish
Restore power, Activate alarm or call 911, Collect residents, Exit
Remove window, Access outside, Call for help, Elderly residents first
Remove residents, Activate alarm or call 911, Contain Fire, Extinguish
If a resident is in shock, a nursing assistant should
Quickly give the resident something to eat that can easily be absorbed
Elevate a body part if a broken bone is suspected
Elevate the legs unless the resident has a head or abdominal injury
Give the resident a type of strong liquor if it is available, like brandy
Elevate the legs unless the resident has a head or abdominal injury
Which of the following is true if a resident falls?
An incident report will need to be completed for all falls.
If the resident can get up after the fall, the NA should notify the nurse.
A fall does not need to be reported unless the resident complains of pain.
The resident can decide if the NA needs to report the fall.
An incident report will need to be completed for all falls.
To control bleeding, a nursing assistant should
Lower the wound below the heart
Use a topical antibiotic cream on the wound
Hold a thick pad against the wound and press down hard
Apply a light pressure with a bandage
Hold a thick pad against the wound and press down hard
How is methicillin-resistant Staphylococcus aureus (MRSA) most often spread?
By direct physical contact
By indirect contact
By being in enclosed spaces
Through the air
By direct physical contact
What is the best way to control the spread of MRSA?
By taking medication
Through proper handwashing
By using masks
By taking doses of the antibiotic vancomycin
Through proper handwashing
Which of the following is an NA responsibility related to infection prevention?
Deciding which residents need Transmission-Based Precautions
Telling all visitors which patients have bloodborne diseases
Following Standard Precautions in caring for all residents
Capping needles and other sharps before disposing of them in the trash
Following Standard Precautions in caring for all residents
Which of the following is a correct response if a resident is having a seizure?
Hold the resident down if he is shaking severely.
Give the resident a hard piece of candy to prevent choking.
Move furniture away to prevent injury to the resident.
Open the resident’s mouth to move the tongue to the side to prevent choking.
Move furniture away to prevent injury to the resident.
A sign that a stroke is occurring is
Abdominal pain
Gasping for air
Low blood pressure
The inability to speak or to speak clearly
The inability to speak or to speak clearly
To serve hot liquids to residents, a nursing assistant should
Pour hot drinks away from residents
Place hot drinks on the edges of tables so that they will be easier to reach
Take lids off of hot drinks just before serving them
Make sure residents are standing up before serving hot drinks
Pour hot drinks away from residents
What information does a Safety Data Sheet (SDS) contain?
Cost of the chemical
Comparisons with other chemicals
Names of other facilities using the chemical
Description of emergency response actions
Description of emergency response actions
Tuberculosis may be transmitted
Through a protective mask
By dancing
By wearing gloves
By coughing
By coughing
What is the best way to control the spread of C. difficile?
By limiting contact of the infected person with others
By using more powerful antibiotics
By giving enemas to clean out the GI tract
Through proper handwashing with soap and water
Through proper handwashing with soap and water
When washing hands, an NA should use friction for
At least 25 seconds
At least 20 seconds
At least 15 seconds
At least 5 seconds
At least 20 seconds
If an NA needs to clean up a spill, what is the first step that she should take?
Put the waste directly into the nearest trash can.
Spray bleach solution on the spill.
Put on gloves.
Vacuum the spill.
Put on gloves.
When should unsafe conditions be reported
Before accidents occur
Which of the following is an example of objective information
There are raised, red marks the size of pinpricks on Mrs Johnsons arms
What is a proper way for a nursing assistant (NA) to respond if a resident does not hear her or does not understand her
The NA should speak slowly and clearly
Which of the following is an example of a barrier to communication
NAs uses medical terminology with the resident
Which of the following are ways for NAs to avoid barriers to communication
The NA should ask open-ended questions that require more than yes or no responses
Why is it important for an NA to consider a residents cultural background when communicating with him
Bc cultural background helps determine how people communicate and can help the NA communicate better with the resident
Which of the following senses is not used in making observations
Taste
With whom should nursing assistants use medical terms and abbreviations
Nurses
Which of the following should an NA report about a resident to the nurse immediately
Chest pain
The part of the word that is added to the end of a root to form a new word is called a(n)
Suffix
If a resident has a hearing impairment, the NA should
Face the resident with the light on the NAs face
One way that an NA can help a resident who is visually impaired is to
Use the face of an imaginary clock to explain the position of objects
The first two steps to take when approaching an emergency are
Assess the situation and assess the victim
What is the best way a nursing assistant can respond to a combative resident
The NA should remain calm and lower the tone of her voice
A sign of the onset of diabetic ketoacidosis is breath that smells
Sweet
Why is it important for a nursing assistant not to overreact when a resident behaves inappropriately
It may actually reinforce the behavior
With whom should an NA use Standard Precautions
With every resident in his care
Under standard precautions, the term body fluids includes
Urine
Which of the following is true of wearing gloves
Gloves should be changed before contact with mucous membranes
In which of the following situations should an NA give abdominal thrusts to a resident
The resident cannot speak, breathe, or cough
When washing hands, an NA should use friction for
At least 20 seconds
Which of the following is the proper order to don personal protective equipment (PPE)
Put on gown, mask and goggles, and gloves
What is the medical term for difficulty breathing
Dyspnea
A NA will come into contact with microorganism
Every time the NA touches something
Which of the following is true of transmission based precautions
They are practiced in addition to standard precautions
When a resident is suspected of having a heart attack, a NA should
Loosen clothing around the neck
What is one way that bloodborne pathogens can be transmitted
By contact with blood or body fluids
Insulin reaction can be caused by
Too little food
Which of the following statements is true of preventing falls
Clear walkways of clutter
When should a NA identify a resident
Before helping with feeding
In which position should a resident be placed for eating
Sitting as upright as possible
Hand hygiene is
Washing hands with soap and water or using alcohol based hand rubs
Which of the following statements is true of body mechanics
Body mechanics help save energy and prevent injury
When helping a resident sit up, stand up, or walk, the NA should
Bend the knees
The single most important thing the NA can do to prevent the spread of disease is to
Wash her hands
Which of the following is a way to use proper body mechanics
The NA should stand with her legs shoulder width apart
RACE is an acronym for a safety rule, and means
Remove residents, activate alarm or call 911, contain fire, extinguish
If a resident is in shock, a NA should
Elevate the legs unless the resident has a head or abdominal injury
Which of the following is true of resident falls
An incident report will need to be completed for all falls
To control bleeding, a NA should
Hold a thick pad against the wound and press down hard
How is MRSA most often spread
By direct physical contact
What is the best way to control the spread of MRSA
Through proper hand washing
Which of the following is an NA responsibility related to infection prevention
Following standard precautions in caring for all residents
Which of the following is a correct response if a resident is having a seizure
Move furniture away to prevent injury to the resident
A sign that a stroke is occurring is
The inability to speak or to speak clearly
To serve hot liquids to residents, a NA should
Pour hot drinks away from residents
What information does a safety data sheet (SDS) contain
Description of emergency response actions
Tuberculosis may be transmitted
By coughing
What is the best way to control the spread of C. Difficle
Through proper hand washing and handling of contaminated wastes
If an NA needs to clean up a spill, what is the first step that she should take
Put on gloves
Which member of the care team diagnoses disease and prescribes treatment?
Nursing assistant (NA)
Resident
Physician (MD)
Dietitian (RDT)
- Multiple-choice
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Which of the following care team members are licensed professionals who delegate jobs to nursing assistants?
NAs, nurses
Resident’s family
Nurses, PTs, OTs
NAs, physicians
- Multiple-choice
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Which of the following statements is true of residents as a part of the care team?
Residents cannot make their own decisions.
Residents are not care team members.
Residents should not try to make choices about the care they want to receive.
The care team revolves around the resident and his or her condition, treatment, and progress.
- Multiple-choice
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Which of the following statements is true of a nursing assistant’s responsibilities if an activity is not listed in the care plan?
The NA should not perform the activity if it is not listed on the care plan.
The NA should perform the activity if he or she believes it is best for the resident.
The NA should only perform the activity if the resident says he wants it performed.
The NA should consult other NAs to see if they would perform the activity.
- Multiple-choice
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What is one reason why reporting a resident’s changes and problems to the supervisor is a very important role of the nursing assistant?
The care plan must be updated as the resident’s condition changes.
Reporting changes is not a task that the NA performs.
Depending on the resident’s changes, the NA can decide if she wants to work that day or not.
The NA can decide what medication to prescribe for the resident’s current condition.
- Multiple-choice
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Which of the following is a typical task that an NA performs?
Changing a sterile dressing on an open wound
Helping residents with toileting needs
Administering medication
Prescribing treatments
- Multiple-choice
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Which of the following tasks is outside the scope of practice for an NA?
Giving a resident a bath
Inserting tubes into a resident’s body
Helping a resident eat dinner
Transferring a resident from the bed to a chair
- Multiple-choice
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A professional relationship between an NA and a resident includes
Telling the resident about problems with the supervisor
Calling the resident Dearie and Sweetie
Letting a resident know if the NA is in a bad mood
Keeping resident information confidential
- Multiple-choice
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Proper personal grooming for an NA means
Wearing artificial nails and large rings
Keeping hair clean and neatly brushed
Wearing nose rings
Keeping tattoos visible by wearing a low-cut blouse
- Multiple-choice
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What does the term empathy mean?
Empathy means being alert.
Empathy means being able to document honestly.
Empathy means being able to enter into the feelings of others.
Empathy means taking responsibility for one’s own actions.
- Multiple-choice
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Which of the following is an example of a professional relationship with an employer?
Documenting carefully
Never bothering the nurses with questions
Trying not to be late more than twice a week
Talking about management behind their backs
- Multiple-choice
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What does the chain of command do?
It determines which residents go in which rooms.
It determines which shift an NA works.
It describes the care plan for each resident.
It helps protect nursing assistants and their employers from liability.
- Multiple-choice
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The correct order of the nursing process is
Planning, evaluation, assessment, implementation, nursing diagnosis
Evaluation, implementation, nursing diagnosis, assessment, planning
Assessment, nursing diagnosis, planning, implementation, evaluation
Evaluation, assessment, nursing diagnosis, planning, implementation
- Multiple-choice
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What is the single best way for an NA to manage his or her time efficiently?
See the NA’s favorite residents first
Let other care team members answer call lights so that the NA can finish assignments
Plan ahead by making a list of tasks to do
Save time by washing hands only after caring for residents who are obviously sick