When helping a client learn to use a cane, the nursing assistant stands up...
- approximately two feet directly behind the customer.
- about a foot from the client's weak side.
- approximately one foot from the client's strong side.
- slightly behind the client on the weak side of the client.
Standing slightly behind the client on their weak side allows the nursing assistant to avoid falls. Options 1 and 2 are incorrect because these distances are too great to safely catch the client if she falls or to support her. Option 3 is incorrect because if the nurse's aide is placed there, the client may faint on her weak side.
When working with a client with urinary retention, the nursing assistant should expect the client...
- urinate large volumes
- be unable to urinate
- urinate frequently
- have urinary incontinence.
Urinary retention means that the client is unable to urinate. The problem should be reported to the nurse as soon as possible. Option 1 is incorrect; urinating in large volumes, also called polyuria, is indicative of a medical problem such as diabetes mellitus. Option 3 is incorrect; urinating too often means the client may have a problem like a urinary tract infection. Option 4 is incorrect; Urinary incontinence is the accidental release of urine. It can happen in small amounts when someone coughs or sneezes, or regularly if someone has a medical problem. While options 1, 3, and 4 are not correct answers, these issues should be reported to the nurse as soon as possible.
Aging-related hearing changes result in older clients gradually losing their ability to hear...
- sharp sounds.
- low frequency sounds.
- sound levels
- weak sounds.
Age-related hearing loss, also calledpresbiacusia,causes older people to gradually lose the ability to hear high-pitched sounds. Option 2 is incorrect; the ability to hear bass sounds may mean that the clientotosclerose, which is usually related to abnormal bone growth in the bones of the inner ear. Options 3 and 4 are incorrect; a reduction in sound level and the inability to hear soft sounds can indicate hearing loss due to problems such as an ear infection or impacted cerumen (excess wax in the ear).
The best way to reliably identify your patient is...
- asking her name.
- calling him by name and waiting for his answer.
- checking the bed board.
- checking the name tag.
Checking a customer's name tag is the surest way to ensure you have the correct customer. If you ask a customer for their name and they are confused or hard of hearing, you may be giving them the wrong name. A confused customer could also be lying in the wrong bed.
A client is on a bowel and bladder training program and has not had a bowel movement in three days. Nursing assistant must...
- notify the responsible nurse.
- give the client an enema.
- offer the customer plum juice.
- encourage the client to drink more fluids.
The nursing assistant must report this problem, as the nursing assistant cannot perform any of the interventions on his own. Nursing assistants are not authorized to give enemas to clients without being instructed to do so by the nurse. They also cannot encourage drinking more fluids or give prune juice as a treat (and prune juice would be insufficient for this client).
The proper medical abbreviation for before meals is...
The proper medical abbreviation for before meals is a.c., p.c. is the proper medical abbreviation for after meals, b.i.d. is the proper medical abbreviation for twice a day and t.i.d. is the proper medical abbreviation for three times a day.
A client diagnosed with hypertension will likely have a history of...
- low blood pressure.
- High pressure.
- Low blood sugar.
- high blood sugar.
Hypertensionis the medical term for high blood pressure, so the client probably has this problem in their history, although it can now be controlled with medication. The medical term for low blood pressure ishypotension🇧🇷 The medical term for low blood sugar ishypoglycemia🇧🇷 The medical term for high blood sugar ishyperglycemia
What kind of diet does a patient with difficulty chewing or swallowing need?
- transparent liquid.
- low residue.
- Smooth mechanics.
A mechanical soft diet is prescribed for clients who need a diet that is easy to chew, swallow and digest. Option 1 is incorrect; A clear liquid diet is typically prescribed for clients prior to medical exams, for clients with nausea and vomiting or an acute illness, or for clients who have experienced trauma or surgery. Option 2 is incorrect; A low-residue diet is prescribed to clients to reduce the frequency and volume of their bowel movements. Option 3 is incorrect; A pureed diet is prescribed for clients with bad, very fragile or terminally ill teeth.
An elderly resident with Alzheimer's disease cannot find her room. How can the nursing assistant help the client to feel more independent?
- tell him to stay in his room.
- have your roommate secretly watch you.
- place a familiar object at the customer's door.
- write a room number on a piece of paper.
A familiar object can allow a customer to find their room on their own, helping them to feel more independent. Telling a guest to stay in your room is restrictive and may be a violation of your rights. Option 2 is incorrect because asking a roommate to do something for another client is inappropriate; puts undue pressure on the roommate and can create an unsafe environment for both the client and the roommate. Option 4 is incorrect because the customer may lose the paper or may be very confused at times as to what the number means.
How often should a patient's check-in and check-out records be summed?
- once every turn
- Twice a day
- every four hours
- every 12 hours
Check-in and check-out are usually timed every shift as well as every 24 hours. Most agencies work 8 hour shifts, not 12 hour shifts. When clients need more frequent check-in and check-out observation, they are often sick enough to require hourly observations and therefore may be in the intensive care unit.
Which of the following items should the nursing assistant observe and record when admitting a client?
- short nails
Brushing can be caused by accidents, abuse, medication or illness and should be recorded and reported. Freckles and wrinkles are normal skin variations and do not require registration or reporting. Short nails are not problematic; however, long fingernails can cause the client to itch and injure themselves.
When answering a client through the intercom, the nursing assistant should say...
- "Hello, who's calling please?"
- "Which is what you want?"
- "This is [name and title of nursing assistant], can I help you?"
- "Please wait; I'll have the nurse take your call."
Always give your name and title when answering the bell and politely ask the customer what they want. Options 1 and 2 are incorrect; these questions may give the impression that the nursing assistant is being rude and should be avoided. Option 4 is incorrect, as it is the nursing assistant's responsibility to answer the bells quickly and properly.
Which of the following things should the nursing assistant do to familiarize new clients with the environment?
- Demonstrate the location and use of the call light.
- Explain that the TV is not to be used.
- Instruct the family to leave the room after the attendant finishes the intake.
- Raise the bed to the high position and raise the safety rails.
The nursing assistant must ensure that the client knows how to ask for help. Unless otherwise specified, the television is available for guest use and unless otherwise stated, there is no reason to ask the family to vacate the room once the guest is admitted. Option 4 is incorrect because raising the bed to the highest position creates a dangerous situation if the client is left alone.
When preparing a client's room, the Nursing Assistant must do the following EXCEPT...
- checking the placement of the call bell.
- adjusting the backrest as shown.
- Administer the client's medications.
- adjusting the lighting accordingly.
Nursing assistants cannot administer medication. The nursing assistant should verify that the call bell is within reach of the client, adjust the backrest as instructed, and adjust the room lighting for greater comfort and visibility.
When helping a client out of bed, the Nursing Assistant should always...
- Use body mechanics techniques.
- call another nursing assistant to help.
- raise the bed to its full height.
- lower all safety rails.
Nursing assistants should always use proper body mechanics when moving clients. The nursing assistant obtains the help of another nurse only when necessary. Elevating the bed to full height when helping a client out of bed increases the risk of the client falling out of bed and injuring himself. The client can use the raised side rails to balance and help them out of bed.
How often must customers be repositioned during an eight hour shift?
Clients should be turned every two hours to prevent recumbency. Option 1 is incorrect; Unless there is a reason, during a client all hours are too frequent and disturb the client's rest. Options 3 and 4 are incorrect; turning the client every three to four hours is not frequent enough to prevent recumbency.
Which of the following is the correct procedure for serving a meal to a customer who needs to be fed?
- Serve the tray along with all the other trays, then return to feed the customer.
- Take the tray to the customer first and feed the customer before serving the other customers.
- Take the tray into the room when you're ready to feed the customer.
- Have the kitchen hold the tray for an hour.
An attendant should not bring the tray into the room until it is time to feed the customer. Option 1 is incorrect because the client may try to feed and choke on the food. Option 2 is incorrect because it takes time to feed one customer and therefore other customers will wait a long time for their food. Option 4 is incorrect because the food will not be appetizing after sitting for an hour.
The most serious problem wrinkles in bedding can cause is...
- Press wounds.
- bleeding and shock.
The most serious problems that wrinkles in bedding can cause are decubitus ulcers, also called decubitus. Restlessness and insomnia are problematic and can cause health problems, but they are not the most serious problems. Bleeding and shock are not common complications of wrinkled bedding.
Restorative care begins...
- As soon as possible.
- when the customer is ready.
- when the client is discharged.
- when the client is diagnosed as terminally ill.
Restorative care begins as early as possible to prevent further disability. Option 2 is incorrect; the planning stage of restorative care can begin before the client is ready. Option 3 is incorrect; there will not be enough time to successfully perform restorative care if you wait until discharge. Restorative care is not used for terminally ill patients/end of life care may be more appropriate.
Before placing a client in the Fowler position, the nursing assistant must…
- Roll the client onto your abdomen.
- Explain the procedure to the customer.
- flatten the entire bed.
- remake the bed with new sheets.
Doctors should always explain procedures first. Turning the client over onto their stomach is using the prone position. The Fowler position requires the nursing assistant to elevate the head of the bed between 45 and 60 degrees. It is not necessary to redo the bed to place a client in the Fowler position.
During hand washing, the nursing assistant accidentally touches the inside of the sink when rinsing soap. The next action is...
- let the water run through your hands for two minutes.
- dry your hands and turn off the faucet with the paper towel.
- repeat the wash from the beginning.
- repeat the wash, but in half the time.
The helper has contaminated her hands and must wash them again. She must start all over again. Plain water does not remove bacteria and is needed at all times to remove contamination from the sink.
How should a nursing assistant dress for a job interview?
- wearing a clean T-shirt and casual pants.
- wearing a nurse's aide uniform.
- wearing a suit, dress or dress pants and a dress shirt.
- wearing formal clothes.
First impressions are critical, which is why licensed practical nurses should wear business attire. Option 1 is incorrect, as the nursing assistant must present himself as a well-groomed professional. Option 2 is incorrect because wearing a uniform outside the workplace may not be permitted in some facilities because it may be contaminated. Option 4 is wrong because wearing formal clothes is too elegant and not formal.
An outpatient client was recently admitted. Before leaving the client alone, the nursing assistant should...
- Ask if the customer is hungry.
- inspect the client's skin.
- Evaluate customer input and output.
- make sure the customer knows how to use touch.
New customers should always know how to ask for help before they are left alone. Option 1 is incorrect; The client may not be allowed to eat due to tests or surgeries. Option 2 is incorrect; it is the nurse's role to inspect the client's skin upon admission. Option 3 is incorrect; the customer has just been admitted and therefore will not yet have an entry or exit.
When lifting a heavy object, the correct method would be to bend over...
- waist, keeping your legs straight.
- waist, contouring the shoulders.
- knees, keeping your back straight.
- knees and waist.
Keeping your back straight forces your body to use strong leg muscles. Bending at the waist with straight legs can cause back injuries, and bending at the waist with rounded shoulders can cause back injuries.
When should nursing assistants wash their hands?
- Before eating
- Before using the bathroom
- after customer service
- Before cleaning a urinal
Nursing assistants should wash their hands after caring for the client to avoid cross-contamination. Nursing assistants should wash their hands after meals, after using the bathroom and after cleaning the urinal.
When helping a client to eat, one of the first things the nursing assistant should do is...
- cut food into small pieces.
- wash your hands and those of the client.
- butter the customer's bread.
- provide customer privacy.
Nursing assistants must always remember to consider infection control before anything else. Eventually, the food should be cut into 1/3 size pieces to avoid choking. Option 3 is incorrect as the nursing assistant must first ask the client if he would like butter on his bread. Option 4 is incorrect because the customer may want to eat with others to socialize.
A patient has a new cast on her right arm. When caring for her, it is important to first observe...
- pulse above the plaster.
- plaster color and hardness.
- warmth and color of the fingers.
- signs of crumbling on the cast tip.
A new cast can cut off circulation, and checking under the cast for a pulse will help ensure that this has not happened. The pulse on the cast will not help detect if the cast is tight. A new cast will be wet and should not be touched with your fingertips to avoid puncturing the cast. Falling apart shouldn't be an issue with a new cast.
Encouraging a client to participate in activities of daily living (ADLs) such as bathing, grooming, and eating is...
- this is only done when time permits.
- the family's responsibility.
- necessary for rehabilitation.
- a violation of the customer's rights.
Rehabilitation should always be part of the care plan. and encouraging a client to participate in ADLs is an expected role of the nursing assistant. This is the nursing assistant's responsibility (however, the family can help the client if they want and there are no contraindications). Attentive and respectful care is a basic right of all customers.
When caring for a confused senior, it's important to remember...
- keep rails up when at bedside.
- close the room door so as not to disturb other patients.
- keep the room dark and quiet at all times to avoid disturbing the patient.
- remind him every morning to shower and shave independently.
The Nursing Assistant should always be sure to follow agency policy. Closing the door isolates the client, and keeping the room dark and quiet at all times can cause sensory deprivation, which can increase confusion. A confused customer needs help with showering and shaving to avoid injury.
Before helping a customer into a wheelchair, the first action would be to check that the...
- the client is adequately covered.
- the floor is slippery.
- the door to the room is closed.
- the chair wheels are blocked.
Before helping a patient in a wheelchair, make sure the wheelchair wheels are locked. Ensuring that the client is covered is important, but it is not the first action. The nurse should check the floor before entering the room to avoid self-harm, and the door should be open in case the bell rings and the nursing assistant needs to call for help.
A client has a weak left side. When transferring the client from the bed to the wheelchair, the nursing assistant must stand...
- On the right side.
- in front of the customer.
- On the left side.
- behind the customer.
Help the customer on the customer's weak side to avoid falling. Option 1 is incorrect; the nursing assistant must be on the client's weak side, not the strong side. Option 2 is incorrect; this is done for clients who do not have one-sided weakness. Option 4 is incorrect because the customer could slip and fall.
While doing the rounds at 5:30 am. m., a nursing assistant finds a patient lying on the floor. What should the nursing assistant do first?
- Ligue 911.
- Realize RCP.
- Ask for help.
- Assess the client's pulse and breathing.
The nursing assistant should first assess the pulse and breathing. The client may have passed out. The nursing assistant should check pulse and breathing status before calling for help or performing CPR.
When loading a wheelchair into an elevator, the nursing assistant must stay...
- behind the chair and pull it towards the helper.
- behind the chair and push it away from the helper.
- in front of the customer to observe the customer's condition.
- beside the wheelchair as he opens the door.
The Nursing Assistant should stand behind the chair to control it and move it backwards to prevent the wheels from falling into the door opening. The nursing assistant must remain close to the client and in control of the wheelchair.
The Foley bag must be held below the client's bladder so that...
- urine does not come out, soiling the bed.
- urine does not return to the bladder, causing infection.
- the bag will be hidden and the customer will not be embarrassed.
- the client will be more comfortable in bed.
Elevating the bag above the level of the bladder can cause backflow of urine and cause bacteria to flow into the bladder. The Foley system is a closed system and must not leak, and the pouch can be hidden at almost any height. Preventing reflux does not prevent discomfort, but that is secondary.
As a snack, the kitchen sent a box of chocolate ice cream to a diabetic customer. The nursing assistant must first...
- Replace diet soda with ice cream.
- keep the snack and inform the nurse in charge.
- Call the kitchen and report the error.
- allow the customer to take half of the ice cream.
The nursing assistant should report this error to the responsible nurse, who will in turn contact the kitchen to obtain the correct food. The Nursing Assistant cannot replace a diabetic client's meal, and Diet Coke does not contain calories and therefore is not a substitute for a healthy snack. It's the nurse's job to call the kitchen. Option 4 is incorrect, because ice cream contains both sugar and fat, and a diabetic snack must be carefully calculated into your overall diet.
When helping a customer who is using the restroom, it is important...
- leave the call light within reach.
- close the door to promote privacy.
- stay by the customer's side until they finish.
- hold the customer to prevent a fall.
The customer should always have access to a means to help when needed. A locked door slows customer access in an emergency. Standing next to the client deprives the client of privacy. Restricting a client without a warrant or consent may be considered illegal arrest.
Ensuring adequate circulation in the tissues is an important factor in preventing skin degradation. This can be done by doing all of the following EXCEPT...
- patient positioning every four hours.
- using mechanical aids.
- doing back massages.
- performing active or passive ROM exercises.
The patient must be positioned every two hours to avoid skin damage due to poor circulation. Certain mechanical aids are created for the purpose of preventing skin breakdown; back massages prevent skin redness by stimulating circulation; and range-of-motion exercise improves circulation and joint mobility, thereby decreasing skin damage.
The purpose of cold applications is usually...
- accelerate blood flow to the area.
- avoid heat exhaustion.
- prevent or reduce swelling.
- prevent the formation of scar tissue.
The purpose of cold applications is generally to prevent and reduce swelling. Warm applications speed up blood flow to an area. Cold applications are not used to prevent heat exhaustion and do not prevent scarring.
The hot water bottle is an example of...
- Local application of dry heat.
- Widespread application of dry heat.
- Local application of moist heat.
- Widespread application of moist heat.
A single hot water bottle applied is local dry heat. A hot water bottle is too small for general application.
Clients who receive an enema are usually placed...
- On the right side.
- On the left side.
- flat on the back.
- in a semi-sitting position.
Positioning the patient on the left side allows for better entry into the colon. Placing a customer on the right side or back makes it difficult to enter the dump. A semi-sitting position is unstable and causes the client to fall.
Should a client's perineal area be cleaned before any samples are taken?
- 24-hour urine sample.
- midstream clean capture urine sample.
- routine pediatric urine sample.
- routine urine sample.
The clean capture sample requires cleaning the perineum. A 24-hour urine sample and a routine urine sample do not require prior cleaning, regardless of age.
The most common place to take a pulse is the...
- carotid artery.
- femoral artery.
- brachial artery.
- radial artery.
The carotid artery, femoral artery, and brachial artery are not routinely used to count a client's pulse.
When counting breaths, the nursing assistant should...
- wait until the client has exercised.
- Do not tell the patient what you are going to do.
- count five breaths and then look at the clock.
- ask the client to count breaths while the assistant takes the pulse.
Telling the patient that the aide is watching their breathing will cause the patient to slightly change their breathing pattern. Option 1 is incorrect because the exercise will temporarily increase the client's breathing. Option 3 is incorrect because breaths are counted at either 30 or 60 seconds. Option 4 is incorrect because clients cannot count their own breaths.
Which of the following is NOT the nursing assistant's responsibility when caring for clients with a urinary catheter?
- catheter insertion
- Making sure the catheter drains properly
- infection prevention
- Urine production record
Nursing assistants are not responsible for catheter insertion. Nursing assistants must ensure that the catheter drains properly, take precautions to prevent infection, and record urine output when a client has a catheter.
When giving information to the responsible nurse for an incident report, the nursing assistant must...
- Write to the customer's file that an incident occurred.
- save the report to your personal file.
- State the facts clearly.
- Give your opinion on the cause of the incident.
An incident report becomes a permanent part of the legal record. Make sure the facts are clear. The nurse, not the aide, documents incident reports. The incident report becomes a hospital record, not a personal record. Incident reports require facts, not opinions.
All long-term licensed practical nurses must be assessed for competence and must complete a separate educational course. These requirements are defined by...
- DISEASE CONTROL AND PREVENTION CENTERS.
OBRA'87 stands for Omnibus Budget Reconciliations Act of 1987. OSHA stands for Occupational Safety and Health Administration. CDC stands for Centers for Disease Control and Prevention. FDA stands for Food and Drug Administration.
A villager is blind. It's important not...
- leave the door fully closed.
- rearrange the furniture.
- Announce yourself before entering the room.
- explain the location of the food on the plate, using the clock face as an aid.
Never rearrange furniture in a blind patient's room after the patient has settled down. This can cause falls. Option 1 is incorrect; Visually impaired customers demand the same respect and privacy as those who can see clearly. Option 3 is incorrect; announcing lets the customer know that you have entered the room. Option 4 is incorrect; Explaining the location of the food on the plate helps the visually impaired to be more independent when it comes to eating.
When family members visit a customer, visitors should...
- stay in the day room.
- stay a while so as not to tire the customer.
- expected to help with care.
- Customer privacy will be allowed.
Family members should wait and have private time with their loved one. Visitors must be allowed to visit the customer directly and for as long as possible, where appropriate. Family visits are important to the client's healing and well-being. The family can help with care if they wish, but they should not be required to do so.
One resident asks, "If I need help during the night, who will be there?" The nursing assistant must answer,...
- "Don't worry, you'll be fine."
- "Just shout; someone will hear you."
- "Your roommate will probably ring the bell."
- "There are people here all night to help you."
To make customers feel secure, reassure them that help is always available if needed. Telling a worried customer not to worry is unhelpful and can be disrespectful. Telling a customer to scream for help and telling them that a roommate is likely to ring the doorbell is neither helpful nor reassuring.
Which of the following is a right customer?
- Keep personal information confidential
- Get private service personnel if you want
- Find out what's wrong with the client's roommate
- Treat employees any way you want.
Customers have a right to confidentiality. This means that all clients are entitled to confidentiality, which includes roommates. Although customers can get private service personnel, it is not a customer's right. Customers do not have the right to treat employees with disrespect.
One resident used to cry when she received the afternoon message. Warning. What should a nursing assistant do?
- tell her to stop crying
- Ignore it and continue with your precautions.
- Tell jokes to make her laugh.
- Tell her that she can cry and that the helper is there if she wants to talk.
It is normal for a person to have moments of sadness and it is important that the patient knows that the nursing assistant is concerned. The nursing assistant should also inform the nurse if the crying is due to something more serious, such as depression. It is inappropriate to tell a client to stop crying, but at the same time, the nursing assistant should not ignore clients and their needs. Humor can sometimes help, but it probably won't help in cases where sadness seems frequent.
When providing care with the prosthesis, the nursing assistant must...
- wash them in boiling water.
- hold them under warm running water.
- dip them in and out of cold water.
- place them on a towel in the sink with cold water.
Dentures are expensive. The towel prevents it from tearing if dropped, and the cold water prevents it from deforming. Option 1 is incorrect; Hot water can damage dentures. Use warm water. Option 2 is incorrect because if you hold them under running water, you risk falling and breaking. Option 3 is incorrect; dentures should be thoroughly cleaned to remove debris and old denture adhesives.
Sexuality in long term clients can include all of the following EXCEPT...
- need for private time with a partner.
- worry about physical appearance
- engage in pubic fondling.
- desire for sexual interaction.
As long-term care providers, nursing assistants must respect the resident's right to sexuality. However, fondling in public is inappropriate and may infringe on the rights of other residents. Private time with a partner is appropriate for satisfying sexual needs, and personal appearance and self-esteem are related to feelings of sexual comfort. The desire for sexual interaction is a healthy human desire, even in older adults.
A client is scheduled for a partial bed bath. This means that the nursing assistant must wash the...
- face, neck, ears, arms and hands.
- face, armpits, hands and buttocks.
- face, hands, armpits and legs.
- face, hands, armpits, genitals and buttocks.
Partial bed baths are usually given before breakfast due to incontinence to help the client feel comfortable and clean. Partial bed baths should include the genital area and buttocks as they are usually given for incontinence.
A goal for a long-term care facility (LCU) resident is not to swear at the nurses or aides. When she calls a helper by name, the appropriate action is...
- smile and give him the appropriate reward.
- continue whatever task is being performed.
- mocking the villager for not swearing.
- Tell all employees that she didn't swear.
The nursing assistant should positively reinforce the resident's appropriate behavior, so smiling and rewarding good behavior is the best action. Ignoring the positive behavior does not help the patient to continue it, and teasing is not appropriate. The nursing assistant should inform the nurse that the client is having episodes of swearing so that the nurse knows the plan is working.
An agitated resident should be turned every two hours during the night. The first action of the nursing assistant when waking up this resident is...
- Turn the light on.
- speak in a low, calm voice.
- tap on your shoulder.
- Shout their name.
Do not startle the resident, as this may agitate her. The helper should speak softly when entering the room. Turning on the light suddenly can startle the resident and increase their agitation, and an agitated customer may interpret the contact as a threat and attack the helper. Yelling can further agitate the customer because it can make you appear aggressive.
If a customer objects to certain foods on religious or cultural grounds, the appropriate action would be…
- tell him to wait for the next meal.
- offer to replace something different.
- call the nutritionist the next day.
- tell him he needs to eat what's on his tray.
Consideration of cultural or religious beliefs is important for all patients. Clients must not be kept waiting for their food for any reason, and the nurse must call the nutritionist that day to advise the client's religious preferences. Clients must not be forced to do anything that goes against their religion.
The client's religion forbids eating pork. Bacon is being served for breakfast. The best answer is...
- encourage the client to eat because she needs protein.
- tell the client that everything is fine since her doctor prescribed the diet.
- call the kitchen for a tray without bacon.
- tell the customer that the restrictions are not as important as their health.
The other answer options do not address the resident's right to practice their religion. Religious preferences must be taken into account in customer service, including by physicians. Bacon is a pork product and therefore unsuitable for this customer. Healthy alternatives can be found for dietary needs.
What kind of communication can often be most powerful?
Listening to someone shows that you are very interested in what he or she is saying.
A client refuses to allow the nursing assistant to bathe her. The nursing assistant informs the client that she will not be able to have lunch at bingo if she does not take a shower. This is an example of...
- verbal abuse.
- physical abuse.
Threatening to stop activities and food is verbally abusive. Option 1 is incorrect because this is inadequate restraint that can make rehabilitation more difficult. Option 2 is incorrect because threats are not discipline. Option 4 is incorrect because it is abusive behavior; however, there is no physical contact, so this is not physical abuse.
Upon entering a room, an attendant notices that the customer is not breathing. The helper's first action should be...
- ask for help.
- place the client face up.
- take four quick breaths.
- give 8-10 abdominal thrusts.
Always ask for help first in an emergency. The helper must first ask for help before taking any physical action. Abdominal thrusts are not used until the rescuer verifies that the client's airway is blocked.
A customer's dentures disappear. The first action should be...
- notify the administrator.
- get them.
- notify the doctor.
- notify the responsible nurse.
The first step for any lost property is always to notify the responsible nurse. The nurse must report the loss before looking for them. The nursing assistant does not report directly to the administrator or physician.
Nursing Assistants are responsible for...
- customer service planning.
- Perform tasks assigned by the nurse in charge.
- acting without ever asking for help.
- compare tasks with co-workers.
Nursing assistants work under the supervision of practical and registered nurses and perform the tasks assigned to them. Option 1 is incorrect; Nursing assistants may participate but are not responsible for customer care planning. Option 3 is incorrect; staff should ask for help when needed, including nursing assistants. Option 4 is incorrect; Nursing assistants need to focus on their own tasks and not worry about the tasks of others.
A patient turns on the call light when he needs to urinate. The correct action is...
- ignore the light, as he is not the helper's own client.
- he announces over the intercom that there are two patients ahead of him.
- answer the call light and get to the urinal.
- answer the call light when the helper has time.
A nursing assistant must respond to any call lights as quickly as possible. Option 1 is incorrect; Nurses' aides are responsible for responding to call lights for all clients when they are in a position to do so. Option 2 is incorrect; customers shouldn't feel like they have to wait in line for service; the nursing assistant must respond to the call light as quickly as possible to ensure that there is not an emergency.
A client is in CMR and prone. The nursing assistant finds the client vomiting bright red blood. The nursing assistant must first...
- clean up the vomit
- Place the client in lateral decubitus.
- provide the client with an emesis basin.
- call the nurse in charge.
Placing the client in the lateral position prevents aspiration of vomit. Option 1 is incorrect; although the nursing assistant needs to clean the client, this is not the priority. Option 3 is incorrect; the client is lying down and therefore cannot use an emesis tray. Option 4 is incorrect; the nursing assistant should call the nurse in charge after the client is turned on his/her side.
When performing care with the catheter, the nursing assistant must wash the catheter...
- towards the meatus.
- with Betadine soap.
- away from the meatus.
- With alcohol.
The clean-to-dirty principle should be followed, with the meatus considered cleaner than the catheter tube. Option 1 is incorrect; washing in the meatus carries bacteria through the catheter into the meatus, possibly leading to infection. Option 2 incorrect; Soap and water should be used in catheter care. Option 4 is incorrect; alcohol can cause irritation of the urinary mucosa.
A nursing assistant who applies restrictions to a client without instructions from the responsible nurse can be accused of...
- False arrest.
Applying restraints without order or consent may be considered unlawful imprisonment. Option 1 is incorrect because slander is temporary, usually verbal defamation. Option 2 is incorrect because the battery is illegal physical contact. Option 4 is incorrect because negligence is the lack of reasonable care.
H.S. care is care given...
- Before meals.
- before sleep.
- after meals.
- upon waking.
H.S. is the medical abbreviation for hours of sleep. Option 1 is incorrect; the medical abbreviation for before meals is b.c. Option 3 is incorrect; the medical abbreviation for after meals is p.c. Option 4 is incorrect; although not commonly used, o.m. means in the morning.
The best foods for a toothless geriatric client would include...
- hamburger, fries, corn and ice cream.
- roasted chicken, gravy, green beans and coconut macarons.
- spare ribs, macaroni and cheese, coleslaw and fruit cocktail.
- Baked fish, baked potato, spinach and tapioca soufflé.
Of the options listed, only option 4 contains a bland diet. Options 1, 2 and 3 contain foods that are difficult to eat without teeth.
A client's family wants to talk about the client's impending death, but the client doesn't want to talk about it. Families should be encouraged to...
- keep the conversation away from the customer.
- Speak freely in front of the customer to help them accept you.
- wait until the customer dies to talk about it.
- forcing the customer to talk about it with them.
If the client does not want to talk about the death, the family should be allowed to talk privately, away from the client. Options 2 and 4 are incorrect because the customer's wishes should be respected and customers shouldn't be forced to talk about something they don't want to talk about. Option 3 is incorrect; the family should be able to voice their feelings now and not have to wait.
When should postmortem care be performed?
- after the family sees the body
- immediately after the doctor declares the patient dead
- when rigor mortis arrives
- after the body goes to the morgue
Postmortem care should be performed before rigor mortis occurs so that the patient's appearance can be maintained. Once rigor mortis sets in, the body will be difficult to position. The autopsy must take place before the family comes to view the body to remove body fluids and traces of treatment. In some facilities, the funeral director completes postmortem care; however, it starts in the medical unit.
A walker can be used if the client can...
- bear some weight.
- use your hands well.
- balance without help.
- walk independently.
A resident must be able to support some weight before using a walker. Hand strength alone is not adequate for walker use, and although balance is important, the patient must first be able to support some weight. If the person can walk independently, they don't need a walker.
The cane must be used in...
- the affected (weak) side of the body.
- the unaffected (strong) side of the body.
- the side with the stronger arm.
- the weak side one day and the strong side the next.
If the cane is not used on the strong side, the resident may fall. Changing sides will not strengthen the weak side and the client may fall when using the cane on the weak side. Option 3 is incorrect because while arm strength is important, it is not as important as leg strength.
A nursing assistant is getting sheets to change beds and drops a sheet on the floor. What should a nursing assistant do?
- Ignore it and put it on the ground.
- Place it on the linen cart.
- Dispose of it in the laundry basket.
- Use it anyway.
To avoid contamination and spread of microorganisms, the sheet must be placed in the laundry basket. Bedding acts like a fomite, and that bedding has been contaminated and cannot be used until washed. Leaving bedding on the floor creates a fall hazard.
When applying a cold treatment to a patient, it is important to watch the patient closely for signs of...
- I faint.
Cyanosis is an indication of poor circulation, which can lead to tissue death. The nursing assistant must stop the treatment and inform the nurse in charge. The redness would be an issue with the heat treatment, not the cold treatment. Cold compresses should not cause dizziness or fainting.
The goal of correctly positioning the customer is...
- avoid breaking the skin.
- Maintain joint and muscle function.
- increase comfort.
- All previous.
Positioning a patient correctly should prevent skin damage, increase comfort, and maintain joint and muscle function.
In what position should the surgical bed be left?
- hunter posture
- lowest horizontal position
- semi-Fowler position
- at stretcher level
The bed must be level with the stretcher. This makes the transfer secure. Option 1 is incorrect; in the Fowler position, the head of the bed is elevated between 45 and 60 degrees, making stretcher transfer difficult and unsafe. Option 2 is incorrect; the lowest position will not be flush with the stretcher, making the transfer unsafe. Option 3 is incorrect; in the semi-Fowler position, the head of the bed is raised from 30 to 45 degrees, making stretcher transfer difficult and unsafe.
The preferred way to remove a urinal from a client who cannot lift their buttocks is...
- use a mechanical lifting device.
- ask another nursing assistant to lift the client.
- turn the customer to the side while holding the tray.
- slowly slide the tray under the client.
Flipping the resident is the easiest method, it is important to support the tray to prevent the contents from spilling. Option 1 is incorrect; Mechanical lifts are used for people who are very heavy or who cannot help with the transfer. Option 2 is incorrect; Having another helper to help lift the patient is one possible way, but it is not the best, as that help may not be available when needed and you don't want the client to sit on the potty for longer when needed. Option 4 is incorrect; slowly moving the tray away from the client risks spilling the contents onto the bed.
After shaving a patient with a safety razor, the nursing assistant should...
- cover it before discarding it.
- wrap in paper towels and throw away.
- dispose of it in a sharps container.
- place in patient drawer for reuse.
Sharps containers are puncture resistant. They are used to prevent contact with blood-borne pathogens. Sharp objects should never be thrown away. They can cause injury and there is a concern of a serious infection. Razors are for single use only.
When a customer complains that their dentures hurt, the appropriate action is…
- encourage him to wear his dentures more often.
- communicate the complaint to the responsible nurse.
- report the complaint to the doctor.
- Place the dentures on the nightstand.
Always take these complaints to the responsible nurse. Option 1 is incorrect; Ill-fitting dentures are painful and can cause injuries in the mouth. Option 3 is incorrect; the nursing assistant reports directly to the nurse; not the doctor. Option 4 is incorrect; dentures are safely stored in a denture container labeled with the customer's name. Leaving them on the table risks contamination and damage.
A nursing assistant notices that a pitcher of water has spilled onto the floor. The best action the helper can take is...
- clean it immediately.
- cover with a towel
- notify the responsible nurse.
- contact cleaning.
Deal with spills immediately, or a patient could be injured while waiting for cleanup. It is not necessary to call the responsible nurse for this, and leaving the spill to find the responsible nurse or cleaning staff increases the chance of someone falling over it. Covering it with a towel can create a risk of falling.
Upon entering a room, the nursing assistant notices that a patient is not breathing. The helper's first action is...
- ask for help.
- Lay the patient on his back.
- take four quick breaths.
- give ten abdominal thrusts.
Ask for help activating the facility's emergency medical services. Early activation increases the customer's chances of survival. Option 2 is a correct action, but not the first one. Options 3 and 4 are incorrect; check the airway before giving rescue breaths, and do not start compressions until you have verified that the person's airway is obstructed.
A patient is on bed rest, wearing antiembolic stockings. How often should socks be removed?
- at least twice a day
To allow for normal blood flow to the lower extremities, stockings should be removed twice a day. Antiembolism stockings are removed every 8 to 12 hours to allow for adequate circulation. They prevent blood from pooling in the lower extremities and therefore should not be removed too often.
Pressure ulcers (sores) can be prevented with...
- changing the client's position every two hours.
- placing a gel or foam pad on top of the mattress.
- increase the client's consumption of vitamin C.
- both a and b.
Changing positions frequently and using a gel or foam pad are key. There are no data to suggest that vitamin C prevents pressure sores.
The first step to getting a customer to walk is...
- sit the client on the edge of the bed.
- put on the client's slippers.
- Check the order of activities.
- Tell the customer that you are going to get up.
Always make sure the resident can get up first. The nurse sits the client on the edge of the bed before getting up, shoes the client before getting up, and tells the client that she will get up, but not before checking the order of activity.
A client's vital signs are as follows: 118/80-98.8-80-30. What finding should be reported immediately?
- blood pressure
- at temperature
The client's respiratory rate is elevated. Blood pressure, temperature, and pulse are within normal limits.
All of the following can cause an inaccurate oral temperature reading EXCEPT...
- drinking a cup of tea ten minutes before reading.
- using an electronic thermometer.
- not being able to shake a glass thermometer.
- vigorous exercise before reading.
Electronic thermometers are commonly used to gauge temperature. Drinking hot liquids, not stirring a glass thermometer, and exercising a lot before taking an oral temperature reading causes an inaccurate reading.
Diastolic blood pressure is determined by...
- hearing the first clear sound.
- hearing the last clear sound.
- subtracting the smallest number from the top.
- Adding the upper and lower numbers.
Diastolic blood pressure is produced when the heart muscle relaxes. It is the bottom number in the reading and is the last sound heard before silence. Systolic blood pressure is produced when the heart muscle contracts, and the difference between systolic and diastolic pressure is the pulse pressure. There is no reason to add systolic and diastolic pressures together.
All of the following are correct for measuring blood pressure EXCEPT...
- do not test blood pressure on an arm with a working IV.
- do not measure blood pressure in the same arm where a person has had a mastectomy.
- use the largest cuff possible to get an accurate reading.
- make sure the room is quiet so you can hear before taking your blood pressure.
Always use a cuff that fits you well. If the cuff is too big, you will get a reading that is too low. Option 1 is incorrect; Inflating the cuff can cause pain at the IV site and can cause the IV catheter to come out. Option 2 is incorrect; Some people who have a mastectomy also have their axillary (underarm) lymph nodes removed, which stops the flow of fluid in the arm and can lead to an inaccurate blood pressure reading. Option 4 is incorrect; blood pressure can be difficult to hear and therefore the room must be quiet.
The first step in any procedure is...
- explain the procedure.
- assemble the team.
- Perform proper hand washing.
- provide privacy.
Infection control (handwashing) is always the first step in a procedure. It is important to explain the procedure and ensure privacy, but you must wash your hands before approaching the client. Wash hands before touching equipment to avoid contamination.
Which of the following best destroys all bacteria?
- immersion in alcohol
- bleach wash
- rub in hot water
Sterilization is the most complete method to destroy bacteria. Antiseptics such as alcohol are used to stop pathogens from spreading and can kill them. Disinfectants such as bleach can kill bacteria but are too strong to use on the skin. Sanitation, including hot water washing, removes pathogens to prevent them from spreading.
In case of fire in the client's room, the nursing assistant must first...
- notify the responsible nurse.
- turn on a fire alarm.
- take the client to a safe place.
- use a fire extinguisher.
Always take the client to a safe place first. Don't use the time to warn the nurse. Turn on the alarm after moving the client to a safe location. You can use the extinguisher for a small fire, but do so after moving the customer to safety.
The safe use of oxygen therapy includes...
- always adjusting the flowmeter to 2-3 liters per minute.
- using only fleece blankets.
- cleaning the nasal tips each time with alcohol.
- put a "no smoking" sign on the door.
Smoking in bed brings together the three elements of fire: the bedding as fuel, the heat from the cigarette, and the oxygen in the air. Option 1 is incorrect because the flow is determined by the physician. Option 2 is incorrect because wool can cause sparks. Option 3 is incorrect because alcohol causes dryness.
During CPR, the client must be lying down...
- flat on a hard surface.
- with head and shoulders high.
- with feet raised on a pillow.
- lying on the bed to avoid injury.
The client must be lying on a hard surface to ensure adequate compression and blood flow. The head and shoulders should be level with the rest of the body, and the feet should be level with the rest of the body. The bed mattress is very soft for effective chest compressions.
A procedures manual is a...
- written set of instructions on how to perform the procedures.
- set of instructions needed to complete the job description of a nursing assistant.
- Instruction book for medication administration.
- book that lists the procedures that have been assigned to a nursing assistant.
A procedures manual is a written set of instructions on how to perform procedures. A job description contains the general tasks, or roles and responsibilities of that job. The medication administration procedure would likely be in the procedures manual, but the procedures manual would contain other procedures. Nurse aide assignments are likely created by the charge nurse.
If a client does not speak English, the nursing assistant must...
- for the family to interpret.
- ask the nurse in charge to arrange for an interpreter.
- Call the doctor to speak with the client.
- tell the customer that you cannot answer the question.
It is mandatory to provide a certified interpreter for clients who are not proficient in English. Option 1 is incorrect; using a family member to interpret the confidentiality of the sacrifices. Option 3 is incorrect; this is inappropriate neither for translation nor for the role of a nursing assistant. Option 4 is incorrect; customers are entitled to have their inquiries answered as quickly as possible.
The accepted way to identify a customer is...
- check name and bed number.
- check the identification band.
- ask for the customer's name.
- Call the customer by name.
An identification band is the only definitive way to identify the patient. A confused patient may respond to any name or may not know his name. A confused customer can also be in the wrong bed.
Which of the following best describes nail care?
- Nail care is not necessary for the elderly.
- Use scissors for all nail care.
- All customers need nail care.
- Consult the responsible nurse for instructions on nail care.
All residents need nail care, and nail care is part of the nurse's aide's role. The nursing assistant must be able to obtain the necessary information from the care plan. Nails are cut with nail clippers.
When performing perineal care on a male client, always...
- First clean the scrotum.
- retract the foreskin if you are not circumcised.
- wipe from front to back.
- hold the penis at a 90 degree angle.
Material can build up under the foreskin in uncircumcised men unless the foreskin is pulled back to clear it. Options 1, c and d are incorrect. You must wash the penis before the scrotum, move from the tip of the penis to the base and keep the penis slightly away from the body.
Back massages help with all of the following EXCEPT...
- improving posture.
- improving circulation.
- increase individual interaction.
- relax the customer
Back massages are not used to improve posture. They improve circulation, give the nursing assistant some time to talk with the client, and help the client relax.
A client's elbows are dry and red. Nursing assistant must...
- Report this to the responsible nurse.
- Apply lotion on elbows.
- Happy Elbow Guards.
- perform range of motion exercises.
Report this to the nurse in charge, as there are many reasons for the redness. Redness and dryness may not be caused by dry skin or friction. Range of motion can cause additional issues, depending on the cause of the redness and dryness.
A pressure ulcer can be caused by all of the following EXCEPT...
- Poor nutrition.
- pressure on the skin.
- Bad circulation.
- cotton clothes
Poor circulation, poor nutrition, and pressure on the skin can all cause a pressure sore. Poor circulation is a risk factor for pressure sores because the skin is deprived of nutrients and oxygen. Poor nutrition is a risk factor for pressure ulcers. The pressure deprives the skin of blood flow and therefore of nutrients and oxygen, causing cells to die.
A nursing assistant washes a client's hair to improve all of the following EXCEPT...
- circulation in the client's scalp.
- the general appearance of the client.
- the customer's sense of well-being.
- the client's hair growth rate.
Shampooing can improve circulation to the client's scalp, the client's appearance, and the client's sense of well-being, but not the rate of hair growth.
When removing a dirty gown from a client who has an IV, the best course of action is...
- remove the opposite arm of the dress first.
- ask the nurse to remove the IV needle.
- disconnect the bag and tube.
- slip the gown over the IV solution bag.
First remove the sleeve from the arm without the tube. The IV tube is not removed to change clothes and the nursing assistant does not disconnect the IV tube.
If a customer doesn't eat all the food on the tray, the first thing a helper should do is...
- notify the responsible nurse.
- Ask the customer why he didn't finish.
- remove the tray.
- urge the customer to eat all the food.
The patient may not be eating because of a personal aversion to food. Asking first allows the nurse's aide to request a replacement if the problem is simple. Notifying the responsible nurse is not the first thing the nursing assistant must do. You must remove the tray after trying to find out why the customer is not eating. The customer may simply need more seasoning. Do not force customers to eat.
The customer claims she made a mistake: There is salt in the tray even though the doctor has prescribed a low-salt diet. Nursing assistant must...
- explain that this means there is no salt in the food preparation.
- tell the customer not to use the salt.
- check the diet order with the nurse in charge.
- call the kitchen for a new tray.
Any dietary questions must be answered before the resident eats. The nursing assistant should not teach dietary instruction and should always first verify the order of the diet with the nurse.
Which of the following provides identification of clients in long-term care facilities?
- Identification bracelet
- ID and photo bracelet
- call customers by name
Both ID wristbands and photographs are used for identification purposes in long-term installations. Confused customers may not know their own names.
Before transferring a client from the bed to the wheelchair, the nursing assistant should sit the client on the edge of the bed for a few minutes to…
- rearrange your dress or outfit.
- prevent orthostatic hypotension.
- position and secure the wheelchair.
- rest and remove the transfer belt.
orthostatic hypotensionit's the dizzy feeling we all get when we stand up too quickly. The apron or clothing is rearranged once the client is in the wheelchair, and the wheelchair must be positioned and secured before moving the client. Transfer band is not removed before moving the client.
The client's religion forbids eating meat. Beef stew is served for lunch. Nursing assistant must...
- tell the customer to eat because he needs protein.
- tell the client that everything is fine since her doctor prescribed the diet.
- ask the nurse to call the kitchen.
- tell the client that religious restrictions are not as important as their health.
The other answers do not address the resident's right to practice religion or their right to choose. Health professionals must respect religious restrictions.
It is important to remember that dying patients...
- they have the same care needs as other patients.
- they need to be alone in a quiet room.
- they need not be consulted about their care.
- They usually have pain.
Not all terminally ill patients have the same problems, but they have the same care needs as anyone else. Option 2 is incorrect; many dying patients want company in their final hours. Option 3 is incorrect; Terminally ill patients should be consulted about their care needs. Option 4 is incorrect; not all terminally ill patients feel pain.
Terminally ill patients and their families...
- it always goes through the five stages of dyng in order.
- always accept death before it happens.
- You can go back and forth between the five stages.
- they must go through all the stages of death before dying.
Because each dying resident has unique emotional needs, each person will go through the stages at different times and in a different order. We now know that people experience loss differently and may not experience all the stages, or experience them in order. Many people do not accept death before it occurs.
Which of the following is an early sign of dementia in an elderly client?
- refuse to eat a meal
- without knowing who she is
- produce urine
- complaining of headaches
Memory loss is a sign of dementia. Refusing to eat is not a sign of dementia, but difficulty cooking a meal is an easy sign. Headaches and frequent urination are not signs of dementia.
Patients with Alzheimer's disease may have all of the following EXCEPT...
- physical wear.
- memory loss.
Clients with Alzheimer's disease should not show signs of physical wear and tear unless they have been neglected. This can be a sign of neglect. Memory loss, wandering, and irritability are hallmarks of Alzheimer's disease.
When a customer turns on the call light every few minutes, the appropriate response is...
- ask the customer not to call as often.
- pass through the room more often.
- put the call light out of reach.
- tell the customer how busy the team is.
Patients who use the doorbell frequently often fear being ignored if they don't ring frequently. Stopping often soothes them. The customer must always have touch access. Asking the customer not to call as often is inappropriate, and telling the customer that the team is busy can increase their fear that their needs are not being met.
The doctor writes a "do not resuscitate" order (DNR). What does it means?
- Put the client on a machine if they stop breathing.
- The customer needs to be kept alive.
- CPR will not be performed.
- Start CPR immediately if the client stops breathing.
"Do not resuscitate" means that no attempt will be made to resuscitate the patient. Ventilators will not be used if there is a DNR order and the patient will not be artificially kept alive. CPR should not be started.
How a client reacts to illness and disability depends more on their...
- age and stage of life.
- spousal support.
- income and level of education.
- support system and life history.
A person's total environment always affects everything he does and thinks. Age and stage of life affect client reactions, but they are not the most critical factors. The patient's general support system plays a more important role than spousal support. Income and education level affect customer reactions, but they are not the most critical factors.
A client with dementia makes sexual advances towards another client with dementia. Nursing assistant must...
- To allow; OBRA'87 states that all clients must be able to satisfy their sexual needs.
- ask them to keep their sexual activity in a private place.
- ignore it so as not to embarrass them.
- inform the nurse in charge, as a client with dementia cannot consent.
Clients with dementia cannot give consent; therefore, the nursing assistant has the responsibility to protect clients from sexual advances. Option 1 is incorrect; while OBRA'87 states that clients must be allowed to satisfy their sexual needs, clients with dementia cannot legally consent to sexual activity. Options 2 and 3 are incorrect; this is inappropriate sexual activity because clients with dementia cannot legally consent to sexual activity.
A customer hits a nursing assistant during lunch. The correct answer is...
- Call the responsible nurse for help.
- keep feeding her.
- apply a constraint.
- yell at him to stop hitting.
Getting assistance is the only correct way to deal with a resident's abuse. This is abusive behavior and should not be ignored. Option 3 is incorrect because the restrictions require doctor's orders. Option 4 is incorrect; Yelling at patients is also abusive.
A resident is confined to her bed. What could stop me from getting pressure sores?
- a plastic drawing sheet
- a foot board
- body lotion
- an air mattress
An air mattress relieves pressure. Changing the air pressure reduces the pressure against the body to prevent circulation problems. Option 1 is incorrect; a plastic sheet can irritate delicate skin by trapping moisture against the skin. Option 2 is incorrect; a foot platform is helpful, but by itself it does not prevent pressure sores. Option 3 is incorrect; lotion and massage are helpful, but they don't prevent pressure sores on their own.
If the client is in traction, the nursing assistant should never...
- the monitor affects skin temperature.
- give a full bed bath.
- change the position of the weights.
- monitor distal pulses.
The doctor orders the position of the weights in the traction. Therefore, the nursing assistant should never change the position of the weights without a command. Skin temperature should be monitored because cold can indicate decreased circulation. Total bed baths are not contraindicated due to traction. Distal pulses should be monitored in clients with traction to verify adequate circulation.
Safety for a customer's dentures includes...
- keeping them in a handkerchief in the dresser drawer.
- placing them in a labeled denture cup.
- insisting that the resident wear the dentures.
- placing an identification mark on the dentures.
All residents with dentures should have a labeled denture cup to ensure the safety of expensive dentures. Residents should not be forced to wear their dentures, and markers or pens should not be used on dentures.
If family members bring new clothes to the ECF resident, the nursing assistant must...
- put them in the resident's dresser drawers.
- Label them with the resident's name.
- Ask the family to remove an equal number of old clothes.
- make sure the nurse in charge sees the clothes.
All residents are entitled to their personal property. Tags allow the helper to provide better protection. Option 1 is incorrect; the nursing aide must label clothing before placing it on the resident's dresser. Option 3 is incorrect; the resident has the right to keep his personal belongings. Option 4 is incorrect; the nursing assistant can label and store clothing without consulting the nurse.
The charge nurse instructs the nurse's aide to clean out an ECF resident's closet. Nursing assistant must...
- Ask the family to do it.
- ask another nursing assistant to do it.
- get customer help.
- make the customer do it.
The customer has the legal right to decide what to keep and what to throw away, but they may need help with the cleaning process. The family is not obligated to clean the resident's closets, and the nursing assistant cannot transfer her responsibilities to another nursing assistant. ECF customers are generally not well enough to clean their closets, nor should they be expected to clean them.
Before dressing an ECF resident, the Nursing Assistant must…
- check the order.
- choose the customer's clothes.
- Close the door.
- inform the nurse in charge.
A nursing assistant should always close the door to promote privacy. Except in unusual circumstances, there are no orders as to how the client should dress, and dressing does not require communication to the nurse in charge. The customer has the right to choose his own clothes.
Confidentiality refers to...
- never share customer information.
- the customer's right to privacy.
- failing to document the information in the customer file.
- the customer's right to be insured.
Confidentially refers to the customer's right to privacy. Option 1 is incorrect; client information is shared with the rest of the client's hospital or ECF facility's healthcare staff. Option 3 is incorrect; Record documentation is important to promote communication and provide a lasting record of the client's admission or stay in the ECF. Option 3 is incorrect; customers are not entitled to insurance.
During the morning call, the nursing assistant cuts a resident while shaving. What should she do first?
- Notify the responsible nurse.
- Do nothing.
- Apply pressure to stop the bleeding.
- Put a bandage on it.
The first step is to stop the bleeding to ensure patient comfort. Option 1 is incorrect; the nursing assistant must communicate this to the nurse in charge, but it is not a priority. Option 2 is incorrect; Doing nothing can lead to excessive bleeding in clients with a tendency to bleed, such as those taking blood thinner medications, and it can also lead to infections. Option 4 is incorrect; the bleeding must stop first.
Maintaining a good interpersonal relationship depends on...
- go along with the crowd.
- Communicate clearly with others.
- following orders without question.
- avoiding contact after working hours.
Clear communication is essential for good interpersonal relationships, while avoiding contact can harm them. One can disagree and still maintain good interpersonal relationships. Following orders without question can lead to resentment and doing things the wrong way if the orders are not correct.
If a nursing assistant does not know how to perform a task, he must...
- ask another nursing assistant.
- Ask the customer what they prefer.
- contact the responsible nurse for assistance.
- Use a policy manual.
Asking a supervisor for help is a critical component of professional growth. Option 1 is incorrect; the other nursing assistant may also not know how to perform the task. Option 2 is incorrect; Nursing assistants should not ask clients for help in understanding tasks. Option 4 is incorrect; Policy manuals contain policies, not assignment procedures.
Reporting what the customer tells you is an example of...
- subjective observation.
- objective observation.
- primary observation.
- secondary observation.
Subjective observation comes from what the customer tells you. Objective observation comes from what you see, hear, feel or smell. The primary observation refers to what should be considered first. The secondary observation refers to what is considered after the primary observation.
Incontinence means that the patient is...
- unable to make decisions.
- unable to speak
- experience a disorder that comes with aging.
- in need of medical attention.
Incontinence is usually due to a medical problem. It is important to adhere to a bowel/bladder training program.Abuliais the term for the inability to make decisions.aphasicis the term for the inability to speak.Laterycostasare used in terms related to aging.
Not lifting the bed rails for a confused customer is an act of...
- professional negligence.
- manifest commission.
- break a criminal law.
Negligence is an unintentional act of harm. It is a violation of civil law, not criminal law. Malpractice is the negligent treatment of a patient by a professional. Open commission means acting openly about something, such as deliberately injuring a patient.
During a job interview, it's important to tell the interviewer about...
- child care needs.
- programming problems.
- salary expectations.
You need to sell yourself during the interview. Ask about benefits and your personal needs once you get the job. Do not discuss scheduling issues until the position has been offered to you and do not discuss salary expectations until the position has been offered to you or at least until the interviewer has discussed the matter with you.
When the nursing assistant is unable to work due to illness, the nursing assistant must...
- Arrange for someone to cover your shift.
- contact the supervisor as soon as possible.
- call the responsible nurse one hour before the start of the shift.
- wait until the nurse in charge calls to find out where the aide is.
Contact a supervisor as soon as possible so a replacement can be found in a timely manner. Option 1 is incorrect; the nursing assistant is not responsible for covering his/her shift. Option 3 is incorrect; calling an hour before your shift starts reduces the change someone else can pick up for you. Option 4 is incorrect; waiting for the responsible nurse to call you is not responsible behavior and may result in disciplinary action.
What is the main objective of OBRA'87?
- to provide a safe environment for residents of long-term care and palliative care facilities.
- to provide timely payment of care costs for residents covered by Medicare and Medicaid.
- to ensure that health care providers across the country meet requirements by passing a test of competence and ability to provide quality care.
- shorten the length of hospital stay for patients who can be cared for at home by a nursing assistant.
All healthcare professionals must be held accountable for their actions. OBRA'87 does not cover palliative care facilities, oversee payment of care costs, or act to shorten hospital stays.
The client asks to see a priest. Nursing assistant must...
- ask the nurse in charge to call a priest.
- tell the customer to see if a priest comes through his door.
- call the doctor.
- tell the customer to call himself.
It is the client's right to have clergy available as requested. The client must not rely on the opportunity to see a clergyman, nor must she contact the clergyman herself. It is not the doctor's duty to call the priest in this case.
When caring for a client who has just been placed on NPO, the nursing assistant must first...
- encourage the client not to think about food or water.
- encourage the customer to eat and drink.
- remove the water jug and all food and drink.
- give the customer meticulous oral care.
NPO means nothing orally, so eliminating all food and water will reduce temptations. Encouraging someone not to think about something usually makes them think about it. The client had just received NPO and therefore no oral care is required at this time.
If a nursing assistant sees another employee hitting a customer, the nursing assistant should...
- tell the employee to stop.
- Keep an eye out to see if this happens again.
- tell another nursing assistant.
- notify the responsible nurse immediately.
Tell the responsible nurse immediately when you suspect abuse. You have a legal obligation to report it, and you want to do so as soon as possible to prevent further abuse. The nursing assistant should not directly confront an abusive employee, nor wait to see if it happens again, as this could result in another client being hurt. Answer 3 is also wrong; There's nothing another nursing assistant can do to help, so you'll have to let the nurse in charge know.
Which statement about oral care for unconscious residents is correct?
- Unconscious residents can hear you talking to them during oral care.
- Unconscious residents can swallow and spit.
- It is not necessary to observe unconscious residents for mouth sores.
- Unconscious residents have very moist gum tissue.
The last sense to disappear is hearing; speak kindly and be aware of what you say. Unconscious residents are unable to swallow or spit, which means that mouth care must be taken carefully to avoid aspiration. The mouth and lips of an unconscious patient can easily become dry and sore, so they need frequent oral care and observation of wounds.
A customer with a hearing impairment is entitled to all of the following EXCEPT...
- written notes.
- an interpreter.
- assistance with hearing aids.
- buying the most expensive hearing aid.
The customer has a right to receive assistance with hearing aids, but there is no right related to obtaining expensive options. A client with a hearing impairment may need written notes to understand procedures and instructions or an interpreter, especially if the client uses sign language.
When documenting a client's vital signs, the nursing assistant makes an error. Nursing assistant must...
- cover the mistake with thick black marker.
- cover the error with corrective fluid.
- do a live solo over it, write "error" and write your initials.
- ignore histo
Graphical errors are corrected by using a single black line on the error, marking it with the word "error" and giving it your initials. The client's history is a legal document and it is unacceptable to cover the error with a thick black marker or correction fluid.
Inactivity and immobility can cause all of the following EXCEPT...
- pressure ulcers.
- permanent contractures.
- Increased intestinal peristalsis.
- secretions left in the lungs.
Intestinal peristalsis decreases with inactivity and immobility. Pressure ulcers are the most common complication of immobility. Contractures occur when a joint is left in the same position for too long, and the decreased filling of the lungs due to immobility allows fluid and mucus to build up in the lungs.
The nursing assistant knows that the term "up ad lib" means that the client...
- you are not allowed to get out of bed.
- is independent with balanced periods of rest and activity.
- he gets out of bed only at mealtimes.
- You will need help with all activities of daily living.
"Up ad lib" is an activity order that suggests the client can perform ADL independently with rest periods as needed. "Complete Bed Rest (CBR)" means that the client is unable to get out of bed. Customers who can only get out of bed at mealtimes usually have an order specifying this. "Walking with assistance" is the term generally used for clients who need assistance with activities.
When lifting a patient, it is important to use good body mechanics. Nursing assistant must...
- keep the patient at arm's length.
- bend your knees.
- turn at the waist
- move the patient quickly.
It's important to use the big muscles in your legs and thighs to avoid back injuries. Holding the patient at arm's length can cause the patient to fall and injure the nurse's back, and twisting at the waist can cause back strain. Moving the patient quickly can cause injury to both the patient and the nursing assistant.
A common sign of approaching death is...
- Increased appetite.
- Normal or elevated vital signs.
- intense and incessant pain.
- decrease in bodily functions.
As circulation decreases, bodily functions slow down. Appetite and vital signs decline as death approaches. Not all dying patients have intense, relentless pain.
Tuberculosis is a disease...
Tuberculosis most commonly affects the lungs. A person with tuberculosis in the lungs can transmit it to others through droplets in respiratory secretions. Tuberculosis usually does not affect the throat or colon. Although it can spread to the kidneys, it is primarily a lung disorder.
The nursing assistant notices that a client's respiratory rate is zero. Nursing assistant must...
- resume normal customer service.
- wait ten minutes and recheck the client's breathing.
- inform the client's family that the client is dead.
- contact the responsible nurse immediately.
A respiratory rate of zero can indicate approaching death; contact the nurse immediately. Option 1 is incorrect; a respiratory rate of zero means the client is not breathing and this should be reported immediately. Option 2 is incorrect; the client will die if there is no immediate intervention; ten minutes is a long time to wait. Option 3 is incorrect; it is not the nursing assistant's responsibility to notify the family when a death occurs.
After a client dies, the client's spouse wants to share their emotions. Nursing assistant must...
- listen and try to offer comfort.
- change the subject.
- tell the spouse to contact a counselor.
- send it to the responsible nurse.
Taking care of the family is part of the job and, therefore, the nursing assistant must comfort the spouse. Nursing assistants do not need to call the nurse in charge; they can use their therapeutic communication skills to communicate with the family and relatives of dying patients. If the client wants to share his emotions, the nursing assistant must know how to listen and not change the subject.
An example of a special device to help prevent contractures is a(n):
- hand roller.
- air mattress.
- Pressure gauge.
A hand roller is placed on the palm to prevent the hands and fingers from contracting into a flexed position. A doppler is a type of measuring device, like an ultrasound or blood pressure device. An air mattress is used to prevent pressure sores. A manometer is an instrument used to measure the pressure of gases and vapours.
Falsely saying that a co-worker took a customer's money is an example of...
Defamationit is harming a person's reputation by the words you say (slander) or write (slander).Negligenceit is a failure to exercise reasonable care; it is an unintentional evil.Robberyyou are threatening a person or trying to touch them without their consent.accumulationis the accumulation of food and other items.
Hemiplegia refers to...
- paralysis on one side of the body.
- paralysis of both legs.
- paralysis of both arms.
- paralysis of all four limbs.
hemiplejíarefers to paralysis on one side of the body.Paraplegiarefers to paralysis of the legs or lower body.cross paralysisIt's paralysis of the upper extremity.QuadriplegiaIt refers to the paralysis of the four limbs.
The most accurate method of measuring body temperature is...
- feeling ahead
The rectal temperature method is considered the most accurate, as the thermometer is in direct contact with the membranes. An oral temperature reading can be affected by many factors, including whether the client drinks hot or cold liquids before taking the readings. The axillary temperature can be affected if the patient washes the armpits or applies deodorant. Touching the forehead is an inaccurate way to measure temperature; however, there are temporary thermometers that are placed over the head to measure temperature.
Which of the following sets of vital signs should be reported immediately?
- T-98.6, P-60, R-14, BP-120/60
- T-102.4, P-100, R-32, BP-180/100
- T-99.6, P-80, R-16, BP-132/70
- T-97.6, P-82, R-20, BP-110/60
A temperature of 102.4oF is high. The patient's pulse indicates tachycardia, which is a rapid pulse, and the patient's blood pressure is high, indicating hypertension. Option 1 is incorrect; these vital signs are within normal limits. Option 3 is incorrect; temperature is in the upper limit of normal, as is systolic blood pressure. These must be informed, but not immediately. Option 4 is incorrect; these vital signs are within normal limits.
A customer consumed 180cc of tea, 60cc of soup and 120cc of ice cream. What is your total fluid intake?
- 180 cc
- 240 cc
- 360 cc
The ice cream is liquid, so the customer's total intake is 360cc. The fluid intake is as follows: 180 cc (tea) plus 60 cc (soup) plus 120 cc (ice cream) equals 360 cc. Options 1, 2 and 4 are incorrect because the numbers do not add up to 360 cc.
A client is placed on strict I&O after surgery. Nursing assistant must...
- keep the NPO client.
- record all of the client's solid food intake.
- record only the client's fluid intake.
- record the client's fluid intake and urine production.
I&O refers to fluid intake and urinary output, as well as other expenses, including drainage. Option 1 is incorrect; the nursing assistant cannot place a client on NPO without an order. Option 2 is incorrect; solid food intake is not included in the I&O. Option 3 is incorrect; this is only partially correct as the fluid output would be measured.
Which of the following would be included in a customer's checkout?
- urine, food, and intravenous solutions
- urine, emesis and bleeding
- Intake of liquids during the shift.
- bowel movements only
Urine, emesis, and bleeding are considered debts. Option 1 is incorrect; consumed foods are not included in the I&O and IV solutions are included in the intake. Option 3 is incorrect; liquids are part of the intake. Option 4 is incorrect; Feces are included if they are liquid, but they are not the only inclusion in the output.
Which of the following is a check-in and check-out problem that the nursing assistant should report?
- The customer declares that he is not hungry.
- The customer requests a urinal.
- The customer hasn't canceled in eight hours.
- The customer's eight-hour production is 600 cc.
Lack of urination (urine) may indicate kidney failure. Normal adult urine production is 1,500 cc per day, or approximately 500 cc per eight-hour shift. While it is important to note that a customer claims they are not hungry, this is not an I&O issue. A customer's request for a urinal is generally not reported.
A customer's water jug contains 500 cc. The jar is full at the start of the turn and empty at the middle of the turn. The nurse refills and the client drinks half of the pitcher at the end of the shift. The total water intake for this customer at the end of the shift is...
- 250 cc.
- 500 cc.
- 750 cc.
- 1.000 cc.
A full 500cc jug plus half a jug plus half a 250cc jug equals 750cc of water. 250 cc would be half the jug of water. 500 cc would be a jug full of water. 1,000 cc would be two jugs full of water.
The nursing assistant finds damaged equipment. Nursing assistant must...
- delete it immediately.
- use it until new equipment arrives.
- Immediate report.
- fix it herself and then use it.
Reporting equipment damage immediately can prevent an accident. It is not the nurse's job to fix the equipment. Most equipment is expensive and repairable and therefore should not be discarded unless directed by the nursing assistant. The use of faulty equipment is dangerous and can cause injuries.
After caring for a confused client, the nurse's aide is unable to lift the safety rails and the client falls out of bed and breaks his hip. Called...
Negligenceit is an unintentional evil.AbuseIt is an intentional act that causes harm to another person.Drumsis the infliction of harm.Robberyyou are threatening a person or trying to touch them without their consent.
A nurse's aide takes care of a resident's feet. What not to do?
- Remove calluses.
- Soak the resident's feet in warm water.
- Check for skin breakage.
- Clean under your toenails with an orange stick.
Only a podiatrist or nurse can remove calluses. Option 2 is incorrect; Soaking your feet can help soften calluses. Option 3 is incorrect; the nursing assistant should check the skin for signs of breakage when performing foot care. Option 4 is incorrect; An orange stick is used to clean under a person's toes.
When restrictions are used, the nursing assistant must report all of the following EXCEPT?
- the type of device being used
- the time the constraint was released
- unusual observations on the client's skin
- helper experience with restrictions
The wizard experience is not part of the client file. There are different types of restraints and therefore the nursing assistant must document the type used for the client. Restraints are removed every two hours to allow for placement and can sometimes cause bruising and other complications. Both information must be recorded.
The pulse located in the neck is called...
- pulso apical.
- femoral pulse.
- Pulso radial.
- carotid pulse.
Loscarotid pulseit is located in the neck. Thepulso apicalIt is located in the chest, over the apex of the heart. Thefemoral pulseIt is located in the groin area. Thepulso radialIt is located on the inside of the wrist.
A client complains of numbness on one side of the body. The customer's grip is weak and he drags his words. Nursing assistant must...
- Call the doctor because the client has had a stroke.
- check blood pressure to see if it's a stroke.
- check the client later to see if it could be a stroke.
- report it immediately to the nurse in charge as it could be a stroke.
These are all signs of a possible stroke (cerebrovascular accident), and the nursing assistant should report this to the nurse in charge immediately to avoid further harm to the client. Option 1 is incorrect; the client may be having a stroke, but it is not the nurse's role to call the doctor. Option 2 is incorrect; a stroke requires immediate medical attention, so the nursing assistant should not waste time taking the patient's blood pressure. Option 3 is incorrect; a stroke requires immediate attention and therefore the nursing assistant must report these signs immediately.
When providing perineal care to a patient, it is important to wash from front to back to prevent the spread of bacteria found in the...
Bacteria from the rectum can cause urinary tract infections. The pancreas is an internal organ located in the abdomen. Poper's perineal care is used to prevent contamination of the vulva or meatus with bacteria.
The command "vital signs q.i.d." means of recording vital signs
- four times a day.
- twice a day.
- morning and afternoon.
- once per turn.
Q.i.d. means four times a day. Bidding. means twice a day. Q.a.m. and q.p.m. means every morning and night. Qshift means once per turn.
The nursing assistant notices that a client has an open red area on her tailbone that is draining. Nursing assistant must...
- wash the area with soap and water and apply rubbing alcohol.
- ask another nursing assistant to take a look and give feedback.
- check back at the same time the next day.
- tell the nurse in charge to check.
A break in the skin predisposes the client to infection and should be checked by the nurse. The nursing assistant should not touch the area before notifying the nurse, and alcohol would cause pain in an open wound. The wound may get worse if the nursing assistant waits another day.
A nursing assistant is walking a client down the hall. Suddenly, the client complains of chest pain and shortness of breath. The nursing assistant must first...
- escort the client to the client's bedside immediately.
- Take the sphygmomanometer and measure the client's blood pressure.
- stay with the customer and ask for help.
- Help the customer down and find a phone to call 911.
Don't leave the customer in an emergency. Chest pain and dizziness can indicate a myocardial infarction (heart attack). Option 1 is incorrect; the client may be having a heart attack (myocardial infarction) and should not continue to ramble. The Nursing Assistant must not leave the client, therefore all other options are incorrect.
A client finishes drinking a glass of ice water just as the nursing assistant arrives to take her rectal temperature. Nursing assistant must...
- wait 15 minutes before taking the temperature.
- give the client some warm water to counteract the effect of the cold water.
- Report this to the responsible nurse.
- take the client's rectal temperature as planned.
Take the client's rectal temperature as planned, because cold water would affect the oral reading, not the rectal one. Option 1 is incorrect because waiting 15 minutes after a customer drinks cold water is for oral temperature. Option 2 is not necessary as the nursing assistant is taking a rectal temperature. Option 3 is incorrect; there is no need to report this to the responsible nurse.
Which of the following observations should be reported immediately?
- T-98.2, P-88, R-20
- yellow colored urine
- bluish tint to lips and skin
- skin hot and dry to the touch
Blue discoloration (cyanosis) indicates a low level of oxygen in the body. The condition can be fatal. T.98.2, LU.88, KI.20 are normal vital signs. Yellow is a normal color for urine. The skin should be warm and dry to the touch.
Microorganisms can be transmitted by direct and indirect contact. An example ofindirect contactIt is...
- bathe the patient
- using contaminated blood.
- touch dirty objects or instruments.
- breathe in airborne dust particles.
Objects such as soiled bedding, dishes, and instruments harbor microorganisms. Bathing a patient, using contaminated blood, and breathing in dust particles are examples of direct contact.
Which statement about hand washing is correct?
- The faucet is clean and can be touched when washing hands.
- Wash at least two inches above the wrist.
- Hands can be washed in any water temperature.
- Hand sanitizers are never a substitute for hand washing.
Hands should be washed at least two inches above the wrist. Option 1 is incorrect; most likely, the faucet is contaminated by dirty hands. Option 3 is incorrect; hands should be washed with warm water. Option 4 is incorrect; According to the CDC, hand sanitizers can be used for routine hand decontamination.
The nursing assistant finds a client lying on the floor. The nursing assistant must first...
- run out of the room and call for help.
- Help her to sit on a chair.
- shake her gently and ask if she is okay.
- ligue 911.
Agitation and screaming help determine whether the client is conscious and oriented. Option 1 is incorrect; the nursing assistant must not move away from the client. Option 2 is incorrect; the client may be unconscious or not breathing. Option 3 is incorrect; the nursing assistant must first check the client and then call for help. Calling 911 is not typical in an inpatient facility.
Which statement about the use of fire extinguishers is correct?
- Any fire extinguisher can be used on any fire.
- Each extinguisher must be used for the correct type of fire.
- Nursing assistants are not responsible for the use of fire extinguishers.
- Fire extinguishers should not be used for small fires.
Different extinguishers are used on various types of fires. Option 1 is incorrect; fires are classified as A (fueled by ordinary material), B (fueled by a petroleum product), or C (electrical fire), and only ABC extinguishers can be used for all three. Option 3 is incorrect; Nursing assistants are responsible for the correct use of fire extinguishers. Option 4 is incorrect; Fire extinguishers are used for fires of all sizes.
A customer starts to choke while eating. The client is conscious but unable to speak or cough. Nursing assistant must...
- shake the customer and ask if he is okay.
- Call the doctor.
- administer abdominal thrusts.
- Insert a finger into the client's mouth to check for obstruction.
Abdominal thrusts can dislodge the obstruction. Option 1 is incorrect; nursing assistant observed a client choking during feeding and noticed that the client was unable to speak; therefore, the nursing assistant knows that the client is not well and cannot assist her. Option 2 is incorrect; It is not the role of the nursing assistant to call a doctor. Option 4 is incorrect; sweeping from the mouth can push the object further into the airway.
The nursing assistant should tell the licensed nurse that a patient with _________ does not finish the food on his tray.
- Alzheimer's disease
A diabetic's blood sugar level is controlled with diet and medication. Any food that is not eaten will affect the blood sugar level. Missing part of a meal should not create problems for the customer in situations 1, 2 or 4. However, it should be reported at the end of the shift.
Which of the following tasks is NOT within the nursing assistant job description?
- provide the resident with a ROM
- shave the resident
- applying a sterile dressing to an open wound
- record of vital signs
Only a licensed RN or LPN can perform sterile procedures. Nursing assistants can perform range-of-motion exercises, as well as shave clients and record vital signs.
Providing good oral care to a client includes all of the following except...
- wearing gloves.
- Handle and store dentures with care.
- using dental floss.
- eliminate oxygen before brushing.
Oxygen does not interfere with oral hygiene. Gloves should be worn when performing oral care; dentures must be handled and stored correctly; and dental floss should be used when appropriate.
To prevent infection in a client with an indwelling catheter, the nursing assistant must...
- keep the drainage bag higher than the bladder.
- perform perineal care from front to back as needed.
- let the tube form a U-loop under the bed.
- do perineal care every night.
Always wipe from front to back to prevent rectal germs from entering the vagina or urinary tract. Keeping the drainage bag higher than the bladder can cause urine to back up into the bladder, making infection more likely. A U-loop can also cause reflux in the bladder, increasing the risk of infection. Perineal care is carried out at least daily.
A client is on a clear liquid diet. The customer's lunch tray may consist of...
- tea, broth and gelatin.
- coffee, milk and soup.
- milk, soup and ice cream.
- coffee, broth and biscuits.
Clear liquids are transparent. Milk, ice cream, coffee and cookies are not clear liquids.
Which statement about injuries to customers and staff members is correct?
- Injuries must be treated and reported in the incident report.
- Personal injuries can be ignored if they are minor.
- Injuries should only be reported if they are serious.
- Injuries should be treated but need not be reported.
Minor and major injuries must be documented. Employee injuries should never be ignored and should always be addressed and reported.
Lying on a job application is an example of...
- professional negligence.
Frauddenotes deceit. ONEcomplaintIt is an evil that implies the violation of a civil duty. The Joint Committee definesprofessional negligenceas "inappropriate or unethical conduct or unreasonable lack of skill on the part of the holder of a professional or official office". The Joint Committee definesnegligenceas "failing to exercise the care that a reasonably prudent and careful person would use under similar circumstances".
When shaving a client, the nursing assistant accidentally cuts him. Nursing assistant must...
- put alcohol in the notch.
- notify the responsible nurse.
- tell the doctor.
- ignore it, as it's just a nick.
Notify the responsible nurse; a nick can become infected and all injuries must be reported immediately. Alcohol can burn and nursing assistants cannot apply alcohol without a warrant. The nursing assistant does not inform the doctor.
Seeing another assistant beating an angry customer, the nursing assistant should...
- Tell the helper to stop.
- Watch the helper for a few days.
- notify the responsible nurse.
- ignore it; the customer is angry.
Abuse must be reported immediately. The nursing assistant should not directly confront an abusive employee, and waiting a few days could risk the abuser harming another client. Customers should never be targeted, regardless of their behavior.
When clients are in a healthcare facility, they can expect their treatment to be in line with...
- Infection Control Handbook.
- Patient Declaration of Rights.
- Policies and Procedures Manual.
- Physician Code of Ethics.
The Patient Bill of Rights is a written statement that includes the rights that clients are entitled to when receiving medical care. The Infection Control Manual and the Policies and Procedures Manual do not address client treatment. The Code of Medical Ethics applies only to physicians.
A conversation about a client in a hospital elevator violates...
- customer's right to privacy.
- customer's right to medical care.
- customer's right to review their records.
- Customer's right to ask questions.
Conversations about a customer should never take place in a public area, such as an elevator. This violates the customer's privacy rights. This situation does not violate the customer's right to receive service, review their records or ask questions.
A customer constantly makes sexual comments to staff. Discussing this in a staff meeting, management decides to instruct the team to call the customer by name and say:...
- "You're making me blush."
- "Your comments are not acceptable."
- "You are quite a character."
- "You should be ashamed of yourself."
The staff must tell the customer that the behavior is inappropriate. Option 1 is incorrect; this comment can increase negative behavior if the customer is trying to get a reaction from the staff. Option 3 is incorrect; this comment approves the behavior. Option 4 is incorrect; this comment belittles the customer.
Which of the five senses would best detect a rash?
Rashes are best detected by observation. Smell can be helpful only if the rash gives off an odor. Touch is only useful if the rash has a definite texture. Hearing is not helpful in detecting a rash.
The best way for a nurse's aide to clean a baby's eyes is with a...
- cotton swab lubricated with vaseline.
- damp cotton ball, wiping from inside to outside corner.
- wipe with alcohol, making circular movements.
- hot towel, drying from the outside in.
The baby's eyes are wiped from the inside out to prevent the spread of infection. A damp cotton ball is soft and won't hurt your eyes. Vaseline is not a cleaning agent. Alcohol is not used to clean the eyes and can cause chemical damage to the eyes. A hot washcloth can burn delicate eyes, and wiping them from the outside in can increase the risk of infection.
A hearing-impaired customer repeatedly turns on the light. When answering this client's call light, the nursing assistant must...
- listen carefully to determine your needs.
- speak loudly over the intercom so she can hear.
- teach her to use the call light less often.
- tell the nurse in charge that the client is seeking care.
Listening builds confidence, and continuous ringing can have an underlying motive, such as loneliness. Option 2 is incorrect; A person with a hearing impairment may not be able to understand the nurse's aide through the ringing system, so the nurse's aide must answer in person. Option 3 is incorrect; a customer must have a way to communicate with staff at all times. Option 4 is incorrect; the nursing assistant should listen to the client to determine her needs.
Another employee asks the nurse's aide what's wrong with a newly admitted client. What should a nursing assistant do?
- Let the employee know, as the information may be shared with co-workers.
- Discuss the situation with the nurse in charge before speaking with the other staff member.
- Wait until the break to discuss the customer with the other employees.
- Let other employees know that agents are not allowed to talk about customers.
The Patient Bill of Rights ensures that confidential customer information is shared only when necessary for care. The Nursing Assistant must not discuss the client at any time with another employee unless it is directly related to the client's care. Information is only shared with the first responders as needed. The nursing assistant must understand client confidentiality.
Most admissions are...
- one week.
- a few days.
- two days.
- as long as it takes.
Many hospital admissions vary depending on the patient's specific diagnosis and procedures. There is no average hospital stay; the average duration depends on the diagnosis.
When assisting a client, how should the nursing assistant approach her?
- by first name
- by last name
Customers should be addressed by their last name (eg Mrs. Smith). This shows that the assistant respects the dignity of the client. "Ma'am" is a term used by the military, not hospital staff, and "Miss" can be seen as condescending. Using a customer's first name can be seen as disrespectful and should not be done unless the customer requests it.
A customer is on a low-sodium diet. The nursing assistant notes that the client received bacon on her breakfast tray. Nursing assistant must...
- Remove the bacon from the tray.
- tell the customer not to eat the bacon.
- take the breakfast tray to the nurse in charge.
- take the breakfast tray to the nutritionist.
The customer must not eat the bacon. The responsible nurse is responsible for contacting the nutritionist about the error. Option 1 is incorrect; the customer must not eat the bacon, but there may be other inappropriate items on the tray. Option 2 is incorrect; the customer can eat it either way. Option 4 is incorrect; It is not the role of the nursing assistant to consult the nutritionist directly.
When providing personal care to a client, the nursing assistant must...
- Discover the client completely so you can work quickly.
- find out only the area in which you are working.
- keep the client fully covered and work under the covers.
- leave the curtain open at all times.
Covering areas of the body that the nursing assistant is not working on will allow privacy and keep the body warm. Keeping the client uncovered deprives him of his dignity and can also cause discomfort from being cold. Working under the covers makes care difficult and does not allow the nursing assistant to see problems, such as redness on the skin. The curtain must remain closed, as the customer has the right to privacy.
When providing morning care (A.M.) to the client, the nursing assistant must...
- let the customer do as much as he is capable of doing.
- do everything for the customer to get it right.
- service for single-sex customers only.
- work as quickly as possible.
Promoting independence allows clients to feel worthy of themselves by participating in their own care. Option 2 is incorrect; the nursing assistant must encourage independence and allow the client to do as much as possible, even if it is not done correctly. Option 3 is incorrect; In general, nursing assistants serve clients of both sexes; however, some cultures require that same-sex care be provided. Option 4 is incorrect; care should not be rushed.
A client with left side weakness should be taught to...
- First, tuck your right arm inside the shirt.
- he tucked his left arm inside his shirt first.
- put both arms into the shirt at the same time.
- wear a hospital gown to make dressing easier.
The client must first place the weak arm inside the shirt. Putting the strong arm first will make putting the shirt on difficult. It will be very difficult for the client to get both arms inside the shirt at the same time. Clients should be encouraged to wear their own clothes to improve self-esteem and normality.
It is important not to shake the bedding to avoid spreading what kind of microorganisms?
There are fomites in or on some hospital equipment. Bacteria, fungi and rickettsia can be on fomites.
If a client is opposed to certain foods for religious or cultural reasons, the nursing assistant should...
- tell him to see his doctor.
- offer to get something different for him.
- Tell her she will have to speak with the nutritionist tomorrow.
- tell him they'll give him a tube feeling if he doesn't eat.
Consideration of cultural or religious beliefs is important for all clients. Usually, it is not necessary to call the doctor because of cultural preferences. However, if necessary, this should be handled by the nurse. The customer has the right to have a preferred food immediately. However, the nursing assistant should inform the nurse about the cultural preference so that the nurse can communicate with the dietitian about future meals. Telling a client that they will be given tube feeding if they don't eat is abusive behavior and may constitute aggression because they are threatening you.
A terminally ill patient refuses to take a shower and throws a container of water across the room. What stage of death does this behavior represent?
The client is in the dying anger stage, and the nurse's aide must acknowledge the client's anger and allow the client to talk about it. During denial, the resident will not believe he is dying. During the negotiation, the resident hopes to somehow postpone death. During acceptance, the resident accepts his or her mortality.
A terminally ill resident pleads, "Please let me live long enough to see my granddaughter." What stage of death does this behavior represent?
In negotiation, clients "want to make a deal" with someone who can control their destiny. The nurse must offer realistic support. During denial, the resident will not believe she is dying. During anger, the customer can be difficult and take out their anger on the team. During acceptance, the resident accepts his or her mortality.
One important thing the nursing assistant can do for a dying client is...
- leave her alone to allow her privacy.
- Give physical and emotional support.
- encourage her to believe that a miracle can happen.
- force her to eat three meals a day to maintain her strength.
Both physical and emotional support are vital for terminally ill patients. Option 1 is incorrect; the dying client may not want to be left alone. Option 3 is incorrect; false hopes are inappropriate. Option 4 is incorrect; dying clients often lose their appetite and should not be forced to eat.
What is the most important thing to show the customer in their new room?
- tv remote control
- how to raise and lower the bed
- the touch location and how to use it
- where to store personal belongings
Providing a means to call a nurse is important in preventing injury and meeting the client's needs. Options 1, 2, and 4 are important, but not the most important things for the customer to know.
The older adult likes to feel positive about himself by sharing past achievements and experiences. The best way the Nursing Assistant can encourage this is...
- pair the older adult with another talkative resident.
- encourage frequent rest periods to conserve energy for socializing.
- listen to the older adult's past experiences.
- tell the older adult that the participants are too busy to hear their stories.
Listening tells customers that you are interested in what they have to say. Option 1 is incorrect; this is useful for socializing, but it may not be the best way to promote positive feelings. Option 2 is incorrect; this is useful, but secondary. Option 4 is incorrect; this is inappropriate, as nursing assistants must listen to their clients.
When caring for an anxious client, the nursing assistant must do all of the following EXCEPT...
- keep Calm.
- make the customer stand still.
- provide a calm environment.
- use simple, easy-to-understand words.
Forcing an anxious customer to stay still can increase the customer's anxiety level. Being calm will help the client to calm down, and a calm environment will help reduce anxiety. Anxiety decreases cognition (ability to think); therefore, the nursing assistant must speak calmly, clearly and easily understood.
A client asks the nursing aide if she could have a few minutes to pray before taking a shower. The best response from the nursing assistant would be...
- tell her her bathroom comes first.
- allow him some private time to pray.
- tell him to wait until the clergy visits.
- start bathing her
Respecting the customer's spiritual needs is an important aspect of customer service. The client's right to religious beliefs must be respected. Unless specifically requested, clients do not need clergy to pray. Option 4 ignores the client's religious beliefs and right to be heard.
During orientation for a new job, a nursing assistant notices that the work shift ends at 3:30 pm. and not at 3pm. as previously thought. The nursing assistant's son must be picked up every day at 3:15 pm. m. Nursing assistant must...
- discuss this with the responsible nurse as soon as possible.
- ask another nursing aide to cover after 3pm. m.
- leave early as most likely no one will notice.
- arrive 15 minutes early in the morning.
Being honest and upfront with your supervisor is the best approach. Option 2 is incorrect; A nursing assistant cannot ask another nursing assistant to cover her work hours. Option 3 is incorrect; this is dishonest and honesty is a critical quality for healthcare professionals. Option 4 is incorrect; nursing assistants cannot set their own hours; this requires making arrangements with the responsible nurse or other appropriate personnel.
The best definition of a certified nursing assistant is...
- graduate nurse licensed by the state to practice nursing.
- licensed person who provides education about special diets.
- person who transcribes medical prescriptions for patient care.
- person certified to provide care under the direct supervision of a licensed or registered practical nurse.
This is the only definition of a certified nursing assistant. The nursing assistant is always under the direct supervision of a licensed registered nurse. Option 1 refers to a licensed registered nurse. Option 2 refers to a licensed nutritionist. Option 3 refers to a medical transcriptionist.
When the nursing assistant shows genuine interest and concern for the client, this is an example of...
- team work.
Nursing is caring. It is an attitude of interest and concern.Honestyit is being true in your words and actions.Team workit is the ability to work well with others as a team.Precisionit's the ability to do things right.
When giving a bed bath, the nursing assistant should...
- put the bed in the low position.
- cover the resident with a bath blanket.
- wash the perineal area from back to front.
- place dirty towels and sheets on the floor.
Privacy and friendliness are consistent with the Patient Bill of Rights. Option 1 is incorrect; When giving bed baths, the nursing assistant should place the bed in a high position to avoid back injuries from constant bending. Option 3 is incorrect; the perineal area is washed from front to back. Option 4 is incorrect; dirty towels and sheets are placed in the corresponding container.
An indwelling catheter drains the bladder of...
- the other
A catheter inserted into the bladder drains urine from the body.
The nurse in charge asks the nursing assistant to place a client in the Fowler position after the client has had breakfast. How should the helper position the client?
- lying down with the head of the bed elevated at a 45- to 60-degree angle
- lying on your side with your knee and thigh pulled towards your chest
- lying on the side
- fat lying on your abdomen
How many stages of death did Dr. Elizabeth Kubler-Ross identified?
The cane must be used in...
- the affected side.
- the unaffected side.
- both sides, depending on how the customer feels.
- the weak side one day and the strong side the next.
All of the following factors contribute to a lack of appetite EXCEPT...
- decreased activity.
- more complaints
- more exercise.
- decreased saliva.
- muscle loss.
- a fracture
The nursing assistant, a member of the health team, can participate in several aspects of the nursing process, with the exception of...
- collecting data.
- plan care.
- making observations.
- carry out selected interventions.
When using crutches, the client's weight must rest on...
- rest your hand.
How often should a client be repositioned if they cannot move on their own?
- every two hours
- every three hours
- every four hours
A client who had a stroke is undergoing a self-care/grooming program. The main objective of this program is that the client...
- be discharged earlier.
- gain independence.
- Learn to accept your disability.
- improve your body image.
The purpose of bladder training is...
- gain voluntary control of urination.
- stop using a catheter.
- prevent skin problems caused by incontinence.
- prevent urinary tract infections from indwelling catheters.
A resident at one point chokes while eating. Nursing assistant must...
- instruct your roommate to watch you eat.
- feed it to avoid problems.
- use the Heimlich maneuver between bites.
- Watch him while he eats.
If a customer complains of an area of burning and tingling skin, the server should first...
- rub the area well with lotion.
- report the complaint to the registered nurse.
- keep an eye on the area for a few days.
- use cornstarch on the area.
When changing the pillowcase, the nursing assistant should not hold the pillow under the chin, as this...
- tear the pillowcase.
- drop the pillowcase.
- dampen the pillowcase.
- spread bacteria.
A non-sterile dressing is one that...
When asked to clean a resident's eye, the nurse's aide should...
- wipe it from the outer corner to the inner corner.
- clean it with hydrogen peroxide.
- use a clean cloth surface each time you clean.
- first clean the eye with exudates.
A nursing assistant takes vital signs, while another is in charge of the bathroom. This is an example of what kind of nursing?
- non-patient focused
Gloves should be worn when...
- providing pericare.
- making beds.
- washing a resident's hair.
- feeding a patient
While the nursing assistant cared for a client for four hours, the client asked to be taken to the bathroom every 15 minutes. The best action of the nursing assistant is...
- leaving the client at a padded urinal.
- place the client on the bed with a waterproof protector.
- giving the customer some time to rest.
- discuss this with the nurse in charge.
An elderly villager is confused and starts to wander. Nursing assistant must...
- hold it to avoid injury.
- orient you in time and place.
- tell your family about the behavior.
- report your behavior to the nurse in charge.
The Hoyer Lift is used for all of the following purposes EXCEPT...
- prevention of injuries to health professionals.
- support to outpatient clients.
- move clients that are heavy.
- move clients that are weak.
When performing active range-of-motion exercises for a resident, the Nursing Assistant should...
- move the joints until the resident feels pain.
- keep the body exposed to avoid overheating.
- make the customer do as much as possible.
- minimize proper body mechanics.
Using a broad support base means...
- keeping your feet comfortably apart.
- keeping your knees locked in place.
- keep objects away from the body.
- holding the feet and hands as far away from the body as possible.
If a client is in traction, the nursing assistant should NOT...
- give a full bed bath.
- Check the affected skin.
- change the position of the weights.
- monitor all possible distal pulses.
Hanging a client's leg over the edge of the bed is meant to...
- make sure she can sit down first.
- give him time to put his shoes on.
- prevent bedsores.
- prevent orthostatic hypotension.
Walking with a client is safer if done with a...
- transfer tape.
- wheelchair a few steps behind him.
- orthopedic crane.
- nurse or doctor ready for emergencies.
When having a client sit and swing their legs before walking, the Nursing Assistant must observe all of the following EXCEPT...
- sudden paleness
- excessive sweat.
- increased breaths.
When the nursing assistant transfers a client from the bed to the wheelchair, she must always...
- unlock the wheelchair brakes.
- lock the wheelchair brakes first.
- use a Hoyer lift.
- put the socks on the customer first.
Prior to any transfer, the Nursing Assistant must do the following EXCEPT...
- have the approval of the nurse.
- Know the proper procedure.
- use a transfer band if necessary.
- consult the client's physician.
The pulse located on the wrist is called...
- carotid pulse.
- pulso apical.
- femoral pulse.
- Pulso radial.
A patient is scheduled for an EKG/ECG. This means...
- Electroconvulsive therapy.
Which of the following sets of vital signs should be reported immediately?
- T-98.2, P-122, R-20, BP-84/40
- T-99.0, P-72, R-16, BR-134/82
- T-98.8, P-66, R-14, BP-100/62
- T-98.6, P-90, R-18, BP-120/70
A piece of linen that is placed under the client from the shoulders to the thighs is called...
- the bottom pad.
- an extension
- a drawing sheet.
- a leaf.
What procedure for making the bed is used when the client remains in bed?
- procedure for making the bed occupied
- procedure for making the extra bed
- procedure of making the bed in a circle
- procedure using only fitted sheets
What complication can occur if a postoperative client does not drink adequate fluids?
- blood clots
- foot drop
What type of client is most likely to experience problems as a result of improper nail care?
- a customer with cancer
- a diabetic client
- a spill customer
- a client with developmental disabilities
When performing oral care on a client with right-sided weakness, the nursing assistant should...
- pay special attention to the left side of the mouth.
- let her do all she can.
- take care of your mouth.
- tell her to do it herself.
A trochanteric roller is used to...
- keep your arm straight.
- keep the patient on one side.
- keep your hips aligned.
- keep the leg bent.
A resident with a paralyzed left arm can feed using one of the following methods:
- plate protector.
- arm cuff
Which statement about residents with developmental disabilities is generally correct?
- They must be treated like children.
- They cannot walk or talk.
- They learn at a slower pace.
- They distrust new people.
A diabetic client had a blister on her leg. Your need for sexuality...
- be more important for a while.
- be less important for a while.
- disappear forever.
- be affected
Clients with Alzheimer's disease may have which of the following symptoms?
- high fever accompanied by chills
- clear memory of the recent and distant past
- chest pain and shortness of breath
- physical and mental deterioration
If a client is upset and screams, the nursing assistant must respond...
- saying sternly, "Shut up!"
- offering to call your doctor.
- closing the door for privacy.
- sit quietly with the client and listen.
A common sign of depression is...
- participating in daily activities.
- laughing and smiling.
- decreased appetite.
- socialize with friends.
A client who has just learned that she is dying asks the nursing assistant to help her make a list of things she wants to do before she dies. Nursing assistant must...
- tell her to expect her family to help her.
- tell him the list is not needed.
- help her make the list.
- tell him not to worry because he has plenty of time.
To help a client with their psychological needs, the nursing assistant must...
- be a good listener and show empathy.
- Assure the customer that everything will be fine.
- maintain customer confidentiality.
- encourage the client to talk to their roommate.
A Catholic customer refuses to eat meat on Fridays. His Friday lunch consists of a roast beef sandwich and a salad. The nursing assistant must first...
- tell the customer to just eat the salad.
- Offer to get him a meatless lunch.
- Ask family members to bring something else.
- She asks a priest to come and talk to her.
A nursing assistant walks into a room and finds a patient having sex with his wife. What should a nursing assistant do?
- Ask him to stop.
- Leave the room quietly and close the door.
- Notify the responsible nurse.
- Discuss this with another nursing assistant.
A young permanently disabled resident tends to be very quiet and act like nothing matters. The nursing assistant can show you respect better if...
- I included it not care plan.
- serving your dinner first.
- calling her by her first name.
- doing customer service for her.
An example of using body language when communicating is...
- using gestures and facial expressions.
- write the message on paper.
- Share your feelings and concerns.
- offering their advice and opinions.
A nursing assistant smiles and nods as she sits down with a client. This type of non-verbal communication better demonstrates...
- incentive to keep the customer talking.
- disgusted with having to listen to the customer.
- I agree with everything the customer says.
- Lack of work available for nursing assistant.
Barriers to effective communication include...
A client's best friend asks the nurse's aide what is wrong with the client. The best nursing assistant response is...
- "Sorry, I'm not allowed to talk about him with you."
- "You really should ask the nurse in charge for this information."
- "I'll tell you, but keep it confidential."
- "I'm really not sure what's wrong with him."
An alert and oriented client refuses the bath. The best nursing assistant response is...
- "You should shower every day, even if you don't want to."
- "I doubt your roommate would appreciate the smell."
- "Can you tell me why you don't want to shower today?"
- "Is there anything wrong with taking a shower?"
An example of illegal arrest is...
- use restrictions without medical order or customer consent.
- closing the door to the client's room.
- treat the customer differently because of their religious beliefs.
- refusing to answer a frequently ringing call light.
Another Nursing Assistant is not providing adequate care to residents. The nursing assistant who realizes this should...
- keep a to-do list.
- tell other team members.
- complete improper care alone.
- report this to the nurse in charge immediately.
A nursing assistant notices a bright red rash on a client. This type of observation is called...
A former union member was the victim of an accident at work and is now a resident. To maintain the resident's dignity, the nursing assistant may suggest that the client...
- Read industry magazines.
- serve on the resident council.
- watch business-oriented movies.
- relax and play bingo.
A client's daughter wants to help take care of her mother. Nursing assistant must...
- let her do whatever care she wants to do.
- tell her she can't take care of her mother.
- let her shower and dress herself.
- ask him to do what the nurse agrees to do.
It is important to remember that a client in the last phase of a terminal illness must...
- left alone to cry
- care is provided to meet your physical and emotional needs.
- be cared for only by close family and friends.
- you will have no choice about your care.
Allow customers to wear their personal clothing...
- Reduces clothing costs.
- improves customer well-being.
- makes it easy to dress customers.
- improves infection control.
A young post-op client has the door locked and the nurse's aide needs to check his vital signs. Nursing assistant must...
How many questions are on the CNA exam North Carolina? ›
You must pass both parts in order to become listed on the North Carolina Nurse Aide I Registry. The written examination consists of seventy (70) multiple- choice questions written in English.
To protect the patient and the CNA: 1. Attempt to break the fall by keeping your feet wide and knees bent, while preventing the patient's head from hitting the floor or other hard surface. 2. Support the patient, using the gait belt and a free arm to lower the patient to the floor or chair.When a resident can walk he or she is? ›
Healthcare professionals may refer to a patient as ambulatory. This means the patient is able to walk around.What is the first thing a nurse aide should do when finding an unresponsive client? ›
to prevent client injury. What is the FIRST thing a nurse aide should do when finding an unresponsive client? call for help.What score do you need to pass CNA exam NC? ›
The Certified Nursing Assistant exam is made up of two sections. One section is the written examination, and the other is the clinical skills test, often referred to as the CNA skills test. You will need to pass both sections, with each typically requiring a score of 70-80% or better to pass depending on your state.Is the CNA test hard to pass? ›
Is the CNA Exam Hard? The exam can be hard if Nursing Assistants do not have the knowledge and skills needed to pass the exam. The written or oral section of the exam may consist of approximately 70 questions, but the exact number of questions varies by state.What are the things a nursing assistant Cannot do? ›
The nurse aide will not perform any invasive procedures, including enemas and rectal temperatures, checking for and/or removing fecal impactions, instillation of any fluids, through any tubing, administering vaginal or rectal installations.What does dangle mean CNA? ›
Dangling, which is often an intermediary stage of assisting people into the sitting position with their legs hanging over the side of the bed, before moving them into the standing position, is therefore used to ensure that patients are moved safely. This can help to prevent notable reductions in blood pressure.When moving a resident up in bed the head of the bed should be? ›
The goal is to pull, not lift, the patient toward the head of the bed. The 2 people moving the patient should stand on opposite sides of the bed. To pull the person up both people should: Grab the slide sheet or draw sheet at the patient's upper back and hips on the side of the bed closest to you.
CNAs should wash the resident's entire body, one part at a time. The best time for a bath is usually after elimi- nation has occurred, and it can be given along with oral care and a change of bed linens. Always allow and encourage residents to wash as much of themselves as possible.
Which blood pressure should be reported to the nurse immediately? ›
Always contact your nurse or doctor if your systolic—top—pressure is above 180 or your diastolic—bottom—pressure is above 110.What are first 3 step if you find someone unresponsive and not breathing? ›
Staying safe while giving first aid
- Check their breathing by tilting their head back and looking and feeling for breaths. ...
- Move them onto their side and tilt their head back. ...
- Call 999 as soon as possible.
If a person is unconscious or has a change in mental status, follow these first aid steps: Call or tell someone to call 911 or the local emergency number. Check the person's airway, breathing, and pulse frequently. If necessary, begin CPR.When helping a client to eat the first thing a CNA should do is? ›
|26? When assisting a client with eating one of the first things the nurse aide should do is||Wash his own hands and the client's hands|
|27. If a patient has a new cast on her right arm while caring for her it is important to first observe for||Warmth and color of fingers|
|Years of experience||Per hour|
|1 to 2 years||$17.15|
|3 to 5 years||$18.06|
|6 to 9 years||$18.52|
|More than 10 years||$20.41|
How much does a Nursing Assistant make in North Carolina? The average Nursing Assistant salary in North Carolina is $31,335 as of October 27, 2022, but the range typically falls between $28,483 and $35,203.How do you memorize CNA skills? ›
- Practice your skills as taught by your instructor and as demonstrated in your text book. ...
- With each skill you perform during your test, remember to introduce yourself. ...
- Get a good night's sleep before your test. ...
- Eat a good meal before your test.
How many steps can I miss and still pass the CNA skills test? While a 70-80 percent is a passing score depending on your state, you must complete all of the crucial steps in the skills test correctly to pass. Because executing them correctly is vital, you must be ready for all 30 skills.What is the 5 skills for CNA? ›
- Knowledge. It is important for you to take your classes seriously when in CNA school. ...
- Flexibility. ...
- Observation. ...
- Emotional Stability. ...
Alaska is the highest-paying state for CNAs, earning $43,080 per year. Because the state has one of the highest costs of living in the country, employers need to provide a higher-than-average salary.
Can a CNA remove an IV? ›
No. Medical assistants may not place the needle or start or disconnect the infusion tube of an IV. These procedures are considered invasive, and therefore, not within the medical assistant's scope of practice.Can a CNA insert a catheter? ›
Perform Catheter Care
But, as a CNA, catheter care simply involves cleaning the exposed part of the catheter, the skin around it and making sure the catheter tubing and bag are positioned properly. This is a cleaning skill, not a technical skill. CNAs don't put catheters in or take them out.
- Turning or moving patients.
- Gathering medical supplies.
- Bathing patients.
- Grooming patients by brushing their hair, teeth, shaving them, etc.
- Feeding patients and documenting their food and liquid intake.
- Checking vital signs such as blood pressure and heart rate.
You should not provide any care or perform any procedures for which you have not demonstrated competency. 3. Refusal to float and accept an assignment for which you are competent may be interpreted by the hospital as insubordination and subject you to discipline.What is double bagging CNA? ›
1. The nursing assistant inside the person's room places. the contaminated items into an isolation bag (usually a color-coded plastic bag) and secures the bag with a tie.Can CNA have nails? ›
The WHO guidelines prohibit artificial nails and extenders for all healthcare workers.When moving a patient what you should always avoid doing? ›
You should take care to refrain from bending over, stooping, or twisting for long periods of time. If your patient relies upon you for help with bathing, dressing, and eating, try to keep a level position to avoid putting extra strain on your back.What is one 1 way you can assist a patient to walk? ›
Using crutches, a cane, or a walker can help keep your weight off your injured or weak leg, assist with balance, and enable you to perform your daily activities more safely.Where should you stand when ambulating a resident? ›
Stand facing the head of the bed at a 45-degree angle with your feet apart, with one foot in front of the other. Stand next to the waist of the patient. Proper positioning helps prevent back injuries and provides support and balance.What are 4 steps to take when giving a bedpan to a resident? ›
- Provide privacy.
- Wash hands, put on gloves.
- Place the bed as flat as possible.
- Turn the resident on their side, while holding onto the bedpan.
- Remove the bedpan and set it aside.
- Give perineal care.
- Reposition the resident and offer them hand hygiene.
What is the first step when transferring a client out of bed to a wheelchair? ›
1. Stand as close as you can to the consumer, reach around their chest, and lock your hands behind the consumer or grab the gait belt. 2. Place the consumer's outside leg (the one farthest from the wheelchair) between your knees for support.Which movement is easiest CNA? ›
|You can push, pull, slide, or lift an object. Which movement is easiest?||pushing|
|To use good body mechanics, you should face||the direction of your work|
|The amount of physical effort needed to perform a task is||force|
There are four basic types of baths that are provided based on the needs, preferences, and mobility of clients: a partial bath, shower, tub bath, or full bed bath.Why should the nursing assistant wipe from front to back? ›
Make sure to use disposable wipes and wipe from front to back when cleaning the genitals. This process will prevent urinary tract infections.When bathing a patient where do you start? ›
While the patient is lying on their back, begin by washing their face and move toward their feet. Then, roll your patient to one side and wash their back. To wash a patient's skin, first wet the skin, then gently apply a small amount of soap.What time of day is blood pressure highest? ›
Blood pressure has a daily pattern. Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening.What is the most common mistake when taking a blood pressure? ›
Incorrect patient positioning
Perhaps the most common mistake in blood pressure measurement is allowing patients to sit or lie with their arms hanging by their side, since when the upper arm is below the level of the right atrium, the readings will be too high.
In the Celsius scale, a fever would be an oral temperature 37.7° or higher or a rectal temperature 38.3° or higher. The specific numbers for normal body temperature and fever are not absolute. If a patient has a fever, the CNA should report this immediately to a Registered Nurse or supervisor.What does ABCD stand for in first aid? ›
Use the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach to assess and treat the patient. Do a complete initial assessment and re-assess regularly. Treat life-threatening problems before moving to the next part of assessment.What is the correct word for C in cab? ›
The three basic parts of CPR are easily remembered as "CAB": C for compressions, A for airway, and B for breathing. C is for compressions. Chest compressions can help the flow of blood to the heart, brain, and other organs. CPR begins with 30 chest compressions, followed by two rescue breaths.
How many times do you give CPR? ›
Keeping your hands on their chest, release the compression and allow their chest to return to its original position. Repeat these compressions at a rate of 100 to 120 times a minute until an ambulance arrives or for as long as you can.What are 5 things you should do once a victim of shock of lying down? ›
Seek emergency medical care
Keep the person still and don't move him or her unless necessary. Begin CPR if the person shows no signs of life, such as not breathing, coughing or moving. Loosen tight clothing and, if needed, cover the person with a blanket to prevent chilling. Don't let the person eat or drink anything.
- Check breathing by tilting their head back and looking and feeling for breaths. ...
- Call 999 as soon as possible. ...
- Give chest compressions: push firmly downwards in the middle of the chest and then release.
Bend them forwards and give up to 5 back blows to try and dislodge the blockage. Hit them firmly on their back with the heel of your hand between the shoulder blades. Hitting them on their back creates a strong vibration and pressure in the airway, which is often enough to dislodge the blockage.When should a CNA respond to a call light? ›
According to nursing home administrators, all staff working in the unit are required to respond to all bed and chair exit alarms and must respond to the call lights within 5 min.What is the first step when feeding a resident? ›
1. Follow standard precautions and sanitary food handling practices by washing your hands and wearing gloves, if needed. 2. Before serving food, check to see that it is the correct tray for your resident and that the meal matches the resident's dietary requirements.How long is the NC CNA exam? ›
The written exam has 70 multiple choice questions in English and you will have 2 hours to complete it.How many times can you take CNA exam in NC? ›
Candidates must submit Training Waiver requests to NC DHHS. Candidate must pass both portions of the test within two (2) years from the completion date of training or within three (3) attempts, whichever comes first, in order to be placed on the North Carolina Nurse Aide I Registry.How is the CNA skills test graded in NC? ›
Your evaluator will provide you a grade based on your performance during the selected list of skills. As you demonstrate each skill, the nurse aide evaluator will review the checklist for each skill and record any deficiencies you may have.How long does it take to get CNA test results North Carolina? ›
Reports are generally available within 24 hours after the testing event is completed for the day.
What should I wear to my CNA exam? ›
On the day of your examination, dress as if you were already on the job as a competent CNA. Wear a neat short-sleeved scrub uniform and clinical shoes with nonskid soles. Don't forget a watch with a second hand. If your hair is long, tie it back.What is a typical day for a CNA? ›
Helping patients with Activities of Daily Living (ADLs) including using the bathroom, bathing, getting dressed and personal grooming. Moving patients from beds to wheelchairs and back. Repositioning bedridden patients. Changing bedpans, catheters, and soiled sheets.What happens if I fail CNA test 3 times? ›
If, after three attempts, you are unable to pass one or both portions of the exam, you will be required to repeat your training. What this means is that you will need to re-enroll in an approved CNA program.What is the difference between CNA 1 and CNA 2 in NC? ›
The CNA 1 program requires 155 hours total—80 hours of classroom and lab time and 75 hours of clinical time. The CNA 2 program is 88 hours total—60 hours of classroom and lab time and 28 hours of clinical time. In general, classes and labs meet for seven hours per day, two to four days per week.How long is a CNA license good for in NC? ›
The renewal is for 24 months, beginning from the last qualified work date (month) that was reported on the work verification. Expiration dates are at the end of the month. Aide's Responsibility: Renewal is the aide's responsibility.What are automatic fails on a CNA test? ›
If you mix up a step or forget to do a step, you will simply lose points. If you forget a bold step, or do it incorrectly, you automatically fail.How much CNA get paid in North Carolina? ›
How much does a Certified Nursing Assistant make in North Carolina? The average Certified Nursing Assistant salary in North Carolina is $32,772 as of October 27, 2022, but the range typically falls between $29,866 and $36,184.How much does it cost to get your CNA license in North Carolina? ›
North Carolina State Requirements for CNAs
The cost of CNA programs can range from $250 to $400. Unlike most other states in the U.S., aspiring CNAs do not need to complete a minimum amount of classes prior to taking the exam. Candidates may take it with no prior classwork or knowledge.
Consistent with Rule 10A NCAC 13O . 0301, to be listed on the North Carolina Nurse Aide I Registry, all individuals must complete, at minimum, a state-approved, 75-hour basic nurse aide training course and pass the Nurse Aide I Competency Examination.