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- 1. Open EndedWhich of the following is a task that nursing assistants commonly do? (A) Giving medication (B) Bathing residents (C) Changing sterile dressings (D) Giving tube feedings
- 2. Open EndedDementia is: (A) Terminal illness (B) Loss of mental abilities (C) The number of days a person stays in a healthcare facility (D) Caring for the whole person
- 3. Open EndedWhich of the following is an example of nonverbal communication? (A) Writing a note in a resident's chart (B) Giving an oral report to a supervisor (C) Smiling at a new resident (D) Speaking in an encouraging tone of voice to a resident who is moving slowly
- 4. Open EndedWhich of the following types of health care is generally for people who will die in six months or less? (A) Long-term care (B) Outpatient care (C) Inter-generational care (D) Hospice care
- 5. Open EndedHow many hours of training does OBRA require for nursing assistants? (A) At least 150 hours (B) At least 100 hours (C) At least 75 hours (D) At least 50 hours
- 6. Open EndedWhich of the following statements is true of a nursing assistant's role in restorative care? (A) If a resident takes too long to do a task by himself, the nursing assistant should do it for him. (B) The nursing assistant should give the resident pain medication just before the rehabilitation session begins. (C) The nursing assistant should recognize that setbacks occur and be reassuring. (D) The nursing assistant should tell the family progress is happening faster than it really is so they can feel better about the situation.
- 7. Open EndedOne reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to: (A) Make sure nursing assistants receive adequate pay (B) Protect privacy of health information (C) Ensure that care procedures are performed properly (D) Prevent abuse of residents
- 8. Open EndedWhich of the following is an example of professional and ethical behavior by a nursing assistant? (A) Keeping quiet if he makes a mistake (B) Documenting care accurately and promptly (C) Telling his friend details about the residents he works with (D) Rushing a resident through tasks if there is not much time left in the nursing assistant's shift
- 9. Open EndedTo maintain good body mechanics while lifting or carrying an object, a nursing assistant should: (A) Hold the object out and away from her body (B) Face the object or person she is moving (C) Twist at the waist as she picks up the object (D) Try to keep her center of gravity as high as possible
- 10. Open EndedWhen is it appropriate to use medical terminology? (A) When communicating with the care team (B) When communicating with residents (C) When communicating with residents' families (D) When communicating with visitors
- 11. Open EndedWhat information does a Material Safety Data Sheet (MSDS) contain? (A) Costs of the chemical (B) Comparisons with other chemicals (C) Names of other facilities using the chemical (D) Description of emergency response actions
- 12. Open EndedWhich of the following statements contains objective information? (A) Mr. Castillo seems a little grouchy today. (B) Mr. Castillo says that he has a stomachache. (C) Mr. Castillo's blood pressure is 115/68. (D) Mr. Castillo doesn't get along with the nurses very well.
- 13. Open EndedA resident's health information may be shared with: (A) Anyone who asks (B) Anyone who lives or works at the facility (C) The resident's friends and family (D) Other care team members
- 14. Open EndedIf a resident is hearing impaired, a nursing assistant should: (A) Approach the resident from behind (B) Make sure the light is on the nursing assistant's face (C) Raise the pitch of her voice (D) Chew gum while speaking to the resident
- 15. Open EndedHolistic care focuses on: (A) The whole person, including physical, mental, and social well-being (B) Disease and disability (C) How sick a person is (D) The absence of disease and illness
- 16. Fill in the BlankThe federal government requires ______ hours of continuing education for nursing assistants each year. (A) 10 (B) 12 (C) 15 (D) 18
- 17. Open EndedWhich of the following is a physical need? (A) The need to be accepted (B) The need for self-esteem (C) The need to be free from pain (D) The need for independence
- 18. Open EndedIf a nursing assistant encounters a resident in a sexual situation, she should: (A) Call the resident's clergyperson to discuss it (B) Provide privacy and leave the room (C) Tell other residents and staff members about it (D) Ask the resident to stop what she is doing
- 19. Open EndedWhich of the following is true of most elderly people? (A) They are active and have many interests. (B) They do not manage money well. (C) They are usually grouchy. (D) They do not like to leave home.
- 20. Open EndedMaking an area or object completely free of all microorganisms is called: (A) Infection prevention (B) Disinfection (C) Transmission (D) Surgical asepsis
- 21. Open EndedOne way for a nursing assistant to communicate effectively with a visually-impaired resident is to: (A) Wait until the resident speaks to her before identifying herself (B) Move the furniture in the resident's room to make it easier for him to get around (C) Avoid talking to the resident during care (D) Use the face of an imaginary clock to explain the position of objects
- 22. Open EndedRestraints may be used: (A) Whenever it is convenient for the facility staff (B) When a resident is being uncooperative (C) When there are not enough staff members to watch all the residents (D) Only with a doctor's order
- 23. Open EndedInfection prevention is: (A) The way in which infections occur (B) An infection limited to a specific part of the body (C) A set of methods used to prevent the spread of disease (D) An object that has not been contaminated with pathogens
- 24. Open EndedIn military time, 7:45 p.m. would be: (A) 0745 hours (B) 1975 hours (C) 1945 hours (D) 0775 hours
- 25. Open EndedHow is HIV spread? (A) Through the air (B) By hugging an infected person (C) By standing next to an infected person (D) By blood
- 26. Open EndedIn which of the following procedures must a nursing assistant always wear gloves? (A) Shaving a resident (B) Combing or brushing hair (C) Dressing a resident (D) Turning a resident
- 27. Open EndedMost of the accidents in a facility are related to: (A) Falls (B) Burns (C) Poisoning (D) Choking
- 28. Open EndedWhen beginning to weigh a resident, the scale should be balanced at: (A) Zero (B) Five pounds (C) Ten pounds (D) Negative two pounds
- 29. Open EndedOne way to prevent burns and scalds is to: (A) Check water temperature before giving a bath or shower (B) Serve residents drinks while they are standing (C) Leave warm water applications on for more than 30 minutes at a time (D) Use higher settings on hair dryers so residents' hair is not wet for too long
- 30. Open EndedIf a nursing assistant is in an emergency situation but has not been trained to perform CPR, she should: (A) Perform CPR anyway. (B) Ask someone at the scene to tell her how to do it (C) Give basic first aid until the emergency medical team arrives (D) Do nothing
- 31. Open EndedA good way to help new residents adjust to life in the facility is: (A) Think about how it would feel to have to move into a facility (B) Tell the resident how much work it is to care for him (C) Cover up any mistakes to make the resident feel more confident about the facility's care (D) Push residents to join in activities even if they say they don't want to
- 32. Open EndedWhich of the following is true of Transmission-Based Precautions? (A) You do not need to practice Standard Precautions if you practice Transmission- Based Precautions. (B) They are exactly the same as Standard Precautions. (C) They are practiced in addition to Standard Precautions. (D) They will not be listed in the care plan so as not to alarm anyone.
- 33. Open EndedWhich of the following behaviors promotes Residents' Rights? (A) Deciding which clothing a resident should wear if she takes too long to decide for herself (B) Letting residents know when they are eating too slowly (C) Providing privacy during all care procedures (D) Restricting visitors for uncooperative residents
- 34. Open EndedDangling means: (A) Sitting up with feet over side of bed (B) Sitting up in chair with feet on floor (C) Lying in bed with feet over side of bed (D) Hanging both arms over chair rests
- 35. Open EndedWhich of the following is true of bladder retraining? (A) The NA should encourage the resident to drink plenty of fluids even if incontinence is a problem. (B) The NA does not need to keep a record of the resident's bladder habits. (C) The NA does not need to wear gloves when handling body wastes. (D) The NA should let the resident know when he or she is taking too long to urinate.
- 36. Open EndedIn which position is a resident if he is lying flat on his back with his head and shoulders supported by a pillow? (A) Lateral position (B) Sims' position (C) Supine position (D) Prone position
- 37. Open EndedWhen handling dirty linen, a nursing assistant should: (A) Carry it close to her uniform (B) Wear gloves (C) Fold or roll it so the dirty area is on the outside (D) Shake it to remove any particles before disposing of it
- 38. Open EndedWhen transferring a resident who has a weak side: (A) The weak side moves first (B) The strong side moves first (C) The strong side and weak side move at the same time (D) It does not matter which side moves first
- 39. Open EndedA general rule for bathing a person is: (A) Wash from dirtiest to cleanest (B) Wash from cleanest to dirtiest (C) Wash body parts in whatever order the resident prefers (D) Wash body parts in whatever order the nursing assistant prefers
- 40. Open EndedWhen assisting a resident who has one weak side with dressing: (A) Clothing should be put on the weak side first (B) Clothing should be put on the strong side first (C) The weak side should be referred to as the "bad side" (D) It does not matter which side clothing is put on first
- 41. Open EndedWhich of the following terms describes a bed that is completely made with the bedspread and blankets in place? (A) Closed bed (B) Open bed (C) Occupied bed (D) Unoccupied bed
- 42. Open EndedUnder Standard Precautions, the term "body fluids" includes: (A) Sweat (B) Water (C) Juice (D) Urine
- 43. Open EndedA nursing assistant should give nail care: (A) Whenever she has time (B) When she is bathing a resident (C) When she notices a resident's nails are getting long (D) When the resident's nail polish wears off
- 44. Open EndedWhich method of taking temperature is considered to be the most accurate? (A) Oral (B) Rectal (C) Tympanic (D) Axillary
- 45. Open EndedThe normal pulse rate for adults is: (A) 25 to 50 BPM (B) 60 to 100 BPM (C) 100 to 150 BPM (D) 150 to 175 BPM
- 46. Open EndedIf a nursing assistant sees a resident being sexually abused, she should: (A) Remove the resident from the situation immediately and report it to the nurse (B) Pretend not to see it to avoid embarrassing the resident (C) Tell the resident's family (D) Confront the abuser herself
- 47. Open EndedDifficulty breathing is called: (A) Eupnea (B) Apnea (C) Tachypnea (D) Dyspnea
- 48. Open EndedDraw sheets are used: (A) To keep the bed covers from pushing down on residents' feet (B) To keep the fingers from curling tightly (C) To keep a resident's joints in the correct position (D) To prevent skin damage caused by shearing
- 49. Open EndedThe normal respiration rate for adults is: (A) 18-30 breaths per minute (B) 15-25 breaths per minute (C) 12-20 breaths per minute (D) 8-10 breaths per minute
- 50. Fill in the BlankThe most essential nutrient for life is ______ (A) Protein (B) Fat (C) Carbohydrates (D) Water
- 51. Open EndedWhat does the abbreviation "NPO" stand for? (A) Nothing pureed only (B) Not prepared on-site (C) Nothing by mouth (D) Nothing by order
- 52. Open EndedThe artificial opening in the abdomen for an ostomy is called a: (A) Stoma (B) Stool (C) Bag (D) Anus
- 53. Open EndedTo convert ounces to milliliters, multiply by: (A) 30 (B) 20 (C) 60 (D) 15
- 54. Open EndedWhen providing perineal care for a female resident, the nursing assistant should: (A) Wipe from front to back (B) Wipe from back to front (C) Wipe the anal area first (D) Use the same area of the washcloth for each stroke
- 55. Open EndedAccording to the USDA's MyPlate icon, which food groups should make up at least half of a person's plate? (A) Grains and proteins (B) Vegetables and fruits (C) Dairy and proteins (D) Grains and fruits
- 56. Open EndedThe first sign of skin breakdown is: (A) Muscle damage (B) Blackened skin with pressure ulcers (C) Shallow crater (D) Pale, white, reddened, or purple skin
- 57. Open EndedAt which angle should residents be positioned for eating? (A) 180 degrees (B) 120 degrees (C) 100 degrees (D) 90 degrees
- 58. Open EndedWhich of the following blood pressure readings falls within the normal range? (A) 119/75 (B) 135/90 (C) 91/70 (D) 140/80
- 59. Fill in the BlankA _______ is used for residents who cannot assist with raising their hips onto a bedpan. (A) Fracture pan (B) Urinal (C) Portable commode (D) Bedpan
- 60. Fill in the BlankA(n) ______ stocking is a special stocking that can help with circulation. (A) Sheer (B) Clotting (C) Rotating (D) Anti-embolic
- 61. Fill in the BlankA _______ urine specimen can be collected any time the resident voids. (A) Routine (B) Clean-catch (C) 24-hour (D) Sterile
- 62. Open EndedThe most common site to take the pulse is: the: (A) Radial pulse (B) Brachial pulse (C) Carotid pulse (D) Pedal pulse
- 63. Open EndedHow many feet does a quad cane have? (A) 1 (B) 2 (C) 3 (D) 4
- 64. Open EndedThe process of breathing in and out is called: (A) Inspiration (B) Respiration (C) Expiration (D) Expansion
- 65. Open Ended65. Residents with COPD have trouble with: (A) Breathing (B) Urination (C) Losing weight (D) Vision
- 66. Open EndedWhen a resident uses a cane, walker, or crutches, the nursing assistant should: (A) Stay on the resident's stronger side (B) Stay on the resident's weaker side (C) Walk in front of the resident (D) Walk behind the resident
- 67. Open EndedSigns and symptoms of clinical depression include: (A) Intense hunger (B) Breath that smells fruity (C) Intense, sudden chest pain (D) Apathy
- 68. Open EndedThe best time to collect a sputum specimen is: (A) Early in the morning (B) After the resident has eaten a meal (C) Right before bedtime (D) Right before lunch
- 69. Open EndedWeakening, wasting away, and decrease in size of a muscle is called: (A) Dystrophy (B) Atrophy (C) Contracture (D) Dislocation
- 70. Open EndedWhich is the last sense to leave a person? (A) Sight (B) Hearing (C) Touch (D) Smell
- 71. Fill in the BlankAfter a total hip replacement, the hip cannot be bent or flexed more than ______ degrees. (A) 45 (B) 75 (C) 90 (D) 100
- 72. Open EndedWhich of the following is a care guideline for residents recovering from a CVA? (A) Do as much as possible for the resident so that care can be completed more efficiently. (B) Encourage resident to finish tasks as quickly as possible to help speed recovery. (C) Assist with ambulation to prevent falls. (D) Place food in the affected/weaker side of the mouth when feeding.
- 73. Fill in the BlankA tumor that is cancerous is called a(n) ______ tumor. (A) Opportunistic (B) Benign (C) Malignant (D) Metastasized
- 74. Open EndedWhich of the following statements is true of Alzheimer's disease (AD)? (A) Skills a person has used over a lifetime are usually kept longer. (B) Residents with AD will show the same signs at the same times. (C) NAs should do everything for residents with AD. (D) Alzheimer's disease is a normal part of aging.
- 75. Open EndedWhich of the following is a guideline for safe diabetic foot care? (A) Inspect and clean resident's feet every day. (B) Clip resident's toenails frequently. (C) Use lotion between the toes to prevent dryness and cracking. (D) Use hot water for bathing the feet to help prevent infection.
- 76. Open EndedIf a resident with Alzheimer's disease has problems with bathing, the nursing assistant should: (A) Schedule bathing when the resident is least agitated (B) Hurry the resident through the bath (C) Insist that the resident bathe even if she does not want to (D) Surprise the resident with the bath
- 77. Open EndedA diabetic resident should: (A) Skip meals (B) Go barefoot (C) Receive careful foot care (D) Avoid exercise
- 78. Open EndedHIV can be transmitted: (A) To a nursing assistant who touches an infected resident's telephone (B) To anyone who uses the same toilet as an infected person (C) To people who hug an infected person when that person has a fever (D) To a fetus by an infected mother
- 79. Open EndedWhich of the following thermometers is used to take a temperature from the ear? (A) Oral thermometer (B) Rectal thermometer (C) Tympanic thermometer (D) Axillary thermometer
- 80. Open EndedWhich of the following statements is true of HIV and AIDS? (A) AIDS can be cured. (B) Having unprotected sex puts a person at a high risk for HIV/AIDS. (C) Standard Precautions do not need to be practiced on a person with AIDS. (D) A person with HIV can be fired because of the disease.
- 81. Open EndedAlternate communication methods for a resident with an artificial airway include: (A) Playing charades (B) Shouting at the resident (C) Asking the resident's family what they think he wants (D) Using communication boards
- 82. Fill in the BlankWhen assisting with ROM exercises, the nursing assistant should begin at the ______ and work her way ______ the body. (A) Abdomen, up (B) Feet, up (C) Head, down (D) Thighs, down
- 83. Open EndedHow should residents be positioned while they eat? (A) Lying flat on their backs (B) Reclining at a 45-degree angle (C) Sitting as upright as possible (D) Lying on their sides
- 84. Open EndedOne way for a nursing assistant to help a resident with Alzheimer's disease with eating is to: (A) Put a few types of food on the plate at the same time (B) Use dishes without a pattern and a simple place setting (C) Withhold food until the resident is really hungry (D) Serve steaming hot foods and drinks
- 85. Open EndedOrthotic devices are used to: (A) Keep joints in correct position and improve function (B) Assist residents with ADLs (C) Maintain proper body alignment (D) Prevent rubbing, irritation, and pressure ulcers
- 86. Open EndedWhen should documentation be recorded? (A) Immediately after care is given (B) At the end of the shift (C) Whenever there is time (D) Before the care is given
- 87. Open EndedAn object can be called "clean" if: (A) It has not been used on or near a sick resident (B) No dirt or debris is visible on the object (C) It has been contaminated with pathogens (D) It has not been contaminated with pathogens
- 88. Open EndedIn which of the following parts of the body are mucous membranes found? (A) Feet (B) Hands (C) Genitals (D) Elbows
- 89. Open EndedProblems affecting nutritional intake among the elderly and chronically ill include: (A) Fatigue and pain that occur with certain illnesses increase appetite (B) Older people produce more saliva (C) Increase in physical activity and mobility causes an increased appetite (D) Ability to smell and taste food and drink decreases as people age
- 90. Open EndedThe chain of command is: (A) A legal term meaning a person can be held responsible for harming someone else (B) The person in charge of the department for each shift (C) The line of authority in a facility (D) The department that a nursing assistant goes to if he wants to report a problem
- 91. Open EndedWhich of the following is an ombudsman's responsibility? (A) Helping with care procedures (B) Assisting with resolving facility budget problems (C) Investigating and resolving complaints (D) Creating special diets for residents
- 92. Open EndedA resident has purchased a special gift for her nursing assistant, Sarah. Which of the following would be the best response by Sarah? (A) Refuse but thank her for thinking of her (B) Accept because Sarah does not know her facility's policy on gifts (C) Accept and ask the resident not to tell anyone (D) Refuse and tell her that her employer is very unfair about employees accepting gifts from residents
- 93. Open EndedWhich member of the care team assesses residents, monitors progress, and gives treatments? (A) The nurse (B) The nursing assistant (C) The medical social worker (D) The registered dietitian
- 94. Open EndedHand hygiene is: (A) Washing hands with soap and water only (B) Using alcohol-based hand rubs only (C) Wearing gloves when performing care procedures (D) Washing hands with either plain or antiseptic soap and water or using alcohol-based hand rubs
- 95. Open EndedA nursing assistant should reposition bedbound residents at least every: (A) Two hours (B) Three hours (C) Ten minutes (D) Twenty minutes
- 96. Open EndedWhich of the following statements is an example of a fact? (A) Mrs. Christensen weighs 142 pounds. (B) Mrs. Christensen is too thin. (C) Mrs. Christensen seems happy when we serve meatloaf. (D) Mrs. Christensen is lonely.
- 97. Open EndedHow should a standard bedpan be positioned? (A) The smaller end should be aligned with the resident's buttocks. (B) The wider end should be aligned with the resident's buttocks. (C) One of the longer sides should be aligned with the resident's buttocks. (D) It should be turned on its side.
- 98. Open EndedWhich of the following statements is true of spiritual needs? (A) Residents will believe in God. (B) Residents will be Christians. (C) Residents will have different spiritual needs and beliefs. (D) Residents will not believe in God or a higher power.
- 99. Open EndedWhere should the call light be placed when a nursing assistant leaves a resident's room? (A) On the bedside table beside the telephone (B) Next to the television remote (C) Within the resident's reach (D) On a chair next to the resident's bed
- 100. Open EndedBlood pressure is measured using a: (A) Thermometer (B) Watch (C) Finger (D) Sphygmomanometer
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