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- 1. Open EndedThe nurse aide is responsible for all of the following fire prevention measures EXCEPT:
- 2. Open EndedWhat is the term for a device used to take the place of a missing body part? -External rotation -Abduction -Pronation -Prosthesis
- 3. Open EndedThe Heimlich maneuver (abdominal thrusts) is used for a client who has -a bloody nose -a blocked airway -impaired eyesight -fallen out of bed
- 4. Open EndedThe most comfortable position for a resident with a respiratory problem is -Supine -Lateral -Prone -Fowler's
- 5. Open EndedThe nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD -call housekeeping. -call the nurse. -leave the spill. -clean up the spill.
- 6. Open EndedThe electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST? -Call the nurse in charge. -Finish shaving the client as quickly as possible -Unplug the shaver -Use the roommate's shaver to finish the shave
- 7. Open EndedWhen transferring a client, MOST of the client's weight should be supported by the nurse aide's -shoulders -back -wrists -legs
- 8. Open EndedThe nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet? -Nothing -Rubber-soled slippers or shoes -Socks or stockings only -Cloth-soled slippers
- 9. Open EndedPhysical restraints are used MOST often -at the roommate's request. -when staff is short. -to prevent client injury. -at the family's request.
- 10. Open EndedWhich of the following is NOT considered to be a way to restrain a client? -Pain management -A hand mitt -Lap buddy/tray -A sedative
- 11. Open EndedA client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should -ask another nurse aide to help -have the family do it -try to move the client alone -go on to another task
- 12. Open EndedInsulin, a hormone, regulates -The amount of salt retained in the blood -The rhythm of the heart -The amount of sugar in the blood -The strength of the skeletal muscles
- 13. Open EndedNPO means -Only ice chips per mouth -Nothing by mouth except water -Nothing by mouth -Nothing per ostomy
- 14. Open EndedClean bed linen placed in a client's room but NOT used should be -returned to the linen closet -used for a client in the next room -taken to the nurse in charge -put in the dirty linen container
- 15. Open EndedWhen taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's -elbow. -wrist. -neck. -chest.
- 16. Open EndedWhen taking an oral temperature, it is important to -put lubricant on the thermometer. -place the thermometer in the rectum. -place the thermometer under the tongue. -place the thermometer under the arm.
- 17. Open EndedWhat is the FIRST thing a nurse aide should do when finding an unresponsive client? -Call for help -Call family -Start compressions -Close the door
- 18. Open EndedWhen operating a manual bed, the nurse aide should remember to -elevate the client's head at all times. -keep the bed in the neutral position. -fold cranks under bed. -lock the wheels when the cranks are folded.
- 19. Open EndedWhich of the following best helps reduce pressure on the bony prominences? -Several pillows -Repositioning every shift -Flotation mattress -Sheepskin
- 20. Open EndedTo avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's -bed frame -upper thigh -bed sheet -hip
- 21. Open EndedWhile making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD -warn the client to be careful when she gets back into bed. -wait for the next safety check to report the broken side rail. -tie the side rail in the raised position until it is fixed. -report the broken side rail immediately.
- 22. Open EndedThe purpose for padding side rails on the client's bed is to -use them as a restraint -protect the client from injury -keep the client warm -have a place to connect the call signal
- 23. Open EndedWhat type of fire can be put out with water? -Grease -Chemical -Electrical -Paper
- 24. Open EndedWhen helping a client who is recovering from a stroke to walk, the nurse aide should assist -on the client's strong side -on the client's weak side -from behind the client -with a wheelchair
- 25. Open EndedHow many tips does a quad-cane base have? -4 -1 -2 -3
- 26. Open EndedThe nursing care plan states, "Transfer with mechanical lift." however, the client is very agitated. To transfer the client, the nurse aide SHOULD -keep wheels unlocked so the lift can move with the client. -get assistance to move the client. -place the client in the lift. -lift the client without the mechanical device.
- 27. Open EndedTo be sure that a client's weight is measured accurately, the client should be weighed -after a meal -by a different nurse aide -after a good night's sleep -at the same time of day
- 28. Open EndedWhich of the following is a correct measurement of urinary output? -300 cc -40 oz -2 cups -1 quart
- 29. Open EndedA client is paralyzed on the right side. The nurse aide should place the signaling device -on the right side of the bed near the client's hand. -under the pillow. -on the left side of the bed near the client's hand. -at the foot of the bed.
- 30. Open EndedWhich of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects? -Physical therapist -Speech therapist -Occupational therapist -Registered nurse
- 31. Open EndedWhile eating dinner a client starts to choke and turn blue. The nurse aide SHOULD -call for assistance and perform the Heimlich maneuver (abdominal thrusts). -slap the client on the back until the food dislodges. -immediately remove the client's food tray and go find the nurse in charge. -give the client a drink of water.
- 32. Open EndedThe nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD -leave the client to search for help. -comfort the client while moving to a safe place. -lock the client's wheelchair and check the surrounding area for smoke. -push the wheelchair out of the hallway and carry the client out of the facility.
- 33. Open EndedFor safety, when leaving a client alone in a room, the nurse aide SHOULD -leave the bed elevated in highest position. -place signaling device within client's reach. -keep the door tightly closed. -apply a restraint to the client.
- 34. Open EndedThe equipment you need to gather to do unconscious oral care would include -Toothbrush -toothette/mouth swab -Toothpaste -All of the above
- 35. Open EndedWhen caring for a client who uses a protective device (restraint), the nurse aide SHOULD -assess the client once every hour. -assure the protective device is tight. -check the client's body alignment. -release the protective device once a shift.
- 36. Open EndedTo convert four ounces of juice to milliliters (ml), the nurse aide should multiply -4 x 30 ml -4 x 15 ml -4 x 10 ml -4 x 5 ml
- 37. Open EndedTo lift an object using good body mechanics, the nurse aide SHOULD -hold the object away from the body. -bend knees and keep back straight. -lift with abdominal muscles. -Keep both feet close together.
- 38. Open EndedThe nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is -tell the client the radio is a safety hazard and take it away. -take the radio to the activities room and tell the client to listen to it there. -see if any changes can be made so that the radio can be plugged in safely. -unplug the radio and ask the client not to use it.
- 39. Open EndedA client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe? -place the bed in the low position -release the wheel brakes -place a pillow on the wheelchair seat -lower both footrest pedals
- 40. Open EndedIf the nurse aide discovers fire in a client's room, the FIRST thing to do is -open a window -call the nurse in charge -remove the client -try to put out the fire
- 41. Open EndedThe brain is part of the -endocrine system -locomotor system -nervous system -exocrine system
- 42. Open EndedSigns and symptoms of shock may include -Hyperventilation -Low blood pressure, tachycardia, clammy, pale skin -Absence of respirations and pulse -Increased blood pressure, bradycardia, and flushed skin
- 43. Open EndedWhat is the best way of keeping a skilled nursing facility from having an unpleasant odor? -Use an air freshener regularly -Empty bedpans and change linens in a timely manner. -There is nothing you can do. -Keep all the windows open.
- 44. Open EndedBefore performing any procedure a nurse aide must -identify the patient -explain the procedure -wash your hands -all of the above.
- 45. Open EndedDrainage bags from urinary catheters should always -have their output measured each week. -be kept below the level of the bladder. -be fastened securely to the bed frame. -be changed every shift.
- 46. Open EndedPost-partum refers to -The period of time right before delivery of a baby -The period of time right after death. -The period of time after a delivery of a baby -The period of time just before death.
- 47. Open EndedThe recommended position for giving an enema is -Semi-fowlers -Left Sims -Prone -Supine
- 48. Open EndedOn what side should the patient lie for an enema? -The side closer to the restroom. -Whichever side is more comfortable. -Left. -Right.
- 49. Open EndedMrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document -920cc -450 cc -685cc -240cc
- 50. Open EndedThe circulatory system consists of the -heart, aorta, pulmonary vessels, lungs -heart, arteries, veins and capillaries. -blood vessels, lymph nodes, spleen -blood vessels, arteries, veins and capillaries
- 51. Open EndedMeal trays have arrived. Before serving each tray the nurse aide should -check the temperature of the food. -ask patients if they are hungry. -ask about dietary restrictions. -check each armband, even on familiar patients.
- 52. Open EndedNormal urine color is -Yellow -Brown -Colorless -Red
- 53. Open EndedThe charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first -Wash your hands -Identify the patient and introduce yourself -Gather appropriate equipment -All of the above
- 54. Open EndedThe opening of the colostomy to the outside of the body is called the -Rectum -Stoma -Insertion site. -None of the above
- 55. Open EndedContinuing education is -necessary for recertification in many states. -a professional standard. -important for keeping abreast of new development. -all of the above.
- 56. Open EndedWhile taking a rectal temperature the nurse aide should insert the thermometer and -stay in the room until it is time to read the temperature. -go on his break. -hold onto the thermometer until it can be removed. -take care of other patients and return in three minutes.
- 57. Open EndedMrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. she has {L} sided hemiplegia. This is -L arm contracture -L arm and leg itching -Paralysis on the left side of the body -Rash to the L arm
- 58. Open EndedA resident with an ileostomy evacuates feces through the -Jejunum -ileum -Anus -Colon
- 59. Open EndedA patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is -notify the IV nurse that the infusion appears to have infiltrated. -put ice onto the hand. -reassure the patient that needles always hurt. -notify the medication nurse that the patient is complaining of pain.
- 60. Open EndedWhich of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse? -Respiration 20 -Temperature 99F -Pulse 74 -B/P 190/114
- 61. Open EndedA patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient -had visitors that day. -had breakfast. -ate too much sugar. -has diabetes.
- 62. Open EndedYou are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do? -Turn up the O2 to 4 liters/min -Report it STAT to your nurse. -Ask Mr. Brown to take breaths more frequently. -Switch the nasal cannula to a mask.
- 63. Open EndedMrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include -Placement of TED hose after ambulation -Daily jog around the facility for 1 hour -Encourage oral fluids -Daily am weight measurement
- 64. Open EndedWhich of the following is associated with smoking? -vitamin C deficiency. -Pneumonia. -heart attacks. -all of the above.
- 65. Open EndedIn report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should -offer frequent snacks. -note all water the patient drinks and all output. -take away the water pitcher at midnight. -ask the patient if he is having any pain.
- 66. Open EndedA patient appears more pale than usual. The nurse aide should -note it on the chart. -offer a glass of water. -get the patient a snack. -ask the patient how he feels and take his vital signs immediately.
- 67. Open EndedIn the Nursing Care Plan you note it is written; "O2 per N/C @3L, Orthopnea pos. as needed". As a CNA you know this means -Resident is to be ambulated every 3 hours -Orient new client @ 3:00 to orthopedic unit -Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers -Oral care every 3 hours
- 68. Open EndedA professional and safe working appearance would include -Carefully manicured acrylic nails -Sandals, t-shirt and name-tag -Jewelry that reflects your fun personality -Clean, wrinkle free uniform, short fingernails, off-the-shoulder hair
- 69. Open EndedA patient has a diagnosis of psoriasis. Her nurse aide should -avoid contact with the highly contagious lesions. -wear gloves for patient care. -wear a mask when entering the room. -treat her the same as any other patient with a non-infectious disease.
- 70. Open EndedMost of our calories should come from -fats -protein -vitamins -carbohydrates
- 71. Open EndedTo help ensure adequate circulation to prevent skin breakdown, you could -Perform active or passive range-of-motion exercises -Change the patient's position frequently -Give back massages -All of the above
- 72. Open EndedYour resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? -6 oz -4 oz -5 oz -7 oz
- 73. Open EndedWho orders a warm or cold application? -Director of nursing -Nurse -You as a CNA can if you think it is necessary -doctor
- 74. Open EndedWhen caring for a resident with an indwelling Foley catheter it is important to -Tuck the tubing under the patient's leg to keep it off the floor -Pin the tubing to the resident gown -Check the bag and tubing frequently for adequate urinary flow -Withhold fluids if the bag is too full
- 75. Open EndedA nurse assistant notices red marks on a resident's back and buttocks. The aide acts in the knowledge that -it takes a doctor's order to rub skin with lotion. -patients can only be turned every two hours. -the skin can break down if nothing is done. -red marks are not a problem.
- 76. Open EndedA nurse aide notices blood in a patient's IV tubing. The aide should -notify the IV nurse. -do nothing; that's normal. -stop the IV. -try to flush the tubing.
- 77. Open EndedWhich of the following should be reported immediately? -Temperature of 99.4 -A pulse of 90 -Respirations of 12 -A blood pressure of 90/40
- 78. Open EndedWhich of the following is not true of blindness? -Always identify yourself before touching a blind person. -Diabetes is an important cause of blindness. -Ask if a blind person needs help before giving assistance. -Most legally blind or visually-impaired people have no sight at all.
- 79. Open EndedMrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is -Tonic -Acute -Chronic -Obstetric
- 80. Open EndedThe safest way to confirm a resident's identity is -Ask the resident's room mate -Look at the door number and compare to your room list -Check an ID bracelet or tag attached to the resident -Call the person by name and see if they answer
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