Chapter 1: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Other terms for long-term care facilities are a. Skilled nursing facilities b. Nursing homes c. Home health agencies d. a and b 2. Which of the following statements is true of long-term care? a. People with terminal illnesses do not live in long-term care facilities. b. Most conditions in long-term care facilities are chronic. c. People who live in long-term care facilities are never able to return home. d. Long-term care takes place in a person’s home. 3. Which of the following statements is true of acute care? a. Acute care is the same as adult daycare. b. One advantage of acute care is people do not have to leave their homes to receive it. c. Acute care is given to people who do not have a serious illness. d. Acute care is given in hospitals for people who have an immediate illness. 4. Medicare is a. A medical assistance program for low-income people b. A program that pays for 100% of healthcare costs for all people who are enrolled in it c. A health insurance program for people who are 65 or older or younger people who are disabled and ill d. None of the above 5. How often are inspections done in facilities? a. Every month b. Every 9-15 months c. Every 5-7 years d. Every three months 6. Which of the following statements is NOT an example of employers’ policies and procedures? a. NAs must be dependable. b. The resident’s care plan must be followed. c. NAs should discuss personal problems with residents. d. A resident’s information must remain confidential. 7. A resident has purchased a special gift for her nursing assistant, Sarah. How should Sarah respond? 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 8. The groups with the longest average stay in long-term care facilities are a. Men b. Developmentally disabled c. Caregivers d. None of the above
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Name: __________________________________________ Date: __________________
9. Which of the following groups has the longest average stay in healthcare facilities? a. Those who are developmentally disabled b. Those who are physically disabled c. Women d. Those with terminal illnesses 10. A ______ is a method or way of doing something. a. Policy b. Procedure c. Survey d. Cite
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Chapter 2: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following is an example of a nursing assistant duty? a. Feeding residents b. Taking residents’ blood pressure c. Giving medications to residents d. a and b only 2. Which of the following is an example of a professional relationship with an employer? a. Documenting carefully b. Asking questions c. Being on time d. All of the above 3. The proper way for a nursing assistant to address a resident is a. “Dearie” b. Using “Mr.,” “Mrs.,” “Ms.” or “Miss” and a last name c. “Sweetie” d. “Hey you” 4. Which of the following is an example of being dependable? a. A nursing assistant makes sure she is always at work a few minutes early. b. A nursing assistant helps a c o-worker change a resident’s bed when asked. c. A nursing assistant always follows the procedure manual very carefully when giving care. d. All of the above 5. Proper grooming for a nursing assistant includes a. Bathing daily b. Wearing stained clothing to work c. Having long fingernails d. Wearing lots of makeup 6. Which care team member diagnoses disease and prescribes treatment? a. Resident and resident’s family b. Nursing assistant c. Doctor d. Activities director 7. Nursing assistants must have at least ____ hours of training. a. 150 b. 80 c. 75 d. 120 8. What does the chain of command do? a. The chain of command coordinates care for residents. b. The chain of command protects nursing assistants and their employers from liability. c. The chain of command describes the line of authority in a facility. d. All of the above
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Name: __________________________________________ Date: __________________
9. What is liability? a. Liability is injury done to a staff member. b. Liability is a legal term for responsibility for harm done. c. Liability is the same thing as the chain of command. d. Liability is how nursing assistants are qualified to work. 10. The care plan a. Must be followed carefully b. Is not affected by observations collected by nursing assistants c. Helps residents achieve their goals d. a and c only 11. The correct order of the nursing process is a. Planning, evaluation, assessment, implementation, nursing diagnosis b. Evaluation, implementation, nursing diagnosis, assessment, planning c. Assessment, nursing diagnosis, planning, implementation, evaluation d. None of the above
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Chapter 3: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What is the major difference between ethics and laws? a. They are the same; there is no difference. b. Ethics tell us what we should do, while laws tell us what we must do. c. Laws are the knowledge of right and wrong, while ethics are rules set by the government to protect people. d. None of the above 2. For a nursing assistant, being honest means a. Communicating honestly with all team members b. Not lying about care given c. Never stealing from residents d. All of the above 3. Which of the following is true of codes of ethics? a. All revolve around the idea that a resident deserves ethical care. b. All are the same. c. Nursing assistants do not have to follow a code of ethics. d. They are created to show residents how to behave toward staff members. 4. OBRA was passed a. Due to residents abusing staff members b. Due to reports of poor care and abuse in nursing homes c. Due to nursing assistants receiving too much training d. Due to too many staff members working at the same time 5. Which of the following is a requirement of OBRA? a. Resident assessments must be completed on every resident. b. Nursing assistants must have at least 75 hours of training. c. States must keep a current list of nursing assistants in a state registry. d. All of the above 6. Which of the following is NOT a right listed in the Residents’ Rights? a. The resident has the right to voice complaints without fear of punishment. b. The resident has the right to refuse medication and treatment. c. The resident has the right to abuse the NA when they are upset about the care being given. d. The resident has the right to keep his or her medical and personal information confidential. 7. You are the nursing assistant for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them turns to you and says in a loud voice, “She looks so stupid with half of her face drooping down like that. Isn’t there something you can do to fix that?” What kind of abuse is this? a. Physical abuse b. Psychological abuse c. Sexual abuse d. Involuntary seclusion 8. What should a nursing assistant do if she suspects a resident is being abused? a. She should ask another resident if he thinks that person is being abused. b. She should ask her family and friends for advice. c. She should report it to the nurse immediately and let him/her handle it from there. d. She should do nothing since someone has probably already reported it. 34
Name: __________________________________________ Date: __________________
9. When a nursing assistant is performing a procedure on a resident, he should: a. Try to distract the resident so he/she won’t know what the NA is doing b. Explain the procedure fully before performing it c. Wait until the resident is sleeping before the NA starts the procedure d. None of the above 10. If a resident refuses to take a bath, the nursing assistant should: a. Offer the resident a prize if he/she will take the bath b. Explain to the resident why it is wrong not to bathe c. Respect his/her wishes, but report it to the nurse immediately d. Force him/her to take the bath 11. Which of the following are never done by NAs? a. Watching for and reporting signs of abuse b. Calling residents by the names they prefer c. Documenting care truthfully d. Gossiping about residents 12. What does an ombudsman typically do? a. Advocates for staff members involved in disputes b. Advocates for residents and helps settle disputes c. Teaches nursing assistant training classes d. None of the above 13. For a nursing assistant, confidentiality means: a. Not telling the nurse about possible abuse of a resident b. Never documenting resident problems c. Keeping private things private d. Sharing information with the nursing assistant’s own family 14. In which public places is it okay to discuss residents’ health information? a. Libraries b. Grocery stores c. Elevators d. None of the above 15. Why was HIPAA created? a. To keep health information private and secure b. To help ombudsmen monitor care in facilities c. To show nursing assistants how to report abuse in facilities d. To prevent neglect of residents 16. What are the penalties for not following HIPAA regulations? a. There are no penalties. b. Fines c. Prison sentences d. b and c 17. What is the purpose of the PSDA? a. To offer in-service training for nursing assistants b. To keep protected health information (PHI) private c. To encourage people to make decisions about advance directives d. To detail how abuse should be reported 35
Name: __________________________________________ Date: __________________
18. Which of the following is an example of an advance directive? a. Living Will b. Medical Directive c. Durable Power of Attorney for Health Care d. All of the above
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Chapter 4: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What are the three parts of the communication process? a. Pointing, laughing, and drawings b. Nurses, residents, and nursing assistants c. Sender, receiver, and feedback d. None of the above 2. Which of the following is an example of nonverbal communication? a. Asking for a glass of water b. Pointing to a glass of water c. All of the above d. None of the above 3. Types of verbal communication include: a. Writing b. Nodding your head c. Speaking d. Both a and c 4. Types of nonverbal communication include: a. Speaking b. Writing c. The way in which you say something d. None of the above 5. Which of the following is an example of a confusing or conflicting message (saying one thing and meaning another)? a. Mr. Carter smiles happily and tells you he is excited because his daughter is coming to visit. b. Mrs. Sanchez looks like she is in pain. When you ask her about it, she tells you that her back has been bothering her. c. Ms. Jones agrees with you when you say it is a nice day, but she looks angry. d. Mr. Wilson won’t watch his favorite TV show. He says he feels a little depressed. 6. How can cultural background affect communication? a. It can affect the use of touch. b. It can affect how much eye contact is used. c. It can affect how far apart people stand when talking. d. All of the above. 7. What is a proper way for a nursing assistant to respond if a resident does not hear her or does not understand her? a. Speak more quickly. b. Whisper the words. c. Face the resident and speak clearly. d. Turn off the resident’s hearing aid. 8. Which of the following are ways to avoid barriers to communication? a. Using slang. b. Avoiding asking “why” questions. c. Not giving medical advice. d. b and c 37
Name: __________________________________________ Date: __________________
9. Being a good listener involves a. Restating the message in your own words b. Interrupting a resident if he is not speaking quickly enough c. Finishing a resident’s sentences for him d. Quietly ignoring what the resident is saying if it is not interesting 10. Which of the following statements is true of touch? a. All people like to be touched. b. Nursing assistants do not need to touch residents. c. Softly patting a shoulder or holding a hand may communicate caring for some residents. d. All residents will feel more comfortable when there is little physical contact. 11. While talking with residents nursing assistants should a. Try to understand what residents are going through b. Lean forward in the chair when a resident is speaking c. Avoid changing the subject when a resident is speaking d. All of the above 12. Which of the following statements is an example of a fact? a. Mrs. Silva weighs 126 pounds. b. Mrs. Silva needs more friends. c. Mrs. Silva looks happy when her daughter visits. d. Mrs. Silva is too thin. 13. Which of the following senses are useful in observation? a. Sight, hearing b. Touch, hearing c. Smell, sight d. All of the above 14. When speaking with residents and their families, nursing assistants should a. Use medical terms so that they will understand more easily b. Use simple, non-medical terms c. Use a different language d. Talk over their heads to other staff members 15. Choose the resident conditions that the NA should NOT report immediately to the nurse. a. Chest pain, high fever b. Family fighting c. Loss of consciousness d. Bleeding 16. When 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 17. Careful charting is important because a. It gives an up-to-date record of each resident’s care. b. A medical chart is the legal record of a resident’s care. c. It is the only way to guarantee clear and complete communication among the care team. d. All of the above 38
Name: __________________________________________ Date: __________________
18. Which of the following shows the correct conversion of 9:00 p.m. to military time? a. 2300 hours b. 2100 hours c. 2400 hours d. 2000 hours 19. Which of the following occurrences is NOT considered an incident? a. A fall by the NA b. A fall by the resident c. A resident yells at a family member d. An accusation from a resident against staff 20. What is important for nursing assistants to remember if they answer the telephone at a facility? a. Be cheerful b. Write down messages c. Identify the facility d. All of the above 21. A nursing assistant may ignore a call light when a. Residents use them too often for unimportant reasons b. The nursing assistant is busy c. The nursing assistant just finished giving care to that resident d. Never 22. Where should call lights be placed when a nursing assistant leaves a resident’s room? a. Any place where there is room b. Within the resident’s reach c. In the middle of the room d. None of the above 23. When communicating with a resident who is hearing-impaired, a nursing assistant should a. Keep her hands in front of her face b. Shout c. Get residents’ attention before speaking d. Chew gum 24. Which of the following can help with communication with a visually impaired resident? a. A nursing assistant should touch the resident before saying his name. b. A nursing assistant should use the face of an imaginary clock to explain the position of objects in front of the resident. c. A nursing assistant should move furniture without telling the resident. d. A nursing assistant should not let the resident know when he is leaving the room. 25. What can a nursing assistant do to help with communication with a resident who has had a stroke? a. Ask questions that can be answered with a “yes” or “no” b. Use pictures, gestures, and pointing c. Keep the call light within the resident’s reach d. All of the above 26. What is the best way a nursing assistant can respond to a combative resident? a. Argue with the resident b. Tell the resident that he is wrong c. Stay calm and lower the tone of his or her voice d. Stand very close to the resident 39
Name: __________________________________________ Date: __________________
27. Inappropriate behavior may be caused by a. Illness b. Medication c. Dementia d. All of the above 28. If a resident behaves inappropriately, a nursing assistant should a. Tell other nursing assistants what happened and to stay away from the resident b. Be matter-of-fact and not over-react c. Tell other residents that this resident is perverted d. Not report the behavior as long as it does not bother the nursing assistant
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Chapter 5: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Infection control 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 2. The following are necessary links in the chain of infection. By wearing gloves, which link is broken, thus preventing the spread of disease? a. Reservoir (place where the pathogen lives and grows) b. Mode of transmission (a way for the disease to spread) c. Susceptible host (person who is likely to get the disease) d. None of the above 3. The following are necessary links in the chain of infection. By getting a vaccination shot for Hepatitis B, which link will be affected and thus prevent you from getting Hepatitis B? a. Reservoir (place where the pathogen lives and grows) b. Mode of transmission (a way for the disease to spread) c. Susceptible host (person who is likely to get the disease) d. None of the above 4. The single most important thing you can do to prevent the spread of disease is to: a. Carry dirty linen close to your uniform b. Never change your gloves c. Remove gloves before cleaning spills d. Wash your hands 5. The elderly are at a higher risk of infection because a. They have weakened immune systems b. They are hospitalized more often c. They are at higher risk for malnutrition d. All of the above 6. Standard Precautions should be practiced: a. Only on people who look like they have a bloodborne disease b. On every single person in your care c. Only on people who request that you follow them d. None of the above 7. Standard Precautions include the following measures: a. Washing your hands before putting on and after removing gloves b. Wearing gloves if there is a possibility you will come into contact with blood, body fluids, mucous membranes, or broken skin c. Wearing a mask and goggles if you may come into contact with splashing or spraying blood or body fluids d. All of the above 8. Under Standard Precautions, body fluids includes a. Sweat b. Urine c. Sputum d. b and c only 41
Name: __________________________________________ Date: __________________
9. “Hand hygiene” means a. Using soap and water as well as alcohol-based rubs to keep hands clean b. Using alcohol-based rubs for visibly soiled hands c. Only using alcohol-based rubs to clean hands d. Wearing false nails 10. For which of the following tasks does a nursing assistant NOT need to wash her hands? a. After blowing her nose b. When arriving at facility c. Before and after touching meal trays d. None of the above 11. Which of the following statements is true of gloves? a. Gloves do not need to be worn when shaving a resident. b. Disposable gloves can be washed and reused. c. Gloves should be worn when performing care on a resident who has broken skin. d. After giving care, gloves are not contaminated. 12. Masks should be worn a. When splashing or spraying of body fluids or blood could occur b. When a resident has a respiratory illness c. When gloves are not worn d. a and b only 13. Which of the following is the proper order to apply PPE? a. Apply mask and goggles, gown, and gloves b. Apply gloves, gown, and mask and goggles c. Apply mask and goggles, gloves, and gown d. Apply gown, gloves, and mask and goggles 14. Which of the following statements is true of disinfection? a. All microorganisms are destroyed b. Only pathogens are destroyed c. An autoclave must be used d. None of the above 15. If you need to clean up a spill, you should a. Put the waste directly into the nearest trash can b. Pick up pieces of broken glass with your hands before cleaning spill c. Apply gloves before starting to clean the spill d. All of the above 16. Which 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. None of the above 17. How are bloodborne diseases transmitted? a. By contact with blood or body fluids b. By sharing needles c. Through sexual contact d. All of the above 42
Name: __________________________________________ Date: __________________
18. Which of the following statements is true of hepatitis B (HBV)? a. HBV is not a serious threat to healthcare workers. b. The vaccine for HBV helps prevent the disease. c. More people have HIV than have HBV. d. HBV cannot cause death. 19. The Bloodborne Pathogens Standard requires that a. Employers educate employees about bloodborne health hazards b. Employers have an exposure control plan c. Employers give employees, visitors, and residents PPE when needed d. All of the above 20. Tuberculosis may be transmitted: a. By coughing b. By dancing c. By singing d. a and c only 21. Tuberculosis is: a. A bloodborne disease b. An airborne disease c. A sexually transmitted disease d. All of the above 22. A person with TB disease: a. Can spread it to others b. Does not show symptoms c. Cannot infect others d. All of the above 23. What is the best way to control MRSA? a. Negative air pressure rooms b. Proper handwashing c. Masks d. Vancomycin
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Chapter 6: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. To prevent falls, a nursing assistant should a. Clear walkways of clutter b. Keep lights low c. Have residents wear long pants d. Leave spills for housekeeping to clean 2. Which of the following statements is true? a. Older people are usually not seriously injured by falls. b. Falls can lead to life-threatening injuries. c. Disorientation does not put a resident at a higher risk for falls. d. Wheelchairs should be unlocked before residents get into them. 3. To serve hot liquids to residents, a nursing assistant should a. Pour hot drinks away from residents. b. Put hot liquids on the edges of tables c. Make sure residents are standing up before serving hot liquids d. All of the above 4. When should a nursing assistant identify a resident? a. Before giving care b. Before starting a procedure c. Before placing meal trays d. All of the above 5. How 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 6. Which of the following guidelines is true of working around oxygen equipment? a. Never allow open flames around oxygen. b. Nursing assistants should adjust oxygen levels. c. Electric razors are not considered a fire hazard. d. Smoking is allowed around oxygen. 7. What information does a Material Safety Data Sheet (MSDS) contain? a. Chemical ingredients and dangers b. Emergency response actions c. Safe handling procedures d. All of the above 8. A restraint is a physical or chemical way to limit a person’s movement. An example of restraining a resident includes: a. Tying his legs and arms to the bed b. Putting both side rails up on the bed c. Giving him medication to calm him down d. All of the above
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Name: __________________________________________ Date: __________________
9. Restraints can be applied: a. As punishment from staff when a resident is not behaving properly b. Only with a doctor’s order c. When a staff member does not have time to watch a resident closely d. None of the above 10. A serious problem that has been associated with restraints is: a. Pressure sores b. Death c. Increased activity d. a and b only 11. Which of the following statements is true of restraints? a. People tend to respond better to restraint alternatives than to restraints. b. Laws allow the use of restraints when a facility is short-staffed. c. Using restraints does not cause negative effects. d. Restraint-free care means a facility uses restraints only for disciplining residents. 12. An example of a restraint alternative is: a. Assisting a resident to the bathroom b. Giving a resident a repetitive task c. Answering a call light promptly d. All of the above 13. If a restraint is applied, a nursing assistant must a. Tie the restraint to the side rails b. Check on the resident every 15 minutes c. Check the skin for signs of irritation d. b and c only 14. Which of the following terms apply to body mechanics? a. Center of gravity b. Alignment c. Lever d. All of the above 15. Using good body mechanics includes a. Twisting at the waist b. Carrying objects far away from the body c. Standing with the legs shoulder-width apart d. Keeping knees locked when lifting 16. Which of the following should you NOT do when lifting a heavy object from the floor? a. Keep your feet close together b. Pull the object close to your body c. Lift using the muscles in the thighs and upper arms d. Bend your knees. 17. RACE as a safety rule means: a. Run to A Close Exit b. Remove residents, Activate 911 c. Contain fire, Extinguish d. Both b and c 45
Chapter 7: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following is information a nursing assistant should be prepared to give when calling emergency services? a. The names of the residents’ family members b. The phone number a nd address where the emergency is happening c. It is not a nursing assistant’s job to call emergency services. d. None of the above 2. Which of the following conditions may mean you need medical help? a. Person is unconscious b. Person has irregular breathing c. Person is bleeding severely d. All of the above 3. The first two steps in approaching an emergency are: a. Perform first aid and assess the situation b. Call the nurse and call 911 c. Assess the situation and the victim d. Get assistance and perform CPR 4. The Heimlich maneuver involves a. Performing abdominal thrusts to get blockage up out of the throat b. Hitting the person on the back to clear the blockage c. Shaking the person to get the object out d. None of the above 5. If a resident is in shock, a nursing assistant should: a. Give the resident something to drink b. Elevate a body part if a broken bone is suspected c. Elevate the feet unless the resident has a head or abdominal injury d. Place the resident on his or her side if a neck or back injury is suspected 6. To control bleeding, a nursing assistant should: a. Use her bare hands to stop it b. Lower the wound below the heart c. Hold a thick pad or clean cloth against the wound and press down hard d. None of the above 7. Which of the following can a nursing assistant do if he suspects poisoning? a. Check the mouth for chemical burns b. Look for a container that will help determine what the resident took or ate c. Notify the nurse immediately d. All of the above 8. Which kind of burn involves just the outer layer of skin? a. First degree b. Second degree c. Third degree d. All of the above
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Name: __________________________________________ Date: __________________
9. To treat a minor burn, a nursing assistant should: a. Use ointment b. Use grease, such as butter c. Use ice d. None of the above 10. If a resident faints, a nursing assistant should: a. Lower him to the floor b. Position him on his side c. Elevate his legs one inch d. Help him stand up immediately 11. When a resident is suspected of having a heart attack, a nursing assistant should: a. Stay with the resident until help arrives b. Loosen clothing around the neck c. Place the resident in a comfortable position d. All of the above 12. Insulin shock can be caused by a. Too little food b. Physical or emotional stress c. Too much food d. Undiagnosed diabetes 13. Which of the following is true of assisting a resident who is having a seizure? a. Give the resident a glass of water to drink. b. Hold the resident down if he or she is shaking severely. c. Move furniture away to prevent injury to the resident. d. Open the resident’s mouth to move the tongue to the side. 14. A sign that a stroke is occurring is a. Loss of bowel and bladder control b. Weakness on one side of the body c. The inability to speak or to speak clearly d. All of the above 15. If a resident falls, a nursing assistant should: a. Try to stop the fall b. Bring the resident’s body close and lower him or her to the floor c. Help get the resident up after the fall d. All of the above
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Chapter 8: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Health focuses on a. The whole person, including physical, mental, and social well-being b. Disease c. How sick a person is d. The absence of disease and illness 2. Psychosocial needs include the following: a. Contact with others b. Spirituality c. Emotions d. All of the above 3. What is one way a nursing assistant can promote a resident’s independence? a. Finishing a resident’s task if he takes longer than ten minutes to complete it b. Allowing a resident to do a task by himself no matter how long it takes him c. Deciding where a resident should sit in the dining room d. Deciding what a resident should wear for the day 4. ADLs include: a. Taking a bath b. Putting on clothes c. Brushing teeth d. All of the above 5. Basic physical needs include: a. Need for self-esteem b. Food and water c. Social interaction with others d. Need for love 6. Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended. Gene does not believe in God. Gene’s best response is to: a. Listen quietly to Mrs. Goldman b. Tell Mrs. Goldman that he does not believe in God and would prefer not to discuss it c. Tell Mrs. Goldman that her beliefs are wrong d. Ask Mrs. Goldman what makes her think that there is a God 7. Which 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. 8. If a nursing assistant encounters a resident in a sexual situation, she should: a. Provide privacy and leave b. Tell him that what he is doing is wrong c. Ask him to stop what he is doing d. None of the above
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Name: __________________________________________ Date: __________________
9. Which of the following is NOT an example of a religious dietary practice? a. Eating kosher foods b. Being a vegetarian c. Not eating pork or shellfish d. None of the above 10. How can regular activity promote good health? a. It decreases the appetite. b. It increases energy. c. It increases the risk of heart disease. d. It raises the risk of falls. 11. Which of the following are examples of family types? a. One parent with a child b. Divorced persons who remarry with children from previous marriages c. Unmarried couples without children d. All of the above 12. Families help residents by: a. Creating the care plan for them b. Supporting and encouraging them c. Helping them make care decisions d. Both b and c 13. Which of the following remarks is a cliché? a. “That’s life.” b. “It’ll work out in the end.” c. “Been there before.” d. All of the above 14. For many people in late adulthood, effects of aging mean a. Loss of strength and health b. Finding a mate c. Developing secondary sex characteristics d. A “mid-life crisis” 15. Which of the following statements is true of the aging process? a. Aging means disease and illness. b. Older people are not able to exercise. c. Most older people live independent lives. d. Most older people cannot live alone. 16. Normal changes of aging include: a. Depression b. Thinner, drier skin c. Significant weight loss d. Incontinence
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Chapter 9: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Homeostasis is a. Abnormal changes in the body systems b. The condition in which all of the body systems are working their best c. The building block of the body d. A group of cells that perform a similar task 2. Which of the following statements is true of the skin? a. It feels heat, cold, pain, touch, and pressure. b. It becomes more elastic as a person ages. c. It is the chemical substance that is created by the body and controls body functions. d. The epidermis is the inner layer of the skin. 3. One way a nursing assistant can help with normal changes of aging related to the integumentary system is to a. Withhold fluids so a resident will not go to the bathroom often. b. Clip toenails frequently. c. Keep sheets wrinkle-free. d. None of the above 4. Which of the following is true of muscles? a. They provide movement of body parts. b. They can be involuntary or voluntary. c. They produce heat. d. All of the above 5. When atrophy occurs, a. The muscle wastes away b. The muscle decreases in size c. The muscle weakens d. All of the above 6. The basic unit of the nervous system is called a. Spinal cord b. Neuron c. Brain d. Cerebrum 7. The three main sections of the brain are a. Cerebrum, cerebellum, brainstem b. Cerebrum, central nervous system, cerebral cortex c. Cerebrum, spinal cord, brainstem d. Cerebrum, spinal cord, peripheral nervous system 8. Which of the following is a function of the nervous system? a. Control and message center of body b. Controls and coordinates body functions c. Senses and interprets information from outside the body d. All of the above
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Name: __________________________________________ Date: __________________
9. The eye and ear are part of a. The body’s sense organs b. The integumentary system c. The dermis d. The peripheral nervous system 10. The two upper chambers of the heart are called a. Veins b. Cells c. Atria d. Pericardium 11. During the resting phase, or diastole, of the heart: a. Ventricles pump blood through the blood vessels b. The heart begins beating rapidly until the next contraction c. The chambers fill with blood d. Circulation stops 12. Which of the following is one of the functions that the circulatory system performs? a. Senses and interprets information from the environment b. Supplies food, oxygen, and hormones to cells c. Removes waste products from cells d. Both b and c 13. Respiration consists of a. Narrowing of blood vessels b. Inspiration and expiration c. Circulating blood in the heart d. Urinary elimination 14. The respiratory system is made up of a. Arteries, veins, capillaries b. Brain, spinal cord, nerves c. Trachea, bronchi, lungs d. Atria, ventricles, aorta 15. What is one good way a nursing assistant can assist residents with normal changes of aging related to the urinary system? a. Offer frequent trips to the bathroom b. Withhold fluids c. Scold residents who are incontinent d. None of the above 16. Why are females more likely to have urinary tract infections than males? a. Due to the different location of the meatus b. Due to having a shorter urethra c. Due to not filtering blood properly in the kidneys d. Due to incontinence 17. Which of the following are involved in digestion? a. Teeth b. Saliva c. Pharynx d. All of the above 51
Name: __________________________________________ Date: __________________
18. What is peristalsis? a. An enzyme that regulates the body’s conversion of sugar b. The muscular pouch located in the abdominal cavity c. Involuntary contractions that help move food into the stomach d. The chopping and grinding of food by the teeth 19. What is the “master” gland in the body? a. Pituitary gland b. Adrenal gland c. Gonads d. Parathyroid gland 20. Which gland secretes insulin? a. Gonads b. Thyroid c. Pancreas d. Parathyroid 21. What is the male hormone needed for reproductive organs to function properly? a. Estrogen b. Progesterone c. Oxytocin d. Testosterone 22. Normal changes of aging for the female reproductive system include: a. Menstruation ends b. Drying and thinning of vaginal walls c. Loss of calcium d. All of the above 23. The yellowish fluid that carries disease-fighting cells is called a. Sperm b. Lymph c. Urine d. Blood 24. How does the immune system protect the body from disease? a. Through nonspecific and specific immunity b. Through hormones c. Through digestion and elimination d. None of the above 25. Which term below means “within, or interior to?” a. Lateral b. Central c. Deep d. Posterior 26. Which term below means “toward the front?” a. Anterior b. Inferior c. Superior d. Posterior 52
Chapter 10: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following is part of using proper body mechanics? a. Twist your back when carrying objects. b. Push or pull when possible, rather than lifting. c. Use a narrow base of support. d. Lift with your back, not your legs. 2. Why is handwashing before and after performing a care procedure important? a. Handwashing prevents the spread of infection. b. Handwashing is a part of infection control. c. Nothing fights infection like consistent, proper handwashing. d. All of the above 3. Which of the following statements is true of providing privacy while giving care? a. Providing for a resident’s privacy is a legal right. b. Providing for a resident’s privacy is not a legal right. c. Providing for privacy does not affect a resident’s dignity. d. None of the above 4. Which position is a resident in 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 5. Which of the following statements is NOT true of positioning? a. Changing positions periodically helps prevent pressure sores. b. Constant pressure on an area increases the risk of contractures. c. Bedbound residents should be repositioned every three hours. d. NAs should check residents’ skin each time they are repositioned. 6. Dangling 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 7. When using a transfer belt, the NA should: a. Place it outside of a resident’s clothing b. Leave enough room to insert two fingers into it c. Place it around a resident’s waist d. All of the above 8. If a resident starts to fall, the best thing an NA can do is to: a. Catch the resident under the arms to stop the fall b. Widen her stance and bring the resident’s body close to her c. Lock her knees d. None of the above
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Name: __________________________________________ Date: __________________
9. Which of the following is true of mechanical lifts? a. Mechanical lifts prevent wear and tear on the body. b. NAs can use mechanical lifts if they have not been trained to use them. c. There is only one kind of mechanical lift. d. NAs will not receive training on how to use mechanical lifts. 10. Which of the following is true of toilet transfers? a. Residents who use the toilet are able to empty their bladders more efficiently. b. Residents must be able to bear some weight on their legs to use the toilet. c. A transfer belt assists in transferring residents to the toilet. d. All of the above
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Chapter 11: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What may residents be experiencing when they move into a facility? a. Loss of independence b. Loss of health c. Loss of friends d. All of the above 2. Which of the following should a nursing assistant NOT do during a resident's admission? a. Rush the admission process b. Introduce the resident to other residents and staff c. Handle the resident's personal items with care d. Explain day-to-day life in the facility 3. What is an NA's responsibility during transfer of a resident? a. Decide that the resident must be transferred b. Keep the fact that a transfer will occur a secret c. Pack all of the resident's belongings d. None of the above 4. When a resident is going to be discharged, a nursing assistant should a. Give the resident ambulation instructions from the doctor b. Be positive and assure the resident he is ready for this change c. Give the resident his last medication d. Decide which dietary requirements the resident will need 5. During a physical exam, a nursing assistant can help a resident by a. Avoiding a resident’s question if he asks why a position is needed b. Listening to a resident and talking to him throughout the process c. Covering the resident and not exposing him more than is necessary d. b and c only 6. How can you make a good impression on a new resident during the admission process? a. Place his personal items where you think they look best. b. Get the admission process completed as quickly as possible. c. Allow the resident to introduce himself to everyone in the facility. d. Prepare his room before his arrival so that he feels expected and welcome. 7. Baseline vital signs are: a. Initial values that can be compared to future measurements b. Normal ranges for vital signs c. Vital signs that are out of normal range d. Changes in vital signs from one measurement to another 8. How will you measure the height of a resident who cannot get out of bed? a. With a scale b. With a tape measure c. You will estimate height d. You will not be able to measure height
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Name: __________________________________________ Date: __________________
9. If a resident decides to leave the facility against medical advice, you should: a. Stop her from leaving b. Inform her family c. Inform the charge nurse d. Make the resident to sign a form stating she knows the risks of leaving 10. Why might a resident need emotional support during a physical exam? a. Exams can be uncomfortable b. Exams can be embarrassing c. The resident may fear what the examiner will find d. All of the above
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Chapter 12: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What can an overbed table be used for? a. Placement of dirty linens b. Placement of meals c. Placement of bedpans d. Placement of urinals 2. How should a nursing assistant enter a resident’s room? a. Knock and wait for permission to enter b. Walk in if the door is open c. Yell out who she is as she walks in d. Knock and walk in without waiting for permission to enter 3. An example of disposable equipment is a. An autoclave b. A razor c. Gloves d. b and c only 4. When leaving a resident’s room, a nursing assistant should a. Move the resident’s belongings b. Restock supplies and leave the call light within reach c. Leave spills for the next shift d. None of the above 5. How can a nursing assistant help control odors in a facility? a. He can change soiled linens promptly. b. He can immediately clean up after episodes of incontinence. c. He can empty and clean bedpans right after use. d. All of the above 6. Which of the following is true of sleep? a. The elderly usually go to sleep faster than other groups. b. The elderly are more able to tolerate sleep deprivation than other groups. c. Lack of sleep can cause irritability and decreased mental function. d. Bodies can live a long time without sleep. 7. How do manual bed cranks normally operate? a. The left crank moves the foot of the bed. b. The right crank moves the foot of the bed. c. The center crank moves the head of the bed. d. The center crank moves the foot of the bed. 8. When should sheets be changed? a. When they are damp b. When they are soiled c. When they are wrinkled d. All of the above
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Name: __________________________________________ Date: __________________
9. Which of the following statements is true of linen? a. Linen should be carried close to the NA’s uniform. b. Linen should be shaken to remove wrinkles. c. Dirty linen should be removed by rolling it away from the NA. d. Linen can be taken from one resident’s room into another resident’s room. 10. Which 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
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Chapter 13: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What is a good way for a nursing assistant to promote respect, dignity, and privacy when helping a resident with care? a. If a resident takes too long to choose a shirt for the day, choose one for him. b. Knock on the door while a resident is in the bathroom to ask if she is done yet. c. Encourage the resident to do as much as possible for himself. d. Ask a resident to move faster if she is not moving quickly enough. 2. Which of the following are conditions that increase the risk of pressure sores? a. Warmth b. Moisture c. Pressure d. All of the above 3. Which of the following statements are true about pressure sores? a. Most pressure sores develop within a few weeks of admission to a nursing home. b. Pressure sores are painful and difficult to heal. They can lead to life-threatening infection. c. Prevention of pressure sores is very important. d. All of the above 4. A nursing assistant should reposition immobile residents at least every a. Two hours b. Three hours c. Ten minutes d. Twenty minutes 5. A __________ keeps the covers from pushing down on a resident’s feet. a. Hand roll b. Bed cradle c. Trochanter roll d. Draw sheet 6. Which of the following is a guideline for good skin care? a. Pull residents across sheets during transfers b. Massage white, red, or purple areas c. Check the resident’s skin daily and report changes d. Do not reposition residents in wheelchairs 7. Which of the following should be washed every day? a. Hair b. Perineum c. Chest d. None of the above 8. When bathing a resident, a nursing assistant should a. Not leave the resident alone b. Place all needed items within reach c. Avoid using bath oils d. All of the above
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Name: __________________________________________ Date: __________________
9. A nursing assistant should give nail care a. When a resident asks her to do it b. If it has specifically been assigned c. When she notices a resident’s nails are getting long d. All of the above 10. Which of the following is NOT true of nail care? a. In a diabetic resident, an accidental cut can lead to a severe wound or even amputation. b. Nail care should only be provided if it has been assigned. c. A diabetic’s toenails can be cut if the resident requests it. d. The same nail equipment cannot be used on more than one resident. 11. How can a nursing assistant help promote independence and dignity while assisting with grooming? a. By allowing residents to do all they can for themselves b. By letting residents make as many choices as possible c. By following residents’ personal routines or particular ways of grooming themselves d. All of the above 12. In which of the following procedures must a nursing assistant always wear gloves? a. Shaving b. Combing or brushing hair c. Dressing a resident d. Turning a resident 13. Which of the following statements is true? a. Residents’ hair should be handled gently because hair can be pulled out when combing or brushing it. b. Residents’ hair should be combed or brushed into childish hairstyles. c. Nursing assistants should cut residents’ hair if it is getting long. d. Pediculosis (lice) cannot spread quickly. 14. How should a nursing assistant refer to a resident’s weakened side when assisting with dressing? a. Bad side b. Weaker side c. Involved side d. b and c only 15. Which of the following is true of helping a resident dress? a. A nursing assistant should choose the resident’s clothing for the day. b. The resident should do as much to dress himself as possible. c. If a resident has weakness on one side, the nursing assistant should start with the stronger side when dressing. d. Residents should dress in nightclothes during the day. 16. Oral care should be done at least ____ time(s) a day. a. 2 b. 1 c. 3 d. 4 17. When proper and regular oral care is not done a. Poor appetite can result b. Weight loss can result c. Gum disease can occur d. All of the above 60
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18. Which of the following statements is true of dentures? a. Dentures should be cleaned with hot water. b. Dentures should be stored in a denture cup that is labeled. c. Dentures are not expensive. d. Wearing gloves is not required for cleaning dentures. 19. Ways to prevent aspiration during oral care of unconscious residents include a. Using as little liquid as possible when giving oral care b. Turning residents on their sides when giving oral care c. Not giving frequent mouth care d. a and b only 20. Residents who are unconscious may still be able to a. Speak b. Gesture c. Hear d. See
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Chapter 14: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. What color should urine normally be? a. Dark b. Pale yellow c. Rust-colored d. Pale red 2. Which of the following statements is true of urination? a. Indwelling catheters do not affect muscle tone. b. Alcohol and caffeine decrease urine output. c. A lack of privacy can affect urination, as can stress. d. The bladder holds more urine as people age, causing them to urinate less frequently. 3. A _______ is used for residents who cannot assist to raise their hips onto a bedpan. a. Fracture pan b. Urinal c. Portable commode d. Toilet 4. Incontinence is caused by: a. Illness b. Paralysis c. Nervous system diseases d. All of the above 5. When 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 6. The best position for men to urinate is a. Sitting b. Standing c. Lying d. Crouching 7. A healthy person needs to take in from _________ ounces of fluid each day. a. 24 to 36 b. 15 to 26 c. 64 to 96 d. 100 to 136 8. Which is normally true about NAs and catheters? a. NAs do not remove catheters. b. NAs do not insert catheters. c. NAs do not irrigate catheters. d. All of the above
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9. Which of the following statements is true of catheters? a. The genital area must be kept clean to prevent infection. b. The drainage bag must be kept lower than the hips or bladder. c. Catheter tubing cannot be kinked. d. All of the above 10. Which type of urine specimen does not include the first and last urine in the sample? a. Routine b. Clean catch c. 24-hour d. None of the above 11. Dip strips test for a. Ketones b. Blood c. pH level d. All of the above 12. Which 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 rush the resident while he or she is trying to urinate.
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Chapter 15: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Normally, stool should be a. Brown and soft b. Black and hard c. Brown and loose d. Red and formed 2. Foods high in ______ improve bowel elimination. a. Refined sugar b. Animal fats c. Fiber d. Dairy products 3. Signs of constipation include a. Gas b. Abdominal swelling c. Irritability d. All of the above 4. Diarrhea can be caused by a. Infection b. BRAT diet c. Hemorrhoids d. Vomiting 5. The best position for bowel elimination is a. Lying flat on the bed b. Squatting and leaning forward c. Lying on the stomach d. None of the above 6. During an enema, a resident will be in the _______ position. a. Lateral b. Supine c. Sims’ d. Fowler’s 7. When giving a cleansing enema, how far should the bottom of the enema bag be above the anus? a. 20 inches b. 12 inches c. 10 inches d. 8 inches 8. What can ruin a stool specimen if it is included? a. Urine b. Tissue c. All of the above d. None of the above
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9. “Occult” blood means that the blood is a. Visible b. Hidden c. Cancerous d. None of the above 10. The opening in the abdomen in a resident with an ostomy is called a a. Stoma b. Stool c. Bag d. Anus 11. Which of the following statements is true of ostomies? a. Many people manage the ostomy appliance by themselves. b. People with ostomies may be embarrassed by the ostomy. c. NAs should be sensitive and provide privacy when giving ostomy care. d. All of the above 12. Which of the following is a guideline for assisting with bowel retraining? a. NAs should encourage residents to drink plenty of fluids. b. NAs do not need to wear gloves when handling body wastes. c. NAs do not need to provide privacy during elimination if residents are in bed. d. NAs should let residents know when they are taking too long to have a bowel movement.
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Chapter 16: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. A well-balanced diet a. Maintains muscles b. Prevents pressure sores c. Promotes healing d. All of the above 2. Which of the following statements is NOT true of nutritional problems of the elderly? a. Body movement slows and reduced activity affects appetite. b. Digestion is more efficient. c. Less saliva affects chewing and swallowing. d. Metabolism slows. 3. To help prevent aspiration, residents should be in the ________ position when eating. a. Upright b. Lying down c. Prone d. Lateral 4. A nursing assistant’s duties regarding tube feedings include a. Inserting tubes b. Doing the feedings c. Assembling equipment and supplies d. Cleaning the tubes 5. Which of the following foods supplies calcium? a. Milk b. Cheese c. Yogurt d. All of the above 6. Which statement is true of fats? a. Fats should be eaten in small quantities. b. Fat has the same number of calories as proteins. c. Fat is not stored in the body when eaten in excess. d. Fats do not add flavor to foods. 7. Grains are found in which of the following foods? a. Bran cereals and brown rice b. Processed cereal and pasta c. Both a and b d. None of the above 8. Which is the most essential nutrient for life? a. Vegetables b. Water c. Grains d. Protein
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Name: __________________________________________ Date: __________________
9. Which of the following is a good source of protein? a. Corn oil b. Orange c. Fish d. Jelly 10. What information is found on a diet card? a. Infection control procedures b. Food allergies and likes a nd dislikes c. Care team members’ names d. Advance directives 11. What influences food preferences? a. Culture b. Education c. Religion d. All of the above 12. How can a nursing assistant help prevent dehydration? a. Encourage residents to drink every time she sees them b. Insist that residents drink juice c. Withhold fluids if a resident is incontinent d. None of the above 13. ________ is maintaining equal intake and output. a. Dehydration b. Input c. Fluid balance d. Restrict fluids 14. Eight ounces is equal to ______ cc. a. 180 b. 240 c. 210 d. 120 15. To convert ounces to cubic centimeters multiply by a. 30 b. 20 c. 60 d. 15 16. Which of the following are signs of unintended weight loss that should be reported to the nurse? a. Mouth pain b. Coughing or choking while eating c. Needing help with eating or drinking d. All of the above 17. All of the following are ways to prevent weight loss EXCEPT a. Helping residents who have trouble feeding themselves b. Hurrying residents through meals c. Encouraging residents to eat d. Honoring food likes and dislikes 67
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18. All of the following statements about mealtime are true EXCEPT a. Social interaction is not an important part of mealtime. b. Mealtime is the time to get proper nourishment. c. Mealtime may be the highlight of a resident’s day. d. Being cheerful, positive, and helpful during mealtime is important. 19. At which angle should residents be positioned for eating? a. 90 degrees b. 120 degrees c. 180 degrees d. 98 degrees 20. When serving meal trays, the nursing assistant should a. Correctly identify a resident before serving a meal tray b. Work quickly c. Serve all residents who are sitting at one table together before serving another table d. All of the above 21. If a resident refuses to wear a clothing protector, the nursing assistant should a. Respect the resident’s refusal b. Refuse to serve the resident until she puts it on c. Insist that the resident wear it d. All of the above 22. Residents who need some assistance may benefit from: a. The nursing assistant doing everything for the resident b. The nursing assistant giving verbal cues c. The nursing assistant using the hand-over-hand approach d. b and c only 23. Which of the following statements shows how a nursing assistant can promote dignity and independence during mealtime? a. The nursing assistant should make the choice about which food the resident should eat first. b. The nursing assistant should talk to other staff members while assisting residents with eating. c. If the resident requests a different food from what is being served, the nursing assistant should honor this request. d. The nursing assistant should mix a resident’s foods together without discussing it with the resident. 24. Which of the following is a symptom of dysphagia (difficulty swallowing)? a. Coughing during meals b. Choking during meals c. Watering eyes during meals d. All of the above 25. Why are residents placed on special diets? a. Weight control b. Illness c. Food allergies d. All of the above
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26. What is the first food to be restricted in a low-sodium diet? a. Milk b. Salt c. Red meat d. None of the above 27. Which statement best describes a pureed diet? a. This diet is often used for people who have trouble chewing and/or swallowing more textured foods. b. This diet consists of only clear juices, broth, gelatin, and popsicles. c. This diet consists of only clear liquids, cream soups, milk, and ice cream. d. None of the above 28. What does the abbreviation “NPO” stand for? a. Nothing pureed only b. Not prepared on-site c. Nothing by mouth d. None of the above 29. What is a reason a resident might be a vegetarian or a vegan? a. Religious issues b. Compassion for animals c. Health d. All of the above 30. Which type of residents may have an order for thickened liquids? a. Residents who have swallowing problems b. Residents who refuse to drink water c. Residents who do not eat meat d. All of the above 31. Why is it important to observe plates and meal trays when residents have finished eating? a. It helps to identify residents with poor appetites. b. It helps to identify a change in food preferences. c. It is not important to observe what and how much a resident eats. d. a and b only 32. When assisting residents who have had a stroke, the nursing assistant should a. Watch for signs of choking b. Place food in the paralyzed side of the resident’s mouth c. Offer another bite of food before the resident has swallowed the last bite d. None of the above
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Chapter 17: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following is the normal temperature range for the oral method? a. 97.6 - 99.6 degrees F b. 96.6 - 98.6 degrees F c. 93.6 - 97.9 degrees F d. 98.6 - 100.6 degrees F 2. Which 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 3. Which of the following is another word for “armpit?” a. Axillary b. Rectum c. Tympanic d. None of the above 4. Which temperature is considered to be the most accurate? a. Oral b. Rectal c. Axillary d. Tympanic 5. Under what condition should an NA not take an oral temperature on a person? a. If the person is unconscious b. If the person is confused or disoriented c. If the person is paralyzed from stroke d. All of the above 6. Why are mercury-free thermometers considered safer than the mercury thermometers? a. They do not contain mercury, which is a dangerous substance. b. They are smaller than mercury thermometers. c. They are read differently than mercury thermometers. d. All of the above 7. Which of the following statements is true of taking rectal temperatures? a. The NA does not need to explain the procedure before starting to take a rectal temperature. b. Rectal temperatures can only be taken with digital thermometers. c. The NA must hold onto the thermometer at all times while taking a rectal temperature. d. The NA does not need the resident’s cooperation to take a rectal temperature. 8. How far will tympanic thermometers be inserted into the ear? a. 1 inch b. ¼ to ½ inch c. 1 ½ to 2 inches d. ¾ inch
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Name: __________________________________________ Date: __________________
9. The most common site to take the pulse is the a. Radial pulse b. Brachial pulse c. Carotid pulse d. Pedal pulse 10. Which of the following should be documented about a resident’s pulse? a. Rate b. Method c. Both a and b d. None of the above 11. The normal respiration rate for adults ranges from a. 18-30 breaths per minute b. 15-25 breaths per minute c. 12-20 breaths per minute d. None of the above 12. Why should respirations be counted immediately after taking the pulse? a. The respiration rate will be different if the NA waits to take it. b. People may breathe more quickly if they know they are being observed. c. The chest will not rise and fall if the rate is not counted immediately. d. It does not matter when respirations are counted. 13. Which of the following blood pressures falls within the normal range? a. 119/75 b. 135/90 c. 91/70 d. 140/80 14. Hypertension is: a. High fever b. High blood pressure c. High pulse rate d. Low blood pressure 15. Blood pressure is measured using a a. Thermometer b. Watch c. Finger d. Sphygmomanometer 16. Which way is an example of a correct way to write a blood pressure reading? a. 120/75 b. 120+75 c. 120-75 d. 120*75 17. Which of the following statements is true of pain? a. Everyone experiences pain in the same way. b. Everyone will express freely when they are in pain. c. Pain is a different experience for each person. d. Pain levels do not need to be monitored. 71
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18. Which of the following can help reduce pain? a. Back rub b. Slow, deep breathing c. Change of position d. All of the above 19. How can cold applications help a person? a. Cold prevents swelling and reduces pain. b. Cold increases temperature in the body tissues. c. Cold increases blood flow. d. None of the above 20. When using warm and cold applications, a nursing assistant should observe for a. Numbness b. Redness c. Blisters d. All of the above 21. A sitz bath is used to a. Increase circulation b. Clean perineal wounds c. Reduce inflammation d. All of the above 22. Which of the following is true of non-sterile dressings? a. They cover open wounds. b. They are applied to dry wounds. c. They cover draining wounds. d. None of the above 23. How should non-sterile bandages be applied? a. Snugly enough to control bleeding b. Loosely enough so that the dressings can move c. Tightly enough to decrease circulation d. None of the above 24. Which of the following statements is true of IVs? a. Nursing assistants insert IV lines. b. Nursing assistants will observe the IV site for problems. c. Nursing assistants will remove IV lines. d. Nursing assistants will change IV lines when the bag is empty.
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Chapter 18: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Arthritis can be the result of an autoimmune illness. With an autoimmune illness the body’s ______ system attacks normal tissue. a. Immune b. Lymphatic c. Circulatory d. Endocrine 2. Which of the following statements is true of osteoarthritis? a. Hips and knees are usually affected. b. Pain and stiffness increase in cold or damp weather. c. Ibuprofen may be used to treat it. d. All of the above 3. Osteoporosis causes a. Menopause b. Stooped posture c. Supplements d. Lack of hormones 4. Which of the following statements is true of casts? a. Keep the cast wet or damp. b. Place casts on hard surfaces. c. Elevate an extremity that is in a cast. d. Lift casts with your fingers. 5. When a hip has been replaced a. Dress the unaffected, or stronger, side first b. Place items far away from the resident to force him to walk c. The hip cannot be turned inward or bent more than 90 degrees d. Perform range of motion exercises on the side that has the hip replacement 6. A ______ stocking is a special stocking that can help with circulation after a knee replacement. a. Anti-embolic b. Sheer c. Clotting d. Sleeve 7. After an amputation, a resident may experience phantom sensation. Phantom sensation is a. Not real b. Pain or sensation caused by remaining nerve endings c. An artificial body part d. The removal of a body part 8. Artificial eyes should be stored in a. Saline b. Lysol c. Alcohol d. Iodine
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9. Which of the following statements is NOT true of assisting a resident with one-sided weakness after a stroke? a. Stand on the weaker side b. Lead with the weaker side c. Use the terms “weaker” or “involved” to refer to weaker side d. Use a gait belt for safety during transfers 10. Which of the following statements is a good way to assist a resident who has had a stroke? a. Be patient and understanding if a resident cries for no reason. b. Refer to the resident’s weaker leg as the “bad” leg. c. Do things for the resident if you can do a better job. d. None of the above 11. Guidelines for caring for a resident with MS include a. Rushing resident through tasks b. Administering medications c. Preventing falls d. All of the above 12. Head or spinal injuries can cause a. Memory loss b. Paralysis c. Brain damage d. All of the above 13. A resident with a head or spinal cord injury should be repositioned at least every ___ hours. a. 3 b. 2 c. 4 d. 5 14. During a seizure an NA should a. Try to restrain the resident b. Keep the resident safe c. See if she can open the resident’s mouth d. Give liquids 15. When assisting a resident with a vision impairment, an NA should a. Identify herself before touching the resident b. Leave the room without telling the resident she is going c. Move furniture in the resident’s room d. Keep the door partly open 16. Which of the following shows how an NA should speak with a resident who is hearing-impaired? a. Touch the resident from behind before speaking b. Raise the pitch of her voice c. Use long sentences d. Speak clearly without shouting 17. High blood pressure is a. The result of a hardening and narrowing of the blood vessels b. 140/90 or higher c. A serious condition that can lead to heart attack and stroke d. All of the above 74
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18. Which of the following is helpful for a resident who has had a heart attack? a. Smoking b. High-fat diet c. Regular exercise d. Cold temperatures 19. Residents with congestive heart failure may a. Take medication that makes them go to the bathroom more often b. Be on a low-sodium diet c. Use elastic stockings to reduce swelling in feet and ankles d. All of the above 20. Residents with COPD have trouble with a. Breathing b. Urination c. Losing weight d. Vision 21. How should a resident with COPD be positioned? a. Flat on his back b. Sitting upright c. Lying on his stomach d. Lying on his side 22. The NA’s role in caring for a resident with COPD includes a. Being calm and supportive b. Encouraging independence with ADLs c. Practicing good infection control d. All of the above 23. What can a nursing assistant do to help prevent urinary tract infections (UTIs)? a. Restrict fluids b. Encourage baths, rather than showers c. Wipe from front to back when giving perineal care d. None of the above 24. What can be done to help a resident who has gastroesophageal reflux disease (GERD)? a. Serve spicy foods. b. Ask the resident not to lie down for at least 2-3 hours after eating. c. Serve the largest meal of the day at dinner. d. All of the above 25. Diabetes can lead to the following complications a. Changes in the circulatory system b. Damage to the eyes c. Impaired wound healing d. All of the above 26. A diabetic resident should a. Skip meals b. Go barefoot c. Receive careful foot care d. Avoid exercise 75
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27. Sexually-transmitted diseases are passed through sexual contact. Sexual contact includes a. Intercourse b. Contact of the mouth with the genitals c. Contact of the mouth with the anus d. All of the above 28. Which of the following are signs and symptoms of HIV infection and AIDS? a. Flu-like symptoms b. Cauliflower-like warts c. Swollen lymph nodes d. All of the above 29. A resident with AIDS who has an infection of the mouth may need to eat food that is a. Spicy b. Soft or pureed c. Dry d. All of the above 30. A resident with AIDS who has nausea and is vomiting should a. Eat small frequent meals b. Eat quickly c. Not drink liquids d. None of the above 31. The “BRAT” diet is helpful for a. Diarrhea b. Weight gain c. Weight loss d. Numbness and tingling 32. Which of the following is helpful for numbness, tingling, and pain in the feet for a resident who has AIDS? a. Medications b. Wearing loose, soft slippers c. Using a bed cradle d. All of the above 33. HIV can be transmitted by a. Telephones b. Toilets c. Hugs d. None of the above 34. Which 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. 35. The key treatment for malignant tumors of the skin, breast, bladder, colon, rectum, stomach, and muscle is a. Surgery b. Chemotherapy c. Radiation d. Diet and exercise 76
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36. Nausea, vomiting, diarrhea, hair loss, and decreased resistance to infection are all side effects of which treatment for cancer? a. Surgery b. Chemotherapy c. Radiation d. Both b and c 37. Which of the following is a good idea for communicating with a resident who has cancer? a. Insist that the resident tell you what he or she is going through. b. Listen to the resident if he or she feels like talking. c. If the resident is worried, tell him or her “It’ll all be fine.” d. All of the above 38. In providing skin care for a resident with cancer, which of the following is NOT a good idea? a. Use lotion regularly on dry or delicate skin b. Offer back rubs for comfort and circulation c. Avoid moving resident unless absolutely necessary d. Avoid applying lotion to areas receiving radiation therapy 39. If a resident with cancer is experiencing pain, the NA should a. Assist with comfort measures, such as repositioning b. Report to the nurse c. Provide conversation and reading materials d. All of the above 40. What should an NA do when providing oral care for a resident with cancer? a. Use a commercial mouthwash for rinsing b. Use a hard-bristled toothbrush c. Assist the resident to brush and floss regularly d. All of the above 41. Care of residents who are mentally retarded include a. Promoting independence b. Promoting as normal a life as possible c. Promoting social interaction d. All of the above 42. Which of the following statements is true of developmental disabilities? a. Residents should be encouraged to do as many ADLs by themselves as possible. b. Residents with developmental disabilities will not be able to perform self-care. c. Residents with developmental disabilities do not have emotional needs. d. Praise and encouragement do not work with residents with developmental disabilities.
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Chapter 19: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following should a nursing assistant do if a resident is confused? a. Rush the resident. b. Stay calm and provide a quiet environment. c. Leave the resident alone. d. Do all care for the resident. 2. Confusion may be caused by a. Loss of sleep b. Fever c. Dehydration d. All of the above 3. The ability to think logically and quickly is called: a. Cognition b. Dementia c. Awareness d. All of the above 4. Nursing assistants can help residents with memory loss by a. Doing as much as possible for them b. Encouraging them to make lists of things to remember c. Reminding them every time they forget something d. All of the above 5. Which of the following terms means “a serious loss of mental abilities?” a. Cognition b. Irreversible c. Dementia d. Onset 6. Which 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. 7. When a resident with AD is frightened, the NA should a. Speak in a room where the television is on b. Check her body language to make sure she is not tense or hurried c. Use long sentences d. Not tell the resident what she is going to do 8. When a resident with AD is perseverating, the NA should a. Repeat herself using the same words b. Tell the resident that she already answered that question c. Not answer the question after the third time it is asked d. None of the above
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9. When a resident with AD cannot understand basic instructions, it is a good idea to use a. Short words b. Pictures c. Gestures d. All of the above 10. If a resident with AD has lost most of his verbal skills, the NA should a. Assume the resident cannot understand what is being said b. Use touch, smiles, and laughter c. Ask the resident questions d. Do not involve resident in activities 11. How can a nursing assistant work with symptoms and behaviors he sees in residents with AD? a. Assume that all residents with AD are going through the same signs at the same time. b. Take it personally if a resident with AD forgets who he is. c. Work with the behaviors he sees today. d. All of the above 12. Why is it important for a nursing assistant to take care of him- or herself while caring for a resident with AD? a. It can be physically exhausting to care for someone with dementia. b. It can be emotionally exhausting to care for someone with dementia. c. The NA can give better care if he or she is rested and is eating well. d. All of the above 13. If a resident with AD is incontinent, the nursing assistant should a. Withhold fluids b. Dim the bathroom lights c. Mark the restroom with a sign or picture d. Check resident every 2 hours to help determine a “bathroom time” 14. If a resident with AD 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 15. One way for a nursing assistant to help a resident with AD 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 fluids d. Serve steaming hot foods and drinks 16. If a resident with AD has problems with dressing, the nursing assistant should a. Lay out clothes in the order they should be put on b. Dress the resident in the hallway c. Choose the resident’s clothing for the resident d. Give the resident multiple steps to follow 17. A good way for a nursing assistant to respond to hallucinations is to a. Argue with the resident, telling her that what she thinks she sees isn’t real b. Tell the resident that she can see the hallucination, too c. Reassure a resident who is upset and worried d. All of the above 79
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18. A nursing assistant can respond to sundowning by a. Adding more caffeine to the resident’s diet b. Setting a bedtime routine and keeping it c. Restricting exercise during the day d. Scheduling activities during this time 19. When a resident with AD perseverates, the nursing assistant should a. Answer questions each time they are asked b. Try to silence the resident c. Try to stop the resident d. Ignore the resident 20. If a resident with AD shows violent behavior, the nursing assistant should a. Hit back b. Remove triggers c. Leave the resident alone d. Yell at the resident 21. Which of the following is a good way for a nursing assistant to respond to inappropriate sexual behavior? a. Let other residents know what is happening b. Take the resident to a private area c. Inform other nursing assistants that the resident is disgusting d. All of the above 22. When a resident with AD pillages and hoards, the nursing assistant should a. Tell the family that the resident is stealing things b. Provide a rummage drawer c. Label residents’ personal belongings d. b and c only 23. When is using reality orientation a good idea for residents with AD? a. Late stages of AD b. Early stages of AD c. When residents are totally disoriented d. Never 24. Which of the following statements is true of using validation therapy? a. An NA makes no attempt to reorient resident to actual circumstances. b. An NA explores the resident’s beliefs. c. An NA does not argue with the resident. d. All of the above
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Chapter 20: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. A person who is mentally healthy should be able to a. Give and accept love b. Get along with others c. Deal with stressful situations d. All of the above 2. Which if the following statements is NOT true? a. People with mental illness can control their symptoms. b. Mental illness is a disease like any physical illness. c. Mentally healthy persons can control their emotions. d. Mental illness affects a person’s ability to function. 3. Mental illness can be made worse by a. Physical factors b. Stress c. Heredity d. All of the above 4. One guideline for communicating with mentally ill residents is to a. Talk to adults like they are children if they do not understand what is being said b. Maintain eye contact and listen closely c. Stand really close to the resident d. Argue with residents if what they are saying is not true 5. Which of the following is true of defense mechanisms? a. They help to release tension. b. They help a person cope with stress. c. People who are mentally ill use them more often. d. All of the above 6. Telling your co-worker “Let’s throw spitballs at our boss” is an example of which kind of defense mechanism? a. Displacement b. Regression c. Rationalization d. Projection 7. A co-worker gets the promotion that you have wanted for a long time. When your friend asks you if you’re upset, you say, “No, not at all.” This is an example of a. Denial b. Displacement c. Regression d. Projection 8. Signs of clinical depression include a. Apathy b. Trouble concentrating c. Fatigue d. All of the above
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9. A ______ is an intense form of anxiety. a. Phobia b. Coping mechanism c. Fallacy d. Situation response 10. Which of the following is a good way to for a nursing assistant to care for a mentally ill resident? a. Do everything for the resident b. Give the resident his or her medication c. Support the resident and his or her family and friends d. None of the above 11. Which of the following statements about observing mentally ill residents is true? a. An NA does not need to report a comment about suicide if it is a joke. b. An NA needs to report changes in personality. c. Withdrawal does not need to be reported. d. An NA does not need to report an imagined physical symptom. 12. Circle all of the following substances that can be abused: a. alcohol b. cigarettes c. decongestants d. diet aids e. illegal drugs f. glue g. paint 13. A resident has been acting a little strangely lately. She gets upset very easily and her eyes are always red. She does not eat much, and sometimes you can smell alcohol on her breath, even in the morning. What should you do? a. Confront the resident about what you have noticed. b. Call Alcoholics Anonymous. c. Report your observations to the nurse. d. All of the above
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Chapter 21: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which areas should be observed and reported to the nurse about restorative care? a. Any increase in abilities b. Any decrease in abilities c. Signs of depression d. All of the above 2. Which of the following statements is true of a nursing assistant’s role in restorative care? a. If a resident takes too long in doing a task by himself, the nursing assistant should do it for him. b. The nursing assistant should combine steps for a resident into a long list. c. The nursing assistant should recognize that setbacks occur and reassure the resident. d. All of the above 3. Regular activity and exercise help improve a. Elimination b. Strength c. Appetite d. All of the above 4. Crutches are used a. When a resident can bear no weight or limited weight on one leg b. When a resident can bear weight on both legs c. In place of a straight cane d. None of the above 5. A ____ is the permanent and painful stiffening of a joint and muscle. a. Range of motion b. Contracture c. Pressure sore d. Footboard 6. Abduction is a. Bending a body part backward b. Another name for the hip c. Another name for the leg d. Moving a body part away from the body 7. Bending a body part is called a. Extension b. Rotation c. Flexion d. Supination 8. Passive range of motion exercises are done a. When a resident cannot move on her own b. By the resident herself c. By the resident with some help and support from the NA d. None of the above
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9. Which body part is NOT included in ROM exercises? a. Neck b. Shoulder c. Knee d. Finger 10. Deep breathing exercises help a. Clear the lungs of mucus b. Prevent infections c. Expand the lungs d. All of the above
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Chapter 22: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following statements is true of residents in a subacute setting? a. They need a higher level of care than other residents. b. They need less care and observation than other residents. c. The cost for their care is higher than a hospital’s costs. d. None of the above 2. A pulse oximeter measures a. Blood pressure and heart rate b. Blood pressure and pulse rate c. Blood oxygen level and pulse rate d. Blood oxygen level and temperature 3. Which of the following statements is true of assisting a resident with a telemetry pack? a. Do not get the unit, pads, or electrodes wet. b. Vital signs do not need to be monitored. c. Report if the alarm sounds. d. a and c only 4. The method used to insert an artificial airway is called a. Telemetry b. Intubation c. Ventilation d. Dyspnea 5. Alternate communication methods for a resident with an artificial airway are a. Drawing pictures b. Writing notes c. Using communication boards d. All of the above 6. What might a nursing assistant do for a resident with a tracheostomy? a. Keep the stoma clean b. Perform suctioning c. Remove the tube for cleaning d. All of the above 7. Which of the following statements is NOT true of a resident on a ventilator? a. The resident may have anxiety due to thinking no one will know if he is having trouble breathing. b. The resident will be able to speak. c. Being on a ventilator has been compared to breathing through a straw. d. Clipboards, pads, and communication boards can help with communication. 8. Signs of respiratory distress include a. Gurgling b. Shortness of breath c. Trouble breathing d. All of the above
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9. Which of the following statements is true of chest tubes? a. The drainage system must be kept above the level of the resident’s chest. b. The chest drainage must be observed for amount and color. c. The tubing should be kinked. d. Chest tubes will only be in the front of the body. 10. When might suctioning be needed by a resident in subacute care? a. After a heart attack b. When a wound is healing too slowly c. When secretions have collected in the upper respiratory system d. When blood oxygen level is too low
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Chapter 23: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Mrs. Levine, a resident, prays about her terminal illness. She promises God that she will make peace with her sister, whom she has not seen in 20 years, if she is allowed to live. Which stage of dying is Mrs. Levine going through? a. Denial b. Anger c. d. Bargaining Acceptance 2. A terminally ill resident, John Castillo, visits with his family. He discusses his funeral arrangements with them. He lets them know that he is concerned about their well-being after he is gone. He says he wants to spend as much time as possible with them before he dies. Mr. Castillo is going through the ________ stage of dying. a. Denial b. Anger c. Bargaining d. Acceptance 3. Which of the following statements is NOT true of the grief process? a. Coping mechanisms are responses to stress. b. All family members and friends grieve in the same way. c. A person may be angry after a loved one dies. d. Feeling depressed is common after a person dies. 4. A factor that influences attitudes about death is a. Personality type b. Cultural background c. Religious beliefs d. All of the above 5. Which of the following is NOT a sign of approaching death? a. Warm, dry skin b. Decreasing blood pressure c. Rising body temperature d. Impaired speech 6. When caring for a dying resident’s diminished senses a nursing assistant should a. Use soft lighting b. Speak to the resident c. Observe body language d. All of the above 7. To treat dying residents and their families with dignity a nursing assistant should a. Make promises b. Listen if they want to talk c. Babble d. Isolate the dying resident
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8. Postmortem care includes a. Placing drainage pads where needed b. Removing tubes c. Removing equipment d. None of the above 9. _______ is the special care that focuses on the dignity and comfort of a dying person. a. Postmortem b. Cheyne-Stokes c. Hospice d. Terminal 10. What does palliative care involve? a. The resident’s recovery b. Pain relief and comfort c. Teaching the resident to care for himself d. Curing the resident’s illness 11. An attitude that is helpful in hospice work is a. Be sensitive to individual needs b. Respect privacy and independence c. Be a good listener d. All of the above
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Chapter 24: Assessment Name: __________________________________________ Date: __________________ Multiple Choice. Choose the correct answer.
1. Which of the following are considered identification? a. Social security card and driver’s license b. Driver’s license and high school diploma c. References and NA certificates d. None of the above 2. Which statement is true of references? a. They should come from relatives. b. They should come from friends. c. They should come from former employers. d. All of the above 3. Résumés should have a. Two or more pages of information b. Work experience c. Borders and colors d. None of the above 4. Information needed for a job application may include a. The NA’s social security number b. Salary information from former jobs c. Names, addresses, and phone numbers of former employers d. All of the above 5. What should a nursing assistant NOT do at a job interview? a. Look happy to be there b. Bring her children c. Be dressed neatly and appropriately d. Wear simple makeup 6. Which of the following questions is NOT appropriate to ask at an interview? a. Did I get the job? b. What training do you provide? c. Will I get paid for holidays? d. What are the benefits? 7. Which of the following is true of following a scope of practice? a. Doing things beyond the scope of practice will not harm anyone. b. NAs can perform procedures not listed in their job description. c. NAs cannot perform procedures they have not been trained to do. d. NAs should ask the nurse for reminders if they have forgotten how to perform a procedure. 8. An employer must offer a nursing assistant a free vaccine for _________. a. Diabetes b. AIDS c. Hepatitis B d. Hepatitis C
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9. A nursing assistant’s responsibilities in completing assignments include a. Answering all call lights even if a resident is not assigned to her b. Helping others when needed c. Never ignoring a resident who needs her help d. All of the above 10. The best response a nursing assistant can give to hostile criticism is a. It’s not my fault. b. I’m sorry you’re disappointed. c. You are being irrational. d. You better apologize to me. 11. OBRA requires that nursing assistants complete at least ___ hours of training before being employed. a. 75 b. 100 c. 12 d. 25 12. Information found on the state registry for certified nursing assistants includes a. A nursing assistant’s name b. The expiration date of the nursing assistant’s certificate c. The date the nursing assistant was placed in the registry d. All of the above 13. The federal government requires that nursing assistants have ___ hours of continuing education each year. a. 75 b. 100 c. 12 d. 25 14. Not managing stress can cause a. Arguments b. Fatigue c. Abusive behavior d. All of the above 15. A healthy lifestyle includes a. Eating when you’re not hungry b. Exercising regularly c. Smoking a few cigarettes a week d. All of the above 16. When a nursing assistant is stressed, he can get help from a. His residents b. His supervisor c. His residents’ family d. All of the above
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