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b) Bargaining A client with a terminal illness tells that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief? a) Acceptance b) Bargaining c) Denial d) Anger a) Mechanical Lift Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair? a) Mechanical Lift b) Draw Sheet c) Gait Belt d) Wrist restraints a) To the lateral aspect of the patient's thigh. The nursing assistant prepares to give a partial bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath? a) To the lateral aspect of the patient's thigh. b) To the bed sheet. c) To the medial aspect of the patient's thigh. d) To the bed. b) "I understand you're in pain. I'll stay with you." A
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b) Bargaining A client with a terminal illness tells that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief? a) Acceptance b) Bargaining c) Denial d) Anger a) Mechanical Lift Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair? a) Mechanical Lift b) Draw Sheet c) Gait Belt d) Wrist restraints a) To the lateral aspect of the patient's thigh. The nursing assistant prepares to give a partial bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath? a) To the lateral aspect of the patient's thigh. b) To the bed sheet. c) To the medial aspect of the patient's thigh. d) To the bed. b) "I understand you're in pain. I'll stay with you." A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating: a) "You will need more time to cope with this loss." b) "I understand you're in pain. I'll stay with you." c) "This kind of thing will happen to everyone eventually." d) "Do you and your wife have any children together?"
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a) Allow the patient to perform as much of the bath as possible. The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence? a) Allow the patient to perform as much of the bath as possible. b) Ask the patient what he wants to do. c) Complete the entire bath for him to conserve his energy. d) Encourage the patient to do the best he can to clean himself. b) Partial thickness burn. A resident comes out of their room saying they have burn their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a: a) Superficial burn. b) Partial thickness burn. c) Total thickness burn. d) Serious burn. b) Enema. A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures? a) Endoscopy. b) Colonoscopy. c) Catheterization. d) Enema. Enema An ______ will help the patient in expelling fecal matter before it can become impacted. d) Check the chart for physician orders regarding nail trimming. The client asks the nursing assistant her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best? a) Retrieve a safety clipper and hand it to the client. b) Report to the nurse that the client needs her toenails trimmed. c) Check the client's blood glucose before cutting her toenails. d) Check the chart for physician orders regarding nail trimming. c) Encourage the client to take several walks around the facility daily.
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*Systolic pressure less than 120. *Diastolic pressure less than 80. a) Moving the extremity away from the body. The range of motion term "abduction" means: a) Moving the extremity away from the body. b) Moving the extremity toward the body. c) Moving the extremity above the body. d) Moving the extremity below the body. Normal Pulse Ranges for 12 years and older 60 to 100 per minute. c) Assist the client to the facility's chapel every Sunday. Which of the following most addresses a client's needs in regard to spirituality? a) Ask the client why he/she is of a particular faith. b) Provide the client with warm water, soap, and towels every morning. c) Assist the client to the facility's chapel every Sunday. d) Treat the religious objects in the client's room as if they were any other. c) Bending at the knees. Proper body mechanics when lifting clients involve which of the following? a) Keep the spine curved. b) Bending at the waist. c) Bending at the knees. d) Avoid seeking assistance. c) Jaundice. Which of the following would be a primary indication of hepatitis? a) Hypertension. b) Hyperglycemia. c) Jaundice. d) Hypotension. d) Reorienting the client frequently with clocks, calendars, and family mementos.
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Which of the following aspects of care is important for a confused client? a) Checking the client's blood sugar every hour. b) Asking the client their name. c) Keeping the client contained in their room. d) Reorienting the client frequently with clocks, calendars, and family mementos. c) Terminally ill client. What type of client may opt to receive hospice care? a) Client with kidney disease. b) Client with cancer. c) Terminally ill client. d) Client with diabetes. d) In hospice care, life-saving measures are taken to prolong life. What is the main difference between palliative care and hospice care? a) In hospice care, the focus of support is the family. b) In palliative care, treatment of the disease may continue. c) In palliative care, the person always remains at home. d) In hospice care, life-saving measures are taken to prolong life. Palliative Care ________ ________ is care that involves relieving or reducing the intensity of uncomfortable symptoms without producing a cure. d) Is close to death. Cheyne-Stokes respirations (increased respirations, labored breathing, periods of apnea) occur in a client who: a) Has a history of chronic respiratory issues. b) Is unconscious. c) Is recovering from an asthma attack. d) Is close to death. a) Tell the client to breathe as slowly and deeply as possible. A client in the day room is having a panic attack. The nursing assistant should: a) Tell the client to breathe as slowly and deeply as possible. b) Have the client talk about the panic attack. c) Encourage the client to verbalize their feelings. d) Ask the client about the cause of the panic attack.
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The nursing assistant knows that residents on bedrest must be turned every: a) 2 hours b) 1 hour c) 6 hours d) 8 hours b) Radial. Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs? a) Popliteal. b) Radial. c) Brachial. d) Femoral. a) Ask the resident if they are chocking. The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first? a) Ask the resident if they are chocking. b) Call 9- 1 - 1. c) Begin CPR immediately. d) Begin the Heimlich maneuver. Clutching at the throat. ________ _____ ____ _______ is the universal sign of chocking. d) "I'm afraid I can't share that information with you." A client at the facility receives a new roommate. While the roomate is in the bathroom, the clients lean toward the nurse and whispers, "why is she here anyway? Is she sick?" The best response by the nursing assistant is: a) "I'm not sure. Let me take a look at the chart." b) "Why don't you ask her yourself?" c) "She's her for the same thing as you!" d) "I'm afraid I can't share that information with you." c) Taking the client to the bathroom. A client with Alzheimer's wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is important to support normal gastrointestinal tract function by: a) Recording intake and output. b) Brushing the client's teeth.
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c) Taking the client to the bathroom. d) Assisting the client to call family members. c) Small, watery leakage of stool. Fecal impaction may present with which of the following symptoms? a) Dark urine. b) Excessive flatulence. c) Small, watery leakage of stool. d) Abdominal pain. Dyspnea __________ means difficulty breathing. c) First thing in the morning. One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor had ordered sputum specimens to be collected. What is re best daily time for the nursing assistant to collect the specimens? a) Before a meal. b) After a meal. c) First thing in the morning. d) Last thing before the patient goes to sleep. b) Speak calmly in an authoritative and neutral manner to the client. The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should: a) Use restraints to ensure the client's safety. b) Speak calmly in an authoritative and neutral manner to the client. c) Use the television to distract the client. d) Provide care only when absolutely necessary. b) A resident sits on the side of the bed and leans forward over a bedside table. Which of the following resident is demonstrating orthopneic position? a) A resident sits in a chair with their back straight. b) A resident sits on the side of the bed and leans forward over a bedside table. c) A resident walks using a cane. d) A resident lays on their stomach with their face to the side. High Potassium Foods
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c) Ask the resident repeatedly to identify an abuser. d) Wait for more proof in order to identify the abuser. a) A resistant strain of bacteria that is difficult to treat with antibiotics. MRSA (Methicillin-Resistant Staphylococcus Aureus) is an example of which of the following? a) A resistant strain of bacteria that is difficult to treat with antibiotics. b) A bacterial strain that is easy to treat with antibiotics. c) A mnemonic to remember how to act if there is a fire in the facility. d) A set of activity guidelines designed to keep residents safe. d) Nursing Home Nursin assistants work in a lot of different places. One place that CNAs work is a skilled nursing facility. This type of facility is also called a: a) Hospital b) Rehab Center c) Hospice d) Nursing Home c) Maslow Who developed the Hierarchy of Needs? a) Erikson b) Piaget c) Maslow d) Nightingale d) 10 am, 2 pm, 6 pm and 10 pm You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid." This patient will be assisted with ambulation at which of the following times? a) 10 am b) 10 am and 2 pm c) 10 am, 2 pm, and 6 pm d) 10 am, 2 pm, 6 pm and 10 pm QID Four times per day means ______. QD
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Once a day means _____. BID Twice a day means _____. TID Three times a day means _____. d) Hearing, Smell, Taste, Sight and Touch. Which of the following lists the five senses? a) Sight, Hearing, Taste, Smell and Common Sense. b) Hearing, Taste, Smell, Common Sense and Auditory. c) Sight, Taste, Smell, Auditory and Visual. d) Hearing, Smell, Taste, Sight and Touch. d) On the patient's strong side. Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair? a) On the patient's weak side. b) At the foot of the bed. c) At the head of the bed. d) On the patient's strong side. High Fowler's Position _____ ______ ______ is at a 90 degree angle and the patient is positioned sitting up. c) Sudden onset confusion. Of the following symptoms, which one is most likely due to an infection in a resident? a) Pale skin. b) Tented skin. c) Sudden onset confusion. d) Aphasia. b) Flatus Which medical term is often used for "burping, belching and passing gas"? a) Flank b) Flatus
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Sim's Position The resident is lying on the side. c) Bending at the waist, knees partially flexed, using leg muscles to lift. Which of these examples demonstrates using proper body mechanics when helping to lift a resident to bed? a) Bending at the waist, knees locked, using arm muscles to lift. b) Bending at the waist, knees unlocked, using arm muscles to lift. c) Bending at the waist, knees partially flexed, leg muscles to lift. d) Bending at the waist, knees unlocked, using back muscles to lift. a) Always wear latex gloves because they are the most impermeable option. Which of these is incorrect in reference to wearing gloves? a) Always wear latex gloves because they are the most impermeable option. b) Wash your hands before putting on, and after removing gloves. c) Upon removal, avoid letting the outer layer of the gloves contact your skin. d) Peel the glove away from you so it comes off inside out. c) Help the resident off the floor and in to the nearest chair. If you are walking with a resident and they fall, which of these is not an action you should take? a) Supply information for the nurse so proper documentation can be made. b) Inform the nurse. c) Help the resident off the floor and in to the nearest chair. d) Keep the resident from moving until you assess if they have injuries. d) Milk The best source of Vitamin D is found in which of these foods? a) Apples b) Bread c) Steak d) Milk b) Policy and Procedure Manual. You have been assigned to administer a S.S.E. to Mr. Taylor. It has been several months since you have performed this procedure. To refresh your memory you should refer to the: a) Patient Care Plan. b) Policy and Procedure Manual.
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c) Disaster Plan. d) M.S.D.S. Manual. d) Restraining. An assisting device does not help with _______. a) Moving around. b) Eating. c) Dressing. d) Restraining. b) Assist with retraining. When a resident has a rehabilitation plan of care, your role may be to _______. a) Do more tasks for the resident than usual. b) Assist with retraining. c) Administer pain medications. d) Give the resident shorter times to complete tasks to speed up recovery. Hypovolemic Shock. A _______________ _____________ is severe dehydration that can cause a drop in the blood volume, causing very low blood pressure, medical emergency.
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c) Make eye contact, sit with the resident, and listen. d) Leave the resident alone to minimize his or her agitation. a) At the end of your shift. A resident's input and output must be documented in a person's record: a) At the end of your shift. b) By the nurse; the nursing assistant does not record this. c) Every two hours. d) In the early morning, noon, and late evening. d) A radial pulse of 135. Which of these should be reported to the charge nurse "STAT" (Immediately)? a) Urine that is cloudy. b) A respiratory rate of 18. c) Loose stools. d) A radial pulse of 135. c) NPO A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth? a) MN b) NOC c) NPO d) NKA R.A.C.E R= Rescue / Remove all people who can not take care of themselves. A= Alarm, if it has not already been done. *Pulling the alarm can be done at the same time as rescue. C= Confine / Contain the fire or smoke by closing doors to prevent or slow the spread. *Smoke is especially dangerous for everyone. E= Extinguish the fire if possible, using a handheld fire extinguisher. *Attempt to extinguish only small fires, as long as you can remain safe and have escape route. How is the patient positioned at the head of the bed? Patient lies between supine and prone with legs flexed in front of the patient. Afebrile
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Without a fiver. *Normal Temperature Why does OBRA require 12 hours of educational programs and performance reviews each year for every nursing assistant? These requirements help ensure that you have the current knowledge and skills to give safe , effective care.