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NNAAP Nurse Aide Practice Exam with 100%
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What is the term for a device used to take the place of a missing body part? - ✔✔Prosthesis When a client has left-sided weakness, what is the recommended part of the sweater to put on first? - ✔✔Left sleeve It is appropriate for a nurse aide to share the information regarding a client's status with: - ✔✔the staff on the next shift When helping a client who is recovering from a stroke to walk, the nurse aide should assist: - ✔✔on the client's weak side The nurse aide is caring for a client who is agitated. The nurse aide SHOULD: - ✔✔talk in a slow, calm, reassuring manner Exercises that move each muscle and joint are called: - ✔✔range of motion How can the nurse aide BEST help a client who is not accepting loss? - ✔✔Encourage the client to talk To BEST communicate with a client who is totally deaf, the nurse aide should: - ✔✔write out information
The nurse aide is asked by a confused client what day it is. The nurse aide should: - ✔✔point to the date on the calendar and say the date To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's:
- ✔✔upper thigh A nurse aide can assist clients with their spiritual needs by: - ✔✔allowing clients to talk about their beliefs A nurse aide MUST wear gloves when: - ✔✔doing peri-care When getting ready to dress a client, the nurse aide SHOULD: - ✔✔give the client a choice of what to wear If the nurse aide discovers fire in a client's room, the FIRST thing to do is: - ✔✔remove the client In order to communicate clearly with a client who has hearing loss, the nurse aide should: - ✔✔look directly at the client when speaking Which of the following stages of dying usually is the final stage? - ✔✔Acceptance If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond? - ✔✔Listen quietly
In giving care according to the client's Bill of Rights, the nurse aide SHOULD: - ✔✔provide privacy during the client's personal care A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: - ✔✔check the client's diet before offering nourishment The normal aging process is BEST defined as the time when: - ✔✔normal body functions and senses decline If a client is confused, the nurse aide should: - ✔✔help the client to recognize familiar things and people What is the process of restoring a disabled client to the highest level of functioning possible? - ✔✔Rehabilitaion When changing an unsterile dressing, the nurse aide should wash hands: - ✔✔before, after removal of the soiled dressing, and after the procedure The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: - ✔✔call for assistance from the nurse in charge If a nurse aide finds a client who is sad and crying, the nurse aide should: - ✔✔ask the client if something is wrong Clients have the right to: - ✔✔have access to a telephone
A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: - ✔✔ask another nurse aide to help To prevent dehydration of the client, the nurse aide SHOULD: - ✔✔offer fluids frequently while the client is awake When transferring a client, MOST of the client's weight should be supported by the nurse aide's: - ✔✔legs To be sure that a client's weight is measured accurately, the client should be weighed: - ✔✔at the same time of day BEFORE taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait: - ✔✔10 to 20 minutes Which of the following methods is the CORRECT way to remove a dirty isolation gown? - ✔✔Roll it dirty side in and away from the body What would the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke? - ✔✔Encourage the client to do as much as possible and assist as needed If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: - ✔✔take the gown off before leaving the client's room
The Heimlich Maneuver (Abdominal thrust) is used for a client who has? - ✔✔A Blocked airway. The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide should? - ✔✔Politely refuse the money. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? - ✔✔Put them in the dirty linen container How many tips does a quad-cane base have? - ✔✔Four. A safety device used to assist a DEPENDENT client from a bed to a chair is called a? - ✔✔Transfer/gait belt. Which temperature is considered MOST accurate? - ✔✔Rectal. The BEST time to prepare for a disaster is? - ✔✔Before it happens. What is the purpose of the federal law OBRA, 1987-Ominibus Budget Reconciliation Act? - ✔✔Protect the rights and privileges of people, to adopt standards for nursing assistant training, and to provide legal standard (the lowest standard of behavior). What are the local / state resources for client advocacy? - ✔✔Ombudsman program- long tern care, Bureau of Quality Assurance, and the coalition for advocacy- for mental/ developmental disabled clients.
How often is the State Survey (Bureau of Quality Assurance) done? - ✔✔It is done every 9-12 months (any shift) - more frequently if deficiencies are present. What is the focus of the State Survey (Bureau of Quality Assurance)? - ✔✔Abuse, Dignity, Weight loss and hydration, infection control, falls, and pressure sores. If a nurse aide is questioned by a State Surveyor what should they do? - ✔✔Answer the question asked honestly. Cardinal Rules to Protect Residents from Abuse (RAGE)? - ✔✔Remove resident from harm, Alert supervisor immediately, Give statement of Witnessed abuse, Everytime you witness Verbal or Physical Abuse. What is Negligence? - ✔✔Failure to give care that is reasonably expected. Examples of Negligence? - ✔✔Failure to follow the individual care plan, To ignore or disregard a client's request or needs, Failure to answer a call light promptly, and failure to carry out an expected or required duty either through carelessness or by intention. What is abuse? - ✔✔To treat badly, to injure, berate, insult, or mistreat. Examples of abuse? - ✔✔Striking a client, Using profanity or name calling, restraining clients for the convenience of staff, withholding food as a punishment, inflicting pain or mental anguish, excessive use of drugs, and harassment.
What are the effects of abuse on Elderly? - ✔✔Embarrassment , Feel like they will not be believed, and they feel they deserve it. What are Ethics? - ✔✔A system of moral principles or standards governing conduct. (Doing what is right at the right time) What is an Ombudsman? - ✔✔An ombudsman is an advocate for long term care consumers who are aged 60 and over who reside in nursing homes, group homes, or are participating in the Community Options Program. Components needed for successful communication? - ✔✔Sender-person giving the message, Message- images, feelings, and ideas transmitted, Receiver- person receiving the message, and Feedback-response to the message. Types of Communication? - ✔✔Verbal - messages sent with written or oral words. Non-verbal - messages sent through the use of the body. What is the best way to communicate? - ✔✔To be a good listener. What is HOH? - ✔✔Hard of Hearing. What is HOB ^ 30 degrees at all times? - ✔✔Head of Bed up 30 degrees at all times. What is W/C? - ✔✔Wheelchair.
What are objective statements? - ✔✔Information that can be seen, heard, felt, smelled, or measured by another person - signs. What are subjective statements? - ✔✔Information that is reported by a client - symptoms. What are some barriers to effective communication? - ✔✔Sensory deficit (sight, hearing, speaking), confusion/memory loss, language. What is a flowsheet? - ✔✔Records that allow information to be recorded quickly and monitored easily; information from flow sheets help health team members to make important decisions. What is charting? - ✔✔Charting is the record keeping responsibilities - they vary by facility. What is tact? - ✔✔To quietly inform someone of something. What is acute? - ✔✔Sudden, quick, goes away fast. What is Chronic? - ✔✔Comes slowly and lasts a long time. What is medical asepsis? - ✔✔are the practices used and precautions taken to prevent the spread of microorganisms from one person, place, or object to another.
What is airborne transmission? - ✔✔Spread of evaporated droplets or dust particles that contain the infectious microorganism which can be spread through the air and inhaled. What is droplet transmission? - ✔✔Spread of droplets ejected from the mouth or nose during coughing, sneezing, or talking. What are standard precautions? - ✔✔Practices to prevent exposure to all clients' blood, body fluids, non-intact skin, and mucus membranes. What is Personal Protective Equipment(PPE)? - ✔✔Specialized clothing, equipment, or barriers used to prevent exposure to blood, body fluids, non-intact skin, and mucous membranes for example gloves, goggles, masks, gowns. What is Disinfection? - ✔✔Process by which pathogens are destroyed - kills most microorganisms - 1: ratio bleach and water. What is Sterilization? - ✔✔The process by which all microorganisms and their spores are destroyed. What is isolation? - ✔✔Specific precautions to prevent the spread of communicable disease. What is a communicable disease? - ✔✔Disease caused by pathogens that are easily spread. What is common vehicle transmission? - ✔✔Applies to microorganisms transmitted by contaminated items such as food, water, medications, devices, and equipment.
What is Vectorborne transmission? - ✔✔This occurs when vectors such as mosquitoes, flies, ticks, and vermin transmit microorganisms such as west nile or lymes disease. What is cross infection? - ✔✔The spread of infection from one person to another. What is OSHA? - ✔✔Occupational Safety and Health Administration- government agency regulating employee safety. What is MSDS? - ✔✔Material Safety Data Sheets - listing of potentially hazardous chemicals used in the workplace; this listing explains proper use, dilution, precautions to take (PPE) , clean up and disposal procedures, and first aid measures for exposure. What is MRSA? - ✔✔Methicillin Resistant Staphylococcus Aureus - strong infection. What is VRE? - ✔✔Vancomycin Resistant Enterococcus. What is the number one way diseases are spread? - ✔✔By not washing your hands. In the Chain of Infection what must be present for disease to occur and spread? - ✔✔An infectious agent, a Reservoir(host), A portal of exit, a mode of transmission, a portal of entry, and a susceptible host.
What is Reverse (protective) Isolation? - ✔✔Keeps germs outside the client's room. What is respiratory arrest? - ✔✔Condition where breathing has stopped. What is Cardiac arrest? - ✔✔Condition where the heart stops beating. What is aspiration? - ✔✔Accidental inhalation of foreign material (like foods, liquids, vomitus) into the airway. What is the Heimlich maneuver? - ✔✔Abdominal thrusts used to clear an obstructed airway in an adult or child older than 1 year. What is hemorrhaging? - ✔✔Excessive loss of blood in a short time. What is choking? - ✔✔An airway obstruction. What are the signs of a partial airway obstruction? - ✔✔Person may have foreign object in throat but still may be capable of some air exchange. If a person is able to cough or talk. If coughing diminishes and a wheezing gurgling noise are heard - do the Heimlich maneuver. What are the signs of complete airway obstruction? - ✔✔Inability to speak or cough, Person grasps neck and opens mouth to indicate inability to breathe, no coughing or sounds heard from airway, and skin color change to bluish gray or dusky color.
What should you do if a fall occurs? - ✔✔Stay with your resident, do not move them, Call for help from the nurse on duty, and complete an incident report. What is the role of the nurse aide in any emergency? - ✔✔Recognize emergency, Action - stay calm and assess the situation, Stay with the client, Call for nurse, Follow the nurse's instructions, provide care until EMS arrives, Do not offer food or fluids, and document - incident report. Fire - What are the elements needed for combustion? - ✔✔Fuel, Heat, and O2. What does RACE stand for? - ✔✔Rescue/Remove all Patients, Activate the Alarm, Confine-close doors and windows, and Extinguish if possible. What should you remember concerning the basic use of a fire extinguisher? - ✔✔PASS. Pull Safety Pin, Aim the nozzle, Squeeze the handle, Sweep from side to side on the flames. What is supine? - ✔✔Lying on the back, face up. What is prone? - ✔✔Lying face down. What is dangle? - ✔✔To sit on the edge of the bed. What is ambulatory? - ✔✔Able to Walk.
What are the types of transfer? - ✔✔Independent (patient does it on their own), assisted (anything from verbal to physical help), and dependent (using a stand up or hoyer lift.) When moving a client what side do you move them toward? - ✔✔Their strongest side. What is a contracture? - ✔✔A permanent shortening of a muscle. What is foot drop? - ✔✔A contracture of the foot due to atrophy of the anterior leg muscles. What is atrophy? - ✔✔Wasting of muscle tissue. What is Phlebitis? - ✔✔inflammation of a blood vessel. What is DVT? - ✔✔Deep Vein Thrombosis - a blood clot that usually develops in the lower legs - often the calf area. What is PE (Pulmonary embolism/Pulmonary Emboli)? - ✔✔A blood clot which has dislodged and moved into the pulmonary system - often fatal. What is a restraint (Chemical or physical)? - ✔✔Physical restraints limit movement/chemical restraints are used to sedate patients. What is a pressure sore/decubitus ulcer/bed sore? - ✔✔An area of skin that breaks down due to decreased blood flow when a client stays in one position too long and doesn't shift weight.
What is constipation? - ✔✔Condition that occurs when feces (stool) remain in the intestine too long resulting in hard stools that are difficult to pass. What is fecal impaction? - ✔✔Condition that occurs when constipation is not relieved; it may require surgical intervention. What is edema? - ✔✔Excessive fluid in the tissue. What is cyanosis? - ✔✔Bluish discoloration to the skin, lips, nail beds or mucous membranes due to lack of oxygen in blood. What is the integumentary system comprised of? - ✔✔Skin, hair, nails, sweat glands and oil glands. What is the function of the integumentary system? - ✔✔Protection, heat regulation, elimination, and sensory perception. How often must a clients position be changed? - ✔✔Change position at least once every 2 hours. What technique is used to improve circulation? - ✔✔Massage. Why are anti-embolism stockings or TED hose used? - ✔✔To support the veins, minimize edema, prevent an emboli.
