Chapter 1
Which approach focuses on the physical and emotional care of a person?
A) Holistic
B) Modern
C) Team
D) Traditional
Holistic
The nursing assistant returned to work after 4 years working at a non–health care–related job. What is the priority action for the nursing assistant?
A) Retake the state of hire–mandated written test and the skills test.
B) Schedule first for the extensive orientation at the place of hire.
C) Prepare by taking the state-mandated training of the state of hire.
D) Determine the state’s reciprocity agreement for previous training.
Prepare by taking the state-mandated training of the state of hire.
The nursing assistant (NA) is anticipating a snowstorm and needs to care for the assigned residents in the morning. How would the NA best exemplify professional behavior?
A) Explain to the supervisor that the roads are bad so the NA will be late.
B) Ask another NA at work to cover until the NA can arrive to work.
C) Plan for back-up care for the NA’s children when school is cancelled.
D) Provide a few extra minutes to scrape the windshield before driving.
Provide a few extra minutes to scrape the windshield before driving.
The nursing assistant asks the client experiencing confusion if the client is in pain. The client responds, “No, I am fine, and I need to catch the bus.” The client is grimacing and moaning and clutching the side where the surgical site is. What is the best action for the nursing assistant to take?
A) Repeat the question much louder and slower.
B) Use sign language to ensure understanding.
C) Report the nonverbal cues to the nurse.
D) Administer a nonverbal pain scale.
Report the nonverbal cues to the nurse.
How many seconds do you wash your hands for?
20 seconds
The focus of a health care team’s effort is:
A) to provide safe care.
B) the person needing care.
C) getting the person back into his or her home.
D) keeping the person free of pain.
the person needing care
Depending on the nurse’s level of education, a nurse may be a: (Select all that apply.)
A) licensed practical nurse
B) team nurse
C) licensed vocational nurse
D) registered nurse
E) charge nurse
licensed practical nurse, licensed vocational nurse, registered nurse
The nursing assistant (NA) is working with residents and other health care professionals. How would the NA best display a professional attitude?
A) Listen to residents intently in a caring manner.
B) Chart interventions that were not completed.
C) Tell the other NAs there is not enough time to help them.
D) Talk negatively about residents in the break room
Listen to residents intently in a caring manner.
Which scenario involves nonverbal communication?
A) A hearing-impaired client uses sign language to communicate.
B) The nursing assistant records a client’s temperature on the chart.
C) A facial expression reveals a resident is in pain.
D) A resident talks with a relative on the telephone.
A facial expression reveals a resident is in pain.
Do you need to wear gloves when feeding a resident?
No
The basic reason a person needs health care is that:
A) he or she can’t care for himself or herself.
B) professional care is best.
C) he or she is ill, injured, or disabled.
D) he or she is recovering from surgery.
he or she is ill, injured, or disabled
“Each member of the nursing team carries out the same assigned task for all clients or residents.” This situation is an example of what type of nursing?
A) Team
B) Primary
C) Secondary
D) Functional
Functional
The nursing assistant wants to establish a professional work ethic in the nursing home. Once assigned tasks are complete, the best action is to:
A) surf the Internet for ways to help older adults get more involved in activities.
B) ask residents who are bored and want to talk to share details of their pasts.
C) ask other health care team members if they need help with care.
D) restock supplies and take out the trash from all the trash cans in the unit.
ask other health care team members if they need help with care.
. It is true that communication between two people is most effective when:
A) the sender always remains the sender of the messages.
B) the receiver always remains the receiver of the messages.
C) sending the message is the most important act in communication.
D) the sender and the receiver switch roles during the communication.
the sender and the receiver switch roles during the communication.
Which goes on first when donning PPE?
Mask
Since a fellow teammate is taking a lunch break, the nursing assistant begins making rounds on the residents on the floor. One of the residents has dropped lunch food and drink on the floor. What action should the nursing assistant take first?
A) Make a note and report it to a peer as soon as the peer gets back from lunch.
B) Tell the residents’ nurse so the nurse can chart a more accurate I&O.
C) Get needed supplies and immediately clean up the spill before continuing rounds on other clients.
D) Ask the resident if the lunch is disliked and whether the resident would like to order different foods.
Get needed supplies and immediately clean up the spill before continuing rounds on other clients.
To “delegate” a task means to:
A) give another person permission to perform that task on the nursing assistant’s behalf.
B) consider the client’s or resident’s individual needs.
C) perform all assigned tasks properly.
D) ask for help with an assigned task when necessary.
give another person permission to perform that task on the nursing assistant’s behalf.
What is it called when a person imagines what it would feel like to be in another person’s situation?
A) Sympathy
B) Conscientiousness
C) Accountability
D) Empathy
Empathy
What is the best body language for the nursing assistant to use when communicating with a resident who is sitting in a chair?
A) Sitting across from the resident in another chair, maintaining eye contact, and nodding as the resident speaks
B) Standing at the door with arms folded across their chest looking at the clock as the resident speaks.
C) Sitting across from the resident on the bed swinging crossed legs and chewing gum as the resident speaks.
D) Standing with back turned away from the resident and rolling eyes when the resident speaks.
Sitting across from the resident in another chair, maintaining eye contact, and nodding as the resident speaks
Which is taken off last when doffing PPE?
Mask
The nursing assistant (NA) was providing care for a resident and noticed skin breakdown on the coccyx. What action should the nursing assistant take first?
A) Use a skin treatment the NA used when working at another facility.
B) Inform the resident’s nurse of the skin breakdown on the coccyx.
C) Follow the nursing home’s policy regarding the handling of soiled linens.
D) Cleanse the skin of incontinence and change the undergarment.
Cleanse the skin of incontinence and change the undergarment.
The nursing assistant should question the nurse when the nursing assistant is delegated which task?
A) Differentiate if the skin breakdown has tunneling present.
B) Ambulate the client the full length of the hall using the cane.
C) Calculate the amount of food and drink the client had for lunch.
D) Obtain a urine specimen for urinalysis and send it to the lab.
Differentiate if the skin breakdown has tunneling present.
Which habit will help ensure that a nursing assistant will be punctual for work?
A) Exercising for 20 minutes three times a week
B) Regularly completing the necessary documentation
C) Leaving for work early when the roads are icy and snow covered
D) Offering to help others on the team after completing assigned tasks
Leaving for work early when the roads are icy and snow covered
The nursing assistant observes that the resident did not eat or drink anything for breakfast. What is the best response for the nursing assistant to determine what is going on?
A) “You must need more time for eating.”
B) “You seem to be ill today because you didn’t eat.”
C) “Is there something I can get you instead?”
D) “I see that you did not eat your breakfast.”
“I see that you did not eat your breakfast.”
How many compressions do you do in 1 cycle of CPR?
30
The nursing assistant is in the hall charting when another nursing assistant down the hall talks in a loud voice about a secret love affair that two of the residents are having. What is the best immediate action for the nursing assistant to take?
A) Congratulate the two residents at dinner while they are sitting around the table with their peers.
B) Walk over to the nursing assistant and remind the nursing assistant not to gossip about residents.
C) Ask the two residents separately if they are indeed having a secret love affair and for how long.
D) Report what the other nursing assistant had said in the hall to the nursing supervisor.
Walk over to the nursing assistant and remind the nursing assistant not to gossip about residents.
The term “scope of practice” means:
A) the act of assigning nursing tasks related to routine care.
B) the range of tasks the assistant is legally permitted to do.
C) maintaining the skills required of a nursing assistant.
D) having graduated from a nursing assistant training program.
the range of tasks the assistant is legally permitted to do.
What must be done in order to create a reference list?
A) Include a list of three to four people who know the nurse well and have worked with the nurse.
B) Create a list of four to five places where the nurse would like to work.
C) Prepare a list of three to five questions to ask the interviewer during the nurse interviews.
D) Write a one- to two-page resume to give to the interviewer during the nurse interviews.
Include a list of three to four people who know the nurse well and have worked with the nurse.
The nursing assistant (NA) is approached by another employee in the hallway who begins yelling at the NA stating, “You didn’t weigh the clients correctly and I had to do all of your weights.” What is the first action for the NA to take to resolve the conflict with the employee?
A) Stating, “Let’s discuss this further in a quiet place away from clients and staff.”
B) Reporting the situation to the supervisor to help resolve the conflict between parties.
C) Stating, “You seem to be upset, please share what I may have done incorrectly.”
D) Agreeing to disagree because the weights can be done correctly more than one way.
Stating, “Let’s discuss this further in a quiet place away from clients and staff.”
Swelling, difficulty breathing, and hives are signs of what?
allergic reaction
The nursing assistant began to leave for a lunch break and remembered that one of the assigned residents needs to go back to bed after being up in the chair for 1 hour. What is the best action for the nursing assistant?
A) Get the resident back to bed after lunch because it only adds 30 minutes longer in the chair.
B) Leave a note on the clipboard for the fellow nursing assistant covering the break to do the task.
C) Go back and get the needed help to get the resident back to bed before going to the lunch break.
D) Ask available nursing assistants in another section to get the resident back to bed before leaving for lunch break.
Go back and get the needed help to get the resident back to bed before going to the lunch break.
The nursing assistant uses the five rights of delegation to determine which delegated task to question?
A) Remind the client to put on their sleep apnea mask.
B) Monitor the vital signs of an unstable client and report any worsening.
C) Collect the supplies listed for a procedure and bring them to the bedside.
D) Prepare the client’s room for additional guests the client is expecting.
Monitor the vital signs of an unstable client and report any worsening.
A client who was admitted to the facility a few days ago is particularly difficult to work with. Which response by the nursing assistant shows empathy?
A) “I wonder what is making the client so uncooperative.”
B) “Is that client as disrespectful to everyone else or just to me?”
C) “I'll spend extra time with the client to help the client feel welcomed.”
D) “The client must be in pain and need medication; I’ll let the nursing assistant know.”
“I'll spend extra time with the client to help the client feel welcomed.”
The nursing assistant is caring for a client who needs to get up in the chair for dinner. The client recently arrived back to the unit from physical therapy and was placed back in bed. What section of the chart will best provide information on how the client transfers the quickest?
A) The Kardex
B) The nursing flow sheet
C) The narrative nurse’s notes
D) The progress notes
The Kardex
How many of the signs of an allergic reaction should you see before you administer an epi-pen?
2 out of the 3
A resident in a long-term care facility asks the nursing assistant about an upcoming test the physician wants them to have done. Given the scope of practice, the best response to the resident’s question would be:
A) “I’m sure your doctor just wants to give you the best care possible.”
B) “I will let your nurse know that you have questions about your test so the nurse can give you the details.”
C) “After I get caught up on my work, I will get on my computer and try to get you some answers.”
D) “Do you remember what reports you shared with the doctor before the test was ordered?
“I will let your nurse know that you have questions about your test so the nurse can give you the details.”
The resident tells the nursing assistant, “My hearing aid was stored by the nurse in the medication cart and the nurse cannot find it. The administrator told me that they don’t have it anymore, and the facility is not going to replace it. I need to talk to someone who will protect my rights.” What is the best action for the nursing assistant to take?
A) Search the room for the missing hearing aid.
B) Explain how to contact the ombudsman.
C) Report the issue to the charge nurse.
D) Schedule a meeting with the chief officer.
Explain how to contact the ombudsman.
A health care facility offers its employees a free membership in a local exercise program. What is the main benefit(s) of this opportunity? Select all that apply.
A) It is a means of managing stress.
B) It makes the employees feel appreciated.
C) It is a chance for the employees to socialize with each other.
D) It helps the employees become stronger and less likely to be injured lifting clients.
It is a means of managing stress.
It helps the employees become stronger and less likely to be injured lifting clients.
The nursing assistant has just inserted the client’s in-the-ear hearing aid, and it is clear that the client still cannot hear. What should the assistant do?
A) Report to the nurse that the client’s hearing aid is broken, and the client needs a new one.
B) Remove the hearing aid and make sure it is turned on and the volume is turned up high enough.
C)Use a louder tone of voice when speaking with the client.
D) Apologize that the hearing aid is not working and the client will have to do without it.
Report to the nurse that the client’s hearing aid is broken, and the client needs a new one.
What does CVA stand for?
Cerebral vascular accident
The main goal of managed care systems is to:
A) provide holistic care.
B) allow for team health care delivery
C) reduce the cost of health care services
D) provide care for those who are not eligible for Medicare or Medicaid
reduce the cost of health care services
What term is used to ensure that clients will have their health care bill explained to them?
A) A liability
B) An ethical code
C) A responsibility
D) A right
A right
Which would be considered an example of cooperativeness among the nursing assistant staff?
A) “I just saw one of your residents drop their dentures on the floor. You might want to clean them soon.”
B) “I just love sitting in the dining room and visiting with your resident.”
C) “While you were helping a resident to the bathroom, I went ahead and delivered your trays to the rest of your team.”
D) “When I think about your resident that is so lonely, I just want to march in there and tell them to stop being negative. They are making all of us depressed.”
“While you were helping a resident to the bathroom, I went ahead and delivered your trays to the rest of your team.”
During an extremely stressful day at work, the nursing assistant notices a peer is taking a break. The assistant gets angry because the peer didn’t first see if the assistant needed help getting caught up with an assignment. When the peer returns, the assistant confronts the peer in a private room. To help resolve this conflict, which statement should the nursing assistant make?
A) “You only think about yourself, why don’t you ever stop and help the rest of us?”
B) “I noticed that last week you did the same thing. Walking away without bothering to help the rest of us.”
C) “I feel hurt and disappointed when you don’t stop to help me finish my work so I can go on break with you.”
D) “Do you think we can ever be a team when you are playing by different rules?”
“I feel hurt and disappointed when you don’t stop to help me finish my work so I can go on break with you.”
"Staying Alive", "Baby Shark"
Songs to sing to ensure that compressions are being done at the correct rate
It is true that Medicare:
A) is available to those with limited income.
B) reimbursement requires state agency approval.
C) insurance is available to anyone 65 years of age or older.
D) is not designed to provide care for the disabled person.
insurance is available to anyone 65 years of age or older.
. The nursing assistant is moving the resident from the wheelchair to the toilet and the resident falls. What negligent act likely caused the fall?
A) The seat belt was unfastened.
B) The wheelchair was unlocked.
C) The footrests were removed.
D) Nonslip shoes were in place.
The wheelchair was unlocked.
A resident is admitted to the nursing home. Which response by the nursing assistant best articulates professionalism?
A) “Hi Nellie, welcome to Sunny Acres Nursing Home.”
B) “And how are you, you are just a cutie now aren’t you?”
C) “Hello Mrs. Smith, how would you like me to address you?”
D) “Hello sweetie, I am your nursing assistant.”
“Hello Mrs. Smith, how would you like me to address you?”
The nursing assistant (NA) is communicating with a client with a breathing tube that prevents the client from speaking. What is the best action for the NA to take?
A) Provide the client with the picture board with letters to use and point to what the client needs.
B) Ask yes and no questions and go through a list of commonly needed items every 2 hours.
C) Explain that the client can lip words to communicate and that the NA can read their lips.
D) Anticipate needs for the client by toileting, repositioning, and offering oral care every 2 hours.
Provide the client with the picture board with letters to use and point to what the client needs.
30:2
The rate of compressions to breaths in 2 person CPR