Scenarios
You discover a fire in a resident’s room. You have gotten the resident out of harm’s way. What is the next step you should execute?
Which member of the resident’s health care team is responsible for determining socialization and communication skills of residents and then finding the resources to match them?
a) LPN b.) physician c.) chaplain d.) social worker
Which of these is a violation of a resident’s right to privacy?
a.) Two nursing assistants discussing a resident’s medical condition in the lunchroom.
b.) A nurse sharing medical information about a resident with the EMT who is transporting the resident to a hospital.
c.) A charge nurse discussing a resident’s medical condition with a nurse who is getting ready to take over her shift.
d.) A physical therapist, charge nurse, and nursing assistant discussing a resident’s rehabilitation needs with the resident.
a.) Two nursing assistants discussing a resident’s medical condition in the lunchroom.
What is the correct medical term for muscle wasting?
a.) hypoxia
b.) anorexia
c.) atrophy
d.) shrivel
Which of these examples would not be considered neglect?
a.) not staying on the floor once you’ve clocked inb.) forgetting to move an immobile resident enough to keep them from getting bed sores
c.) leaving clutter on the floor where a resident walks
d.) forgetting to provide your resident with enough water in a timely manner
a.) not staying on the floor once you’ve clocked in
You enter a resident’s room and notice he is having difficulty breathing. Your proper response should be to ____.
Which of these is true about the term care plan?
a.) A care plan promises care will be delivered as written.
b.) A nurse can face strict penalties for not following the written care plan.
c.) A care plan is a legal document.
d.) All of these are true.
d.) All of these are true.
You have two residents in your care who belong to your church. Both have been asking you questions about the medical condition of the other. They are both worried and know you care. What is your best response?
a.) Ask to be reassigned to a different area so you will not be around these two residents.
b.) Tell both residents that you would be violating facility policies and violating their own rights by sharing information.
c.) Share the information because you know both of them and they are active in your church.
d.) Tell them you have to wait until your supervisor returns from vacation to ask her permission.
b.) Tell both residents that you would be violating facility policies and violating their own rights by sharing information.
Restorative care can help prevent complications that develop due to immobility, such as constipation, contractures, pressure sores, and ____.
a.) blood clots
b.) low blood pressure
c.) labored breathing
d.) dry skin
a.) blood clots
The charge nurse has administered a prescribed medication to the wrong patient. This is an example of ____.
a.) malpractice
b.) assault
c.) battery
d.) neglect
If you are unable to clean up a large spill on the floor yourself, what is the best alternative, once you have notified someone to help?
a.) Do not let any residents exit their rooms.
b.) Block off the area from traffic.
c.) Ask a resident walking by to help you stop traffic.
d.) Throw towels over the spill until it can be cleaned more completely.
b.) Block off the area from traffic.
A nurse asks you to perform something “stat”. This means do it ____.
a.) as soon as possible
b.) immediately
c.) before your shift endsb.) immediately
The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient ____ times.
a.) dry skin
b.) dementia
c.) incontinence
d.) reduced salivation
Which of these is the legal term for “being responsible for providing care according to an accepted standard”?
a.) legality
b.) aiding and abetting
c.) slander
d.) liability
d.) liability
The nursing assistant walks in on a patient who is having a seizure. Which of these actions should the nursing assistant take first?
a.) Call for the doctor immediately.b.) Restrain the patient so the patient does not harm himself/herself.
c.) Place a padded tongue blade in the patient’s mouth to keep the airway open.
d.) Support the patient’s head and move anything that could injure the patient.
d.) Support the patient’s head and move anything that could injure the patient.
Identify a good food source of Vitamin D.
Sometimes the best response for a nursing assistant is to assure the resident you are listening. List two behaviors that exhibit good listening skills.
-not multitasking while listening
-asking follow-up questions
If you smell smoke and discover a resident smoking in his room, it is best to ____.
a.) call the family contact and ask them to deal with their loved one on this issue
b.) have him stop and remind him of the facility policies because of the hazards it creates to every resident
c.) ignore the first incident but report it if it happens again with the same resident
d.) tell the resident you will allow him to finish his cigarette but you are obligated to report it if it happens again
b.) have him stop and remind him of the facility policies because of the hazards it creates to every resident
A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions?
a.) Offer support and care using a comforting and calming manner.
b.) Ask the resident to lower his voice in courtesy to other residents who are getting upset.
c.) Walk away from the patient in an effort to show you won’t tolerate the behavior.
d.) Report the incident to the supervising nurse.
a.) Offer support and care using a comforting and calming manner.
Part of your role as a nursing assistant is to be delegated tasks throughout your shift. In which of these examples would refusal to do a task be acceptable?
a.) a task that you don’t feel needs to be doneb.) a task that is not normally assigned to your shift
c.) a task that should not be done by a nursing assistantd.) a task that you have already done numerous times throughout your shift
c.) a task that should not be done by a nursing assistant
(such as dressing a wound, changing an IV tube, feeding tube, or catheter, or administering medication)
A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be ____.
a.) reporting it to the physician
b.) calling the relatives and asking them to wait
c.) reporting it to the facility administratord.) reporting it to the nurse
d.) reporting it to the nurse
The following are symptoms of a __________:
chest pain or discomfort
pain or discomfort in your arms, back, jaw, or neck
indigestion or stomach pain
shortness of breath
sweating
nausea
light-headedness
A nursing assistant threatens to slap a resident if he doesn’t stop yelling. This is classified as ____.
a.) batteryb.) libel
c.) assault
d.) slander
c.) assault
Assault is a threat of harm, whereas battery is actual infliction of harm. Libel and slander are verbal assaults against someone’s character.