Modules A & B
Modules C & D
Modules E & F
Modules L & M
Miscellaneous
100
What are ADL's? Give examples.
Activities of Daily Living
hygiene, grooming, dressing, eating, toileting, and transferring
100
How can we prevent falls from occurring?
Keep environment free from clutter
Report unsafe conditions immediately
Make sure call signal is within reach at all times
Wipe up spilled liquids immediately
If a resident falls DO NOT move them, call the nurse
100
True or False?
Residents have the same legal rights as all citizens, plus legally protected resident's rights: OBRA has written how a resident must be treated while living in a long-term care facility. It provides a code of ethics for health care providers which are posted.
True
100
What signs and symptoms should be reported to the nurse right away?
a. routine care given
b. family visits
c. anything abnormal
d. time resident got up
c. anything abnormal
100
What time is it?
200
Who is a Nurse Aide I in the state of North Carolina?
a valued, unlicensed, and uncertified member of the health care team, responsible for providing delegated nursing tasks within a defined range of function, for residents, in a variety of settings and who is listed on the N.C. Nurse Aide I Registry.
200
What position should a resident be in when you feed them?
75 - 90 degrees upright
200
Signs and symptoms of elderly neglect include which of the following?
a. Dehydration
b. Children playing in the resident's room
c. Pressure ulcers
d. Poor personal hygiene
e. Adequate clothing
f. Resident's report of neglect
g. Out of style clothing
h. An unanswered signal device
a. Dehydration
c. Pressure ulcers
d. Poor personal hygiene
f. Resident's report of neglect
h. An unanswered signal device
200
What are the two types of Data?
Objective: what I see (observations using the senses)
Subjective: what they say (info & symptoms told to nurse)
200
What is considered to be Hypertension for Systolic BP and Diastolic BP?
Systolic: more than or equal to 140 mm/Hg
Diastolic: more than or equal to 90 mm/Hg
300
In order to remain listed, the Nurse Aide I must work at least _____ hours, supervised by a RN, every _____ months.
8 hours
24 months
300
What are the two important acronyms in the event of a fire?
RACE and PASS
__________________________________________
Remove residents from Danger
Activate Alarm
Contain the fire by closing all doors and windows
Extinguish the fire, or the fire department will do
__________________________________________
Pull the pin
Aim at the base of the fire when spraying
Squeeze the handle
Sweep back and forth at the base, stand 3 -6 feet away
300
Which of the following are invasions of privacy?
a. Gossiping about residents at lunch
b. Giving report at the end of the shift
c. Talking about a resident once off site to close friends
d. Taking the report sheet home with you
e. Forcing the resident to attend activities
a. Gossiping about residents at lunch
c. Talking about a resident once off site to close friends
d. Taking the report sheet home with you
e. Forcing the resident to attend activities
300
Which observations should be reported to nurse IMMEDIATELY?
Change in residents ability to respond
Change in resident’s mobility
Complains of sudden pain, change in vision, difficulty breathing
Vomiting
Bleeding
Abnormal vital signs
300
What are the types of Infections?
1. Localized: found in one part of the body w/ symptoms in that area
ex/ Infected finger: red, swollen, painful
2. Systematic: affects entire body
ex/ Respiratory infection (fever, chills, coughing, sneezing, mucous)
Urinary tract: bladder, kidney
Skin infection: infected wounds
Respiratory: pneumonia
Gastrointestinal: stomach, intestinal
400
The flu is contagious _____ day(s) before showing flu symptoms and then _____ to _____ days after becoming sick.
1 day
5 days
7 days
400
Which of the following are barriers to communication?
a. Noisy room
b. Looking at the ground when speaking to a patient
c. Speaking quickly
d. Words with several meanings
e. Medical condition of the patient
f. Patience
g. Changing the subject frequently
h. Offering your opinion
i. Showing your respect for their culture and religion
j. Using medical terms and phrases
a. Noisy room
b. Looking at the ground when speaking to a patient
c. Speaking quickly
d. Words with several meanings
e. Medical condition of the patient
g. Changing the subject frequently
h. Offering your opinion
j. Using medical terms and phrases
400
A NA can demonstrate respect of a resident's personal belongings by:
a. changing the radio or television station without the resident's permission
b. telling the resident that she needs to send some of her pictures home
c. encourage the resident to choose her own furniture arrangement
d. leaving a resident's door wide open during a procedure so that all the residents can be monitored at the same time
c. encourage the resident to choose her own furniture arrangement
400
What are the 5 steps of the Nursing Process and what are they?
Assessment: collecting information about a resident
Nursing Diagnosis: a health problem that nurses can treat using nursing measures
Planning: setting of resident goals that are prioritized
Implementation: nursing measure carried out during resident care
Evaluation: deciding if nursing measures worked or were effective and whether goal is met
400
Name the laws, acts, and state boards.
OBRA (Omnibus Budget Reconciliation Act)
- Federal law, enacted by Congress, in 1987
- Designed to improve quality of life of residents living in a nursing home environment
- Defines requirements for nurse aid training and competency evaluation
North Carolina Board of Nursing Administrative Code
- Defines range of function for Nurse Aides in NC
North Carolina Board of Nursing
- Provides list of tasks that fall within the range of function for NA’s in NC
North Carolina Health Care Personnel Registry Section
- Section of the State of NC that provides services for unlicensed health care workers, their employers, and their instructors
500
What is the Chain of Infection? List all of the links, examples, and preventions.
How infection is passed around from one host to another host by using a picture of a chain
Link 1: Infectious Agent
ex/bacteria, fungi, parasite, virus
Prevention: Get an immunization against the flu
Link 2: Reservoir
ex/person, animal, dirt, water
Prevention: staying home from work
Link 3: Portal of Exit
ex/Nose through sneezing, GI Tract through vomiting, Coughing, Wound that is draining
Prevention: covering your mouth & nose when sneezing
Link 4: Mode of Transmission
ex/ Direct & Indirect contact, unwashed hands, sneeze droplets, vomit, blood, money, dirty needles
Prevention: washing your hands
Link 5: Portal of Entry
ex/nose through breathing, mouth through eating, skin puncture/tear
Prevention: covering an open sore with a bandage
Link 6: Susceptible Host
ex/someone of old age, poor nutrition, stress, chronic illness, open cuts/wounds, not having proper vaccination
Prevention: eating a proper diet
500
What are the four elements of communication?
_____ to be delivered, _____ of the message, _____ of message, _____ about the message.
message
sender
receiver
feedback
500
How can a nurse aide demonstrate respectful behaviors toward a resident's private space and property?
By not changing the radio or television station w/o the resident's permission
By knocking on doors and requesting permission to enter
By closing doors as requested by resident
By not moving or inspecting resident's personal possessions without permission
500
What are the guidelines for electronic charting?
Document immediately
Don’t share your password
Log off when done
500
Translate the following. (Abbreviations and prefixes are italicized)
Spec. obtained in ED and sent to lab to r/o UTI. Some LLQ abd discomfort reported. No c/o N/V or D. Last BM today. Scar on LUQ from previous reversal of colostomy. LLE red, warm, and swollen. US done in ED to r/o DVT. Results WNL. Some mild RUE hemiplegia. No dysphasia.
Specimen obtained in Emergency Department and sent to laboratory to rule out Urinary Tract Infection. Some Lower left abdomen quadrant discomfort reported. No complains of nausea, vomiting, or diarrhea. Last bowel movement today. Scar on Left upper quadrant from previous reversal of colostomy (opening into colon). Left lower extremity red, warm, and swollen. Ultrasound done in emergency department to rule out deep vain thrombosis. Results within normal limits. Some mild right upper extremity paralysis of one side of the body. No trouble swallowing.