Admissions & Transfers
What is the correct place to put the call light when leaving a resident's room?
Within reach of the resident's strongest hand
Which pulse site is most commonly used to measure pulse rate
Radial pulse.
Which urine specimen type excludes the first and last urine of the collection period?
24-hours
Oxygen is considered?
Flammable
How should linens be rolled when removing them from a bed to reduce contamination?
Rolled with the dirty side in (to contain soiled surfaces).
Name Two things an NA should do during a resident's admission to help orientation and comfort
Ex.) Introduce resident to staff/neighbors, show location of bathroom and call light, place personal items where resident prefers, explain facility routines
What is the normal adult respiration range?
12 to 20 breaths per minute.
What is a clean-catch (midstream) specimen and when is it used
A midstream urine sample collected after cleansing the genital area to reduce contamination; used to diagnose urinary tract infections.
Which type of urinary catheter remains in place for a period of time?
Indwelling catheter
What is one correct way to document a blood pressure reading? Provide an example
mmHg while use the format systolic/diastolic with a slash, e.g., 120/75.
During an in-house transfer, what must the NA do with the resident's belongings and who should be informed?
Pack/Transport belongings with the resident, label items, document transfer, notify receiving unit/staff and the nurse/physician as required
State the normal adult pulse rate range in beats per minute.
60 to 100 beats per minute
Describe proper collection steps for a routine urine specimen and one key infection-control precaution.
Verify order, label container, perform hand hygiene and wear gloves, clean perineal area, collect sample without touching interior of container, seal and send promptly. Precaution: avoid contaminating the sample.
What is an NA allowed to do regarding IV therapy and catheters—observe, report, insert, or remove?
Nursing assistants observe and report problems related to IVs and catheters; they do not insert or remove IV lines or catheters unless specifically trained and authorized by facility policy and state regulation.
Give two examples of restraint alternatives and explain why alternatives are preferred.
Examples: provide meaningful activity or repetitive tasks; frequent checks and reorientation; keep items in reach. Alternatives are preferred because they reduce harm and preserve dignity
Describe one ethical/legal reason why resident would be transferred to another unit or faclilty, and who must authorize it
Resident needs a higher level of medical care (e.g., acute condition) necessitating transfer; transfers must be authorized by the physician and documented by facility administration.
Which temperature site is considered the most accurate and why ?
Rectal site — it reflects core temperature and is less affected by breathing or recent oral intake.
How is a 24-hour urine collection different from a routine specimen? List one crucial instruction given to the resident
24-hour collection requires saving all urine for 24 hours (often discarding the first void at start then collecting all subsequent voids including final one); crucial instruction: note start time and refrigerate container or keep on ice as directed.
Name two things to observe and report about an IV site or urinary catheter site.
Redness, swelling, drainage, pain, leaking, disconnection, or decreased flow. Report any of these promptly
List two serious complications that can result from restraint use and one monitoring step to reduce risk.
Complications: pressure injuries, impaired circulation, respiratory compromise, psychological distress. Monitoring step: frequent checks and skin assessments; document and reposition often.
List four pieces of information that should be documented at admission and explain why each is important for continuity of care.
resident name/ID (for safety), allergies (prevent harm), current medications (prevent interactions), advance directives (honor wishes). Each supports safe, legal, and continuous care.
Explain three reasons why you should count respirations immediately after taking the pulse.
1) People may alter breathing if they know they are being observed.
2) Fingers remain on wrist so counting is discreet.
3) Immediate counting reduces measurement error and increases accuracy.
Describe three ways to prevent contamination when collecting stool and urine specimens and explain why contamination matters for test results.
1) Perform hand hygiene and wear gloves.
2) Clean the perineal area before collection.
3) Use sterile containers and avoid touching interiors. Contamination can cause false positives/negatives and lead to incorrect treatment
Explain why the drainage bag must be kept below bladder level and at least one consequence if this is neglected.
Keeping the drainage bag below bladder level prevents backflow of urine into the bladder; if neglected, reflux may occur and increase risk of urinary tract infection.
What is the critical step in making an occupied bed
Raise the side rail opposite the working side of the bed; lock wheels, explain steps, use proper body mechanics and maintain resident safety while turning and changing linens