Normal vs Abnormal
The nursing assistant knows that urine is normally:
Clear, pale yellow urine indicates a well-hydrated patient
Another term that is similar to the word convulsion is:
A: Tremors
B: Seizure
C: Fever
D: Hypertension
B: Seizure
Convulsions are also sometimes known as seizures.
You are caring for a 81 year old female patient with right-sided weakness. During a bath, what is the three most important things for the resident?
A: safety, security, and privacy
B: safety, warmth, and cleanliness
C: comfort, rest, and security
D: privacy, rest, and warmth
A: Safety, security, and privacy
Safety, security, and privacy are most important to the resident during a bed bath.
The abbreviation Rx indicates:
A: A type of wound.
B: A treatment.
C: An acute illness.
D: A disease.
B: A treatment.
The abbreviation Rx stands for ‘treatment’ or ‘prescription.’
A patient who is 81 years old suffered a CVA. Prior to the CVA, the patient was able to ambulate. The patient is now immobile and may experience which of the following feelings?
A: Confusion
B: Laziness]
C: Happiness
D: Sadness
D: Sadness
This patient may feel sad due to the limitation of their illness.
A typical blood pressure around the upper arm should NOT be taken when the patient:
A: complains that “this is the fifth time today.”
B: has IV catheters in both the left and right arms.
C: has heart failure.
D: has had lymph nodes removed around the axilla of the left arm.
B: has IV catheters in both the left and right arms.
If the patient has IV catheters in both arms, a blood pressure cuff will impede their intravenous flow.
Diabetes is a disease of which primary body system?
A: Respiratory
B: Musculoskeletal
C: Endocrine
D: Cardiac
C: Endocrine
Diabetes is a disease process that occurs due to a disease of the endocrine system and subsequently affects all other systems.
As a part of your job, you are required to complete range of motion exercises for your patients. Which patient would benefit the most from those exercises?
A: a patient with a pulled leg muscle
B: A patient with hypertension
C: A patient with hemiplegia
D: A patient with depression
C: A patient with hemiplegia
The patient with hemiplegia should participate in range-of-motion exercises in order to maintain joint function and avoid blood clots. Hemiplegia is a form of paralysis that affects one side of the body, often just one arm and one leg, but at times extending partially to the torso.
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:
A: Breathing comfortably only when sitting.
B: Restlessness, dizziness, and disorientation.
C: Cyanosis and increased pulse rate.
D: Increased temperature and decreased respiratory rate.
B: Restlessness, dizziness, and disorientation.
Hypoxia means that the cells do not have enough oxygen. It is a life-threatening condition. The brain is very sensitive to inadequate oxygen. Restlessness is an early sign, as are dizziness and disorientation. Hypoxia will have increased respiratory rate, increased pulse rate, but not increased temperature. Cyanosis, or bluish discoloration of the skin, is a late sign of hypoxia.
You are assigned to care for a set of patients. During report, you find out that you have a patient with measles, one with MRSA, one with tuberculosis, and one with chickenpox. Which of the following diseases does NOT require airborne precautions?
A: Measles
B: MRSA
C: Tuberculosis
D: Chicken pox
B. MRSA
MRSA is a disease transmitted by skin-to-skin contact. It does not require airborne or droplet precautions.
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is:
A: Between 105°F and 120°F
B: Between 95°F and 110°F
C: Between 80°F and 93°F
D: Between 65°F and 80°F
B: Between 95°F and 110°F
The ideal temperature of the water for a hot Sitz bath is between 95°F and 110°F. Water that is too hot will burn the client, and water that is too cold will cause the muscles to tighten up rather than relax. A hot Sitz bath will provide relaxation and relieve muscle spasms, soften exudates, hasten the suppuration process, hasten healing (in cases of perianal surgeries), reduce congestion, and provide comfort in the perineal area.
The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?
A: IV drug use
B: Dirty toilet seat
C: Dirty eating utensil
D: Going barefoot
A: IV drug use
Hepatitis C is transmitted through blood or body fluids. IV drug use is one of the many ways that it is possible to contract the hepatitis C virus.
When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:
A: Assist the resident to put on a robe and nonskid slippers
B: Encourage the resident to pivot themselves with minimal assistance
C: Place the chair on the resident strong side
D: Place the bed in the lowest position and lock the wheels
B: Encourage the resident to pivot themselves with minimal assistance
Residents should be fully assisted and supervised when turning in order to prevent falls.
A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means?
A: Client is confused
B: Client is unable to void
C: Client is able to understand and process language
D: Client is unable to speak
D: Client is unable to speak
The term “aphasia” means that the client is unable to speak, or may have difficulty finding words at times.
This patient is no longer just depressed; they are suicidal. Having a plan puts them at increased risk, and they need to be reported to the nurse for their own safety.
The nursing assistant takes the blood pressure of a patient know for "running low". To her surprise, the reading is 155/85. Which of the following factors might be directly responsible?
A: The patient denies skipping any meds
B: The patient is stressed
C: The blood pressure cuff is too tight
D: The patient is lying in bed
C: The blood pressure cuff is too tight
The blood pressure cuff size is a direct influence on the reading. The blood pressure will read higher with a tight cuff and lower with a cuff that is too large.
The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?
A: Emesis.
B: Refusal to eat dessert.
C: A cough.
D: A bowel movement.
A: Emesis.
Emesis (vomiting) in the diabetic client can indicate a potential for blood sugar imbalance. This should be reported to the nurse for further assessment.
A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up. The nursing assistant knows to suggest which of the following?
A: Drink plenty of fluids.
B: Turn and cough every hour.
C: Go outside and breathe the fresh air.
D: Cough harder.
A: Drink plenty of fluids.
Drinking fluids will help to lubricate the secretions so that the patient can cough them up easier.
The nursing assistant overhears the nurse say to the patient that he has a “bulging tympanic membrane.” What does this most likely mean?
A: The patient is in pain.
B: The patient has a viral illness.
C: The patient has an ear infection.
D: The patient should clean his ears more frequently.
C: The patient has an ear infection.
The tympanic membrane is more commonly known as the eardrum. A bulging, tympanic membrane typically indicates an ear infection, not necessarily a viral illness.
A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation?
A: “The patient tripped over bedsheets because housekeeping left them on the floor all day.”
B: “The patient slipped and slid down the side of the bed to the floor, landing on their sacrum.”
C: “The patient fell because they ignored me when I told them to stay in bed.”
D: “The patient fell because the nurse forgot to lock the wheels of the bed again.”
B: “The patient slipped and slid down the side of the bed to the floor, landing on their sacrum.”
This statement is the only correct documentation because it reflects events as they happened and does not assign blame.
You are caring for Ms. Smith who was admitted with COPD. Vital signs are included in your duties for this patient. You take her vitals and receive these results: T 98.9, R 72, R 32, and BP 102/75. Which observation should be reported immediately?
A: T 98.9
B: P 72
C: R 32
D: BP 102/75
C: R 32
The number of respirations is too fast to be considered normal and could be considered a respiratory problem.
A 52-year-old homeless man has just been admitted to the ER with a core body temperature of 90.2 degrees F. The doctor diagnoses the man with hypothermia. The nursing assistant knows that the organ most under stress from the low body temperature is the:
A: lungs.
B: liver.
C: heart.
D: ears.
C: heart.
The heart may fail or go into an arrhythmia from the drop in body temperature.
What is the difference between SIMS position and Left Lateral position?
SIMS- A position in which a person is lying on his left side with the upper knee flexed and raised toward the chest, with the lower arm behind the back
Left Lateral- A position in which a person is lying on his left side, a pillow can support the arm and leg but both are on the left side
What is the difference between hypoglycemia and hyperglycemia?
Hypoglycemia- a complication of diabetes that can result from either too much insulin or too little food; also know as low blood sugar
Hyperglycemia- a complication of diabetes that can result from either the pancreas not producing enough insulin or not enough insulin being given by the nurse/or patient; also known as high blood sugar
When the nursing assistant brings the client his tray for lunch, the client repeats questions twice before remembering the answer. The nursing assistant knows that the client had a fall two days ago. Which of the following actions is correct?
A: Assess the client’s head for bruising.
B: Take the client’s temperature.
C: Report it to the nurse immediately.
D: Assume the client is forgetful.
C: Report it to the nurse immediately.
Memory loss after a fall can indicate a concussion. Report it to the nurse immediately.