Category 1
Which fluids should be included in the measurement of a patient's intake? 8 oz. of milk; 250 mL of intravenous fluid; 6 oz. of Jell-O; all of the above
All of the above
A STNA is caring for a patient who is becoming agitated. How should she speak to the patient?
In an assertive and confident manner; Not at all; She should not acknowledge the inappropriate behavior and carry on as normal; Calmly and clearly, while attempting to determine why patient is agitated
Calmly and clearly, while attempting to determine why patient is agitated
What is the first thing a STNA should do when measuring a patient's height and weight?
Wash her hands
When caring for a Jewish patient who observes the Kosher laws, the STNA notices his dinner plate has a dish with pork on it. What should the STNA do?
Call the dining/food department to order a new tray, AND explain the delay to the patient
Which of the following is an example of subjective data?
Patient has pulse rate of 88 bpm; Patient states she has pain level of 8; STNA notes the patient has flushed cheeks; STNA notes patient has cloudy urine
Patient states she has pain level of 8
What needs are found on the bottom level of Maslow's pyramid?
Physiological
While completing her documentation, a STNA notices she made a mistake while writing in a patient's blood pressure. How should she correct the notation?
Draw a single line through the incorrect notation, and write "error," along with her initials. The correct number should be written next to it.
A STNA needs to speak with a patient about the quality and amount of stool he passed that day. How can the STNA help the patient feel more comfortable about disclosing the needed information?
Ask the patient in the privacy of his room in a quiet tone
A patient with which of the following conditions is MOST at risk for dehydration?
Diarrhea; Liver disease; Heart disease; Pneumonia
Diarrhea
Unless otherwise ordered, how often should a STNA record the vital signs of a patient who is actively dying? The patient has a signed DNR order in place.
Every 5 minutes; Every 15 minutes; Every hour; Never
Never
When caring for a patient with diarrhea, which of the following should be recorded in the patient's chart?
Odor of the stool; Types and amounts of fluids patient is drinking; Number of stools; All of the above
All of the above
A STNA is stocking shelves outside a patient's room when the call bell rings. The STNA is not responsible for the patient's care that day. How should the STNA respond?
Checking on the patient right away to see what she needs
How often should a patient who is lying on an egg crate or an inflatable mattress be turned?
Every 2 hours
What are the 5 stages of grief, in order:
Denial, anger, bargaining, depression, acceptance
Which of the following is NOT an intervention a STNA can use to manage edema?
Elevate affected extremity; Use ice or cold pack to reduce swelling; Massage the affected extremity using lotion; Encourage activity or use range of motion exercises
Use ice or cold pack to reduce swelling
A patient has run the call bell for the 6th time during the first two hours of a STNA's shift. How should she respond?
Ignore the bell; Remove the bell from the patient's reach; Call the nurse manager; Reassure the patient she will be checked on frequently
Reassure the patient she will be checked on frequently
A STNA is caring for a patient with Sundowner's syndrome. Which of the following symptoms should he be especially aware of?
Worsening confusion at night; Risk for falls; Aggression; Difficulty swallowing
Worsening confusion at night
A patient's family asks how he is doing after his scheduled MRI. How should the STNA rspond?
He had an MRI today?;
His MRI results are back and everything is normal;
He seems to be in good spirits. Let me see f he's ready to visit with you and I'll find his nurse to talk to you about the results.
Good--he's should be ready to go home soon
He seems to be in good spirits. Let me see f he's ready to visit with you and I'll find his nurse to talk to you about the results.
A patient with a shuffling gait, difficulty swallowing and speaking, and short-term memory loss MOST likely has:
Alzheimer's disease; Dementia; Sundowner's syndrome; Parkinson's disease
Parkinson's disease
A patient states that she is depressed. Which of the following responses by the STNA involves the use of reflection?
I'm sorry that you're feeling depressed; Why are you feeling depressed? Your recovery is moving along well; Do you want to speak to someone about this?; You feel depressed?
You feel depressed?
While caring for a Buddhist patient, he mentions an upcoming fast day when he can only eat at predetermined times during the day. What is an appropriate response?
Speak with him to determine what his needs will be that day and coordinate with the dining and food team
A STNA has been assigned to care for a ventilated patient, which she has never done before. How should she handle the situation?
Notify the nurse manager that she is not sure how to care for the patient, and request additional instructions or training materials
What is one technique a STNA can use to help a patient with aphasia?
Providing a time limit for the patient to respond; Speaking for the patient; Using a picture or letter board; Giving the patient a pen
Using a picture or letter board
An STNA has to ask a sensitive question to a patient who doesn't speak English. How should she ask the question?
Use patient's family to translate; Call hospital's official translation service; Gesturing to the patient in the hope she will understand; Look up relevant words on the Internet before speaking with patient
Call hospital's official translation service
Hospice care is appropriate for patients who:
Are expected to live less than 3 months;
Are expected to live less than 6 months;
Are actively dying;
Have been diagnosed with a terminal disease, regardless of their clinical condition
Are expected to live less than 6 months;