Cardiac
Decubiti Ulcer and Burns
Keep it Warm, Keep it Cold
PPE and Infection Control
Disease Processes
Disease Process
Terms
Dying
Go With the Flow
All Mixed Up
All Mixed Up
100

This is the location in which you place the bell of the stethoscope on the arm when taking a blood pressure

Over the Brachial Artery located in the anticubital space of the arm 

100

This is the medical term used for ulceration on any bony prominence of the body

Decubiti Ulcer, Bed Sore, Pressure Ulcer

100

The application of ice packs is kept on the skin how long?

20 minutes on.  

100

PPE stands for__________?

Personal Protective Equipment

100

This is a disease in which often affects older persons, in which the pancreas does not release enough insulin, resulting in hyperglycemia. 

Type 2 Diabetes. 

100

This is when a portion of the large bowel is surgically removed, in which the surgeon creates an opening in the abdominal wall, creates a stoma for emptying the bowel 

colostomy

100

Care that helps a person regain strength and health and independence

Rehabilitation

100

Which of the following meets a dying person's physical needs?

 a. providing frequent skin care

b. Listening if the person wants to talk

c. Preventing Rigor Mortis

d. All of the above

a.

100

Urinary Catheters are used to treat urinary incontinence. 

True or False?

False 

100

Your resident has been diagnosed with Pneumonia. The care plan states he will need to be instructed to do deep breathing and coughing exercises.  The N.A. knows these should be done:

A. Every day

B. Every 1-2 hours while awake

C. Every 4 hours

D. Twice a Shift 

B. Every 1-2 hours while awake

100

The resident drank 240 mL of coffee, 4 ounces of milk, and 6 ounces of juice for breakfast. How much fluid in mL's did they drink?

Coffee:          240 mL

Milk:30 X 4ox = 120 mL

Juice:30 x 6oz= 180

Total : 540mL 

200

The Top number of a blood pressure reading reflects the heart at work.   ?/74

Systolic

200

The Nursing Assistant is giving a bath to the resident and notices a red area on the sacrum.  What is the next action for the Nursing Assistant to take?

Reposition patient off of their back

Inform the nurse of the observation, so that she can make an assessment

200

What safety precaution should be used when applying ice to the skin?

Make sure there is a barrier between the ice pack and the skin

Frequent checks to the skin. 

Apply only 20 minutes

200

The best way to prevent the spread of infection is by __________?

Handwashing

200

This is a childhood disease in which the pancreas does not secrete insulin, resulting in the dependency of insulin injections to regulate blood sugars

Type 1 Insulin Dependent Diabetes.

200

This is surgical procedure of rerouting the excretion of urine from the body when the bladder has been removed due to cancer, and ureters rerouted. 

Urostomy

200

The process of restoring the person to his or her optimal level of function

Restorative Nursing

200

As death approaches, the last sense to be lost is:

a. Sight

b. Hearing

c. Smell

D. Taste

B Hearing 

200

The medical term for urine with a bloody tinge would be?

Hematuria

Hema= blood

Uria- urine 

200

Your resident has a difficult time hearing. To better assist him with communication, what should the Nursing Assistant do?

Use simple words and sentences

State the topic of conversation first

Keep conversations short and quick. 

200

Abduction means to bring the body part _______

Away from the body

300

This number of a blood pressure reading reflects the heart at rest

Diastolic

300

This stage of the pressure ulcer is reddened, What is this stage?

Stage 1

300

Mrs. Jones fell, and injured her left pinky finger, causing some swelling.  The nursing assistant first aid would include the application of _____to reduce the pain and swelling. 

Ice pack, constricts the vessels to reduce swelling. 

300

What articles of equipment are used for PPE?

Gloves

Gown

Mask

Goggles

Bonnet

Shoe protectors

300

Mrs. Jones is a diabetic, and taking medication to control her blood sugars.   She has been experiencing nausea, and only eating 75% of her meals.  What action should the Nursing Assistant take?

Tell the nurse immediately. 

300

Mrs. Jones has been observed to have sudden onset of a headache, slurred speech, numbness on one arm, facial droop.  What are could this medical condition indicate>

Stroke

300

This type of therapy in Long term memory loss stresses the importance of acknowledging the person's reality

Validation Therapy

300

Postmortem Care is done:

a. Right before the person dies

b. After the doctor pronounces the person dead

c. After Rigor Mortis sets in

d. if there is time

B. After the doctor pronounces the person dead.

300

Mrs. Green is complaining of pain with urination. What is the medical term for this condition?

Dysuria

300

Signs of early Hypoxia include:

Restlessness, dizzy, and disorientation are early signs

300

Adduction means to bring the body part?

Towards the body

400

This is the medical term describing a blood pressure that is below the normal values. 

hypotension 

400

This stage of the pressure ulcer shows a small blister, crater forming.  

Stage 2

400

When heat is applied to the skin, the blood vessels will________________

Dilate the blood vessels, and increase the circulation to the area. 

400

This is a microbe which normally lives on the skin, but can cause havoc when obtains access to another part of the body where it normally does not live.

opportunistic organism

400

This is a condition in which the person is not getting enough oxygen, and is becoming cyanotic, confused. Their pulse oximeter reading is below 90%

Hypoxia

400

Mrs. Jansen has TIA's, what does that stand for?

Transient Ischemic Attack- temporary decrease blood flow to the brain  lasting a few minutes to hours. 

400

Giving fluids/nutrients through  the GI tract via feeding tube is called

Enteral Nutrition

400

The examination of a person's tissues and organs after death would be a (an) ________________.

Autopsy

400

Painful, burning urination and cloudy urine are all symptoms of what medical condition?

U.T.I

Urinary Tract Infection 

400

Pushing is easier than pulling an object?

True or false

True

400

Mr. Brooks is in kidney and heart failure, and has Dialysis 3 times a week. The doctor has ordered a Sodium Controlled Diet.  The AHA limits the daily sodium intake to no more than how many mgs of sodium per day? 

1500 mg

500

This is the medical term for a blood pressure that is higher than the normal blood pressure values. 

hypertension

500

What stage is a wound which involves the skin, muscle and bone?

Stage 4 or full thickness wound

500

How long would the nursing assistant keep the heating pad on the resident?

20 minutes on. 

500

This bloodborne pathogen is often contracted from using IV drug needles, and is the leading cause of chronic viral hepatitis

Hepatitis C

500

Your resident is complaining of feeling dizzy, short of breath, and a funny sensation in the center of his chest, jaw discomfort. What do these signs and symptoms indicate could possibly be happening to this resident?

Myocardial infarction or heart attack

500

A mental patient has been diagnosed with Schizophrenia. What symptoms would be observed?

The person has a problem with what is real to what is imaginary.

500

When the skin sticks to a surface while muscles slide in the direction the body is moving, damaging underlying blood vessels and skin tissue, is known as ___________?

Shearing 

500

This is the stiffening of the muscles which occurs 2 to 4 hours after death. 

Rigor Mortis

500

The normal color of urine is ?

Clear light yellow 

500

What are the principles of good body mechanics?

Good Body Alignment, Good posture and balance

Wide base of support

Use of muscles in your thighs, hips, shoulders, upper arms

Bend your knees and squat to lift a heavy object

Hold items close to your body and base of support

page 174 text

500

How would the nursing assistant set up a try for a visually impaired resident?

The numbers on a clock are used to help the person locate food

600

This is a pulse that is slow, less than 60 beats per minute

bradycardia

600

This is when the burn to the skin is superficial. 

First Degre Burn

600

This is when the body temperature is below normal

Hypothermia

600

This blood borne pathogen is found in blood, body fluids, needlesticks. There is a 3- step vaccine for this pathogen. 

Hepatitis B

600

Mrs. Jones had a c-section, and post operatively is complaining of shortness of breath.  She could possibly be experiencing symptoms of _________.

Pulmonary emboli

600

Mrs. Jones had a stroke and was admitted to the long term care rehab unit. She is having a difficult time understanding speech.  What type of aphasia is she experiencing? 

Receptive Aphasia

600

The loss of muscle strength and function due to inactivity

Muscle Atrophy

600

A breathing pattern of rapid-low respirations with periods of apnea is know as _______________.

Cheyne-Stokes Respirations

600

The Nursing Assistant is emptying the urinary drainage bag. She is aware that urine is formed in the ___?

A. Bladder

B. Kidneys

C. Bowels

D. Liver

B. Kidneys

600

The side lying position is also know as ______position?

Lateral 

600

A decrease in the amount of water in the body tissues  is known as________________?

Dehydration

700

This is a medical term for a pulse that is above 100 beats per minute

Tachycardia

700

This is when the burned skin develops a blister of fluid.

2nd degree burn

700

What is the medical term for a Body temperature  above normal?

Hyperthermia

700

This is not a blood borne pathogen, but is transmitted through the oral-fecal route. The virus lives in the digestive tract of an infected person, and leaves the body through the feces, fails to wash hands, contaminates food. 

Hepatitis A

700

Mr. Lyle has been smoking for many years, has clubbed shaped fingers, short of breath when walking, a nagging cough, and barrel shaped chest.  What respiratory disease exhibits these symptoms?

Emphysema

700

This person may have difficulty finding the right word when speaking.  

Expressive Aphasia

700

This is a device used to prevent foot drop

Foot Board

700

This Swiss born doctor was famous in her research in the Stages of Grief. She published a book on Death and Dying. 

Dr. Elisabeth Kubler-Ross

700

The Nursing Assistant is performing Foley Catheter Care. She knows to perform _________ before cleaning the catheter.

Perineal Care

700

The resident is on a Q2hr turning schedule.  He is now lying face towards the ceiling. What is the name of this position? 

Supine Position 


REMEMBER: sUPine....the UP in the word will make you remember facing towards the ceiling. 

700

The swelling of body tissues with excessive water is known as ___________________?

Edema

800

This is a medical term for an irregular heart rhythm.

Arrythmia

800

This is the most serious burn to the skin,  involves the deep layer of the muscle and bone. 

3rd degree burn

800

This device provides a dry heat application,water is heated in the unit. The heated water passes through tubes into the network of tubes in the heating pad. 

Aquamatic pad

800

This is a condition in which the person has complaints of liver pain, swollen abdomen, nausea, vomiting, and jaundice of the eyes. 

Hepatitis

800

Mr. Jones is has been experiencing episodes of falling, dizzy, and nausea, ringing in his ears. What medical condition could he possibly be experiencing?

Meniere's Disease

800

This is the 4 A's of Dementia

Amnesia

Aphasia

Agnosia

Apraxia

800

A traveling blood clot through the vascular system- blood clot breaks in vessel breaks off and moves from one place to another.

Embolus

800

This is mental anguish associated with loss.

Grief

800

Mrs. Elliott has a foley catheter. How often is perineal care performed? 

A. Bedtime

B. Daily 

C. As directed by the care plan

D. When the drainage bag is emptied

C. As Directed by the care plan 

800

In the normal aging process, the skin loses elasticity, and oil producing glands diminish production.   As a result, the elderly have dry skin. What measures are taken to alleviate this issue?

Baths or shower every other day.

Lotions applied to skin

Use of non irritating soaps, rinse off skin after washing. 

Increase oral fluids

800

NPO stands for ?

Nothing by Mouth 

900

In this scenario, the Nursing Assistant is taking vital signs, and discovers the blood pressure to be 80/60.

The Nursing Assistant would take what action?

Notify the nurse immediately. 

900

This is the action the nursing assistant should take when the resident burns their hand when grabbing for their coffee.  The skin is now red. 

Place their hand under cool water. 

900

This is an example of a dry cold application

ice bag

900

This condition is the yellowing of the sclera ( white area) of the eyes and skin 

Jaundice

900

This is a condition in which ear wax builds up in the external ear canal

Cerumen Impaction

900

This mental condition occurs in which the person has highs and low swings

Bipolar

900

Ringing in the ears, hearing loss, vertigo, and tinnitus are all symptoms describing what disorder of the ear?

Meniere's Disease

900

In this stage of grief, the person wants to "make a deal' with someone he feels has control over his fate, such as God, or a health care provider. What is this stage of grief?

Bargaining

900

Mr. Cally has been taken to the bathroom to void. What would be the next step the NA would assist with the patient? 

Hand washing

900

The resident must give permission for a student to observe a treatment?

True or False 

True, the resident has the right to decline care by a student, or them witness procedures performed. 

900

Afebrile means

No fever

1000

The Nursing Assistant is having difficulty hearing the resident's blood pressure.  She has attempted to try to take the pressure on both arms. What action is next for the Nursing Assistant?

Tell the nurse immediately.

1000

A nursing intervention used to prevent the development of pressure ulcers

Turn and reposition every 2 hours

Good Skin Care 

Good Nutrition

Wrinkle Free bed linens


1000

These factors increase the risk of injury from the application of heat or cold

Fair SKin

Impaired sensation

Impaired consciousness

1000

This vaccine is mandated by OSHA to provide to health care workers to prevent a certain blood borne pathogen

Hepatitis B Vaccine

1000

This is an age related hearing loss, usually sensorineural. 

Presbycusis

1000

Mrs. Thomas has been prescribed Thyroxine for her hypothyroidism.  What symptoms would she have with this condition?

Dry Skin

Intolerance to cold

fatigue, weakness, 

depression

anorexia/weight gain

constipation

1000

When a person imagines what is would be like in another person's situation

Empathy

1000

This stage of grief is when the person refuses to accept the diagnosis or feels that a mistake has been made. What is this stage of grief?

Denial 

1000

Urine leaks during exercise, sneezing, coughing, and a sudden urge to void is known as _________________?

Stress Incontinence

1000

The Nursing Assistant is looking up her neighbor's medical records using the electronic medical records on the computer. She is not caring for this person. The Supervisor witnessed the NA viewing the medical records. Can she be terminated and charges brought against her for this action?

Yes, wrongful use of electronic records is punishable by law according to HIPAA regs. 

1000

When collecting a specimen, the Nursing Assistant is responsible to _____________________?

Make sure the container is labeled correctly with the resident's name, date of birth.

1100

When cleansing a glass thermometer, the NA would use

A. Warm Water

B. Cold Water

C. Hot Water

B Cold Water

1100

The elderly are at increased risk of skin injuries; bruising, skin tears, pressure ulcers. 

True or False?

True

1100

The nursing assistant needs to disinfect her hands after caring for the resident. What is method of disinfecting hands between patients is acceptable? 

Alcohol Based Hand Sanitizer. 

1100

The resident has been diagnosed with ALS. The Nursing assistant knows this disease affects the function of the voluntary muscles. The person's senses remain intact, but their speech is affected.  The resident needs to use bathroom.  What is the best action of the Nursing Assistant?

A. Offer the use of a bedside commode

B. Offer the use of a bedpan

C. Offer to walk the resident to the restroom. 

B. Offer the resident the bedpan.

The resident has lost the ability to walk, voluntary muscles. 

1100

Mrs. Cole has been diagnosed with Gestational Diabetes.  When does this medical condition develop? 

During Pregnancy 

1100

The medical term for someone who has lost their hair is known as ________________?

Alopecia

1100

Do the families of a dying person go through the grief process? 

True or false

True

They can experience the same grieving process stages as the dying person. 

1100

Mrs. Smith had a sudden urge to void, and could not get to the toilet in time.  This condition is known as

______________.

Urge Incontinence

1100

Stress affect your general health and well being?

True or false 

True 

1100

A vest restraint criss- crosses

A. In the back

B. In the Front

In the front. The V neck is in the front

1200

Breathing air in (inhalation) and Breathing air out ( Exhalation) of the lungs is known as _______________.

Respirations

1200

Mrs. Green has shaky hands, dropping  a glass full of milk on the floor. Glass is scattered all over. What is the best action for the  Nursing Assistant to take?

Use a brush and dustpan to clean up the spill to keep from cutting hands 

1200

The Nursing Assistant's hands became covered in body fluids while taking the trash bag to the dirty utility room. What is the best method to disinfect her hands? 

Handwashing with soap and water. Alcohol hand sanitizer is not recommended when hands are soiled with any body fluids.

1200

Mrs. Irons fell on the ice, and fractured her wrist, and is in a full arm cast.   She was admitted to the rehab center. On admission, the Nursing Assistant notices her fingers are swollen, pale, and numb. What would be the best action of the Nursing Assistant?

A. Apply Ice

B. Apply heat

C. Take off the cast?

D. Tell the Nurse

D. Tell the Nurse 

1200

Mr. Smale is having difficulty with breathing due to his Congestive Heart Failure.  What position would help to improve his breathing?

Semi Fowler's

1200

The rubbing of one surface against another is know as _________?

Friction

1200

Care that involves relieving or reducing the intensity of uncomfortable symptoms with producing a cure is known as ________________?

A. Terminal Care

B. Palliative Care

C. End of Life Care

D. Advanced Directive 

B. Palliative Care

1200

Mrs. Kelly has bladder control.  The call light was not within reach, and she was unable to get to the toilet in time. 

This type of incontinence is ____________?

Functional Incontinence


1200

The resident seems sad and depressed. As the Nursing Assistant collects the morning tray, she hears the resident say he wants to end his life. What action should the N.A. do next?

Stay with the patient, and call for the Nurse. 

1200

A jacket restraint is applied

A. With the opening in the front

B With the opening in the back 

B Opening in back. 

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