Cardiac
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
This is the medical term used for ulceration on any bony prominence of the body
Decubiti Ulcer, Bed Sore, Pressure Ulcer
The application of ice packs is kept on the skin how long?
20 minutes on.
PPE stands for__________?
Personal Protective Equipment
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.
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
Care that helps a person regain strength and health and independence
Rehabilitation
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.
Urinary Catheters are used to treat urinary incontinence.
True or False?
False
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
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
The Top number of a blood pressure reading reflects the heart at work. ?/74
Systolic
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
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
The best way to prevent the spread of infection is by __________?
Handwashing
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.
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
The process of restoring the person to his or her optimal level of function
Restorative Nursing
As death approaches, the last sense to be lost is:
a. Sight
b. Hearing
c. Smell
D. Taste
B Hearing
The medical term for urine with a bloody tinge would be?
Hematuria
Hema= blood
Uria- urine
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.
Abduction means to bring the body part _______
Away from the body
This number of a blood pressure reading reflects the heart at rest
Diastolic
This stage of the pressure ulcer is reddened, What is this stage?
Stage 1
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.
What articles of equipment are used for PPE?
Gloves
Gown
Mask
Goggles
Bonnet
Shoe protectors
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.
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
This type of therapy in Long term memory loss stresses the importance of acknowledging the person's reality
Validation Therapy
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.
Mrs. Green is complaining of pain with urination. What is the medical term for this condition?
Dysuria
Signs of early Hypoxia include:
Restlessness, dizzy, and disorientation are early signs
Adduction means to bring the body part?
Towards the body
This is the medical term describing a blood pressure that is below the normal values.
hypotension
This stage of the pressure ulcer shows a small blister, crater forming.
Stage 2
When heat is applied to the skin, the blood vessels will________________
Dilate the blood vessels, and increase the circulation to the area.
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
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
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.
Giving fluids/nutrients through the GI tract via feeding tube is called
Enteral Nutrition
The examination of a person's tissues and organs after death would be a (an) ________________.
Autopsy
Painful, burning urination and cloudy urine are all symptoms of what medical condition?
U.T.I
Urinary Tract Infection
Pushing is easier than pulling an object?
True or false
True
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
This is the medical term for a blood pressure that is higher than the normal blood pressure values.
hypertension
What stage is a wound which involves the skin, muscle and bone?
Stage 4 or full thickness wound
How long would the nursing assistant keep the heating pad on the resident?
20 minutes on.
This bloodborne pathogen is often contracted from using IV drug needles, and is the leading cause of chronic viral hepatitis
Hepatitis C
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
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.
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
This is the stiffening of the muscles which occurs 2 to 4 hours after death.
Rigor Mortis
The normal color of urine is ?
Clear light yellow
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
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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
This is a pulse that is slow, less than 60 beats per minute
bradycardia
This is when the burn to the skin is superficial.
First Degre Burn
This is when the body temperature is below normal
Hypothermia
This blood borne pathogen is found in blood, body fluids, needlesticks. There is a 3- step vaccine for this pathogen.
Hepatitis B
Mrs. Jones had a c-section, and post operatively is complaining of shortness of breath. She could possibly be experiencing symptoms of _________.
Pulmonary emboli
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
The loss of muscle strength and function due to inactivity
Muscle Atrophy
A breathing pattern of rapid-low respirations with periods of apnea is know as _______________.
Cheyne-Stokes Respirations
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
The side lying position is also know as ______position?
Lateral
A decrease in the amount of water in the body tissues is known as________________?
Dehydration
This is a medical term for a pulse that is above 100 beats per minute
Tachycardia
This is when the burned skin develops a blister of fluid.
2nd degree burn
What is the medical term for a Body temperature above normal?
Hyperthermia
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
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
This person may have difficulty finding the right word when speaking.
Expressive Aphasia
This is a device used to prevent foot drop
Foot Board
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
The Nursing Assistant is performing Foley Catheter Care. She knows to perform _________ before cleaning the catheter.
Perineal Care
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.
The swelling of body tissues with excessive water is known as ___________________?
Edema
This is a medical term for an irregular heart rhythm.
Arrythmia
This is the most serious burn to the skin, involves the deep layer of the muscle and bone.
3rd degree burn
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
This is a condition in which the person has complaints of liver pain, swollen abdomen, nausea, vomiting, and jaundice of the eyes.
Hepatitis
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
This is the 4 A's of Dementia
Amnesia
Aphasia
Agnosia
Apraxia
A traveling blood clot through the vascular system- blood clot breaks in vessel breaks off and moves from one place to another.
Embolus
This is mental anguish associated with loss.
Grief
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
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
NPO stands for ?
Nothing by Mouth
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.
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.
This is an example of a dry cold application
ice bag
This condition is the yellowing of the sclera ( white area) of the eyes and skin
Jaundice
This is a condition in which ear wax builds up in the external ear canal
Cerumen Impaction
This mental condition occurs in which the person has highs and low swings
Bipolar
Ringing in the ears, hearing loss, vertigo, and tinnitus are all symptoms describing what disorder of the ear?
Meniere's Disease
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
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
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.
Afebrile means
No fever
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.
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
These factors increase the risk of injury from the application of heat or cold
Fair SKin
Impaired sensation
Impaired consciousness
This vaccine is mandated by OSHA to provide to health care workers to prevent a certain blood borne pathogen
Hepatitis B Vaccine
This is an age related hearing loss, usually sensorineural.
Presbycusis
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
When a person imagines what is would be like in another person's situation
Empathy
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
Urine leaks during exercise, sneezing, coughing, and a sudden urge to void is known as _________________?
Stress Incontinence
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.
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.
When cleansing a glass thermometer, the NA would use
A. Warm Water
B. Cold Water
C. Hot Water
B Cold Water
The elderly are at increased risk of skin injuries; bruising, skin tears, pressure ulcers.
True or False?
True
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.
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.
Mrs. Cole has been diagnosed with Gestational Diabetes. When does this medical condition develop?
During Pregnancy
The medical term for someone who has lost their hair is known as ________________?
Alopecia
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.
Mrs. Smith had a sudden urge to void, and could not get to the toilet in time. This condition is known as
______________.
Urge Incontinence
Stress affect your general health and well being?
True or false
True
A vest restraint criss- crosses
A. In the back
B. In the Front
In the front. The V neck is in the front
Breathing air in (inhalation) and Breathing air out ( Exhalation) of the lungs is known as _______________.
Respirations
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
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.
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
Mr. Smale is having difficulty with breathing due to his Congestive Heart Failure. What position would help to improve his breathing?
Semi Fowler's
The rubbing of one surface against another is know as _________?
Friction
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
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
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.
A jacket restraint is applied
A. With the opening in the front
B With the opening in the back
B Opening in back.