1
Q
Which room temperature range is required by OBRA and the CMS?
A
71F-81F
2
Q
Which does not prevent or reduce odors?
A
Placing flowers in the room
3
Q
Which does not control noise?
A
Talking with others in the hallway
4
Q
Beds are raised horizontally to _______________.
A
Prevent bending and reaching when giving care.
5
Q
The head of the bed is raised to 30 degrees. This is called _________.
A
Semi-fowler’s position
6
Q
The bedpan is stored in the __________.
A
Bedside stand.
7
Q
The nurse asks you to inspect a resident’s drawer. Which is true?
A
Have a coworker present as a witness.
8
Q
Which is not true about privacy curtains?
A
They block sounds and voices.
9
Q
The head of the bed is lower than the feet (as in the emergency position for a person in shock). This is called ___________.
A
Trendelenburg
10
Q
Which requires a linen change?
A
Wet linen
11
Q
You will transfer a person from a stretcher to the bed. Which bed should you make?
A
Surgical bed
12
Q
A resident is out of bed most of the day. Which bed should you make?
A
Closed bed
13
Q
A full linen change is done when …
A
The bed is made for a new person.
14
Q
You are using a waterproof draw sheet. Which is true?
A
A cotton drawsheet must completely cover the waterproof draw sheet.
15
Q
To make an occupied bed, you do the following except…
A
Fan-fold top linens to the foot of the bed.
16
Q
A surgical bed is kept…
A
in the highest position
17
Q
Mrs. Sanders is comatose. Which is correct when making her bed?
A
Talk to her and explain the steps you are taking.
18
Q
Which is incorrect when changing a pillowcase?
A
Hold the pillow under your chin.
19
Q
Ms. Rodriguez always likes a blanket on her bed for warmth. Where is the best place for this to be placed?
A
Between the top sheet and bedspread.
20
Q
When you are delegated to make a bed, why do you need to know the person’s schedule for treatments, therapies, and activities?
A
It is best to change linens after the treatment or when the person is out of the room.
21
Q
When making a bed with a flat sheet, position the bottom sheet with…
A
The hemstitching facing downward, away from the person.
22
Q
To provide safety when making an occupied bed for a person who does not use bed rails, you should…
A
Have a co-worker work on the opposite side of the bed.
23
Q
Oral hygiene does the following except…
A
Coat and dry the mouth
24
Q
How do you position the unconscious person for oral hygiene?
A
On the side with head also turned to the side.
25
The resident cannot remove her own dentures. What do you use to remove the dentures?
Gauze squares
25
Soaps do the following except...
Soften the skin
25
Which is true about dentures?
They are removed at bedtime
26
Which action is wrong when bathing a person?
Washing from the dirtiest to cleanest area.
27
Water for a complete bed bath is at least...
110 F
28
Which type of bath is usually given to the unconscious person?
complete bed bath
29
Which position do older persons usually find the most comfortable for a back massage?
Side-lying
30
You are giving a tub bath to a person with dementia. You realize you forgot to bring the person's clean clothes in the bathing room. Which is correct?
Use the call signal and ask a coworker to bring clean clothing.
31
Mrs. Dean has dementia. She is frightened by bathing. Which type of bath might she respond best to?
Towel Bath
32
If a person needs help with personal hygiene, you can find out what needs they have by ______________.
Following the nurse's directions and the care plan.
33
When giving routine care before breakfast, you should __________.
Change wet or soiled linens or garments
34
AM care does not include ______________.
Assisting with activity-range-of-motion exercises and ambulation.
35
Which of these is done every time you assist with hygiene measures throughout the day?
Assist the face and hand washing
36
If a family member or friend offers to help provide hygiene to a person ...
The person must consent to this.
37
A difference between afternoon care and evening care is ...
Helping persons change into their sleepwear.
38
Which of these steps is not correct when flossing the teeth?
Use a new piece of floss for each section of the mouth.
39
Older persons usually need a complete bath or shower twice a week because ...
Dry skin often occurs with aging.
40
Back massages are dangerous for persons ...
with heart and kidney diseases
41
When giving a back massage, the strokes ...
Start at the buttocks and go up to the shoulders.
42
When cleaning the perineal area ....
Work from the urethral area to the anal area.
43
When cleaning the perineal area, you need __________.
At least 4 washclothes
44
A person's hair is not matted or tangled. When brushing the hair, start at the ....
Scalp
45
A person requests a shampoo, You should...
Follow the care plan
46
A person is nicked during shaving. Your first action is to...
Apply direct pressure
47
Mr. Brad receives oxygen through a nasal cannula. He owns an electric shaver. What is the best option when assisting him?
Set the shaver to battery power
48
Clean under fingernails with a _____________.
Flat end of an orangewood stick
49
Ms. Sweeney has diabetes. Which are you not allowed to do?
Trim her fingernails
50
Nutrition is ...
The many processes involved in the ingestion, digestion, absorption, and use of food and fluids by the body.
51
MyPlate encourages the following except...
The same diet for everyone.
52
On a 2,000 calorie a day diet, what is the amount of grains needed for an adult woman?
6 oz
53
On a 2,000 calorie a day diet, what is the amount of protein needed by an adult man?
5.5 to 6.5 oz
54
Which statement about oil is false?
Oils from plant sources contain cholesterol.
55
The sodium-controlled diet involves...
Omitting high-sodium foods.
56
A person on a sodium-controlled diet wants a salt shaker. You should...
Explain that added salt is not allowed on the diet.
57
OBRa requires the following except...
24 hour meal service
58
OBRA requires ______ regular meals.
3
59
A person is NPO. You should...
Remove the water pitcher and cup from the room.
60
Which are not counted as liquids on the I&O record?
Butter, mashed potatoes, apple sauce
61
Residents are eating in the dining room. They serve themselves from bowls and platters on their tables. This is a ...
Family dining program
62
Persons with dysphasgia...
Are fed according to their care plan.
63
What is not a sign of a swallowing problem?
Edema
64
You are feeding a person. Which action is not correct?
Use a fork to feed the person.
65
Before providing fresh drinking water, you need to know the person's...
Fluid orders
66
You are reheating cooked foods. The food temperature should be _______.
165F
67
Mrs. Miller is unable to feed herself. Which is incorrect?
Stand near her weak side while feeding.
68
Enteral nutrition...
Is given into the GI tract.
69
The process of giving a feeding tube is called ___________.
Gavage
70
For a feeding tube, the person is positioned in ______________.
Fowlers or Semi Fowler
71
Formula for a tube feeding is given at _____________.
Room temperature
72
Continuous feedings are given with a _________.
Feeding pump
73
The nurse checks feeding tube placement to prevent...
Aspiration
74
Which position prevents regurgitation after a tube feed?
Fowlers or Semi Fowler
75
The risk for regurgitation is the greatest with ________.
NG and gastrostomy tubes
76
A person with a feeding tube is NGO. Yo should do the following except...
Give the person hard candy or gum
77
A person has an NG tube. The care plan includes the following measures to prevent nasal irritation. Which measure should you question?
Remove the tube every 4 hours
78
A person is receiving TPN. The person complains of chest pain and difficulty breathing. What should you do?
Call for the nurse
79
A person is receiving TPN. You know that TPN ...
involves a nutrient solution
80
Which is the peripheral IV site?
A vein on the back of the hand
81
The IV flow rate is ...
The number of gtt/min (drops per minute)
82
Which is false?
Urine normally has an ammonia odor
83
Which is not a rule for normal elimination?
Stay with the person who uses the bedpan.
84
The person using a standard bedpan is in the ...
Fowler Position
85
After using the urinal, the man should...
Use the call light
86
After a person uses a commode, you should...
Clean and disinfect the container, seat, and commode parts.
87
Urinary incontinence...
Requires good skincare
88
Which is not a cause of functional inconctinence?
UTI
89
A person has an indwelling catheter. Which is not correct?
Keep the drainage bag above the level of the bladder.
90
A person has an indwelling catheter. You are going to turn the person from the left side to the right side. What should you do with the drainage bag?
Move it to the right side.
91
When giving catheter care, you clean the catheter...
From the meatus down the catheter about 4 inches.
92
Mr. Cooper has a condom catheter. You apply the elastic tape....
In a spiral fashion.
93
A person is taught to ignore the urge to void. This type of bladder training is called ________________.
Bladder Retraining
94
When applying an incontinence product, what part should you place in the person's perineal area?
The center
95
Dysuria means...
Painful or difficult urination
96
Why does a filled urinal present a safety hazard?
It is easily spilled.
97
The drainage bag from the catheter should not hang from the ___________.
Bed rail
98
A resident has a catheter. Before cleaning the person's catheter, which action is correct?
Provide Perineal Care
99
The prolonged retention and accumulation of feces in the rectum is called _____________.
Fecal Impaction
100
Which does not promote comfort and safety for bowl eliminations?
Telling the person you will return very soon.
101
Bowel training is aimed at...
Bowel control and regular elimination
102
Which is not used for a cleansing enema?
Oil
103
Which is false regarding enemas?
The solution should be cool.
104
In adults, the enema tube is inserted ___________ inches.
2 to 4
105
The oil-retention enema is retained for at least...
60 to 90 minutes
106
Which is false regarding ostomies?
Stools are liquid
107
An ostomy pouch is usually emptied ...
When stools are present
108
Melena is...
Black, tarry stool
109
The preferred position for an enema is the ...
Sims' position or the left sidelying position.
110
Which is not an OBRA requirement for physical comfort?
A room temperature between 82 and 92F.
111
Which is false regarding pain?
Pain can be seen, heard, smelled, and felt.
112
The nurse gives a person a medication for pain relief. When should you give scheduled care?
30 minutes after medication is given.
113
A person tires easily. Morning care includes a bath, hair care, getting dressed, and making the bed. When should the person get rest?
When the person needs to.
114
A healthy 70 year old need about ______ hours of sleep.
5-7
115
Which food prevents sleep?
Chocolate
116
The measures for sleep are in a person's care plan. What should you question?
Provide hot cocoa and a cheese sandwich at bedtime.
117
Anxiety tends to..
Increase pain
118
Which of the following words are not used to describe pain?
Full, bounding, and feeble
119
A resident has dementia. The person cannot explain when or where the pain is. How can you tell when the person has pain?
Behavior changes may signal pain.
120
Dealing wit pain is often easier when...
Family and friends offer comfort and support.
121
What is the definition of hypoxia?
Not enough oxygen in the cells.
122
An early sign of hypoxia is __________.
Restlessness
123
A person can breathe deeply and comfortably only while sitting. This is called...
Orthopnea
124
You are assisting with deep breathing and coughing. Which is false?
The person inhales via pursed lips.
125
Deep-breathing and coughing exercises are ordered. The person has a productive cough. You need to remind the person to...
Cover the nose and mouth when covering.
126
A person has a tracheostomy. Which is false?
The person must not cough.
127
A person with a tracheostomy cannot...
Swim.
128
A nurse is changing tracheostomy ties. You must....
Hold the outer cannula in place.
129
A person has a tracheostomy. You cannot slide a finger underneath the ties. This means that the ties are ...
Too tight.
130
Which signals the need for suctioning?
Signs and symptoms of respiratory distress
131
Tracheostomy suctioning requires...
Sterile Technique
132
You note the following while assisting with suctioning. Which should you report at once?
O2 saturation of 92%
133
A person requires mechanical ventilation. Which is false?
You can reset alarms on the ventilator.
134
An alarm sounds on a person's ventilator. What should you do first?
Check to see if the airway is attached to the machine.
135
A person has a pneumothorax. This is...
Air in the pleural space.
136
You are not responsbile for oxygen therapy because...
Nursing assistants do not give drugs.
137
To prevent respiratory complications, a person is repositioned at least every ______ hours.
2
138
Vital signs are immediately reported to the nurse at all of the following time except....
Whenever they are taken.
139
The lack of or absence of breathing is _______.
Apnea
140
The otoscope is used to examine...
The external ear and eardrum
141
You are preparing a person for an exam. You should do the following except..
Leave the person and go get the nurse.
142
Which part of the exam can you do?
Measure weight, height, and vital signs.
143
A person is supine. The hips are flexed and externally rotated. The feet are supported by stirrups. The person is in...
Lithotomy position
144
Mrs. Stacy's height is 5'2. What is her height in cm?
1 inch= 2.54 cm
5'2= 62 inches
157.48 cm
145
Mr. Bob is 188 cm tall. What is his height in inches?
74 inches
146
Mrs. Stacy weights 62 kilograms. She asks you to tell her the weight in pounds. Your answer to her would be around...
1kg= 2.2 lbs
Around 120lbs.
147
A random urine sample is collected...
Any time
148
Perineal care is given before collecting a ....
Midstream specimen.
149
A 24hour urine specimen involves...
Collecting all urine voided during a 24-hour period.
150
Urine is tested for ketones ...
30 minutes before meals and at bedtime
151
A stool specimen must be kept warm. After collecting the specimen ....
take it to the storage area.
152
The best time to collect a sputum specimen is ...
On awakening
153
A sputum specimen is needed. You should ask the person to...
Rinse the mouth with clean water
154
Which is the best site for a skin puncture?
Ring finger
155
You are preparing the room for a new resident. The nurse tells you that the person will be arriving by stretcher. Which is correct?
Make a surgical bed.
156
Persons admitted to a rehabilitation unit from the hospital ....
Are always admitted by the RN.
State Registered Nursing Aid
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