 What should you do if you find that a patient has fallen on the floor but does not appear

ar to be hurt?
= Fill out an incident report that correctly records what happened and file it with the facility's risk manager
 When doing perineal care, it is important to wipe:
= from front to back
 Myocardial Infraction is another name for?
= Heart Attack
 Patients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she
should
= Turns the client every 2 hours and encourage coughing and deep breathing
 A COPD (Chronic Obstructive Pulmonary Disease) patient recently admitted to the floor needs constant
oxygen therapy. When assisting this patient, the nursing assistant can:
= Keep the connecting tubing secure and free of kinks
 A patient is receiving oxygen therapy via facemask, which of the following is contraindicated for the patient?
= Shaving using electric shavers
 A nursing assistant will be changing the soiled bed linens of a patient with a draining pressure ulcer. Which of
the following protective equipment should the nursing assistant wear?
= Clean Gloves
 The nursing assistant is correctly providing penile hygiene to an unconscious patient if she:
= Dries all areas of the penis thoroughly.
 A nursing assistant must obtain the blood pressure of a patient in airborne isolation. Which of the following
best to prevent transmission of infection to other patients by equipment?
= Leave the equipment in the room for use only with that client
 Which of the following is an intake and output problem that the nurse and report?
= the client states that he is not hungry
 Mr. dexter is placed on strict intake and output after surgery. The nurse aide should
= record the client's fluid intake and urine output
 Which of the following would be included in a patients output record?
= urine, emesis, and bleeding
 When lifting heavy object, the correct method would be to bend at the
= Knees, keeping your back straight
 When cleaning a patient’s dentures at the sink the reason either line the kidney basin with a paper towel or
to fill the sink with water is to
= Guard against breaking the dentures.
 Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and
feeding is
= Necessary for rehabilitation
 While giving unconscious patient a bath, it is important to
= perform the range of motion to all joints.
 You are assigned to assist Mrs. Moore with her lunch. She is on bed rest. The best position for her, if
permitted, would be
= Fowler’s position
 A female patient’s perineal area should be cleansed before which specimen is collected?
= midstream clean-catch urine specimen
 The most common site for counting the pulse is the
= radial artery
 With catheterized patients, which of the following is NOT the nurse aide’s responsibility?
= insertion of the catheter
 When giving information to the charge nurse for an incident report, the nurse aid should
= states the facts clearly
 Sexuality in long-term patients include all the following except
= engaging in public fondling
 Which statement about some patients with developmental disabilities is correct?
= they can learn, but at a slow pace
 An agitated patient must be turned every two hours all night long. The first action of the nurse aide when
waking up this patient is to
= offer to substitute something different for him
 On entering a room, you notice that the patient is not breathing, you first action should be to
= lay the client down on his or her back
 You are assigned a comatose patient this is in need of oral care every four hours. Which of the following
options identifies how you should provide this patient with oral care
= Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's
mouth and mucous membranes
 Which of the following is considered a patient’s right?
= all of the above
 As a nurse aide, it is your responsibility to
= Perform the tasks your supervisor assigns to you
 A patient turns on the call light when needs to urinate. The appropriate action is to
= answer the call light and get the urinal.
 A nurse aide who applies restraints on a patient without directions from the charge nurse may be accused of
= false imprisonment
 The best food choices for a geriatric patient with no teeth would include
= baked fish, whipped potatoes, spinach souffle, and tapioca
 The family wants to talk about Bills approaching death, but Bill does not. The family should be encouraged to
= carry on the conversation away from Bill.
 Your patient has a weak side (left arm), which side would you undress first?
= Strong side
 The nurse aide discovers a fire in the patient’s room, the first thing to do is
= remove the patient
 Which of the following stages of dying is usually the final stage?
= Acceptance
 Mr. David says “Why is God punishing me?” or “Why me?” Hoe should the nurse aide respond?
= Listen quietly
 Which of the following is the correct measurement of urinary output
= 300cc
 When the nursing assistant brings the patient his tray for lunch, the patient repeats questions twice before
remembering the answer. The nursing assistant knows that the patient had a fall two days ago. Which of the
following action is correct?
= Report it to the nurse immediately
 A nurse obtains an order from a physician to restrain a patient by using a jacket restraint a delegate a nursing
assistant to assist in the restraining of the patient. Which of the following observations indicates
INAPPROPRIATE application of the restraint by the nursing assistant?
= The restraint straps should be secured to the bed frame and never to the side rail to avoid accidental
injury in the event that the side rail is released
 The nurse inserts a Foley catheter to relieve a patient’s urinary retention. Which of the following in an
INAPPROPRIATE action in caring for patients with an indwelling catheter?
= Attaching the drainage bag to the lowest part of the siderails near the client's fee
 The nurse aide was asked by the licensed nurse to change the non-sterile dressing of a patient. Which of the
following statements is best when pertaining to this situation?
= In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old
dressing
 Which is correct about ostomy care?
= Able client can perform this procedure by themselves once they have been taught by the nurse
 After applying an elastic bandage to a patient’s right leg, you need to check the color and temperature of the
leg:
= Every hour
 Patients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:
= Restlessness, dizziness and disorientation
 An asthmatic patient can be relieved from dyspnea when he is placed in orthopneic position. This can be
done by:
= Sitting up and leaning over a table with a pillow
 To obtain 24-hour urine specimen, the nurse assistant should:
= Discard the first voided specimen and then collect the total volume of each voiding in 24 hours
 Which of the following actions is correct when giving a patient bath?
= Ensure any areas not being currently washed are covered by a sheet or towel
 A patient who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the
term aphasia means:
= That the client is unable to speak
 A patient is immobile may experience which of the following feelings?
= Sadness
 Range-of-motion exercises are most important for which type of patient to perform?
= A patient with hemiplegia
 What is the difference between Sim’s position and left lateral position?
= In sims position, the patient undermost arm, arm is positioned laterally and parallel to the patient back
 The nursing assistant cares for Mr. Ricci who is depressed. One day, Mr. Ricci states “I can’t go on any longer, I
have made a plan to kill myself. I don’t know if I would follow through with it, but it seems much better than
living this life any longer.”
= Report the situation to the nurse in charge
 The nursing assistant takes the blood pressure of a patient Mr. Shameer known for “low blood pressure”. To
her surprise the reading was 155 over 85. Which of the following factors might be directly responsible?
= The blood pressure cuff is too tight
 When applying Ms. Jane to transfer from the bed to a chair, the nursing assistant knows it is necessary to do
all of the following EXCEPT:
= Encourage the resident to pivot themselves with minimal assistance.
 The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for
privacy before saying:
= "Please ring me when you are finished and I will empty it for you."
 Mr. Kevin having difficulty chewing regular meals at dinner. Which of the following diets might be suggested
to order for next time?
= Soft
 Ms. Richelle says that her visitor is unable to come during visitor hours and asks if she could be
accommodated. The nursing assistant
= reviews the issue with the charge nurse before answering.
 When making Ms. Cristina’s bed, the nursing assistant knows it is most important to:
= Straighten the sheets to reduce wrinkles formation
 Mr. George in the Hospitals announces that he is leaving this minute and that no one can stop him. The
nursing assistant should:
= tell the patient to wait so that she can get the nurse because he has to sign a form.
 A nursing assistant is instructed to take the oral temperature of a patient who just had a cold drink. The
patient’s temperature should be taken.
= 15 minutes after the drink was finished
 Mrs. Afef has a fever and describes feeling very uncomfortable. Which of the following recommendations is
best for the nursing assistant to provide?
= Give the patient a cool washcloth to be placed on the forehead
 The nursing assistant knows that urine is normally
= clear, pale yellow
 Rectal temperature is usually taken on patients who are:
= unconscious
 Ms. Janette who has recently been paralyzed below the waist due to a motorcycle accident refuses his
medications from the nurse. The patient then refuses to say anything. What is the nursing assistant’s best
response?
= Say, "You seem upset."
 When you give a bed bath to Ms. Marissa, which is the last area that you should clean?
= perinium
 When transferring Ms. Nessly from a wheelchair to a stationary chair, the nursing assistant should stand.
= in front of the wheelchair
 Which of these describes stage 4 of decubitus ulcer?
= Open area with damage reaching to the bone, joint or tendons.
 Which of these treatments would be best to decrease swelling?
= cold compression
 Which statement in INCORRECT regarding the Heimlich Maneuver?
= If you are alone and choking you can perform the Heimlich maneuver on yourself using the back of a
chair.
 Which of the following should NOT be done when caring for a patient with an indwelling catheter
= The patient should be positioned on his/her side
 Ms. Nadah, a CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine
value would warrant a report to the nurse?
= 600cc
 You are caring for a patient with strict dysphagia diet. Which item on the patient’s tray SHOULD NOT be
included?
= crushed peanuts
 Ms. Bukola in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best
response to his actions?
= Offer support and care using a comforting and calming manner
 A patient in your care has just received news of a death in the family. What is the best way to assist them
with the grieving process?
= Spend some time with the resident, particularly offering support if they wish to talk about it.
 Ms. Grace often carries a doll with her, treating it like her baby. One day she is wandering around crying that
she can’t find her baby. The nurse aide should?
= Offer comfort to the resident and help her look for her baby.
 Your patient has a right hemiplegia. When up in a chair, the patient’s right arm should
= be elevated on a pillow in her lap