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Chap. 1: Medicare will pay for (A) All care requested by the resident (B) All care requested by the doctor (C) All care requested by the long-term care facility (D) Only care that it determines to be medically necessary (D) Only care that it determines to be medically necessary
Chap. 1: Which of the following healthcare settings is generally for people who will die in six months or less? (A) Hospice care (B) Long-term care (C) Outpatient care (D) Acute Care (A) Hospice Care
Chap. 1: Which of the following statements is true of long-term care? (A) People with terminal illnesses do not live in long-term care facilities. (B) Most conditions seen in long-term care facilities are chronic. (C) People who live in long-term care facilities are never able to return home. (D) Long-term care takes place in a person's home. (B) Most conditions seen in long-term care facilities are chronic.
Chap. 1: A resident has purchased a special gift for her nursing assistant (NA). What would be the best response by the nursing assistant? (A) The NA should refuse the gift but thank the resident for thinking of her. (B) The NA should accept the gift because she is unsure about her facility's policy on gifts. (C) The NA should accept the gift if the resident agrees to keep it confidential. (D) The NA should refuse the gift and explain that her employer is very unfair about employees accepting gifts from residents. (A) The NA should refuse the gift but thank the resident for thinking of her.
Chap. 1: A __________ is a method or way of doing something. (A) Policy (B) Procedure (C) Survey (D) Cite (B) Procedure
Chap. 1: Which of the following is a core value associated with culture change? (A) Doing everything for residents
(B) Treating all residents the same way (C) Promoting self-determination and personal choice (D) Making sure all residents participate in the same activities (C) Promoting self-determination and personal choice
Chap. 1: Which member of the care team diagnoses disease and prescribes treatment? (A) Nursing assistant (NA) (B) Medical social worker (MSW) (C) Physician (MD) (D) Dietitian (RDN) (C) Physician (MD)
Chap. 1: Which of the following care team members are licensed professionals who assign jobs to nursing assistants? (A) Nursing assistants, nurses (B) Dietitian, resident's family (C) Nurses, physical therapists (D) Nursing assistants, physicians (C) Nurses, physical therapists
Chap. 1: Which of the following statements is true of residents as a part of the care team? (A) Residents cannot make their own decisions (B) Residents are not care team members (C) Residents should not try to make choices about the care they want to receive (D) The care team revolves around the resident and her condition, treatment, and progress (D) The care team revolves around the resident and her condition, treatment, and progress
Chap. 1: Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? (A) The NA should not perform the activity if it is not listed in the care plan (B) The NA should perform the activity if he believes it is best for the resident (C) The NA should only perform the activity if the resident says he wants it performed (D) The NA should consult other NAs to see if they would perform the activity (A) The NA should not perform the activity if it is not listed in the care plan
Chap. 1: A nursing assistant tells a resident that her grandchildren are noisy and disrupt the facility and suggests that next time her daughter visits, she should leave the kids at home. Which Residents' right might this behavior violate?
(C) Trying not to be late more than twice a week (D) Talking about management behind their backs (A) Documenting carefully
Chap. 1: What is one function of the chain of command? (A) It determines which residents go in which rooms (B) It determines which shift an NA works (C) It describes the care plan for each resident (D) It helps protect nursing assistants and their employers from liability (D) It helps protect nursing assistants and their employers from liability
Chap. 1: What is required of a nursing assistant if he suspects that a resident is being abused? (A) The NA should call the police to report that the resident is being abused (B) The NA should discuss the issue with the resident to find out if it is okay for him to report what he suspects (C) The NA should report it to the charge nurse immediately (D) The NA should immediately confront the abuser about what he suspects (C) The NA should report it to the charge nurse immediately
Chap. 1: Ombudsmen are in facilities to assist and support (A) Administrators (B) Directors of nursing (C) Residents (D) Nursing assistants (C) Residents
Chap. 1: When a nursing assistant is performing a procedure on a resident, he should (A) Try to distract the resident so she will not know what the NA is doing (B) Explain the procedure fully before performing it (C) Wait until the resident is sleeping before the NA starts the procedure (D) Talk to the resident's roommate so the resident does not become self-conscious (B) Explain the procedure fully before performing it
Chap. 1: The Omnibus Budget Reconciliation Act (OBRA) sets minimum standards for (A) Facility cleanliness (B) Resident rehabilitation (C) Nursing assistant training (D) Facility spending (C) Nursing assistant training
Chap. 1: How many hours of in-service education does OBRA require for nursing assistants every year? (A) At least 34 hours (B) At least 28 hours (C) At least 18 hours (D) At least 12 hours (D) At least 12 hours
Chap. 1: For nursing assistants, confidentiality means (A) Not telling the nurse about possible abuse of a resident (B) Not documenting resident problems (C) Keeping resident information private (D) Sharing information with the NA's family (C) Keeping resident information private
Chap. 1: One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to (A) Help keep health information private and secure (B) Help ombudsmen monitor care in facilities (C) Give nursing assistants proper health insurance coverage (D) Prevent abuse and neglect of residents (A) Help keep health information private and secure
Chap. 1: Which of the following is an example of sexual abuse? (A) Rubbing up against a resident inappropriately (B) Confining a resident in a separate physical space without the resident's consent (C) Using alcohol in a harmful way (D) Failing to provide needed care for a resident (A) Rubbing up against a resident inappropriately
Chap. 1: An NA is caring for a resident who is paralyzed on her right side from a recent stroke. Some of her family members are visiting and one of them turns to the NA and says in a loud voice, "She looks so dumb with half of her face drooping down like that. Isn't there something you can do to fix that?" What kind of abuse is that? (A) Physical Abuse (B) Psychological Abuse (C) Sexual Abuse (D) Involuntary Selection (B) Psychological Abuse
Chap. 1: Which of the following occurrences is considered an incident and requires a report to be completed? (A) A resident uses the call light frequently (B) A resident yells at a family member (C) A resident accuses an NA of abusing her (D) An NA arrives late to work (C) A resident accuses an NA of abusing her
Chap. 1: Which of the following shows the correct conversion of 0530 to regular time? (A) 12:30 a.m. (B) 12:30 p.m. (C) 5:30 a.m. (D) 5:30 p.m. (C) 5:30 a.m.
Chap. 1: When should documentation be recorded? (A) Immediately after care is given (B) At the end of the shift (C) Whenever there is time (D) Before the care is given (A) Immediately after care is given
Chap. 1: Which of the following shows the correct conversion of 2:35 p.m. to military time? (A) 2435 hours (B) 1435 hours (C) 2235 hours (D) 1235 hours (B) 1435 hours
Chap. 1: Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse? (A) Physical abuse (B) Psychological abuse (C) Financial abuse (D) Substance abuse (B) Psychological abuse
Chap. 1: Which of the following statements is true of electronic/computer documentation?
(A) When documenting on a computer, HIPAA guidelines do not apply (B) The NA should not have someone else enter the information for her, even if it is more convenient (C) Once documentation is complete, the NA should leave the resident's chart open in case other team members also want to document care (D) Once documentation is complete, the NA may access personal social media accounts (B) The NA should not have someone else enter the information for her, even if it is more convenient
Chap. 2: When should unsafe conditions be reported? (A) When it looks likely that the facility will be involved in a lawsuit (B) Before accidents occur (C) Only is a resident wants to complain about something (D) Whenever the nursing assistant has some extra time (B) Before accidents occur
Chap. 2: Which of the following is an example of objective information? (A) "Mrs. Johnson says she has a rash on her torso." (B) "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." (C) "Mrs. Johnson must have a rash because she said that she's itchy." (D) "Mrs. Johnson needs some lotion." (B) "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso."
Chap. 2: What is a proper way for a nursing assistant (NA) to respond if a resident does not hear her or does not understand her? (A) The NA should speak more quickly (B) The NA should speak more softly or whisper (C) The NA should speak slowly and clearly (D) The NA should shout (C) The NA should speak slowly and clearly
Chap. 2: Which of the following is an example of a barrier to communication? (A) NA uses medical terminology with a resident (B) NA asks the resident to repeat a sentence (C) NA speaks the same language as the resident (D) NA speaks clearly using a professional tone of voice (A) NA uses medical terminology with a resident
Chap. 2: Which of the following are ways for NAs to avoid barriers to communication?
(B) Chest pain
Chap. 2: The part of the word that is added to the end of a root to form a new word is called a(n) (A) Root (B) Prefix (C) Suffix (D) Abbreviation (C) Suffix
Chap. 2: If a resident has a hearing impairment, the NA should (A) Face away from the resident when speaking (B) Face the resident with the light on the NA's face (C) Shout so that the resident can hear the NA (D) Exaggerate the words so that the resident can read the NA's lips (B) Face the resident with the light on the NA's face
Chap. 2: One way that an NA can help a resident who is visually impaired is to (A) Move the furniture to make it easier for the resident to get around (B) Keep the lights very low (C) Use the face of an imaginary clock to explain the position of objects (D) Walk behind the resident, lightly pushing the resident forward (C) Use the face of an imaginary clock to explain the position of objects
Chap. 2: The first two steps to take when approaching an emergency are (A) Perform first aid and assess the situation (B) Call the victim's family and call 911 (C) Assess the situation and assess the victim (D) Get assistance and perform CPR (C) Assess the situation and assess the victim
Chap. 2: What is the best way a nursing assistant can respond to a combative resident? (A) The NA should let the resident know that he will be discharged from the facility if he does not stop what he is doing (B) The NA should tell the resident that other NAs will refuse to care for him if he continues the behavior (C) The NA should remain calm and lower the tone of her voice (D) The NA should stand as close as possible to the resident (C) The NA should remain calm and lower the tone of her voice
Chap. 2: A sign of the onset of diabetic ketoacidosis is breath that smells (A) Sour (B) Sweet (C) Garlicky (D) Bitter (B) Sweet
Chap. 2: Why is it important for a nursing assistant not to overreact when a resident behaves inappropriately? (A) It may actually reinforce the behavior (B) Other residents may then copy the behavior (C) The NA's supervisor will be angry with him (D) The NA might surprise the resident (A) It may actually reinforce the behavior
Chap. 2: With whom should an NA use Standard Precautions? (A) With residents who have infectious diseases (B) With residents he suspects might have infectious diseases (C) With every resident in his care (D) With residents who request that they be used (C) With every resident in his care
Chap. 2: Under Standard Precautions, the term body fluids includes (A) Sweat (B) Water (C) Juice (D) Urine (D) Urine
Chap. 2: Which of the following is true of wearing gloves? (A) Disposable gloves can be washed and reused (B) Gloves should be changed before contact with mucous membranes (C) After giving care, gloves are not contaminated (D) Gloves can continue to be worn if they are torn as long as the hole is covered (B) Gloves should be changed before contact with mucous membranes
Chap. 2: In which of the following situations should an NA give abdominal thrusts to a resident? (A) The resident is coughing (B) The resident cannot speak, breathe, or cough
Chap. 2: When a resident is suspected of having a heart attack, a nursing assistant should (A) Loosen clothing around the neck (B) Give the resident some water (C) Put medication directly into the resident's mouth (D) Wait and see if the episode subsides before doing anything (A) Loosen clothing around the neck
Chap. 2: What is one way that bloodborne pathogens can be transmitted? (A) By hugging an infected person (B) By infected blood entering the bloodstream (C) By standing too close to an infected person when he coughs (D) By touching something an infected person has touched (B) By infected blood entering the bloodstream
Chap. 2: Insulin reaction can be caused by (A) Too little food (B) Physical or emotional stress (C) Too much food (D) A cerebrovascular accident (C) Too much food
Chap. 2: Which of the following statements is true of preventing falls? (A) Clear walkways of clutter (B) Keep lights low (C) Leave spills for housekeeping to clean (D) Move call lights further away from residents (A) Clear walkways of clutter
Chap. 2: When should a nursing assistant identify a resident? (A) After giving care (B) When collecting meal trays (C) When shifts change (D) Before helping with feeding (D) Before helping with feeding
Chap. 2: In which position should a resident be placed for eating? (A) Lying flat on his back (B) Reclining at a 45-degree angle
(C) Sitting as upright as possible (D) Lying on his side with his arm propping up his head (C) Sitting as upright as possible
Chap. 2: Hand hygiene is (A) Washing hands with soap and water or using alcohol-based hand rubs (B) Washing hands with soap and water only (C) Using alcohol-based hand rubs only (D) Wearing gloves when performing care procedures (A) Washing hands with soap and water or using alcohol-based hand rubs
Chap. 2: Which of the following statements is true of body mechanics? (A) Body mechanics help save energy and prevent injury (B) The narrower a person's base of support, the more stable the person is (C) Proper alignment of the body means that the two sides of the body should not line up (D) Twisting at the waist is the best way to maintain body alignment (A) Body mechanics help save energy and prevent injury
Chap. 2: When helping a resident sit up, stand up, or walk, the NA should (A) Keep her feet together (B) Bend her upper body (C) Bend her knees (D) Ty to catch the resident if he starts to fall (C) Bend her knees
Chap. 2: The single most important thing the NA can do to prevent the spread of disease is to (A) Carry dirty linen close to her uniform so as not to spread contaminants (B) Wash and dry her disposable gloves before reusing them (C) Remove gloves before cleaning spills (D) Wash her hands (D) Wash her hands
Chap. 2: Which of the following is a way to use proper body mechanics? (A) The NA should twist at the waist when lifting objects (B) The NA should stand with her legs shoulder-width apart (C) The NA should lift objects, rather than push them (D) The NA should carry objects away from her body (B) The NA should stand with her legs shoulder-width apart
(C) By using masks (D) By taking doses of the antibiotic vancomycin (B) Through proper hand washing
Chap. 2: Which of the following is an NA responsibility related to infection prevention? (A) Deciding which residents need Transmission-Based Precautions (B) Telling all visitors which patients have bloodborne diseases (C) Following Standard Precautions in caring for all residents (D) Capping needles and other sharps before disposing of them in the trash (C) Following Standard Precautions in caring for all residents
Chap. 2: Which of the following is a correct response is a resident is having a seizure? (A) Hold the resident down if he is shaking severely (B) Give the resident a hard piece of candy to prevent choking (C) Move furniture away to prevent injury to the resident (D) Open the resident's mouth to move the tongue to the side to prevent choking (C) Move furniture away to prevent injury to the resident
Chap. 2: A sign that a stroke is occurring is (A) Abdominal pain (B) Gasping for air (C) Low blood pressure (D) The inability to speak or to speak clearly (D) The inability to speak or to speak clearly
Chap. 2: To serve hot liquids to residents, a nursing assistant should (A) Pour hot drinks away from residents (B) Place hot drinks on the edge of tables so that they will be easier to reach (C) Take lids off of hot drinks just before serving them (D) Make sure residents are standing up before serving hot drinks (A) Pour hot drinks away from residentsChap
Chap. 2: What information does a Safety Data Sheet (SDS) contain? (A) Cost of the chemicals (B) Comparisons with other chemicals (C) Names of other facilities using the chemical (D) Description of emergency response actions (D) Description of emergency response actions
Chap. 1: Tuberculosis may be transmitted
(A) Through a protective mask (B) By dancing (C) By wearing gloves (D) By coughing (D) By coughing
Chap. 2: What is the best way to control the spread of C. difficile? (A) By limiting contact of the infected person with others (B) By using more powerful antibiotics (C) By giving more enemas to clean out the GI tract (D) Through proper hand washing with soap and water (D) Through proper hand washing with soap and water
Chap. 2: If an NA needs to clean up a spill, what is the first step that she should take? (A) Put the waste directly into the nearest trash can (B) Spray bleach solution on the spill (C) Put on gloves (D) Vacuum the spill (C) Put on gloves
Chap. 3: Holistic care focuses on (A) The person's physical, mental, and social well-being (B) Disease and disability (C) How sick a person is (D) The absence of disease and illness (A) The person's physical, mental, and social well-being
Chap. 3: Which of the following is a physical need? (A) The need for social interaction (B) The need for water (C) The need for self-esteem (D) The need for independence (B) The need for water
Chap. 3: Which of the following is an example of a psychological needs? (A) The need for food (B) The need for sleep (C) The need for activity (D) The need for acceptance (D) The need for acceptance
(A) Creating the care plan for them (B) Telling them what to do (C) Diagnosing residents' illnesses (D) Communicating with the care team (D) Communicating with the care team
Chap. 3: Which of the following statements is true of the normal aging process? (A) Most elderly people are entirely dependent on others (B) Most elderly people are disabled and cannot walk (C) Most elderly people are active and engaged in activities (D) Most elderly people cannot manage their own money (C) Most elderly people are active and engaged in activities
Chap. 3: Normal changes of aging include (A) Depression (B) Thinner, drier skin (C) Significant weight loss (D) Incontinence (B) Thinner, drier skin
Chap. 3: Which of the following is true of developmental disabilities? (A) Developmental disabilities are temporary (B) Developmental disabilities restrict physical and/or mental ability (C) Developmental disabilities are a form of mental health disorders (D) People with developmental disabilities can never live or work independently (B) Developmental disabilities restrict physical and/or mental ability
Chap. 3: A _________ is an intense, irrational fear of or anxiety about an object, place, or situation. (A) Phobia (B) Coping mechanism (C) Fallacy (D) Situation response (A) Phobia
Chap. 3: Signs and symptoms of clinical depression include (A) Apathy (B) Intense hunger (C) Sudden chest pain (D) Breath that smells fruity
(A) Apathy
Chap. 3: Development in children from 6 to 10 years old centers on cognitive development. (A) Developing touching and feeling skills (B) Learning right from wrong (C) Developing thinking and learning skills (D) Developing social relationship skills (C) Developing thinking and learning skills
Chap. 3: Which of the following is an appropriate way for a nursing assistant to care for a resident with a mental health disorder? (A) The NA should do everything for the resident (B) The NA should administer the resident's medication (C) The NA should support the resident and his family and friends (D) The NA should encourage the resident to stop being ill and just get better (C) The NA should support the resident and his family and friends
Chap. 3: The fear of being in a confined space is called (A) Post traumatic stress disorder (B) Obsessive compulsive disorder (C) Claustrophobia (D) Schizophrenia (C) Claustrophobia
Chap. 3: If a nursing assistant notices abusive behavior from a family member towards a resident, she should (A) Report it to the nurse immediately (B) Ask the family member to explain what he did before she reports the incident (C) Ask the resident for her permission to report the incident to the nurse (D) Not get involved because it is a private family matter (A) Report it to the nurse immediately
Chap. 3: When caring for a dying resident with diminished senses, a nursing assistant should (A) Ask many questions to see what is comfortable for the resident (B) Turn on as many lights as possible (C) Observe body language (D) Encourage all visitors to remain silent (C) Observe body language
