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A wide range of topics related to the duties and responsibilities of a nursing assistant (na) in a long-term care facility. It addresses various aspects of resident care, including infection control, personal hygiene, mobility, nutrition, and end-of-life care. The document also discusses important concepts such as confidentiality, holistic care, and the role of the ombudsman. Additionally, it covers common medical conditions and procedures, as well as the proper use of equipment and supplies. The information provided aims to equip nas with the knowledge and skills necessary to provide high-quality, compassionate care to the residents under their supervision.
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With him 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 - โ โ C With whom should the NA use medical terms and abbreviations?
A. Residents B. Nurses C. Residents' friends D. Visitors - โ โ B. Nurses A normal change of aging for the female reproductive system is?
A. Continuation of menstruation B. An increase in moisture of the vaginal walls C. Weakening in the voice D. Loss of calcium - โ โ D A resident has purchased a special gift for her NA. What would be the best response by the NA?
A. Refuse the gift but thank the resident for thinking of her. B. Accept the gift because she is unsure about her facility's policy on gifts
C. Accept the gift of the resident agrees to keep it confidential D. Refuse the gift and explain that her employer is very unfair about employees accepting gifts from residents - โ โ Ans. A A resident who has her head and shoulders elevated is in a semi-sitting position (45-60 degrees) is in the _____ position
A. Sims B. Fowler's C. Prone D. Lateral - โ โ B A resident who is lying on either her left or right side is in the _____ position?
A. Supine B. Lateral C. Prone D. Fowler's - โ โ B A resident with a head or spinal cord injury should be repositioned at least every _____ hrs?
A. 2 B. 3 C. 4 D. 5 - โ โ A A sign of the onset of diabetic ketoacidosis is breath that smells?
A. Sour B. Sweet
D. Turning a resident - โ โ A For NAs, confidentiality means...
A. Not telling the nurse about possible abuse of a resident B. Not documenting resident problems C. Keeping resident info private D. Sharing info with the NA's family - โ โ Ans. C Guidelines for proper catheter care by a NA include the following:
A. Making sure the drainage bag hangs higher than the lever if the hips or bladder B. Disconnecting the catheter when positioning or transferring the resident C. Keeping the genital area clean to prevent infection D. Resting the drainage bag on the floor. - โ โ C High blood pressure ....
A. Can be detected just by looking at a person B. Cannot be treated with medication C. Is never a serious condition D. Is a measurement of 140/90 or higher - โ โ D Holistic care focuses on?
A. Person's physical, mental, social well-being B. Disease disability C. How sick a person is D. Absence of disease and illness - โ โ A
How does the skin appear when it firsts begins to break down?
A. Looks like a deep crater B. Skin turns pale, white, red, or purple C. Skin is covered with bruises D. Skin has raised blisters - โ โ B How many hours of in-service education does OBRA require for NAs every year?
A. 34 hrs B. 28 hrs C. 18 hrs D. 12 hrs - โ โ Ans. D How many hrs does the federal government require NAs to have of continuing education each year? - โ โ 12 hrs HTN is?
A. High fever B. High blood pressure C. High pulse rate D. Low blood pressure - โ โ B If a NA notices abusive behavior from a family member toward 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 resident for her permission to report the incident to the nurse D. Not get involved because it's a private matter - โ โ A
A. Administrators B. Directors of nursing C. Residents D. NA - โ โ ANS. C 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 lights very low C. Use the face of an imaginary clock to explain positions of objects D. Walk behind the resident, lightly pushing the resident forward - โ โ C Passive range of motion exercises are done?
A. When a resident cannot move on her own B. By resident herself, without help C. By resident with some help and support from the NA D. By a doctor or physical therapist - โ โ C Regular activity and exercise help improve?
A. Interaction between resident and roommate B. Resident's spiritual fulfillment C. Resident's family's opinions the facility D. Quality and health of the skin - โ โ D Residents with COPD have trouble with?
A. Breathing B. Urination C. Losing weight D. Vision - โ โ A Respiration consists of?
A. Intake and output B. Inspiration and expiration C. Systole and diastole D. Dilation and contraction - โ โ B The ability to think logically and clearly is called?
A. Cognition B. Dementia C. Awareness D. Dysphasia - โ โ A The first two steps to take when approaching an emergency are?
A. Perform first aid and asses the situation B. Call the victim's family and call 911 C. Assess the situation and asses the victim D. Get assistance and perform cpr - โ โ C The last sense to leave the body is usually the sense of?
A. Hearing
B. 60-100 bpm C. 100-150 bpm D. 150-175 bom - โ โ B The normal respiration rate for adults ranges from?
A. 18-30 resp. B. 15-25 resp. C. 12-20 resp. D. 8-10 resp. - โ โ C The respiration system is made up of?
A. Kidneys, ureters, urethra B. Brain, spinal cord, nerves C. Trachea, bronchi, lungs D. Atria, ventricles, aorta - โ โ C 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 - โ โ D To convert oz to ml, the NA should multiply by
A. 30 B. 20
to help prevent aspiration, residents should be in the ____ position when eating.
A. Upright B. Lying down C. Prone D. Lateral - โ โ A To serve hot liquids to residents, a NA should?
A. Pour hot drinks away from residents B. Place hot drinks on the edges of tables so that they will be easier to reach C. Take kids off of hot drinks just before serving them D. Make sure residents are standing up before serving hot drinks - โ โ A Under which of the following conditions should a NA not take an oral temp. on a person?
A. Person has influenza B. Person has a fever C. Person is over 6 years old D. Person is confused and disoriented - โ โ D What can an NA do to help prevent UTIs?
A. Restrict fluids B. Encourage baths not showers C. Wipe from front to back when giving perineal care
What is one way that blood borne pathogens can be transmitted?
A. Hugging an infected person B. Contact with blood or body fluids C. Standing too close to an infected person when he coughs D. Touching something an infected person has touched - โ โ B What is required of a NA if he suspects that the resident is being abused?
A. The NA should call the police B. Should discuss the issue with the resident to find out if it is okay for NA to report what NA suspects C. Should report it to the charge nurse immediately D. Confront the abuser about what NA suspects - โ โ Ans. C What is the best way a NA can respond to a combative person?
A. NA should let the resident know that he will be discharged from the facility if he doesn't 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. NA should remain calm and lower the tone of her voice D. NA should stand as close as possible to the resident
. - โ โ C What's one reason why reporting a resident's changes and problems to the nurse is a very important role of the NA?
A. The care plan must be updated as the resident's condition changes B. Reporting changes is not a task that the NA performs C. Depending on the resident's changes, the NA can decide if she wants to work that day or not
D. The NA can decide what medication to prescribe for the resident's current condition - โ โ Ans. A When a resident with AD pillages and hoards, the NA should?
A. Warn the family that the resident is stealing things B. Try to confine the resident to his room C. Tell the resident that he needs to return the stolen items D. Provide a rummage drawer - โ โ D When assisting residents who have had a stroke, the NA should?
A. Watch for signs of choking B. Place food in the resident's weaker side of the mouth C. Offer another bite of food before the resident has swallowed the last bite D. Encourage resident to take large bites - โ โ A When cleaning the perineal area, the NA should
A. Work from front to back B. Work from back to front C. Work from side to side D. Work from dirtiest to cleanest - โ โ A When should a NA identify a resident?
A. After giving care B. When collecting meal trays C. When shifts change D. Before helping with feedings - โ โ D
A. Bringing a body part backward B. Straightening a body part C. Turning a joint D. Moving a body part away for the midline of the body - โ โ D ADL include?
A. Reading B. Taking part in facility activities C. Attending worship service When using a transfer belt, the NA should
A. Place it underneath the resident's clothes B. Place it around the resident's shoulders C. Place it around the resident's chest D. Place it over resident's clothing - โ โ D When washing hands, an NA should use friction for? A. 25 sec B. 20 sec C. 15 sec D. 5 sec - โ โ B Where should the call light be placed when a NA leaves the residents room?
A. On the bedside side table beside the telephone B. Next to the television remote
C. Within the resident's reach D. On the chair next to the resident's bed - โ โ C Where should the NA be when helping a visually-impaired resident walk?
A. Beside and slightly in front of the resident B. Beside and slightly behind the resident C. Three feet away from resident D. Doesn't matter - โ โ A Where should the NA stand when helping with ambulation for a resident who is recovering from a stroke?
A. On either side but very close to the resident B. On the resident's stronger side C. On the resident's weaker side D. A few feet in front of the resident - โ โ C Which department maintains a state's NA registry - โ โ Department of health Which is the most essential nutrient for life?
A. Vegetables B. Water C. Grains D. Protein - โ โ B Which is true of NAs and catheters?
A. NAs must remove but do not insert catheters B. Insert but do not remove catheters
D. Cite - โ โ Ans. B A NA's duties regarding tube feedings include?
A. Inserting tubes B. Doing the feedings C. Observing the feeding and reporting problems D. Cleaning the tubes - โ โ C Which of the following healthcare settings is generally for people who will die six months or less? A. Hospice care B. Longterm care C. Outpatient care D. Acute care - โ โ Ans. A Which of the following is a function of the nervous system?
A. It pumps blood throughout the body B. It helps the body take in oxygen and remove carbon dioxide C. It senses and interprets info from outside the body D. It helps the body digest food - โ โ C Which of the following is a good source of protein?
A. Corn oil B. An orange C. Fish D. Grape jelly - โ โ C Which of the following is a machine that changes air in a room into air with more O2?
A. Oxygen filter B. Oxygen tank C. Oxygen concentrator D. Oxygen supply valve - โ โ C Which of the following is a physical need? A. Need for social interaction B. Need for water C. Need for self-esteem D. Need for independence - โ โ B Which of the following is a symptom of dysphagia ( difficulty swallowing)?
A. Eating everything on the tray at every meal B. Sweating during meals C. Fever during meals D. Watering eyes during meals - โ โ D Which of the following is a task that an NA performs?
A. Changing sterile dressing on an open wound B. Helping residents with toileting needs C. Administrating medication D. Prescribing treatments - โ โ Ans. B Which of the following is a type of therapy that involves having resident's with AD remember and talk about the past?
A. Reality orientation