NURS 621 FINAL EXAM STUDY GUIDE CONTAINING ACCURATE QUESTIONS WITH CORRECT AND DETAILED SOLUTIONS || SURE TO PASS 100 % GRADED A+

1. Which temperature is considered MOST accurate? a. Oral b. Axillary (A) c. Temporal d. Rectal (R) ANSWER D 2. The beginning sign of a pressure sore is: a. Coolness b. Discoloration c. Swelling d. Numbness ANSWER B 3. What Act did Congress pass in 1987, to protect the quality of life, health and safety of nursing home residents? a. Medicare Act of 1987 b. Patients Bill of Rights c. EMTALA d. Omnibus Budget Reconciliation Act ANSWER D 4. Your resident is wealthy. He offers you a "little gift" in the form of cash for providing expert care. You should: a. Accept and say nothing b. Accept like a tip and share it with your coworkers c. Refuse graciously d. Look to see if anyone is listening or watching ANSWER C 5. Retirement usually results in: a. Physical changes from aging b. Financial security c. Less Free Time d. Typically a lower income ANSWER d 6. After urinating, the resident is assisted to: a. Wash their hands b. Get back in bed c. GIven something to drink d. Put in a diaper ANSWER A 7. What can happen is constipation is not relieved? a. Enema b. Diarrhea c. Incontinence d. Fecal Impaction ANSWER D 8. When removing soiled linens, you must wear: a. A gown b. Face Mask c. Eye Protection d. Gloves ANSWER D 9. You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse. Where would you opt to have this discussion? a. In the patients room b. In the hallway with the family c. In private d. At the local bar ANSWER C 10. To prevent shampoo from getting into your residents eyes, you should: a. Use a hand held nozzle b. Use dry shampoo c. Rinse the hair throughly d. Use a washcloth to cover the eyes ANSWER D 11. Bath water temperature should be at what temperature: a. 110- 115 degrees F b. 110- 120 degrees F c. 105 degrees F d. 105- 109 degrees F ANSWER A 12. The word ACUTE when used to define illness means: a. an illness for which there is no reasonable expectation of recovery b. an ongoing illness for which there is no cure c. a sudden onset to an illness d. an illness that is gradual ASWER C 13. In your role as a nursing assistant, you are able to: a. You can take verbal orders over the phone from doctors b. Give medications c. Insert a foley in the patients vagina or penis d. Report changes in the residents condition to the nurse ANSWER D 14. An assisted living facility provides all of the following except: a. Housing b. Personal care c. Social activities d. 24 hour skilled nursing care ANSWER D 15. Those persons who provide basic nursing care under the supervision of a registered nurse or a licensed practical nurse are: a. Licensed practical nurse b. Case managers c. Assistive personnel d. The "health care team" ANSWER C 16. A federal insurance plan providing benefits for older persons and some younger persons with disabilities is called: a. Medicaid b. Medicare c. Blue Cross/ Blue Shield d. Coventry ANSWER B 17. Which nursing care pattern focuses on tasks and jobs? a. Functional nursing b. Team nursing c. Primary nursing d. Care management ANSWER A 18. You promote quality of life by: a. Delegating tasks to your coworkers b. Making sure you bring your resident chocolate and Starbucks c. Doing everything for the patient, they don't need to lift a finger d. Speaking to individuals in a respectful manner ANSWER D 19. Your patient has left sided weakness, how do you put on their shirt? a. Clients choice b. Right sleeve c. Left sleeve d. Both sleeve together ANSWER C 20. Exercises that move each muscle and joint care called? a. Rotation b. Adduction c. Range of Motion d. Abduction ANSWER C 21. Your patient's roommate has just died, how can you BEST help the client with the loss? a. Discourage individual activity b. Encourage the client talk c. Convince the client its no big loss. The roommate was a complainer d. Leave the client alone ANSWER B 22. You go to check on Mrs. Jones, she is very agitated. Your task is to give her a bed bath, When you walk in the room, she tells you "Get out of here. I do not want a bed bath". What should you do? a. Speak loudly because maybe Mrs. Jones didn't hear or understand you. b. Run c. Tell the client they have no choice, shut up and lets get cleaned up d. Talk calmly, slowly, reassure the client. Do not force them. Report the refusal to the nurse. ANSWER DNumbness