Cna Final Exam With Complete Solutions

An acute illness is - ANSWER-A sudden illness from which the person is expected to recover Persons living in nursing centers are called - ANSWER-residents The nursing team involves the following except - ANSWER-Doctors You have an important role in meeting standards and in the survey process. You must do the following except - ANSWER-Interview patients and family The Omnibus Budget Reconciliation Act of 1987 is a - ANSWER-Federal Law OBRA requires retraining and/or new competency evaluation for persons who - ANSWER-Have not worked as a nursing assistant for 2 years Does a nurse have to delegate a task to you? - ANSWER-No. The nurse makes delegation decisions that are best for the person A nursing assistant is also an EMT who works for the fire dept. In her EMT role, she is allowed to start IVs. On the weekend, she works as a nursing assistant at a nursing center. The RN asks her to start an IV on a resident. What should the nursing assistant do? - ANSWER-Politely refuse to do the task and explain why Unlawful restraint or restriction of a person's movement is - ANSWER-False imprisonment You see a nursing assistant hitting a resident. What should you do? - ANSWER-Tell the nurse Work ethics mean - ANSWER-Behavior in the workplace You should wear a wristwatch that - ANSWER-Has a sweep hand Treating the person with dignity is - ANSWER-Respectfulness A nursing center wants to hire you. Which is NOT required? - ANSWER-A photo You see two health team members talking quietly to each other. You tell your co-worker what you overhear. This is - ANSWER-Gossip You need to talk to the nurse about a patient or resident. Where should you do this? - ANSWER-In private Before leaving the unit for a break, you need to - ANSWER-Tell the nurse A patient's care is assigned to Sally. The patient needs to use the bathroom. Sally is on a meal break. Who will help the patient? - ANSWER-Any staff member on the unit will help Which will NOT protect patients, residents, and you from harm? - ANSWER-Making excuses or blaming others for your actions Stress is - ANSWER-The response or change in the body caused by any emotional, physical, social, or economic factor Which of the following are used to record frequent measurements or observations? - ANSWER-Flow sheets When should you report changes in the person's condition? - ANSWER-At once These statements are about charting, Which is incorrect? - ANSWER-You can chart a procedure before completing it When charting, you should record - ANSWER-Safety measures performed Messages sent through facial expressions, gestures, posture, and body movements is - ANSWER-Body language Which is correct? - ANSWER-Calling patients and residents by their titles (Mr./Mrs./Ms./Dr.) promotes dignity and shows respect You can help a new resident fel safe and secure by - ANSWER-Listening to the person's concerns Family and friends usually help meet the person's - ANSWER-Love and belonging needs Which is a common response to illness and disability - ANSWER-Anger You ask a patient a question. You should - ANSWER-Give the person time to process what you asked Which is important when communicating with persons who are disabled? - ANSWER-Your attitude The process of cell division in called - ANSWER-Mitosis The point at which two or more bones meet is a - ANSWER-Joint Which is NOT a main part of the brain? - ANSWER-Spinal cord Another name for the trachea is the - ANSWER-windpipe Which separates the lungs from the abdominal cavity? - ANSWER-The diaphragm The process of breaking food down physically and chemically for absorption and use by the body is - ANSWER-Digestion Digestion begins in the - ANSWER-Mouth The stomach is located in the - ANSWER-Upper left part of the abdominal cavity (LUQ) The urinary system - ANSWER-Removes waste products from the blood Too little thyroid hormone results in the following EXCEPT - ANSWER-Too much sugar in the blood The rate of growth and development is the same for each person - ANSWER-False Which is a developmental task of adolescence - ANSWER-Accepting changes in the body and appearance During middle adulthood several physical changes occur. Which is CORRECT? - ANSWER-It is common to need eyeglasses Geriatrics is - ANSWER-The care of aging people Why is the ability to sense heat, cold, and pain reduced in older persons? - ANSWER-The skin has fewer nerve endings Older people usually need a shower or bath - ANSWER-Twice a week Older people often complain about how food tastes. This is because - ANSWER-Taste buds decrease in number An older person may have swallowing difficulties because of - ANSWER-Less saliva Men may have difficulty urinating because the - ANSWER-Prostate gland enlarges The need to urinate at night is reduced if the person - ANSWER-Drinks most fluids before 1700 Paralysis and loss of sensory function in the legs and lower trunk is - ANSWER-Paraplegia To correctly identify the person before giving care, which is correct? - ANSWER-Check identifying information in the assignment sheet with that on the ID bracelet A patient is receiving continuous oxygen. The person wants to smoke. Which is correct? - ANSWER-Smoking is not allowed where oxygen is being used The safe use of electrical equipment involves the following except - ANSWER-Standing in water When transferring a person to or from a wheelchair - ANSWER-The wheels must be locked These statements are about preventing falls. Which is incorrect? - ANSWER-You can borrow a residents wheelchair for another person Bed rails are considered restraints if the person cannot lower them without help - ANSWER-True Restraints are used - ANSWER-When other measures fail to protect the person Restraints are used to - ANSWER-Treat medical symptoms These statements are about restraints. Which is incorrect - ANSWER-Restraints decrease confusion and agitation Which is a restraint? - ANSWER-A chair with an attached tray table A resident keeps trying to pull out her feeding tube. Which restraint is the least restrictive? - ANSWER-Mitt restraints Mitt restraints prevent - ANSWER-Finger use Items are sterilized in - ANSWER-An autoclave A person has protection against a certain disease. The person has - ANSWER-Immunity Sterile means - ANSWER-The absence of all microbes To control the spread of microbes, you should do the following except - ANSWER-Shake linens and equipment to remove dust Which of the following will not control portals of entry? - ANSWER-Wiping from the rectum to the urethra Clean gloves have contact with clean sheets. Which statement is correct? - ANSWER-The gloves and the sheets are still clean Always practice Standard Precautions in home settings - ANSWER-True Which is incorrect about masks? - ANSWER-They are NOT reusable A gown is needed for isolation precautions. The gown is removed - ANSWER-Before leaving the room Double bagging is needed when - ANSWER-The outside of the bag is soiled When giving bedside care. the bed should be - ANSWER-Raised so it is close to your waist To use good body mechanics, you should do the following except - ANSWER-Bend at the waist To protect yourself from injury, it is best to - ANSWER-Avoid lifting whenever possible Regular position changes - ANSWER-Help prevent pressure ulcers and contractures A resident is in bed. How often is the person repositioned - ANSWER-At least every 2 hours The nurse asks you to position a patient in the lateral position. The position is - ANSWER-A side-laying position The surfaces rub together. This is - ANSWER-Friction A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair? - ANSWER-Next to the bed on her right side A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person? - ANSWER-Place your hands under the person's arms and around her shoulder blades You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair? - ANSWER-On the person's strong side The nursing center has a new mechanical life. Which statement is correct? - ANSWER-You need to be trained in its use A patient has slid down in the wheelchair. The person cannot assist with repositioning. To safely reposition the person - ANSWER-A mechanical lift is used Symptoms are - ANSWER-Subjective data Information that you can see, hear, feel, or smell is - ANSWER-Objective data Which vessels carry blood away from the heart? - ANSWER-Arteries You give wrong information on a job application. This is - ANSWER-Fraud Being dependable means the following except - ANSWER-Being eager to learn Persons needing respite care - ANSWER-Are admitted to nursing centers for short stays A person is in a coma. This means that the person - ANSWER-Cannot respond to others The musculoskeletal system does the following except - ANSWER-Helps regulate body temperature A resident's son is visiting. Which will NOT protect the residents privacy - ANSWER-Exposing the residents body in front of her son The white of the eye is the - ANSWER-Sclera After water is absorbed from chyme, the remaining semi-solid material is called - ANSWER-Feces Your work is causing you stress. What should you do? - ANSWER-Talk to the nurse Who helps patients, residents, and families with social, emotional, and environmental issues affecting illness and recovery? - ANSWER-The social worker An assisted living residence - ANSWER-Provides three meals a day and housekeeping and laundry services Which of the following should you report to the nurse? - ANSWER-Red-colored urine A man is going to use the urinal. What should he do when he is done? - ANSWER-Hang it on the bedrail These statements are about incontinence. Which is incorrect? - ANSWER-It is a matter of personal choice A resident has a catheter. Catheter care is given - ANSWER-According to the care plan Persons with catheters need perineal care - ANSWER-Daily and after bowel movements When giving catheter care, you need to hold the catheter at the - ANSWER-Meatus Defecation is - ANSWER-The process of excreting feces from the rectum through the anus Flatus is - ANSWER-Gas or air passed through the anus Which foods are needed for normal bowel movements - ANSWER-Fruits and vegetables Which does not slow the passage of feces through intestines - ANSWER-Exercise and activity You are assisting a resident with elimination. You ned ot do the following except - ANSWER-Stand next to the person until the person is finished A resident complains of diarrhea. The person needs assistance with ambulation. When the person's signal light is on, you need to - ANSWER-Answer promptly A person has fecal incontinence. The following measures are part of the care plan. Which should you questions? - ANSWER-Empty ostomy pouch when feces are present A patient complains of flatulence. The person has the following food choices. Which does NOT cause flatulence? - ANSWER-Potatoes You do not administer an enema that contains - ANSWER-A drug After giving an oil-retention enema, the person is left in the - ANSWER-Sim's or left side-lying position These statements are about colostomies. Which is incorrect? - ANSWER-The more colon remaining, the more liquid the stool Which vitamin is needed for blood clotting? - ANSWER-Vitamin K OBRA requires the following for foods served in long-term care centers EXCEPT - ANSWER-That food be prepared and seasoned in a certain way Food must be served - ANSWER-Promptly A person is on a high-calorie diet. Which is CORRECT? - ANSWER-There are dietary increases in all foods A person's 24-hr fluid intake was 1500 mL. You know this amount - ANSWER-Is below normal requirements Defrosting frozen food on the counter at room temp. prevents the growth of pathogens - ANSWER-False Giving nutrients through a catheter inserted into a vein is - ANSWER-Parenteral nutrition After a tube feeding, the person is positioned in semi-fowler's position for - ANSWER-1 to 2 hours All states and agencies allow nursing assistants to change peripheral IV dressings - ANSWER-False The period of heart muscle contraction is - ANSWER-Systole A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measure is correct? - ANSWER-98.6 You are taking an oral temperature with a glass thermometer. How long do you have to leave the thermometer in place? - ANSWER-2 to 3 minutes You are taking an axillary temperature with a glass thermometer. How long do you have to leave it in place? - ANSWER-5 to 10 minutes To rinse a glass thermometer, you need to use - ANSWER-Cold water A person is receiving oxygen. When measuring temperature, you CANNOT use the - ANSWER-Oral site A person in unconscious. When measuring temperature, you CANNOT use the - ANSWER-Oral site A person has a convulsive disorder. When measuring temperature, you CANNOT use the - ANSWER-Oral site To take a rectal temperature, the person needs to be - ANSWER-In Sim's position For an adult, which pulse rate is reported to the nurse at once? - ANSWER-110