WITH VERIFIED
QUESTIONS AND ANSWERS
A client eats a bagel and drinks one 16-ounce glass of orange juice. What is
the correct way to record the amount of juice?
A. 480 cc.
B. One hundred and twenty cc.
C.120 ml.
D.480 ml.
- ANSWERS-D. 480 ml.
The abbreviation of "cc" is no longer appropriate in the medical field. Only
'ml' should be used. A 16-ounce glass is approximately 480 ml.
A client has a deep vein thrombosis (DVT) and has orders by the doctor to
apply elastic stockings. The nurse's assistant is correct in performing this
when she:
A. Applies the stockings while the client is sitting on the bed and dangles her
feet.
B.Applies the stockings while the client is sitting on the chair.
C.Applies the stockings while the client is in bed.
D.Applies the stockings while the client is standing.
- ANSWERS-C. Applies the stockings while the client is in bed.
Elastic stockings or anti-embolic stockings are applied before the client gets
out of bed. Otherwise the legs can swell from sitting or standing. Stockings
are hard to put on when the legs are swollen. The client lies in bed while
they are off. This prevents the legs from swelling.
A client with an indwelling urinary catheter is ordered to ambulate twice
daily. Before ambulating the client, the nursing assistant should:
A. keep the bag below the bladder level.
B. have the patient cover the bag with a pillow sleeve.
C.raise the bag above the bladder level.
D.ask the nurse to confirm this order.
Keeping the bag below the level of the cavity ensures that bacteria cannot
migrate up from the bag and up into the bladder due to gravity.
- ANSWERS-A. keep the bag below the bladder level.
Keeping the bag below the level of the cavity ensures that bacteria cannot
migrate up from the bag and up into the bladder due to gravity.
, A COPD client recently admitted to the floor needs constant oxygen therapy.
When assisting this patient, the nursing assistant can:
A. start the oxygen.
B. keep the connecting tubing secure and free of kinks.
C.turn the oxygen on and off.
D.decide what device to use.
- ANSWERS-B. keep the connecting tubing secure and free of kinks.
The job of the nursing assistant is to make sure there are no kinks in the
tubing and to secure the connecting tubing in place. The other choices are
all responsibilities of a physician.
A patient says that her visitor is unable to come during visitor hours and asks
if she could be accommodated. The nursing assistant:
A. reviews the issue with the charge nurse before answering.
B. says, "I'm sorry, that's not our policy here."
C.reviews the issue with the patient's nurse before answering.
D.says, "Of course! That would be fine."
- ANSWERS-A. reviews the issue with the charge nurse before answering.
It is appropriate to review this with the charge nurse of the unit before
answering yes or no.
A patient with a respiratory illness complains of thick, sticky secretions that
are hard to cough up. The nursing assistant knows to suggest which of the
following?
A. Cough harder.
B. Go outside and breathe the fresh air.
C.Turn and cough every hour.
D.Drink plenty of fluids.
- ANSWERS-D. Drink plenty of fluids.
Drinking fluids will help to lubricate the secretions so that the patient can
cough them up easier.
A cool washcloth can make a patient with a fever feel better. The nursing
assistant may not administer medications.
A resident is ordered to be in High Fowler position for each meal. Which of
the following descriptions is the most accurate depiction of High Fowler
position?
A. The patient's bed is at a 30 degree angle with the patient slightly slumped
over to the left.
B. The patient's bed is at a 60 degree angle with the feet propped up.
C.The patient's bed is at a 90 degree angle and the patient is positioned
sitting up.
D.The patient lies on their stomach for twenty minutes prior to eating.
- ANSWERS-C. The patient's bed is at a 90 degree angle and the patient is
positioned sitting up.
High Fowlers is a description of the patient sitting straight up in bed,
meaning the bed itself has to be at a 90 degree angle to support them.
All of the following factors may interfere with elimination EXCEPT: