California Nursing Academy & Nursing Assistant Program Quiz
California Nursing Academy
Nursing Assistant Program
State Practice Exam 1
- 1.
Which of the following should you observe and record when admitting a patient?
- A.
Color of the stool and amount of urine voided
- B.
How much the patient has eaten and drunk
- C.
Bruises, marks, rashes, or broken skin
- D.
Requests the patient makes
Correct Answer
C. Bruises, marks, rashes, or broken skinExplanation
Failure to notice bruises or marks on the skin on admission may later cause someone to believe you were involved in abuse.Rate this question:
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- 2.
When responding to a patient on the intercom, you should
- A.
Ask for the patient's name
- B.
Say, "May I help you?"
- C.
Give your name and position
- D.
Say, "The nurse will answer your call"
Correct Answer
C. Give your name and positionExplanation
When responding to a patient on the intercom, you should give your name and positionRate this question:
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- 3.
Which of the following things should you do to familiarize a new patient with his or her surroundings?
- A.
Show the patient where the call bell is and how to work it.
- B.
Tell the patient not to operate the TV
- C.
Ask visitors to leave the room while you finish admitting the patient
- D.
Raise the siderails of the bed and raise the bed to high position
Correct Answer
A. Show the patient where the call bell is and how to work it.Explanation
You should never leave a new admit until the patient knows how to call for helpRate this question:
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- 4.
When arranging a patient's room, you should do all of the following except
- A.
Check signal cords
- B.
Fix the back and knee rests as directed
- C.
Administer medications
- D.
Check lighting
Correct Answer
C. Administer medicationsExplanation
Nursing assistants are never allowed to give medicationsRate this question:
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- 5.
When assisting a patient in and out of bed, you should always
- A.
Employ body mechanic techniques
- B.
Get another person to help
- C.
Pull the patient's feet out first, and then lift the back up
- D.
Put shoes on the patient because the patient may skip
Correct Answer
A. Employ body mechanic techniquesExplanation
You should always use good body mechanics when moving patientsRate this question:
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- 6.
When should you wash your hands?
- A.
When you notice they look or feel dirty
- B.
When the head nurse tells you to
- C.
At least twice a day
- D.
Before and after contact with a patient
Correct Answer
D. Before and after contact with a patientExplanation
You should wash your hands vefore and after contact with a patientRate this question:
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- 7.
You can prevent decubitus ulcers by
- A.
Changing the patient's position frequently
- B.
Placing an egg-crate mattress on top of the mattress
- C.
Increasing the patient's vitamin C consumption
- D.
Doing both a and b
Correct Answer
D. Doing both a and bExplanation
While choices a and b are correct, there are no data to suggest that choice c is correctRate this question:
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- 8.
After positioning a patient, it is most important to
- A.
Examine the resident thoroughly
- B.
Close the door to the resident's room so she can rest
- C.
Offer the patient a drink of juice
- D.
Check the position of nonfunctional limbs
Correct Answer
D. Check the position of nonfunctional limbsExplanation
A patient may be lying on a nonfunctional limb and have no awareness of it.Rate this question:
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- 9.
The first step in getting a resident up to walk is to
- A.
Sit the resident on the side of the bed
- B.
Put the resident's slippers on
- C.
Check the activity order
- D.
Tell the resident what you want him to do
Correct Answer
C. Check the activity orderExplanation
Always make sure the resident is allowed to get up firstRate this question:
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- 10.
As you are transferring a patient, the resident becomes weak and starts to fall. You should
- A.
Hold the patient's transfer belt and lean away from the fall
- B.
Call for help
- C.
Grasp the transfer belt and lower the resident to the floor along your bent leg
- D.
Hold the resident tightly and lean backwards
Correct Answer
C. Grasp the transfer belt and lower the resident to the floor along your bent legExplanation
Grasp the transfer belt and lower the resident to the floor along your bent legRate this question:
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- 11.
The patient's TPR is 98.8-80-30. The finding that should be reported at once is
- A.
Pulse
- B.
Temperature
- C.
Respiration
- D.
All of the above
Correct Answer
C. RespirationExplanation
Only respirations are out of normal rangeRate this question:
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- 12.
Which of the following can cause an inaccurate oral temperature reading?
- A.
Drinking hot or cold liquids within 10 minutes of the reading
- B.
Failure to shake down a mercury thermometer
- C.
Vigorous exercise prior to measuring temperature
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Drinking hot or cold liquids within 10 minutes of the reading can affect the accuracy of an oral temperature reading because it can cause temporary changes in the mouth's temperature. Failure to shake down a mercury thermometer can also lead to an inaccurate reading as it may not reset to the correct starting point. Vigorous exercise prior to measuring temperature can increase body heat and result in an elevated reading. Therefore, all of the above factors can cause an inaccurate oral temperature reading.Rate this question:
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- 13.
A large glass hold 240 cc. The patient drank one-third of the large glass. You would record this as
- A.
1/3 of 240cc
- B.
30 cc
- C.
80 cc
- D.
120 cc
Correct Answer
C. 80 ccExplanation
1/3 of 240 cc is 80Rate this question:
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- 14.
Mr. Jones is placed on I and O after surgery. The nursing assistant should
- A.
Keep the resident on NPO
- B.
Keep track of the solid foods Mr. Hones eats
- C.
Record all fluid intake and output every shift
- D.
Measure only the first voiding after surgery
Correct Answer
C. Record all fluid intake and output every shiftExplanation
Any fluid taken in or released from the body is considered when the patient is on I and ORate this question:
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- 15.
Which of the following would be included in a resident's output record?
- A.
Urine, food eaten, and IV solutions
- B.
Urine, emesis, and bleeding
- C.
Liquids taken in during the shift
- D.
Bowel movements only
Correct Answer
B. Urine, emesis, and bleedingExplanation
A resident's output record typically includes urine, emesis (vomiting), and bleeding. These are all bodily fluids that need to be monitored and documented for medical purposes. Liquids taken in during the shift are recorded separately as intake, while bowel movements are not considered part of the output record.Rate this question:
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- 16.
Which of the following is an I and O problem that you should report?
- A.
The resident complains of a stomach ache.
- B.
The resident requests a bath
- C.
The resident's total output is 1200 cc
- D.
The resident has not voided in 8 hours
Correct Answer
D. The resident has not voided in 8 hoursExplanation
Failure to void (urinate) may indicate kidney failureRate this question:
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- 17.
When a resident is placed on I and O after surgery, this means that you must
- A.
Measure only the first voiding after surgery
- B.
Record the color of the resident's urine
- C.
Record all fluid intake and output
- D.
Record the first solid food the resident eats
Correct Answer
C. Record all fluid intake and outputExplanation
I and O included any liquid entering or leaving the bodyRate this question:
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- 18.
Mr. Jones drinks 5 ounces of juice. You would record this as
- A.
500 cc
- B.
150 cc
- C.
6 cc
- D.
5 cc
Correct Answer
B. 150 ccExplanation
One ounce is 30 cc, so 5 oz is 5 x 30 or 150 ccRate this question:
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- 19.
Ms. Filmore is a mentally retarded resident. Which statement about her condition is correct?
- A.
She developed mental retardation as an adult
- B.
She cannot function as well as most people her age
- C.
She is very good at math and music
- D.
She is only pretending not to be smart
Correct Answer
B. She cannot function as well as most people her ageExplanation
According to the definition, the mental age of the mentally retarded patient varies from his or her chronological ageRate this question:
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- 20.
Which statement about mentally retarded residents is correct?
- A.
They should be treated like children
- B.
They cannot walk or talk
- C.
They are suspicious of strangers
- D.
They learn at a slow pace
Correct Answer
D. They learn at a slow paceExplanation
In mentally retarded residents, learning is slower than normal, but it still occurs and should be encouragedRate this question:
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- 21.
Mrs. Bell is a mentally ill resident who is under good control.The licensed nurse instructs you to observe her for signs of mental problems, which may include
- A.
Visiting with other residents
- B.
Talking about imaginary friends
- C.
Trusting staff members
- D.
Having dreams at night
Correct Answer
B. Talking about imaginary friendsExplanation
This may be a disease process or a medication overdose. It needs to be evaluated by a physician.Rate this question:
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- 22.
A mentally ill resident is likely to
- A.
Believe she is someone other than herself
- B.
Be fearful, without good reason
- C.
Live in her world
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Thought processes of the mentally ill may include delusions and irrational fearRate this question:
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- 23.
Signs of dementia in the elderly include
- A.
A good memory
- B.
Ability to solve difficult math problems
- C.
Confusion
- D.
Sleeplessness
Correct Answer
C. ConfusionExplanation
Lack of orientation to person, place, and date is sign of dementiaRate this question:
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- 24.
Elderly residents who become confused and forgetful should be
- A.
Humored
- B.
Seen by a doctor
- C.
Kept in their rooms
- D.
Restrained
Correct Answer
B. Seen by a doctorExplanation
Imagining friends might indicate regression or a side effect of medication. Report this occuranceRate this question:
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- 25.
Residents with Alzheimer's disease may show which of the following symptoms?
- A.
High fever accompanied by chills
- B.
Clear memory of the distant past
- C.
Chest pains and difficulty breathing
- D.
Physical and mental decline
Correct Answer
D. pHysical and mental declineExplanation
The Alzheimer's patient suffers from physical and mental declineRate this question:
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- 26.
Which of the following best describes nail care?
- A.
Nail care is not needed for the elderly
- B.
Use scissors for all nail care
- C.
All residents need nail care
- D.
Check with the LPN for nail care instructions
Correct Answer
C. All residents need nail careExplanation
The nursing assistant should be able to obtain information needed from the care planRate this question:
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- 27.
When performing perineal care on a male, always
- A.
Clean the scrotum first
- B.
Retract the foreskin if uncircumcised
- C.
Clean from form to back
- D.
Hold the penis at a 90 degree angle
Correct Answer
B. Retract the foreskin if uncircumcisedExplanation
Material may build up under the foreskin in uncircumcised males unless the foreskin is retracted for cleaningRate this question:
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- 28.
When giving a resident a shower, you should
- A.
Use a bath blanket
- B.
Wear a raincoat to protect yourself
- C.
Place the resident in a shower chair
- D.
Run water a 135 degree F
Correct Answer
C. Place the resident in a shower chairExplanation
Because residents may become faint during a shower, they should always be sitting downRate this question:
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- 29.
The purpose of the cleansing bath is to
- A.
Provide cleanliness
- B.
Promote circulation
- C.
Observe skin condition
- D.
Do all of the above
Correct Answer
D. Do all of the aboveExplanation
A bath correctly given promotes circulation at the same time as it provides an excellent opportunity to observe the skinRate this question:
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- 30.
The reasons for rubbing a patient's back include
- A.
Improving circulation
- B.
Increasing one-on-one interaction time
- C.
Relaxing the resident
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
A correctly given back rub improves circulation, thus relaxing the patient while giving you an opportunity for one-on-one interactionRate this question:
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- 31.
The procedure for bathing that prevents damage to the skin is to
- A.
Rub carefully with a rough washcloth
- B.
Use a large amount of lotion
- C.
Rinse well and dry thoroughly
- D.
Apply a generous amount fo talcum powder after the bath
Correct Answer
C. Rinse well and dry thoroughlyExplanation
The best way to prevent skin breakdown is to rinse and dry wellRate this question:
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- 32.
A resident who talks about giving away her possessions may be
- A.
Making plans to move
- B.
Suicidal
- C.
Depressed
- D.
Retarded
Correct Answer
B. SuicidalExplanation
Suicidal patients often give all their possessions sway. This behavior must be reported to the nurseRate this question:
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- 33.
Signs of depression included
- A.
Decreased appetite
- B.
Attending activities daily
- C.
Decreased heart rate
- D.
Laughing and smiling
Correct Answer
A. Decreased appetiteExplanation
Lack of appetite may be caused by many diseases, especially depressionRate this question:
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- 34.
Jane is a 24 year old resident with muscular dystrophy. She has a supportive family, but she talks often of her desire to have a boyfriend. This feeling is best described as
- A.
Normal
- B.
Foolish
- C.
Both a and b
- D.
Hopeless
Correct Answer
A. NormalExplanation
All patients need to feel wanted and to share their feelings with another person. This is normal behaviorRate this question:
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- 35.
Mrs. Larkin, age 52, was the victim of an industrial accident. She was a foreman and a union leader. To help her maintain her dignity as an adult you might suggest that she
- A.
Read industrial magazines
- B.
Serve on the resident council
- C.
Rent movies
- D.
Attend bingo
Correct Answer
B. Serve on the resident councilExplanation
As a former foreman and leader, Mrs. Larkin needs to feel useful and involvedRate this question:
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- 36.
Older adults often experience depression as a result of
- A.
Loss of a spouse
- B.
Loss of friends
- C.
Decreasing physical strength
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Aging can include any and all of the listed events, and these events could provoke depression in a patient of any ageRate this question:
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- 37.
When moving a wheelchair on or off an elevator, you should stay
- A.
Behind the chair, pulling it toward you
- B.
Behind the chair, pushing it away from you
- C.
In front of patient to observe his or her condition
- D.
To the side and hold the door open
Correct Answer
A. Behind the chair, pulling it toward youExplanation
You must stay behind the chair to control it, but it should go on and come off an elevator backwards to prevent the wheels from falling into the door opening.Rate this question:
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- 38.
What position should a patient be in the receive an enema?
- A.
Supine
- B.
Fowler's
- C.
Prone
- D.
Left Sim's
Correct Answer
D. Left Sim'sExplanation
This allows better irrigation of the colon.Rate this question:
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- 39.
Nursing orders frequently instruct you to "assist patient to cough and deep breathe." This activity helps the patient avoid
- A.
Decubitus ulcers
- B.
Pneumonia
- C.
Internal bleeding
- D.
Dyspnea
Correct Answer
B. PneumoniaExplanation
Coughing and deep breathing forces lower lung movementRate this question:
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- 40.
A patient who has difficulty chewing or swallowing will need what type of diet
- A.
Clear liquid
- B.
Low residue
- C.
Bland
- D.
Mechanical soft
Correct Answer
D. Mechanical softExplanation
A mechanical soft diet is easy to chew, swallow, and digestRate this question:
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- 41.
How often shouter you total a patient's intake and output records?
- A.
Once each shift
- B.
Twice a day
- C.
Every 4 hours
- D.
Every 12 hours
Correct Answer
A. Once each shiftExplanation
Input and output are totaled once shift as well as every 24 hoursRate this question:
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- 42.
The Foley bag must be kept lower than the patient's bladder so that
- A.
Urine will not leak out, soiling the bed
- B.
Urine will not return to the bladder, causing infection
- C.
The bag will be hidden and the patient will not be embarrassed
- D.
The patient will be more comfortable in bed.
Correct Answer
B. Urine will not return to the bladder, causing infectionExplanation
Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria, into the bladder.Rate this question:
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- 43.
When assisting a nurse to irrigate a patient's bladder, you notice that the nurse has contaminated the sterile field. You should
- A.
Tell the doctor right away
- B.
Tell the charge nurse right away
- C.
Offer to get the nurse another sterile pack
- D.
Ignore it because the nurse is doing the procedure
Correct Answer
C. Offer to get the nurse another sterile packExplanation
The nurse may not realize she or he has done thisRate this question:
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- 44.
When distributing drinking water, the nursing assistant should
- A.
Use only disposable cups and pitchers
- B.
Give ice to all patients
- C.
Follow the policy of the institution
- D.
Make sure that all pitchers are filled completely
Correct Answer
C. Follow the policy of the institutionExplanation
Agencies may have different policiesRate this question:
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- 45.
Mr. Kaplan's order include the notation, "strain all urine." This means that you should report
- A.
The output in millimeters
- B.
The color of the urine
- C.
Any complaints the patient makes
- D.
Any particles in the strainer
Correct Answer
D. Any particles in the strainerExplanation
The purpose of the order to strain urine is to detect particlesRate this question:
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- 46.
The main safety factor in transferring a patient is to
- A.
Always transfer slowly
- B.
Raise the side rails
- C.
Secure adequate assistance
- D.
Make sure the resident is not tired
Correct Answer
C. Secure adequate assistanceExplanation
Transferring safely means planning ahead, including obtaining helpRate this question:
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- 47.
A resident who is too large for a staff members to transfer safely is
- A.
Moved with a mechanical lifting device
- B.
Placed on a calorie-controlled diet
- C.
Left in bed, but turned every two hours
- D.
Left in bed, but repositioned every hour
Correct Answer
A. Moved with a mechanical lifting deviceExplanation
use a mechanical device to protect both the resident and the staffRate this question:
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- 48.
Before transferring a resident from the bed to a wheelchair, you should sit him on the edge of the bed for a few minutes to
- A.
Rearrange his gown or clothing
- B.
Prevent orthostatic hypotension
- C.
Position and secure the wheelchair
- D.
Rest and remove the transfer belt
Correct Answer
B. Prevent orthostatic hypotensionExplanation
Orthostatic hypotension is the light-headed feeling we all get when we rise to fastRate this question:
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- 49.
At the be beginning of your shift, you give a resident a water pitcher containing 270 cc (9 oz) of water. At the end of your shift, you note that 35 cc of water is left in the pitcher.How much water has been consumed?
- A.
35 cc
- B.
135 cc
- C.
175 cc
- D.
235 cc
Correct Answer
D. 235 ccExplanation
The correct answer is obtained by subtracting the amount of fluid left form the fluid amount the resident stated withRate this question:
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- 50.
Mrs. Jones states, "I'm not nervous about his surgery, " but she is restless and unable to get comfortable. You should
- A.
Recognize that Mrs. Jone's body movements indicate fear and ask the nurse to speak with her
- B.
Put the side rails up on the bed to prevent an accident
- C.
Ask Mrs. Jone's family members to leave so she will be able to settle down
- D.
Tell her everyone is nervous bout surery and that she should relax
Correct Answer
A. Recognize that Mrs. Jone's body movements indicate fear and ask the nurse to speak with herExplanation
Nonverbal communication such as body movement indicates the patient's anxietyRate this question:
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Mar 22, 2023Quiz Edited by
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May 07, 2010Quiz Created by
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