Nursing Assistant Exam 5quiz
Nursing assistants help patients with activities of daily living like eating and bathing. Nursing assistants, sometimes called nursing aides, help provide basic care for patients in hospitals and residents of long-term care facilities. Take this nursing assistant exam review quiz and get ready for the upcoming certification exam. Best of luck!
- 1.
Your resident has a right hemiplegia.When up in a chair, the resident's right arm should be
- A.
Placed in her lap
- B.
Allowed to dangle freely
- C.
Be elevated on a pillow in her lap
- D.
None of the above
Correct Answer
C. Be elevated on a pillow in her lapExplanation
elevating a paralyze limb will help prevent edema and injuryRate this question:
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- 2.
When family members visit a resident, the visitors should
- A.
Stay in the day room
- B.
Stay a short while so as not to tire the resident
- C.
Be expected to help with care
- D.
Be allowed privacy with the resident
Correct Answer
D. Be allowed privacy with the residentExplanation
The family should expect and be allowed privacy time with their loved oneRate this question:
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- 3.
Sexuality changes in aging can result in
- A.
Decreased sexual desire
- B.
Unchanged sexual desire
- C.
Increased sexual desire
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individualsRate this question:
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- 4.
Urinary retention refers to
- A.
Normal output of urine
- B.
Inability to urinate
- C.
Incontinence
- D.
Large output of urine
Correct Answer
B. Inability to urinateExplanation
Urinary retention refers to the inability to urinate. This condition occurs when the bladder is unable to empty completely or at all, leading to a buildup of urine. It can be caused by various factors such as blockages in the urinary tract, nerve problems, or weakened bladder muscles. Urinary retention can be painful and uncomfortable, and medical intervention may be required to relieve the condition.Rate this question:
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- 5.
H.S. care is care that is given
- A.
Before meals
- B.
Before bedtime
- C.
After meals
- D.
Upon awakening
Correct Answer
B. Before bedtimeExplanation
H.S. care refers to the care that is provided before bedtime. This type of care includes various activities such as assisting with personal hygiene, administering medications, and ensuring the patient is comfortable and ready for sleep. It is an important part of a patient's daily routine and helps promote a restful night's sleep.Rate this question:
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- 6.
A prosthesis is
- A.
An artificial substitute for a missing body part
- B.
A device for moving patients
- C.
An expected condition of the aging process
- D.
A disease of the circulatory system
Correct Answer
A. An artificial substitute for a missing body partExplanation
Examples of prostheses include artificial limbs, hearing aids, and denturesRate this question:
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- 7.
When you make a bed, you should place the soiled linen
- A.
On the bedside table
- B.
On the overbed table
- C.
In a laundry bag
- D.
On a chair
Correct Answer
C. In a laundry bagExplanation
Soiled linen should be directly placed in laundry bags to prevent contaiminationRate this question:
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- 8.
On entering a room, you notice that the patient is not breathing. You first action should be to
- A.
Call for help
- B.
Lay the resident down on his back
- C.
Give four quick breaths
- D.
Give 8-10 abdominal thrusts
Correct Answer
A. Call for helpExplanation
In a situation where a patient is not breathing, the first and most important action to take is to call for help. This is crucial as it ensures that additional medical assistance is on the way and can provide further support and expertise in dealing with the situation. Calling for help should always be the initial step before proceeding with any other actions.Rate this question:
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- 9.
A water pitcher has tipped over and you notice water on the floor. You should
- A.
Wipe it up immediately
- B.
Throw a towel over the water to prevent accidents
- C.
Notify the charge nurse
- D.
Call housekeeping
Correct Answer
A. Wipe it up immediatelyExplanation
Take care of spills immediately, or patient may be injured while waiting for housekeepingRate this question:
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- 10.
When making an occupied bed, it is important to
- A.
Make half of the bed at one time
- B.
Have one side rail up and one down
- C.
Make a toe pleat in the top covers
- D.
Do all of the above
Correct Answer
D. Do all of the aboveExplanation
When making an occupied bed, it is important to do all of the above. Making half of the bed at one time ensures that the patient remains comfortable and undisturbed. Having one side rail up and one down ensures the patient's safety and allows for easy access. Making a toe pleat in the top covers helps to prevent pressure ulcers and allows for better foot movement. Therefore, all of these actions are necessary when making an occupied bed.Rate this question:
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- 11.
A resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing
- A.
Back blows
- B.
Mouth to mouth ventilation
- C.
A finger sweep
- D.
Abdominal thrusts
Correct Answer
D. Abdominal thrustsExplanation
Abdominal thrusts are always the first step for airway obstructionsRate this question:
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- 12.
For a resident who is classified as wound and skin isolation, the soiled linen should be
- A.
Placed in the linen hamper
- B.
Discarded
- C.
Bagged before removing from the room
- D.
Taken directly to the laundry
Correct Answer
C. Bagged before removing from the roomExplanation
Wound and skin isolation means high likelihood of linen contamination. Therefore, all linens must be double-baggedRate this question:
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- 13.
Mr. Johnson has not had a bowel movement for five days. He might complain of
- A.
Abdominal cramping
- B.
Lack of appetite
- C.
Slight nausea
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Lack of peristalsis causes all of these symptoms and must be documented and reportedRate this question:
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- 14.
Common signs and symptoms of urinary tract infection may include
- A.
Extreme thirst
- B.
Lack of appetite and stomach pain
- C.
No bowel movement for several days
- D.
Frequent urination with burning sensation
Correct Answer
D. Frequent urination with burning sensationExplanation
The correct answer is frequent urination with burning sensation. This is because urinary tract infections often cause irritation and inflammation in the urinary tract, leading to a frequent need to urinate. The burning sensation is a common symptom of the infection and is caused by the inflammation and irritation in the urinary tract. Other symptoms mentioned in the options, such as extreme thirst, lack of appetite, stomach pain, and no bowel movement, are not typically associated with urinary tract infections.Rate this question:
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- 15.
While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your fist response should be
- A.
Sit her on the floor and go get help
- B.
Call for help immediately but stay with her
- C.
Continue the walk so as not to alarm her
- D.
Tell her to relax because everything will be okay
Correct Answer
B. Call for help immediately but stay with herExplanation
Never leave a patient alone in the time of an emergency.Get help immediatelyRate this question:
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- 16.
When giving daily care you should observe
- A.
General appearance
- B.
Mental condition
- C.
Skin condition
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
When giving daily care, it is important to observe the general appearance of the individual, including their overall physical condition and any signs of discomfort or distress. Observing the mental condition involves assessing their cognitive abilities, mood, and behavior. Additionally, monitoring the skin condition is essential to identify any abnormalities, such as rashes, wounds, or pressure ulcers. Therefore, all of the above observations are necessary to ensure proper daily care and address any potential issues promptly.Rate this question:
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- 17.
During his bath, Mr. Ramirez complains of chest pain and shortness of breath. You should
- A.
Contact your supervisor immediately
- B.
Continue the bath
- C.
Stop the bath and have the resident take some deep breaths
- D.
Assist the resident to a chair to sit upright
Correct Answer
A. Contact your supervisor immediatelyExplanation
Any chest pain should be reported immediately as it may be a sign of heart attackRate this question:
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- 18.
You observe that Mr. Nix has an open red area on her coccyx that is draining. You should
- A.
Wash the area with soap and water and apply alcohol
- B.
Ask another nursing assistant to look at it and give her opinion
- C.
Check it again the next day
- D.
Tell the supervisor so she can check it.
Correct Answer
D. Tell the supervisor so she can check it.Explanation
An opening in the skin predisposes the patient to and must be checked by the nurseRate this question:
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- 19.
Behavior management is a system for
- A.
Making residents follow the rules
- B.
Increasing positive behavior
- C.
Punishing negative behavior
- D.
Making individual staff decisions
Correct Answer
B. Increasing positive behaviorExplanation
A positive behavior affects attitude and builds self-esteemRate this question:
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- 20.
Which statement about a family's involvement in a resident's care is correct?
- A.
Families should be asked to attend care plan meetings
- B.
Families should be asked to leave during care plan meetings
- C.
Families' wishes can have no effect on care planning
- D.
Families may attend religious services only
Correct Answer
A. Families should be asked to attend care plan meetingsExplanation
Promotes communication and continuity of careRate this question:
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- 21.
If Mrs. Force loses her temper and starts swearing, you should
- A.
Put her in her room
- B.
Swear back at her
- C.
Ignore the outburst
- D.
Follow the care plan
Correct Answer
D. Follow the care planExplanation
Don't reinforce negative behavior. The care plan should communicate what the staff is to do should the resident engage in undesirable behaviorRate this question:
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- 22.
Before transferring the resident, you should first wash you hands and then
- A.
Explain what you are going to do
- B.
Requisition a Hoyer lift
- C.
Get help if needed
- D.
Assist the resident to her feet
Correct Answer
C. Get help if neededExplanation
Before transferring the resident, it is important to ensure proper hand hygiene by washing hands. Additionally, it is crucial to get help if needed to ensure the safety of both the resident and the caregiver during the transfer process. This could involve seeking assistance from another caregiver or using appropriate equipment like a Hoyer lift if necessary. Explaining what you are going to do and assisting the resident to her feet may also be important steps in the transfer process, but the priority should be to get help if needed.Rate this question:
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- 23.
When you have a resident sit up and dangle her legs before getting up, you should watch for
- A.
Sudden paleness
- B.
Excessive sweating
- C.
Increased respirations
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
When a resident sits up and dangles her legs before getting up, it is important to watch for sudden paleness, excessive sweating, and increased respirations. These signs may indicate that the resident is experiencing orthostatic hypotension, a drop in blood pressure when changing positions. Sudden paleness can occur due to decreased blood flow to the skin, excessive sweating can be a compensatory response to maintain blood pressure, and increased respirations help to increase oxygen intake. Therefore, all of the above signs should be monitored to ensure the resident's safety and well-being.Rate this question:
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- 24.
Before any transfer, you should
- A.
Have the nurse's approval
- B.
Know the proper procedure
- C.
Use a transfer belt if needed
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "all of the above" because before any transfer, it is important to have the nurse's approval to ensure the safety and well-being of the patient. Additionally, knowing the proper procedure is crucial to prevent any injuries or complications during the transfer. Lastly, using a transfer belt if needed helps in providing proper support and stability to the patient during the transfer process. Therefore, all of these factors are essential before any transfer takes place.Rate this question:
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- 25.
In caring for a confused elderly man, you should remember to
- A.
Keep the bedrails up except when you are at the bedside
- B.
Close the door to the room so that he does not disturb other patients
- C.
Keep the room dark and quiet at all times to keep the patient form becoming upset
- D.
Remind him each morning to shower and shave independently
Correct Answer
A. Keep the bedrails up except when you are at the bedsideExplanation
Keeping the bedrails up except when you are at the bedside is important in caring for a confused elderly man because it helps to ensure his safety. Confused individuals may have difficulty understanding their surroundings and may try to get out of bed, which can lead to falls and injuries. By keeping the bedrails up, it helps to prevent the patient from accidentally falling out of bed when there is no one present to supervise. However, when the caregiver is at the bedside, the bedrails can be lowered to allow for easier access and mobility for the patient.Rate this question:
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- 26.
While giving an unconscionably patient a bath, it is imporatnt to
- A.
Give passive range of motion to all joints
- B.
Let the team leader exercise the patient's joints
- C.
Call the physical therapist to exercise the patient afterwards
- D.
Exercise the patient only if the doctor has ordered it
Correct Answer
A. Give passive range of motion to all jointsExplanation
Passive ROM should always be given with the bath on an unconscious patientRate this question:
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- 27.
When assisting Mr. Cohen in learning to use a walker, you should
- A.
Stand behind him and use a transfer belt
- B.
Put padding all the way around the top rim
- C.
Let him walk by himself so he gains independence
- D.
Let him practice using the walker on the day he is discharged
Correct Answer
A. Stand behind him and use a transfer beltExplanation
standing behind him and using a transfer belt protects both the client and the aideRate this question:
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- 28.
Wrinkles in the bedclothes can
- A.
Overheat the patient
- B.
Irritate the patient's skin
- C.
Result in torn sheets
- D.
Restrict the patietn's activity
Correct Answer
B. Irritate the patient's skinExplanation
Wrinkles in the bedclothes can irritate the patient's skin. When the patient lies on wrinkled bedclothes, the friction between the fabric and the skin can cause discomfort and irritation. This can lead to redness, itching, and even skin breakdown in some cases. It is important to keep the bedclothes smooth and wrinkle-free to ensure the patient's comfort and prevent skin irritation.Rate this question:
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- 29.
Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
- A.
Done only when time permits
- B.
The family's responsibility
- C.
Necessary for rehabilitation
- D.
A violation of patient rights
Correct Answer
C. Necessary for rehabilitationExplanation
Rehab should always be part of the care planRate this question:
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- 30.
When assisting a patient with eating, one of the first things you should do is
- A.
Cut the meat bite-size pieces
- B.
Wash your hands and the patient's hands
- C.
Butter the patient's bread
- D.
Provide the patient with privacy
Correct Answer
B. Wash your hands and the patient's handsExplanation
When assisting a patient with eating, it is important to prioritize hygiene and prevent the spread of germs. Washing your hands and the patient's hands before handling food helps to reduce the risk of contamination and foodborne illnesses. This step ensures that both you and the patient have clean hands, creating a safe environment for mealtime.Rate this question:
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- 31.
The first thing you should do before giving a patient a tub bath is to
- A.
Make sure the tub is clean
- B.
Check the temperature of the water
- C.
Make sure there is an order for it
- D.
Gather necessary supplies
Correct Answer
C. Make sure there is an order for itExplanation
Ensuring that there is a medical order for the tub bath is crucial. It verifies that the bath is appropriate and safe for the patient based on their medical condition and the healthcare provider's plan of care. After confirming the order, you can proceed with gathering necessary supplies, checking the tub's cleanliness, and verifying the water temperature.Rate this question:
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- 32.
The resident's religion forbids eating pork. Ham is being served for lunch. You should
- A.
Tell the resident to eat it because she needs protein
- B.
Tell the resident it's all right since her doctor ordered the diet
- C.
Ask the nurse to call the kitchen
- D.
Tell the resident that restrictions don't pertain in times of illness
Correct Answer
C. Ask the nurse to call the kitchenExplanation
The correct answer is to ask the nurse to call the kitchen. This is because the resident's religion forbids eating pork, so it would be respectful and considerate to accommodate their dietary restrictions. By asking the nurse to call the kitchen, they can inquire about alternative meal options that do not include pork.Rate this question:
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- 33.
When a resident is on I and O, which of the following are measured?
- A.
Liquids other than water
- B.
See-through liquids only
- C.
Milk, ice cream, and carbonated beverages
- D.
All substances that are fluid at room temperature
Correct Answer
D. All substances that are fluid at room temperatureExplanation
All items that are liquid at room temperature are considered fluid (for example, ice cream gelatin, dessert, and so on)Rate this question:
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- 34.
An 85 year old resident tells you that his mother is coming to visit. Your best response would be,
- A.
"That is impossible. Your mother can't come to see you."
- B.
" That's nice, when is she coming?"
- C.
"Tell me how old your mother is."
- D.
"Are you wishing you could see your mother?"
Correct Answer
D. "Are you wishing you could see your mother?"Explanation
D is the only response that uses therapeutic communication skillsRate this question:
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- 35.
The nursing assistant must report abuse of a resident by
- A.
The family
- B.
The staff
- C.
Another patient
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Federal and state laws require reporting of any abuse, whether it comes from staff, family or other residents.Rate this question:
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- 36.
Sexuality in long term care patients may included all of the following except
- A.
Needing private time with a partner
- B.
Caring about one's physical appearance
- C.
Engaging in public fondling
- D.
Desiring sexual interaction
Correct Answer
C. Engaging in public fondlingExplanation
As long term care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other resident's rightsRate this question:
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- 37.
A resident who is eating poorly should be offered
- A.
Vitamin pills
- B.
Tube feeding
- C.
Clear broth
- D.
Dietary supplements
Correct Answer
D. Dietary supplementsExplanation
A resident who is eating poorly should be offered dietary supplements. This is because dietary supplements can provide essential nutrients that the resident may be lacking due to their poor diet. By offering dietary supplements, the resident can still receive the necessary vitamins and minerals to maintain their overall health and well-being, even if they are not consuming a balanced diet.Rate this question:
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- 38.
Each resident who is not NPO must always have
- A.
Fresh fruit
- B.
Three hot meals
- C.
Fresh water
- D.
Juice and pop
Correct Answer
C. Fresh waterExplanation
Residents who are not NPO (nothing by mouth) must always have fresh water because it is essential for hydration and maintaining overall health. While fresh fruit, three hot meals, and juice and pop may also be important for their nutritional needs, fresh water is a basic necessity that everyone requires on a daily basis. It is crucial for proper bodily functions, regulating body temperature, and ensuring the overall well-being of the residents.Rate this question:
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- 39.
Which of the following is not a special or therapeutic diet?
- A.
Diabetic
- B.
Low salt
- C.
Bland
- D.
Regular
Correct Answer
D. RegularExplanation
Regular diet is not considered a special or therapeutic diet because it does not have any specific restrictions or modifications. It includes a variety of foods and is suitable for individuals without any dietary restrictions or medical conditions. In contrast, the other options listed (diabetic, low salt, bland) are all special or therapeutic diets that are designed to meet specific dietary needs or address certain health conditions.Rate this question:
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- 40.
To prevent infection in a resident with an indwelling catheter, you should
- A.
Keep the drainage bag higher than the bladder
- B.
Do perineal care from front to back as needed
- C.
Let the tubing make a U loop below the bed
- D.
Do perineal care every other night
Correct Answer
B. Do perineal care from front to back as neededExplanation
Always wipe from the front to the back to prevent rectal germs from entering the vagina or urinary tractRate this question:
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- 41.
Which statement about dressing residents is not true?
- A.
It is safer for a resident to wear shoes than slippers
- B.
Residents need to be completely dressed by the nurse aide
- C.
After a resident is dressed, he may still need a lap robe for privacy
- D.
Being dressed helps the resident's morale
Correct Answer
B. Residents need to be completely dressed by the nurse aideExplanation
The statement "Residents need to be completely dressed by the nurse aide" is not true because residents have the right to choose how they want to dress and have control over their own clothing choices. The nurse aide should assist the resident in dressing if needed, but they should respect the resident's autonomy and allow them to make decisions about their own clothing.Rate this question:
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- 42.
Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use
- A.
A bedside commode
- B.
The toilet
- C.
A bedpan
- D.
A urinal
Correct Answer
C. A bedpanExplanation
Keep the resident in bed to prevent a fall, but allow privacy while voidingRate this question:
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- 43.
A resident with a paralyzed left arm may be able to feed herself if she uses a
- A.
Plate guard
- B.
Build-up spoon
- C.
Zipper pull
- D.
A and b only
Correct Answer
D. A and b onlyExplanation
A plate guard can be used to prevent food from falling off the plate and make it easier for the resident to scoop the food onto the spoon. A build-up spoon has a larger handle that can be easier to grip and control for someone with a paralyzed left arm. Both of these aids can help the resident with a paralyzed left arm to feed herself independently. A zipper pull is not relevant to feeding and therefore not included in the correct answer.Rate this question:
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- 44.
You perform passive range of motion exercises for a resident, you should do all the following except
- A.
Use good body mechanics
- B.
Move the joint until the resident feels pain
- C.
Keep the body covered except for the joint being exercised
- D.
Make the resident as he can
Correct Answer
B. Move the joint until the resident feels painExplanation
Never extend the joint to the point of painRate this question:
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- 45.
Special devices that residents use to dress themselves include
- A.
Velcro closings
- B.
An extended shoe horn
- C.
A zipper pull
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Promote ADL and independentRate this question:
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- 46.
If the chains of a Hoyer lift are uneven, then the
- A.
Shorter end goes toward the resident's feet
- B.
Shorter end goes toward the resident's head
- C.
Lift cannot be used
- D.
Nurse must be called
Correct Answer
B. Shorter end goes toward the resident's headExplanation
Bring the patient to a sitting position by lifting the head and back forwardRate this question:
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- 47.
Which of the following statements about range of motion exercises is not true?
- A.
Active range of motion means the resident does the exercises
- B.
Passive range of motion means the nursing assistant does the exercises
- C.
Active range of motion means the nursing assistant does the exercises
- D.
Active range of motion is best for the resident, when possible
Correct Answer
C. Active range of motion means the nursing assistant does the exercisesExplanation
AROM means the patient performs his or her own exercisesRate this question:
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- 48.
Because of lack of exercise, bedridden residents often develop
- A.
Decubitus ulcers
- B.
Foot drop
- C.
Contractures and muscle atrophy
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
Exercise promotes and improves circulation in bedridden patientsRate this question:
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- 49.
When reporting your patient's condition to your team leader, you should report immediately
- A.
Rash that appears suddenly
- B.
Warm, dry, and pink skin
- C.
Tough skin on the feet
- D.
Scarred skin
Correct Answer
A. Rash that appears suddenlyExplanation
Only A is an acute changeRate this question:
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- 50.
When caring for a patient with a nasogastric tube, you should
- A.
Offer the patient water if she starts to gag
- B.
Take the tape off the nose if it bothers the patient
- C.
Never unfasten the connecting tubing from the patient's gown
- D.
Protect the tube when moving or changing the patient's position
Correct Answer
D. Protect the tube when moving or changing the patient's positionExplanation
You must ensure that the tube is not dislodgedRate this question:
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Jun 28, 2024Quiz Edited by
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May 08, 2010Quiz Created by
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