1.
The immediate supervisor of the nursing assistant is:
Correct Answer
A. The RN
2.
Which of the following is NOT a responsibility of the nursing assistant?
Correct Answer
C. Taking telepHone orders from the pHysician for the assigned patients
3.
Care of the patient includes all of the following EXCEPT:
Correct Answer
C. Assisting in their financial needs
4.
What is the most effective means of preventing the spread of germs?
Correct Answer
B. Washing hands briskly with soap and water or alcohol based agent
5.
You are walking with a client in the hallway. The client suddenly becomes weak and starts to fall. What is your first
action?
Correct Answer
C. Ease the patient to the floor, preventing them from injuring themselves
6.
Which of the following pieces of information would require the RN to be notified immediately?
Correct Answer
A. Temperature of 103 F, BP 200/100, Blood Sugar of 250
Explanation
The combination of a high temperature (103 F), high blood pressure (200/100), and high blood sugar (250) indicates a potentially serious medical condition that requires immediate attention. These symptoms could be indicative of an infection, hypertension, or uncontrolled diabetes, which can have serious complications if left untreated. The nurse should be notified immediately to assess the patient's condition and provide appropriate medical intervention.
7.
You are assisting a patient to eat. The patient suddenly becomes choked and starts to cough. Which action should you
take?
Correct Answer
A. Encourage the patient to continue coughing
Explanation
If a patient suddenly becomes choked and starts to cough, it is important to encourage the patient to continue coughing. Coughing is a natural reflex that helps to clear the airway of any obstruction. By encouraging the patient to cough, it can help to dislodge the object that is causing the choking. This is the safest and most effective initial action to take in this situation. Standing behind the patient, pounding on the back, or delivering blows using a downward motion can potentially cause more harm or push the object further into the airway. Placing the patient on the floor is not necessary in this scenario.
8.
You are bathing an unconscious patient. Which of the following should be reported to the nurse immediately?
Correct Answer
D. There is redness and swelling at the IV insertion site
Explanation
Redness and swelling at the IV insertion site should be reported to the nurse immediately because it could indicate an infection or infiltration of the IV site. Infections can lead to serious complications if not treated promptly, and infiltration can cause tissue damage and compromise the effectiveness of the IV therapy. Therefore, it is important to notify the nurse so that appropriate interventions can be initiated to prevent further harm to the patient.
9.
A patient is receiving continuous tube feedings via a nasogastric tube. Which of the following findings requires an
immediate intervention?
Correct Answer
A. The patient is lying flat in bed
Explanation
The patient lying flat in bed while receiving continuous tube feedings via a nasogastric tube requires immediate intervention because it increases the risk of aspiration. When the patient is lying flat, the tube feedings can flow back into the esophagus and potentially enter the lungs, leading to aspiration pneumonia. To prevent this, the patient should be positioned in an elevated position, such as high Fowler's position, to promote proper digestion and prevent aspiration.
10.
You are assisting a Parkinson’s patient with the bath. You should:
Correct Answer
B. Encourage the patient to bathe as much of his body as possible
Explanation
The correct answer is to encourage the patient to bathe as much of his body as possible. This is because Parkinson's disease can cause difficulties with movement and coordination, making it challenging for the patient to perform tasks such as bathing independently. By encouraging the patient to bathe as much of his body as possible, you are promoting independence and self-care, which can help maintain the patient's dignity and sense of control.
11.
You are providing care to a patient who is hearing impaired. The best method for communicating with the patient is
to:
Correct Answer
C. Position yourself directly in front of the patient and speak slowly and clearly in a normal tone
Explanation
Positioning yourself directly in front of the patient and speaking slowly and clearly in a normal tone is the best method for communicating with a hearing impaired patient. This allows the patient to see your facial expressions, gestures, and lip movements, which can aid in understanding. Speaking loudly into the patient's ear may distort the sound and make it more difficult for the patient to understand. Providing paper and pencil may be helpful in certain situations, but it should not be the primary method of communication. Asking the patient about their "good" ear is not necessary for effective communication.
12.
Which of the following requests is outside the responsibilities of a CNA?
Correct Answer
D. All of the above
Explanation
The responsibilities of a Certified Nursing Assistant (CNA) include assisting with activities of daily living, monitoring vital signs, and providing basic patient care. Administration of medications, auscultation of breathing sounds, and performing procedures requiring sterile technique are all tasks that fall outside the scope of a CNA's responsibilities. Therefore, the correct answer is "All of the above."
13.
A nurse has just left a patient’s room when you enter to take the vital signs. You find the patient flat in bed and the bed in high position and all side rails down. You should:
Correct Answer
C. Raise the side rails and consult with the nurse regarding your findings
Explanation
Upon entering the patient's room, it is important to prioritize the safety of the patient. Finding the patient flat in bed with the bed in a high position and all side rails down poses a potential risk for falls or injury. Therefore, the correct course of action would be to raise the side rails to ensure the patient's safety and then consult with the nurse regarding the findings. This allows for immediate intervention to address any potential safety concerns. Taking vital signs and documenting the findings can be done after ensuring the patient's safety.
14.
15. A patient has wrist restraints on, secondary to having pulled out their nasogastric tube 5 times. As the nursing assistant,
your responsibility regarding restraints is to:
Correct Answer
B. Release the restraints every two hours and put the extremities through range of motion
Explanation
The correct answer is to release the restraints every two hours and put the extremities through range of motion. This is because restraints should never be tied to the side rails as it can cause harm to the patient. Evaluating the need for restraints every 4 hours is important, but it is not the nursing assistant's responsibility. Maintaining all 4 side rails up is not necessary unless it is specifically ordered by the healthcare provider.
15.
You have been pulled from the acute care floor to a psych floor to sit with a patient requiring constant observation.
You recognize you have been given this assignment because the patient:
Correct Answer
A. Has threatened to hurt himself or others
Explanation
The correct answer is that the patient has threatened to hurt himself or others. This is evident from the given options as the other options do not indicate any immediate danger or harm. The fact that the patient requires constant observation suggests that they pose a risk to themselves or others and need to be closely monitored to prevent any potential harm.
16.
What four areas of the body can you use to obtain a body temperature reading?
Correct Answer
A. Oral, rectal, axilla, ear canal
Explanation
The four areas of the body that can be used to obtain a body temperature reading are the oral cavity, rectum, axilla (armpit), and ear canal. These areas are commonly used because they provide accurate readings and are easily accessible. The oral cavity and rectum are internal areas that can provide core body temperature readings, while the axilla and ear canal are external areas that can provide surface temperature readings.
17.
What is normal body temperature?
Correct Answer
C. 98.6º F
Explanation
The normal body temperature is typically considered to be 98.6º F. This is the average temperature of a healthy human body when measured orally. However, it is important to note that body temperature can vary slightly from person to person and can also fluctuate throughout the day.
18.
Poor skin turgor and a dry mouth are symptoms of:
Correct Answer
C. Dehydration
Explanation
Poor skin turgor and a dry mouth are classic signs of dehydration. When the body is lacking adequate fluid, the skin loses its elasticity and becomes less resilient, resulting in poor skin turgor. Additionally, dehydration can cause a decrease in saliva production, leading to a dry mouth. While diabetes and CVA (cerebrovascular accident) can have various symptoms, they do not typically present with poor skin turgor or a dry mouth. Therefore, the correct answer is dehydration.
19.
A rectal temperature reading is usually more accurate than an oral temperature.
Correct Answer
A. True
20.
Which of the following can contribute to the development of decubitus ulcers?
Correct Answer
D. All of the above
21.
The higher of the two numbers on a blood pressure is the systolic.
Correct Answer
A. True
22.
Edema is a condition caused by retention of body fluid and usually occurs in what areas of the body?
Correct Answer
A. Feet, ankles, hands, face