Basic Nursing Skills

A client is paralyzed on the right size. The nurse aide should place the signaling device.

On the left side of the bed near the client’s hand.

A nurse aide notices blood in patient’s IV tubing. The aide should

Notify the IV nurse

Physical restraints are used MOST often

To prevent client injury

A Hepatitis B vaccination protects the person receiving it against a disease that affects

Liver

Drainage bags from urinary catheters should always

Be kept below the level of the bladder

The goal of the health care team is to

Provide quality care

NPO means

Nothing By Mouth

Who supervises the work of a nurse aide

The Nurse

In report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should

Take away the water pitcher at midnight.

The circulatory system consists of the

Heart, Arteries, Veins, and Capillaries

Sign of poor circulation are

Paleness, cold skin, edema

When caring for a resident with an indwelling Foley catheter it is important to

Check the bag and tubing frequently for adequate urinary flow

Hypothermia is a

Very low body temperature

The nurse aide notices on the flow sheet that a resident has not had a bowl movement for five days. The nurse aide should

Report this to the charge nurse.

Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. She has left sided hemiplegia. This is

Paralysis on the left side of the body

Meal trays have arrived. Before serving each tray the nurse aide should

Check ear armband, even on familiar patients.

Headaches, nausea and pain would be called

Symptoms

Which does NOT prevent or reduce odors?

Placing fresh flowers in the room

What is the purpose of using the chain of command in a long-term facility

To keep communication about a problem flowing smoothly.

A Foley catheter is used

To drain urine from the bladder.

The exchange of oxygen and carbon dioxide takes place

In the lungs

The RN assigns you a task that is in your job description. Which statement is FALSE?

The RN should delegate every non-RN task to you

What basic need is most essential?

Safety and Security

Paralysis on one side of the body is called

Hemiplegia

Mrs. Andrews has an indwelling urinary catheter. Which is INCORRECT?

Attach the drainage bag to the bed rail

What is the condition when patients are unable to control their bladder?

Urinary Incontinence

You notice that a patient has passed a black tarry stool. This is called.

Melena

What type os isolation precautions are necessary or a patient with a gastrointestinal infection?

Enteric Precautions

Mr. Burns just smoked a cigarette. How long should you wait to take his oral temperature?

15-20 minutes

What is the most accurate way to measure a resident’s temperature?

Rectal

The definition of scope of practice is?

Skills which the health care worker is legally able to perform

The normal heart rate/pulse rate for an adult human is 60-100 bpm. An elevated heart rate can be expected with

uncontrolled bleeding

a patient just finished taking a cold beverage. How long should you wait before taking an oral temperature

15-20 minutes

in long term care facilities, which shift usually gets the residents ready for their appointments, X-ray, etc?

7AM - 3:30PM (Morning)

Wrinkles in bed linens can lead to problems for residents. Which is the Mose Eries problem that they can cause?

Decubitus Ulcer

The nurse aide enters a client’s room, and the client states that he has pain. What should the nurse aide do?

report it to the nurse in charge

the surgical creation of an artificial opening of the large intestine is called a

colostomy

a sodium-restricted diet for heart disease does not include

Pickles and olives.

the RN, LPN< and CNA are members of the

Nursing Team

the first sign of securities ulcer is

redness and warmth

While making an empty bed, the nurse aide sees that the side is broken

Should report the broken side rail immediately

When heat is applied to the skin, the blood vessels

Dilate c

Continual oozing or diarrhea may be symptom of

Fecal Incontinence

The Heimlich maneuver (abdominal thrusts is used for a client who has

A blocked airway

The period of heart muscle contraction is called

Systole

An apical pulse is counted for

1 full minute

What body system provides framework for the body and allows the body to move?

Musculoskeletal

When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s

Wrist

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

Clean up the spill

The medical abbreviation for “before meals” is

AC

For safety, when leaving a client alone in a room, the nurse aide SHOULD

PLACE SIGNALING DEVICE WITHIN CLIENT’S REACH

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

ON CLIENT’S WEAK SIDE

A resident with an ileostomy evacuates feces through the

ILEUM

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client’s

UPPER THIGH

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

CALL FOR HELP

On what side should the patient lie for an enema?

LEFT

Normal urine color is

Yellow

Strokes are seen in the elderly. Strokes are best described as

WHEN THE BRAIN IS DEPRIVED OF OXYGEN

Mrs. Shumway’s nursing care plan list CHF (congestive heart failure) as her primary dx. (diagnosis). Your would expect her ADL routine to include

Daily AM Weight Measurement

IN the Nursing Care Plan you note it is written; “02 per N/C @ 3L, Orthopnea ps. as needed”. As a CNA you know this means

RESIDENT HAS OXYGEN WITH A NASAL CANNULA ON THREE LTIERS, ASSIST TO SIT IN FOWLERS

MRS. HERNANDEZ HAS A HIP REPLACEMENT AND IS ADMITTED TO THE LONG TERM CARE FACILITY FOR REHABILITATION. HER CONDITION IS

ACUTE

A PATIENT WHO WAS GIVEN INSULIN IN THE MORNING IS PALE AND SWEATY AND APPEARS CONFUSED TWO HOURS LATER. IT WOULD BE HELPFUL TO FIND OUT WHETHER THE PT

HAD BREAKFAST

A PATIENT APPEARS MORE PALE THAN USUAL. THE NURSE AIDE SHOULD

ASK THE PATIENT HOW HE FEELS AND TAKE HIS VITAL SIGNS IMMEDIATELY

WHAT CAN THE NURSE AIDE GIVE THE RESIDENT WHO HAS AN ORDER FOR NPO

NO FOOD OR LIQUIDS

WASTING OR A DECREAE IN SIZE OF A MUSCLE IS CALLED

ATROPHY

FOR MOST RESIDENTS, NORMAL RESPIRATION RANGES BETWEEN

12 TO 20 INSPIRATIONS PER MINUTE

VARIOUS FACTORS WILL CHANGE PULSE RATE. INCREASED PULSED RATES CAN BE CAUSED BY

EXERCISE

WHY SHOULD HEAT NOT BE APPLIED TO A DIABETIC RESIDENT’S

DIABETICS HAVE DECREASED SENSITIVITY TO HEAT

WHILE TAKING A RECTAL TEMPERATURE THE NURSE AIDE SHOULD INSERT THE THERMOMETER AND

HOLD ONTO THE THERMOMETER UNTIL IT CAN BE REMOVED

A RESIDENT HAS DIABETES. WHAT IS A COMMON SIGN OF LOW BLOOD USGAR

SHAKINESS

WHO IS RESPONSIBLE FOR THE ENTIRE NURSING STAFF AND THE ACTIVITIES INVOLVED IN PROVIDING SAFE CARE

THE DIRECTOR OF NURSING

MRS. ALLEN HAS A GASTROSTOMY AND THE NURSE JUST PUT ENSURE THROUGH THE FEEDING TIUBE. THE CNA NEEDS TO PUT HER IN WHICH POSITION FOR THE NEXT 2 HOURS?

FOWLER’S POSITION

WHEN LIFTING A HEAVY OBJECT, WHICH MUSCLE GROUPS SHOULD BE UTILIZED

MUSCLES OF LEGS

A NURSE ASSISTANT NOTICES RED MARKS ON A RESIDENT’S BACK AND BUTTOCKS. THE AIDE ACTS IN THE KNOWLEDGE THAT

THE SKIN CAN BREAK DOWN IF NOTHING IS DONE

WHAT IS AN EMBOLISM

A BLOOD CLOT THAT MOVES THROUGH THE BLOODSTREAM. AND CAUSES OBSTRUCTION

A CLIENT WHO IS ON A LOW CHOLESTEROL DIET SHOULD NOT EAT

RED MEAT

YOU ARE INSTRUCTED TO STRAIN MR. POWERS’ URINE. YOU KNOW THAT STRAINING THE URINE IS DONE TO FIND

STONES

STONES

A PATIENT WITH A PERSISTENT BLOOD PRESSURE MEASUREMENT ABOVE 140/90 HAS

HYPERTENSION

A CLIENT WHO REQUIRES A HIGH FIBER DIET SHOULD EAR

FRUITS, VEGETABLES AND WHOLE GRAINS

IF YOUR PATIENT IS IN TRACTION YOU SHOULD

NOT CHANGE THE POSITION OF THE WEIGHT

A NURSING AIDE HAS FOUR PATIENT TO ASSIST. WHO SHOULD SHE ADDRESS FIRST?

THE PATIENT WHO NEEDS TO BE TAKEN TO THE BATHROOM

SUPINE POSITION IS

LYING ON THE BACK

A PATIENT IS NEARING DEATH. WHAT SHOULD THE NURSE AIDE FOCUS ON?

SUPPORTING THE PATIENT AND KEEPING THEM COMFORTABLE

THE NUTRIENT USED TO BUILD AND REPAIR TISSUE IS

PROTEIN

A SLIPKNOT IS USED WHEN SECURING A RESTRAINT SO THAT

THE RESTRAINT CAN BE REMOVED QUICKLY WHEN NEEDED

YOU ARE MEASURING MRS. CLARK’S RESTING PULSE AND IT IS 106 BEATS PER MINUTE, WHICH IS SIGNIFICANTLY HIGHER THAN HER NORMAL PULSE. YOU SHOULD

REPORT THIS TO THE CHARGE NURSE

TO HELP PREVENT RESIDENT FALLS, THE NURSE AIDE SHOULD

LEAVE RESIDENTS; NBEDS AT THE LOWEST LEVEL WHEN CARE IS COMPLETE

ONE OF THE DIFFERENCES BETWEEN AN RN AND A CNA IS THAT ONLY THE RN CAN

GIVE MEDICATION

THE PROPER WAY TO IDENTIFY A PATIENT IS TO

CHECK THE PATIENT’S WRISTBAND

A MAJOR RISK FACTOR FOR A STROKE IS

HYPERTENSION

WHEN GIVING AN ENEMA TO A PERSON YOU ASK THE PERSON TO LIE ON

THEIR LEFT SIDE

A RESIDENT HAS A SLOW HEART RATE; LESS THAN 60 BEATS PER MINUTE. THE NURSE TELLS YOU SHE IS HAVING

BRADYCARDIA

THE NUSE AIDE NOTICES THAT THE CLIENT’S RADIO CORD IS DRAPED ACROSS A CHAIR IN ORDER TO REACH THE NEAREST OUTLET. THE FIRST THING THE NURSE AIDE SHOULD DO IS

SEE IF ANY CHANGES CAN BE MADE SO THAT THE RADIO CAN BE PLUGGED IN SAFELY

THE NURSING CARE PLAN STATES, “TRANSFER WITH MECHANICAL LIFT.” HOWEVER, THE CLIENT IS VERY AGITATED. TO TRANSFER THE CLIENT, THE NURSE AIDE SHOULD

GET ASSISTANCE TO MOVE THE CLIENT

TO LIFT AN OBJECT USING GOOD BODY MECHANICS, THE NURSE AIDE SHOULD

BEND KNEES AN KEEP BACK STRAIGHT W

WHEN MUSCLES ATRPHY, THEY BECOME

SMALLER

WHAT TYPE OF FIRE CAN BE PUT OUT WITH WATER?

PAPER

THE PHYSICIAN ORDERED MRS. JONES “TO RECEIVE PHYSICAL THERAPT QOD”. THAT MENAS THAT SHE WILL GO

EVERY OTHER DAY

THE NURSE AIDE IS GOING TO HELP THE CLIENT WALK FROM THE BED TO A CHAIR. WHAT SHOULD THE NURSE AIDE PUT ON THE CLIENT’S FEET?

RUBBER-SOLED SLIPPERS OR SHOES

A RESTRAINT SHOULD ALWAYS BE TIED TO THE

BED FRAME