Essentials for Nursing Assistants/ Mosby's Final Exam Review

Patients living in long term care centers are called

Residents

These individuals perform delegated nursing tasks under the supervision of a licensed nurse

CNA

As a nursing assistant you are apart

The nursing and health team

A hospice is

A health care agency for persons who are dying

Residents of long-term care centers are informed of their rights

orally, written, and visuallyu

Touching a persons body without his/ her consent

Battery

Knowledge of what is right and wrong conduct is

ethics

How many hours of instruction does OBRA require

75

A nurse asks you to preform a task that is beyond the legal limits of your role. Which is correct?

Ask the DON, Tell them it is out your scope

Protecting the right to privacy involves all of the following except

Allowing visitors to remain in the room when care is given

You see a nursing assistant hitting a patient. What should you do?

Report it to the DON

You should wear a wristwatch that

has a second hand

Stress is

The response or change in the body caused by any emotional, physical, social, or economic factor

Communication is

Exchange of information

When should you report changes in a persons condition?

Immediately

The abbreviation ADL means

Assisted Daily Living

A concept that considers the whole person

Holism

Any lost, absent, or impaired physical or mental function is

Disability

Which shows that you are listening to a person?

Eye contact

Aging is considered to be

Normal

Which is a housing option for older persons who cannot care for themselves?

Long term care, nursing centers

To identify a patient

Look at the identification bracelet

When transferring a person to or from the wheelchair

Lock the wheels, use transfer belt

Signal lights can help prevent falls. Which is incorrect?

Not answering a call light, Signal lights are taken away from those who use it inefficiently

Bed wheels are locked

At all times unless they're being utilized

To use a transfer belt correctly, you follow

Manufacturers instructions

You need to transfer a patient using a transfer belt. Which is correct?

Put it over their clothes, tuck in the excess straps

When washing your hands, you stand so that

You're not touching the sink

When washing your hands, you hands and forearms are kept

Below the elbow

When washing your hands, you clean your fingernails by the following except

Running water under nails (splashing water)

When drying your hands, start at the

Fingertips up to the forearm

To turn off the faucets after washing your hands, use

Two clean paper towels

Contact precautions always require the use of

Gloves

You are delegated tasks that involve Transmission- Based Precautions. The nurse needs to tell you

Wear PPE, gloves

Fainting is the

Sudden loss of consciousness from an inadequate blood supply to the brain

A person is having a seizure. Which is correct?

Stay with the person

Urine is stored in the

Bladder

The immune system functions to

Fight infection

Freedom from restraint

Persons Right

Body alignment is

The way the bed, trunk, arms and legs are aligned with one another

A patient has her bed elevated 60 to 90 degrees. This position is

High Fowlers

A patient is lying on her left side. Her upper leg is sharply flexed. Her lower arm is behind her. This position is

Sims Position

When giving bedside care, the bed is

Locked, in a safe position

A resident is in bed. How often is the person re-positioned?

Every 2 hrs.

A resident is 80 years old. The persons weighs 195 lbs. and is weak. How many workers are needed to move the person up in bed?

2 and a friction reducing device

Before moving a person up in bed, you need to

Inform the resident, make sure the wheels are locked

Before moving, positioning, or transferring a person you always need to

Inform the resident, make sure the wheels are locked

To dangle means

Sit on the side of the bed

For a bed to wheelchair transfer, the person needs to wear

Nonskid shoes

A resident has weakness on her left side. You are transferring her from the bed to the wheelchari

Place the wheelchair near the head of the bed on the right

A stand pivot transfer is used it

The patient can assist you

Which statement about call lights is correct?

Keep call light within a persons reach

Cleaning the genital and anal area is known as

Peri care

When giving oral hygiene, you need to wear

Gloves

When brushing a persons teeth you position the person in

Fowlers Position

When brushing the surfaces of the teeth, you need to

Brush back and forth

You finish brushing a residents teeth. What should you do next?

Brush their tongue

To clean the denture, which is correct?

Clean dentures over basin aligned with paper towels

Soap is not used to wash

The face

When drying a person you should

Pat dry

Patients who take tub baths and showers are at risk for

Burns and falls

When giving perineal care, you start at the

Urethra to the anus

When giving peri care

A clean part of the towel is used for every stroke

A male resident is not circumcised. When giving pericare, you need to

Draw back the skin to provide peri care

When giving footcare, which of the following should be done?

Support ankle/ foot

You are assisting a person to dress. Which is correct?

Ask what they would like to wear

When removing clothing, which is correct?

Remove from the strong side first

When putting on clothing, clothing is put on the

Weaker side first

A catheter is

A tube used to drain/ inject fluid through a body opening

You assist a patient onto the bedpan. How should you position the patient?

In sitting postion

A patient finished urinating. The person cannot clean her genital area. Which is incorrect?

Wipe the area from the anus to urethra

A resident with dementia urinates in plants and the trash can. You can do the following except

Insert an indwelling catheter

A patient has a catheter. The drainage bag must be kept

Below the bladder

Persons with catheters need peri care

As directed by the care plan

When giving cath care, hold the catheter near the

Meatus

You are giving cath care. Which action is correct?

Hold at the meatus and clean four inches

To provide safety durig meals you should position the person in the

Fowlers position

Intake and output must be equal to maintain fluid balance

True

To maintain normal fluid balance, an adult needs to ingest

2000-2500 mL daily

NPO

Nothing by mouth

Blood pressure measurements above systolic pressure of 140 mm Hg or a diastolic pressure of 90 mm Hg they are known to have

Hypertension

The number of pulses felt in one minute is the

Pulse

Inhalation and exhalation is

Respiration

Which is the most common site for taking pulse

Radical pulse

Which instrument is used to listen to sounds produced by the body

Stethoscope

What should you use to wipe the earpierces and diaphram of the stethoscope before and after use?

Alchol wipes

A radial pulse is counted for

1 min

When taking a radial pulse, you need to use

index and middle finger, fingertip

The healthy adult has

12-20 respirations per min.

How do you record blood pressure of a residents who's systolic pressure is 144 mm Hg and diastolic pressure is 78 mm HG

144 mm Hg/ 78 mm Hg

The blood pressure cuff is applied over the

bare upper arm

The diastolic pressure is the

Resting phase of the heart

.....

To balance a scale, you must move the weights to

0

Dorsiflexion is

Bending the toes and foot up at the ankle

The act of walking

Ambulation

A resident is unsteady. When assisting the person with ambulation, you need to apply a

Transfer belt/ gait belt

When ambulating, a person needs to wear

Sturdy shoes wit nonskid soles

When helping a person walk, you walk

Slightly behind them, to the side

Elastic stockings are also called

Ted hose