Midterm Mock Exam

Integumentary System

What is the main function of the integumentary system?

A. Digestion

B. Protection

C. Respiration

D. Circulation

Which of the following is an effect of aging on the skin?

A. Increased elasticity

B. Thicker skin

C. Slower healing

D. Faster regeneration

What characterizes stage 1 of a pressure ulcer?

A. Partial-thickness skin loss

B. Non-blanchable redness

C. Full-thickness tissue loss

D. Exposed bone

Shearing can be best described as:

A. Skin moving with underlying tissue

B. Skin remaining in place while underlying tissue moves

C. A method of wound dressing

D. A type of burn injury

Circulatory System

Which of the following is NOT a structure of the circulatory system?

A. Heart

B. Lungs

C. Arteries

D. Veins

The circulatory system primarily functions to:

A. Digest food

B. Filter waste

C. Transport oxygen and nutrients

D. Produce hormones

Which pulse site is located on the wrist?

A. Carotid

B. Brachial

C. Radial

D. Femoral

Peripheral Vascular Disease affects:

A. The heart

B. Blood vessels outside the heart

C. Lymph nodes

D. The brain

Respiratory System

Which of the following is a main structure of the respiratory system?

A. Stomach

B. Trachea

C. Liver

D. Kidneys

The primary function of the respiratory system is:

A. Filtering blood

B. Gas exchange

C. Digesting food

D. Producing energy

Dyspnea refers to:

A. Easy breathing

B. Normal heartbeat

C. Difficulty breathing

D. Normal oxygen levels

A normal oxygen saturation level is:

A. 85-90%

B. 90-95%

C. 95-100%

D. 100-105%

COPD stands for:

A. Chronic Obstructive Pulmonary Disease

B. Chronic Obstructive Peripheral Disease

C. Chronic Open Pulmonary Disease

D. Chronic Overlapping Pulmonary Disease

Safety, Infection, Infection Control

In fire safety, RACE stands for:

A. Rescue, Alarm, Contain, Extinguish

B. Rescue, Alert, Call, Escape

C. Respond, Act, Confine, Extinguish

D. Rescue, Alarm, Clear, Evacuate

An MSDS/SDS provides information on:

A. Employee schedules

B. Chemical safety

C. Patient medical history

D. Dietary guidelines

The chain of infection includes all EXCEPT:

A. Infectious agent

B. Reservoir

C. Host reaction

D. Portal of exit

PPE stands for:

A. Personal Protective Equipment

B. Patient Protection Equipment

C. Professional Practice Equipment

D. Personal Performance Equipment

Pathogens are:

A. Harmless bacteria

B. Disease-causing microorganisms

C. Non-living particles

D. Beneficial fungi

Airborne precautions are required for diseases like:

A. Influenza

B. Tuberculosis

C. Gastroenteritis

D. Conjunctivitis

Other Topics

Maslow's Hierarchy of Needs begins with:

A. Safety

B. Love/Belonging

C. Physiological needs

D. Esteem

Enteral feeding refers to:

A. Intravenous feeding

B. Tube feeding

C. Oral feeding

D. Rectal feeding

Colostomy care involves:

A. Cleaning a surgical incision

B. Managing an artificial opening in the abdominal wall

C. Administering IV medication

D. Monitoring blood glucose levels

A normal adult body temperature range is:

A. 96.5°F to 97.5°F

B. 97.8°F to 99.1°F

C. 98.5°F to 100.5°F

D. 99.0°F to 101.0°F

One ounce is equal to:

A. 20 milliliters

B. 25 milliliters

C. 30 milliliters

D. 35 milliliters

An example of a chronic condition is:

A. Appendicitis

B. Influenza

C. Hypertension

D. Fracture

CEUs for CNA renewal are:

A. Continuing Education Units

B. Clinical Education Updates

C. Certified Education Units

D. Comprehensive Education Updates

How many work hours are required for CNA renewal in Nevada?

A. 100 hours

B. 200 hours

C. 400 hours

D. 600 hours

The nursing process includes:

A. Assessment, Diagnosis, Planning, Implementation, Evaluation

B. Diagnosis, Implementation, Evaluation, Assessment, Planning

C. Planning, Implementation, Evaluation, Assessment, Diagnosis

D. Implementation, Planning, Diagnosis, Evaluation, Assessment

NSBN stands for:

A. National State Board of Nursing

B. Nevada State Board of Nursing

C. Nursing Standards Board of Nevada

D. Nevada Standards of Board Nursing

Scope of practice refers to:

A. Tasks allowed to be performed by a nurse

B. Areas where nurses can work

C. Number of patients a nurse can care for

D. Educational requirements for nursing

Informed consent is:

A. The patient agreeing to treatment without knowledge

B. Obtaining permission before performing a healthcare intervention

C. Consent given by the healthcare provider

D. An emergency procedure agreement

Dementia differs from delirium in that it is:

A. Acute and reversible

B. Chronic and progressive

C. Caused by infection

D. A temporary condition

Sundowning is:

A. Increased confusion in the late afternoon/evening

B. A type of dementia

C. Morning agitation

D. A symptom of depression

Abuse in a healthcare setting can be identified by:

A. Clear communication

B. Lack of physical contact

C. Bruises and injuries

D. Proper documentation

Misappropriation of property refers to:

A. Losing patient belongings

B. Stealing patient belongings

C. Proper use of equipment

D. Breaking equipment

False imprisonment in healthcare is:

A. Incorrectly diagnosing a patient

B. Unnecessarily restraining a patient

C. Giving wrong medication

D. Not allowing a patient to leave

Verbal communication involves:

A. Body language

B. Facial expressions

C. Spoken words

D. Gestures

Aphasia is a condition affecting:

A. Mobility

B. Vision

C. Language

D. Hearing

A subjective observation is:

A. The nurse's measurement of vital signs

B. A patient's description of their pain

C. The patient's blood pressure reading

D. The nurse's observation of a rash

An objective observation is:

A. The patient's feeling of nausea

B. A nurse's opinion on treatment

C. The patient's temperature reading

D. The patient's experience of dizziness

Situational Questions

A patient is complaining of severe chest pain. What should you do first?

A. Give the patient water

B. Call for immediate medical assistance

C. Ignore the complaint

D. Tell the patient to rest

If a patient with dementia is becoming increasingly agitated in the evening, what is this a sign of?

A. Delirium

B. Sundowning

C. Stroke

D. Heart attack

During a fire drill, you are in a patient's room on the second floor. What is the first step you take?

A. Run to the nearest exit

B. Rescue the patient from immediate danger

C. Call the fire department

D. Close all windows

If a patient with COPD is experiencing shortness of breath, what is an appropriate intervention?

A. Increase physical activity

B. Encourage deep breathing exercises

C. Restrict fluid intake

D. Administer antibiotics

When performing colostomy care, it is important to:

A. Use sterile technique

B. Avoid touching the stoma

C. Clean the area with alcohol

D. Use soap and water to clean the stoma

A patient with aphasia has difficulty:

A. Walking

B. Breathing

C. Swallowing

D. Speaking

Which of the following is a sign of dehydration in an elderly patient?

A. Increased urine output

B. Moist skin

C. Dry mouth

D. Low blood pressure

How should you handle a situation where a patient refuses medication?

A. Force the medication

B. Document the refusal and inform the nurse

C. Ignore the refusal

D. Mix the medication in the patient's food

A patient has fallen in the bathroom. What should you do first?

A. Assist the patient to stand

B. Leave to get help

C. Stay with the patient and call for help

D. Ask the patient to walk to their bed

If you suspect a patient is being abused, what is the appropriate action?

A. Ignore the signs

B. Report your suspicions to the supervisor

C. Confront the suspected abuser

D. Take no action

Pulse Sites Diagram (Questions 51-55)

Refer to the diagram provided and identify the pulse sites labeled.

Which pulse site is labeled "A"?

A. Radial

B. Carotid

C. Brachial

D. Femoral

Which pulse site is labeled "B"?

A. Radial

B. Carotid

C. Popliteal

D. Dorsalis pedis

Which pulse site is labeled "C"?

A. Posterior tibial

B. Brachial

C. Radial

D. Femoral

Which pulse site is labeled "D"?

A. Carotid

B. Radial

C. Dorsalis pedis

D. Popliteal

Which pulse site is labeled "E"?

A. Brachial

B. Posterior tibial

C. Radial

D. Femoral

Continued Multiple Choice Questions

What is the purpose of the nursing process?

A. To provide a systematic approach to patient care

B. To document patient information

C. To diagnose medical conditions

D. To manage hospital staff

How often must CNAs complete CEUs for renewal?

A. Annually

B. Every 2 years

C. Every 3 years

D. Every 5 years

Which of the following is part of the scope of practice for CNAs?

A. Prescribing medication

B. Performing surgery

C. Assisting with activities of daily living

D. Diagnosing illnesses

Informed consent ensures that:

A. The patient understands and agrees to the procedure

B. The procedure is performed without patient's knowledge

C. The healthcare provider has permission to choose the treatment

D. The patient's family is informed

What is a common symptom of delirium?

A. Gradual memory loss

B. Acute confusion

C. Consistent behavior

D. Slow speech

What should a CNA do if they notice signs of sundowning in a patient?

A. Restrain the patient

B. Turn off the lights

C. Provide a calm environment

D. Administer medication

Which of the following is considered abuse?

A. Properly documenting patient care

B. Ignoring a patient's needs

C. Providing timely medication

D. Respecting patient privacy

Neglect in a healthcare setting is defined as:

A. Providing extra care

B. Failing to provide necessary care

C. Ensuring patient safety

D. Proper communication with patients

How should a CNA communicate with a patient who has aphasia?

A. Speak loudly and quickly

B. Use simple words and gestures

C. Ignore the patient's attempts to communicate

D. Use medical jargon

An objective observation example is:

A. "Patient states they feel dizzy"

B. "Patient's temperature is 101°F"

C. "Patient seems tired"

D. "Patient appears anxious"

Proper use of PPE includes:

A. Wearing gloves only when necessary

B. Changing gloves between patients

C. Reusing masks

D. Sharing gowns

The function of alveoli in the respiratory system is:

A. Transporting oxygen

B. Gas exchange

C. Producing mucus

D. Filtering air

Chronic conditions are characterized by:

A. Sudden onset

B. Short duration

C. Long-term development

D. Immediate symptoms

Which PPE is required for airborne precautions?

A. Surgical mask

B. N95 respirator

C. Gown

D. Gloves

The NSBN enforces:

A. National healthcare laws

B. State-specific nursing practice regulations

C. Hospital policies

D. Patient care standards

If a patient is confused and attempting to leave the facility, what is the best course of action?

A. Restrain the patient

B. Lock the doors

C. Redirect the patient and ensure safety

D. Allow the patient to leave

Which of the following is a sign of infection?

A. Clear, watery drainage

B. Redness and warmth at the site

C. No change in condition

D. Dry, intact skin

How should fluid intake be measured?

A. In grams

B. In liters

C. In ounces or milliliters

D. In teaspoons

Enteral feeding tubes should be checked for placement by:

A. Flushing with water

B. Checking residuals

C. Listening for air bubbles

D. Observing patient response

What is the normal range for an adult pulse rate?

A. 40-60 bpm

B. 60-100 bpm

C. 100-120 bpm

D. 120-140 bpm