Both study guide
Study guide
Positions
Supine Back-lying arms to the side
Lateral side laying position
Fowlers 45-60
semi fowler’s 30
siting/ chair 90
prone- abdominal facing down face turned to the side.
Lithotomy thot position
Passive ROM repeat 6x
2 Elbow 1 flection 2 Extension
5 wrist 1 flexion 2 extension 3 hyperextension 4 radial flexion 5 ulnar flexion
6 hip/shoulder 1 flexion 2 extension 3 abduction 4 adduction 5 internal rotation 6 external rotation
Not relying on or requiring care from others is:
independence.
An acute illness is a(a):
sudden illness from which a person should recover.
Persons living in long-term care centers are called:
residents.
Persons receiving care on assisted living units are called:
tenants.
You are part of the:
health team and the nursing team.
Which requires nursing assistant training and competency evaluation?
Omnibus Budget Reconciliation Act of 1987
Before entering a person's room, you should:
knock on the door and wait to be asked in.
The Omnibus Budget Reconciliation Act of 1987 is a:
federal law.
Touching a person without that person's consent is:.
battery.
Knowledge of right conduct and wrong conduct is:
ethics.
A resident's signal light goes unanswered. The person's son finds him lying on sheets soaked with urine. This is:
neglect.
To look professional at work:
follow the center's dress code.
Large rings and bracelets are dangerous because:
they can scratch residents.
Perfumes, colognes, and after-shave lotions:
may offend residents.
Having concern for a person is:
caring
You are ill and cannot work as scheduled. What should you do?
Follow the center's attendance policy.
When you eavesdrop, you:
invade the person's privacy.
Your break time is 15 minutes long. How long can you take?
15 minutes
Stress is:
the response or change in the body caused by any emotional, physical, social, or economic factor.
Communication is the:
exchange of information.
A resident asks to see his chart. What should you do?
Tell the nurse.
Which type of resident care conference is held when one problem affects a person's care?
Problem-focused conference
When should you report changes in the person's condition?
At once
The clock shows 11:42 AM. In 24-hour clock time, this is:
1142.
The clock shows 7:29 PM. In 24-hour clock time, this is:
1929.
"Dys-" means:
bad, difficult, abnormal.
"Tachy." means:
fast.
"Derma" means:
skin.
"Gastro" means:
stomach.
"Osteo" means:
bone
A written guide about the care a person should receive is the:
comprehensive care plan.
The method nurses use to plan and deliver nursing care is the nursing:
process.
Which is a sign?
Yellow urine
Which is a symptom?
Cough
A concept that considers the whole person is called:
holism.
Verbal communication uses:
written or spoken words.
Experiencing one's potential is:
self-actualization.
Messages sent through facial expressions, gestures, posture, and hand and body movement are?
body language.
A resident wants to attend religious services in the center's chapel. What should you do?
Assist the person to the chapel.
A lost, absent, or impaired physical or mental function is an):
disability.
Which is a common response to illness and disability?
Anger
Which of the following is a cleric?
Priest
Blank do not believe in receiving whole blood but may receive some blood products.
Jehovah's Witness
The basic unit of body structure is the:
cell.
Geriatrics is:
the care of aging people
Gerontology is:
the study of the aging process.
A person who is heterosexual is:
attracted to members of the other sex.
Another term for impotence is:
erectile dysfunction.
Falls are likely to occur:
during shift changes.
Asepsis means:
being free of disease-producing microbes.
A microbe that can cause an infection is:
a pathogen.
A vaccine is:
given to produce immunity.
Which is the easiest and most important way to prevent infections from spreading?
Standard Precautions
Using the body in an efficient and careful way is:
body mechanics.
The back-lying position is position.
the supine
A resident has the head of her bed elevated 60 degrees. This position is.
Fowler's
The side-lying position is position.
the lateral
To protect yourself from injury, it is best to:
avoid lifting whenever possible.
What does full visual privacy mean?
The person is completely free from public view while in bed.
Which room temperature is required in nursing centers by OBRA?
71° to 81° F
Part 2
Bath step-by-steps
1 Provide privacy and explain procedure
2 perform hand hygiene
3 wash eye from inner to outer corner
4 wash arms and hands
5 wash chest and abdomen
6 wash legs and feet
7 perennial care
8 wash back and hands
9 leave resident safe with call light
Oxygen needs increase with which of the following?
Answer: d. painThe nurse asks you to collect a 24-hour urine specimen. Which statement is correct?
Answer: c. the first voiding is discardedWhat is the usual position for defecation?
Answer: a. sitting or squattingWhich part of the blood carries oxygen?
Answer: a. red blood cellsAbduction is:
Answer: a. moving a body part away from midline of the bodyA female resident is ready for a male doctor to do the exam. You are a female. What should you do?
Answer: b. stay in the roomPersons with feeding tubes need frequent:
Answer: c. oral hygieneHow many residents can share a room?
Answer: c. no more than 4Deconditioning is:
Answer: c. the loss of muscle strength from inactivityThe act of inhalation and exhalation is:
Answer: a. respirationDysphagia is:
Answer: a. difficulty swallowingPhantom pain is:
Answer: b. felt in a bodily part that is no longer thereA person has heart disease. When measuring temperature, you should avoid using the:
Answer: b. rectalA heart rate less than 60 beats/min is:
Answer: a. bradycardiaTemperature, pulse, respiration, and blood pressure are:
Answer: b. vital signsMucus from the respiratory system that is expelled through the mouth is:
Answer: c. sputumThe nurse asks you to weigh a resident before an examination. Which is correct?
Answer: c. the person urinates before being weighedThe day-night cycle is:
Answer: d. circadian rhythmFlatulence is:
Answer: a. the excessive formation of gas or air in the stomach and intestinesWhich vitamin is needed for healthy bones?
Answer: c. DMr. Jones is a nursing center resident. Which room temperature promotes his comfort?
Answer: b. 85°FTo maintain normal fluid balance, an adult needs to ingest _____ mL of fluid a day.
Answer: c. 2000 to 2500A nasogastric tube is a(n):
Answer: d. feeding tube inserted through the nose and into the stomachThe lack of and/or absence of breathing is:
Answer: a. apneaA catheter is:
Answer: a. a tube used to drain or inject fluid through a body openingThe doctor ordered a trapeze for a resident. The person can use the trapeze:
Answer: c. for exercises to strengthen arm musclesWhen giving catheter care, you need to hold the catheter at the:
Answer: a. meatusInsomnia is:
Answer: c. a chronic condition in which the person cannot sleep or stay asleep all nightGavage is:
Answer: a. the process of giving a tube feedingMelena is:
Answer: c. a black, tarry stoolRadiating pain is:
Answer: c. felt at the site of tissue damage and in nearby areasThe involuntary loss or leakage of urine is:
Answer: c. urinary incontinenceThe urinary system removes:
Answer: d. waste products from the bloodConstipation is the:
Answer: a. passage of hard, dry stoolYou find a person leaning forward over a table. What should you do?
Answer: a. Tell the nurseThe act of walking is:
Answer: b. ambulationA gastrostomy tube is a(n):
Answer: c. tube inserted through a surgically created opening in the stomachA resident is on aspiration precautions. You position the person in semi-Fowler’s position after eating. How long should the person remain in this position?
Answer: d. at least 1 hourWhich SpO2 would you report to the nurse?
Answer: a. 83%Which is a sign of fecal impaction?
Answer: c. liquid feces seeping from the anusLinens are always changed:
Answer: d. when wet, soiled, or dampCleaning the genital and anal area is:
Answer: b. perineal careA resident is unconscious. How should you position the person for oral hygiene?
Answer: c. in a side-lying positionExcessive body hair:
Answer: d. hirsutismPediculosis capitis is an infestation of the:
Answer: a. scalpHair loss is:
Answer: a. alopeciaWhich nutrient is needed for tissue growth and repair?
Answer: a. proteinThe healthy adult produces:
Answer: b. 1500 mL of urine a dayFeces move through the intestine by:
Answer: b. peristalsisFoot drop is:
Answer: when the foot falls down at the ankle
A person has a malignant tumor. The person has: A - cancer.
Sundowning is: A - when signs, symptoms, and behaviors of AD increase during hours of darkness.
The skin or mucous membrane is broken. This is a(n) ___ wound. A - open
According to CMS, which is the most common site for a pressure injury? D - Sacrum
Melena is: C - a black, tarry stool.
Metastasis is: D - the spread of cancer to other body parts.
The healthy adult produces: B - 1500 mL of urine a day.
Emergencies occur: D - anywhere.
Dementia is: B - the loss of cognitive function that interferes with routine personal, social, and occupational activities.
10. Down syndrome is caused by: A - an extra chromosome.
11. The person with renal failure has: C - oliguria.
12. A heart rate less than 60 beats/min is: A - bradycardia.
13. Food must be served: A - promptly.
14. Deconditioning is: C - the loss of muscle strength from inactivity.
15. The involuntary loss or leakage of urine is: C - urinary incontinence.
16. A gastrostomy tube is a(n): C - tube inserted through a surgically created opening in the stomach.
17. Cleansing the genital and anal areas is: B - perineal care.
18. The EMS system is activated by: A - calling 911.
19. You assist a resident onto the bedpan. How should you position the person? A - In a sitting position
20. A catheter is: A - a tube used to drain or inject fluid through a body opening.
21. Arthritis is: B - joint inflammation.
22. The urinary system removes: D - waste products from the blood.
23. A fracture is a: A - broken bone.
24. A question on a job application does not apply to you. What should you do? C - Write "N/A" in the space.
25. Abduction is: A - moving a body part away from the midline of the body.
26. Persons with feeding tubes need frequent: C - oral hygiene.
27. A nasogastric tube is a(n): D - feeding tube inserted through the nose and into the stomach.
28. You are assisting with post-mortem care. How is the body positioned? C - In the supine position
29. Phobia is: D - intense fear, panic, or dread.
30. Urine is strained to check for: C - stones.
31. Drainage that is thick green, yellow, or brown is ___ drainage. A - purulent
32. Unless directed otherwise, urinary drainage bags are emptied: C - at the end of every shift.
33. Anxiety is: A - a vague, uneasy feeling in response to stress.
34. Fainting is: B - the sudden loss of consciousness from an inadequate blood supply to the brain.
35. Rehabilitation often takes longer for: D - older persons.
36. The removal of all or part of an extremity is: D - amputation.
37. Rigor mortis means: D - the stiffness of skeletal muscles that occurs after death.
38. A developmental disability is: A - a disability that occurs before 22 years of age.
39. The inability to have normal speech is: C - aphasia.
40. Stomatitis is inflammation of the: C - mouth.
41. A tumor that does not spread to other body parts is: D - benign.
42. Which is a sign of hepatitis? B - Light-colored stools
43. HIV is spread by: B - blood, semen, vaginal secretions, and breast milk.
44. Glucosuria means: A - sugar in the urine.
45. Normal urine has a(n) ___ odor. A - faint
46. Which is the most common cause of permanent dementia? C - Alzheimer's disease
47. Dysphagia is: A - difficulty swallowing.
48. You introduce yourself to a new resident. You also say that you are a: B - nursing assistant.
49. Benign prostatic hypertrophy is another term for: C - enlarged prostate.
50. What is the major cause of chronic bronchitis? A - Smoking
51. Which are risk factors for osteoporosis? A - Being thin or having a small frame
52. Persons with diabetes need: A - good foot care.
53. The repeating of an act over and over again is: D - compulsion.
54. Activities of daily living refer to: B - self-care.
55. The act of inhalation and exhalation is: A - respiration.
56. Temperature, pulse, respirations, and blood pressure are: B - vital signs.
57. Braille is a: A - touch reading and writing system that uses raised dots.
58. A resident is unconscious. How should you position the person for oral hygiene? C - In a side-lying position
59. Hemorrhage is: C - the excessive loss of blood in a short time.
60. Postmortem means: B - after death.
61. Water temperature for a complete bed bath is usually: A - 110° to 115° F.
62. Rehabilitation is: A - the process of restoring the person to his or her highest possible level of function.
63. The most common symptom of GERD is: A - heartburn.
64. Angina not relieved by nitroglycerin and rest may signal: D - heart attack.
65. Assisted living residents receive: D - three meals a day and snacks.
66. A person has a terminal illness. This means that: B - there is no reasonable expectation of recovery.
67. A resident is unconscious. To give the person mouth care, you need to use: C - sponge swabs.
68. Spina bifida is a congenital defect of the: B - spinal column.
69. Oral care before collecting a sputum specimen involves: D - rinsing with clear water.
70. Pressure injuries usually occur: D - over bony areas.
71. Persons at risk for pressure injuries are repositioned at least every: B - 1 to 2 hours.
72. Tuberculosis is spread by: D - airborne droplets.
73. Which vitamin is needed for healthy bones? C - D
74. Before starting chest compressions, you need to check for a pulse. What pulse site should you use? C - The carotid pulse
75. Any injury caused by unrelieved pressure is: a pressure injury.
Exams
Part 1
A resident has the head of her bed elevated 60 degrees. This position is fowler’s position.
Menstruation normally occurs : every 28 days
The clock shows 7:29 pm. In 24-hour clock time, this is: 1929
knowledge of right conduct and wrong conduct is: Ethics
Natural disasters include which of the following : Tornadoes
Using the body in an efficient and careful way is: Body Mechanics
When should you report changes in a person’s condition? At once
Jehovah’s Witness do not believe in receiving whole body blood but may receive some blood products
Which is a common response to illness and disability? Anger
Asepsis means: Being free of disease-producing microbes.
Before entering a person’s room, you should: knock at the door and wait to be asked in.
Groups of cells with similar functions are: tissues.
Having concern for a person is: Caring
When you eavesdrop, you: invade the person’s privacy.
To control the spread of microbes, you should Practice hand hygiene.
Which requires nursing assistant training and competency evaluation ? OBRA 1987
Arturo Means : joint
The process of being unclean is: contamination.
To dangle means to: sit on the side of the bed
Your break is 15 min long. come back in 15 minutes.
The back-lying position is Fowler’s Position
When a resident is in bed, the person is repositioned at least every: 2 hours
You are ill and cannot work as scheduled. What should you do? follow the center’s attendance policy.
A written guide about the care a person should receive is the: Comprehensive care plan.
Which room temperature is required in nursing centers by OBRA? 71 to 81 F.
When drying your Hands, start at the finger tips and work up to your forearms.
Messages sent through facial expressions, gestures, posture, and ahdn and body movements are: Body Language.
Besides hearing , another ear function is: Balance
Changes in the urinary system with aging include Bladder muscle weaken.
Not relying on or requiring care from others is: independence.
To prevent falls during transfers’s, the wheelchair, bed, shower chair, the stretcher wheels must be locked.
Dys Means Bad, difficult, abnormal
The science of designing the Job to fit the worker is ergonomics.
An example of a chemical restraint is a: drug that is used for discipline.
A federal health insurance program for persons 65 years of age and older, or for younger people with certain disabilities is: Medicare
A lost, absent, or impaired physical or mental function is an: disability
A resident is choking, The person is clutching at her throat. The person cannot speak or breathe. Which action is needed Abdominal Thrusts.
The method nurses use to plan and deliver nusing care is the nursing Process.
Persons receiving care on assisted living units are called: Tenants.
Which of the following is a cleric? Priest.
Trachy- means: Fast
A concept that considers the whole person is called Holism.
You are Part of the : health team and the nursing team.
According to Maslow, Which basic needs must be met first? Physical needs.
A person who is heterosexual is : attracted to members of the other sex
Another term for impotence is: erectile dysfunction
Suffocation is: when breathing stops from the lack of oxygen.
A resident is paralyzed from the neck down. This is: Quadriplegia.
Who is responsible for preventing infections from Spreading? The Health Team
Hands are washed for at least 20 Seconds.
Part 2
1. Dysphagia is: difficulty swallowing.
2. Which vitamin is needed for healthy bones? D
3. Food must be served: promptly.
4. A gastrostomy tube is a(n): tube inserted through a surgically created opening in the stomach.
5. A nasogastric tube is a(n): feeding tube inserted through the nose and into the stomach.
6. Persons with feeding tubes need frequent: oral hygiene.
7. A catheter is: a tube used to drain or inject fluid through a body opening.
8. The involuntary loss or leakage of urine is: urinary incontinence.
9. The urinary system removes: waste products from the blood.
10. Normal urine has a(n) ___ odor: faint
11. Abduction is: moving a body part away from the midline of the body.
12. Deconditioning is: the loss of muscle strength from inactivity.
13. A person has a malignant tumor. The person has: cancer.
14. Metastasis is: the spread of cancer to other body parts.
15. Stomatitis is inflammation of the: mouth.
16. You introduce yourself to a new resident. You also say that you are a: nursing assistant.
17. A heart rate less than 60 beats/min is: bradycardia.
18. The act of inhalation and exhalation is: respiration.
19. Temperature, pulse, respirations, and blood pressure are: vital signs.
20. Gavage is: the process of giving a tube feeding.
21. After a tube feeding, the person is positioned in semi-Fowler's position for: 1 to 2 hours.
22. When giving catheter care, you need to hold the Meatus
23. Constipation is the: passage of a hard, dry stool.
flatulence is the excessive formation of gas or air in the stomach or intestines
feces move through the intestines by : peristalsis
What is the usual position for defecation? Sitting or squatting
27. Which is a sign of fecal impaction? Liquid feces seeping from the anus
28. A contracture is: the lack of joint mobility caused by abnormal shortening of the muscle.
foot drop is when the foot falls down to the ankle
30. The act of walking is: ambulation.
31. The doctor ordered a trapeze for a resident. The person can use the trapeze: for exercises to strengthen arm muscles.
32. The day-night cycle is: circadian rhythm.
33. Changing a person's center of attention is: distraction.
34. Insomnia is: insomnia is actually a chronic condition where person cannot sleep
35. Phantom pain is: felt in a body part that is no longer there
36. Radiating pain is: felt at the site of tissue damage and in nearby areas.
37. Mr. Jones is a nursing center resident. Which room temperature promotes his comfort? 75°F
38. How many residents can share a room? 4
39 The lack of or absence of breathing is apnea
40. Respirations are less than 12 breaths/min. This is: bradypnea.
bloody sputum is: hemoptysis
42. Which part of the blood carries oxygen? red blood cells
43. Oxygen needs increase with which of the following? Pain
44. You find a person leaning forward over a table. What should you do? Tell the nurse.
45. Which SpO2 would you report to the nurse? 83%
46. A person has heart disease. When measuring temperature, you would avoid using the ___ site: Rectal
47. A resident smokes. The person just had a cigarette. How long do you need to wait before taking the person's temperature orally? 10 to 15 minutes
48. The nurse asks you to weigh a resident before an examination. Which is correct? the person urinates before bring weighted
49. A female resident is ready for a male doctor to do the exam. You are a female. What should you do? Stay in the room.
50. Melena is: a black, tarry stool.
51. Mucus from the respiratory system that is expelled through the mouth is: sputum
52. The nurse asks you to collect a 24-hour urine specimen. Which statement is correct? the first voiding is discared
53. You are helping a new resident unpack. Which is correct? You need to make a personal belongings list.
54. A resident is on aspiration precautions. You position the person in semi-Fowler's position after eating. How long should the person remain in this position? At least 1 hour
55. To maintain normal fluid balance, an adult needs to ingest ___ mL of fluid a day: 2000 to 2500
Part 3 Final
1. When a resident is in bed, the person is repositioned at least every: 2 hours.
2. Defecation is the: the process of excreting feces from the rectum through the anus.
3. Another term for impotence is: erectile dysfunction.
4. Messages sent through facial expressions, gestures, posture, and hand and body movements are: body language.
5. The basic unit of body structure is the: Cells.
6. According to Maslow, which basic needs must be met first? Physical needs
7. A resident has a fractured right hip. How is the leg positioned? Abducted at all times
8. A condition in which there is death of tissue is: gangrene.
9. The healthy adult produces: 1500 mL of urine a day.
10. Which is a sign or symptom of chlamydia? Testicular pain or swelling
11. Persons with diabetes need: good foot care.
12. A microbe that can cause an infection is: a pathogen.
13. The person with bipolar disorder: has extremes in mood, energy, and ability to function.
14. Emergencies occur: anywhere.
15. Influenza is caused by: viruses.
16. Anxiety is: a vague, uneasy feeling in response to stress.
17. Which requires nursing assistant training and competency evaluation? Omnibus Budget Reconciliation Act of 1987
18. Phantom pain is: felt in a body part that is no longer there.
19. What is the highest level of anxiety? Panic
20. Any injury caused by unrelieved pressure is: a pressure injury.
21. The lack of or absence of breathing is: apnea.
22. When should you report changes in the person's condition? At once
23. A hallucination is: seeing, hearing, smelling, or feeling something that is not real.
24. What is the major cause of chronic bronchitis? Smoking
25. The removal of all or part of an extremity is: amputation.
26. Communication is the: exchange of information.
27. Panic is: an intense and sudden feeling of fear, anxiety, terror, or dread.
28. A gastrostomy tube is a(n): tube inserted through a surgically created opening in the stomach.
29. Your break time is 15 minutes long. How long can you take? 15 minutes
30. The repeating of an act over and over again is: compulsion.
31. Verbal communication uses: written or spoken words.
32. A developmental disability is: a disability that occurs before 22 years of age.
33. The heart muscle relaxes during: diastole.
34. A person has physical needs that are needed for life. Which would be considered one of those needs? Rest
35. Persons receiving care on assisted living units are called: tenants.
36. A heart rate less than 60 beats/min is: bradycardia.
37. Arthroplasty is: the surgical replacement of a joint.
38. Persons at risk for pressure injuries are repositioned at least every: 1 to 2 hours.
39. Gerontology is: the study of the aging process.
40. A resident is in the lithotomy position. This means that she is: lying on her back with her knees flexed, her hips externally rotated, and her feet in stirrups.
41. If a person is fasting, that means that they are going without: D - food
42. Before entering a person's room, you should: knock on the door and wait to be asked in.
43. How many chromosomes are in each cell? 46
44. Which statement about asthma is correct? Wheezing and cough are common
45. Which is the easiest and most important way to prevent infections from spreading? Practicing hand hygiene
46. Mr. Jones is a nursing center resident. Which room temperature promotes his comfort? 75°F
47. Glucosuria means: sugar in the urine.
48. A resident's bowel movement has a strong odor. You should: control your body language.
49. An acute illness is a(n): sudden illness from which a person should recover.
50. Feces move through the intestines by: peristalsis.
51. Which means low blood sugar? Hypoglycemia
52. The most common symptom of GERD is: heartburn.
53. The Omnibus Budget Reconciliation Act of 1987 is a: federal law.
54. Another term for convulsion is: seizure.
55. You are part of the: health team and the nursing team.
56. COPD interferes with: O₂ and CO₂ exchange in the lungs.
57. The person with renal failure has: oliguria.
58. Older persons usually fear dying: alone.
59. Not relying on or requiring care from others is: independence.
60. A lost, absent, or impaired physical or mental function is a(n): disability.
61. Benign prostatic hypertrophy is another term for: enlarged prostate.
62. abduction is moving a body part away from the midline of the body.
63. Calculi mean: kidney stones.
64. The involuntary loss or leakage of urine is: urinary incontinence.
65. Dysuria means: painful or difficult urination
66. Postmortem means: after death.
67. A person is able to cope with and adjust to everyday stresses. The person: is mentally healthy.
68. Gavage is: the process of giving a tube feeding.
69. Hemorrhage is: the excessive loss of blood in a short time.
70. The Torah is their holy book: Jewish
71. Signs and symptoms of herpes include: painful, blister-like sores.
72. The back-lying position is: the supine
73. do not believe in receiving whole blood but may receive some blood products: Jehovah's Witnesses
74. An ophthalmoscope is used to examine the internal structures of the: eye
75. Groups of tissues with the same function form: Systemsm