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1. In the nursing care plan, you note that it is written O2 n/c at 3L orthopnea p as needed. As a CNA, you know that this means which of the following?
Focus on understanding the abbreviations and their meanings related to oxygen therapy and patient positioning, especially in response to breathing difficulties.
2. Which of the following is associated with smoking?
Consider the major health risks and conditions that arise from smoking, particularly focusing on its effects on the lungs and the heart.
3. Mrs. Shamway has an order for Ino; you have picked up her breakfast and note that she drank half of a 6 oz glass of juice, 4 oz of milk, and 8 oz of coffee; therefore, you document:
Remember to convert the amounts from ounces to milliliters before summing them to document the total fluid intake correctly. Use the conversion factor where 1 ounce is approximately 30 milliliters.
4. You are caring for Mr. Brown who has a diagnosis of COPD. His SPO2 is 82%. He is currently receiving O2 via nasal canula at 2 l/min. What do you do?
Consider the importance of monitoring oxygen levels carefully in COPD patients. An SPO2 of 82% indicates a need for urgent attention, but remember to involve your supervising nurse for any adjustments to oxygen therapy. Prioritize communication and follow protocols for patient safety.
5. The opening of the colostomy to the outside of the body is called:
Think about the term that describes an artificial opening made for the purpose of waste elimination in surgical procedures, especially involving the intestines.
6. On what side should the patient lie for an enema?
Consider the side that helps align the rectum with the descending colon for optimal flow and comfort.
7. Mrs. Shamu’s nursing care plan lists CHF (congestive heart failure) as her primary diagnosis. You would expect her ADL routine to include:
Consider activities that promote monitoring and management of body fluid levels.
8. The circulatory system consists of the:
Think about the main components that facilitate blood circulation and nutrient exchange throughout the body.
9. Which of the following should be reported immediately?
Consider which vital sign indicates a potential emergency related to blood flow and organ function that requires immediate attention.
10. You should be careful when changing as this is a common site for unintentionally discarded needles:
Think about where medical procedures are commonly performed and where sharps might be left behind, especially in relation to bedding.
11. Mrs. Johnson is an 83-year-old female patient who suffers from the late effects of a CVA. She has left-sided hemiplegia. This indicates:
Consider the relationship between brain hemisphere damage and the resulting motor function loss on the opposite side of the body.
12. A patient appears paler than usual; the nurse aid should:
Check vital signs and ask the patient how they feel, as changes in appearance may indicate underlying health issues that need immediate assessment and reporting.
13. Postpartum refers to:
Think about the time frame right after a baby is born, focusing on the mother’s recovery and adjustment to new motherhood.
14. In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should:
Ensure the patient understands the NPO order and provide comfort measures while respecting the restrictions. Communicate the change to other staff and consider placing a sign at the bedside.
15. Alcohol-based hand cleansing is appropriate for all of these situations except:
Consider situations where visible dirt or grime is present on the hands, as alcohol-based hand sanitizers are not effective in these cases.
16. A patient who was given insulin in the morning is pale and sweaty and appears confused 2 hours later. It would be helpful to find out whether the patient:
Consider the timing and adequacy of the patient’s meals in relation to their insulin administration; it can provide crucial insights into their current symptoms.
17. A resident with an ostomy evacuates feces through the ____.
Think about the surgical opening created in the abdominal wall for waste elimination.
18. To obtain the most accurate patient weight, the nursing assistant should weigh the patient:
Consider weighing the patient at a specific time each day, ideally in the morning, to ensure consistency and account for daily variations.
19. Normal urine color is:
Consider the range of colors found in typical urine, which can vary based on hydration levels. Light hues often indicate good hydration, while darker shades suggest the need for more fluids.
20. The safest way to confirm a resident’s identity is:
Consider the method that minimizes the risk of human error by using an established identifier associated directly with the resident.
21. Signs and symptoms of shock may include:
Think about the body’s reaction to insufficient blood flow and how it attempts to compensate. Keep an eye out for changes in skin appearance, heart rate, blood pressure, and overall mental status.
22. The charged nurse has asked you to take Mrs Shamu’s vital signs. You know you must first:
Remember to prioritize patient safety and infection control before taking vital signs: identify the patient, practice hand hygiene, and prepare your equipment.
23. Before performing any procedure, a nurse aid must:
Remember to prioritize patient identification, hygiene, and communication before starting any procedure.
24. To help ensure adequate circulation to prevent skin breakdown, you could:
Think about actions that promote circulation and relieve pressure on vulnerable areas of the body, enhancing mobility and skin integrity.
25. A patient complains that her hand hurts where the IV is running the nurse assistant notices that the hand is Puffy the best thing to do is
Monitor for signs of IV complications and ensure timely communication with a nurse for proper assessment and intervention.
26. To take a rectal temperature, the nurse aid should insert the thermometer and:
Ensure the thermometer is securely held in place during the reading to prevent any accidental movement or misplacement.
27. Mrs. Shamway has an order for NPO. You have picked up her breakfast and note she drank half of a 6 oz glass of juice, 4 ounces of milk, and 8 ounces of coffee. You document: A) 450 cubic cm, B) 920 cubic cm, C) 240 cubic cm, D) 685 cubic cm.
Remember to convert all liquid measurements to the same unit before adding them together. For this case, convert ounces to cubic centimeters (cc), knowing that 1 ounce is approximately 30 cc. Make sure to include only the amounts she actually consumed.
28. Who can order a warm or cold application?
Consider who in a healthcare setting has the authority to assess patient needs and prescribe treatments based on protocols and guidelines.
29. A Nurse Aid notices blood in a patient’s IV tubing, the aide should:
Remember, immediate communication is key when you notice something abnormal in a patient’s IV. Prioritize notifying the nurse rather than attempting any fixes on your own.
30. Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation; her condition is considered a __________.
Consider the nature of Mrs. Hernandez’s surgery and the expected recovery timeline; think about whether her condition reflects a temporary change that can improve with rehabilitation.
31. A patient has a diagnosis of psoriasis. Her nurse aid should:
Consider how to support the patient’s comfort and skin care needs, while also providing emotional support. Remember that psoriasis is not contagious, so typical infection precautions are not required. Focus on dignity and appropriate care.
32. A nurse assistant notices red marks on a resident’s back and buttocks the aid acts in the knowledge that a patients can only be turned every 2 hours B it takes a doctor’s order to rub skin with lotion C the skin can break down if nothing is done d red marks are not a problem
Consider the implications of prolonged pressure on the skin and the importance of timely intervention to prevent further complications.
33. The brain is part of the:
Think about the system that interprets sensory information and controls bodily functions, encompassing both the brain and spinal cord.
34. Most of our calories should come from:
Consider which macronutrient serves as the body’s primary energy source and is essential for overall physiological functions and quick energy needs.
35. Your resident consumed a bowl of soup that was 180 cubic cm of liquid. How many ounces was that?
To convert cubic centimeters to ounces, remember that 1 ounce is roughly equal to 30 cubic centimeters. Use this ratio to find the equivalent ounces for the given volume.
36. Which of the following measurements that you obtain from Miss Shamway should be reported immediately to the charge nurse?
Consider prioritizing measurements that indicate a critical change in a patient’s condition, particularly those related to blood pressure that suggest severe hypertension or a significant risk of complications.
37. Continuing education is necessary for recertification in many states?
Consider the relationship between professional standards in healthcare and the requirement for ongoing knowledge updates.
38. Which of the following statements about blindness are false?
Consider the actual experiences and visual capabilities of individuals classified as legally blind or visually impaired. Many retain some vision, which can vary significantly, and common misconceptions often exaggerate the extent of their impairment.
39. When caring for a resident with an indwelling Foley catheter, you should:
Ensure the catheter bag is positioned lower than the bladder and check for kinks or obstructions in the tubing to promote proper urine flow. Regularly assess the system, especially after movement.
40. Which of the following is the safest way to confirm a resident’s identity?
Consider the most reliable method that involves an official form of identification directly associated with the resident, ensuring accuracy and adherence to safety protocols.
41. A professional and safe working appearance would include which of the following?
Consider how attire and grooming standards can impact perceptions of professionalism and safety in a workplace, especially in healthcare settings. Focus on cleanliness, adherence to dress codes, and personal grooming practices that minimize risks.
42. Drainage bags from urinary catheters should always:
Ensure proper placement to maintain gravity flow and avoid backflow issues.
43. Meal trays have arrived; before serving each tray, the nurse aide should:
Always verify each resident’s identity using their armband before serving meals to ensure the right food reaches the right person.
44. What is the best way to keep a skilled nursing facility from having an unpleasant odor?
Focus on proactive cleanliness and immediate odor management, including prompt disposal and regular cleaning routines.
45. Another term for decubitus ulcer is:
Think about the common term that describes injuries resulting from sustained pressure on skin areas over bony prominences.
46. All of these might be used in dealing with contractures except
Consider techniques that actively promote movement and flexibility in muscles and joints, rather than those intended for support or stabilization.
47. A resident has the following symptoms: dizziness, feeling faint, blood pressure below 90/60, and cold, sweaty skin. The resident is most likely suffering from:
Consider the possibility of inadequate blood circulation causing the body to react with these specific symptoms.
48. Which of these treatments would be best to decrease swelling?
Consider treatments that cool the affected area, as they can help constrict blood vessels and reduce inflammation.
49. When having a conversation with a dysphasic patient, someone who has trouble speaking, it is important not to:
Focus on supporting their communication efforts and give them the time they need to express themselves.
50. Which of these would most likely be used to protect a resident from inflicting immediate harm to themselves in a care facility setting?
Consider the methods that prioritize immediate safety and security for individuals in vulnerable situations, while also adhering to established guidelines.
51. Which statement is incorrect regarding the Heimlich maneuver?
Consider the cues about a person’s ability to cough and its implications for airway obstruction before performing the Heimlich maneuver.
52. Which of these is not true when taking a blood pressure reading?
Consider the ideal body position for accurate blood pressure readings and how it can influence the measurement.
53. To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patient’s:
Consider securing the catheter tube to a part of the body that minimizes movement during patient turns, ensuring stability and reducing the risk of accidental dislodgement.
54. Which medical term is often used for burping, belching, and passing gas?
Think of the term that relates to gas from digestion; it often describes the release of air from the stomach or intestines.
55. Which of these is incorrect in reference to wearing gloves?
Consider the importance of accommodating allergies when selecting glove materials, and remember that not all gloves are suitable for every situation.
56. Why is an axillary reading generally lower than the other forms of taking a temperature?
Consider how the location of the measurement site affects temperature readings and the influence of external factors on those readings.
57. The normal pulse rate for children is:
Consider the age and activity level of children when noting their pulse rates, which are generally higher than adults and vary within a specific range.
58. Which of these applies to proper hand washing procedures?
Focus on the importance of duration and technique in hand washing, and remember to use a barrier, like a paper towel, when turning off the faucet to avoid recontamination.
59. Which of these is the least likely to signal impending death?
Consider physiological changes that occur as a person nears the end of life. Signs typically include decreased appetite, reduced energy, and altered vital signs. Focus on the one option that aligns with a healthy or stable response instead.
60. Why is taking a resident’s oral temperature the most common means of obtaining a reading?
Consider how the oral method balances ease of use and comfort for both the caregiver and the resident, especially in routine settings.
61. A resident is supposed to have 240 ML of juice every 2 hours which of these choices would be the most convenient to meet this requirement?
Convert 240 ML to ounces to identify the exact amount needed. Remember that 1 ounce is about 30 ML. Consider single-serving containers that closely match this converted volume for convenience.
62. Which of these tasks related to intravenous therapy is in the scope of responsibilities for a nursing assistant?
Consider the specific monitoring tasks that nursing assistants can perform related to IV therapy, keeping in mind that they cannot initiate or administer IVs themselves. Focus on the importance of observation and timely communication with nursing staff.