Hartman's CNA Chapter 1-10 Questions and Answers

Hartman's CNA Chapter 1-10 Questions and Answers Which Of the following healthcare settings would a nurse aide be likely to work? A) Emergency Dental Office B) Long-term care facility C) Senior Citizen Center D) Dialysis Center Long-term care facility Which of the following statement is true of assisted living? A) This care is given 24 hours a day by nursing assistant who lives with the person who needs the care B) this care is provided by hospice volunteers. C) This care is given in a independent-living facility with some support services D) This care is given in a person's home for 6 weeks following surgery This care is given in a independent-living facility with some support services For whom are nursing assistants responsible? A) All residents B) Visitors who are in an NA's assigned unit C) Volunteer caregivers D) Only those residents who are in an NA's assigned unit All residents Medicaid is _______ A) Private insurance provided by employers B) Portion of Medicare used to pay for prescriptions C) Another term for the kind of care provided at a skilled nursing facility D) A medical assistance program partially funded by the state A medical assistance program partially funded by the state In a facility's chain of command, the charge nurse reports directly to ____ A) administrator B) residents spouse or family members C) occupational therapist D) nursing supervisor Nursing Supervisor Term scope of practice refers to ___ A) The order in which NA's tasks are performed B) The tasks healthcare providers are legally allowed to do C) All care given in a hospital setting D) The number of times a skill must be practiced before being performed on a resident The tasks healthcare providers are legally allowed to do Which of the following is an example of a NA acting in a unprofessional manner? A) NA reports suspected family abuse of a resident to his supervisor B) NA calls in sick as soon as NA begins to experience symptoms of illness C) NA answers call light but then take a personal phone call in front of resident D) NA documents temperature incorrectly but then corrects his error properly on a resident's chart NA answers call light but then take a personal phone call in front of resident Which of the following is true of resident's right regarding her personal possessions? A) Anything that a resident brings with her into a facility, including money, becomes the facility's property B) Because care facilities provide for all needs, residents may not bring personal possessions with them C) A resident may bring her personal possessions with her, but she is solely responsible for her possessions D) The resident has the right to expect that her personal possessions will not be taken or used without permission The resident has the right to expect that her personal possessions will not be taken or used without permission Which of the following is true of converting from standard to military time? A) NA must add 12 to the hour to convert to military time B) NA must add 12 to the minutes to convert to military time C) NA must add 10 to the hour to convert to military time D) Converting to military time is only necessary at VA hospitals NA must add 12 to the hour to convert to military time Which of the following is true of incident reports? A) Incident reports should always contain a combination of facts, opinion, and eyewitness accounts B) Incident reports should only be completed at the resident's request because of privacy issues C) Incident reports should be completed by doctors after they have assessed the resident's condition D) Incident reports should contain the facts of the incident and the actions taken to give care Incident reports should contain the facts of the incident and the actions taken to give care Which of the following nonverbal actions best communicates that a nursing assistant respects a resident? A) NA slides her phone out of her pocket and glances at the screen while the resident is talking. B) The NA touches the resident's shoulder to comfort her when she mentions missing her cat. C) The NA frowns when the resident explains she does not eat meat on Fridays because she is Catholic D) NA shrugs at a resident who begins to speak in a different language The NA touches the resident's shoulder to comfort her when she mentions missing her cat. Why should an NA always identify a resident by name? A) Because this helps promote respect and ensure correct identification B) Because this helps the resident and NA know each other's names C) Because the NA can refer to the resident by first name after identification D) Because the doctor will call to ask the resident's name Because this helps promote respect and ensure correct identification Which of the following is an example of defense mechanism displacement? A) a resident loses another resident's favorite quilt B) Resident says she is not upset but clearly is C) Resident is upset with her roommate and snaps at the NA D) The resident refuses to participate in an activity because the roommate will also be present Resident is upset with her roommate and snaps at the NA Which of the following are helpful communication tools for residents with a hearing impairment? A) Hearing aids and dentures B) Slide board and communication board C) Louder background music and describing the room using the face of an imaginary clock D) Picture cards and hearing aids Picture cards and hearing aids What is a scald? A) a burn caused by a chemical B) a burn caused by a hot liquid C) a burn caused by prolonged exposure to a heating pad D) a burn caused by an electrical appliance a burn caused by a hot liquid What does it mean to assess the victim? A) Stay by the victim's side B) Do everything possible to wake the victim up if he is unconscious C) Complete an incident report D) Talk to the victim to see what happened Talk to the victim to see what happened An example of an NA following Standard Precautions is______ A) Recapping needles before putting them in sharp container B) Rinsing Disposable gloves after use so they can be reused C) Washing hands for 20 seconds with soap and water D) Discarding disposable supplies outside an isolated resident's room Washing hands for 20 seconds with soap and water A Healthcare-associated infection (HAI) is A) An eye infection acquired by visiting hospitals in foreign countries B) An infection acquired in a healthcare setting C) Treated by applying pressure, followed by a cold compress D) Completely eliminated at facilitates where Transmission-based precautions are practiced An infection acquired in a healthcare setting When should a resident's vomit be shown to a nurse before being discarded A) If a resident has lived at the facility less than 2 months B) If a resident is undergoing chemotherapy C) If it contains water D) If it contains blood If it contains blood What does the stroke assessment acronym "F.A.S.T" stand for? A) First Aid Stroke Test B) Face Arms Speech Time C) Fast Act Stroke Trigger D) Face Asses Stand Talk Face Arms Speech Time Which of the following needs are listed in correct order according to Maslow's Hierarchy of needs? A) Water, Safety, self-esteem, realized potential B) Water, food, acceptance, rest C) Water, love, protection from harm, self-esteem D) Water, shelter, creative expression, love Water, Safety, self-esteem, realized potential When is it acceptable for nursing assistant to share his religious belief with a resident A) The NA asks the resident to tell her about her hobbies as she helps her perform her daily range of motion exercises B) The NA changes the television channel in the recreation room to her own favorite show C) The NA is completely silent when providing foot care to a resident who speaks a different language D) The NA encourages a talkative resident to quiet during care The NA asks the resident to tell her about her hobbies as she helps her perform her daily range of motion exercises Which of the following is the most empathetic response a nursing assistant can give to a new resident who is depressed about no longer having a job? A) "You're not alone. Nobody here has a job" B) "you must have loved your work to feel that way. Would you like to tell me about it? C)"We should all be so lucky. You should do my job for a day" D) "Don't worry. you'll get used to it pretty soon." "you must have loved your work to feel that way. Would you like to tell me about it? How might a NA encourage a resident to perform self-care? A) By encouraging the resident to relax and let herself be pampered B) By waiting to answer call lights to give the resident a chance to do things for herself C) By recommending self-help books to the resident D) By being patient and supportive when the resident does things for herself By being patient and supportive when the resident does things for herself Which of the following preferences may be attributed to a resident's cultural background? A) The volume at which he listens to music B) His preference for shaving with an electric razor rather than a disposable one C) His habit of bowing rather than shaking hands D) The color of his favorite cardigan His habit of bowing rather than shaking hands Which of the following is a typical developmental step for a preschool-aged child? A) Taking first steps B) Beginning to learn right from wrong C) Strongly identifying with peers D) Gaining control of her limbs Beginning to learn right from wrong Which of the following is a symptom of depression that should be reported? A) Joking about someone else's mental health disorder B) Lack of interest in reading C) Joking about hurting oneself D) fear of confined spaces Joking about hurting oneself ______ is the alternated slow and rapid shallow breathing that may indicate approaching death. A) Cheyne-Stokes B) Apathy C) Clostridium difficile D) Expiration Cheyne-Stokes Which of the following is true of greif? A) Is unusual for an NA to feel grief over a resident who has died B) Everyone who is grieving goes through the five stages of grief in the same order C) Grief only occurs when the death is sudden and unexpected D) The way a person grieves may be impacted by her cultural background The way a person grieves may be impacted by her cultural background Which of the following is one of the body's system? A) Gastrointestinal B) Psychological C) External D) Proximal Gastrointestinal Which of the following body system functions helps to regulate body temperature? A) shaving B) sweating C) crying D) reading sweating What does an abduction pillow do? A) It keeps the resident's lower legs and hips immobilized B) It keeps the resident's hand in neutral position C) It keeps the weight of blankets off the resident's toes D) It keeps the resident positioned upright in a geri-chair It keeps the resident's lower legs and hip immobilized What is hemiparesis A) Paralysis of the body below the waist B) Drooping of the face on both sides C) The tendency to ignore one side of the body D) Weakness on one side of the body Weakness on one side of the body Which of the following is a function of the circulatory system? A) Regulates wake and sleep cycles B) Maintains water balance in the body C) Turns food into energy D) Carries blood to the cells Carries blood to the cells Where in the body are the bronchioles located? A) The brain B) The lungs C) The limbs D) The blood The lungs What is an important observation about a resident's urine that the nursing assistant should report to the nurse? A) Pale urine B) Warm urine C) cloudy urine D) Yellow urine cloudy urine Which of the following is a normal change of the aging gastrointestinal system? A) Fecal incontinence B) Dulled sense of taste C) Chronic heartburn D) Abdominal cramping Dulled sense of taste Hormones are ______ A) chemical substances in the body the control various body functions B) taken into the body every time a person eats or drinks C) unimportant in body functioning D) always at a constant level regardless of age or gender Chemical substances in the body that control various body functions The sex glands in males and females are called the ______ A) ova B) urethra C) gonads D) walls Gonads Which of the following is common treatment for skin cancer? A) surgery B) antibiotics C) occupational therapy D) cortisone cream Surgery What is the most common cause of dementia in the elderly? A) Mental Health disorders B) Being neglected by family members C) Alzheimer's disease D) Exposure to radiation Alzheimer's disease Why is safety a concern for residents who are confused? A) confused residents are more likely to unintentionally eat dangerous substances B) Safety is not a concern because confused residents are always kept in restraints C) Confused residents enjoy dangerous activities more than non-confused residents D) Confused residents have weaker muscles and are prone to falling. Confused residents are more likely to unintentionally eat dangerous substances What is true about delirium? A) Delirium is the second stage of Alzheimer's disease B) Delirium can be cause by an infection C) Delirium is a medical term for depression D) Delirium is a permanent condition Delirium can be cause by an infection Which of the following is a common symptom in the early stages of Alzheimer's disease? A) Increased sensitivity to light B) Increased thirst and hunger C) communication problems D) neck pain Communication problems ______ is the term for when a resident with dementia leaves a safe location unsupervised. A) Abandonment B) Seclusion C) Elopement D) Engagement Elopement What should the nursing assistant do if a resident with dementia uses verbally abusive language? A) The NA should remind the resident that type of language is disrespectful to others B) The NA should request an apology from the resident C) NA should complete an incident report D) NA should ignore the language and continue the activity The NA should ignore the language and continue the activity What is an appropriate action for a NA to take when resident with dementia begins hoarding other residents' items in her room? A) The NA should allow the resident to collect as many things as she likes and arrange them as she pleases B) The NA should tell the other residents she is stealing their items and they should take them back C) The NA should film the resident doing it as proof that things are being taken D) The NA should label the resident's personal items to avoid confusion The NA should label the resident's personal items to avoid confusion When assisting a resident with dementia to eat, the NA should A) Guide the resident through the meal B) Feed the resident quickly before her attention is lost C) Switch the resident to liquid diet if the resident is not on a liquid diet D) Leave the resident alone with her meal to promote independence Guide the resident through the meal For which of the following common difficult behaviors of Alzheimer's disease is redirecting the resident's attention helpful? A) The resident does not remember how to use a fork B) The resident paces in the hallway C) The resident hoards jewelry D) The resident has problems with sleeping The resident paces in the hallway when might music therapy be used with a resident? A) To help manage stress B) During the very early stages of dementia C) As a reward when the resident has completed tasks D) During visits with family members To help manage stress Stage 1 of pressure injury is characterized by A) visible fatty tissue in the injury B) visible bone in the injury C) swollen, red skin D) shiny, blistered skin Swollen, red skin What is one reason why NA should give a resident a back rub? A) Back rubs can restore sensation to paralyzed bodies B) Giving back rubs to resident qualifies NA to work as a massage therapist C) Back rubs help increase circulation D) Back rubs keep bed bound residents from getting osteoporosis Back rubs help increase circulation Why is it important to have resident test the water before he bathes or showers? A) The resident is best able to identify his comfortable temperature B) The number on the bath thermometer is difficult to see C) The resident should touch the water to be reassured it is not scented with a fragrance she dislikes D) The resident must touch the bath water to avoid contamination The resident is best able to identify his comfortable temperature Fingernail care should be performed A) By nurses and doctors only B) First thing in the morning when the resident's hands are at their smallest C) After the hands have been soaking for at least five minutes D) When the hands are completely dry to avoid softening the nails After the hands have been soaking for at least five minutes Which kind of razor does not require soap or shaving cream? A) Disposable razor B) Electric razor C) Safety razor D) Straight razor Electric razor What is the most important reason the NA should dress and groom each resident to the resident preferences on a daily basis? A) It helps the NA be better prepared for personal care tasks B) The LTC facility will not pass a surprised inspection if the residents are not dressed in day clothes C) Visitors find it depressing when the residents are not carefully dresses D) It promotes dignity for a resident to make choices regarding his appearance. It promotes dignity for a resident to make choices regarding his appearance. When turning a resident toward herself, the NA should A) Raise the head of the bed B) Move the resident's body in stages from the legs toward the head C) Begin with the resident in the prone position D) Roll the resident's body as one unit Roll the resident's body as one unit What is a draw sheet? A) A draw sheet is the top sheet on an occupied bed B) The draw sheet is placed underneath a resident to help with positioning C) The draw sheet is placed over the resident during bathing for privacy D) The draw sheet is used to prevent incontinence The draw sheet is placed underneath a resident to help with positioning Which of the following is true of a transfer belt? A) A transfer belt should be worn at all times by residents unless they are bedbound B) A transfer belt should be kept tight over the resident's hip C) The NA's flat fingers should be able to fit between the resident's body and the belt D) A transfer belt can be connected to a mechanical lift to raise the resident to a standing position The NA's flat fingers should be able to fit between the resident's body and the belt How should an NA address a newly admitted resident? A) The NA should use the resident's formal name unless the resident specifies a different name to use B) The NA should use the residents first name only C) The NA should use the residents room number D) The NA should make up a nickname to make the resident feel welcome The NA should use the resident's formal name unless the resident specifies a different name to use During the discharge of a resident, when does a facility's responsibility for that resident officially end? A) When the discharge paperwork is signed B) When the resident is safely transferred into the vehicle that will take him off the premises C) When the resident's family member arrives to help pack his things D) When the facility receives a call that the resident has arrived home safely When the resident is safely transferred into the vehicle that will take him off the premises Which of the following rates of respiration should be reported immediately to a nurse? A) 23 RPM B) 19 RPM C) 17 RPM D) 14 RPM 23 RPM Which of the following statements regarding different temperatures site is correct? A) Rectal temperatures are the least accurate B) Oral thermometers can be used on unconscious residents C) Rectal thermometers are always glass thermometers D) Tympanic thermometers take faster temperature reading than oral thermometers Tympanic thermometers take faster temperature reading than oral thermometers Which two vital signs should be taken at the same time A) Height and BP B) weight and respiration rate C) Respiration rate and radial pulse D) Brachial pulse rate and BP Respiration rate and radial pulse Which of the following BP readings should be reported to the nurse? A) 109/68 B) 102/74 C) 131/80 D) 119/72 131/80 Which of the following should be noted every time BP is measured? A) which arm was used to measure the reading B) how many respiration the NA noticed while BP was being measured C) how many pulse sounds were heard during measurement D) a fraction indicating how much lower or higher the new reading is from the previous reading Which arm was used to measure the reading Which of the following observations about a resident's catheter drainage bag should be reported to the nurse? A) catheter bag contains no urine when it first changed B) catheter bag is half full of pale urine C) catheter bag is lower than the resident's hips D) catheter bag is still empty after an NA's entire shift Catheter bag is still empty after an NA's entire shift When may a resident on oxygen therapy smoke? A) A resident may smoke if he receives oxygen via an oxygen concentrator B) A resident may never smoke around any oxygen delivery system C) A resident may smoke if he removes his cannula from his nose and drapes it around his neck D) A resident may smoke with the cannula in place if he switches off the oxygen tank first and wears a protective apron A resident may never smoke around any oxygen delivery system Which of the following is an indicator that the resident may be experiencing pain? A) She rolls her eyes at the NA often during care procedures B) She waves at anyone who passes in front of her door C) She often rocks back and forth D) She prefers to take her walks inside the facility rather than in the garden She often rocks back and forth When making a bed, where should the NA place the draw sheet? A) It should be folded beneath the heels B) It should be placed between the bottom sheet and the mattress pad C) It should be placed on top of the disposable bed protector D) It should be placed over the resident It should be placed on top of the disposable bed protector Which of these options is the most ideal MyPlate Breakfast? A) Spinach omelet, whole wheat toast ,blueberries B) Avocado toast, pancakes, oatmeal C) Black coffee, bacon, toast, cereal D) Yogurt, milk, cheese cubes, granola bar, toast Spinach omelet, whole wheat toast, blueberries What is the difference between a refined grain and a whole grain? A) Whole grain retain their original shape and refined grains are ground into flower B) refined grains do not need to be cooked, but whole grains do C) Whole grains contain bran, germ, and endosperm, while refined grains contain only the endosperm D) Refined grains have added nutrients and are healthier than whole grains Whole grains contain bran, germ, and endosperm, while refined grains contain only the endosperm When may a resident exercise her right to refuse the food given to her? A) The resident always has the right to refuse food B) After she has eaten 75% of her meal C) Occasionally if the reason is that the resident is not feeling well D) Only when mealtime takes place during family visit The resident always has the right to refuse food If a resident's tray contains baked cod, steamed spinach, a dry whole wheat roll, sliced apple, and skim milk, what kind of special diet might she have been presribed? A) Vegetarian diet B) Low-fat diet C) Soft diet D) Low-protein diet Low-fat diet When might a liquid diet be prescribed? A) If a resident has diabetes B) When a resident has congestive heart failure C) When a resident has kidney disease D) Before a scheduled surgery Before a scheduled surgery What is a common cause of malnutrition in the elderly A) Mouth pain or improperly-fitted dentures B) Long-term care facilities do not offer nutritious meals C) Residents often sleep through mealtime D) weight is not monitored in the elderly Mouth pain or improperly-fitted dentures What is the best way for an NA to promote a resident's appetite at mealtime? A) Remove any foods from the trade that are unlikely to tempt the resident B) facilitate positive social interactions among residents in the dining room C) remove seasoning from meals D) assigned seating in the dining room so residents are less likely to be distracted from their meals facilitate positive social interactions among residents in the dining room what is the NA doing if he is feeding a resident with the hand over hand technique? A) the na is loading the utensil with food and handing it to the resident to use to feed herself B) the na is allowing the resident to eat with his hands C) the na is guiding the residents control of the utensil with his hand D) the na is training the resident to eat with her non-dominant hand following a stroke the na is guiding the residents control of the utensil with his hand When feeding a resident, what is an important step? A) the na should take between giving bites of food B) asking the resident to indicate what she would like a bite of next C) touching the food to determine the temperature D) feeding all of one item before moving on to the next making sure each bite contains a little bit of each item on the plate asking the resident to indicate what she would like a bite of next Which of the following conditions is treated with a Physical Therapy Program? A) macular degeneration B) stroke recovery C) diabetic ketoacidosis D) Heart palpitations Stroke recovery a goal of a rehabilitation program is to A) help the resident lose weight after being bed bound B) help a resident regain function after an illness C) strengthen the bones in anticipation of osteoporosis diagnosis D) comply with OBRA regulations concerning resident activities help a resident regain function after an illness which of the following are all complications associated with immobility? A) skin breakdown, pneumonia, contractures, diarrhea B) skin breakdown, sensitivity to sound, depression, thinning blood C) constipation, depression, muscle atrophy, pneuomia D) increased anxiety, contractures, dementia, glaucoma constipation, depression, muscle atrophy, pneuomia which of the following is a supportive device for ambulation? A) Quad cane B) side rail C) Wheel chair D) slide board Quad cane part of helping a resident maintain proper alignment includes the following: A) keeping body parts in relaxed, natural positions B) preventing joints from flexing or bending to prevent arthritis C) changing the resident's position every 20 minutes D) keeping the resident flat on his back with limbs fully extended as often as possible keeping body parts in relaxed, natural positions What is an NA's Responsibility regarding a residence prosthesis? A) an NA should attempt to repair a broken prosthesis B) An NA should encourage the resident to wear the prosthesis at all times C) An NA should keep skin surrounding a prosthesis clean and dry D) An NA should discourage the resident from wearing the prosthesis for long periods of time An NA should keep skin surrounding a prosthesis clean and dry a resident who can perform AAROM exercises can A) exercise only her arms B) perform exercises without any assistance C) perform exercises with some support D) perform all exercises at the maximum Arc of motion perform exercises with some support the following body part can perform rotation: A) Leg B) Elbow C) Toes D) Shoulder leg During ROM exercises, if a resident begins experiencing pain A) The NA should assure the resident that this is a sign that the exercises are working B) The NA should encourage the resident to keep going unless the pain becomes severe C) The NA should stop immediately and alert the nurse D) The NA Should allow the resident to rest for 5 minutes then continue the exercises The NA should stop immediately and alert the nurse which of the following types of motion are done on the hip during ROM exercises? A) adduction and dorsiflexion B) abduction and adduction C) extension and rotation D) rotation and opposition abduction and adduction