QUESTIONS AND ANSWERS
A client eats a bagel and drinks one 16-ounce glass of orange juice. What is the correct way to
record the amount of juice?
A. 480 cc.
B. One hundred and twenty cc.
C. 120 ml.
D. 480 ml.
- ANSWERS-D. 480 ml.
The abbreviation of "cc" is no longer appropriate in the medical field. Only 'ml' should be used. A
16-ounce glass is approximately 480 ml.
A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings.
The nurse's assistant is correct in performing this when she:
A. Applies the stockings while the client is sitting on the bed and dangles her feet.
B. Applies the stockings while the client is sitting on the chair.
C. Applies the stockings while the client is in bed.
D. Applies the stockings while the client is standing.
- ANSWERS-C. Applies the stockings while the client is in bed.
Elastic stockings or anti-embolic stockings are applied before the client gets out of bed. Otherwise
the legs can swell from sitting or standing. Stockings are hard to put on when the legs are swollen.
The client lies in bed while they are off. This prevents the legs from swelling.
A client with an indwelling urinary catheter is ordered to ambulate twice daily. Before ambulating
the client, the nursing assistant should:
A. keep the bag below the bladder level.
B. have the patient cover the bag with a pillow sleeve.
C. raise the bag above the bladder level.
D. ask the nurse to confirm this order.
Keeping the bag below the level of the cavity ensures that bacteria cannot migrate up from the
bag and up into the bladder due to gravity.
- ANSWERS-A. keep the bag below the bladder level.
Keeping the bag below the level of the cavity ensures that bacteria cannot migrate up from the
bag and up into the bladder due to gravity.
, A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this
patient, the nursing assistant can:
A. start the oxygen.
B. keep the connecting tubing secure and free of kinks.
C. turn the oxygen on and off.
D. decide what device to use.
- ANSWERS-B. keep the connecting tubing secure and free of kinks.
The job of the nursing assistant is to make sure there are no kinks in the tubing and to secure the
connecting tubing in place. The other choices are all responsibilities of a physician.
A patient says that her visitor is unable to come during visitor hours and asks if she could be
accommodated. The nursing assistant:
A. reviews the issue with the charge nurse before answering.
B. says, "I'm sorry, that's not our policy here."
C. reviews the issue with the patient's nurse before answering.
D. says, "Of course! That would be fine."
- ANSWERS-A. reviews the issue with the charge nurse before answering.
It is appropriate to review this with the charge nurse of the unit before answering yes or no.
A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up.
The nursing assistant knows to suggest which of the following?
A. Cough harder.
B. Go outside and breathe the fresh air.
C. Turn and cough every hour.
D. Drink plenty of fluids.
- ANSWERS-D. Drink plenty of fluids.
Drinking fluids will help to lubricate the secretions so that the patient can cough them up easier.
A cool washcloth can make a patient with a fever feel better. The nursing assistant may not
administer medications.
A resident is ordered to be in High Fowler position for each meal. Which of the following
descriptions is the most accurate depiction of High Fowler position?
A. The patient's bed is at a 30 degree angle with the patient slightly slumped over to the left.
B. The patient's bed is at a 60 degree angle with the feet propped up.
C. The patient's bed is at a 90 degree angle and the patient is positioned sitting up.
D. The patient lies on their stomach for twenty minutes prior to eating.
- ANSWERS-C. The patient's bed is at a 90 degree angle and the patient is positioned sitting up.
High Fowlers is a description of the patient sitting straight up in bed, meaning the bed itself has to
be at a 90 degree angle to support them.
All of the following factors may interfere with elimination EXCEPT:
A. Aging.
B. Infection.
C. Family stress.
D. Medications.