TEST BANK for Nursing Assistant 6th Edition by JoLynn Pulliam, Meg Holloway by ACADEMIAMILL

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 1

Introduction to Health Care

1) A nursing assistant could apply for employment at which of these health care organizations? A) A hospital B) A nursing home C) A home health agency D) Any of the above Answer: D Page Ref: 3-4 LO: 2. List and describe different types of health care facilities. 2) When a nursing assistant provides quality care to a patient, it is important that the care is A) Given according to the RN's cultural preferences. B) Given in the way that will cost the least. C) Culturally acceptable to the patient. D) Done as quickly as possible each day. Answer: C Page Ref: 3 LO: 1. Identify the purposes of health care facilities. 3) Ms. Janda is being discharged from the acute care hospital. She is still quite ill and requires intravenous medications. She needs skilled nursing care. Which of the following facilities would she be moved to? A) A long-term care facility B) A home health agency C) A rehabilitation facility D) A subacute care facility Answer: D Page Ref: 4 LO: 2. List and describe different types of health care facilities. 4) A nursing assistant is a key position on the health care team. The primary responsibility for nursing assistants is to A) Assist the doctor by performing procedures. B) Supervise environmental services teams. C) Care for patients under the supervision of an RN. D) Schedule LPN staff on all shifts. Answer: C Page Ref: 6-7 LO: 3. Describe a typical organizational structure of a health care facility and explain how the nursing assistant fits into this structure. 1 Copyright © 2020 Pearson Education, Inc.

5) The nursing assistant is a member of the nursing team in a health care organization. Which member of the nursing team plans and coordinates patient care? A) Nursing assistant B) RN or LPN C) Registered nurse (RN) D) Licensed practical nurse (LPN) Answer: C Page Ref: 6 LO: 3. Describe a typical organizational structure of a health care facility and explain how the nursing assistant fits into this structure. 6) When you work as a nursing assistant, you must follow the chain of command. This means that you would report directly to A) The Board of Directors. B) An RN or LPN. C) The Clinical Nurse Specialist. D) The Director of Nursing. Answer: B Page Ref: 5 LO: 4. Describe the various ways nursing care can be organized and provided. 7) Which of the following health care organizations provides extended care for people who have chronic illness or permanent disabilities? A) Long-term care facilities B) Hospitals C) Psychiatric specialty centers D) Home health agencies Answer: A Page Ref: 4 LO: 2. List and describe different types of health care facilities. 8) Which of the following health care organizations provides comfort and support to a patient and the patient's family when the patient has a limited amount of time to live? A) Cancer center B) Hospice facility or agency C) Acute care facility D) Nursing home Answer: B Page Ref: 4 LO: 2. List and describe different types of health care facilities.

9) The patient's plan of care is important to the nursing assistant because A) It lists the steps of each procedure that should be done for that patient. B) It tells when the patient will be discharged or transferred to another facility. C) It contains detailed information about meeting each patient's needs. D) It monitors the quality of health care services provided. Answer: C Page Ref: 7 LO: 5. Explain what a care plan is and how it is used as a tool to provide patient-centered care. 10) One very important aspect of a nursing assistant's job, no matter the health care setting, is to A) Monitor all staff for safety practices. B) Keep the facility as neat and clean as possible. C) Provide physical and emotional support to patients. D) Take over the care of assigned patients and do everything for them. Answer: C Page Ref: 8-9 LO: 6. List the main responsibilities of the nursing assistant. 11) A responsibility of the nursing assistant is to help patients maintain or regain activities of daily living (ADLs). These activities include assisting with A) Eating. B) Dressing. C) Bathing. D) All of the above. Answer: D Page Ref: 4, 8 LO: 6. List the main responsibilities of the nursing assistant. 12) In the primary nursing model A) One RN takes charge of planning and implementing care for a patient. B) Staff members are assigned specific tasks for patient care. C) Patients are cared for by the entire nursing team. D) Nursing assistants function independently. Answer: A Page Ref: 7 LO: 4. Describe the various ways nursing care can be organized and provided.

13) Which program helps pay for health care provided to adults 65 years of age and older? A) Prospective payment B) Managed care C) Medicare D) Diagnosis-related groups Answer: C Page Ref: 3 LO: 2. List and describe different types of health care facilities.

14) Which of the following is a purpose of the health care delivery system in a community? A) Disease prevention and treatment B) Public education C) Health care research D) All of the above Answer: D Page Ref: 2 LO: 1. Identify the purposes of health care facilities. 15) The nursing assistant is a member of the interdisciplinary team. This group of professionals and non-professionals from many health care fields is focused on A) Meeting the unique, individual needs of the patient. B) Inspecting health care organizations for safe practices. C) Publishing quality reports for public view. D) Ensuring the chain of command is followed. Answer: A Page Ref: 6 LO: 3. Describe a typical organizational structure of a health care facility and explain how the nursing assistant fits into this structure.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 2

The Nursing Assistant

1) Which of the following tasks is NOT within the nursing assistant's scope of practice? A) Assisting patients with activities and mobility needs B) Performing sterile procedures and inserting tubes into the patient's body C) Attending to patients' physical comfort and mobility needs D) Taking vital signs and answering the call bell promptly Answer: B Page Ref: 13-17 LO: 1. List the duties of a nursing assistant. 2) As a nursing assistant, you will assist patients with psychological comfort and social needs. How will you do this? A) Provide privacy and show respect. B) Prescribe treatments and medications. C) Provide psychological counseling. D) Transport patients and clean equipment. Answer: A Page Ref: 13 LO: 1. List the duties of a nursing assistant. 3) You are working as a nursing assistant in a specialty hospital. Your supervisor asks you to do all of the following tasks. Which one would you tell your supervisor you cannot legally do? A) Take vital signs on two patients who have had surgery. B) Answer call lights for additional patients during lunch breaks. C) Help five patients with baths, dressing, and meals. D) Supervise the work of two new nursing assistants. Answer: D Page Ref: 13-17 LO: 1. List the duties of a nursing assistant. 4) To become a certified nursing assistant, you must A) Pass a competency evaluation. B) Complete at least 75 hours of training. C) Complete at least 16 hours of practical training. D) Successfully do all of these things. Answer: D Page Ref: 17 LO: 2. Describe the training and education that nursing assistants must have.

5) Maya took a CNA course three years ago and worked for six months. She quit working because she had a baby and stayed home to care for him. Now she is ready to go back to work. What does Maya have to do to be certified as a CNA again? A) Retake the training program and competency evaluation. B) Take several continuing education classes to catch up on new information. C) Call the Nursing Assistant Registry and have her name put on the list again. D) Work with a CNA for several weeks to refresh her knowledge. Answer: A Page Ref: 17 LO: 2. Describe the training and education that nursing assistants must have. 6) A visitor asks you what is wrong with Mrs. DeRouge after she sees her leaving the physical therapy gym at your rehabilitation facility. What should you say? A) "Ask the physical therapist if you can see her chart." B) "You will have to talk to the doctor to get that information." C) "I don't know what is wrong with her, but she sure looks bad, doesn't she?" D) "I can't discuss confidential information about any resident." Answer: D Page Ref: 17-18 LO: 3. List the rights of patients and residents. 7) Which of the following is an example of behavior that is NOT ethical? A) Providing privacy during all personal care B) Performing only those tasks that are within your scope of practice C) Sharing information about a patient on social media D) Reporting accidents or errors to your supervisor immediately Answer: C Page Ref: 18 LO: 4. Explain what ethical behavior involves. 8) A nursing assistant leaves the bed in a high position and forgets to give the patient the call light. The patient tries to get up to go to the bathroom and falls, causing an injury. The nursing assistant is guilty of A) False imprisonment. B) Negligence. C) Malpractice. D) Physical abuse. Answer: B Page Ref: 18 LO: 5. Identify the laws that affect nursing assistants.

9) A nursing assistant becomes angry with a patient's behavior and yells, "If you don't stop that, I am going to put restraints on you!" The nursing assistant is guilty of A) Psychological abuse. B) Verbal abuse. C) Physical abuse. D) False imprisonment. Answer: B Page Ref: 19 LO: 5. Identify the laws that affect nursing assistants. 10) Which of the following is a way for the nursing assistant to maintain good working relationships? A) Leave the unit for breaks and lunch without telling your team. B) Arrive at work on time and as scheduled. C) Leave early from work if you need to run an errand. D) Help others only if they help you in return. Answer: B Page Ref: 20-21 LO: 6. List the personal qualities of a good nursing assistant. 11) HIPAA is a federal law that protects a patient's personal health information. This means that health information must be shared only on a strict need-to-know basis. Nursing assistants must A) Take home a patient's care plan worksheet at the end of their shift. B) Only read the information they need to know to do their job for their patient. C) Discuss a patient's information in public areas. D) Leave a patient's electronic medical record open on their computer screen. Answer: B Page Ref: 17-18 LO: 3. and 5. List the rights of patients and residents and identify the laws that affect nursing assistants. 12) Walking into work, a nursing assistant sees a visitor slip and fall at the entrance of the hospital. What is the best action for the nursing assistant? A) Keep walking and get to the nursing assistant's unit on time. B) Report the incident, but only at the end of the nursing assistant's shift when all other work is done. C) Report the fall immediately and complete an accurate incident report. D) Respect the visitor's privacy and say nothing, to save the visitor from embarrassment. Answer: C Page Ref: 19 LO: 5. Identify the laws that affect nursing assistants.

13) The Omnibus Budget Reconciliation Act (OBRA) of 1987 established standards for the certification of nursing assistants. This legislation requires nursing assistant training programs to cover which of the following subjects? A) Infection control B) Restorative care C) Safety and emergency procedures D) All of the above Answer: D Page Ref: 17 LO: 2. and 5. Describe the training and education that nursing assistants must have and identify the laws that affect nursing assistants. 14) Mahmood is a new nursing assistant at a post-acute rehabilitation facility. On his second day on the job, he is asked by a RN to perform a procedure that he is not yet trained to do. Which is the following is his best response to the nurse? A) "I'm not yet trained in that procedure. Is there another way I can help until I learn?" B) "Sure. I don't know what I'm doing yet, but I'm willing to give it a try." C) "I can help you pass medications later if you help me do this procedure." D) "My scope of practice says that I cannot perform any procedures." Answer: A Page Ref: 21 LO: 7. Describe the principles of planning work assignments and establishing priorities. 15) Working as a nursing assistant includes the responsibility of maintaining a professional appearance. This includes which of the following elements? A) Keeping fingernails clean and short B) Wearing an identification badge C) Keeping hair clean, neat, and pulled back D) All of the above Answer: D Page Ref: 20-21 LO: 8. Explain how and why nursing assistants should take care of their personal health and hygiene.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 3

Communication and Interpersonal Skills

1) Which of the following is NOT an important interpersonal skill for a nursing assistant? A) Patience B) Empathy C) Tact D) Observation Answer: D Page Ref: 26 LO: 1. Describe the elements of communication and define and give examples of verbal and nonverbal communication. 2) Which type of communication is often most powerful? A) Written B) Messaging C) Verbal D) Nonverbal Answer: D Page Ref: 26 LO: 1. Describe the elements of communication and define and give examples of verbal and nonverbal communication. 3) Amelie is a nursing assistant. Which of the following examples shows Amelie using good listening skills? A) Amelie nods and asks appropriate, respectful questions when a patient tells her about his concerns for his wife. B) Amelie says "Old people always complain about their bowels" to a patient's family member. C) Amelie interrupts a patient to explain why he cannot get out of bed when he desires. D) Amelie tells a patient "You're going to be just fine" when he worries about not feeling strong yet. Answer: A Page Ref: 26-27 LO: 2. Describe good listening skills.

4) Mr. Massoura is a patient from another country who speaks very little English. He says "yes" to almost every question that his nursing assistant, Andre, asks him. How can Andre best communicate with him? A) By speaking more loudly and faster than usual B) By using pictures and gestures as well as words C) By not asking questions and not asking for the patient's input D) By asking for a family member to interpret at all times Answer: B Page Ref: 27-28 LO: 3. List guidelines for effective communication and barriers to good communication. 5) Which of the following is true of your supervising nurse when you work as a nursing assistant? A) Your supervising nurse will only give you feedback if you have made errors in patient care. B) Your supervising nurse will follow up to see that you have done your work only if you are doing a poor job. C) Your supervising nurse will check to be sure you have performed your work properly as part of the responsibilities of the supervising nurse's job. D) Your supervising nurse is only responsible for the care the supervising nurse provides on the unit. Answer: C Page Ref: 28 LO: 4. Explain how you can communicate effectively on the job. 6) Mr. Whalen's call light is ringing. Which of the following actions should the nursing assistant take? A) Go to his room at once and knock before entering. B) Ask Mr. Whalen how you can help and follow through. C) Turn off the call signal in his room so others will know it has been answered. D) All of these actions should be taken. Answer: D Page Ref: 29 LO: 4. Explain how you can communicate effectively on the job. 7) Before the nursing assistant leaves Mr. Whalen's room, the nursing assistant should do which of the following? A) Ask the patient to call the supervising nurse if he needs anything else. B) Place the call light cord within his reach. C) Assist him to the bathroom even if he doesn't feel the need to go. D) Remind him that you will be caring for other patients and won't be back for a while. Answer: B Page Ref: 29 LO: 4. Explain how you can communicate effectively on the job. 2 Copyright © 2020 Pearson Education, Inc.

8) Which of the following observations about a patient would be considered subjective data? A) Complaints of a headache B) A skin rash C) An irregular pulse D) A strong odor of urine Answer: A Page Ref: 30 LO: 5. List methods for observing patients. 9) Ms. Sulentic was awake and talking with you after lunch. Now she keeps dozing off and her speech is slurred. Her words do not make much sense to you. What should you do?

A) Ask the nurse if Ms. Sulentic has had a lot of medicine since lunch. B) Report the change in Ms. Sulentic's condition to your supervising nurse immediately. C) Get Ms. Sulentic some coffee to help her wake up and think more clearly. D) Assist Ms. Sulentic back to bed so she can rest. Answer: B Page Ref: 30 LO: 5. List methods for observing patients. 10) As you come back from lunch, Keelan, another nursing assistant, tells you that he ambulated Mr. Jacobs for you while you were gone. Keelan asks you to record it in Mr. Jacobs's flowchart for him while he goes to lunch. What will you do? A) Thank him and sign Keelan's name on the patient's flowchart. B) Ask Keelan to document his work before he leaves for lunch. C) Write that Mr. Jacobs was ambulated in the hall and sign your name. D) Have the RN document that Mr. Jacobs was ambulated by another nursing assistant. Answer: B Page Ref: 30-32 LO: 6. Describe what a patient's chart is, how it is used, and how you should record information on it. 11) In the medical term gastroenteritis, which part of the word is the suffix? A) Gastritis B) -itis C) GastroD) EnteroAnswer: B Page Ref: 33 LO: 7. Give examples of ways to learn medical terminology.

12) In the medical term tachycardia, which part of the word is the prefix? A) Cardiac B) -ia C) TachyD) Cardia Answer: C Page Ref: 33 LO: 7. Give examples of ways to learn medical terminology. 13) Which of the following statements is NOT true regarding communication? A) Clear verbal communication is important for a patient who has vision loss. B) A patient with cognitive impairment may have trouble communicating the patient's needs. C) The nursing assistant can communicate the same way with any patient, no matter the patient's age and life experiences. D) Observing a patient's body language will help the nursing assistant communicate more effectively. Answer: C Page Ref: 26-28 LO: 3. List guidelines for effective communication and barriers to good communication. 14) Which of the following statements is true about the patient's electronic medical record (EMR)? A) The EMR is a permanent legal record that can be presented as evidence in court. B) The EMR contains protected health information about a patient. C) Nursing assistants are responsible for documenting actions and observations in the EMR. D) All of the above Answer: D Page Ref: 31 LO: 6. Describe what a patient's chart is, how it is used, and how you should record information on it. 15) Empathy is a key interpersonal skill and helps nursing assistants form connections with patients, families, and coworkers. Which of the following best defines empathy? A) Sharing another's feelings and emotions to help understand the person's point of view B) Avoiding judgments of another person based on your own opinions C) Facial expression, tone of voice, and posture in communication D) Providing customer service to your patients and visitors Answer: A Page Ref: 29 LO: 1. Describe the elements of communication and define and give examples of verbal and nonverbal communication.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 4

Relating to Your Patients

1) Which is the appropriate way to refer to a patient during a discussion with another staff member? A) "Mrs. Schwinn" B) "Room 104 bed B" C) "The gallbladder in room 104" D) "The new surgery patient" Answer: A Page Ref: 37 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 2) When you care for a patient who is younger than your other patients, you would A) Adapt your care to best meet the young patient's needs. B) Make playing games with the young patient a priority. C) Arrange for the young patient to spend time with older patients. D) Arrange to have the young patient transferred to a different floor. Answer: A Page Ref: 37 LO: 7. Give examples of care considerations for different age groups. 3) As a nursing assistant, you will spend the majority of your time attending to which of your patients' human needs? A) Safety and security needs B) Belonging and love needs C) Physiological needs D) Self-esteem needs Answer: C Page Ref: 37 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 4) If you approach your care of patients with the concept of holistic health, you will do which of the following? A) Consider the patient as someone who has a problem only with the patient's body. B) Consider the physical, mental, and spiritual needs of the whole person. C) Consider the patient as someone who has a problem only with the patient's mind. D) Consider the patient as someone who has a problem only with the patient's spirit. Answer: B Page Ref: 39 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for 1 Copyright © 2020 Pearson Education, Inc.

them. 5) When you provide a caring touch to a patient, such as a gentle hand on the shoulder when listening to the patient's needs, you are meeting which of the patient's human needs? A) Self-actualization needs B) Safety and security needs C) Physiological needs D) Belongingness and love needs Answer: D Page Ref: 37 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 6) When you answer a patient's call signal promptly, you are meeting which of the patient's human needs? A) Physiological needs B) Safety and security needs C) Self-actualization needs D) Belonging and love needs Answer: B Page Ref: 37 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 7) Mrs. Snodgrass has never been hospitalized for an illness before and she is very anxious and fearful about her upcoming surgery. What can the nursing assistant do to help her? A) Tell her that patients have surgery every day and do just fine. B) Tell her that you will get a nurse to come and calm her down. C) Listen to her fears and provide confident care for her. D) Explain that her doctor wouldn't do the surgery if it weren't necessary. Answer: C Page Ref: 42 LO: 2. Explain the stressful effects of illness, and describe how the nursing assistant can help patients deal with such stress. 8) A patient's religious beliefs may directly impact the care a nursing assistant provides. Which of the following is the best practice for supporting cultural diversity? A) Treat every patient's beliefs and customs with respect. B) Listen when patients share their beliefs and refrain from imposing your own beliefs. C) Provide privacy when a patient is visited by clergy or is practicing a religious ritual. D) All of the above Answer: D Page Ref: 45 LO: 6. Explain the importance of accepting that patients have variations in cultural and 2 Copyright © 2020 Pearson Education, Inc.

religious beliefs.

9) Ms. Fullbright has recently moved into a long-term care community. She often cries while she is receiving care. What should the nursing assistant do? A) Tell her you will leave her alone awhile and will return when she is not crying. B) Try to make her stop crying by telling her a funny story. C) Tell her it is all right to cry and that you will listen and help if you can. D) Point out all the things she has to be happy about and thankful for. Answer: C Page Ref: 44 LO: 4. Explain how to cope with difficult behaviors such as self-centeredness, crying, dissatisfied or demanding behavior, aggressive behavior, and withdrawal and depression. 10) A nursing assistant is frustrated with Mr. Martinez, who is recovering from a stroke and has been very demanding. Which of the following is an appropriate action for the nursing assistant to take? A) Tell Mr. Martinez that if he doesn't like the care he is receiving, he can go to another rehabilitation hospital and see if he likes that one any better. B) Excuse yourself and leave him safely in his room, then calm down outside the room. Ask a co-worker for help if needed. C) Tell Mr. Martinez that you have heard enough complaining, then ignore him while completing your assigned tasks. D) Go find another nursing assistant in the busy hallway and vent about Mr. Martinez. Answer: B Page Ref: 43-44 LO: 4. Explain how to cope with difficult behaviors such as self-centeredness, crying, dissatisfied or demanding behavior, aggressive behavior, and withdrawal and depression. 11) Angelina, a new nursing assistant, is adjusting to the challenges of caring for hospitalized patients who may be self-centered, dissatisfied, or expressing other difficult behaviors. What factors affect a patient's behaviors? A) Unmet physical, emotional, or social needs B) Life experiences and stage of development C) Prejudice or strong feelings for or against something D) All of the above Answer: D Page Ref: 43 LO: 4. Explain how to cope with difficult behaviors such as self-centeredness, crying, dissatisfied or demanding behavior, aggressive behavior, and withdrawal and depression.

12) By encouraging patients in long-term care to make their own decisions about their daily schedule, activities, and what clothing to wear, you are meeting which of their human needs? A) Self-actualization needs B) Safety and security needs C) Physiological needs D) Self-esteem needs Answer: D Page Ref: 37-39 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 13) If a patient becomes aggressive, what should be the nursing assistant's first action? A) Back away and protect yourself from harm. B) Call Security. C) Raise your voice and try to calm them down. D) Report the behavior to your nursing supervisor. Answer: A Page Ref: 44 LO: 4. Explain how to cope with difficult behaviors such as self-centeredness, crying, dissatisfied or demanding behavior, aggressive behavior, and withdrawal and depression. 14) Maslow's hierarchy of needs describes ________ as realizing one's own learning, creative, and spiritual potential. A) psychology B) self-esteem C) self-actualization D) human priorities Answer: C Page Ref: 37 LO: 1. List the basic needs of patients, and explain how the nursing assistant can provide for them. 15) Which of the following is the correct statement regarding patients with special communication problems? A) If a patient does not speak or understand English, it is the patient's responsibility to find a translator to bring to the hospital. B) A patient's cognitive impairments do not interfere with communication. C) Nursing assistants are responsible for notifying their supervising nurse if they recognize a patient's language or communication barrier. D) If a patient is unconscious, assume that the patient cannot hear or understand you. Answer: C Page Ref: 46 LO: 5. Describe ways to maintain good communication with patients' families and other visitors. 5 Copyright © 2020 Pearson Education, Inc.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 5

Infection Control

1) Which of the following statements is true about microorganisms? A) They are always present in the environment and on the body. B) They are always harmful to the human body. C) They are the portal of entry for all diseases. D) They are the smallest living organisms that can be seen by the naked eye. Answer: A Page Ref: 50 LO: 1. List the types and characteristics of microorganisms. 2) Staphylococcus is a type of bacteria that A) Causes strep throat and certain kinds of pneumonia. B) Causes hepatitis B and other viral illnesses. C) Causes infections in wounds and other places in the body. D) Causes all of these illnesses. Answer: C Page Ref: 51 LO: 1. List the types and characteristics of microorganisms. 3) HIV causes AIDS. The acronym HIV stands for A) Hepatitis infectious virus. B) Human infectious virus. C) Hepatitis immune virus. D) Human immunodeficiency virus. Answer: D Page Ref: 51 LO: 1. List the types and characteristics of microorganisms. 4) Which of the following is NOT a part of the chain of infection? A) Carriers of infection B) Route of transmission C) Causative agent D) Portal of entry Answer: A Page Ref: 52-53 LO: 2. Explain the chain of infection and the body's defenses against infection.

5) Which of the following environments would be most favorable for bacteria growth? A) A light, cool, dry place B) A light, warm, moist place C) A dark, warm, moist place D) A dark, cool, dry place Answer: C Page Ref: 52 LO: 1. List the types and characteristics of microorganisms. 6) How can pathogens enter the body? A) Through IV sites B) Through a catheter C) Through surgical sites D) All of the above Answer: D Page Ref: 53 LO: 2. Explain the chain of infection and the body's defenses against infection. 7) Which of the following would be an example of droplet transmission of microorganisms? A) Touching an infected person while giving a bath B) Coughing and sneezing by an infected person C) Drinking from the same cup as an infected person D) Touching a contaminated instrument Answer: B Page Ref: 53-54 LO: 2. Explain the chain of infection and the body's defenses against infection. 8) Which of the following is an example of a nosocomial or health care—associated infection (HAI)? A) A patient in the hospital develops a staph infection in her surgical incision. B) A person develops tuberculosis after visiting another country. C) A person gets pneumonia after traveling seated next to someone with a cough. D) A child contracts strep throat after playing with an infected child. Answer: A Page Ref: 54 LO: 2. Explain the chain of infection and the body's defenses against infection.

9) Which of the following is NOT a way the body defends itself against infection? A) Sleep and rest B) Coughing and sneezing C) Inflammation and fever D) Tears and stomach acid Answer: A Page Ref: 55 LO: 2. Explain the chain of infection and the body's defenses against infection. 10) When should nursing assistants perform hand hygiene? A) After handling a patient's personal belongings B) After handling soiled linens C) Before giving patient care or performing any procedure D) All of these times Answer: D Page Ref: 58-60 LO: 4. Explain the importance of hand hygiene and gloving, and describe the procedures for each. 11) Without proper hand hygiene and use of personal protective equipment (PPE), nursing assistants may carry a communicable disease from work to home. Infections of this type are called A) Airborne infections B) Systemic infections C) Occupational infections D) Health care—associated infections (HAI) Answer: D Page Ref: 54 LO: 2. and 4. Explain the chain of infection and the body's defenses against infection and explain the importance of hand hygiene and gloving, and describe the procedures for each. 12) Ms. Khan is in the hospital for a respiratory infection and is coughing excessively. Outside her door, the nursing assistant sees a sign posted for airborne precautions. Prior to providing care for Ms. Khan, the nursing assistant knows the nursing assistant must follow transmissionbased precautions and use PPE. This includes A) Performing hand hygiene and donning the appropriate mask. B) Wearing gloves at all times. C) Wearing a gown only when changing Ms. Khan's linens. D) Donning gloves, a gown, and a mask for all care. Answer: A Page Ref: 66-68 LO: 7. and 8. Define Standard Precautions and explain the nursing assistant's responsibility in complying with these precautions and explain why transmission-based precautions are used, and describe the nursing assistant's role in complying with these precautions. 3 Copyright © 2020 Pearson Education, Inc.

13) The spread of infection is dangerous for patients, visitors, and health care workers in every medical facility. The most important and effective procedure for promoting medical asepsis and preventing the spread of pathogens is A) Only using disposable equipment. B) Proper hand hygiene. C) Following contact precautions. D) Good personal hygiene. Answer: B Page Ref: 56 LO: 3. Define medical asepsis and explain how the nursing assistant can promote medical asepsis. 14) Standard precautions are defined as A) Donning and doffing personal protective equipment. B) Always disinfecting the patient's surroundings. C) Infection-control guidelines applied to the care of all patients. D) Terminal cleaning of the patient unit after discharge. Answer: C Page Ref: 66-67 LO: 7. Define Standard Precautions and explain the nursing assistant's responsibility in complying with these precautions. 15) Tanya is a new nursing assistant and knows through her training that exposure to pathogens can occur even with the correct use of Standard Precautions and PPE. On her first day working on the post-surgery unit, a patient's blood splashes into Tanya's eye. What is her first course of action? A) Notify her supervising nurse immediately. B) Wait until the end of her shift and then call her doctor for an appointment. C) Say nothing due to embarrassment and wanting to protect her job. D) Wash her face and carry on with her responsibilities. Answer: A Page Ref: 60 LO: 4. and 7. Explain the importance of hand hygiene and gloving, and describe the procedures for each and define Standard Precautions and explain the nursing assistant's responsibility in complying with these precautions.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 6

Environmental Safety, Accident Prevention, and Disaster Plans

1) The nursing assistant can help promote safety by A) Lifting patients using the nursing assistant's back rather than the legs. B) Instructing each patient about what to do during a fire drill. C) Answering the patient's call button promptly. D) Doing all of these things. Answer: C Page Ref: 74 LO: 1. List general safety rules. 2) Before beginning any procedure, the nursing assistant should A) Check the chart for instructions about the procedure. B) Discuss the procedure with another nursing assistant. C) Check the patient's identification bracelet. D) Use standard infection-control procedures. Answer: C Page Ref: 74 LO: 1. List general safety rules. 3) A nursing assistant notices that the brakes on a wheelchair are not working. What should the nursing assistant do? A) Put the wheelchair back in the storage area and select a different wheelchair. B) Talk to your supervising nurse about repairing the equipment yourself. C) Put the wheelchair aside with a note that says to use it with ambulatory patients only. D) Remove the wheelchair from the patient care area and label 'To be repaired.' Answer: D Page Ref: 75 LO: 1. List general safety rules. 4) After giving personal care to Mrs. Herron, what should the nursing assistant do before leaving the room? A) Put the bed at the lowest horizontal position. B) Ask Mrs. Herron when she wants you to return. C) Open the privacy curtains. D) Move all personal care equipment into the bathroom. Answer: A Page Ref: 75 LO: 2. Identify common accidents and ways to prevent them.

5) To help prevent burns, the nursing assistant should A) Assist any patient who is using a piece of electrical equipment. B) Test bath or shower water temperature before bathing the patient. C) Stir hot foods and warn the patient when food or drink is hot. D) Do all of these things. Answer: D Page Ref: 76 LO: 2. Identify common accidents and ways to prevent them. 6) When caring for Mr. Rubens, the nursing assistant notices that he has several pill bottles in the drawer of his bedside table. What should the nursing assistant do? A) Report the situation to the supervising nurse immediately. B) Ask Mr. Rubens's wife what to do with the pill bottles. C) Allow Mr. Rubens to have privacy with his personal belongings. D) Remove the bottles without saying anything to Mr. Rubens. Answer: A Page Ref: 76 LO: 2. Identify common accidents and ways to prevent them. 7) Mrs. Romanoff has recently had a stroke and is unable to assist when she is turned. What should Matthew, the nursing assistant, do? A) Ask a family member to help when it is time to turn Mrs. Romanoff. B) Turn Mrs. Romanoff as well as he can by himself so he won't have to ask for help. C) Get another nursing assistant to help turn Mrs. Romanoff. D) Avoid turning Mrs. Romanoff, since he cannot turn her alone. Answer: C Page Ref: 77 LO: 3. Explain the basic rules of proper body mechanics. 8) Which of the following is true of restraints? A) They can be medications as well as belts or straps. B) They are used only to prevent patients from harming themselves or others. C) A nurse, a doctor, or a nursing assistant can decide to use them. D) Most residents in long-term care facilities need them. Answer: A Page Ref: 77-78 LO: 4. Identify the purposes and guidelines for the use of restraints.

9) Where should restraints be tied with a clove hitch? A) Within the patient's reach B) To the side rails of the bed C) To the bed or wheelchair frame D) On the underneath side of the wheelchair Answer: C Page Ref: 79-80 LO: 5. Properly apply restraints. 10) How often should the nursing assistant remove restraints? A) Every two hours B) Every three hours C) Every shift D) Only when told by the nursing supervisor to remove the restraints Answer: A Page Ref: 81 LO: 5. Properly apply restraints. 11) How often should the nursing assistant check the breathing and circulation of a patient in restraints? A) Every two hours B) Every hour C) Every thirty minutes D) Every four hours Answer: C Page Ref: 79 LO: 5. Properly apply restraints. 12) Which of the following is a primary way to promote patient safety? A) Always keep the side rails up at the highest position. B) Always answer the call light promptly. C) Always run to perform your duties as quickly and efficiently as possible. D) Always consider every liquid potentially toxic. Answer: B Page Ref: 74 LO: 1. List general safety rules.

13) The correct statement regarding body mechanics is which of the following? A) Keep your feet about hip-width apart for a wide base of support. B) When lifting a patient, keep them at arm's length. C) Do as much as you can when moving a patient, focusing on bending at your waist. D) Pivot your feet instead of twisting your body when turning. Answer: D Page Ref: 77 LO: 3. Explain the basic rules of proper body mechanics. 14) If the fire alarm sounds, which of the following is the first step in a sequence of emergency procedures? A) Race to get the fire extinguisher. B) Activate 911 and the emergency team. C) Calmly remove all patients to a safe zone. D) Evacuate all staff members behind the fire doors. Answer: C Page Ref: 83 LO: 7. Explain the role of the nursing assistant when a fire or disaster plan is implemented. 15) The correct statement regarding use of a fire extinguisher is which of the following? A) All fire extinguishers work for any kind of fire. B) Squeeze the handle before you pull the pin to activate the fire extinguisher. C) Aim the fire extinguisher nozzle at the base of the fire, not the flames. D) Point the fire extinguisher forward and release the spray in a straight line. Answer: C Page Ref: 83 LO: 6. Explain ways to prevent fire and what to do in case of fire.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 7

Emergency Situations

1) When people go into shock, it means that A) They have been given very bad news. B) Their heart has stopped beating. C) They are going to have a seizure. D) Not enough blood is getting to vital organs. Answer: D Page Ref: 89 LO: 1. Describe the role of the nursing assistant in an emergency. 2) Kelley, a CNA, walks into a hospital room and finds Mr. Lowry unresponsive. What should Kelly do next? A) Calmly check for an open airway, for breathing, and for a pulse. B) Find another nursing assistant and have the nursing assistant check Mr. Lowry. C) Run to the nurse's station and page the supervising nurse to come to the room. D) Call for help immediately and activate the emergency response system. Answer: D Page Ref: 89-90 LO: 1. Describe the role of the nursing assistant in an emergency. 3) Suri is a nursing assistant who works in a long-term care facility. A resident has fallen and hit her head. Which of the following should Suri do next? A) Call for help and stay with the resident until the nurse arrives. B) Move the resident to a comfortable position and press the call light. C) Focus on reassuring other residents that they are safe. D) Get help from another nursing assistant to move the resident back to bed. Answer: A Page Ref: 98 LO: 7. Explain how the nursing assistant can help a patient who has fallen. 4) What does no code or do not resuscitate mean? A) Do not give CPR if the patient stops breathing or the heart stops beating. B) Give only rescue breathing if the patient stops breathing, but not CPR. C) Do not give information about the patient or emergency codes to visitors. D) Do not use IV medicines or artificial feedings to prolong life. Answer: A Page Ref: 90-91 LO: 2. Explain how to identify the unconscious patient and describe the new basic procedures for cardiopulmonary resuscitation (CPR), utilizing compression, airway, and breathing (CAB).

5) How do you quickly evaluate a patient's responsiveness? A) Test the person's pupils with a penlight. B) Tap the person firmly on the shoulder and loudly ask, "Are you okay?" C) Assume that if the person doesn't look conscious, the person is unresponsive. D) Ask the person to tell you the time, the place, and who the person is. Answer: B Page Ref: 92 LO: 2. Explain how to identify the unconscious patient and describe the new basic procedures for cardiopulmonary resuscitation (CPR), utilizing compression, airway, and breathing (CAB). 6) For an unconscious patient, which of the following is the most common cause of an airway obstruction? A) Poorly chewed food B) The epiglottis C) The tongue D) Vomit Answer: C Page Ref: 94 LO: 3. Explain common causes of choking and symptoms of partial and complete airway obstruction. 7) When an adult is not breathing but has a heartbeat, you would provide rescue breathing. How often should you give a breath? A) Every minute B) Every five seconds C) Every twenty seconds D) Every two minutes Answer: B Page Ref: 94-95 LO: 4. Apply the procedures for clearing an obstructed airway. 8) When you perform CPR on a patient who is not breathing and has no pulse, you will give 30 compressions, then 2 breaths, and then start the cycle again. When should you attach the AED to the patient? A) As soon as it is available B) Only after you have finished four cycles of high quality CPR C) After a break at two minutes D) Only emergency responders are trained to use the AED. Answer: A Page Ref: 92 LO: 2. Explain how to identify the unconscious patient and describe the new basic procedures for cardiopulmonary resuscitation (CPR), utilizing compression, airway, and breathing (CAB).

9) What is the most common cause of choking in a conscious adult? A) Poorly chewed food B) The epiglottis C) The tongue D) Vomit Answer: A Page Ref: 95 LO: 3. Explain common causes of choking and symptoms of partial and complete airway obstruction. 10) What is an automatic external defibrillator (AED)? A) A device that prevents the heart from beating too rapidly by applying a shock B) A device that counts the pulse and records the blood pressure at all times C) A device that is used only by trained emergency responders to make the heart beat D) A device that assesses the pulse and applies a shock to the heart when necessary Answer: D Page Ref: 91 LO: 2. Explain how to identify the unconscious patient and describe the new basic procedures for cardiopulmonary resuscitation (CPR), utilizing compression, airway, and breathing (CAB). 11) To evaluate pulse in an emergency, the nursing assistant places two fingers lightly on one side of the patient's trachea to palpate the ________ pulse. A) brachial B) apical C) carotid D) radial Answer: C Page Ref: 90 LO: 4. Apply the procedures for clearing an obstructed airway. 12) If a seizure is observed, what is the best action for the nursing assistant? A) Call for help from the health care team. B) Protect the patient from injury. C) Do not restrain the patient or put anything in the patient's mouth. D) All of the above actions are correct. Answer: D Page Ref: 98 LO: 6. List what the nursing assistant should do to help if a seizure occurs.

13) McKenzie is a nursing assistant working in a short-term rehabilitation hospital. Walking into the physical therapy gym, she sees a patient fall to the floor and then begin having uncontrolled jerking movements. McKenzie recognizes she is observing A) A grand mal seizure. B) Cardiopulmonary arrest. C) A petit mal seizure. D) A patient going into shock. Answer: A Page Ref: 98 LO: 5. Describe the most common causes of seizures and the two major types of seizures. 14) Archie is a nursing assistant working in a long-term care community. Helping Mrs. Khan at breakfast, he sees her begin to stare blankly into space while her arm and facial muscles twitch for 30 seconds. Archie recognizes he is observing A) A grand mal seizure. B) Cardiopulmonary arrest. C) A petit mal seizure. D) A patient going into shock. Answer: C Page Ref: 98 LO: 5. Describe the most common causes of seizures and the two major types of seizures. 15) Samantha is a nursing assistant working in an acute care hospital. She is caring for a patient who has just had surgery. When she takes the patient's vital signs, she notices that the patient has cool, clammy skin; a rapid pulse; rapid respirations; and low blood pressure. Samantha recognizes she is observing A) A grand mal seizure. B) Cardiopulmonary arrest. C) A petit mal seizure. D) A patient going into shock. Answer: D Page Ref: 89 LO: 1. Describe the role of the nursing assistant in an emergency.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 8

Body Systems and Common Diseases

1) Which of the following is true of cells? A) The human body contains trillions of microscopic cells. B) Each type of cell has a special function. C) Cells are the basic unit in all living things. D) All of these are true of cells. Answer: D Page Ref: 103-104 LO: 1. Describe the four levels of the body's structure. 2) Which of the following is defined as an organ? A) Blood cells B) Fingernails C) Heart D) Musculoskeletal system Answer: C Page Ref: 110 LO: 6. Describe the function and structure of the nine body systems, and list the common disorders of each. 3) The correct definition for homeostasis is which of the following? A) The body's ability to maintain an internal stability or balance B) The body's decreased ability to function during illness, injury, or stress C) Intellectual, emotional, and social changes that occur over the life span D) An unexpected condition that intensifies a person's illness Answer: A Page Ref: 104 LO: 1. Describe the four levels of the body's structure. 4) As a nursing assistant caring for a patient who has AIDS, you should A) Avoid caring for the patient more than two days in a row, to prevent exposure. B) Always use a gown, mask, gloves, and a respirator when you enter the room. C) Be sure the patient receives medications to support the patient's immune system. D) Give the same quality of care and emotional support as you would any patient. Answer: D Page Ref: 106 LO: 4. Describe AIDS, identify the stages of the disease, and identify the nursing assistant's role in caring for the patient with AIDS.

5) The uncontrolled growth of abnormal cells in the body's tissues and organs is called A) Tuberculosis. B) Cancer. C) Benign. D) HIV-positive. Answer: B Page Ref: 106-107 LO: 5. Define cancer, list the seven early warning signs of cancer, and identify the nursing assistant's role in caring for the patient with cancer. 6) Which of the following observations about a patient with cancer should be reported to your supervising nurse? A) Behavior changes B) Nausea and vomiting C) Fever D) All of these observations should be reported. Answer: D Page Ref: 107-108 LO: 5. Define cancer, list the seven early warning signs of cancer, and identify the nursing assistant's role in caring for the patient with cancer. 7) When you care for a patient on oxygen therapy, you should A) Keep the head of the bed flat. B) Use petroleum jelly to lubricate the lips. C) Provide frequent oral hygiene. D) Move the patient quickly through the patient's activities to save energy. Answer: C Page Ref: 109-110 LO: 7. Describe the nursing assistant's role in caring for patients who have breathing problems. 8) Harley is a nursing assistant working on the cardiac unit of an acute care hospital. Which of the following observations about a heart patient should he report to his supervising nurse immediately? A) The patient ate all of the food on the lunch tray. B) The patient complains of shortness of breath and has an irregular pulse. C) The patient breathes best with the head of the bed elevated 45 degrees. D) The patient needs assistance with bathing. Answer: B Page Ref: 112 LO: 8. Describe the nursing assistant's role in caring for the patient with heart disease.

9) Mr. Jurani had an artificial pacemaker implanted two days ago. When you give him his morning care, you notice that he has the hiccups. What should you do? A) Give him a large glass of water and tell him to sip it slowly. B) Report the hiccups to your nursing supervisor. C) Tell him to pinch his nose closed and swallow hard. D) Have him hold his breath while he counts to 30. Answer: B Page Ref: 112 LO: 8. Describe the nursing assistant's role in caring for the patient with heart disease. 10) You are caring for Mrs. LeRoy, a patient who has just had surgery for colon cancer. The nurse is helping her change the colostomy bag and clean around the stoma. According to your facility's policy, you will be trained to do this procedure. Which of the following is the correct definition for stoma? A) A collection bag for waste products B) An artificial opening of an internal organ on the surface of the body C) A permanent opening for urine drainage D) An adhesive used to secure a colostomy or ileostomy Answer: B Page Ref: 114 LO: 9. Describe the nursing assistant's role in caring for the patient with an ostomy. 11) You are caring for Mr. Woolridge, who has had surgery to repair a fractured right hip. The care plan says to keep his hips abducted. This means that you must keep A) His right leg away from the center of his body. B) His right knee bent at a 90-degree angle at all times. C) His right leg straight in the center of his body. D) His left leg crossed over his right leg at all times. Answer: A Page Ref: 124 LO: 11. Describe the nursing assistant's role in caring for the patient with an orthopedic condition. 12) You are caring for Mrs. Hennecke, a patient with diabetes. What type of foot care should you give? A) Have her go barefoot, so her shoes will not rub blisters on her feet. B) Wash her feet daily and dry them carefully, especially between the toes. C) Cut her toenails daily, to avoid scratches or torn nails. D) Wash her feet only twice per week, to avoid drying the skin on her feet. Answer: B Page Ref: 118 LO: 10. Describe the nursing assistant's role in caring for the patient with diabetes.

13) You are caring for Mrs. Hennecke, a patient with diabetes. When you go in to check her vital signs, you notice that she seems very drowsy and her skin is flushed. Her pulse is rapid and her blood pressure is low. Which of the following is your best action? A) Give Mrs. Hennecke orange juice or crackers to manage her hypoglycemia. B) Give her privacy so that she can rest. C) Notify your supervising nurse immediately. D) Call for emergency response, as she is in a diabetic coma. Answer: C Page Ref: 117-118 LO: 10. Describe the nursing assistant's role in caring for the patient with diabetes. 14) You are caring for Ms. Wilkinson, a patient who has had a stroke and now has left-side hemiplegia. Which of the following is important to remember when caring for Ms. Wilkinson? A) Encourage her to do as much as possible for herself, and promote independence. B) Protect her from falls by placing her wheelchair on her left side. C) Keep her safe by not moving or exercising the muscles on her left side. D) Always encourage her to perform her activities of daily living as quickly as possible. Answer: A Page Ref: 128-129 LO: 12. Describe the nursing assistant's role in caring for the stroke patient. 15) Which of the following best describes multiple sclerosis, a nervous system disorder? A) An electrical disturbance in the brain resulting in seizures B) An inflammation of the meninges in the brain and spinal cord C) Pressure in the eye, damaging the retina and optic nerve D) Loss of the myelin sheath that insulates central nervous system nerve fibers Answer: D Page Ref: 127 LO: 6. Describe the function and structure of the nine body systems, and list the common disorders of each.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 9

Vital Signs

1) Which of the following is not considered a vital sign? A) Weight B) Respirations C) Blood pressure D) Temperature Answer: A Page Ref: 154 LO: 1. Explain what a patient's vital signs are, and describe the role of the nursing assistant in measuring and recording them. 2) Which of the following is referred to as the fifth vital sign? A) Height B) Pain C) Systolic pressure D) Weight Answer: B Page Ref: 154, 171 LO: 12. Describe how to measure a patient's pain using a pain scale. 3) When Shanna, a CNA, takes Mr. Ko's blood pressure, she is unsure of the results, even after taking it a second time. What should Shanna do? A) Estimate the blood pressure based on what she thought she heard. B) Average the two readings she got and record that as the blood pressure. C) Ask her supervising nurse to check Mr. Ko's blood pressure. D) Take the blood pressure two more times and record the two that agree. Answer: C Page Ref: 165-168 LO: 8. Define blood pressure, note factors that affect it, and describe normal blood pressure ranges. 4) Which method is the least accurate for measuring temperature? A) Rectal B) Axillary C) Tympanic D) Oral Answer: B Page Ref: 155 LO: 2. and 3. Define body temperature, note factors that affect it, and describe normal body temperature ranges and describe methods for measuring body temperature. 1 Copyright © 2020 Pearson Education, Inc.

5) A nursing assistant is taking a patient's rectal temperature as directed by the care plan. The nursing assistant should A) Clean the thermometer with hot, soapy water afterwards. B) Check on the patient often while the thermometer is in place. C) Hold the thermometer in place. D) Document the temperature, noting the route as Ax. Answer: C Page Ref: 157-159 LO: 4. Take oral, rectal, axillary, tympanic, or temporal artery temperatures using electronic thermometers. 6) Which of the following pulse rates should you report to your supervising nurse right away? A) 90 B) 68 C) 85 D) 114 Answer: D Page Ref: 162 LO: 6. Define pulse and respiration, note factors that affect them, and describe normal pulse and respiration rate ranges. 7) Mrs. Willoughby is taking several heart medications. When her apical—radial pulse is counted, the apical pulse is 92 and the radial pulse is 86. This means that A) Her pulse and respiratory rates are abnormally high. B) Her blood pressure is 92/86 and should be reported immediately. C) An error was made when the apical—radial pulse was counted. D) She has a pulse deficit that must be reported to your supervising nurse. Answer: D Page Ref: 163-164 LO: 6. Define pulse and respiration, note factors that affect them, and describe normal pulse and respiration rate ranges. 8) Why is it necessary to count respirations without the patient being aware that you are doing so? A) Because counting respirations can only be done in a quiet environment B) Because the patient should be talking while you count the respirations C) Because patients will breathe unnaturally if they know you are counting respirations D) Because respirations are very difficult to count, and the patient will try to help you Answer: C Page Ref: 164 LO: 7. Measure pulse and respiration rates.

9) Which of the following could indicate a respiratory problem? A) Uneven breathing B) Blue color around the lips or nose C) Gasping or gurgling D) All of these Answer: D Page Ref: 164 LO: 6. Define pulse and respiration, note factors that affect them, and describe normal pulse and respiration rate ranges. 10) Samantha, a CNA, did all of the following actions when she was taking Mr. Adriano's blood pressure. Which action was incorrect? A) She used his right arm, since his IV is in his left arm. B) She applied the cuff to his upper arm above his brachial artery. C) She applied the cuff securely over the sleeve of his pajamas. D) She waited to take his blood pressure until he had been resting for 15 minutes. Answer: C Page Ref: 167 LO: 9. Measure blood pressure. 11) Mr. Beauregard is weighed daily according to his care plan. Which of the following should the CNA do to ensure accuracy? A) Weigh him before he eats breakfast each day. B) Use the same scale each time he is weighed. C) Weigh him about the same time each day. D) All of these things should be done. Answer: D Page Ref: 170 LO: 10. and 11. Explain when and why a patient's weight and height are measured and measure weight and height. 12) Which of the following are factors that can affect blood pressure? A) Age and gender B) Pain and illness C) Diet and exercise D) All of these Answer: D Page Ref: 166 LO: 8. Define blood pressure, note factors that affect it, and describe normal blood pressure ranges.

13) A measurement for systolic blood pressure is determined by A) Listening for the first clear sound and noting the number on the sphygmomanometer. B) Listening for the brachial pulse when the blood pressure cuff is first applied. C) Listening for the last sound and noting the number on the sphygmomanometer. D) Listening for and counting the sounds while the blood pressure cuff is deflating. Answer: A Page Ref: 167 LO: 8. Define blood pressure, note factors that affect it, and describe normal blood pressure ranges. 14) A measurement for diastolic blood pressure is determined by A) Listening for the first clear sound and noting the number on the sphygmomanometer. B) Listening for the brachial pulse when the blood pressure cuff is first applied. C) Listening for the last sound and noting the number on the sphygmomanometer. D) Listening for and counting the sounds while the blood pressure cuff is deflating. Answer: C Page Ref: 167 LO: 8. Define blood pressure, note factors that affect it, and describe normal blood pressure ranges. 15) Your supervising nurse has asked you to take an apical pulse for a new patient admitted with heart disease. How do you take this pulse accurately? A) Locate the pulse on the inside of the patient's wrist and count for 30 seconds. B) Use a stethoscope to listen at the apex of the patient's heart and count for 1 minute. C) Locate the pulse on the side of the patient's neck and count for 1 minute. D) Ask a co-worker to help you check the radial and apical pulses at the same time. Answer: B Page Ref: 161-164 LO: 7. Measure pulse and respiration rates.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 10

Positioning, Moving, and Ambulation

1) The correct positioning of a patient, with the spine straight instead of twisted, is referred to as A) Body mechanics. B) Body alignment. C) Body therapeutics. D) Body transfers. Answer: B Page Ref: 176 LO: 1. List the important points to remember when positioning, moving, or transporting patients. 2) What is the purpose of a trochanter roll? A) To keep the hands from flexing tightly B) To keep hips and legs in line with the spine C) To give extra support to the patient's back D) To prevent footdrop Answer: B Page Ref: 177 LO: 2. Move a dependent patient up in bed, and turn a patient toward you and away from you. 3) A sheet placed under a patient's shoulders to below the hips that is used to turn, lift, or move a patient is a(n) A) Incontinence pad. B) Trochanter roll. C) Footboard. D) Turning sheet. Answer: D Page Ref: 177 LO: 2. Move a dependent patient up in bed, and turn a patient toward you and away from you. 4) Ms. Cohen is a patient who is very weak. Although she is not extremely heavy, she is unable to help when turned or moved in bed. The nursing assistant caring for Ms. Cohen should A) Turn Ms. Cohen only twice per shift, to decrease the chance of back injury. B) Ask the nurse to get an order for a turning sheet to use with Ms. Cohen. C) Ask a co-worker to help safely move and turn Ms. Cohen. D) Use a pillow to tilt Ms. Cohen rather than trying to turn her from side to side. Answer: C Page Ref: 177 1 Copyright © 2020 Pearson Education, Inc.

LO: 2. Move a dependent patient up in bed, and turn a patient toward you and away from you. 5) There is an order to logroll Mr. Jacobs when he is turned, as he is recovering from a spinal cord injury. How will you do this? A) Have Mr. Jacobs turn his head and shoulders while you move his hips and legs. B) Have a co-worker help you, and use a turning sheet to turn him as a unit. C) Have a co-worker help you turn his legs, then his back, then his head and shoulders. D) Any of these techniques is acceptable. Answer: B Page Ref: 177 LO: 2. Move a dependent patient up in bed, and turn a patient toward you and away from you. 6) Ms. Ping is lying in bed on her back with the head of the bed elevated at a 30-degree angle. She is in which position? A) Sims' B) Fowler's C) Semi-Fowler's D) Lateral Answer: C Page Ref: 182-183 LO: 3. List and describe the common body positions for patients. 7) The charge nurse asks you to assist Ms. Ping to dangle. What will you do? A) Assist her to lie on her side with her feet hanging over the edge of the bed. B) Put the head of the bed below the level of her feet. C) Assist her to sit on the edge of the bed with her feet hanging down. D) Assist her to sit on the edge of the bed with her head between her knees. Answer: C Page Ref: 184-185 LO: 6. Assist a patient to the edge of the bed for transfer or ambulation. 8) Ms. Ping reports feeling dizzy while she is dangling. This feeling does not go away after 2 minutes. What will you do? A) Assist her to lie down, and report this to your supervising nurse. B) Have her maintain the position for three more minutes, then assist her to lie in a supine position. C) Keep her in the dangling position and give her oral fluids quickly. D) Encourage her to get out of bed, so that the dizziness will pass quickly. Answer: A Page Ref: 185 LO: 6. Assist a patient to the edge of the bed for transfer or ambulation.

9) Mr. Greer has had a stroke and is weak on his left side. Where will you place the chair when you assist him to transfer from the bed to the chair? A) On his right side B) Directly across from the bed C) On his left side D) With the back of the chair against the bed Answer: A Page Ref: 185 LO: 4. List the guidelines for positioning a patient in a chair. 10) You are using a transfer belt when you assist Mr. Greer to move from his bed to a chair. You would do all of the following except A) Fasten the buckle securely. B) Put the belt around his waist beneath his clothing, for security. C) Be sure you can insert two fingers beneath the belt. D) Be sure the belt is snug but not so tight that he has trouble taking a breath. Answer: B Page Ref: 185-186 LO: 7. Transfer a patient from a bed to a chair and from a chair to a bed. 11) Which of the following statements regarding body mechanics is correct? A) When moving patients, use a straight back and thigh muscles for lifting. B) Twist slowly when moving a heavy load. C) Keep your feet about 6 inches apart, to broaden your base for support. D) Hold heavy loads away from your body, to protect your back. Answer: A Page Ref: 176 LO: 5. List the guidelines for moving patients. 12) When you are moving a dependent patient A) Slide to prevent shearing forces. B) Use teamwork to help with the transfer to keep patients and yourself safe. C) Reassure the patient and ask that the patient not participate in the transfer. D) Remove all special equipment from the patient's bedside, for safety. Answer: B Page Ref: 184 LO: 2. Move a dependent patient up in bed, and turn a patient toward you and away from you.

13) Mr. Kanawe is lying in bed flat on his back with both arms and legs extended. He is in which position? A) Sims' B) Fowler's C) Prone D) Supine Answer: D Page Ref: 182-183 LO: 3. List and describe the common body positions for patients. 14) Your supervising nurse asks you to prepare your patient for an enema. You need to position your patient in a partly side-lying, partly prone position for this procedure. This body position is called A) Sims'. B) Fowler's. C) Trendelenburg. D) Supine. Answer: A Page Ref: 182-183 LO: 3. List and describe the common body positions for patients. 15) You are assisting a patient to ambulate following surgery. Supported with the gait belt, the patient takes several slow, steady steps in the hallway. Suddenly, the patient says "I feel so dizzy" and begins to fall backwards. Which of the following is appropriate for care of a falling patient? A) Using the gait belt, pull the patient close to you. B) Step aside so that a falling patient does not hurt your back. C) Let go of the gait belt and quickly grab a wheelchair to support the patient. D) Keep your back straight and feet close together to catch the patient. Answer: A Page Ref: 192 LO: 13. and 14. Use a gait belt to assist with ambulation and care for a falling patient.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 11

Admission, Transfer, and Discharge

1) When a new patient is admitted, the nursing assistant is responsible for A) Scheduling laboratory tests and x-rays. B) Obtaining orders from the doctor about the patient's care. C) Preparing the room and taking vital signs, height, and weight. D) Preparing the patient to move to another health care facility. Answer: C Page Ref: 197-198 LO: 2. List the general tasks of the nursing assistant in helping with these procedures. 2) Mrs. Jernigan is a new resident in the long-term care community where you work as a nursing assistant. During her admission, her family members ask you many questions about what will be done for her here. How should you answer them? A) Answer their questions politely or refer them to someone who can help. B) Ask the family members to write down their questions so they can be answered. C) Politely explain that you must focus only on Mrs. Jernigan right now. D) Explain that all information regarding Mrs. Jernigan's care is confidential. Answer: A Page Ref: 198 LO: 3. Describe the nursing assistant's role in admission procedures and special considerations for the patient being admitted to a long-term care facility. 3) Mrs. Jernigan's son goes into the hall and begins to cry. He tells you that he feels so bad about admitting his mother to the nursing home, but he knows she needs more care than the family can provide. This reaction shows A) That the son is overly concerned about his mother's health care. B) The son's need for medication to deal with this transition. C) A need for counseling for the family and the patient. D) The mixed emotions that families often experience during admission. Answer: D Page Ref: 198 LO: 3. Describe the nursing assistant's role in admission procedures and special considerations for the patient being admitted to a long-term care facility.

4) Mr. Alcott is scheduled to be transferred to a different wing of the rehabilitation facility. When you go to help pack up his things, he tells you that he will not go to the new wing. What should you do? A) Have Mr. Alcott call his doctor to protest the move. B) Call Mr. Alcott's family and discuss his refusal with them. C) Explain that Mr. Alcott has no choice but to do what he is told to do. D) Notify your supervising nurse of Mr. Alcott's response. Answer: D Page Ref: 198-199 LO: 4. Describe why patients might be transferred, and explain the nursing assistant's role in transfer procedures. 5) When Mr. Alcott is transferred to a new nursing unit, what should the nursing assistant do to help? A) Call the doctor's office and report Mr. Alcott's new room number. B) Keep track of his belongings, so nothing is lost in the move. C) Find a place to put Mr. Alcott's chart in the new room. D) All of these things should be done. Answer: B Page Ref: 198-199 LO: 4. Describe why patients might be transferred, and explain the nursing assistant's role in transfer procedures. 6) Mrs. Stethem has an order for discharge. The nurse asks you to help her get ready. You will A) Collect and pack belongings from drawers and closets. B) Return any valuables that have been in the safe. C) Assist her to get dressed. D) Do all of these things. Answer: D Page Ref: 200 LO: 5. Describe what is involved in discharge planning, and explain the nursing assistant's role in discharge procedures.

7) Mrs. Stethem seems very confused about when to take her medicines, even though the nurse has explained all discharge instructions to her. What should the nursing assistant do? A) Find out when the medicines are to be taken and explain it again to Mrs. Stethem. B) Tell Mrs. Stethem to call her doctor after she gets home, to clarify when to take the medicines. C) Report to the nurse that Mrs. Stethem is confused about her medicines. D) Say nothing, since the pharmacist will label the bottles with the correct times to take the medicines. Answer: C Page Ref: 200 LO: 5. Describe what is involved in discharge planning, and explain the nursing assistant's role in discharge procedures. 8) When you orient a new patient to the unit, it is very important for the patient's safety that you instruct the patient about A) How the television works. B) Using the call light. C) Fire drills and safety information. D) How the care will be paid for. Answer: B Page Ref: 197 LO: 2. List the general tasks of the nursing assistant in helping with these procedures. 9) When you assist with a patient admission, it is important to remember that A) You are representing your facility as you make first impressions on the patient. B) You need to have the appropriate equipment and supplies ready for the patient. C) Families and patients often feel very stressed when an admission occurs. D) All of the above Answer: D Page Ref: 197 LO: 2. List the general tasks of the nursing assistant in helping with these procedures. 10) When does discharge planning for a patient begin? A) At the time of admission B) When the patient discusses discharge concerns C) The day before discharge D) The day of discharge Answer: A Page Ref: 199-200 LO: 5. Describe what is involved in discharge planning, and explain the nursing assistant's role in discharge procedures.

11) When you assist with a patient discharge, it is important to remember that A) You are representing your facility as you help create a good lasting impression. B) You may need to escort the patient and help with transport as the patient exits the facility. C) Patients may have concerns or fears when discharge occurs. D) All of the above Answer: D Page Ref: 199-200 LO: 5. Describe what is involved in discharge planning, and explain the nursing assistant's role in discharge procedures. 12) Which of the following is true of an "against medical advice" discharge? A) Only the supervising nurse can determine when a patient is prepared for discharge. B) Patients can schedule their own discharge time with the nursing assistant; they do not have to wait for a physician's order. C) It is within a patient's rights to ask to be discharged before the physician thinks the patient is ready. D) It is within a patient's rights to not follow all discharge instructions. Answer: C Page Ref: 199-200 LO: 1. Define admission, transfer, and discharge procedures and explain the effects of diagnosis-related groups (DRGs) on these procedures. 13) When a patient has a sudden illness or injury, the patient may be admitted to ________ for treatment. A) a long-term care facility B) an acute facility or hospital C) home health care D) rehabilitation Answer: B Page Ref: 196 LO: 1. Define admission, transfer, and discharge procedures and explain the effects of diagnosis-related groups (DRGs) on these procedures. 14) Patients with permanent disabilities can no longer manage their ADLs independently at home. They may be admitted to ________ for ongoing care. A) a long-term care facility B) an acute facility or hospital C) home health care D) rehabilitation Answer: A Page Ref: 196 LO: 3. Describe the nursing assistant's role in admission procedures and special considerations for the patient being admitted to a long-term care facility. 4 Copyright © 2020 Pearson Education, Inc.

15) Patients have physical, emotional, social, and spiritual needs when admitted to the health care system. The nursing assistant's responsibilities include A) Observing patients carefully and knowing when to report concerns to the nurse. B) Being aware of the stress of illness on patients and families. C) Treating patients and families with kindness, courtesy, and respect. D) All of these things. Answer: D Page Ref: 197 LO: 3. Describe the nursing assistant's role in admission procedures and special considerations for the patient being admitted to a long-term care facility.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 12

The Patient's Environment

1) Which of the following actions should the nursing assistant take to control odors in the patient's environment? A) Apply scented lotion to the patient's skin every two hours. B) Remove and discard wastes as soon as possible. C) Use air freshener sprays in bathrooms often to eliminate odors. D) Wear perfume or cologne every day at work. Answer: B Page Ref: 205 LO: 2. Explain how nursing assistants can make a patient's environment comfortable and safe. 2) To show respect for patients and their belongings, it is best to A) Put personal items out of sight, so they will not be broken or stolen. B) Ask to be shown which belongings are most valuable. C) Arrange the patient's belongings the way you would want them arranged. D) Leave personal items where they are unless you are asked to move them. Answer: D Page Ref: 205 LO: 2. Explain how nursing assistants can make a patient's environment comfortable and safe. 3) Why is it important that the bottom sheets are wrinkle-free when the patient's bed is made? A) Wrinkles in the sheets can cause lines on the patient's skin. B) The bed looks neater when the linens have mitered corners and no wrinkles. C) If wrinkles are present, it means the bed was made improperly. D) Wrinkles in the sheets can cause pressure injuries. Answer: D Page Ref: 205 LO: 3. List the general rules of bedmaking. 4) The policy at your facility is to change the bed linens every other day. Mr. Coleridge's linens were changed yesterday, but you notice dried blood on the bottom sheet. What should you do? A) Place a draw sheet over the blood, so it isn't noticeable. B) Try to wash the blood out with a soapy washcloth. C) Leave the sheet in place. D) Change the sheets, and report the blood to your supervising nurse. Answer: D Page Ref: 205 LO: 3. List the general rules of bedmaking.

5) When you make a bed while the patient is still in it, the bedmaking method is called a(n) A) Closed bed. B) Occupied bed. C) Open bed. D) Unoccupied bed. Answer: B Page Ref: 206, 209-210 LO: 6. Make an occupied bed. 6) You are asked to make an occupied bed for Mr. Lawrence. He is turned onto his left side. What should you do to ensure his safety while you make the bed? A) Turn Mr. Lawrence onto his back for the procedure. B) Raise the side rail next to Mr. Lawrence. C) Assist Mr. Lawrence to a chair while you quickly change his bed linens. D) Stand at the side of the bed, so Mr. Lawrence will not fall out. Answer: B Page Ref: 206 LO: 6. Make an occupied bed. 7) Which of the following items should be kept at the patient's bedside within the patient's reach? A) Tissue and straws B) Fresh water and ice C) The call signal and telephone D) All of these items Answer: D Page Ref: 205 LO: 1. List the furniture and equipment commonly found in a patient's unit. 8) You are asked to make a surgical bed. At what height will you leave the bed when you finish the task? A) The lowest position B) In Fowler's position C) The highest position D) The same height as a stretcher Answer: D Page Ref: 206, 210-211 LO: 7. Make a surgical bed.

9) A bed that has the top linens folded back for the patient to get in easily is called a(n) A) Occupied bed. B) Closed bed. C) Surgical bed. D) Open bed. Answer: D Page Ref: 206 LO: 3. List the general rules of bedmaking. 10) A bed that is made with the covers to the top is called a(n) ________. This bed is made after a patient is discharged, so it will stay clean until a new patient is admitted. A) Occupied bed. B) Surgical bed. C) Closed bed. D) Open bed. Answer: C Page Ref: 206 LO: 4. and 5. Make a closed bed and open a closed bed. 11) Patient units in the long-term care setting look different from acute care environments because A) The room may include more personal items, as this is the resident's home. B) The room will need more health-related equipment. C) Standard precautions are not used in long-term care. D) High-intensity lights are used for procedures and safety. Answer: A Page Ref: 204 LO: 1. List the furniture and equipment commonly found in a patient's unit. 12) Which of the following actions should the nursing assistant take to promote a comfortable patient environment? A) Adjust room temperature based on patient preference. B) Always knock on the door before entering the patient's room. C) Avoid loud talking, and handle equipment quietly. D) All of the above actions Answer: D Page Ref: 205 LO: 2. Explain how nursing assistants can make a patient's environment comfortable and safe.

13) Which of the following must always be within reach of the patient for the patient's safety? A) Call light B) Bedpan C) Emesis basin D) Urinal Answer: A Page Ref: 204-205 LO: 1. and 2. List the furniture and equipment commonly found in a patient's unit and explain how nursing assistants can make a patient's environment comfortable and safe. 14) You are caring for Mr. Montgomery, a patient on the neurology unit who has just had a stroke affecting his right side. For his safety, where should you put the call light and his mobility equipment? A) On his right side B) On his left side C) Within reach of his family members D) At the foot of his bed Answer: B Page Ref: 205 LO: 2. Explain how nursing assistants can make a patient's environment comfortable and safe. 15) Which of the following actions is important for the nursing assistant to remember when making an occupied bed? A) Use a bath blanket to honor the patient's privacy and keep the patient warm during the procedure. B) Make sure the bottom sheet is smooth and free of wrinkles. C) Wear gloves and carry dirty linens away from your uniform. D) All of the above actions Answer: D Page Ref: 209-210 LO: 6. Make an occupied bed.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 13

Hygiene and Grooming

1) While you are providing daily hygiene and grooming care for patients, you should A) Perform all of the care, so they can save their energy. B) Observe their skin condition, mouth, scalp, hair, and nails. C) Talk about your family problems with them. D) Clip their fingernails and toenails each day after the bath. Answer: B Page Ref: 217 LO: 1. Explain the nursing assistant's role in meeting patients' daily hygiene needs. 2) A patient's personal hygiene needs and practices are influenced by A) Culture and lifestyle. B) Personal choice and preferences. C) Economic considerations. D) All of the above. Answer: D Page Ref: 215 LO: 1. Explain the nursing assistant's role in meeting patients' daily hygiene needs. 3) While giving Mrs. Bettini a bath, you notice that she has redness under each breast. What will you do? A) Apply powder to the red areas and check them daily. B) Rub the areas with the towel, to be sure they are completely dry. C) Apply lotion to the red areas, because they are due to dry skin. D) Notify your supervising nurse of your observations. Answer: D Page Ref: 217 LO: 2. Describe the different types of baths nursing assistants give patients or assist them with, and discuss the general considerations for bathing and shampooing. 4) Mrs. Kanda has had a stroke. Her left side is paralyzed. How will you assist her with putting on her blouse? A) Button the blouse and put it on over her head. B) Put the sleeve of the blouse on the right arm first. C) Put the sleeve of the blouse on her left arm first. D) Put both arms in the sleeves at the same time. Answer: C Page Ref: 217 LO: 3. Explain the nursing assistant's role in assisting the patient to dress and undress.

5) You are giving a bed bath to Mr. Donnelly. When should you change the water in the basin? A) If the water becomes dirty B) After washing the feet C) If the water becomes too soapy D) All of the above Answer: D Page Ref: 218-221 LO: 2. and 4. Describe the different types of baths nursing assistants give patients or assist them with, and discuss the general considerations for bathing and shampooing and give a complete and partial bed bath, assist with a tub bath or shower, and give a bed shampoo. 6) When you assist a patient with a tub bath or shower, you must A) Remain with the patient at all times, for safety. B) Provide privacy by leaving the room. C) Ask the patient to pull the emergency light when finished. D) Lock the bathroom door, to prevent embarrassment. Answer: A Page Ref: 221 LO: 2. and 4. Describe the different types of baths nursing assistants give patients or assist them with, and discuss the general considerations for bathing and shampooing and give a complete and partial bed bath, assist with a tub bath or shower, and give a bed shampoo. 7) How would you provide oral care for patients who are unconscious? A) Wear gloves and a mask while brushing their teeth. B) Clean the teeth, lips, and gums with a swab dipped in a special solution or a prepared applicator. C) Brush the teeth with mouthwash and rinse with clear water. D) Brush the teeth with toothpaste and a soft-bristle brush. Answer: B Page Ref: 225-226 LO: 5. and 6. Explain the purposes of oral hygiene and assist patients with routine oral hygiene and provide oral hygiene for unconscious patients. 8) Which of the following should you do when you are cleaning a patient's dentures? A) Go to the clean utility room to complete this procedure. B) Use hot water to thoroughly rinse away bacteria. C) Use standard precautions. D) Fill the sink with water and let the dentures soak for 15 minutes. Answer: C Page Ref: 225 LO: 7. and 8. Explain the nursing assistant's role in denture care and assist with denture care.

9) When you shave a patient with a safety razor A) Start below the nose and shave upward. B) Shave in the direction that the facial hairs grow. C) Wear a gown and gloves. D) Shave from the jawline upward towards the sideburns. Answer: B Page Ref: 227-228 LO: 9. and 10. Describe the benefits of and guidelines for the daily shaving of patients and assist with shaving a male patient. 10) What is the nursing assistant's responsibility regarding patients' eyeglasses? A) Send them to the optician when they need to be cleaned. B) Be sure that the prescription is correct for the patient's eyes. C) Keep them clean and within easy reach of the patient. D) Label them with the patient's name and room number. Answer: C Page Ref: 232 LO: 17. Explain the nursing assistant's responsibilities for patients' eyeglasses and hearing aids. 11) When assisting a patient with bathing, the water temperature A) Is a maximum of 100-110 degrees F, to prevent scalding. B) Is as hot as the nursing assistant can tolerate. C) Is kept cool, to help with inflammation. D) Is cold, to make the process go quickly. Answer: A Page Ref: 217 LO: 4. Give a complete and partial bed bath, assist with a tub bath or shower, and give a bed shampoo. 12) While you are providing daily hygiene and grooming care for patients, maintaining dignity and encouraging independence support which human need of Maslow's hierarchy? A) Physiological B) Safety and security C) Self-esteem D) Self-actualization Answer: C Page Ref: 215 LO: 1. Explain the nursing assistant's role in meeting patients' daily hygiene needs.

13) Which of the following is an important step to remember before starting a patient's bed bath? A) Gather all supplies and place everything you need on the overbed table. B) Raise the bed to a comfortable working height. C) Put on gloves and use standard precautions. D) All of the above are important steps. Answer: D Page Ref: 218-221 LO: 4. Give a complete and partial bed bath, assist with a tub bath or shower, and give a bed shampoo. 14) Which of the following is appropriate regarding assisting a long-term care resident with dressing? A) Assist with putting on many layers of clothing, to keep the resident warm. B) Always select the resident's clothing for the day, to make sure it matches. C) Ensure that clothing is appropriate for the weather and environment. D) Keep the resident in pajamas, as many long-term care residents sleep during the day. Answer: C Page Ref: 218 LO: 3. Explain the nursing assistant's role in assisting the patient to dress and undress. 15) Which of the following is the appropriate regarding shampooing a patient's hair? A) Schedule the patient to see the patient's own barber or beautician, as hair care is not in the nursing assistant's job duties. B) Always wash the patient's hair daily, to promote cleanliness. C) Protect the patient's eyes and ears while shampooing. D) Select hair care products for the patient based on your preferences. Answer: C Page Ref: 223-224 LO: 11. and 12. Describe the benefits of and guidelines for daily hair care and assist with hair care.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 14

Special Skin Care

1) Which of the following is not a cause of pressure injuries? A) Loss of circulation B) Cleanliness C) Friction D) Shearing Answer: B Page Ref: 236 LO: 1. List the groups of patients most commonly affected by pressure injuries and the factors that contribute to such injuries. 2) A pressure point is an area that A) Bears the body's weight when the patient is lying or sitting. B) Cannot be washed or massaged during a bath. C) Is tender to touch after exercise. D) Is at risk for skin irritation due to perspiration or incontinence. Answer: A Page Ref: 237 LO: 2. Explain where pressure injuries usually form. 3) Which of the following body sites is not a pressure point? A) Shoulder blades B) Breasts C) Toes D) Elbows Answer: B Page Ref: 237 LO: 2. Explain where pressure injuries usually form. 4) When you bathe Mrs. Jeffers, you notice a warm, red area on her left ankle. At the end of the bath, over 30 minutes later, the area is still red. This red area is A) Definitely a stage 2 pressure injury. B) Common in bedbound patients, and will eventually go away. C) Probably a stage 1 pressure injury, and needs to be reported to the supervising nurse. D) Due to her positioning, and is nothing to be concerned about. Answer: C Page Ref: 237-238 LO: 3. Describe the four stages of skin breakdown and list common treatment methods.

5) A new patient is admitted with a stage 4 decubitus ulcer. When you look at the injury, you will expect to see A) A very large red area that is hot to touch. B) Skin surface eroded so deeply that muscle and bone can be seen. C) Broken, reddened skin with blisters. D) A deep crater with scabbing and pus. Answer: B Page Ref: 237 LO: 3. Describe the four stages of skin breakdown and list common treatment methods. 6) How are pressure injuries treated? A) The skin around the affected area is massaged. B) All pressure is removed from the area. C) Broken skin is kept covered. D) All of the above Answer: D Page Ref: 238 LO: 5. List the equipment and methods used to prevent or help heal pressure injuries. 7) To prevent pressure injuries from forming, the nursing assistant should A) Reposition bed-confined patients every four hours. B) Reposition bed-confined patients at least every two hours. C) Make sure every patient is out of bed for two hours each day. D) Position each bed-confined patient in a sitting position for four hours. Answer: B Page Ref: 238-239 LO: 4. Identify ways nursing assistants can help to prevent patients from getting pressure injuries. 8) To prevent pressure injuries from forming, the nursing assistant should A) Rub skin dry after washing the perineal area, to prevent moisture buildup. B) Change incontinence briefs as soon as they become wet. C) Leave bedpans in place under incontinent patients, to catch urine or bowel movement. D) All of the above Answer: B Page Ref: 238-239 LO: 4. Identify ways nursing assistants can help to prevent patients from getting pressure injuries.

9) A device to help prevent pressure injuries that contains air chambers that are constantly being inflated and deflated is called a(n) A) Gel-filled flotation pad. B) Alternating pressure mattress. C) Specialty bed. D) Egg-crate mattress. Answer: B Page Ref: 239 LO: 4. Identify ways nursing assistants can help to prevent patients from getting pressure injuries. 10) Patients who most commonly develop pressure injuries are those who are A) Very thin. B) Able to perform their ADLs independently. C) Able to transfer with assistance. D) Young. Answer: A Page Ref: 236 LO: 1. List the groups of patients most commonly affected by pressure injuries and the factors that contribute to such injuries. 11) Pressure injuries are often described using which of the following terms? A) Decubitus ulcers or pressure ulcers B) Skin breakdown C) Bedsores or pressure sores D) All of the above Answer: D Page Ref: 236 LO: 1. List the groups of patients most commonly affected by pressure injuries and the factors that contribute to such injuries. 12) To prevent pressure injuries from forming, the nursing assistant should A) Lift or roll when repositioning patients, to prevent shearing skin. B) Make sure clothing and shoes fit properly and are not constricting. C) Make sure patients are getting adequate fluids and nourishment. D) All of the above Answer: D Page Ref: 238-239 LO: 4. Identify ways nursing assistants can help to prevent patients from getting pressure injuries.

13) Pressure injuries may develop where body parts rub together. Skin breakdown is a risk for obese patients, especially A) Between folds of the abdomen. B) Between buttocks and thighs. C) Under the breasts. D) In all of the above areas. Answer: D Page Ref: 237 LO: 1. and 2. List the groups of patients most commonly affected by pressure injuries and the factors that contribute to such injuries and explain where pressure injuries usually form. 14) A new patient is admitted with an infection due to a stage 3 pressure injury. When you look at the injury, you will expect to see A) A deep crater with scabbing and pus. B) A very large red area that is hot to touch. C) Skin surface eroded so deeply that muscle and bone can be seen. D) Broken, reddened skin with blisters. Answer: A Page Ref: 237 LO: 3. Describe the four stages of skin breakdown and list common treatment methods. 15) What is the most important element in the management of pressure injuries? A) All members of the health care team should take steps to prevent pressure injuries. B) Standard precautions are used for all patient skin care. C) Prevention devices are only used when a stage 3 or 4 injury is present. D) Only patients with risk factors can develop pressure injuries. Answer: A Page Ref: 238 LO: 4. Identify ways nursing assistants can help to prevent patients from getting pressure injuries.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 15

Nutrition

1) According to the MyPlate food icon, what portion of the plate should be servings from the vegetable and fruit groups? A) 1/4 plate B) 1/3 plate C) 1/2 plate D) 3/4 plate Answer: C Page Ref: 244-245 LO: 1. Explain why good nutrition is important for all people. 2) The body needs proteins to A) Regulate body fluids. B) Provide a concentrated form of energy. C) Provide the greatest amount of energy. D) Grow and repair tissues. Answer: D Page Ref: 245 LO: 2. Identify the four major types of nutrients. 3) Which of the following is not a way water helps maintain health? A) It makes bones strong and hard. B) It regulates body temperature. C) It makes up most of the blood plasma. D) It aids in digestion. Answer: A Page Ref: 246 LO: 2. Identify the four major types of nutrients. 4) When bones have lost density, become brittle, and fracture easily, the condition is called A) Anorexia. B) Osteomyelitis. C) Osteoporosis. D) Anemia. Answer: C Page Ref: 247 LO: 3. Identify signs of good and poor nutrition.

5) The most common type of anemia is caused by lack of which nutrient in the diet? A) Calcium B) Vitamin D C) Protein D) Iron Answer: D Page Ref: 247 LO: 3. Identify signs of good and poor nutrition. 6) Which of the following would the nursing assistant do to be sure that the correct patient receives the correct food? A) Ask the supervising nurse if this is the correct tray for the patient. B) Ask the patient if the food on the tray is what the patient ordered for that meal. C) Check the name on the menu card against the patient's identification bracelet when delivering the tray. D) All of these are acceptable. Answer: C Page Ref: 248 LO: 7. Serve food to patients. 7) Mr. Landon is visually impaired. How can you help him know the location of the food on his plate? A) Use the numbers on a clock face to explain the location of the food. B) Feed him all of one food before feeding him another food. C) Help him feed himself each item of food with his fingers. D) Use a large magnifying glass to help him see the food on his plate. Answer: A Page Ref: 248-249 LO: 7. and 8. Serve food to patients and feed dependent patients. 8) Mr. Lewellyn tells you that he does not want to eat the chocolate cake on his lunch tray and offers it to you. Chocolate cake is one of your favorite foods. What should you do? A) Thank him, but explain that the cake is for him to eat, not you. B) Eat half of the cake and get Mr. Landon to eat the other half. C) Save the cake in your locker and eat it after work. D) Eat the cake and record that Mr. Landon ate all of his food. Answer: A Page Ref: 248 LO: 7. Serve food to patients.

9) Mrs. Ballentine has been hospitalized for kidney disease and has been prescribed a lowsodium diet. When the nursing assistant brings in her lunch tray, Mrs. Ballentine says "Take that tasteless food away." What should the nursing assistant do? A) Leave the food at her bedside, in case she gets hungry later in the day. B) Remove the food and report her refusal to the supervising nurse. C) Remove the food and say nothing; she has a right to refuse food. D) Insist that she eat six bites of her entree before taking the tray away. Answer: B Page Ref: 247, 251 LO: 4. and 7. Describe the purposes of a therapeutic diet and serve food to patients. 10) Mrs. Bergdorf is on intake and output. She drank six ounces of coffee with her breakfast. You offered her supplemental fluids mid-morning, and she drank four ounces of juice. How many milliliters will you record as intake for her? A) 12 ml B) 300 ml C) 360 ml D) 180 ml Answer: B Page Ref: 251-252 LO: 9. and 11. Describe the nursing assistant's role in providing supplementary food and fluids to patients and measure and record fluid intake and output. 11) Mr. Valentine receives all of his nourishment through a gastrostomy tube. He cannot eat or drink anything by mouth. Which of the following should the nursing assistant do for him? A) Avoid giving oral care, since he can't eat or drink. B) Administer his tube feedings during mealtime. C) Give him ice chips to chew on. D) Report any nausea or vomiting immediately. Answer: D Page Ref: 252-254 LO: 12. Identify alternative methods used to feed patients and describe the nursing assistant's role in these feedings. 12) Which of the following is not a sign of good nutrition? A) Excessive body weight B) Healthy appetite C) Regular elimination habits D) Clear skin and bright eyes Answer: A Page Ref: 246-247 LO: 3. Identify signs of good and poor nutrition.

13) Mr. and Mrs. Deardorff have just moved into a long-term care community. They are encouraged by the staff to choose their preferred time to eat meals, and are able to select their food from a menu of varied choices. This type of nutrition plan is described as a A) High-calorie diet. B) High-protein diet. C) Liberalized diet. D) Therapeutic diet. Answer: C Page Ref: 247-248 LO: 5. Describe the purposes of a liberalized diet. 14) Which of the following is the appropriate approach to prepare patients for mealtime? A) Ensure that patients have the opportunity to go to bathroom before eating. B) Have patients cleanse their hands before meals are served. C) Adjust the patients' position so they are comfortable–raise the head of the bed or help transfer to a chair. D) All of the above are correct. Answer: D Page Ref: 248 LO: 6. Describe how to prepare patients for mealtime. 15) Which of the following is the correct definition of edema? A) A fluid imbalance that occurs when there is insufficient intake B) Swelling of tissues that occurs when intake exceeds output C) A condition caused by prolonged vomiting or diarrhea D) When a physician has ordered forced fluids for a patient Answer: B Page Ref: 251 LO: 10. Explain the principles of fluid balance and conditions that indicate a fluid imbalance.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 16

Elimination Needs

1) The nursing assistant can help patients maintain normal elimination by A) Encouraging good fluid intake. B) Encouraging as much activity as possible. C) Checking every two hours to see if they need to go to the bathroom. D) All of the above Answer: D Page Ref: 258 LO: 1. Describe how the nursing assistant can help patients maintain normal elimination and list problems that affect normal elimination. 2) Which of the following may cause diarrhea? A) Inactivity B) Infections C) Lack of fiber D) Lack of fluids Answer: B Page Ref: 259 LO: 1. Describe how the nursing assistant can help patients maintain normal elimination and list problems that affect normal elimination. 3) Mr. Marconi has urinary incontinence and wears a disposable brief. When you enter his room to see if he has been incontinent, what should you say to him? A) "Do you need to have your diaper changed?" B) "May I please check to see if you need a change?" C) "Have you wet yourself?" D) "Is your diaper wet or dry?" Answer: B Page Ref: 259 LO: 1. Describe how the nursing assistant can help patients maintain normal elimination and list problems that affect normal elimination. 4) A movable chair with a toilet seat used for elimination at the bedside is a A) Urinal. B) Fracture pan. C) Bedside commode. D) Bedpan. Answer: C Page Ref: 262 LO: 3. Assist patients with use of the urinal, bedpan, bedside commode, and bathroom. 1 Copyright © 2020 Pearson Education, Inc.

5) Mrs. Levington is fairly independent, but needs help to get onto and off of the toilet. Once she is on the toilet, the nursing assistant should A) Stand in the bathroom until she is finished, to help get her off the toilet. B) Wipe from back to front when she is finished. C) Leave her if it is safe, with the call button within her reach. D) Wear disposable gloves and a gown to assist with perineal care. Answer: C Page Ref: 263 LO: 2. List the guidelines to follow when assisting patients with toileting. 6) Patients who may need frequent perineal care are those who A) Are incontinent. B) Have diarrhea. C) Are females after childbirth. D) All of the above Answer: D Page Ref: 264-265 LO: 4. Provide perineal care. 7) A tube inserted into the urethra and left in the bladder so urine can drain continuously is A) An IV catheter. B) A condom catheter. C) A Foley catheter. D) A rectal tube. Answer: C Page Ref: 266 LO: 5. Identify the types of urinary catheters and how they are used. 8) Because a Foley catheter puts the patient at an increased risk for infection, the nursing assistant should A) Keep the tubing beneath the patient, so it is not exposed to germs. B) Encourage adequate fluid intake, to decrease risk of infection. C) Avoid washing the insertion site, to prevent trauma. D) Keep the drainage bag higher than the level of the bladder at all times. Answer: B Page Ref: 266-267 LO: 5. and 6. Identify the types of urinary catheters and how they are used and describe the nursing assistant's responsibilities for catheter care.

9) When you check on Mrs. Young, you notice that she has only 150 cc of urine in her urinary drainage bag. This is the same amount that was in the drainage bag four hours ago. After checking to see that the tubing does not have any kinks or blockages, what should you do? A) Inform your supervising nurse of Mrs. Young's lack of urinary output. B) Lift the drainage bag above the level of the bladder, to get an accurate measurement. C) Tell Mrs. Young not to drink any fluids for now. D) All of the above Answer: A Page Ref: 267 LO: 6. Describe the nursing assistant's responsibilities for catheter care. 10) Which of the following procedures is correct for providing catheter care? A) Cleanse with one alcohol swab on the far side, one swab on the near side, then one down the middle. B) Clean the area vigorously, rubbing back and forth to remove bacteria. C) Clean around the insertion site, then clean downward and away from the site. D) Disconnect the drainage bag while you give catheter care, then reconnect it. Answer: C Page Ref: 268 LO: 7. Provide catheter care and empty the urine drainage bag. 11) Mr. Captains is recovering from a femoral fracture and is in a cast and in traction. Because he cannot get out of bed or roll side to side, a urinal and ________ are used to assist him with toileting. A) bedpan B) fracture pan C) bedside commode D) external catheter Answer: B Page Ref: 262 LO: 3. Assist patients with use of the urinal, bedpan, bedside commode, and bathroom. 12) An external rubber sheath that slides over the penis and is attached to a drainage tube is called A) An IV catheter. B) A condom catheter. C) A Foley catheter. D) A rectal tube. Answer: B Page Ref: 266-267 LO: 5. Identify the types of urinary catheters and how they are used.

13) The nursing assistant drains his patient's urinary drainage bag just before the end of his shift to measure accurate intake and output. He observes that the urine is dark in color and has a very foul odor. What should he do? A) Clean the catheter drain with an antiseptic wipe and ensure it is closed. B) Record the urine output accurately using a graduate. C) Report his observations to the supervising nurse. D) All of the above Answer: D Page Ref: 267 LO: 7. Provide catheter care and empty the urine drainage bag. 14) Which of the following may cause constipation? A) Inactivity B) Medications C) Inadequate diet and fluids D) All of the above Answer: D Page Ref: 258 LO: 1. Describe how the nursing assistant can help patients maintain normal elimination and list problems that affect normal elimination. 15) The nursing assistant knows that correctly following procedures for perineal and catheter care is very important in preventing a urinary tract infection (UTI). This type of infection involves bacteria invading A) Any structure of the urinary system. B) Only the urethra. C) Only the bladder. D) Only the ureters and kidneys. Answer: A Page Ref: 266 LO: 1. Describe how the nursing assistant can help patients maintain normal elimination and list problems that affect normal elimination.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 17

Specimen Collection and Testing

1) You are caring for a newly admitted patient to your acute care facility. The physician has ordered a number of specimens to be collected as part of the admissions procedure. Which of the following best describes why specimens are ordered? A) Specimens are sent to the laboratory as standard of care for every patient. B) Laboratory tests on specimens are used to guide the nursing assistant's care plan. C) Laboratory tests on specimens are used to diagnose illness and decide on treatment. D) Additional laboratory charges for specimen tests are paid for by insurance. Answer: C Page Ref: 273 LO: 1. Explain why physicians order specimens. 2) Which of the following are types of specimens that nursing assistants may be asked to collect? A) Blood and sputum B) Spinal fluid and urine C) Urine, stool, and sputum D) Urine, stool, and blood Answer: C Page Ref: 273 LO: 2. List the types of specimens nursing assistants may be asked to collect. 3) The nursing assistant must follow which of the following guidelines when collecting specimens from patients? A) Be accurate and follow the collection procedure accurately. B) Fill out the identification label accurately with date and time of specimen collection. C) Report and record the specimen collection, noting anything unusual observed. D) All of the above Answer: D Page Ref: 273-274 LO: 3. Identify the guidelines for collecting specimens. 4) Collecting specimens requires the nursing assistant to come in close contact with a patient's body fluids. Which of the following guidelines must be followed for medical asepsis and safety? A) Standard precautions B) OBRA precautions C) HIPAA precautions D) Fomite precautions Answer: A Page Ref: 274 LO: 3. Identify the guidelines for collecting specimens. 1 Copyright © 2020 Pearson Education, Inc.

5) You are asked to obtain a routine urine specimen from a patient. What is an important instruction that the nursing assistant needs to give the patient? A) "Please do not wash your hands until after you urinate in the cup." B) "Please only use the bedpan to catch your urine specimen." C) "Please write your name and date of birth on the urinal." D) "Please do not put toilet paper in the specimen cup or urinal." Answer: D Page Ref: 274 LO: 3. Identify the guidelines for collecting specimens. 6) As a nursing assistant, you may be asked to collect one of four types of urine specimens. Which of the following is not a type of urine specimen? A) Midstream, clean-catch urine specimen B) Expectorated urine specimen C) Fresh-fractional urine specimen D) 24-hour urine specimen Answer: B Page Ref: 274-277 LO: 4. List four types of urine specimens and explain how they are collected. 7) You are asked to obtain a routine urine specimen from a patient. After you open the specimen container, what will you do with the lid? A) Slip it into your uniform pocket. B) Ask the patient to hold it until the specimen has been obtained. C) Hold it in your hand until you have the urine specimen. D) Lay it down lip side up. Answer: D Page Ref: 274-275 LO: 3. and 5. Identify the guidelines for collecting specimens and collect a routine urine specimen. 8) What personal protective equipment should you wear when obtaining a routine urine specimen? A) Disposable gloves B) A gown and face mask C) Goggles, in case of splashing D) All of these Answer: A Page Ref: 274-276 LO: 3. and 5. Identify the guidelines for collecting specimens and collect a routine urine specimen. 2 Copyright © 2020 Pearson Education, Inc.

9) Mrs. Loretto has an order for a 24-hour urine specimen. This means that A) All urine that she voids for a 24-hour period is collected and saved. B) Every time she voids, the urine is measured and the total amount recorded for the day. C) A catheter is used for 24 hours; then her urine is taken as a specimen. D) All the urine that she voids is kept in the toilet for 24 hours without flushing. Answer: A Page Ref: 276-277 LO: 4. List four types of urine specimens and explain how they are collected. 10) When you assist Mrs. Loretto with the bedpan, you accidentally flush the urine down the toilet during the window in which she is to have a 24-hour urine specimen collected. What should you do? A) Estimate the amount of urine you think she voided and record it. B) Be honest and report it to the nurse, so the collection procedure can be restarted. C) Say nothing to anyone; the mistake will not be detected. D) Do not be concerned, she will void many more times in 24 hours. Answer: B Page Ref: 276-277 LO: 4. List four types of urine specimens and explain how they are collected. 11) Before obtaining a clean-catch urine specimen, you must first be sure that A) You throw away the first 30 cc of urine that the patient voids. B) The perineal area is cleansed with soap and water or antiseptic towelettes. C) The patient drinks 24 ounces of fruit juice or water. D) The specimen container has been placed in a pan of ice. Answer: B Page Ref: 275-276 LO: 4. List four types of urine specimens and explain how they are collected. 12) Mrs. Baconer has recently traveled to an undeveloped country and now has severe abdominal cramping and diarrhea. Her health care provider has ordered a stool specimen to test for pathogens and parasites. As her nursing assistant, how do you get a stool specimen into the specimen container? A) Tip the bedpan to the side and drop the feces from the bedpan into the specimen container. B) Wearing gloves, use a wooden tongue blade to remove the feces from the bedpan and transfer it to the container. C) Ask the patient to hold the specimen container and to defecate into it instead of into the bedpan. D) Use the specimen container as a scoop for transferring the feces from the bedpan into the container. Answer: B Page Ref: 277—278 LO: 6. and 7. Identify the things stool specimens are examined for and collect a stool specimen. 4 Copyright © 2020 Pearson Education, Inc.

13) Sputum is defined as ________ and is collected to test for the presence of blood, microorganisms, or abnormal cells. A) a white or clear thick fluid in the nose and back of the throat B) yellow or green drainage from the sinuses C) a thin, clear liquid produced in the mouth D) material coughed up from the lungs Answer: D Page Ref: 278-279 LO: 8. Explain where sputum comes from and what it may indicate. 14) A 24-hour urine specimen must be kept on ice. To do this, the collection container is placed in a pan filled with ice. Who is responsible for keeping the pan filled with ice? A) The nursing assistant on duty B) The charge nurse C) The housekeeping staff D) The laboratory staff Answer: A Page Ref: 276-277 LO: 4. List four types of urine specimens and explain how they are collected. 15) A sputum specimen is obtained first thing in the morning from a patient with acute bronchitis. What should the nursing assistant do next to complete the procedure? A) Seal the labeled specimen in the medication refrigerator, to keep it fresh. B) Put the labeled specimen at the nurse's station and hope it gets taken care of today. C) Send or take the labeled specimen to the laboratory quickly, as sputum must be tested before it begins to dry. D) Leave the labeled specimen in the dirty utility room and take it to the lab at the end of your shift. Answer: C Page Ref: 278-279 LO: 9. Collect a sputum specimen.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 18

AM and PM Care

1) How much sleep does an adult need per night, on average? A) 5-7 hours B) 7-9 hours C) 4-6 hours D) 6-8 hours Answer: B Page Ref: 283 LO: 1. Explain the importance of rest and sleep and how individuals' sleep requirements differ. 2) Jayne, a nursing assistant at a long-term care center, begins the duties of her morning shift quietly, as many of her residents are still sleeping. She knows that people who do not get enough sleep may experience A) Fatigue and irritation. B) Decreased ability to perform routine tasks. C) Slower recovery from illness. D) All of the above Answer: D Page Ref: 283 LO: 1. and 2. Explain the importance of rest and sleep and how individuals' sleep requirements differ and describe the role of the nursing assistant in promoting patients' rest and sleep. 3) A person who is ill may experience which of the following? A) Increased need for rest and sleep B) Difficulty sleeping, due to pain or anxiety C) Sensitivity to sounds, lights, and activity in the nursing unit D) All of these Answer: D Page Ref: 283 LO: 1. Explain the importance of rest and sleep and how individuals' sleep requirements differ. 4) Which of the following statements is true regarding sleep patterns? A) Elderly people may sleep less than they did as a younger adult. B) People who work the night shift still keep normal nighttime sleeping patterns. C) A person who has a very active day generally needs less rest that night. D) Personal habits do not play a role in sleep patterns, as adults sleep the same amount. Answer: A Page Ref: 283 1 Copyright © 2020 Pearson Education, Inc.

LO: 1. Explain the importance of rest and sleep and how individuals' sleep requirements differ.

5) When you need to awaken patients for care or procedures, you should A) Gently put your hand on their arm and say their name. B) Shake their shoulder and introduce yourself. C) Turn on the light and tell the person to wake up. D) Shake their shoulder and open the blinds to let light in. Answer: A Page Ref: 284 LO: 3. Explain what AM (early morning) care is. 6) When you assist a patient with AM care, you will always A) Shave a male patient before he has breakfast. B) Encourage the patient to follow a similar routine as the patient does at home. C) Give the patient a bath and shampoo the patient's hair. D) Insist that the patient brush the patient's teeth before breakfast. Answer: B Page Ref: 283-284 LO: 3. Explain what AM (early morning) care is. 7) Delilah is a new nursing assistant working the day shift at a post-acute rehabilitation facility. She knows that AM care for her patients will include which of the following activities? A) Assisting a patient to use the bathroom B) Measuring vital signs C) Helping a patient get ready for breakfast D) All of the above Answer: D Page Ref: 283-284 LO: 3. and 4. Explain what AM (early morning) care is and provide AM care. 8) Before patients go to sleep at night, you will perform all of the following routine PM care activities except A) Straighten the bed linens. B) Assist with toileting. C) Collect a routine urine specimen for all patients. D) Put fresh water within reach. Answer: C Page Ref: 285 LO: 3. and 6. Explain what PM or HS (bedtime or hour of sleep) care is and provide PM care.

9) Before patients go to sleep at night, the nursing assistant can take measures to promote patient comfort and relaxation. Which of the following is within the nursing assistant's scope of practice? A) Offer snacks and warm milk to all patients, no matter their therapeutic diet. B) Provide a gentle back rub. C) Ask patients if they want a sleeping pill. D) Put all patients in Sims' position, to help with relaxation. Answer: B Page Ref: 285 LO: 3. and 6. Explain what PM or HS (bedtime or hour of sleep) care is and provide PM care. 10) Which of the following occurs during sleep? A) Brain activity increases. B) The body renews itself and repairs tissues. C) The heart rate increases. D) The respiratory rate increases. Answer: B Page Ref: 283 LO: 1. Explain the importance of rest and sleep and how individuals' sleep requirements differ. 11) A hospital patient complains that every time he gets to sleep, some staff member comes in and wakes him up. When you look at his chart, you see that this is probably true. What can be done to prevent this from occurring? A) Explain that the patient must rest at night only, because other activities such as tests and treatments must be done in the daytime. B) Stand guard outside his door during his next nap, to prevent others from entering and disturbing his rest. C) Notify your supervisor so planning and teamwork can be used to prevent disturbing the patient unnecessarily. D) Place a sign on the patient's door that says he is not to be disturbed when he is sleeping. Answer: C Page Ref: 283 LO: 2. Describe the role of the nursing assistant in promoting patients' rest and sleep. 12) Mr. Leighton is NPO this morning until his surgery at 1 PM. When will you awaken him for AM care? A) Before breakfast, so he will be ready to eat when the trays come B) After breakfast, since he cannot eat this morning C) As early as possible, so there will be time to get him ready for surgery D) It's not necessary to provide AM care, as he is going to surgery. Answer: B Page Ref: 283-284 LO: 3. and 4. Explain what AM (early morning) care is and provide AM care. 4 Copyright © 2020 Pearson Education, Inc.

13) What is the purpose of giving a backrub during PM care? A) It will prevent decubitus ulcers during the night. B) It helps relax the patient so the patient can sleep better. C) Hospitals require that all patients must get a backrub at least once per day. D) It stimulates all of the muscles and nerves in the back. Answer: B Page Ref: 285 LO: 3. and 6. Explain what PM or HS (bedtime or hour of sleep) care is and provide PM care. 14) ADLs that are generally performed during AM and PM care include all of the following except A) Oral hygiene. B) Toileting. C) Ambulating in the hallway. D) Changing clothing and linens. Answer: B Page Ref: 283-285 LO: 3. and 5. Explain what AM (early morning care) is and what PM or HS (bedtime or hour of sleep) care is. 15) Encouraging patients to follow their own habits for AM and PM care and supporting their preferences for grooming, routines, and sleep support which of Maslow's hierarchy of needs? A) Physiological B) Safety and security C) Self-esteem D) Self-actualization Answer: C Page Ref: 37, 283-285 LO: 3., 4., and 5. Explain what AM (early morning care) is and PM or HS (bedtime or hour of sleep) care is and provide AM and PM care.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 19

Restorative Care and Rehabilitation

1) The type of health care that helps a patient regain the highest possible state of functioning is A) Restorative care. B) Retraining. C) Rehabilitation. D) Physical therapy. Answer: C Page Ref: 289 LO: 1. Explain the goals of restorative care and rehabilitation and the nursing assistant's role in these processes. 2) The type of health care that helps a patient return to and maintain a level of health and wellbeing is A) Restorative care. B) Retraining. C) Rehabilitation. D) Physical therapy. Answer: A Page Ref: 289 LO: 1. Explain the goals of restorative care and rehabilitation and the nursing assistant's role in these processes. 3) Which of the following aspects of rehabilitation is the responsibility of the nursing assistant? A) Apply heat treatments and perform massage. B) Teach the patient how to do ADLs. C) Teach the patient to do strengthening exercises. D) Perform range-of-motion exercises with the patient. Answer: D Page Ref: 289-290 LO: 1. Explain the goals of restorative care and rehabilitation and the nursing assistant's role in these processes. 4) The interdisciplinary health care team has shared goals for rehabilitation and restorative care. The nursing assistant's role in both types of care includes A) Preventing skin breakdown. B) Safely increasing patients' mobility. C) Encouraging patients to do as much as they can for themselves. D) All of the above Answer: D Page Ref: 289-290 LO: 1. Explain the goals of restorative care and rehabilitation and the nursing assistant's role 1 Copyright © 2020 Pearson Education, Inc.

in these processes.

5) The member of the interdisciplinary health care team responsible for helping patients improve their speech, language, and swallowing is the

A) CNA. B) SLP. C) OT. D) PT. Answer: B Page Ref: 289-290 LO: 1. Explain the goals of restorative care and rehabilitation and the nursing assistant's role in these processes. 6) Mrs. Jacobs is learning to feed herself again after experiencing a stroke. What can the nursing assistant do to help motivate her? A) Be sure she has the assistive devices ordered to help her feed herself. B) Respect the fact that she will progress at a different rate from other patients. C) Praise her frequently for her efforts at feeding herself. D) All of the above Answer: D Page Ref: 289-291 LO: 2. Explain how to help motivate patients to regain activities of daily living. 7) Mrs. Jacobs has weakness on her left side. She is also learning to dress herself after her stroke. The nursing assistant can help Mrs. Jacobs best by remembering A) To dress her left arm first and undress it last. B) To have her look in a mirror after she is dressed, so she can see how she looks. C) That Mrs. Jacobs will be more comfortable dressed in a gown and robe than in street clothes. D) That Mrs. Jacobs must learn to dress herself without using any assistive devices. Answer: A Page Ref: 291-292 LO: 2. Explain how to help motivate patients to regain activities of daily living. 8) Which of the following are considered assistive devices? A) Wheelchairs and transfer aids B) Easy-grip mug and plate food guard C) Button hook and long-handled shoe horn D) All of the above Answer: D Page Ref: 291-292 LO: 3. List the most common types of assistive devices.

9) Which of the following is considered a prosthesis? A) Eyeglasses B) A hearing aid C) An artificial eye D) A universal cuff Answer: C Page Ref: 292 LO: 4. Explain the nursing assistant's role in caring for patients with prostheses and orthotics. 10) Mr. Jernigan has a metal brace attached to his right shoe to help with support and alignment. This is an example of a(n) A) Supportive device. B) Prosthesis. C) Pronation. D) Orthotic. Answer: D Page Ref: 292-293 LO: 4. Explain the nursing assistant's role in caring for patients with prostheses and orthotics. 11) Mr. Fernandez is on a bowel and bladder retraining program after a spinal cord injury. How long should the staff expect this program to last? A) 1-2 weeks B) 6-10 days C) 6-10 weeks D) 4-6 months Answer: C Page Ref: 293-294 LO: 5. List the goals of bower and bladder retraining and the nursing assistant's role in these processes. 12) When a patient is on bladder retraining, there will be two schedules. One is for the frequency of taking the patient to the bathroom for urination. The other will specify A) The time and amount of fluids to be given to the patient. B) The times the patient is to be catheterized. C) The times the patient must be NPO. D) The time and amount of food to be given to the patient. Answer: A Page Ref: 293-294 LO: 6. Explain how the nursing assistant can help with bowel retraining and bladder retraining.

13) Which of the following stimuli might be used to help prompt a patient to urinate? A) Running water in the sink B) Placing the patient's hands in cold water C) Pouring cold water over the perineum D) Putting the patient in Trendelenburg position Answer: A Page Ref: 293-294 LO: 6. Explain how the nursing assistant can help with bowel retraining and bladder retraining. 14) Mrs. Jong is very weak after a long illness, and is unable to move her arms and legs in rangeof-motion exercises. The interdisciplinary care team orders ROM to promote good muscle tone and circulation. The nursing assistant will perform which type of ROM for Mrs. Jefferson? A) Active-passive ROM B) Active ROM C) Passive ROM D) Active-assistive ROM Answer: C Page Ref: 294-299 LO: 7. Explain the purpose and benefits of range-of-motion exercises, and list the guidelines for performing them. 15) When you perform range-of-motion exercises for Mrs. Jong, you will do each exercise A) One time. B) Three times. C) Until she says she is too tired to continue. D) Ten times. Answer: B Page Ref: 294-299 LO: 8. Perform range-of-motion exercises.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 20

Additional Patient Care Procedures

1) Which of the following is true of cold treatments? A) They constrict the blood vessels to numb pain. B) They can help reduce bleeding and swelling. C) They are provided as localized or generalized treatments. D) All of these are true. Answer: D Page Ref: 303 LO: 1. Describe the effects of heat and cold applications. 2) Which of the following is true of heat treatments? A) They can be ordered by a licensed nurse. B) They can be moist or dry. C) They constrict the blood vessels to ease pain. D) All of these are true. Answer: B Page Ref: 303 LO: 1. Describe the effects of heat and cold applications. 3) Types of cold treatments used for patient care may include which of the following? A) Sponge baths B) Disposable cold packs C) Compresses and ice bags D) All of the above Answer: D Page Ref: 304-306 LO: 2. Name several types of heat and cold applications. 4) Types of heat treatments used for patient care may include which of the following? A) Aquamatic pads and compresses B) Enemas and rectal tubes C) Orthotics and prostheses D) Otoscopes and speculums Answer: A Page Ref: 306-308 LO: 2. Name several types of heat and cold applications. 5) Which of the following is not an example of a moist heat treatment? A) Warm compress B) Sitz bath C) Heat lamp 1 Copyright © 2020 Pearson Education, Inc.

D) Warm soak Answer: C Page Ref: 306-308 LO: 2. Name several types of heat and cold applications. 6) When you apply a cold treatment to a patient, you should observe the patient closely for A) Redness. B) Fainting. C) Dizziness. D) Cyanosis. Answer: D Page Ref: 304 LO: 3. Describe safety procedures in applying heat and cold treatments. 7) To use a heat lamp safely, how far away from the body part should it be placed? A) At least 6 inches B) Exactly 12 inches C) At least 18 inches D) Exactly 24 inches Answer: C Page Ref: 306 LO: 4. Describe safety procedures in applying heat and cold treatments. 8) A device for dry heat treatments that circulates warm water through a pad to maintain a constant temperature is a(n) A) Aquamatic pad. B) Dilation pad. C) Sitz bath. D) Ultraviolet light pad. Answer: A Page Ref: 306 LO: 5. Apply an Aquamatic pad. 9) During a sitz bath, the blood flow increases to the pelvic area. The nursing assistant should observe the patient in a sitz bath for A) Faintness. B) Drowsiness. C) Weakness. D) All of the above. Answer: D Page Ref: 307-308 LO: 6. Assist a patient with a sitz bath.

10) A nursing assistant helps prepare a patient for a physical examination. While the patient is undergoing the examination, the nursing assistant should A) Leave the room but remain in the hallway, in case the nursing assistant is needed. B) Remain present during the examination, to assist as needed. C) Return to the nursing unit. D) Leave the room, to give the doctor and patient privacy. Answer: B Page Ref: 308-309 LO: 7. Explain the role and responsibilities of the nursing assistant when a physical examination is given. 11) Which of the following is an instrument used to examine the ears? A) Percussion hammer B) Stethoscope C) Otoscope D) Ophthalmoscope Answer: C Page Ref: 309 LO: 8. Identify instruments and supplies used in a physical examination. 12) How should a patient be positioned for a cleansing or oil-retention enema? A) In the supine position B) In the prone position C) Lying on the right side D) In the left-lying Sims' position Answer: D Page Ref: 310-313 LO: 9. and 10. Name two types of enemas and the purposes of each and administer two kinds of cleansing enemas and a commercial oil-retention enema. 13) When Ashae, a CNA, attempts to give an enema to a patient, she finds that he cannot insert the tip of the enema bottle. It seems to push against something hard. What should Ashae do? A) Have the patient breathe deeply, then try to insert the tip further. B) Inform her supervising nurse of the problem. C) Insert the tip deeper, up to 5 inches. D) Press on the patient's abdomen, to release the blockage. Answer: B Page Ref: 313 LO: 10. Administer two kinds of cleansing enemas and a commercial oil-retention enema.

14) A patient is experiencing severe cramping from intestinal gas. The physician has ordered a(n) ________ to be inserted for 20 minutes, once a day, to help relieve gas and discomfort in the lower bowel. A) oil retention enema B) sitz bath C) rectal tube and flatus bag D) sponge bath Answer: C Page Ref: 313 LO: 11. Explain use of the rectal tube and flatus bag. 15) A patient is experiencing constipation following surgery. Following physician's orders and direction of the supervising nurse, the CNA may administer a non-medicinal ________ in the rectum to aid in elimination. A) suppository B) speculum C) soak D) sponge bath Answer: A Page Ref: 314 LO: 12. Explain the types of suppositories that can be administered by the nursing assistant.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 21

Preoperative and Postoperative Care

1) Mrs. Martinez is going to have gallbladder surgery. She asks you what kind of tube she will have when she wakes up. You do not know the answer. What should you do? A) Tell her that you will find out and let her know tomorrow. B) Tell your supervising nurse about her concerns so the nurse can answer her questions. C) Tell her that she will probably have an IV and a catheter. D) Tell her that she will need to ask her doctor any questions about her surgery. Answer: B Page Ref: 318 LO: 1. Describe the psychological aspects of surgery and the purpose and content of patient education. 2) For most people, undergoing surgery is an extremely stressful experience. Which of the following is a psychological concern of patients before or after surgery? A) Fear of pain or disfigurement B) Worry about length and cost of recovery C) Fear of losing control of their lives D) All of the above Answer: D Page Ref: 318 LO: 1.Describe the psychological aspects of surgery and the purpose and content of patient education. 3) Which of the following items must be removed before a patient goes to surgery? A) Fingernail polish B) Hearing aids C) Dentures D) All of the above Answer: D Page Ref: 318-319 LO: 2. List the responsibilities of the nursing assistant in preoperative care. 4) What should the nursing assistant do to keep the patient NPO before surgery? A) Encourage the patient to chew gum or suck on hard candy if the patient becomes hungry. B) Give the patient something to drink, since the patient cannot eat. C) Remove the patient's water pitcher and glass. D) Ask the family to bring the patient a light snack early in the morning. Answer: C Page Ref: 318-319 LO: 2. List the responsibilities of the nursing assistant in preoperative care. 1 Copyright © 2020 Pearson Education, Inc.

5) Which of the following is a responsibility of the nursing assistant in preoperative care? A) Encourage the patient to pick out clothing to wear preoperatively for the patient's own comfort. B) Hold all of the patient's valuables in your uniform pocket to keep safe during surgery. C) Encourage the patient to use the bathroom. D) Help the patient do the patient's hair and makeup, to promote self-esteem. Answer: C Page Ref: 318-319 LO: 2. List the responsibilities of the nursing assistant in preoperative care. 6) Mrs. Martinez begins crying about two hours before her surgery time. She tells you that she is afraid to have the anesthetic because she is afraid she will die. She begs you not to leave her and cries even harder. What should you do? A) Tell Mrs. Martinez that she needs to pull herself together and be brave. B) Tell your supervising nurse about Mrs. Martinez's reactions and concerns. C) Calmly explain that her gallbladder surgery can be done under local anesthetic. D) Reassure Mrs. Martinez that thousands of people have this surgery and no one dies from it. Answer: B Page Ref: 318-319 LO: 1. Describe the psychological aspects of surgery and the purpose and content of patient education. 7) Mrs. Martinez is reassured and proceeds with the surgery. While she is in surgery, what should the nursing assistant do to prepare her room for her return? A) Remove all sheets from the bed, since the patient will return with surgical sheets. B) Bring in an IV pole and any other special equipment that will be needed. C) Put a stretcher in the room in place of the bed. D) Make a closed bed and pack up the patient's belongings. Answer: B Page Ref: 319 LO: 2. List the responsibilities of the nursing assistant in preoperative care. 8) In order to safely and effectively care for postoperative patients, it is important for the nursing assistant to understand the types of anesthesia. Which of the following is true of anesthesia? A) Anesthesia medications are given to patients to block pain and relax muscles during surgery. B) General anesthesia causes a loss of feeling in the entire body, and the patient is unconscious during surgery. C) Local anesthetics block pain in a specific area of the body, and the patient is awake during surgery. D) All of the above are true statements. Answer: D Page Ref: 320 LO: 3. List the responsibilities of the nursing assistant in postoperative care. 3 Copyright © 2020 Pearson Education, Inc.

9) One common side effect of anesthetic medications is nausea and vomiting. A danger for patients postoperatively is aspiration. Aspiration is defined as

A) Walking following surgery. B) Inhaling foreign material into the lungs. C) Solution introduced into a vein. D) Devices to hold surgical dressings in place. Answer: B Page Ref: 320 LO: 3. List the responsibilities of the nursing assistant in postoperative care. 10) After Mrs. Martinez returns to her room from surgery, she begins to vomit. What should the nursing assistant do? A) Position the bed in low Fowler's, to keep her from aspirating. B) Call for help immediately and stay with the patient. C) Turn her head to the side and hold the emesis basin. D) Give her sips of water when she is no longer vomiting. Answer: C Page Ref: 320-321 LO: 3. List the responsibilities of the nursing assistant in postoperative care. 11) Which of the following observations about a postoperative patient should the nursing assistant report immediately? A) Rising or falling blood pressure B) Extreme thirst or extreme restlessness C) Very pale or blue skin, lips, and fingernails D) All of the above Answer: D Page Ref: 321 LO: 3. List the responsibilities of the nursing assistant in postoperative care. 12) What is the nursing assistant's responsibility concerning the IV of a postoperative patient? A) Adjust the flow rate of the IV if it is going too fast. B) Clamp the IV when turning or moving the patient. C) Report pain, discoloration, or swelling at the site. D) Changing the IV dressing if there is drainage. Answer: C Page Ref: 321 LO: 3. List the responsibilities of the nursing assistant in postoperative care.

13) How often should the postoperative patient be encouraged to do range-of-motion leg exercises? A) Every 2 hours B) Every minutes C) Every 4 hours D) Once per shift Answer: A Page Ref: 321-322 LO: 3. and 4. List the responsibilities of the nursing assistant in postoperative care and assist with deep breathing and leg exercises. 14) Elasticized stockings (antiembolism or TED hose) are applied A) Only by a physician. B) For the day of surgery only. C) Only when the patient is to be out of bed. D) While the patient is lying down. Answer: D Page Ref: 323 LO: 5. Apply binders and elasticized stockings. 15) Which of the following guidelines is correct for assisting a patient to dangle postoperatively? A) Check the patient's pulse before you begin and after the patient lies down again. B) Encourage the patient to keep the patient's legs still while sitting up, to prevent dizziness. C) Dangling and ambulation are within the nursing assistant's scope of practice, so no order is needed to proceed. D) Do not use any pillows or postural supports while dangling, to encourage quicker recovery. Answer: A Page Ref: 323-325 LO: 6. Assist with dangling and the patient's initial ambulation.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 22

Subacute Care

1) Health care that can be provided less expensively for patients who are well enough to leave the hospital but who still require a high level of skilled care is called A) Retraining. B) Rehabilitation. C) Subacute care. D) Restorative care. Answer: C Page Ref: 329 LO: 1. Explain why subacute care is referred to as transitional care. 2) Which of the following patients would be a possible candidate for subacute care? A) An older person who has had a total hip replacement B) A middle-aged adult who has had the gallbladder removed C) A teen who has had an appendectomy D) A child who has had a cast applied to a fractured arm Answer: A Page Ref: 329-330 LO: 2. List examples of disorders or conditions that subacute care patients may have. 3) Which of the following patients would be a possible candidate for subacute care? A) A patient recovering from multiple trauma injuries B) A patient recovering from a major surgery that has left the patient weakened C) A patient who has just had a stroke or been diagnosed with a neuromuscular disorder D) All of the above Answer: D Page Ref: 329-330 LO: 2. List examples of disorders or conditions that subacute care patients may have. 4) Which of the following services are available to patients needing subacute care? A) Board-certified physiatrists and nurses experienced in rehabilitation B) Interdisciplinary team of specialists, including physical and occupational therapists C) Laboratory and pharmaceutical services D) All of the above Answer: D Page Ref: 330 LO: 3. List the types of services available to subacute care patients.

5) Subacute care facilities have specific criteria for admission. Which of the following is a requirement for patients being considered for subacute care services? A) Will need multiple, repeated hospital stays for recovery. B) Is expected to make a full recovery and return home, and resume a productive life. C) Only needs the services of physical or occupational therapy to heal. D) Is healing quickly from a hospital stay and able to complete all ADLs independently. Answer: B Page Ref: 330-332 LO: 4. Explain why patients need to meet certain criteria before they are admitted to a subacute care facility. 6) An IV would be considered A) Invasive equipment. B) Dexterity equipment. C) Life-saving equipment. D) Noninvasive equipment. Answer: A Page Ref: 332 LO: 5. Give examples of invasive and noninvasive equipment the nursing assistant will encounter in a subacute care facility. 7) Noninvasive equipment used in the subacute care setting includes which of the following? A) Vital signs monitors B) Casts, braces, and mobility assistive devices C) Special beds and heating/cooling devices D) All of the above Answer: D Page Ref: 332 LO: 5. Give examples of invasive and noninvasive equipment the nursing assistant will encounter in a subacute care facility. 8) A nursing assistant working in subacute care should report which of the following? A) A patient who vomits while a feeding tube is in place B) A change in normal vital signs C) Fluid leaking from tubes or containers D) All of the above Answer: D Page Ref: 333 LO: 6. Explain why good observation and communication skills are important for a nursing assistant working in a subacute facility.

9) Which of the following would be considered an observable sign of improvement in a wound? A) A foul odor is coming from the wound. B) There is a decrease in wound drainage. C) The wound area appears more swollen, redder, or warmer than usual. D) There is discoloration of a body part that has a wound. Answer: B Page Ref: 333-334 LO: 6. and 7. Explain why good observation and communication skills are important for a nursing assistant working in a subacute facility and identify signs of possible improvement or possible problems that should be communicated to the supervising nurse immediately. 10) Which of the following would be considered an observable sign of complications or problems in wound healing? A) The patient reports less discomfort or pain from the wound site. B) There is increased mobility of a body part that has a wound. C) There are new breaks in the skin around the wound. D) There is less discoloration of a body part that has a wound or injury. Answer: C Page Ref: 333-334 LO: 6. and 7. Explain why good observation and communication skills are important for a nursing assistant working in a subacute facility and identify signs of possible improvement or possible problems that should be communicated to the supervising nurse immediately. 11) A patient in subacute care has an IV in her left arm. Where will you take her blood pressure? A) In her leg B) In her right arm C) In her left arm D) In her left wrist Answer: B Page Ref: 334 LO: 8. Explain why taking the vital signs of subacute patients requires special skill. 12) How can the nursing assistant give daily care to a patient who has multiple therapies, medicines, and dressing changes ordered? A) Place a sign on the door saying not to disturb during daily care. B) Tell other staff members to come back after daily care is done. C) Plan and organize daily care with the supervising nurse and interdisciplinary team. D) Only provide care based on the patient's preferences and personal schedule. Answer: C Page Ref: 334 LO: 9. Explain why subacute care activities and documentation must match the interdisciplinary team's plan of care.

13) An oral temperature should not be taken if the patient A) Has diarrhea. B) Has an abdominal wound. C) Is disoriented or unconscious. D) Has had rectal surgery. Answer: C Page Ref: 334 LO: 8. Explain why taking the vital signs of subacute patients requires special skill. 14) While giving a bed bath, the nursing assistant accidentally gets a patient's abdominal dressing wet. What should the nursing assistant do? A) Put a dry dressing over the wet one. B) Change the dressing. C) Say nothing, because the dressing will dry soon. D) Notify the supervising nurse. Answer: D Page Ref: 334 LO: 6. Explain why good observation and communication skills are important for a nursing assistant working in a subacute facility. 15) A physiatrist is a medical doctor who specializes in A) Pediatrics, geriatrics, and physical medicine. B) The care of the chronically ill and elderly. C) Geriatrics, physical medicine, and rehabilitation. D) Emotional disorders in all age groups. Answer: C Page Ref: 330 LO: 3. List the types of services available to subacute care patients.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 23

Special Skills in Long-Term Care

1) Which of the following people would be admitted to a long-term care facility? A) Elderly people needing support with ADLs B) Young people with chronic health problems, such as cerebral palsy C) Anyone with a permanent disability who needs special care D) All of the above Answer: D Page Ref: 339 LO: 1. Explain the characteristics of long-term care and the role of the nursing assistant in it. 2) What person-centered term is used to describe people who live in long-term care facilities and communities? A) Residents B) Patients C) Temporary clients D) Elderly Answer: A Page Ref: 339 LO: 1. Explain the characteristics of long-term care and the role of the nursing assistant in it. 3) Because a person admitted to a nursing home is adjusting to life in an institutional setting instead of the privacy of their own home, the person may experience feelings of A) Bargaining and acceptance. B) Remorse and guilt. C) Grief and loneliness. D) Hostility and rage. Answer: C Page Ref: 339-340 LO: 2. Explain the physical and psychological effects of aging and the role of the nursing assistant in meeting the needs of the elderly resident. 4) As a nursing assistant working in long-term care, your focus will be on quality of life for your residents. A way that you can help support the maximum well-being for residents is to A) Always treat elderly residents as adults and with respect. B) Encourage residents to make choices based on their preferences. C) Support and assist residents in expressing their emotional needs. D) All of the above Answer: D Page Ref: 340-341 LO: 2. and 4. Explain the physical and psychological effects of aging and the role of the nursing assistant in meeting the needs of the elderly resident and describe the role of the 1 Copyright © 2020 Pearson Education, Inc.

nursing assistant in meeting residents' emotional, spiritual, and social needs.

5) Mr. Cline is a new resident in the long-term care facility. His family members are arguing over whether he should have been placed in the facility or left at home. What should the nursing assistant do when the family asks the nursing assistant's opinion?

A) Agree that Mr. Cline should be in the nursing home. B) Agree with whichever family member is asking the question. C) Do not take sides in this situation. D) Agree that Mr. Cline could have stayed in his own home. Answer: C Page Ref: 342 LO: 2. and 4. Explain the physical and psychological effects of aging and the role of the nursing assistant in meeting the needs of the elderly resident and describe the role of the nursing assistant in meeting residents' emotional, spiritual, and social needs. 6) Two adult residents in the long-term care facility have developed an attraction for one another. The nursing assistant discovers them in a room engaging in sexual activity. What should the nursing assistant do? A) Interrupt the sexual activity and separate the two residents. B) Leave the room quietly and knock before entering the room next time. C) Report the situation to the supervising nurse at once. D) Call the families of each of the residents involved and explain what has happened. Answer: B Page Ref: 344-346 LO: 3. Describe the role of the nursing assistant in helping residents express their sexuality appropriately. 7) Which of the following is an appropriate way that nursing assistants help residents in longterm care express their sexuality? A) Encourage friendships and relationships between residents. B) Assist residents with personal hygiene and follow their preferences for hair styling, makeup, shaving, and so on. C) Share support and offer compliments on the residents' appearance. D) All of the above are appropriate. Answer: D Page Ref: 344-346 LO: 3. Describe the role of the nursing assistant in helping residents express their sexuality appropriately.

8) How can a nursing assistant help a resident feel useful and important? A) Assign the resident a few simple tasks to do, such as changing bed linens or delivering meal trays. B) Limit the choices a resident has concerning the resident's own care. C) Encourage the resident to show kindness to others or participate in a resident's council. D) Tell the resident what needs to be done on your task list so the resident can participate in other residents' care plans. Answer: C Page Ref: 340-341 LO: 4. Describe the role of the nursing assistant in meeting residents' emotional, spiritual, and social needs. 9) When blood vessels become more rigid and narrow as a result of normal aging, all of the following result except A) High blood pressure. B) Upper respiratory disease. C) Becoming easily fatigued during activity. D) Poor circulation. Answer: B Page Ref: 343-344 LO: 2. Explain the physical and psychological effects of aging and the role of the nursing assistant in meeting the needs of the elderly resident. 10) The physical changes that occur with aging make older people more susceptible to injuries and accidents. Nursing assistants can support residents' safety needs by A) Always responding to the call light promptly. B) Protecting residents from overexposure to the sun. C) Monitoring residents closely for signs of choking. D) All of the above Answer: D Page Ref: 349 LO: 5. Describe the role of the nursing assistant in providing for residents' safety needs. 11) Dementia is an umbrella term for a number of diseases and disorders that cause decline of cognitive ability. Symptoms of cognitive impairment common among residents of long-term care facilities include A) Inability to concentrate or follow directions. B) Memory loss. C) Disorientation and poor judgement. D) All of the above. Answer: D Page Ref: 350-351 LO: 6. List the types of cognitive impairment common among residents of long-term care facilities. 4 Copyright © 2020 Pearson Education, Inc.

12) Evelynn is a new nursing assistant on the memory care unit of a nursing home. She knows from her training that there are best-practice guidelines to follow in order to provide optimal care to her residents with dementia. These include

A) Being patient and repeating the same information over and over as needed. B) Being consistent in routine and environment. C) Being observant for prevention of injury. D) All of the above. Answer: D Page Ref: 350-351 LO: 7. List general principles in the care of residents with dementia. 13) Benson is an experienced nursing assistant, helping mentor student aides on the memory care unit. He has observed many students struggling to communicate with residents. Which of the following would be an example Benson could give students as an effective way to communicate with a resident with dementia? A) "Would you like to wear a green or blue sweater today?" B) "Let's hurry up and get you dressed quickly for the activity this afternoon." C) "The reason why you need to wear a sweater is that it's winter and cold outside. I don't want you to get a chill during activities today." D) "How about you look in your closet and pick out your clothes? I want to support your choices and preferences." Answer: A Page Ref: 351-352 LO: 8. Discuss how to communicate effectively with cognitively impaired residents. 14) For a resident with dementia, behavior is a form of communication. Which of the following behaviors demonstrates a resident's increased confusion or restlessness late in the afternoon, in the evening, or at night? A) Hoarding and pillaging B) Sundowning C) Wandering and pacing D) Hallucinating Answer: B Page Ref: 352-353 LO: 9. Describe common behaviors of residents with dementia and ways to prevent them or reduce their effects.

15) For a resident with dementia, behavior is a form of communication. Which of the following behaviors demonstrates a resident's need for security, companionship, or looking for a loved one? A) Hoarding and pillaging B) Sundowning C) Wandering and pacing D) Hallucinations Answer: C Page Ref: 352-353 LO: 9. Describe common behaviors of residents with dementia and ways to prevent them or reduce their effects.

The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam) Chapter 24

Death and Dying

1) A patient who says "Why me?" and acts in a demanding way is experiencing which stage of dying? A) Denial B) Anger C) Bargaining D) Depression Answer: B Page Ref: 359-360 LO: 1. Name and describe the five psychological stages in dying. 2) Patients who say "This can't be happening to me!" and refuse to believe they are terminally ill are experiencing which stage of dying? A) Denial B) Anger C) Bargaining D) Depression Answer: A Page Ref: 359-360 LO: 1. Name and describe the five psychological stages in dying. 3) A patient who is tearful and is mourning past and future losses is experiencing which stage of dying? A) Denial B) Anger C) Bargaining D) Depression Answer: D Page Ref: 359-360 LO: 1. Name and describe the five psychological stages in dying. 4) Scotty, a nursing assistant, acts nervous around dying patients and tries to hurry to complete their care. This is probably because he A) Does not like his job as a nursing assistant. B) Feels that dying patients' needs are less important. C) Is uncomfortable with the idea of death. D) Is not a professional health care worker. Answer: C Page Ref: 360-361 LO: 2. Discuss the role of the nursing assistant in meeting the spiritual and emotional needs of terminally ill patients and their families. 1 Copyright © 2020 Pearson Education, Inc.

5) What is the most important thing a nursing assistant can do for a dying patient? A) Just be with the patient. B) Say just the right words. C) Find a way to improve the patient's condition. D) Provide frequent snacks and nourishment. Answer: A Page Ref: 360-361 LO: 2. Discuss the role of the nursing assistant in meeting the spiritual and emotional needs of terminally ill patients and their families. 6) Mr. Broski is terminally ill. He has many religious objects in his room for comfort at this time. What should the nursing assistant do about them? A) Explain that the objects are taking up too much room, and send them to the patient's home. B) Place most of them in the closet or on the floor, to keep the bedside clear. C) Remove all but one or two and keep those close to the patient. D) Treat each object with respect and keep them near the patient. Answer: D Page Ref: 360-361 LO: 2. Discuss the role of the nursing assistant in meeting the spiritual and emotional needs of terminally ill patients and their families. 7) As Mr. Broski becomes weaker and weaker, his family gathers around him. The nursing assistant should A) Suggest that the family wait in the lobby and come in only two at a time. B) Enforce visiting hours, so the patient can get the rest he needs. C) Be considerate of the family, answering questions and using appropriate comforting touch. D) Ask the family members to leave the room while the patient is being given care. Answer: C Page Ref: 360-361 LO: 2. Discuss the role of the nursing assistant in meeting the spiritual and emotional needs of terminally ill patients and their families. 8) Because hearing is one of the last functions to be lost, the nursing assistant should A) Be careful not to say anything that would be upsetting to the patient. B) Encourage the family to keep talking to the patient. C) Speak to the patient, even if the patient is unconscious. D) Do all of the above. Answer: D Page Ref: 361-363 LO: 3. Explain special types of physical care needed by dying patients.

9) Because terminally ill patients often breathe through their mouths, the nursing assistant should A) Push fluids and ice chips, to increase intake. B) Use medicated gel, to moisturize bleeding gums. C) Swab the mouth and lips with a cotton-tipped applicator dipped in glycerin or lubricant. D) Have the patient swish and spit antiseptic mouthwash. Answer: C Page Ref: 361-363 LO: 3. Explain special types of physical care needed by dying patients. 10) Because circulation slows in terminally ill patients, the nursing assistant should A) Give frequent bed baths and change linens often if the patient is perspiring. B) Observe for increased risk for skin breakdown and pressure injuries. C) Keep the patient covered with light blankets as body temperature rises. D) All of the above Answer: D Page Ref: 361-363 LO: 3. Explain special types of physical care needed by dying patients. 11) An advance directive or living will contains the patient's instructions about care at the end of life. All of the following are covered in this document except A) Use of CPR. B) Funeral arrangements. C) Medications and treatment. D) Artificial feedings. Answer: B Page Ref: 363-364 LO: 4. Describe DNR orders, hospice care, and organ/tissue donation. 12) A special, interdisciplinary program designed to provide supportive care for terminally ill individuals and their families during the last 6 months of life is called A) Hospice care. B) Terminal care. C) Bereavement care. D) Advance directive care. Answer: A Page Ref: 363 LO: 4. Describe DNR orders, hospice care, and organ/tissue donation.

13) Ms. McAuley is a patient whose brain has died. The decision has been made to donate her organs and tissues to others. She is maintained for a short time by a ventilator and IVs so that A) The donor organs continue to function until donation occurs. B) The donor organs and tissues can receive extra nutrients before transplant. C) The family can finally give consent. D) The federal laws can be followed closely. Answer: A Page Ref: 364 LO: 4. Describe DNR orders, hospice care, and organ/tissue donation. 14) If you observe that a patient is close to death, you should A) Direct other health care staff in how to provide care. B) Pronounce the patient dead. C) Inform the family that death is very near. D) Notify your supervising nurse of your observations. Answer: D Page Ref: 365 LO: 5. Describe the physical signs and changes that occur as death approaches and after death. 15) When providing postmortem care, the nursing assistant should A) Provide for privacy by drawing the curtain or closing the door. B) Touch the body lightly and follow standard precautions. C) Treat the body with the same respect as you would a living person. D) Do all of these things. Answer: D Page Ref: 364-365 LO: 6. Carry out the steps in postmortem care.