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Worksheets

STNA Review

Total questions: 55

Worksheet time: 28mins

Name
Class
Date
1.

How can the nursing assistant best ensure the safety of a resident who is legally blind?

a)

Keep the call light within easy reach.

b)

Keep an overhead light in front of the resident.

c)

Speak loudly when addressing the resident.

d)

When assisting residents to walk, stand in front of them and hold their hand to guide them.

2.

Which of the following is the best way to communicate with a resident who is completely deaf?

a)

speak loudly and clearly

b)

smile and turn on the television

c)

write out all communication

d)

sit next to the resident and speak into his or her ear

3.

A progressive, irreversible neurological condition causing a gradual loss of brain functioning

a)

Parkinson's

b)

Alzheimer's

c)

Diabetes

d)

Sundowner's

4.

What is the FIRST thing a CNA should do when finding an unresponsive client?

a)

Close the door

b)

Call family

c)

Start compressions

d)

Call for help

5.

Clean bed linen placed in a clients room but not used should be...

a)

Put in the dirty linen container

b)

Taken to the nurse in charge

c)

Used for the client in the next room

d)

Returned to the linen closet

6.

Tuberculosis may be transmitted

a)

By coughing

b)

By dancing

c)

By wearing gloves

d)

Through a protective mask

7.

Transmission-Based precautions are used

a)

With every resident under a nursing assistants care

b)

In addition to standard precautions

c)

Instead of standard precautions

d)

When a nursing assistant decides that they are appropriate for particular residents

8.

If the nurse aide discovers fire in a residents room the first thing to do is

a)

Call the nurse in charge

b)

Open a window

c)

Remove the client

d)

Try to put out the fire

9.

A resident is paralyzed on the right side. The nurse aide should place the signaling device

a)

Under the pillow

b)

On the left side of the bed near the residents hand

c)

At the foot of the bed

d)

On the right side of the bed near residents hand

10.

The nurse aide is going to help the resident walk from the bed to the chair. What should the nurse aide put on the clients feet?

a)

Cloth-soled slippers

b)

Nothing

c)

Non-slip socks or shoes

d)

Socks or stockings only

11.

Which of the following foods is considered high in sodium?

a)

Apple

b)

Pickle

c)

Avocado

d)

Corn

12.

A resident drinks six ounces of water. How many millimeters is this?

a)

120 mL

b)

160 mL

c)

180 mL

d)

200 mL

13.

What is the Omnibus Budget Reconciliation Act (OBRA)?

a)

practices employed to reduce the spread of infectious organisms, usually including the separation of the resident with an easily transmitted disease from other residents.

b)

a federal law passed in 1987 that establishes regulations for nursing facilities and nurse aide training in facilities

c)

A program approved by the DADS to train and evaluate an individual's ability to act in the capacity of a nurse aide for the purpose of working in a nursing facility.

d)

a government agency mandated to protect the employee's by establishing and monitoring workplace safety requirements.

14.

Before feeding a client, they need to be sitting in

a)

45-60 degree angle

b)

45-90 degree angle

c)

Doesn't matter

d)

75-90 degree angle

15.

The most comfortable position for a resident with a respiratory problem is

a)

Supine

b)

Prone

c)

Fowlers

d)

Lateral

16.

To lift an object using good body mechanics, the nurse aide should

a)

Bend knees and keep back straight

b)

Hold the object away from the body

c)

Lift with abdominal muscles

d)

Keep both feet close together

17.

Nonverbal communication involves the following to convey messages or ideas

a)

using terms the patient can understand

b)

Use of feedback

c)

facial expressions

d)

eye contact

18.

Consists of values, beliefs, attitudes, and customs shared by a group of people and passed from one generation to the next.

a)

subjective observations

b)

stress

c)

culture

d)

objective observations

19.

Physical disabilities, psychological attitudes & prejudice, and cultural diversity are common causes of?

a)

stress

b)

communication barriers

c)

nonverbal communication

d)

factors contributing to good health

20.

What does the abbreviation HIPAA mean?

a)

Health Insurance Portability Act

b)

Health Insurance for Patients Accountability Ace

c)

Health Insurability Portal Accountability Administration

d)

Health Insurance Portability and Accountability Act

21.

Why should a health care professional keep fingernails short and clean? CHOOSE ALL THAT APPLY.

a)

prevents fatigue and puts less stress on muscles

b)

avoid injuring patients

c)

avoid transmitting germs

d)

shows lack of interest

22.

A client with AD wanders from room to room, moving the belongings of other clients to different locations. Alert and oriented clients are angry that their belongings have been moved. The nurse aide should:

a)

return the client to the client's room and close the door.

b)

find the missing articles and return them.

c)

walk with the client to keep the client from wandering.

d)

assure the other clients that the client with AD will not harm them.

23.

If a patient is falling to the ground, the CNA should:

a)

Move out of the way, you shouldn't hurt yourself

b)

Try to stop the patient from falling

c)

Lower the patient to the ground

d)

Push the patient forward so they don't hit their head

24.

False Imprisonment

a)

An accident, problem, unexpected event during the course of care

b)

unlawful restraint that affects the person's freedom of movement

c)

The separation of a person from others against the person will

d)

HIPPA. Passed in 1996

25.
The following should be done to an agitated and aggressive person except:
a)
shouting to the person when talking
b)
stand away from the person
c)
talk to the person without raising your voice
d)
stand close to the door
26.

A resident in rehabilitation is learning how to use a cane for the first time. Which of the following would be the best guideline for a nursing assistant to follow when helping this resident?

a)

The NA should have the resident hold the cane on the resident's stronger side.

b)

The NA should have the resident hold the cane on the resident's weaker side.

c)

The NA should have the resident place the cane about 12 inches in front of her weaker side when ambulating.

d)

The NA should stay on the resident's stronger side when ambulating.

27.

A resident has been given a diagnosis of terminal cancer and a prognosis of one month to live. The resident tells a nursing assistant that the testing laboratory made a mistake and he needs to have his results re-tested. Which of the following would be the best response from the nursing assistant?

a)

The nursing assistant should explain to the resident that healthcare professionals do not make mistakes.

b)

The nursing assistant should explain alternative medicine choices to the resident.

c)

The nursing assistant should understand that denial is a normal part of the grief process.

d)

The nursing assistant should reassure the resident that death is nothing to fear.

28.

When a resident uses a cane, walker, or crutches, the NA should

a)

stay on the resident's stronger side

b)

stay on the resident's weaker side

c)

walk in front of the resident

d)

walk behind the resident

29.

Which of the following is a care guideline for residents recovering from a CVA (cerebrovascular accident (stroke))?

a)

The NA should do as much as possible for the resident so that care can be completed more efficiently.

b)

The NA should encourage resident to finish tasks as quickly as possible to help speed recovery

c)

The NA should assist with ambulation to prevent falls

d)

The NA should place food in the affected/weaker side of the mouth when helping the resident eat

30.

A resident with diabetes should

a)

skip meals when he is not hungry

b)

go barefoot most of the time

c)

receive careful foot care

d)

avoid regular exercise

31.

Which of the following statements is an example of a fact (objective information)?

a)

Mrs. Christensen weighs 142 pounds.

b)

Mrs. Christensen is too thin.

c)

Mrs. Christensen seems happy when the facility offers meatloaf for dinner.

d)

Mrs. Christensen is lonely.

32.
The charge nurse asks you to take this blood sample to the lab STAT.  You are in the middle of feeding a patient.  What do you do?
a)
Finish feeding the patient, you don't want the meal to get cold.
b)
Cover the meal to keep it warm and immediately take the blood sample to the lab.
c)
Tell the charge nurse she needs to do it herself.
d)
Casually walk the sample to the lab while stopping to talk to some friends on the way. 
33.

A resident with dementia needs

a)

A structured environment

b)

freedom from rules and regulations

c)

to be isolated from others

d)

increased activity to stay alert

34.
You gave your resident the wrong tray by mistake. She ate it all. She was to have a low salt diet but you accidentally gave her a regular tray.
What do you do?
a)
Do nothing, it is too late to correct because she ate everything
b)
Give her lots of water to drink, to help rid the salt she had
c)
Tell the nurse that you made a mistake
d)
Blame it on the resident for being so hungry that she ate the wrong tray before you could correct it
35.

You walk in and find Mrs. Miller jerking on the floor.  She is not responding to you when you call her name.  What should you do first? 

a)
Leave and go find help
b)
Remove any objects that she may hit her head on
c)
Attempt to restrain her so she stops moving
d)
Put a spoon in her mouth so she doesn't swallow her tongue
36.
A patient wants you to tell them about another patient across the hall.
What would you do?
a)
Answer the resident's questions because she has the right to be informed.
b)
Tell the resident to mind her own business
c)

You explain that you can not give information about another resident to anyone--it is the policy on confidentiality

d)
You make the resident promise that she will not share the info you give her and then tell her about the resident
37.
Which of the following is considered a normal age-related change seen in elderly patients?
a)
Increase in appetite
b)
Decrease in taste sensation
c)
Decrease of constipation
d)
Increase in confusion
38.

Which of the following is considered in most health care agencies as the 5th vital sign?

a)

Blood Pressure

b)

Pain

c)

Pulse

d)

Temperature

39.

What is the normal range for systolic blood pressure?

a)

100-140

b)

90-110

c)

100-120

d)

60-80

40.

Which of the following is the normal range for diastolic blood pressure?

a)

100-140

b)

100-120

c)

60-80

d)

60-100

41.

Which of the of the following measurements would you immediately report to the nurse?

a)

Blood Pressure: 112/36

b)

Pulse: 98

c)

Respirations: 18

d)

Pulse Ox: 100%

42.

Mrs. McFlurry tells you she is having difficulty breathing. Which of the following vital signs should the nurse aide measure:

a)

Respirations

b)

SPO2

c)

Pulse

d)

All the Above

43.

When assessing Mrs. Jefferson's pain level, she tells you that her pain is 8/10. What should the nurse aide do next?

a)

Tell the nurse.

b)

Give Mrs. Jefferson her prescribed pain medication.

c)

Ask Mrs. Jefferson where is the location of the pain.

d)

Ask Mrs. Jefferson why she is in pain.

44.

While ambulating Mr. Stokes, he tells you that he is feeling faint. After sitting him in a chair, the nurse aide should check his:

a)

Temperature

b)

Blood Pressure

c)

Pulse

d)

Respirations

45.

A paper cut may cause:

a)

Chronic pain

b)

Phantom pain

c)

Intermittent pain

d)

Acute pain

46.

People with amputations may experience:

a)

Chronic pain

b)

Phantom pain

c)

Acute pain

d)

Continuous pain

47.

What is the normal range for SPO2?

a)

90%-100%

b)

100%-110%

c)

95%-100%

d)

80%-100%

48.

When should the nurse aide report a pulse ox to the nurse?

a)

86%

b)

60%

c)

90%

d)

95%

49.

You are taking Mr. Mills blood pressure. You get a measurement of 80/36 mmHg. What should you do, first?

a)

Retake the blood pressure in the opposite arm.

b)

Immediately notify the nurse.

c)

Retake the blood pressure in the same arm.

d)

Call a CODE.

50.

Which temperature runs a degree or so lower than the others?

a)

aural/tympanic

b)

oral

c)

axillary

d)

rectal

51.

The name for taking a set of 3 vital signs, while lying, sitting and standing.

a)

orthostatic

b)

kenetic

c)

varied

d)

eh?

52.

A blood pressure of 146/ 92 is considered?

a)

low

b)

high

c)

correct

d)

a sign of being too sleepy

53.

Discomfort and shortness of breath that occurs while lying flat and is relieved by sitting or standing; common in people with some types of heart or lung conditions.

a)

tachypnea

b)

orthopnea

c)

Cheyne-Stokes

d)

apnea

54.

When speaking with hearing-impaired residents, the CNA should:

a)

Talk loud using a high tone.

b)

Avoid speaking if possible.

c)

Use long sentences.

d)

Face the resident when talking.

55.

The body's first line of defense against disease is the:

a)

Lungs

b)

Skin

c)

Blood

d)

Kidneys