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Unit 4 Nursing Fundamentals

Total questions: 64

Worksheet time: 52mins

Name
Class
Date
1.

Aria is a new health care employee. Which action indicates she understands fire safety?

a)

Disposing of all waste in the nearest receptacle

b)

Storing wheelchairs in the hall to facilitate quick evacuation

c)

Placing “no smoking” signs near oxygen and other gases

d)

Running to find a fire extinguisher and fire alarm

2.

While working at the hospital, James accidentally got contaminated by blood. What should he do immediately after washing the area?

a)

the CDC.

b)

his/her doctor to get an antibiotic prescription.

c)

a supervisor.

d)

OSHA.

3.

During a fire safety drill at school, Harper was learning how to use a fire extinguisher. Which action is not the correct use of a fire extinguisher?

a)

Pull the pin to release the lock.

b)

Squeeze or press the handle.

c)

Aim the extinguisher at the base of the fire.

d)

Hold the extinguisher in one position while discharging it.

4.

During a school trip, which of the following conditions may mean a person needs emergency medical help?

a)

Abigail is behaving rudely.

b)

Arjun has a scratch.

c)

Grace does not want help.

d)

Someone is unconscious.

5.

Elijah is a nursing assistant. In which of the following situations should he give abdominal thrusts to someone?

a)

The person is coughing.

b)

The person cannot speak, cough, or breathe.

c)

The person is breathing very rapidly.

d)

The person tells the nursing assistant that she feels short of breath.

6.

During a first aid class, Hannah learned that one sign that a person is in shock is

a)

Flushed or reddish skin

b)

Decreased pulse and respiration rates

c)

Increased blood pressure

d)

Extreme thirst

7.

Ava, a nursing assistant, needs to control bleeding. What should she do?

a)

Use her bare hands to stop it

b)

Lower the wound below the heart

c)

Hold a thick pad or clean cloth against the wound and press down hard

d)

Apply light pressure with a Band-aid

8.

If Abigail feels faint during a class, a nursing assistant should

a)

Try to have Abigail stand up before fainting occurs

b)

Have Abigail lean forward and place her head between her knees

c)

Tighten Abigail’s clothing

d)

Leave Abigail alone as soon as symptoms disappear

9.

Michael, a nursing assistant, suspects poisoning in a resident. Which of the following actions can he take?

a)

Suggest the resident put his finger down his throat to induce vomiting.

b)

Feed the resident crackers or bread to soak up the poison.

c)

Give the resident medication and then call poison control.

d)

Look for a container that will help him find out what the resident took or ate.

10.

Aiden, a nursing assistant, suspects a resident is having a heart attack. What should he do?

a)

Not give the resident food or fluids

b)

Cover the resident with a heavy blanket

c)

Make sure the resident is standing up to promote circulation

d)

Leave the resident to call his family

11.

During a biology class, Isla asked the teacher what another term for insulin reaction is.

a)

Myocardial infarction

b)

Diabetic coma

c)

Hypoglycemia

d)

Dyspnea

12.

During a first aid class, Ava is asked what would be the best response if a resident is having a seizure?

a)

The NA should give the resident a glass of water and ask him to drink it.

b)

The NA should hold the resident down if he is shaking severely.

c)

The NA should move furniture away to prevent injury to the resident.

d)

The NA should open the resident’s mouth to move the tongue to the side.

13.

Abigail noticed her friend suddenly had a facial droop. What could this be a sign of?

a)

Abdominal pain

b)

Gasping for air

c)

Low blood pressure

d)

Facial droop

14.

In a hospital, codes are used to

a)

Keep track of residents

b)

Inform staff of emergencies without alarming patients and visitors

c)

Teach procedures to new nursing assistants

d)

Welcome new patients to the hospital

15.

During a hospital tour, Avery noticed an _____, which is any event that is not a part of the routine operation of the healthcare facility. They can be safety or non-safety related.

a)

Incident

b)

Radiation

c)

Fire Triangle

d)

Accident

16.

When Arjun is moving a heavy box, he should ____ rather than ____.

a)

Pull, Push

b)

Push, Pull

c)

Swing, Swoop

d)

Yank, Snag

17.

Charlotte is a nurse in a busy hospital. What is considered the single most important way for her to prevent the spread of infection in the healthcare facility?

a)

Hand hygiene

b)

Isolation rooms

c)

Housekeeping

d)

Rest

18.

Mason is learning about fire safety. The acronym PASS stands for:

a)

Pinch, Aim, Spray, Stop

b)

Pin, Aim, Shake, Squeeze

c)

Pull, Aim, Squeeze, Sweep

d)

Pull, Aim, Sweep, Spray

19.

During a fire drill at school, which step should NOT be followed?

a)

Know how to operate fire extinguishers

b)

Keep areas uncluttered and free of debris

c)

Follow facility evacuation plans

d)

Run through the halls shouting "Code Blue!"

20.

Ethan is helping his friend move to a new apartment. To avoid back injury, which of the following should be avoided?

a)

Lifting with your legs

b)

Holding objects as far away from you as possible

c)

Tightening stomach muscles when lifting

d)

Pushing rather than pulling objects

21.

To make sure Aria is safe during a bath, you should:

a)

Close the tub room door

b)

Undress the resident in the tub room

c)

Check the water temperature

d)

Remove all your jewlery

22.

David is learning about workplace safety. Using good body mechanics will help him

a)

get all his work done before his shift ends

b)

lose weight

c)

avoid injuries

d)

develop stronger muscles

23.

David, a CNA, finds an unresponsive client in the nursing home. What is the FIRST thing he should do?

a)

Close the door

b)

Call family

c)

Start compressions

d)

Call for help

24.

If Liam, a nurse aide, discovers fire in a resident's 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

25.

Abigail is helping to move a heavy box in the storage room. To lift the box using good body mechanics, she 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

26.

During an elopement at the care facility, you must first?

a)

Turn off the door alarm.

b)

Make sure all residents are accounted for, elopement is someone trying to leave.

c)

Make sure you know the bride and groom, elopement is someone trying to get married

27.

Jackson, a resident, has fallen and is lying next to the bed, what do you do first?

a)

Notify the nurse

b)

Help them to the bed

c)

Get Vitals signs

d)

Offer them water

28.

Mrs. Jones is having a seizure in the dining room during breakfast. You should....

a)

Place a spoon in her mouth

b)

Lay her flat to prevent choking

c)

Clear the dining room of other residents

d)

Remove her to provide privacy

29.

Zoe was attending a first aid class when the instructor asked, 'Which is NOT included in the signs of a stroke (CVA)?'

a)

Chest pain

b)

Weak Arm

c)

Facial weakness

d)

Slurred speech

30.

Emma’s call bell is not working properly. What should the NA do?

a)

Replace it immediately

b)

Report it

c)

Tell her to use her roommate’s

d)

Fill out a maintenance report

31.

During a hospital training session, Priya learned that shaking linens can:

a)

Prevent wrinkles

b)

Cause the spread of microorganisms

c)

Make bed making easier

d)

Cool the resident off

32.

During a hospital training session, Scarlett is learning about proper handling of soiled linen. She is told that soiled linen should be:

a)

Changed immediately

b)

Folded inward and held away from your uniform

c)

Placed in a covered linen hamper after being removed

d)

All of the above

33.

Avery is learning how to make beds properly. Which guideline should Avery follow?

a)

Plastic draw sheets should touch the resident’s skin

b)

Make one side of the bed before going to the other side

c)

Take unused clean linen with you to use on the next bed

d)

Loosen linens as necessary for comfort

34.

Liam makes sure the bed is made tightly all the way around, while the dependent (bedbound) patient is in bed. What should he have done?

a)

Loosen the bedding around the foot of the bed, to reduce pressure on the feet

b)

She did everything correctly

c)

Loosen the bedding at the head of the bed

d)

All of the bedding should be loose and aired out

35.

Isla is learning how to make a bed efficiently. The BEST way to make the bed to save time and prevent injury to herself is to:

a)

Complete one side of the bed before beginning the other side

b)

Keep both side-rails up while making the bed

c)

Keep both feet close together

d)

Focus on the task at hand and block out any distractions

36.

During a hospital training session, Abigail is learning how to make beds. What technique should she use to hold the linen firmly in place?

a)

Autoclave tape

b)

Mitered corners

c)

Bed cradle

d)

he use of under pads

37.

When Sophia, a resident, is suspected of having a heart attack, a NA should:

a)

Use emergency light and call for help

b)

Give the resident some water

c)

Put medications directly into the resident’s mouth

d)

Wait and see if the episode subsides before doing anything

38.

Harper is a new nursing assistant at a care facility. What is the BEST way for Harper to identify a resident:

a)

check the identification bracelet

b)

Check the name on the chart

c)

Look for the name tag on the door

d)

Verify the pt.’s name by checking the back of their wheelchair

39.

Hannah is helping her grandfather during lunch. In which position should he be placed for eating?

a)

Lying flat on his back

b)

Reclining at a 45 degree angle

c)

Sitting as upright as possible

d)

Lying on his side with his arm propping up his head

40.

Mia is working in a healthcare facility. Which of the following guidelines is TRUE of working around oxygen equipment?

a)

NAs should not allow open flames around oxygen

b)

NAs should adjust oxygen levels when they are too high or too low

c)

NAs should replace oxygen tubing if it becomes clogged

d)

NAs should prescribe a new oxygen delivery device if the current one is irritating skin

41.

Which of the following statements is TRUE of body mechanics?

a)

Body mechanics help save energy and prevent injury

b)

The narrower a person’s base of support, the more stable the person is

c)

Proper alignment of the body means that the two sides of the body don’t line up

d)

Twisting at the waist is the best way to maintain body alignment

42.

Which of the following is TRUE of resident falls?

a)

A fall does not need to be reported unless the resident complains of pain

b)

If the resident can get up after the fall, the NA should not notify the nurse

c)

An incident report will need to be completed for all falls

d)

The resident can decide if the NA needs to report the fall

43.

In which of the following situations should an NA give abdominal thrusts to a resident?

a)

The resident is coughing

b)

The resident cannot speak, breathe, or cough

c)

The resident is breathing very rapidly

d)

The resident tells the NA that she feels short of breath

44.

If a resident is in shock, a NA should:

a)

Quickly give the resident something to eat that can be easily absorbed

b)

Elevate a body part if a broken bone is suspected

c)

Elevate the legs unless the resident has a head or abdominal injury

d)

Give the resident a cup of water for dehydration

45.

To control bleeding, a NA should:

a)

Lower the wound below the heart

b)

Use a topical antibiotic cream on the wound

c)

Hold a thick pad against the wound and press down hard

d)

Apply light pressure with a bandage

46.

It is required for facilities to have a disaster plan, which of the following would be a part of that plan: (multiple answers)

a)

Remain calm

b)

Know your disaster plan

c)

Only nurses can help with evacuation

d)

Think before you act; don’t waste time

47.

To assist a patient that is choking you should:

a)

Tilt head back & see if you can pull object out

b)

Slap the victim in back to dislodge item

c)

Encourage coughing to dislodge object

d)

Have the person lean over and cough

48.

In most cases fainting is caused by:

a)

Temporary reduction of blood to the brain

b)

Temporary reduction of food, causing disorientation

c)

Patient has gotten too cold and tired

d)

Patient has gotten too hot and nauseated

49.

Leslie was taking a class on fire safety at Golden Pond nursing center during orientation. She understands that RACE & PASS are very important and that the “P” stands for:

a)

Push the water out of the extinguisher

b)

Pull the extinguisher with you as you move

c)

Press the handle down

d)

Pull the safety pin

50.

Leslie also learned that the “C” in RACE stands for all of the following: (multiple answers)

a)

Close all windows and doors

b)

Choke off oxygen

c)

Calm down all residents

d)

Confine the fire

51.

Shirley had been working a double shift and hadn’t eaten all day. About 3:00 pm Rachel noticed that Shirley was lying on the floor convulsing. What was wrong with Shirley?

a)

Seizure

b)

Choking

c)

Fainted

d)

Shock

52.

Never let a patient’s nasal cannula touch the floor because:

a)

It could catch the sheets on fire

b)

It will pick up pathogens that will contaminate it

c)

Bugs can crawl up and get in patient’s lungs

d)

The patient won’t know where to find it

53.

Mrs. Brown has fallen on the floor and is presenting with violent and sudden uncontrolled contracting or tremors of muscles. We would yell for help & not leave her because from our training we know that Mrs. Brown is having:

a)

Fracture

b)

Laceration

c)

Contusion

d)

Convulsion

54.

How often should a nurse aide check a resident’s pulse, skin temperature and color when he/she is in restraints? Every:

a)

2 hours

b)

1 hour

c)

30 minutes

d)

15 minutes

55.

When can a nurse legally restrain a resident?

a)

When the charge nurse decides the resident needs restraining

b)

After the doctor writes an order.

c)

Only on the days the resident displays poor behavior.

d)

When the resident is attempting to leave the building.

56.

Electronic devices on beds and wheelchairs are used as alternatives to restraints to:

a)

Alert the staff if a patient is getting up without calling for help.

b)

Allow the resident to leave the unit.

c)

Allow the resident to be independent.

d)

Allow the resident to avoid using the call bell

57.

What type of knot should you use when tying a vest or limb restraint?

a)

Double knot

b)

Slip knot

c)

Square knot

d)

Shoe-lace type knot

58.

A complication with restraint use is:

a)

Jaundice

b)

Diarrhea

c)

Headache

d)

Decreased circulation

59.

An example of a restraint alternative is:

a)

Tying a limb restraint to the bed rail

b)

Applying a vest restraint

c)

Applying a mitten restraint

d)

Allowing the resident to sit next to the nursing station

60.

Restraints should be removed every 2 hours and provide:

a)

Skin care with lotion

b)

Mouth care

c)

Nail care

d)

Foot care

61.

If a resident has an emergency while in restraints, the nurse aide should:

a)

Remove the restraint run quickly for help

b)

Loosen the restraint and then run quickly for help

c)

Remove the restraint and scream loudly for help

d)

Use the emergency call bell for help, loosen the restraint & stay with the resident

62.

Unnecessary use of restraints is called:

a)

Fraud

b)

False imprisonment

c)

Criminal action

d)

Assault

63.

Answering the call bells promptly helps prevent:

a)

Lying in bed too long

b)

Talking on the phone

c)

Taking a bath

d)

A fall

64.

Which is a sign of poor circulation to watch for with restraints?

a)

Skin is warm and dry

b)

Skin is cold and pale

c)

Skin is warm and pink

d)

Skin is dry and pink