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WorksheetsCNA Chap 4
Total questions: 100
Worksheet time: 50mins
Read the following paragraph and decide which items should be reported to the nurse. A resident moves slowly as an NA helps him out of bed. The resident is not able to walk as far as he walked yesterday. The resident limps a little and occasionally makes a noise. What should the NA report?
The NA should report that he is not able to walk as far as he did yesterday. Also, report that the patient limps and makes noise.
The NA should only report that the resident moved slowly.
The NA should only report that the resident made a noise.
The NA should not report anything since the resident is able to walk.
Describe the nervous system and related conditions.
(A) Gives the body shape and structure
(B) Controls and coordinates body function
(C) Is the largest organ in the body
(D) Pumps blood through the blood vessels to the cells
Describe the nervous system and related conditions.
The cardiovascular system and integumentary system
Neurons and receptors
The body and the brain
The central nervous system and peripheral nervous system
Normal or Sign/Symptom: Inability to move one side of the body
Sign/Symptom
Normal
Healthy Response
No Concern
Normal or Sign/Symptom: Depression
Normal
Sign
Symptom
Neither
Normal or Sign/Symptom: Fatigue with movement
Sign/Symptom
Normal
Diagnosis
Treatment
Normal or Sign/Symptom: Shaking
Sign/Symptom
Normal
Diagnosis
Treatment
Normal or Sign/Symptom: Decreased sense of heat and cold
Normal
Sign of infection
Symptom of dehydration
Sign of allergy
Normal or Sign/Symptom: Slurred speech
Sign/Symptom
Normal
Healthy Response
No Issue
Normal or Sign/Symptom: Decreased ability to perform ADLs
Sign/Symptom
Normal
Diagnosis
Treatment
Normal or Sign/Symptom: Slower reflexes
Normal
Sign of infection
Symptom of dehydration
Sign of allergy
Normal or Sign/Symptom: Trouble swallowing
Sign/Symptom
Normal
Vital Sign
Diagnosis
Normal or Sign/Symptom: Confusion
Sign/Symptom
Normal
Diagnosis
Treatment
Normal or Sign/Symptom: Decreased sensitivity of nerve endings in skin
Normal
Abnormal
Pathological
Acute
Normal or Sign/Symptom: Violent behavior
Sign/Symptom
Normal
Healthy Response
No Concern
Normal or Sign/Symptom: Minor short-term memory loss
Normal
Sign of Alzheimer's disease
Sign of dementia
Sign of stroke
Normal or Sign/Symptom: Changes in vision
Normal
Sign
Symptom
No Concern
A resident who has paralysis after a stroke will usually not need physical therapy.
True
False
Leg exercises help improve circulation.
True
False
When helping with transfers or ambulation, the NA should stand on the resident's stronger side.
True
False
The NA should always use a transfer belt for safety when helping a resident who has had a stroke to walk.
True
False
The NA should refer to the side that has been affected by the stroke as the "bad side" so that the resident will understand which side the NA is talking about.
True
False
Gestures and smiles are important when communicating with a resident who has had a stroke.
True
False
A resident who suffers confusion or memory loss due to a stroke may feel more secure if the NA keeps a routine of care.
True
False
A resident who has a loss of sensation could easily burn himself.
True
False
The NA should ask questions that can be answered with a "yes" or "no" when communicating with a resident who has had a stroke.
True
False
When assisting with dressing a resident who has had a stroke, the NA should dress the stronger side first.
True
False
What is wrong with the way Kate is communicating with Mr. Elliot?
Kate is being disrespectful to Mr. Elliot.
Kate is using unclear language with Mr. Elliot.
Kate is not listening to Mr. Elliot's responses.
Kate is interrupting Mr. Elliot frequently.
Kate notices that Mr. Elliot is having trouble speaking clearly and is getting frustrated. She decides to ask only yes or no questions and suggests he nod for yes and shake his head for no. What is Kate doing right?
She is using alternative communication methods to help Mr. Elliot express himself.
She is ignoring Mr. Elliot's frustration.
She is insisting that Mr. Elliot keep trying to speak.
She is leaving Mr. Elliot alone until he can speak clearly.
Parkinson’s disease puts a person at a high risk for falls.
True
False
Parkinson’s disease causes a shuffling gait and a mask-like facial expression.
True
False
Pill-rolling is something that people with Parkinson’s disease must do before taking their medication.
True
False
A resident with Parkinson’s disease should be discouraged from performing her own care to save energy.
True
False
Multiple sclerosis causes the protective ________ for the nerves, spinal cord, and white matter of the brain to break down over time.
protective disease
myelin sheath
axon terminal
synaptic cleft
For a person with MS, nerves cannot send ________ to and from the brain in a normal way.
messages
bones
muscles
hormones
Symptoms of MS include ________, vision, fatigue, tremors, poor balance, and trouble walking.
blurred
itchy
swollen
sharp
The NA should offer ________ periods as necessary for residents with MS.
self care
exercise
medication
social
The NA should give residents plenty of time to ________ because people with MS often have trouble forming their thoughts.
communicate
eat
walk
sleep
38. ________ can worsen the effects of MS, so the NA should remain calm and listen to residents when they want to talk.
Stress
Exercise
Hydration
Sunlight
The effects of a spinal cord injury depend on the location of the injury and the force of impact.
True
False
True or False: The lower the injury on the spinal cord, the greater the loss of function will be.
True
False
Quadriplegia is a loss of function of the lower body and legs.
True
False
Rehabilitation is of little help for people who have had spinal cord injuries.
True
False
A resident with a head or spinal cord injury will need emotional support as well as physical help.
True
False
A resident with a spinal cord injury may not feel a burn because of a loss of sensation.
True
False
The NA should help the resident change positions at least every two hours to prevent pressure injuries.
True
False
A resident with a spinal cord injury should drink very little fluid to prevent a urinary tract infection.
True
False
List the five sense organs of the body.
Eyes, Ears, Nose, Tongue, Skin
Eyes, Hands, Nose, Tongue, Legs
Eyes, Ears, Mouth, Tongue, Skin
Eyes, Ears, Nose, Teeth, Skin
Which of the following should be reported to the nurse when assisting a resident with eating?
The resident coughs while swallowing and says she cannot see the food on the left side of her plate.
The resident takes a few seconds to take the napkin.
The resident finishes her meal quickly without assistance.
The resident asks for a second helping of food.
Fill in the Blank: The circulatory system is made up of the heart, blood, and blood ________.
vessels
cells
tissues
organs
Fill in the Blank: The blood carries food, ________, and other substances cells need to function.
oxygen
carbon dioxide
glucose
hormones
Fill in the Blank: The circulatory system removes ________ products from cells.
waste
nutrient
oxygen
energy
Is the following a normal sign or a symptom to report? Severe headache.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Heart pumps less efficiently.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Chest pain.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Swelling of hands or feet.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Changes in pulse rate.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Bluish hands or feet.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Fatigue.
Normal
Sign/Symptom to report
Is the following a normal sign or a symptom to report? Shortness of breath.
Normal
Sign/Symptom to report
What is the consistent blood pressure measurement at which a person is diagnosed with hypertension?
High blood pressure at 130/80 or higher
High blood pressure at 120/70 or higher
High blood pressure at 110/60 or higher
High blood pressure at 100/50 or higher
What are three possible causes of hypertension?
Atherosclerosis (hardening and narrowing of blood vessels), kidney disease, tumors of adrenal gland, pregnancy, and certain meds
Vitamin C deficiency, dehydration, and low salt intake
Frequent exercise, high fiber diet, and meditation
Seasonal allergies, mild headaches, and regular sleep patterns
Coronary artery disease lowers the supply of blood, oxygen, and nutrients to the heart and can lead to heart attack or stroke.
True
False
The heart needs more oxygen when the body is at rest.
True
False
The pain of angina is usually described as pressure or tightness in the left side of the chest.
True
False
A person suffering from angina may sweat, look pale, and have trouble breathing.
True
False
If a person with CAD rests, it helps the blood flow return to normal.
True
False
A nursing assistant can administer nitroglycerin to a resident if requested.
True
False
A resident with CAD may need to avoid heavy meals and intense exercise.
True
False
List six things that may be included in a cardiac rehabilitation program.
1. A diet low in saturated fats and sodium and rich in fruits, veggies, whole grains 2. A regular exercise program 3. Encourage residents to follow their special diets/exercise 4. Measure vital signs as ordered 5. Be encouraging to residents who have quit or trying to quit smoking 6. Reduce stress as much as possible
1. High sugar and fat intake, sedentary lifestyle, discourage exercise, ignore vital signs, encourage smoking, increase stress
1. Skipping meals, avoiding fruits and vegetables, no exercise, not monitoring vital signs, promoting smoking, increasing stress
1. Eating only processed foods, avoiding all physical activity, not following any diet, never measuring vital signs, encouraging smoking, increasing stress
Congestive heart failure can be treated and controlled with ________.
medications
surgery only
physical therapy alone
dietary supplements only
Medications help remove excess ________. This means more trips to the ________.
fluids, bathroom
sugar, kitchen
oxygen, park
calcium, bedroom
Limited activity or ________ may be prescribed.
bedrest
exercise
fasting
hydration
Residents may need to be ________ at the same time every day.
weighed daily
fed snacks
given medication
bathed
Extra ________ may help residents who have trouble breathing.
pillows
shoes
books
curtains
A common side effect of CHF medications is ________.
dizziness
rash
increased appetite
hair growth
Diabetes is a condition in which the pancreas does not produce any or enough or does not properly use
Insulin
Glucose
Growth hormones
Adrenaline
Sugars collecting in the blood cause problems with
Breathing
Circulation
Pain level
Ambulation
Type 1 diabetes
Continues throughout a person's life
Is most common in the elderly
Is first treated with surgery
Does not require a change of diet
Changes in the circulatory system from diabetes can cause
Hair loss
Heart attack and stroke
Multiple sclerosis
COPD
The most common form of diabetes is
Insulin reaction
Gestational diabetes
Type 1 diabetes
Type 2 diabetes
Poor circulation and impaired wound healing may result in
Urinary tract infections
Cancer
Leg and foot ulcers
An autoimmune disease
Gangrene can lead to
Loss of bowel control
Peripheral vascular disease
Congestive heart failure
Amputation
What condition occurs when a person's blood glucose level is above normal but not high enough for a diagnosis of type 2 diabetes?
Gestational diabetes
Type 1 diabetes
Prediabetes
Hyperglycemia
Careful ________ care is vitally important for people with diabetes.
Foot
Hair
Facial
Mouth
25. Read the following paragraph and decide which items should be reported to the nurse. An NA walks into a resident's room and notices that the resident has just finished drinking a glass of water. The resident asks the NA to refill her water pitcher because it is empty. The NA had just filled it 15 minutes ago. When the NA returns with the pitcher, she sees that the resident is sweating even though the room feels cool. Which of the following should be reported to the nurse?
The resident is sweating even though the room feels cool and is drinking excessive amounts of water.
The resident asked for a glass of water.
The resident finished drinking a glass of water.
The room feels cool.
Fill in the Blank: The immune system protects the body from disease-causing ________, viruses, and microorganisms.
bacteria
enzymes
hormones
vitamins
Fill in the Blank: __________ immunity protects the body from disease in general.
Nonspecific
Specific
Adaptive
Acquired
Fill in the Blank: __________ immunity protects against a disease that is invading the body at a given time.
Specific immunity
Innate immunity
Passive immunity
Natural immunity
Fill in the Blank: The lymphatic system removes excess ________ and waste products from the tissues.
fluids
proteins
hormones
enzymes
Normal or Sign/Symptom: Swelling of the lymph nodes. (S/N)
S
N
A
B
Normal or Sign/Symptom: Increased fatigue. (S/N)
S
N
O
P
Normal or Sign/Symptom: Decreased response to vaccines.
N
S/S
Aging
Infection
Normal or Sign/Symptom: Increased risk of infection.
S
N
A
B
Lymph is a clear yellowish fluid that carries disease-fighting cells. The cells are called __________.
lymphocytes
erythrocytes
neutrophils
platelets
Care for a person who has HIV or AIDS should focus on
Helping to find a cure for HIV
Preventing visits from friends and family so as not to infect them
Providing relief of symptoms and preventing infection
Letting the person know about new treatments and medications that are successful in treating the disease
If a resident with AIDS has a poor appetite, the nursing assistant should
Give the resident an appetite stimulant
Serve familiar and favorite foods
Let the resident know that if he does not eat, he might die
Discuss this with the resident’s friends to see what they recommend doing
Residents who have AIDS and have infections of the mouth and esophagus may need to eat food that is
Spicy
Low in acid
Dry
Very hot
A resident with AIDS who has nausea and is vomiting should
Eat mostly dairy products
Eat high-fat foods
Drink liquids
Reduce liquid intake
Fluids are important for residents who have diarrhea because
Diarrhea rapidly depletes the body of fluids
Diarrhea can be prevented by drinking a lot of fluids
Diarrhea is an infection that can be flushed out by fluids
Diarrhea can make a resident’s throat dry
