WorksheetsUnits 1-3 Exam
Total questions: 69
Worksheet time: 1hrs 9mins
The nursing assistant has learned that health care should focus on the entire individual and not just the person’s physical condition or disease. Which approach is the nursing assistant prioritizing when providing care?
holistic
comprehensive
focused
general
The nursing assistant is researching options for employment. Which of the following health care organizations is a possible option for this nursing assistant? Select all that apply.
Drop-in center
Homeless shelter
Community center
Assisted-living facility
Long-term care facility
The health care provider has informed the family of a client that there is nothing more that can be done and recommends transferring care to a different health care organization. The nursing assistant recognizes which organization will best suit this situation?
Hospice
Nursing home
Subacute care unit
Assisted-living facility
A nursing assistant student on clinical notes one of the RNs has “DON” on their nametag. When questioned by the instructor, the student correctly explains the “DON” represents what?
Director of Nursing
Department of Nursing
Division of Nursing
Deputy of Nursing
A nursing assistant student is preparing a poster illustrating the Omnibus Budget Reconciliation Act (OBRA) of 1987. Which goal of OBRA should the student prioritize in the presentation when explaining the passage of this act?
Improve conditions for people in long-term care facilities.
Provide convenient transport services for clients or residents.
Ensure that the hospital’s budget did not exceed a decided amount.
Reconcile differences between the clients or residents of an organization and the management.
The nursing assistant student is investigating the various organizations in the community which might provide future employment. The student anticipates the organization will be in compliance with Occupational Safety and Health Administration (OSHA) standards which provide protection for which group?
Clients and residents, from unqualified health care professionals
Health care professionals, from on-the-job injuries
Family members of clients and residents, from contagious diseases
Equipment in the facility, from unsafe or inefficient usage
The nursing assistant is responsible for obtaining some of the data collected for the Minimum Data Set (MDS). Which information will the nursing assistant collect? Select all that apply.
The individual’s past medical history
The resident’s food and water restrictions
Cost of prescribed monthly medications
Resident’s daily weight measurement
Level of assistance needed for ADLs
The nursing assistant is excited to start a career at an assisted-living facility. The nursing assistant is prepared to care for individuals who meet which criteria?
Are experiencing the later stages of an acute illness
Are recipients of Medicare and Medicaid
Have social needs but not significant medical problems
Are able to provide most of their care independently
The nursing assistant provides care to individuals who are unable to care for themselves at home but don’t need an acute care setting. This nursing assistant most likely cares for individuals at which facility?
Hospital
Assisted-living
Long-term care
Hospice
The facility where a nursing assistant provides care will soon begin an accreditation inspection by the Joint Commission. What is the primary goal of this process?
To identify possible cost savings
To improve public relations
To study the facility’s standards of care
To identify staff strengths and weaknesses
The family of a new resident is questioning eligibility for Medicaid assistance. Which factor would the nursing assistant point out is most important to determine the eligibility?
Age
Medical condition
Work history
During a survey, a site inspector has asked the nursing assistant a question to which the nursing assistant does not know the answer. What action should the nursing assistant prioritize?
Obtain the inspector’s contact information for future follow-up.
Answer the question to the best of their ability.
Admit clearly that they do not know the answer.
Ask the inspector to speak with a nursing supervisor.
A family is touring a facility for possible placement of a family member. How should the nursing assistant respond when asked what “OBRA” stands for in the literature?
Omnibus Budget Reconciliation Act
Omnibus Budget Regulation Act
Omnipotent Budget Reconciliation Act
Omniscient Budget Regulation Act
The nursing assistant instructor has completed a session covering the Omnibus Budget Reconciliation Act (OBRA). The instructor determines the class is successful when the class correctly chooses which objective as the most important for passing this bill?
To establish safety and health standards for the workplace.
To help clients and residents move from place to place.
To improve the quality of care given to residents of long-term care facilities.
To provide better care for people who struggle with thinking and memory.
An individual has decided to become a nursing assistant. Which topics should their training include? Select all that apply.
Patient care techniques
Financial management
Communication skills
Advanced medical procedures
The nursing assistant completes many duties while caring for several residents each shift. Which duty should the nursing assistant always prioritize?
Noticing and reporting observations of changes in a resident’s condition.
Performing a physical assessment on each resident.
Planning resident care from minimum data set information.
Requiring a resident to accept care as it is written in the nursing care plan.
It has been a very hectic day due to several registered nurses (RNs) and nursing assistants being out sick. Everyone working has been trying to be cooperative and help to ensure all residents are receiving proper care. However, toward the end of the shifts, the RN asks a nursing assistant to change a surgical dressing. Which questions should the nursing assistant ask themselves before completing this task? Select all that apply.
Is this allowed by my job description?
What is the resident’s current condition?
Does the state allow me to do this?
Who will supervise if needed?
Can I perform this task safely?
A nursing assistant is preparing to move from their home state of New York to Florida. Which concept will be most relevant to the nursing assistant’s job search in Florida?
Scope of practice
Registry
Certification
Licensing
The nursing assistant knows that fulfilling the continuing education requirements is mainly whose responsibility?
Facility’s director of nursing (DON)
State board of nursing
The nursing assistant
U.S. Department of Health and Human Services (DHHS)
Nursing assistant graduates are beginning their new careers in a long-term care facility. These nursing assistants are expecting to be supervised by which individual?
Registered nurse (RN)
Health care provider
Director of nursing
More experienced nursing assistant
A registered nurse (RN) has asked a nursing assistant to remove a client’s urinary catheter. Which is the most important question the nursing assistant should ask themselves before undertaking this task?
How will I respond if I encounter a problem while doing this task?
Why is it necessary to remove this client’s urinary catheter?
Would the RN’s workload allow them to perform this themselves?
Have I been trained and certified to perform this task?
A hospital nurse has asked the nursing assistant to go and “make sure a client’s intravenous drip is going okay.” What is the best response from the nursing assistant?
I will check it immediately.
I am not sure how to do that.
I will inform the doctor.
I will ask another nurse to do it.
At the end of a job interview, the nursing assistant was informed that the candidate for the job would be chosen within 10 days. Since it is now 12 days after the interview, what would be most appropriate for the nursing assistant to do?
Submit a new application for the same job.
Pursue other jobs.
Follow up with a telephone call.
Text the person who conducted the interview.
A group of nursing assistant students are working on their résumés to apply for their first job. Which format should the nursing assistants choose as they create their résumés?
Clear, plain, and one page long
A unique and creative reflection of their personality
As detailed as possible
A suitable replacement for a job application
A nursing assistant has been granted an interview after applying for a job at a long-term care facility. What additional step should the nursing assistant complete before arriving for the interview?
Ask their references to phone the interviewer ahead of time to speak on their behalf.
Make a list of questions that they would like to ask the interviewer.
Decide how long they would likely choose to work at the facility.
Select a trusted colleague to accompany them to the interview.
The nursing assistant has received their certification and is now ready to start looking for their first job. Which factors should the nursing assistant keep in mind while considering the various positions available? Select all that apply.
Will they be paying me what I want?
Are the available hours a good fit for my personal needs?
Do they offer higher education opportunities?
Is this the kind of place where I really want to work?
Will my mode of transportation be reliable to get me to work on time daily?
The nursing assistant is caring for a resident in the long-term care facility. As the nursing assistant interacts with the resident, which action will best illustrate nonverbal communication between the two individuals?
Using sign language
Recording vital sign measurements in the resident’s chart
Gently touching the resident on the shoulder for reassurance
Making a telephone call
A shy nursing assistant is learning how to communicate effectively with clients. Which action should this nursing assistant prioritize?
Finishing the client’s sentence
Listening carefully and speaking clearly
Continuing with tasks while listening
Using technical words to show expertise
The nursing assistant is upset that a coworker refused to help them with their work assignment yesterday, despite knowing the coworker had free time to do so. How should the nursing assistant best approach this coworker?
“It’s not fair that I had to do so much more work than you did.”
“I understand you were busy, but can we plan better next time?”
“I’ll just do everything myself from now on.”
“Why didn’t you help me when I needed it?”
The nursing assistant is recording care provided to a client. Which note can the nursing assistant point out as objective data?
Client has occasional nausea becomes worse after meals.
Client reports knee pain has improved since earlier that morning.
Client had a loose bowel movement that was black in color.
Client feels the urge to urinate but is unable to.
A resident’s medical chart contains information that the resident had a fall in their room at 2330 hours. According to the 12-hour clock, when did this resident fall?
3:30 PM
3:30 AM
11:30 PM
12:30 AM
A client has recently moved to a long-term care facility due to declining health. Since the client’s admission 7 weeks ago, the nursing assistant notes that no visitors have been received and the client appears increasingly quiet and withdrawn. The nursing assistant recognizes that the client’s declining mood may be a result of what unmet need?
Physiologic
Safety and security
Love and belonging
Self-actualization
The nursing assistant enjoys caring for residents at a local long-term care facility. Which action does the nursing assistant strive to prioritize to help each resident meet self-actualization needs?
Ensuring that the resident receives daily hygiene according to a predictable schedule
Asking for dietary changes that better reflect the resident’s preferences
Asking the resident about their life and career prior to admission to the facility
Encouraging the resident to set small, realistic goals for a positive outcome
An older adult resident with early-stage Alzheimer’s disease has pinched the nursing assistant’s buttocks as they turned to leave the bedside. What is the best response from the nursing assistant in this situation?
Pat the resident’s hand and smile, but tell them that they are not interested.
Firmly but kindly tell the resident that what they did is not appropriate.
Giggle and respond in a flirtatious manner to avoid embarrassing the resident.
Ask the resident if they feel that their needs for intimacy and sexuality are being met.
The nursing assistant ensures all residents in their care receive proper meals. Which basic need is the nursing assistant promoting with this action?
Self-esteem
Self-actualization
Physiologic
Safety and security
The family lives some distance away and is unable to provide services on a regular basis. The older adult person is able to provide for their own personal care. Due to a personal relationship, the nursing assistant is asked for their recommendation. Which facility should the nursing assistant recommend?
Nursing home
Assisted-living facility
Skilled nursing facility
Adult day care
An older adult person with Alzheimer disease is known to wander. Which long-term care unit would best suit this individual?
Special care unit for dementia
Skilled care unit
Assisted-living facility
Intermediate care facility
The nursing assistant at a long-term care facility is preparing to admit a new resident. Which individual would the nursing assistant most likely admit?
Individual whose friends and family have moved far away
Individual who has just turned 80 years old
Individual who is unable to perform activities of daily living
Individual whose spouse of 60 years recently died
A nursing assistant is caring for a resident who has coexistent medical conditions. When asked what this means by the resident, which answer would be most appropriate?
Has medical conditions that have existed for a prolonged period of time.
Has medical conditions that are contagious.
Has multiple medical conditions that cannot be cured.
Is being treated for more than one medical condition at the same time.
The nursing assistant works hard to help each new resident adjust to moving into the long-term care facility. Which change creates the most stress for these individuals?
Loss of all legal rights
Management of medical problems
Loss of independence
Changes in diet
A new resident's responses to the nursing assistant's questions are terse. The nursing assistant senses that the resident does not appreciate their presence, even though they are trying to help. Which is the best response from the nursing assistant?
Respect the resident's wishes while still trying to make a connection with the resident.
Arrange for a different nursing assistant to care for the resident.
Teach the resident about the importance of forming good relationships.
Keep interacting with the resident in the same way in order to make the resident comfortable.
A 30-year-old resident of a long-term facility lives with a spinal cord injury. Recently, the resident has been making unreasonable demands on the nursing assistant and berating them when they do not follow through quickly. Which reasoning should the nursing assistant point out as most likely contributing to this behavior?
Is trying to gain a sense of control over their life
Is a victim of abuse
Considers the nursing assistant responsible for the spinal cord injury
Is confused about the nursing assistant's responsibilities
The nursing assistant is conducting a tour of the special care unit for dementia residents which includes an outside courtyard with high fencing. When questioned by the visitors about the reason for this, which is the nursing assistant's best response?
To allow the residents to wander outside while still keeping them safe
To prevent unwanted outsiders from coming in
To prevent the residents from looking at the outside world
For aesthetic reasons
A resident has just told the nursing assistant that they are the Secretary of Defense. What is the best response by the nursing assistant?
Don't be silly. Lloyd J. Austin, III is the Secretary of Defense.
No, you were a lawyer, remember? And now you are a resident here at Green Acres.
Let's go sit over here and you can tell me about what it was like to serve in the Army during the war.
You are not the Secretary of Defense, nor have you ever served in the government!
A resident with dementia is undressing in the common room in front of other residents. Which response should the nursing assistant prioritize?
Gently, but firmly, lead the resident back to their room and redirect their attention by introducing another activity.
Let the resident continue. It is best not to upset them by trying to stop them.
Report the resident's behavior to the nurse. They may need to be restrained.
Ask the resident if they need to use the bathroom.
The nursing assistant students are role-playing various behaviors common with dementia and how to address them. Which action would be most appropriate when role-playing validation therapy?
Correct the person.
Acknowledge the person's reality.
Reorient the person to the here and now.
Prevent boredom.
A nursing assistant is working with a resident who is living with Alzheimer disease and experiences the main signs. What is this resident experiencing on a daily basis? Select all that apply.
Aprosody
Amnesia
Apraxia
Aphasia
Agnosia
A resident of a long-term care facility has a diagnosis of dementia and in recent weeks has become unable to walk or sit independently. Which stage of dementia is this resident most likely in?
Early
Middle
Late
Chronic
The nurse tells the nursing assistant the client has an opportunistic microbe. Which factor will best describe this microbe if the client asks for more information?
Can be seen without a microscope.
Cannot be killed using standard infection control methods.
Has developed resistance to antibiotics.
The nursing assistant student is watching a teaching video illustrating the basics of microbes. Which factor will the student be able to point out that all microbes require to survive?
An endospore
A reservoir
Oxygen
Warm, moist heat
The nursing assistant provides care for residents at the assisted-living facility. The nursing assistant is diligent in their efforts to prevent which most common cause of infection?
Viruses
Parasites
Fungi
Bacteria
The nursing assistant is careful to provide top quality care especially when providing hygiene care. The nursing assistant will employ techniques to prevent microbes from passing through which portals? Select all that apply.
Hair and nails
Bruise under the skin
A cut in the skin
Mucous membranes
Bottom of the feet
The nursing assistant is providing care for a resident who is experiencing various signs of a possible exposure to an infection. Which action by the resident best demonstrates a nonspecific defense mechanism?
Producing antibodies
Coughing or sneezing
Responding after an annual flu shot
Recovering from an episode of measles
The nursing assistant is providing care to a resident who appears to have an infection. Which findings should the nursing assistant report to the nurse?
Warmth, redness, and swelling at a site of a wound
Clear yellow drainage at the site of a wound
A temperature of 99°F orally
28 breaths per minute after ambulation
The nursing assistant is caring for an older adult resident who was just visited by the health care provider and diagnosed with a vector-caused infection. Which example will be best for the nursing assistant to give to the resident when asked what a vector can be?
Wound in the skin
Fresh linens
Used eating utensils
Mosquito
The nursing assistant is preparing a poster illustrating some basic information about pathogens and the body. Which location(s) should the nursing assistant point out can act as a portal of entry? Select all that apply.
Respiratory tract
Mucous membranes of the eyes
Open wound in the skin
Intact skin
The nursing assistant is caring for a resident who has an active infection. Which object may now be a fomite and require appropriate handling by the nursing assistant?
The resident’s water glass
The resident sneezing toward the nursing assistant
Clothing that has just come back from the laundry
A rash on the resident’s hands
The nursing assistant is caring for a client who asks what classifies bacteria as aerobic instead of anaerobic. Which response would be best for the nursing assistant to give?
Need for oxygen
Ability to move
Potential for causing disease
Ability to reproduce
While performing a bed bath for an elderly resident, the nursing assistant notes that the skin surrounding a bruise on the resident's shin is swollen, red, and warm to the touch. Which action should the nursing assistant prioritize?
Thoroughly clean the area and continue to observe it.
Take the resident's temperature.
Apply a moisturizing cream to the area.
Inform the nurse about this finding.
The nursing assistant is learning about the different causes of infections. Which basic factor should the nursing assistant be able to point out concerning microbes?
All microbes cause disease.
Infections are caused by pathogens.
Viruses are the most common cause of infection in the health care setting.
Normal flora is only found in health individuals.
The nursing assistant students are preparing for clinicals by reviewing their basic protective skills. The students can correctly point out that hepatitis B virus (HBV) can be transmitted to them via which incident(s)? Select all that apply.
A needlestick injury
A cut from a contaminated object
Direct contact with blood
Touching a client or a resident
Collecting the used meal tray
The nursing assistant instructor is explaining the advancement of Human immunodeficiency virus (HIV) to acquired immunodeficiency syndrome (AIDS). After the session, the nursing assistant students correctly choose which main characteristic of this advancement?
Infecting the lungs, leading to death
Destroying the immune system
Causing severe headaches
Increasing red blood cell count
The new nursing assistant is preparing to start a new job providing care for clients who have undergone a surgical procedure. Which vaccine will be best for the nursing assistant to receive after reporting for work?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
The health care provider informs a newly admitted client they have a disease caused by an airborne pathogen. Which is the best response from the nursing assistant when questioned about what an airborne pathogen is?
Present in the type of air that is more likely to transmit infection
Disease-producing microbes that are transmitted through the air
The path that germs take before entering a person's body
People who are born with respiratory disease and become sick
The nursing assistant has learned that some individuals may have tuberculosis (TB) and not be aware of it, but are spreading the disease to others. Which individual would the nursing assistant point out is at the greatest risk of becoming infected with TB due to this situation?
10-year-old child who has a cold
Person who lives in a suburban area with good sanitation facilities
Person working in a day-care facility
Person with acquired immunodeficiency syndrome (AIDS)
The nursing assistant is caring for a client who has been diagnosed with Hepatitis B. Which organ can the nursing assistant predict will most likely be affected by this virus?
Heart
Liver
Blood
Spleen
The health care team is caring for a client who was diagnosed with Hepatitis A virus (HAV). Which action by the team will be most effective to prevent the spread to other clients or themselves?
Proper hand hygiene
Frequent bleaching of public areas
Use of masks and goggles
Wearing a gown when providing personal care
The nursing assistant is helping care for several clients who are seriously ill and require special care. With which client should the nursing assistant exercise extra caution to avoid spreading a bloodborne disease?
With a fever that is causing profuse sweating
With an infected wound that is leaking fluid
With diarrhea that is a result of Clostridium difficile
With vomiting as a result of recovering from anesthesia
The newly admitted client ate raw oysters that were unknowingly contaminated by raw sewage. Which virus would the nursing assistant predict this client will be diagnosed with?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
