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NA Final 1st Semester

Total questions: 110

Worksheet time: 55mins

Name
Class
Date
1.
Which of the following healthcare settings is generally for people who will die in six months or less?
a)

Hospice care

b)

Long-term care

c)

Outpatient care

d)

Acute care

2.
Which of the following statements is true of long-term care?
a)

People with terminal illnesses do not live in long-term care facilities.

b)

Most conditions in long-term care facilities are chronic.

c)

People who live in long-term care facilities are never able to return home.

d)

Long-term care takes place in a person’s home.

3.
A resident has purchased a special gift for her nursing assistant (NA). What would be the best response by the nursing assistant?
a)

The NA should refuse the gift but thank the resident for thinking of her.

b)

The NA should accept the gift because she is unsure about her facility’s policy on gifts.

c)

The NA should accept the gift if the resident will keep it confidential.

d)

The NA should refuse the gift and tell the resident that her employer is very unfair about employees accepting gifts from

4.
Regular inspections performed in facilities to make sure they are following state and federal regulations are called
a)

Surveys

b)

Citations

c)

Procedures

d)

Licenses

5.
Infection prevention is
a)

The way in which infections occur

b)

An infection that is prevented from traveling from one part of the body to another

c)

A set of methods used to prevent the spread of disease

d)

An object that has been prevented from being contaminated with pathogens

6.
The following are necessary links in the chain of infection. When an NA wears gloves, which link is broken, thus preventing the spread of disease?
a)

Reservoir (place where the pathogen lives and grows)

b)

Mode of transmission (a way for the disease to spread)

c)

Susceptible host (person who is likely to get the disease)

d)

Causative agent (pathogenic microorganism that causes disease)

7.
The following are necessary links in the chain of infection. When an NA gets a vaccination shot for hepatitis B, which link will be affected and thus prevent hepatitis B infection?
a)

Reservoir (place where the pathogen lives and grows)

b)

Mode of transmission (a way for the disease to spread)

c)

Susceptible host (person who is likely to get the disease)

d)

Portal of entry (body opening that allows pathogens to enter)

8.
A nursing assistant (NA) will come into contact with microorganisms
a)

Only in high-traffic areas of the facility Option 1

b)

Only during direct contact with residents

c)

Only during personal care procedures

d)

Every time the NA touches something

9.
The single most important thing to do to prevent the spread of infection is:
a)

Carry dirty linen close to her uniform so as not to spread contaminants

b)

Wash and dry her disposable gloves before reusing them

c)

Remove gloves before cleaning spills

d)

Wash her hands

10.
With whom should an NA use Standard Precautions?
a)

With residents who have infectious diseases

b)

With residents he suspects might have infectious diseases

c)

With every resident in his care, every time

d)

With residents who request that they be used

11.
When washing hands, an NA should use friction for
a)

At least 25 seconds

b)

At least 20 seconds

c)

At least 15 seconds

d)

At least 5 seconds

12.
Which of the following is true of Transmission-Based Precautions?
a)

An NA does not need to practice Standard Precautions if he practices Transmission Based Precautions.

b)

They are exactly the same as Standard Precautions.

c)

They are practiced in addition to Standard Precautions.

d)

They will not be listed in the care plan so as not to alarm anyone.

13.
What is one way that bloodborne pathogens can be transmitted?
a)

By hugging an infected person

b)

By contact with blood or body fluids

c)

By standing too close to an infected person when he coughs

d)

By touching something an infected person has touched

14.
Which of the following statements is true of hepatitis B (HBV)?
a)

HBV is a relatively minor disease and poses no real threat to healthcare workers.

b)

The vaccine for HBV helps prevent the disease.

c)

More people in the U.S. have HIV than have HBV.

d)

HBV causes some unpleasant symptoms but cannot cause death

15.
Tuberculosis may be transmitted
a)

Through a protective mask

b)

By dancing

c)

By wearing gloves

d)

By coughing

16.
Tuberculosis is
a)

A bloodborne disease

b)

A sexually transmitted disease

c)

An airborne disease

d)

Completely eradicated (no longer exists)

17.
How is MRSA most often spread?
a)

By direct physical contact

b)

By indirect contact

c)

By being in enclosed spaces

d)

Through the air

18.
What is the best way to control the spread of MRSA?
a)

By taking medication

b)

Through proper handwashing

c)

By using masks

d)

By taking vancomycin

19.
What is the best way to control spread of C. difficile?
a)

By limiting contact of the infected person with others

b)

By using more powerful antibiotics

c)

By giving more enemas to clean out the GI tract

d)

Through proper handwashing and handling of contaminated wastes

20.
Which of the following is an NA responsibility related to infection prevention?
a)

Deciding which residents need Transmission-Based Precautions

b)

Telling all visitors which patients have bloodborne diseases

c)

Following Standard Precautions in caring for all residents

d)

Capping needles and other sharps before disposing of them in the trash

21.
Which of the following statements is true of preventing falls?
a)

Clear walkways of clutter.

b)

Keep the lights low.

c)

Leave spills for housekeeping to clean.

d)

Move call lights further away from residents.

22.
When should a nursing assistant identify a resident?
a)

After giving care

b)

When collecting meal trays

c)

When shifts change

d)

Before helping with feeding

23.
Why does working with oxygen require special safety precautions?
a)

Oxygen equipment is very difficult to obtain.

b)

Oxygen is a dangerous fire hazard.

c)

Oxygen levels must be adjusted often.

d)

Oxygen equipment is very fragile.

24.
What information does a Material Safety Data Sheet (MSDS) contain?
a)

Costs of the chemical

b)

Comparisons with other chemicals

c)

Names of other facilities using the chemical

d)

Description of emergency response actions

25.
Which of the following is an example of physically restraining a resident?
a)

Asking the resident to stay in his bed

b)

Telling the resident’s roommate to press the call button if the resident gets up

c)

Leaving the resident’s door ajar

d)

Putting both side rails up on the bed

26.
Restraints can be applied
a)

As punishment from staff when a resident is not behaving properly

b)

Only with a doctor’s order

c)

When a staff member does not have time to watch a resident closely

d)

When a nursing assistant judges a resident is a danger to himself or others

27.
An example of a restraint alternative is
a)

Tying the resident to the bed

b)

Removing the resident’s call light

c)

Leaving the resident alone for long periods of time

d)

Giving the resident a repetitive task

28.
Which of the following is a way to use proper body mechanics?
a)

The NA should twist at the waist when lifting objects.

b)

The NA should stand with her legs shoulder-width apart.

c)

The NA should lift objects, rather than pushing them.

d)

The NA should carry objects away from her body.

29.
RACE is an acronym for a safety rule, and means
a)

Run to A Close Exit

b)

Remove residents, Activate alarm or call 911, Contain fire, Extinguish

c)

Restore power, Activate alarm or call 911, Call Fire Department, Exit

d)

Remove window, Access outside, Call for help, Elderly residents first

30.
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.

31.
To control bleeding, a nursing assistant should
a)

Lower the wound below the heart

b)

Use a topical antibiotic cream on the wound

c)

Place a pad against wound and apply pressure

d)

Apply light pressure with a bandage

32.
Which of the following should a nursing assistant do if he suspects poisoning?
a)

The NA should offer an over-the-counter medicine to induce vomiting.

b)

The NA should look for a container that will help determine what the resident took or ate.

c)

The NA should feed the resident crackers or bread to soak up the poison.

d)

The NA should ask the resident if he is able to induce vomiting by sticking his finger down his throat.

33.
What is the medical term for difficulty breathing?
a)

Dyspnea

b)

Syncope

c)

Hemiplegia

d)

Cyanosis

34.
What is the medical term for fainting?
a)

Dyspnea

b)

Syncope

c)

Hemiplegia

d)

Cyanosis

35.
When a resident is suspected of having a heart attack, a nursing assistant should
a)

Loosen clothing around the neck

b)

Give the resident some water

c)

Put medication directly into the resident’s mouth

d)

Wait and see if the episode subsides before doing anything

36.
Another name for insulin reaction is
a)

Diabetic coma

b)

Hypoglycemia

c)

Hyperglycemia

d)

Pre-diabetic coma

37.
A sign of the onset of diabetic ketoacidosis is breath that smells
a)

Sour

b)

Sweet

c)

Garlicky

d)

Oniony

38.
A sign that a stroke is occurring is
a)

Abdominal pain

b)

Gasping for air

c)

Low blood pressure

d)

The inability to speak or to speak clearly

39.
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.

40.
Which of the following is a physical need?
a)

The need for social interaction

b)

The need for water

c)

The need for self-esteem

d)

The need for independence

41.
Which of the following is an example of a psychosocial need?
a)

The need for food

b)

The need for sleep

c)

The need for activity

d)

The need for acceptance

42.
Activities of daily living (ADLs) include
a)

Reading

b)

Taking part in facility activities

c)

Attending a worship service

d)

Brushing teeth

43.
If a nursing assistant encounters a consenting adult resident in a sexual situation, she should
a)

Provide privacy and leave the room

b)

Tell him that what he is doing is wrong

c)

Ask him to stop what he is doing

d)

Discuss the incident with the resident’s family

44.
Which of the following is an example of a religious dietary practice?
a)

Eating dessert before the main course

b)

eating slowly

c)

Eating goose for Christmas dinner

d)

Eating kosher foods

45.
Which of the following remarks is a cliché?
a)

“I understand your concerns. How can I help?”

b)

“What can I do to make you more comfortable?”

c)

“It will be over before you know it.”

d)

“I know you are feeling worried about your upcoming doctor’s visit. I am here if you want to talk about it.”

46.
Which of the following statements is true of the normal aging process?
a)

Most elderly people are entirely dependent on others.

b)

Most elderly people are disabled and can not walk.

c)

Most elderly people are active and engaged in activities.

d)

Most elderly people cannot manage their own money.

47.
Normal changes of aging include
a)

Depression

b)

Thinner, drier skin

c)

Significant weight loss

d)

Incontinence

48.
Which of the following statements is true of autism?
a)

Surgery is the first course of treatment for autism.

b)

When it is detected early, the chances of curing it are greater.

c)

Children normally outgrow it.

d)

Boys are more often affected than girls.

49.
If NA is asked to do something they are unknown of, what do they do?
a)
Do the best she can
b)
Tell charge you're uncertain, ask for help
c)
Tell her you did it even if you didn't
d)
None of these
50.
Term for persons living in a long term care facility is called:
a)
Tennent
b)
Resident/Patient
c)
Client
d)
None of these
51.
Minimum standards for residents/patients in long term care are established by:
a)
Propisition 283B
b)
California code of regulations, title 22
c)
California Chancelors office
d)
The Ombudsman
52.
What is the minimum # of hours for theory and clinical hours in a NA program approved by CA Dept.of Health Services?
a)
102 hours theory, 100 clinical training
b)
60 hours theory,80 clinical training
c)
50 hours theory,100 clinical training
d)
60 hours theory,100 clinical training
53.
How many hours must a NA work for pay in each renewal period?
a)
8
b)
48
c)
60
d)
100
54.
California NA is renewing their certification. How many in-service/continuing education hours must they have in a 2 year period in order to renew?
a)
8
b)
48
c)
60
d)
100
55.
Documents that provide instructions about the residens's wishes for treatment when the resident is unable to communicate their wishes are called?
a)
Patient's Rights
b)
Resident's Rights
c)
Advance Directives
d)
Policy on Healthcare
56.
The main therapy that assists residents to relearn activities of daily living is:
a)
ADL therapy
b)
occupational therapy
c)
physical therapy
d)
speeach therapy
57.
Standards and safeguards for documentation and transmission of patient health records is?
a)
HIPAA
b)
HIPPA
c)
HPPA
d)
HPAA
58.
Permission given for care after the procedures have been explained is?
a)
Implied Consent
b)
Informed Consent
c)
Verbal Consent
d)
Non-Verbal Consent
59.
Not revealing private information is known as?
a)
Privacy Act
b)
Senesibility
c)
Confidentiality
d)
All of these
60.
Avoiding eye contact when talking to another person is part of which type of communication?
a)
Rude
b)
Non-verbal
c)
Verbal
d)
All of these
61.
Information that can be seen, heard, or smelled is called:
a)
Subjective data
b)
Objective data
c)
Sensory Date
d)
Noe of these
62.
_____________Is the line of authority in a facility
a)
Policy of facility
b)
The chain of command:
c)
Chain of employees
d)
None of these
63.
When should you report changes in the person’s condition?
a)
End of shift
b)
By the nezt day
c)
right away
64.
A resident was moved out of her home and into a long-term care facility. She is angry about being moved. The CNA should:
a)
sit with her and talk about her feelings
b)
tell her it will be ok
c)
leave the room as quick as possible
d)
act like you didn't hear her
65.
As the CNA when transferring a pt., you can best protect your back by:
a)
keeping a wide base of support and keeping the resident as close as possible to you as you perform the transfer
b)
keeping a narrow base of support and keeping the resident as close as possible to you as you perform the transfer
c)
keeping a wide base of support and keeping the resident as far away as possible from you as you perform the transfer
d)
keeping a narrow base of support and keeping the resident as far away as possible from you as you perform the transfer
66.
Your resident is paralyzed from the waist down (paraplegic) and has maintained good upper body strength. The resident wants to be able to move in bed, somewhat, without assistance. Which of the following pieces of equipment might be used for this purpose?
a)
bed cradle
b)
trapeze
c)
hoyer lift
d)
quad cane
67.
To prevent falls during transfers, wheelchair, bed, shower chair, and stretcher wheels must:
a)
have a door stop under them
b)
be unlocked
c)
be locked
d)
locked or unlocked doesn't matter because you are holding onto them.
68.
When transferring a resident with a mechanical lift ( Hoyer lift), the resident’s arms should be:
a)
holding onto the top
b)
across their chest
c)
by their sides
d)
all of these are acceptable
69.
A complication of immonility that affects the musculoskeletal system is:
a)
leg cramps
b)
muscle spasms
c)
parkinsons
d)
contractures
70.
Examples activities of daily living are
a)
Taking medication, including injections
b)
Bathing, grooming, oral and denture care and more
c)
Filling out facility paperwork
d)
All of these
71.
A short, simple phrase to prompt the resident
a)
non-verbal cue
b)
verbal cue
c)
verbal hint
d)
none of these
72.
If completing an entire task is too difficult for a resident in a restorative program:
a)
Do the rest for them
b)
Just don't make them do it at all
c)
Break the task into a series of smaller tasks
d)
All of these
73.
A sign of systemic infection is?
a)
Reddness around affected area
b)
Fever
c)
Green or yellow drainage or pus
d)
Hot to touch around affected area
74.
A person with impaired smell and touch is at great risk for injury
a)
True
b)
False
75.
The single most important thing you can do to prevent the spread of disease is to
a)
Wear the same gloves all day
b)
Washing your hands
c)
Minimize the surfaces you touch
d)
All of these
76.
The role of _________________ is to listen to and resolve resident problems
a)
OBRA
b)
Ombudsman
c)
Administrator of facility
d)
Director of nursing
77.
How are blood borne diseases transmitted?
a)
By hugging an infected person
b)
By shaking an infected person's hands
c)
By standing with in 6 feet of an infected person
d)
By contact with body fluids
78.
The charge nurse wants blood work results on a resident immediately. What terms would indiacate "immediately" to the lab?
a)
ASAP
b)
STAT
c)
Immed
d)
None of these
79.
What might help prevent a resident from falling from the bed?
a)
Telling the confused resident to stay in bed or else
b)
Keep the resident's bed in the low position
c)
Keep the resident's bed in the highest position
d)
Asking the confused resident to stay in bed
80.
You may allow smoking when oxygen is in use as long as the patient is outside.
a)
True
b)
False
81.
RACE is a term representing activities to be carried out in the event of a fire. The R stands for what?
a)
run out of the facility
b)
rescue or remove the resident
c)
remember to yell fire
d)
remove all furniture
82.
The CNA finds a frayed electrical cord on a fan in a resident's room. Which of the following actions is correct?
a)
report the situation to the nurse
b)
put electrical tape on it
c)
tuck it behind something so no one touches it
d)
all of these.
83.
What best describes the "universal chocking sign" given by the victim?
a)
Grasping their throat
b)
Waving their arma above their head
c)
Making sign language gestures
d)
None of these
84.
What might be most helpful in preventing choking?
a)
serve everything with a little peanut butter
b)
giving large bites each time
c)
do not give any water until completely finished eating
d)
cut meat into small, bite size pieces
85.
What are causes for hypogycemia?
a)
too little insulin, eatinf a meal
b)
too much insulin, omitting a meal, vomiting
c)
excessive urination
d)
all of these
86.
A patient is showing the following signs and symptoms: dizziness, headache, weakness on his right side, and aphasi. What could be the cause?
a)
CVA/stroke
b)
Heart attack
c)
Myocardio infaction
d)
seizure
87.
What does an AED/automated external defibrillator do?
a)
starts a stopped heart
b)
delivers an electric shock to the heart to restore it's normal rhythm
c)
restores breathing
d)
all of these
88.
A complete bed bath would be given to a resident who:
a)
Is unconscious.
b)
is lazy
c)
is combative
d)
all of these
89.
When the resident takes his/her dentures out for the evening, the Nurse Assistant should:
a)
Wrap them in a paper towel with their name and date
b)
Store them in a labeled container filled with cool water inside the bedside table drawer.
c)
Put in a new denture cup and leave them on the sink
d)
All of these are acceptable
90.
A resident asks a Nurse Assistant to cut his toenails because they are very thick and hurt when he wears shoes. The Nurse Assistant should:
a)
be careful and cut them straight across
b)
cut only the lagest toe
c)
report his request to the nurse.
d)
soak their feet and then cut them
91.
Mucus from the respiratory system that is expelled through the mouth is
a)
Congestion
b)
Saliva
c)
Sputum
d)
Ketone
92.
Normal urine has
a)
A faint odor
b)
A strong odor
c)
A sweet odor
d)
An ammonia odor
93.
A clean, neat, wrinkle-free bed does the following except
a)
Increase the person’s comfort
b)
Help prevent skin breakdown
c)
Help prevent pressure ulcers
d)
Prevent incontinence
94.
The introduction of fluid into the rectum.
a)
Oliguria
b)
Open bed
c)
Enema
d)
Pressure Ulcer
95.
Arthritis is
a)
The surgical replacement of a joint.
b)
Joint inflammation.
c)
A disease in which bones become porous and brittle.
d)
The repair of a fracture.
96.
Which of the following body parts commonly enlarges in the elderly male causing urinary tract obstruction?
a)
testes
b)
prostate gland
97.
In diabetes, the body lacks or is unable to use
a)
Estrogen.
b)
Testosterone.
c)
Insulin.
d)
Protein and carbohydrates.
98.
A resident has terminal breast cancer and says she wants to live three more months to see her first grandchild. According to Kubler-Ross, in what stage of the grief process is this resident?
a)
Denial
b)
Bargaining
c)
Depression
d)
Acceptance
99.
Postmortem care includes:
a)
Taping the eyes shut
b)
Bathing as necessary
c)
Removing dentures
d)
Removing prostheses
100.
When washing the face of a dependent patient/resident, the Nurse Assistant should:
a)
Use a separate washcloth for washing each eye
b)
Wipe the eyes from the outer edge to the center
c)
Use different corners of the washcloth when washing each eye
d)
Rinse the eyes by pouring a small amount of water on the forehead
101.
A surgical opening in the body for the discharge of body wastes.
a)
Stool
b)
Ostomy
c)
Prosthesis
d)
None of these
102.
To safely shave a patient/resident with a safety razor, the Nurse Assistant should:
a)
Apply an alcohol pre-shave solution
b)
Keep the skin taut in the area being shaved
c)
Move the razor in the opposite direction as the hair growth
d)
Rinse the razor in a disinfectant solution during shave
103.
When changing a colostomy bag, the Nurse Assistant should know:
a)
The colostomy bag must be changed every two hours
b)
All colostomy patients/residents have liquid stools
c)
The colostomy bag needs to be changed when the bag is leaking
d)
A skin barrier will hold the bag in place without a belt
104.
The Nurse Assistant should know that incontinent patients/residents:
a)
Cannot control their bladder or bowels
b)
Are lazy
c)
Are able to control the bladder or bowels
d)
Are confused
105.
What does this represent?
a)
Stop before entering
b)
BIo-hazardous waste
c)
Must wear PPE
d)
Caution hot surface
106.
Which body system allows fluids to be eliminated?
a)
respiratory
b)
digestive
c)
urinary
d)
circulatory
107.
Who is responsible for Continuing education/In-service classes for CNAs?
a)
DON-Director of Nurses
b)
DNS-Director of Nursing Services
c)
DSD-DIrector of Staff Development
d)
RN-Registered Nurse
108.
Difficulty in emptying the bowels usually associated with hardened feces.
a)
congestion
b)
constipation
c)
contractures
d)
colostomy
109.
CNA should know that it is very important to:
a)
Do the task for the resident if they are moving too slow.
b)
Promote independence by allowing the resident to do as much as they can for themself.
c)
Use disapproving body language to show the resident when they are doing a task wrong.
d)
All of these
110.
Showing an ability to understand and share the feelings of another is being:
a)
sympathetic
b)
empathetic
c)
compassionate
d)
actualization