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1. Which of the following is the best way to reduce the spread of infection?

Wear rubber gloves when providing any client care
Wash your hands before and after providing client care
Wash client linens immediately after use
Use only disposable thermometers

2. Mrs. Felix has had a stroke; her right side is paralyzed and she has difficulty speaking. As part of this client's morning care, you will:

Give her oral care and observe the condition of her skin, especially over the bony areas
Walk her in the hallway using a Quad cane
Give the morning medication
Administer her tube feeding

3. When cleansing this client's genital area, the Nursing Assistant should remember which of the following principles?

Use a clean cotton ball or portion of cloth for each cleansing stroke; wash rectal area last
Cleanse the genitals in an upward motion from the rectal area to the urethra
Use plenty of warm, sudsy water for cleansing
Use an antiseptic such as Betadine to control odor

4. You notice that Mrs. Felix has a reddened area on her lower back area. To prevent "pressure sores" the Nursing Assistant should:

Spray the area with Granulex every two (2) hours
Keep the skin clean and dry; turn the client every two (2) hours
Use the heat lamp on the area every two (2) hours
Apply foam rubber rings to the reddened area

5. Which of the following is the proper way to take a rectal temperature?

Turn the client on her back, insert the thermometer five (5) inches, hold in place one (1) minute
Turn the client on her side, insert the thermometer one (1) inch, hold in place one (1) or two (2) minutes
Turn client on her abdomen, insert thermometer five (5) inches hold in place ten (10) minutes
Turn client on her back with legs straight, insert thermometer three (3) to four (4) inches, hold in place ten (10) minutes

6. Which of the following blood pressure readings would you report to the charge nurse?

120/80
118/70
200/100
110/60

7. The proper way to take a client's pulse is:

Place your thumb firmly over the radial artery and cont for fifteen (15) seconds
Count the pulse for ten (10) seconds
Place your index finger and forefinger over the radial artery; count the pulse for fifteen (15) seconds
Place your palm over the radial artery; count for ten (10) seconds

8. During your shift, Mr. Cohen drank 150 cc of juice, 240 cc of iced tea, and ate 240 cc of jello. In addition, when he measured his own intake, he drank 10 ounces of water. He voided 150 cc at 8:00 a.m., 500 cc at 11:30 a.m. and 200 cc at 2:00 p.m. He had a liquid stool of 200 cc at 2:30 p.m. Mr. Cohen's intake and output for this shift is:

I = 930; O = 850
I = 930; O = 1050
I = 640; O = 1050
I = 640; O = 850

9. If you are working in a facility and find a client who does not respond, is not breathing and has no pulse, what would you do?

Push emergency light and call for help
Call for help and begin CPR, when permitted by state regulations
Call the doctor and go to find the charge nurse
Push the emergency call light and go to find the charge nurse

10. The fire alarm on your floor goes off while you are caring for your client in his room. What is the first thing you will do?

Close the door to the client's room
Run to the nurse's station and see if you can be of help
Remove the client from the room
Run for a fire extinguisher

11. The Nursing Assistant is caring for a diabetic. The family is visiting and has brought a piece of pie to the client who is eating it. The Nursing Assistant should:

Immediately take the pie from the client
Explain to the family that the client should not have foods unless ordered by the doctor
Ignore the fact that the client is eating pie
Inform the charge nurse so she can instruct the client and family

12. Mr. Tanner has a sign above his bed which says "NPO after 12:00 a.m." This means:

Mr. Tanner cannot have anything to drink or eat after midnight
Mr. Tanner can have all he wishes to eat and drink after midnight
Mr. Tanner cannot have anything to eat and drink after noon time
Mr. Tanner may have a sleeping pill at bedtime

13. If the Nursing Assistant is asked to do something for a client that he or she does not know how to do, or is unsure of, he or she should:

Say so right away
Say nothing and try to figure it out alone
Ask another Nursing Assistant
See if it is described in the Procedure Manual

14. One (1) of the responsibilities of a Nursing Assistant is to change the client's bed linen. All of the following are guidelines for this procedure EXCEPT:

Have the bed in a "high" position
Make up one (1) side of the bed at a time
Keep the dirty linens away from your uniform
Place dirty linen on the floor until you can dispose of it

15. The Nursing Assistant notices Mrs. Dunn's radial pulse is difficult to count, speeding up and slowing down, and not regular as it was yesterday. The Nursing Assistant should:

Do nothing; this is normal for an elderly client
Try to count the pulse for 60 seconds and report the problem to the charge nurse
Wait an hour and retake the pulse, then report to the charge nurse
Ask another Nursing Assistant to check the pulse

16. A nursing measure that helps keep clients safe is:

Keep the client's bed in the low position except when giving direct care
Place the nurse call light on the wall at night to prevent the client from lying on it
Encourage the client to wear shoes or slippers with leather soles
Encourage clients to be independent and occasionally walk without canes or walkers

17. The Nursing Assistant assists a client with left-sided weakness to walk to the dining room for breakfast. How can the Nursing Assistant best assist the client to walk?

Stand on the client's left side
Stand on the client's right side
Stand a foot or two (2) in front of the client
Stand just behind the client

18. When transferring a client from bed to wheelchair, it is very important to:

Place a pillow on the seat of the wheelchair
Drape a sheet in the wheelchair
Place feet and leg supports so the client can step onto the chair and slide into the seat
Make sure the brakes are locked

19. A Nursing Assistant can best help prevent the spread of infection by:

Reporting off duty if you sneeze frequently
Washing your hands between client contacts
Wearing gloves when you offer a bed pan to the client
Throw away rectal thermometers after one (1) time use

20. Mr. Femur is a 70 year old obese male who had a stroke. He is on bed rest and must be turned every two (2) hours. When turning Mr. Femur, the Nursing Assistant can avoid straining her back by doing which of the following:

Bend over the bed from the shoulders
Use the leg muscles to hold must of the client's weight
Keep her feet close together to provide a base of support
Have the height of the bed above the waist level

21. Mrs. Singer states she feels like urinating but can't. There are several measures to help a client urinate. Which of the following would help Mrs. Singer void?

Placing a heating pad on her bladder
Running the tap water so Mrs. Singer can hear it
Pour cool water over the genital area
Straight catheterization

22. Mr. Lawrence is on a clear liquid diet . Which of the following can he have?

Milk, crackers
Broth and jello
Chicken noodle soup
Coffee, vegetable soup

23. Mrs. Smith has a foley catheter. When the C.N.A. gives a complete bed bath, which of the following steps should be taken:

The area around the catheter should not be washed
The area around the catheter should be washed with cold water
The area around the catheter should be washed in warm soapy water and rinsed
Mrs. Smith should wash this area herself

24. When providing foot care to a diabetic client you should do all of the following EXCEPT:

Soak the feet in warm water for five (5) minutes
Wash the feet with warm soapy water, rinse and dry well
Use a cotton tip applicator to clean the toe nails
Cut the toe nails to keep them from catching on the client's socks

25. A Nursing Assistant is caring for Mrs. Smith. Mrs. Smith has religious beliefs that the caregiver does not believe in. The Nursing Assistant should do which of the following?

Tell Mrs. Smith she shouldn't talk about religion
Explain to Nursing Assistants beliefs to Mrs. Smith
Agree with everything Mrs. Smith says
Remember that Mrs. Smith has a right to her own beliefs which should be respected