Deck 16: Basic First Aid and Emergency Care

Question 1

The nursing assistant is caring for a group of residents. Which of the following residents needs immediate emergent help?

A) The resident was eating food and began to choke but successfully coughed up the food that was stuck.
B) The resident suddenly cannot speak after having a viral infection and communicates by writing.
C) The resident developed abdominal cramping and diarrhea after taking a medication for the first time.
D) The resident received an antibiotic and is gasping to breathe, and their lips are turning blue.

Answer 1

The resident received an antibiotic and is gasping to breathe, and their lips are turning blue.

Question 2

The nursing assistant is caring for a hospitalized client and found that the client was motionless and not breathing. What action should the nursing assistant take first?

A) Activate the emergency response system.
B) Deliver two rescue breaths.
C) Check for pulse at the neck.
D) Determine unresponsiveness.

Answer 2

Determine unresponsiveness.

Question 3

The nursing assistant is caring for a resident who slumps over in their chair and is unresponsive. The resident has a do not resuscitate (DNR) order. What action should the nursing assistant take?

A) Activate the emergency response system.
B) Check for pulse.
C) Tell the nurse immediately.
D) Provide rescue breathing.

Answer 3

Tell the nurse immediately.

Question 4

The nursing assistant's initial role in an emergency is to:

A) find out if there is a do not resuscitate (DNR, no code) order.
B) notify the family members of the emergency.
C) recognize that an emergency exists.
D) provide advanced medical care.

Question 5

The following steps are to be performed in an emergency situation by a nursing assistant:
(1) decide to act.
(2) recognize that an emergency exists.
(3) provide appropriate care until advanced medical care arrives.
(4) check for consciousness.
(5) activate the emergency medical services (EMS) system.
What is the correct order of these steps?

A) 2, 1, 4, 3, 5
B) 2, 1, 4, 5, 3
C) 1, 2, 4, 3, 5
D) 2, 1, 5, 4, 3

Question 6

When calling to activate the emergency medical services (EMS) system, the nursing assistant needs to be prepared to give accurate information regarding the resident's:

A) physical condition.
B) insurance information.
C) likelihood of survival.
D) medication and diet list.

Question 7

The nursing assistant is caring for a client who is unresponsive. What action should the nursing assistant take first?

A) Activate the emergency response system.
B) Observe for the rise and fall of the chest.
C) Check for a pulse at the carotid in the neck.
D) Deliver chest compressions followed by respirations.

Question 8

A person's airway is opened by:

A) allowing the chin to fall against the chest.
B) tilting the head back and lifting the chin up.
C) turning the head to either side.
D) assisting the person to sit up.

Question 9

The nursing assistant finds the hospitalized client unresponsive. After the nursing assistant activates the emergency response system and observes there is a very weak slow irregular pulse, what should the nursing assistant do next?

A) Check for the rise and fall of the chest.
B) Tilt the head back and lift the chin.
C) Perform rescue breathing.
D) Perform chest compressions.

Question 10

What would the nursing assistant do to control the bleeding from a leg? Select all that apply.

A) Elevate the bleeding leg above the level of the person's heart.
B) Apply firm, steady pressure directly over the wound.
C) Apply a tourniquet above the point of the bleeding.
D) Initiate standard precautions to prevent an infection.
E) Encourage the person to breath slowly and relax.

Question 11

The goal of Basic Life Support (BLS), when the person is experiencing either a respiratory or a cardiac arrest, is to:

A) give emergency care until advanced medical assistance arrives.
B) remove the object that is blocking the person's airway.
C) control bleeding to prevent shock.
D) reverse biologic death.

Question 12

A cardiac arrest is a result of a lack of blood flow to the:

A) brain.
B) heart.
C) liver.
D) lungs.

Question 13

The nursing assistant is caring for a resident who wanted to get up to their bedside chair who suddenly develops the following signs and symptoms: right-sided facial droop, slurred speech, tingling and numbness on the right arm and leg, and BP 210/110, HR 100, RR 16, and T 98°F. Which action should the nursing assistant implement first after activating the emergency response system?

A) Observe for respiratory problems.
B) Prepare for emergency measures.
C) Keep the resident in their bed.
D) Determine the time the symptoms began.

Question 14

When assisting a resident who reports feeling "faint," the nursing assistant would first:

A) quickly leave the room to get the nurse.
B) call for help from the other nursing assistants.
C) clear the area in order to provide a safe place to fall.
D) assist the person to sit down and lean over forward.

Question 15

When a resident experiences a grand mal seizure, the nursing assistant provides care by:

A) placing a tongue blade between the upper and lower teeth to prevent biting of the tongue.
B) holding the resident's arms and legs tightly to prevent an injury during the seizure.
C) helping the resident to the floor and placing them in a side-lying position.
D) having the resident sit with their head down while leaning forward.

Question 16

The nursing assistant is caring for a resident who suddenly develops dark bloody stool. Which action should the nursing assistant take first?

A) Determine changes in vital signs from the baseline.
B) Report the observations to the nurse immediately.
C) Assist the resident to a supine position in bed.
D) Ask the resident if the resident is having any discomfort.

Question 17

The resident returning to the nursing home after a cardiac angiogram suddenly develops the following signs and symptoms: a pool of blood at the right groin site with active bleeding, BP 88/50, HR 100, and RR 28. Which action should the nursing assistant take first?

A) Call for immediate help to the room.
B) Ensure that the bed is flat and raise the foot of the bed above the heart.
C) Cover the resident with a blanket.
D) Apply direct pressure at the groin site using nearby gauze and gloved hand.

Question 18

Anaphylactic shock can be caused by a:

A) severe bacterial infection.
B) severe allergic reaction.
C) massive loss of blood.
D) weak heartbeat.

Question 19

After activating the emergency medical services (EMS) system, the nursing assistant caring for a client who is showing signs of shock would:

A) put the person in the recovery position on the floor.
B) remove the person's clothing to cool them down.
C) check the person's temperature.
D) keep the person warm.

Question 20

The nursing assistant is caring for residents in the dining hall when one of the residents suddenly develops the following signs and symptoms: a high-pitched "crowing" sound during breathing and lips are turning blue. The nursing assistant calls for help. Which action should the nursing assistant take next?

A) Leave the resident alone.
B) Perform abdominal thrusts.
C) Tell the resident to cough.
D) Use back blows between shoulders.

Question 21

When administering abdominal thrusts, the fists are placed:

A) on the sternum.
B) on the navel.
C) between the navel and the sternum.
D) over the back.

Question 22

The nursing assistant is caring for a resident who is dining with their pregnant granddaughter. The granddaughter suddenly develops the following signs and symptoms: skin around lips is bluish; chest is not rising; has hands crossed over each other around the neck; and shakes head when asked if choking. What action should the nursing assistant take next?

A) Use abdominal thrusts while the person is sitting.
B) Perform chest thrusts while the person is sitting.
C) Ask the person to lie on the floor and use abdominal thrusts.
D) Lower the person to the floor and use chest thrusts.

Question 23

The most important thing to do for a person after the person as a seizure is to:

A) keep them warm.
B) lay them in the recovery position.
C) be sure to watch their breathing.
D) offer them something to drink.

Question 24

When reporting how a resident looked just before fainting, the nursing assistant is likely to document that the resident:

A) had a red facial rash.
B) was perspiring.
C) was coughing.
D) had a cold.

Question 25

A person has fainted. After being sure that the person is breathing, the nursing assistant:

A) goes to get the RN.
B) covers the person with a blanket.
C) positions the person their left side.
D) asks the person to state their birth date.

Question 26

It is true that a cardiac arrest:

A) occurs as a result of a fall.
B) usually happens to the elderly.
C) usually causes a person's death.
D) occurs when the heart stops beating.

Question 27

The nursing assistant knows a resident's usual condition. By communicating observations about a resident's change in condition which could be considered an emergency to the RN, the assistant may:

A) get a pay raise for their professional responsibility.
B) keep the situation from worsening.
C) allow the resident's advanced directives to be reviewed.
D) become a part of the emergency care team for the nursing home.